Jorge D, Strady C, Guy B, Deslée G, Lebargy F, Dury S. [Multiple pulmonary opacities revealing toxocariasis].
Rev Pneumol Clin 2016;
72:273-276. [PMID:
27368139 DOI:
10.1016/j.pneumo.2016.03.004]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Accepted: 03/04/2016] [Indexed: 06/06/2023]
Abstract
INTRODUCTION
Toxocariasis is a parasitosis which complicates the accidental infestation of the humans by larvae of a roundworms belonging of the genus Toxocara. In adults, the discovery is often incidental during a hypereosinophilia check-up. Clinical signs are not specific and depend on affected organs.
CASE REPORT
We report the case of a 53-year-old-woman who has consulted for a recent cough, after spontaneous resolution of abdominal pain. The laboratory examination isolated an hypereosinophilia and the liver sonography showed two hypoechogenic nodules. The CT-scan found bilateral lung nodules with ground glass halo. Broncho-alveolar lavage identified an eosinophilic alveolitis. Positive serologic results for toxocariasis and western blot results allowed to conclude to the diagnosis of pulmonary and hepatic toxocariasis.
CONCLUSION
Although rare, pulmonary toxocariasis should be suspect in any lung eosinophilia, especially if the patient has never traveled.
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