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Visceral Larva Migrans Follow-up

  • Author: Raymond D Pitetti, MD, MPH; Chief Editor: Russell W Steele, MD  more...
Updated: Nov 02, 2015

Further Inpatient Care

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  • Children rarely require hospitalization for visceral larva migrans (VLM).


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  • Arrange transfer for children with disease that require services or specialists not readily available (unusual occurrence).


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  • Avoid contaminated areas when possible.


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  • Seizures
  • Myocarditis
  • Encephalitis
  • Abscess
  • Decreased visual acuity and blindness
  • Death


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  • Visceral larva migrans is generally benign and self-limiting. However, serious sequelae can occur, resulting in significant risk of morbidity and mortality.

Patient Education

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  • Instruct caregiver to worm household pets and to properly dispose of pet feces.
  • Encourage good personal hygiene, including washing hands after playing with pets.
  • Encourage caregivers to prevent children from playing in areas that are soiled with pet or other animal feces.
  • Teach older children that eating dirt may be dangerous.
Contributor Information and Disclosures

Raymond D Pitetti, MD, MPH Associate Professor, Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Pittsburgh School of Medicine; Associate Division Chief, Division of Pediatric Emergency Medicine, Associate Medical Director, Emergency Department, Medical Director, Sedation Services, Medical Director, Express Care, Medical Director, Patient Safety, Consulting Staff, Children's Hospital of Pittsburgh of UPMC and University of Pittsburgh Physicians

Raymond D Pitetti, MD, MPH is a member of the following medical societies: American Academy of Pediatrics, Pennsylvania Medical Society, Society for Pediatric Research, Allegheny County Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Chief Editor

Russell W Steele, MD Clinical Professor, Tulane University School of Medicine; Staff Physician, Ochsner Clinic Foundation

Russell W Steele, MD is a member of the following medical societies: American Academy of Pediatrics, American Association of Immunologists, American Pediatric Society, American Society for Microbiology, Infectious Diseases Society of America, Louisiana State Medical Society, Pediatric Infectious Diseases Society, Society for Pediatric Research, Southern Medical Association

Disclosure: Nothing to disclose.


Leslie L Barton, MD Professor Emerita of Pediatrics, University of Arizona College of Medicine

Leslie L Barton, MD is a member of the following medical societies: American Academy of Pediatrics, Association of Pediatric Program Directors, Infectious Diseases Society of America, and Pediatric Infectious Diseases Society

Disclosure: Nothing to disclose.

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Diagram of the Toxocara canis life cycle image. Courtesy of the Centers for Disease Control and Prevention.
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