Format

Send to

Choose Destination
Rev Med Interne. 2014 Dec;35(12):831-7. doi: 10.1016/j.revmed.2013.11.008. Epub 2013 Dec 9.

[Visceral larva migrans with cardiac manifestation: a case report and literature review].

[Article in French]

Author information

1
Service de médecine interne, CHU Gabriel-Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand, France. Electronic address: annelemaireplateau@gmail.com.
2
Service de médecine, centre hospitalier Henri-Mondor, 15000 Aurillac, France.
3
Service de médecine interne, CHU Gabriel-Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand, France.

Abstract

INTRODUCTION:

Toxocariasis is a roundworm infection that may be associated with serious cardiac manifestations. We report one case and review another 12 cases in the literature.

CASE REPORT:

A 74-year-old man, presented with clinical features of myopericarditis. Eosinophil count was 20,000/mm(3). The ELISA and Western Blot were positive for Toxocara canis. The patient was treated with corticosteroids and antiparasite treatment. The outcome was rapidly favorable.

DISCUSSION:

In the other 12 cases, the cardiac manifestations were often severe: six myocarditis, three tamponades and three Loeffler's endocarditis have been published. Four therapeutic strategies have been reported: symptomatic treatment alone was associated with worse progressive; antiparasite treatment alone or companied with corticosteroids and corticosteroids alone had good results.

CONCLUSION:

The toxocariasis should be investigated systematically in case of eosinophilic cardiomyopathy. The treatment strategy is still controversial.

KEYWORDS:

Myopericarditis; Myopéricardite; Toxocariasis; Toxocarose

PMID:
24332019
DOI:
10.1016/j.revmed.2013.11.008
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center