Revista do Instituto de Medicina Tropical de São Paulo
versão impressa ISSN 0036-4665
LAMBERTUCCI, Roberto et al. VISCERAL LARVA MIGRANS AND TROPICAL PYOMYOSITIS: A CASE REPORT. Rev. Inst. Med. trop. S. Paulo [online]. 1998, vol.40, n.6 ISSN 0036-4665. http://dx.doi.org/10.1590/S0036-46651998000600008.
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.
Palavras-chave : Tropical pyomyositis; Visceral larva migrans; Staphylococci; Toxocariasis; Hyperimmunoglobulinemia E.