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     Dr  Sampurna Roy  MD

 
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  Gastrointestinal Stromal Tumour

          

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Syn:  Larva Migrans Visceralis, Ocular Larva Migrans, Toxocariasis.

               

Visceral larva migrans, also known as toxocariasis, is an infection of deep organs by helminthic larvae migrating in the host.  Visit:  Cutaneous larva migrans

      Image1  ;  Image2  ;  Image3  ;  Image4 .

Toxocarias is a sporadic disease, primarily of young children, that is often found in areas where there are overcrowded dwellings, dogs and cats.

Toxocara species are the most common cause of visceral larva migrans (Toxocara canis and Toxocara cati are common roundworms of dogs and cats) , but other parasites, such as Ancylostoma, Strongyloides stercoralis , Baylisascaris (Nematode), Spirometra (Crestoda), and Alaria (Trematoda), can also cause the disease. Hookworm Infection

Typical patient is a child with hypereosinophilia, pneumonitis, hypergammaglobulinemia.

Ocular visceral larva migrans is a distinct entity. The chief complaint is decreased vision in one or both eyes, and failure to treat ocular lesions may lead to retinal detachment.

Generally, as with all forms of the disease, the infection is self-limited and symptoms disappear within a year.

A presumptive diagnosis can be made serologically.

Both diethylcarbamazine and thiabendazole are used to treat visceral larva migrans.

                  

Abstract:

Visceral larva migrans presenting as acute abdomen in a child.J Pediatr Surg. 2006 Mar;41(3):e7-9.

Visceral larva migrans associated with earthworm ingestion: clinical evolution in an adolescent patient.Pediatrics. 2006 Feb;117(2):e336-9.

Visceral larval migrans masquerading as metastatic disease in a toddler with Wilms tumor.Pediatr Radiol. 2006 Mar;36(3):265-7. Epub 2006 Jan 24.

A familial case of visceral larva migrans after ingestion of raw chicken livers: appearance of specific antibody in bronchoalveolar lavage fluid of the patients.Am J Trop Med Hyg. 2006 Aug;75(2):303-6.

Liver resection for a rare parasitic infection--visceral larva migrans syndrome.Orv Hetil. 2004 Jun 20;145(25):1333-6.

Chronic eosinophilic pneumonia due to visceral larva migrans.Intern Med. 2002 Jun;41(6):478-82

Myocarditis associated with visceral larva migrans due to Toxocara canis.Intern Med. 2002 Sep;41(9):706-8

Visceral larva migrans in adults with severe pulmonary manifestations. Presse Med. 1997 Feb 1;26(2):70-2

Visceral larva migrans. A rare cause of eosinophilia in adults.Tidsskr Nor Laegeforen. 1996 Sep 20;116(22):2660-1

Visceral larva migrans. A review and reassessment indicating two forms of clinical expression: visceral and ocular. Am J Dis Child. 1978;132(6):627-33

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