Arighi Paula, Hausbauer Gretel E, Vázquez Mercedes G, Nastri Mariana
Sector de Bajo Riesgo. Servicio de Clínica, Hospital Nacional de Pediatría "Prof. Dr. Juan P. Garrahan", Ciudad de Buenos Aires.
Arch Argent Pediatr. 2018 Dec 1;116(6):e753-e756. doi: 10.5546/aap.2018.e753.
Toxocariasis canis or catis is a zoonotic infection disseminated in humans. Human beings can act as non-natural hosts in which the parasite can survive for long periods of time and they become infected by the ingestion of geohelminth eggs. These can be located on the ground, playgrounds and children's games, and are mostly eliminated by dogs or cats. There are different spectra in the clinical presentation of this infection, which can vary from an asymptomatic host to the production of serious organic lesions; some of them are ocular toxocariasis, visceral larva migrans, covert toxocariasis and neurotoxocariasis. In this case report a patient who presents with a history of respiratory problems, prolonged fever, and hepatomegaly. Laboratory analyses show hypereosinophilia, hypergammaglobulinemia and serodiagnosis is positive for toxocariasis. Preliminary diagnosis: Visceral Larva Migrans Syndrome.
犬弓首蛔虫或猫弓首蛔虫感染是一种在人类中传播的人畜共患病。人类可作为非自然宿主，寄生虫能在其中长期存活，人类通过摄入土源性蠕虫虫卵而被感染。这些虫卵可存在于地面、操场和儿童游戏场所，大多由狗或猫排出。这种感染的临床表现有不同类型，从无症状宿主到产生严重器质性病变不等；其中一些是眼弓蛔虫病、内脏幼虫移行症、隐匿性弓蛔虫病和神经弓蛔虫病。在本病例报告中，一名患者有呼吸问题、长期发热和肝肿大病史。实验室分析显示嗜酸性粒细胞增多、高球蛋白血症，弓蛔虫病血清诊断呈阳性。初步诊断：内脏幼虫移行症综合征。
