An interesting case of visceral larva migrans (VLM).

ABSTRACT

Human toxocariasis is primarily a soil transmitted zoonosis.We report a case of two and half year old male child who presented with fever, anorexia and hepatosplenomegaly. Hemogram showed anaemia (Hb 5.8), leukocytosis (TLC 26,500) and marked eosinophilia (AEC 14,100). Further investigations revealed hypergammaglobulinemia, CT scan of Abdomen showed low density lesions in liver and liver biopsy showed noncaeseating epitheloid cell granulomas and infiltrates of lymphocytes and eosinophils. We decided to get a confirmatory serological diagnostic test for Toxocara and the result was positive .Child was treated for it with Oral Albendazole and responded dramatically.