톡소카라에 의한 간농양 1예
A Case of Hepatic Abscess Caused by Toxocara
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초록
개회충증은 동물원성 기생충감염증으로 주로 개와 고양이를 숙주로 하는 개회충(Toxocara canis)과 고양이회충(Toxocara catis)에 의해 인간에게 감염되는데 주로 학령기 아동에서 호발한다. 개회충증은 다양한 임상양상을 나타내는데 간비대, 기관지천식, 포도막염, 중추신경계 증상 등을 일으키며 말초혈액 내 호산구 증가와 혈청 IgE의 증가를 동반한다. 그러나 성인에서 톡소카라에 의한 간농양에 대한 보고는 드물다. 저자들은 만성 음주자에서 간조직검사, 효소면역측정법, 복부전산화단층촬영과 초음파 소견으로 톡소카라에 의한 호산구성 간농양을 진단하여 치료한 사례를 보고하였다.
Abstract
Toxocariasis is a helminozoonosis caused by the infection of a human host by the larva of Toxocara canis and Toxocara catis, which are common nematodes in dogs and cats, and occurs more frequently in school age children. Toxocariasis shows variable clinical manifestations including hepatomegaly, bronchial asthma, uveitis, central nervous system symptoms with peripheral eosinophilia and an increased total serum IgE level. However a hepatic abscess caused by toxocara infection in adults is rare. We experienced a case of heavy alcoholic patients with a hepatic eosinophilic abscess caused by toxocara infestation, which was confirmed by microscopic examination of liver biopsy, enzyme-linked immunosorbent assay test, abdominal CT and the ultrasonography findings. (Korean J Hepatol 2007;13:409-413)
참고문헌 (11)
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