Visceral larva migrans presenting as multiple liver abscesses

Eosinophilic necrotizing granulomas in the liver, known as visceral larva migrans (VLM), are a rare cause of liver abscesses. The term VLM refers to infections in human tissues caused by the larval stages of ascarid worms of dogs and cats. We report two cases of VLM which presented with high grade f...

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Bibliographic Details
Published in:Tropical doctor 2013-10, Vol.43 (4), p.154-157
Main Authors: Ramachandran, Jeyamani, Chandramohan, Anuradha, Gangadharan, Sajith Kattiparambil, Unnikrishnan, LS, Priyambada, Leena, Simon, Anna
Format: Article
Language:English
Subjects:
Adult
Anthelmintics - therapeutic use
Child
Female
Humans
Larva Migrans, Visceral - diagnosis
Larva Migrans, Visceral - drug therapy
Liver Abscess - diagnosis
Liver Abscess - drug therapy
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Summary:Eosinophilic necrotizing granulomas in the liver, known as visceral larva migrans (VLM), are a rare cause of liver abscesses. The term VLM refers to infections in human tissues caused by the larval stages of ascarid worms of dogs and cats. We report two cases of VLM which presented with high grade fever and abdominal pain for 3-4 months. Marked peripheral eosinophilia, multiple confluent perivenous lesions in the right lobe of liver with characteristic migratory tracts on imaging and biopsy evidence of necrotizing eosinophilic granulomas led to the diagnosis. Complete recovery was achieved with repeated courses of a combination of anthelmintics.
ISSN:0049-4755
1758-1133
DOI:10.1177/0049475513507254