VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORT
We report a case of tropical pyomyositis in a boy who presented with a severe febrile illness associated with diffuse erythema, and swelling in many areas of the body which revealed on operation extensive necrotic areas of various muscles that required repeated débridement. The patient gave a history of contact with dogs, and an ELISA test for Toxocara canis was positive. He also presented eosinophilia and high serum IgE levels. Staphylococcus aureus was the sole bacteria isolated from the muscles affected. We suggest that tropical pyomyositis may be caused by the presence of migrating larvae of this or other parasites in the muscles. The immunologic and structural alterations caused by the larvae, in the presence of concomitant bacteremia, would favour seeding of the bacteria and the development of pyomyositis.
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Instituto de Medicina Tropical de São Paulo
1998
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oai:scielo:S0036-466519980006000081999-03-01VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORTLAMBERTUCCI,RobertoRAYES,AbdunnabiSERUFO,José CarlosTEIXEIRA,Daniela MouraGERSPACHER-LARA,RogérioNASCIMENTO,EvaldoBRASILEIRO-FILHO,GeraldoSILVA,Ana Cristina Tropical pyomyositis Visceral larva migrans Staphylococci Toxocariasis Hyperimmunoglobulinemia E We report a case of tropical pyomyositis in a boy who presented with a severe febrile illness associated with diffuse erythema, and swelling in many areas of the body which revealed on operation extensive necrotic areas of various muscles that required repeated débridement. The patient gave a history of contact with dogs, and an ELISA test for Toxocara canis was positive. He also presented eosinophilia and high serum IgE levels. Staphylococcus aureus was the sole bacteria isolated from the muscles affected. We suggest that tropical pyomyositis may be caused by the presence of migrating larvae of this or other parasites in the muscles. The immunologic and structural alterations caused by the larvae, in the presence of concomitant bacteremia, would favour seeding of the bacteria and the development of pyomyositis.info:eu-repo/semantics/openAccessInstituto de Medicina Tropical de São PauloRevista do Instituto de Medicina Tropical de São Paulo v.40 n.6 19981998-11-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651998000600008en10.1590/S0036-46651998000600008 |
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LAMBERTUCCI,Roberto RAYES,Abdunnabi SERUFO,José Carlos TEIXEIRA,Daniela Moura GERSPACHER-LARA,Rogério NASCIMENTO,Evaldo BRASILEIRO-FILHO,Geraldo SILVA,Ana Cristina |
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LAMBERTUCCI,Roberto RAYES,Abdunnabi SERUFO,José Carlos TEIXEIRA,Daniela Moura GERSPACHER-LARA,Rogério NASCIMENTO,Evaldo BRASILEIRO-FILHO,Geraldo SILVA,Ana Cristina VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORT |
author_facet |
LAMBERTUCCI,Roberto RAYES,Abdunnabi SERUFO,José Carlos TEIXEIRA,Daniela Moura GERSPACHER-LARA,Rogério NASCIMENTO,Evaldo BRASILEIRO-FILHO,Geraldo SILVA,Ana Cristina |
author_sort |
LAMBERTUCCI,Roberto |
title |
VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORT |
title_short |
VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORT |
title_full |
VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORT |
title_fullStr |
VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORT |
title_full_unstemmed |
VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORT |
title_sort |
visceral larva migrans and tropical pyomyositis: a case report |
description |
We report a case of tropical pyomyositis in a boy who presented with a severe febrile illness associated with diffuse erythema, and swelling in many areas of the body which revealed on operation extensive necrotic areas of various muscles that required repeated débridement. The patient gave a history of contact with dogs, and an ELISA test for Toxocara canis was positive. He also presented eosinophilia and high serum IgE levels. Staphylococcus aureus was the sole bacteria isolated from the muscles affected. We suggest that tropical pyomyositis may be caused by the presence of migrating larvae of this or other parasites in the muscles. The immunologic and structural alterations caused by the larvae, in the presence of concomitant bacteremia, would favour seeding of the bacteria and the development of pyomyositis. |
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Instituto de Medicina Tropical de São Paulo |
publishDate |
1998 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651998000600008 |
work_keys_str_mv |
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1756379697224089600 |