1
|
Pulmonary Toxocariasis: Initial and Follow-Up CT Findings in 63 Patients. AJR Am J Roentgenol 2015; 204:1203-11. [DOI: 10.2214/ajr.14.13700] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
|
2
|
Park EJ, Song JY, Choi MJ, Jeon JH, Choi JY, Yang TU, Hong KW, Noh JY, Cheong HJ, Kim WJ. Pulmonary toxocariasis mimicking invasive aspergillosis in a patient with ulcerative colitis. THE KOREAN JOURNAL OF PARASITOLOGY 2014; 52:425-8. [PMID: 25246722 PMCID: PMC4170039 DOI: 10.3347/kjp.2014.52.4.425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/19/2014] [Revised: 05/15/2014] [Accepted: 06/24/2014] [Indexed: 12/01/2022]
Abstract
A 45-year-old-male who had underlying ulcerative colitis and presented with fever and dry cough. Initially, the patient was considered to have invasive aspergillosis due to a positive galactomannan assay. He was treated with amphotericin B followed by voriconazole. Nevertheless, the patient deteriorated clinically and radiographically. The lung biopsy revealed eosinophilic pneumonia, and ELISA for Toxocara antigen was positive, leading to a diagnosis of pulmonary toxocariasis. After a 10-day treatment course with albendazole and adjunctive steroids, the patient recovered completely without any sequelae. Pulmonary toxocariasis may be considered in patients with subacute or chronic pneumonia unresponsive to antibiotic agents, particularly in cases with eosinophilia.
Collapse
Affiliation(s)
- Eun Jin Park
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea
| | - Joon Young Song
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea. ; Asian Pacific Influenza Institute (APII), Korea University College of Medicine, Seoul 136-705, Korea
| | - Min Ju Choi
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea
| | - Ji Ho Jeon
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea
| | - Jah-Yeon Choi
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea
| | - Tae Un Yang
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea
| | - Kyung Wook Hong
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea
| | - Ji Yun Noh
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea. ; Asian Pacific Influenza Institute (APII), Korea University College of Medicine, Seoul 136-705, Korea
| | - Hee Jin Cheong
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea. ; Asian Pacific Influenza Institute (APII), Korea University College of Medicine, Seoul 136-705, Korea
| | - Woo Joo Kim
- Department of Internal Medicine, Korea University College of Medicine, Seoul 136-705, Korea. ; Asian Pacific Influenza Institute (APII), Korea University College of Medicine, Seoul 136-705, Korea
| |
Collapse
|
3
|
Fellrath JM, Magnaval JF. Toxocariasis after slug ingestion characterized by severe neurologic, ocular, and pulmonary involvement. Open Forum Infect Dis 2014; 1:ofu063. [PMID: 25734133 PMCID: PMC4281794 DOI: 10.1093/ofid/ofu063] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2014] [Accepted: 07/09/2014] [Indexed: 12/02/2022] Open
Abstract
Human toxocariasis is generally a benign, self-curing disease, and neurologic involvement is quite exceptional. In this study, we report a case of toxocariasis caused by ingestion of an unusual transport host, namely live slugs. The clinical picture comprised eosinophilic lung involvement with severe neurologic disorders in relation to vasculitis as well as retinal detachment.
Collapse
Affiliation(s)
| | - Jean-François Magnaval
- Department of Medical Parasitology , Faculty of Medicine Purpan , Toulouse , France ; CNRS UMR 5288 "Anthropobiology" , Paul-Sabatier University , Toulouse , France
| |
Collapse
|
4
|
Chest CT findings of toxocariasis: Correlation with laboratory results. Clin Radiol 2014; 69:e285-90. [DOI: 10.1016/j.crad.2014.01.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2013] [Revised: 01/24/2014] [Accepted: 01/29/2014] [Indexed: 11/21/2022]
|
5
|
Yoon YS, Lee CH, Kang YA, Kwon SY, Yoon HI, Lee JH, Lee CT. Impact of toxocariasis in patients with unexplained patchy pulmonary infiltrate in Korea. J Korean Med Sci 2009; 24:40-5. [PMID: 19270811 PMCID: PMC2650967 DOI: 10.3346/jkms.2009.24.1.40] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2007] [Accepted: 05/23/2008] [Indexed: 11/20/2022] Open
Abstract
Toxocariasis is one of the causes of pulmonary eosinophilic infiltrate that is increasing in Korea. This study was designed to identify the prevalence of toxocara seropositivity in patients with unexplained pulmonary patchy infiltrate and to evaluate associated factors. We evaluated 102 patients with unexplained pulmonary patchy infiltrate on chest computed tomography (CT) scan. As a control set, 116 subjects with normal chest CT were also evaluated. History of allergic disease, drug use, parasitic disease and raw cow liver intake were taken. Blood eosinophil count and total IgE level were measured. Specific serum IgG antibody to Toxocara canis larval antigen and specific IgG antibodies to 4 other parasites were measured by enzyme-linked immunosorbent assay (ELISA). In the infiltrate group, 66.7% subjects were toxocara seropositive whereas 22.4% of the control group were seropositive (p<0.001). In the infiltrate group, patients with a history of eating raw cow liver (odds ratio [OR], 7.8) and patients with eosinophilia (OR, 5.2) had a higher incidence of toxocara seropositivity. Thirty-five percent of toxocara seropositive patients with infiltrate exhibited migrating infiltrate and 48% had decreased infiltrate on the follow-up CT. We recommend that toxocara ELISA should be performed in patients with unexplained pulmonary patchy infiltrate, and that the eating of raw cow liver should be actively discouraged.
Collapse
Affiliation(s)
- Young-Soon Yoon
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Medical Research Institute, Seoul National University College of Medicine, Seoul, Korea
| | - Chang-Hoon Lee
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Medical Research Institute, Seoul National University College of Medicine, Seoul, Korea
| | - Young-Ae Kang
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Medical Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Department of Medicine and Respiratory Center, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Sung-Youn Kwon
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Medical Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Department of Medicine and Respiratory Center, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Ho Il Yoon
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Medical Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Department of Medicine and Respiratory Center, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Jae-Ho Lee
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Medical Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Department of Medicine and Respiratory Center, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Choon-Taek Lee
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Medical Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Department of Medicine and Respiratory Center, Seoul National University Bundang Hospital, Seongnam, Korea
| |
Collapse
|
6
|
Affiliation(s)
- Jong-Yil Chai
- Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Korea.
| |
Collapse
|