닭 간 생식 후 가족에서 집단으로 발생한 개회충에 의한 내장 유충 이행증 1예
Familial Case of Visceral Larval Migrans of Toxocara Canis after Ingestion of Raw Chicken Liver
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
We report a familial case of visceral larva migrans of Toxocara canis after eating raw chicken liver. A 9-year-old female ate raw chicken liver with her father and older brother and was admitted to the hospital with periumbilical pain, a mild fever, and headache. The total peripheral eosinophil count was 9,884/mm3 and the total lgE concentration was 2,317 IU/dL. Chest and abdominal computed tomography (CT) scans demonstrated multiple, poorly-defined, small, nodular lesions scattered in the liver and lung parenchyma. Toxocara ELISA and Western blot tests were positive in the patient, and her father and brother. A liver biopsy revealed extensive eosinophilic infiltrations in the portal and lobular areas. She took albendazole for 5 days and was discharged in good condition. These results suggest that clinicians should consider foodborne toxocariasis in patients with multiple, small nodules in the liver and lung parenchyma with eosinophilia and a history of raw meat ingestion. (Korean J Pediatr Gastroenterol Nutr 2010; 13: 70∼74)
Abstract
We report a familial case of visceral larva migrans of Toxocara canis after eating raw chicken liver. A 9-year-old female ate raw chicken liver with her father and older brother and was admitted to the hospital with periumbilical pain, a mild fever, and headache. The total peripheral eosinophil count was 9,884/mm3 and the total lgE concentration was 2,317 IU/dL. Chest and abdominal computed tomography (CT) scans demonstrated multiple, poorly-defined, small, nodular lesions scattered in the liver and lung parenchyma. Toxocara ELISA and Western blot tests were positive in the patient, and her father and brother. A liver biopsy revealed extensive eosinophilic infiltrations in the portal and lobular areas. She took albendazole for 5 days and was discharged in good condition. These results suggest that clinicians should consider foodborne toxocariasis in patients with multiple, small nodules in the liver and lung parenchyma with eosinophilia and a history of raw meat ingestion. (Korean J Pediatr Gastroenterol Nutr 2010; 13: 70∼74)
참고문헌 (18)
- Snyder CH, "Visceral larva migrans. ten years’ experience", Pediatrics, 28, pp.85~91 (1961)
- Schantz PM, "Toxocaral visceral larva migrans", N Engl J Med, 298, pp.436~439 (1978)
- Magnaval JF, "Highlights of human toxocariasis", Korean J Parasitol, 39, pp.1~11 (2001)
- Glickman LT, "Epidemiology and pathogenesis of zoonotic toxocariasis", Epidemiol Rev, 3, pp.230~250 (1981)
- Sturchler D, "of toxocariasis", J Infect Dis, 162, pp.571~ (1990)
- Nagakura K, "Toxocariasis possibly caused by ingesting raw chicken", J infect Dis, 160, pp.735~736 (1989)
- Obweller A, "Toxocara infections in humans: symptomatic course of toxocarosis correlates significantly with levels of IgE", anti-IgE immune complexes, 1998, pp.20, 311~317
- Hyun-YoungPARK, "A seroepidemiological survey for toxocariasis in apparently healthy residents in Gangwon-do, Korea", The Korean Journal of Parasitology, 40(3), pp.113~117 (2002), 대한기생충학회
- 권남희, "호산구 증가증으로 내원한 환자에서 개회충증이 가지는 임상적 의미", 천식 및 알레르기, 25(4), pp.299~304 (2005), 대한천식알레르기학회
- Magnaval JF, "Application of the western blotting procedure for the immunodiagnosis of human toxocariasis", Parasitol Res, 77, pp.697~702 (1991)
- Magnaval JF, "Evaluation of an immunoenzymatic assay detecting specific anti-Toxocara immunoglobulin E for diagnosis and posttreatment follow-up of human toxocariasis", J Clin Microbiol, 30, pp.2269~2274 (1992)
- Yoshikawa M, "A familial case of visceral toxocariasis due to consumption of raw bovine liver", Parasitol Int, 57, pp.525~529 (2008)
- Magnaval JF, "Comparative efficacy of diethylcarbamazine and mebendazole for the treatment of human toxicariasis", Parasitolotgy, 110, pp.529~533 (1995)
- Lim YH, "Comparison between steroid alone and steroid", albendazole combination therapy in human toxocariasis with eosinophilia, 2001, pp.21, 427~
- Despommier D, "Toxacariasis: clinical aspects, epidemiology, medical ecology, and molecular aspects", Clin Microbiol Rev, 16, pp.265~272 (2003)
- Sturchler D, "Thiabendazole vs albndazole in treatment of toxocariasis; a clinical trial", Ann Trop Med Parasitol, 83, pp.473~478 (1989)
- Hossack J, "A case of adult hepatic toxocariasis", Nat Clin Pract Gastroenterol Hepatol, 5, pp.344~348 (2008)
- Matsuki Y, "Toxocariasis presenting with multiple effusions in the pericardial space, thoracic cavity, and Morrison's pouch", Intern Med, 46, pp.913~914 (2007)