Abstract
This paper reports a case of toxocariasis with cardiac manifestations. The patient was a 48-year-old man suffering from a Loffler endocarditis with hypereosinophilia. ELISA and Western blot tests confirmed the diagnosis of toxocariasis. The disease was successfully managed by a combination of albendazole and corticosteroids. A few cases of cardiac toxocariasis have been described previously in the literature focusing on this unusual location. Eosinophils may have a key role in the pathogenesis of the disease. Therefore, clinicians should always investigate toxocariasis in case of hypereosinophilia with cardiac involvement.
Highlights
Toxocariasis is one of the most frequent zoonotic helminthiasis its frequency is underestimated due to common asymptomatic manifestations.Toxocara is a nematode that infects the intestine of animals and includes Toxocara canis in dogs and Toxocara cati in cats
This paper describes a fourth case of endocarditis [6,7,8] due to Toxocara sp. and reviews the literature describing this uncommon localization, highlighting the difficulties of follow-up
Hypereosinophilia may be associated with various etiologies including autoimmune or neoplasic diseases, parasites, drugs, allergic reactions, etc., justifying broad etiological investigations [2]
Summary
Cardiac Manifestations of Toxocariasis: A Case Report of Löffler Endocarditis and Literature Review. Joséphine Dorin1*, Laura Filippetti, Anne Debourgogne1,3 , Damien Voilliot, Olivier Huttin, and Marie Machouart. Received date: February 23, 2015; Accepted date: May 20, 2015; Published date: May 25, 2015
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