Visceral larva migrans

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Visceral larva migrans
Specialty Infectious diseases   OOjs UI icon edit-ltr-progressive.svg
Causes Nematodes of the genera Toxocara and Baylisascaris

Visceral larva migrans (VLM) is a condition in humans caused by the migratory larvae of certain nematodes, humans being a dead-end host, and was first reported in 1952. [1] Nematodes causing such zoonotic infections are Baylisascaris procyonis , [2] Toxocara canis , [3] Toxocara cati , [3] and Ascaris suum . [4] These nematodes can infect but not mature in humans after migrating through the intestinal wall, travel with the bloodstream to various organs, and cause inflammation and damage. Affected organs can include the liver, heart (causing myocarditis) and the CNS (causing dysfunction, seizures, and coma). A special variant is ocular larva migrans where usually T. canis larvae travel to the eye.

Contents

Only a few roundworm eggs are necessary to cause larva migrans in human children or adults. However, visceral larva migrans seems to affect children aged 1–4 more often while ocular larva migrans more frequently affects children aged 7–8. Between 4.6% and 23% of U.S. children have been infected with the dog roundworm egg. This number is much higher in other parts of the world, such as Colombia, where up to 81% of children have been infected. [5]

Cutaneous larva migrans is a condition where nematodes such as Ancylostoma braziliense migrate to the skin.

Signs and symptoms

Fever, enlargement of the liver, leukocytosis, coughing etc. [6]

Cause

A list of causative agents of larva migrans syndromes is not agreed upon and varies with the author. [7]

See also

References

  1. Beaver, P. C.; Snyder, C. H.; Carrera, G. M.; Dent, J. H.; Lafferty, J. W. (1952). "Chronic eosinophilia due to visceral larva migrans; report of three cases". Pediatrics. 9 (1): 7–19. doi:10.1542/peds.9.1.7. PMID   14911260. S2CID   245071279.
  2. Gavin, P. J.; Kazacos, K. R.; Shulman, S. T. (2005). "Baylisascariasis". Clinical Microbiology Reviews. 18 (4): 703–18. doi:10.1128/CMR.18.4.703-718.2005. PMC   1265913 . PMID   16223954.
  3. 1 2 Beaver, PC (1959). "Visceral and cutaneous larva migrans". Public Health Reports. 74 (4): 328–32. doi:10.2307/4590442. JSTOR   4590442. PMC   1929226 . PMID   13645880.
  4. Sakai, S.; Shida, Y.; Takahashi, N.; Yabuuchi, H.; Soeda, H.; Okafuji, T.; Hatakenaka, M.; Honda, H. (2006). "Pulmonary Lesions Associated with Visceral Larva Migrans Due to Ascaris suum or Toxocara canis: Imaging of Six Cases". American Journal of Roentgenology. 186 (6): 1697–1702. doi:10.2214/AJR.04.1507. PMID   16714661.
  5. Cheprasov, Artem (2012). "Death at the Playground". Guru Magazine. No. 11. pp. 59–61.
  6. Wanger, Audrey; Chavez, Violeta; Huang, Richard S.P.; Wahed, Amer; Actor, Jeffrey K.; Dasgupta, Amitava (2017). "Infections Caused by Parasites". Microbiology and Molecular Diagnosis in Pathology. pp. 191–219. doi:10.1016/B978-0-12-805351-5.00010-7. ISBN   978-0-12-805351-5.
  7. Iowa State University (May 2005). "Larva migrans" (PDF). Retrieved November 10, 2010.