Abstract |
We relate a case of an 18-year-old man, resident of Xapuri (state of Acre, Brazil), with a history of repeated episodes of meningoencephalitis (three in one year), each one was examined by a local doctor. In our service (Emílio Ribas Institute of Infectology) we observed a patient with polyjoint aches, radiological and bronchoscopic pulmonary alterations (without clinical features), meningeal and brain stem manifestations--with normal brain computed tomography and cerebrospinal fluid. Blood eosinophils and serological Toxocara canis test (ELISA) were greatly increased. With the hypothesis of Toxocariasis ( visceral larva migrans) we administered thiabendazole that brought complete clinical and laboratory remission. Inspite of a new episode of headache with meningeal manifestation approximately one month later (treated with dexamethasone resulting in a full remission after three days) we have not found other manifestations in approximately three and a half years of ambulatory care.
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Authors | L A Barra, W F dos Santos, P P Chieffi, E A Bedaque, P S Salles, C G Capitão, S Vianna, R Hanna, L Pedretti Júnior |
Journal | Revista da Sociedade Brasileira de Medicina Tropical
(Rev Soc Bras Med Trop)
1996 Jul-Aug
Vol. 29
Issue 4
Pg. 373-6
ISSN: 0037-8682 [Print] Brazil |
Vernacular Title | Larva migrans visceral: forma mista de apresentação em adulto. Aspectos clínicos e laboratoriais. |
PMID | 8768588
(Publication Type: Case Reports, English Abstract, Journal Article, Review)
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Chemical References |
- Antibodies, Helminth
- Antinematodal Agents
- Glucocorticoids
- Dexamethasone
- Thiabendazole
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Topics |
- Adolescent
- Animals
- Antibodies, Helminth
(blood)
- Antinematodal Agents
(administration & dosage)
- Brazil
- Chronic Disease
- Dexamethasone
(therapeutic use)
- Glucocorticoids
(therapeutic use)
- Humans
- Larva Migrans, Visceral
(complications, diagnosis, drug therapy)
- Male
- Recurrence
- Thiabendazole
(administration & dosage)
- Toxocara canis
(immunology)
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