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Visceral larva migrans Causes and Risks: The dog and cat worms are Toxocara canis and Toxocara cati respectively (other species of Toxocara can cause infection). These worms inhabit the intestinal tract of dogs and cats. Their eggs appear in abundance in the feces of these animals. When children ingest eggs from contaminated vegetation, dirt, or stool itself, the eggs hatch into larvae in the intestinal tract. They burrow through the intestinal wall where they then migrate to other organs of the body, most commonly the liver and lung but also the brain, eye, and other organs. A human is not a true host for the Toxocara parasite, and subsequently the larvae do not develop past the larval stage. However, in their migration through the tissues they cause inflammation and tissue damage. Children develop fever , lung problems including cough and wheezing , seizures , occasionally hive-like rashes . Larva migrating into the structures of the eye may cause decreased visual acuity , swelling around the eye (periorbital edema ), and crossed eyes ( strabismus ). The disease is generally self-limiting and symptoms abates over a period of months. Often symptoms are mild enough that treatment is not instituted. A specific and time proven drug is not available. Prevention: Estimates suggest that 1 out of 5 dogs in the U. S. carry Toxocara. Worming of puppies and adult dogs at periods prescribed by veterinarians reduces the risk that you pet may carry Toxocara. Removing dog and cat feces and proper disposal can reduce the risk of exposure to children playing in the area. Routine handwashing after yard cleanup (removing dog and cat droppings) and after handling pets will further decrease the risk. Symptoms: General symptoms Eye symptoms Signs and Tests: There may be a history of exposure to a dog or cat or their droppings. Physical examination may show an enlarged liver ( hepatomegaly ) and enlarged lymph nodes ( lymphadenopathy ). Treatment: Medications can be given that will eliminate the parasite. Diethylcarbamazine is an experimental treatment. Prognosis: Symptoms are mild unless the infestation is severe. Complete recovery can be expected with treatment. Complications: Call Your Healthcare Provider: Call your health provider if you suspect that you may have this disorder.
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