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Eosinophilic Myocarditis Associated with Visceral Larva Migrans Caused by Toxocara Canis Infection

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초록

A 41-year-old woman who was diagnosed with myocarditis presented eosinophilia. Since the antibody against Toxocara canis (T. canis) was positive, we diagnosed that she had visceral larva migrans due to T. canis associated with myocarditis. She was treated with oral albendazole and prednisolone for two weeks, eosinophil count and hepatic enzymes were normalized after completion of treatment. This is the first report of myocarditis caused by T. canis infection in Korea.

Abstract

A 41-year-old woman who was diagnosed with myocarditis presented eosinophilia. Since the antibody against Toxocara canis (T. canis) was positive, we diagnosed that she had visceral larva migrans due to T. canis associated with myocarditis. She was treated with oral albendazole and prednisolone for two weeks, eosinophil count and hepatic enzymes were normalized after completion of treatment. This is the first report of myocarditis caused by T. canis infection in Korea.

참고문헌 (10)

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  2. Report of a WHO expert committee with the participation of FAO, "Parasitic zoonoses", 1~107 (1979)
  3. Enko K, "Fulminant eosinophilic myocarditis associated with visceral larva migrans caused by Toxocara canis infection", Circ J, 73, pp.1344~1348 (2009)
  4. Schantz PM, "Toxocaral visceral larva migrans", N Engl J Med, 198, pp.436~439 (1979)
  5. Magnaval JF, "Highlights of human toxocariasis", Korean J Parasitol, 39, pp.1~11 (2001)
  6. Abe K, "Myocarditis associated with visceral larva migrans due to Toxocara canis", Intern Med, 41, pp.706~708 (2002)
  7. Brockington IF, "Eosinophilia and endomyocardial fibrosis", Postgrad Med J, 48, pp.740~741 (1972)
  8. Kawano S, "Clinical features and outcomes of eosinophilic myocarditis patients treated with prednisolone at a single institution over a 27-year period", Intern Med, 50, pp.975~981 (2011)
  9. 장용범, "급성 심근염 경과 중 발생한 과유동성 좌심실 혈전의 수술적 제거 1예", Journal of Cardiovascular Ultrasound, 12(1), pp.39~41 (2004), 한국심초음파학회
  10. 손일석, "급성 심근염에 병발한 좌심실내 혈전의 수술적 치료경험 1예", Journal of Cardiovascular Ultrasound, 13(3), pp.128~130 (2005), 한국심초음파학회

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