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J Korean Soc Emerg Med > Volume 17(4); 2006 > Article
Journal of The Korean Society of Emergency Medicine 2006;17(4): 374-376.
A case of Visceral Larva Migrans Due to Toxocara Carni in the Emergency Department
In Soo Kim, Sang Kyoon Han, Won Joon Jeong, Hwa Yeon Yi, Won Suk Lee, Seung Ryu, In Sool Yoo
Department of Emergency Medicine, Chungnam National University College of Medicine, Korea. rs0505@cnuh.co.kr
Toxocariasis is a zoonotic infection seen all over the world that is caused by the parasitic roundworm Toxocara canis. Toxocariasis is transmitted to humans by oral ingestion of infectious eggs from Toxocara canis. In most cases, Toxocara infection is asymptomatic and self-limited. However, we report a case of severe manifestations of visceral larva involving the liver, the respiratory tract. The case involved a man with Toxocara canis infection who presented with diarrhea, abdominal pain, dyspnea and hepatomegaly. Blood tests revealed a leucocytosis with prominent eosinophilia. The patient's chest X-ray showed ground glass opacity in both lung fields. The diagnosis was confirmed by an ELISA (Enzyme-Linked Immunospecific Assay) for Toxocara canis. He was treated with albendazole and prednisolone medication and was discharged without complication.
Key words: Toxocara canis, Eosinophilia, ELISA(Enzyme-Linked Immunospecific Assay)
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