Duréault Amélie, Perez Valdes Carlos, Weber Lalensia, Ogna Adam, Sempoux Christine, Manuel Oriol, Delaloye Julie
Service des maladies infectieuses, CHUV, 1011 Lausanne.
Service de pneumologie, CHUV, 1011 Lausanne.
Rev Med Suisse. 2017 Apr 12;13(558):815-819.
Toxocariasis is a zoonotic disease that occurs when humans are infected by the parasites Toxocara canis or Toxocara cati. Toxocariasis is highly prevalent in tropical areas, but can also be found in industrialized countries, particularly in rural areas. Clinical presentation can range from asymptomatic infection to more severe disease. Diagnosis of toxocariasis is based on suggestive clinical findings, eosinophilia and a positive serological testing. Albendazole represents the first-line treatment, associated with corticosteroids in case of severe disease. Here we describe three clinical cases of toxocariasis in order to illustrate the clinical presentation, diagnosis and treatment of this unrecognized disease.
弓蛔虫病是一种人畜共患疾病,当人类感染犬弓蛔虫或猫弓蛔虫寄生虫时就会发生。弓蛔虫病在热带地区高度流行,但在工业化国家也有发现,特别是在农村地区。临床表现从无症状感染到更严重的疾病不等。弓蛔虫病的诊断基于提示性的临床发现、嗜酸性粒细胞增多和血清学检测呈阳性。阿苯达唑是一线治疗药物,严重病例需联合使用皮质类固醇。在此,我们描述三例弓蛔虫病临床病例,以说明这种未被充分认识疾病的临床表现、诊断和治疗。