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Hepatic Toxocariasis in a Child: A Case Report from Shiraz, Southern Iran

AUTHORS

Mohammad Zibaei 1 , * , Seyed mahmoud Sadjjadi 2 , Bita Geramizadeh 2 , Farzaneh Firoozeh 3

AUTHORS INFORMATION

1 Department of Parasitology and Mycology, School of Medicine, Lorestan University of Medical Sciences, zibaeim@sums.ac.ir, Lorestan, IR.Iran

2 Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Fars, IR.Iran

3 Department of Microbiology, Faculty of Veterinary Medicine, Tehran University, Tehran, IR.Iran

How to Cite: Zibaei M, Sadjjadi S, Geramizadeh B, Firoozeh F. Hepatic Toxocariasis in a Child: A Case Report from Shiraz, Southern Iran, Hepat Mon. Online ahead of Print ; 8(4):310-312.

ARTICLE INFORMATION

Hepatitis Monthly: 8 (4); 310-312
Article Type: Case Report
Received: July 21, 2008
Accepted: October 6, 2008

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Abstract

Toxocariasis is a worldwide human helminthiasis. This disease is mostly asymptomatic and caused by Toxocara canis and Toxocara cati, intestinal nematodes (roundworms) in dogs and cats. These can cause visceral larva migrans syndrome in humans who ingest eggs from contaminated soil or consume of meat of paratenic hosts. A 6-year-old child had fever, chills, right upper quadrant pain, eosinophilia of 20%, elevated total serum immunoglobulin levels. Ultrasonography demonstrated two hypoechoic heterogeneous hepatic lesions 0.7 × 0.7 cm in size, located in the right lobe of liver. An enlarged periportal lymph node was noted. The case was diagnosed as hepatic toxocariasis based on sonographic and biopsy finding. The final diagnosis was confirmed by ELISA test. It can be concluded that hepatic toxocariasis should be included in the differential diagnosis of multiple liver nodules, particularly in cases of eosinophilia.

Keywords

Hepatic Toxocariasis Eosinophilic Granuloma Ultrasonography Computed Tomography

© 0, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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