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Park KH, Kim YS, Kim SK, Choi NC, Kwon OY, Lim B, Park KJ. Toxocara canis-Associated Myelitis with Eosinophilic Pneumonia. Exp Neurobiol 2016; 25:139-42. [PMID: 27358582 PMCID: PMC4923358 DOI: 10.5607/en.2016.25.3.139] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Revised: 04/12/2016] [Accepted: 05/01/2016] [Indexed: 11/19/2022] Open
Abstract
The existence of Toxocara canis-specific antibodies has recently been reported in patients with atopic myelitis. Here, we report the case of a 35-year-old male patient admitted with a chief complaint of right lower limb hypoesthesia lasting for a month. The patient was diagnosed with eosinophilic pneumonia 3 months ago, and a spine MRI revealed the presence of myelitis in the cervicothoracic cord. After confirming the presence of hyper-IgE-emia and Toxocara canis antibodies, the patient was treated with steroids and albendazole treatment, which improved his symptoms. To our knowledge, this is the first case of Toxocara canis-associated myelitis with eosinophilic pneumonia.
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Affiliation(s)
- Kee Hong Park
- Department of Neurology, Gyeongsang National University Hospital, Jinju 52727, Korea
| | - Young-Soo Kim
- Department of Neurology, Gyeongsang National University Hospital, Jinju 52727, Korea
| | - Soo-Kyung Kim
- Department of Neurology, Gyeongsang National University Hospital, Jinju 52727, Korea
| | - Nack-Cheon Choi
- Department of Neurology, Gyeongsang National University Hospital, Jinju 52727, Korea.; Department of Neurology, Gyeongsang National University, School of Medicine, Gyeongsang Institue of Health Science, Jinju 52727, Korea
| | - Oh-Young Kwon
- Department of Neurology, Gyeongsang National University Hospital, Jinju 52727, Korea.; Department of Neurology, Gyeongsang National University, School of Medicine, Gyeongsang Institue of Health Science, Jinju 52727, Korea
| | - ByeongHoon Lim
- Department of Neurology, Gyeongsang National University Hospital, Jinju 52727, Korea.; Department of Neurology, Gyeongsang National University, School of Medicine, Gyeongsang Institue of Health Science, Jinju 52727, Korea
| | - Ki-Jong Park
- Department of Neurology, Gyeongsang National University, School of Medicine, Gyeongsang Institue of Health Science, Jinju 52727, Korea.; Department of Neurology, Gyeongsagn National University Changwon Hospital, Changwon 51472, Korea
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Youn JS, Kwon JW, Kim BJ, Hong SJ. Smoking-Induced Acute Eosinophilic Pneumonia in a 15-year-old Girl: A Case Report. ALLERGY, ASTHMA & IMMUNOLOGY RESEARCH 2010; 2:144-8. [PMID: 20358030 PMCID: PMC2846739 DOI: 10.4168/aair.2010.2.2.144] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2009] [Accepted: 02/02/2010] [Indexed: 01/15/2023]
Abstract
Acute eosinophilic pneumonia is a very rare disease that is characterized by acute febrile respiratory failure, diffuse bilateral infiltrates on chest X-ray, and eosinophilia in bronchoalveolar lavage fluid in the absence of infection. We present the case of a 15-year-old girl diagnosed with smoking-induced acute eosinophilic pneumonia. A previously healthy young girl with a 1-day history of fever presented with cough, dyspnea, and diffuse bilateral infiltrates on chest X-ray. She had started smoking only 3 weeks before presentation. She was diagnosed by bronchoalveolar lavage fluid tests and lung biopsy and dramatically improved after steroid treatment. We emphasize that acute eosinophilic pneumonia must be considered when acute pneumonia does not respond to broad-spectrum antibiotics. Effective treatment and prompt institution of therapy can obviate unnecessary morbidity and mortality.
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Affiliation(s)
- Ji-Seok Youn
- Department of Pediatrics, Childhood Asthma Atopy Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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