Gennadiiy,

I am not the author of this or anything in the field of medicine - despite the research gate system listing - which I find difficult to change once it has made up its mind!!

Tom   

Thank you Thomas,

But if you are not experienced in medicine fields you may ignore these questions quite.

Best regards,

G.

Тhese 'guests' are very similar to Toxocara eggs (T. canis) that are  to ascarid nematodes. The presented clinical manifestations associated with toxocariasis are classified according to the organs affected; perhaps, there is visceral larva migrans (VLM) syndrome. VLM is caused by the migration of larvae through the internal organs of humans and the resulting inflammatory reaction. A constellation of symptoms develops, including fatigue, anorexia, weight loss, pneumonia, fever, cough, bronchospasm, abdominal pain, headaches, rashes, and, occasionally, seizures. Examination may reveal hepatomegaly, lymphadenitis, and/or wheezing. Occasionally, pleural effusions develop. Chronic urticaria has been described. Severe cases can lead to myocarditis or respiratory failure. In the presented case, there are acute signs of VLM associated with cardiac and pulmonary larval infection and include fever,  eosinophilia, pleural and pericardial effusion.

Albendazole or mebendazole are the drugs of choice for toxocariasis. Symptomatic treatment, including administration of corticosteroids, can be used to help suppress the intense allergic manifestations of the infection.

Thank you very much, Tatiyana!

I suppose you are right absolutely and we reassess our opinion on management of the patient considering a more correct causative agent. 

e voudrais savoir s'il y'a lieu à faire les épi-tests aux produits cytostatiques chez le personnel de soins le manipulant et qui se plaint d'allergies suite à l'exposition à ces produits ?

Bonjour - ResearchGate. Available from: https://www.researchgate.net/post/Bonjour [accessed Jun 21, 2017].

I have no knowledge about this issue. I am not working in that field of medicine.

To whom it may induce an interest:

We observed the second patient who suffered the pain in his left heel. During local surgery concerning "abscess" a mobile white worm was removed (thin and length up to 100 mm). The laboratory analysis detected a type of the worm - doe Dirofilaria repens. In ongoing literature review of D.repens and immitis we found an identical picture of skin nodules (Kramer L, et al. Emerging Infectious Diseases. 2007): cross-sections of Dirofilaria repens surrounded by an inflammatory granuloma. Please compare our colour picture in the Question (attached again) and later one (black&white). We hope this clinical case will be presented anywhere.

Thank everyone!