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Visceral Larva Migrans Associated with the Hypereosinophilic Syndrome and the Onset of Severe Asthma
- Gregory J. Feldman, MD; and
- H. Worth Parker, MD
Excerpt
Visceral larva migrans, a syndrome with various clinical manifestations, is infrequently recognized. In the United States, the parasite responsible for most visceral larvae migrans is the common roundworm of the dog, Toxocara canis. With few exceptions, the visceral larva migrans syndrome has been recognized mainly in children 1 to 4 years of age, and is characterized primarily by hepatomegaly with fever, leukocytosis, persistent eosinophilia, and hypergammaglobulinemia (1-3). Although rare case reports have described an illness with mild pulmonary involvement among adults, suggestive of visceral larva migrans (4, 5), severe bronchospasm resulting in respiratory failure has not been reported. We report
Acknowledgments
Acknowledgment: The authors thank Harold L. Manning, MD, for his constructive advice in preparing this manuscript.
Article and Author Information
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From Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire. For current author addresses, see end of text.
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Requests for Reprints: Gregory J. Feldman, MD, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756.
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Current Author Addresses: Drs. Feldman and Parker: Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756.
