Petithory Jean-Claude
QUAPAB, laboratoire Emile-Brumpt, centre hospitalier de Gonesse, 95503 Gonesse Cedex.
Rev Prat. 2007 Nov 30;57(18):1977-83.
The syndrome of visceral larva migrans was described for the first time in 1952 by Beaver. He demonstrated that the presence of nematodes larvae, particularly in the liver, were those of Toxocara canis and T. cati. Baylisascaris procyonis, the common racoon ascarid in the U.S.A. can also cause serious diseases in human. Digestive and respiratory clinical symptoms are usually moderate, however severe disease resulting from invasion of the myocardium or the brain has been reported. A blood hypereosinophilia is usually present the first few years after infection. Diagnosis uses serological methods, among them the ELISA test. Ocular larva is also possible with in that case, immunological modifications of the aqueous. Cutaneous larva migrans characterized by a linear, progressing, serpigenous eruption and intense itching is easy to diagnose. Larva migrans is due to dogs, cats and horses helminths. Dogs and cats (referred here as pets) now receive antihelmintitic treatments and parasites are now in decrease.
内脏幼虫移行症于1952年由比弗首次描述。他证明,线虫幼虫的存在,特别是在肝脏中的幼虫,是犬弓首线虫和猫弓首线虫的幼虫。美国常见的浣熊蛔虫——浣熊贝蛔虫也可导致人类严重疾病。消化和呼吸系统的临床症状通常较轻,但也有因心肌或脑部受侵而导致严重疾病的报道。感染后的头几年通常会出现血液嗜酸性粒细胞增多。诊断采用血清学方法,其中包括酶联免疫吸附测定(ELISA)试验。在这种情况下也可能出现眼部幼虫,房水会有免疫改变。以线状、进行性、匐行性皮疹和剧烈瘙痒为特征的皮肤幼虫移行症很容易诊断。幼虫移行症是由犬、猫和马的蠕虫引起的。犬和猫(此处称为宠物)现在接受抗蠕虫治疗,寄生虫数量正在减少。