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Acute Life-Threatening Toxocaral Tamponade

Isabelle Herry; Bruno Philippe; Christophe Hennequin; Claire Danel; Claire Lejeunne; Guy Meyer
Author and Funding Information

Affiliations: From the Service de Pneumologie, Hôpital Laennec, Paris, France,  From the Service de Microbiologie, Hôpital Necker, Paris, France,  From the Anatomo-pathologie, Hôpital Laennec, Paris, France,  From the Medecine interne, Hôpital Laennec, Paris, France

Affiliations: From the Service de Pneumologie, Hôpital Laennec, Paris, France,  From the Service de Microbiologie, Hôpital Necker, Paris, France,  From the Anatomo-pathologie, Hôpital Laennec, Paris, France,  From the Medecine interne, Hôpital Laennec, Paris, France

Affiliations: From the Service de Pneumologie, Hôpital Laennec, Paris, France,  From the Service de Microbiologie, Hôpital Necker, Paris, France,  From the Anatomo-pathologie, Hôpital Laennec, Paris, France,  From the Medecine interne, Hôpital Laennec, Paris, France

Affiliations: From the Service de Pneumologie, Hôpital Laennec, Paris, France,  From the Service de Microbiologie, Hôpital Necker, Paris, France,  From the Anatomo-pathologie, Hôpital Laennec, Paris, France,  From the Medecine interne, Hôpital Laennec, Paris, France


1997 by the American College of Chest Physicians


Chest. 1997;112(6):1692-1693. doi:10.1378/chest.112.6.1692
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Abstract

An unusual ease of life-threatening visceral larva migrans (toxocariasis) is reported herein. The patient was admitted with acute dyspnea and bilateral pleural effusion; rapidly pericardial tamponade developed. Blood and body fluid eosinophilia were elevated. Extensive investigations revealed no malignant process or vasculitis, but Toxocara infection was confirmed by rising specific antibody titers. The high seroprevalence of Toxocara antibodies, particularly in children, suggests that a diagnosis of visceral larva migrans should be considered before a diagnosis of systemic hypereosinophilic syndrome even when clinical presentation is unusual. Prophylaxis against this widespread polymorphic zoonotic infection is desirable in view of the potentially dramatic consequences of infestation.


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