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Toxocariasis: A Rare Cause of Multiple Cerebral Infarction.

Kwon HH - Infect Chemother (2015)

Bottom Line: Toxocariasis is a parasitic infection caused by the roundworms Toxocara canis or Toxocara cati, mostly due to accidental ingestion of embryonated eggs.Clinical manifestations vary and are classified as visceral larva migrans or ocular larva migrans according to the organs affected.Central nervous system involvement is an unusual complication.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Daegu Catholic University Medical Center, Daegu, Korea.

ABSTRACT
Toxocariasis is a parasitic infection caused by the roundworms Toxocara canis or Toxocara cati, mostly due to accidental ingestion of embryonated eggs. Clinical manifestations vary and are classified as visceral larva migrans or ocular larva migrans according to the organs affected. Central nervous system involvement is an unusual complication. Here, we report a case of multiple cerebral infarction and concurrent multi-organ involvement due to T. canis infestation of a previous healthy 39-year-old male who was admitted for right leg weakness. After treatment with albendazole, the patient's clinical and laboratory results improved markedly.

No MeSH data available.


Related in: MedlinePlus

Abdomen computed tomography on portal phase shows small ill-defined hypodense lesions (arrows) in both lobes of the liver.
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Figure 3: Abdomen computed tomography on portal phase shows small ill-defined hypodense lesions (arrows) in both lobes of the liver.

Mentions: His white blood cell count was 11,900/mm3 with 26.7% eosinophils (2,600/mm3). Laboratory data were as follows: hemoglobin, 14.5 g/dL; platelets, 160,000/mm3; aspartate aminotransferase, 37 IU/L; alanine aminotransferase, 20 IU/L; alkaline phosphatase, 61 IU/L; creatinine 0.7 mg/dL; C-reactive protein, 32.8 mg/L; and erythrocyte sedimentation rate, 38 mm/h. Renal function and electrolytes were normal. The Venereal Disease Research Laboratory (VDRL) test and human immunodeficiency virus (HIV) antibody test in serum were negative. Electrocardiogram showed normal sinus rhythm and transthoracic echocardiogram showed no evidence of mural thrombi or vegetations. Diffusion-weighted brain MRI revealed multifocal small embolic acute infarctions in the internal border zone of both cerebral hemispheres, temporooccipital lobes of both PCA territory, and left cerebellar hemisphere (Fig. 1). Chest CT showed multiple peripheral ground glass opacities in both lungs that were considered eosinophilic pneumonia (Fig. 2). Abdominal CT on portal phase showed small ill-defined hypodense lesions in both lobes of the liver that were considered eosinophilic infiltrations (Fig. 3). His CSF contained 0/mm3 WBC, 63 mg/dL protein, and 49 mg/dL sugar; no bacteria or viruses were detected.


Toxocariasis: A Rare Cause of Multiple Cerebral Infarction.

Kwon HH - Infect Chemother (2015)

Abdomen computed tomography on portal phase shows small ill-defined hypodense lesions (arrows) in both lobes of the liver.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4495276&req=5

Figure 3: Abdomen computed tomography on portal phase shows small ill-defined hypodense lesions (arrows) in both lobes of the liver.
Mentions: His white blood cell count was 11,900/mm3 with 26.7% eosinophils (2,600/mm3). Laboratory data were as follows: hemoglobin, 14.5 g/dL; platelets, 160,000/mm3; aspartate aminotransferase, 37 IU/L; alanine aminotransferase, 20 IU/L; alkaline phosphatase, 61 IU/L; creatinine 0.7 mg/dL; C-reactive protein, 32.8 mg/L; and erythrocyte sedimentation rate, 38 mm/h. Renal function and electrolytes were normal. The Venereal Disease Research Laboratory (VDRL) test and human immunodeficiency virus (HIV) antibody test in serum were negative. Electrocardiogram showed normal sinus rhythm and transthoracic echocardiogram showed no evidence of mural thrombi or vegetations. Diffusion-weighted brain MRI revealed multifocal small embolic acute infarctions in the internal border zone of both cerebral hemispheres, temporooccipital lobes of both PCA territory, and left cerebellar hemisphere (Fig. 1). Chest CT showed multiple peripheral ground glass opacities in both lungs that were considered eosinophilic pneumonia (Fig. 2). Abdominal CT on portal phase showed small ill-defined hypodense lesions in both lobes of the liver that were considered eosinophilic infiltrations (Fig. 3). His CSF contained 0/mm3 WBC, 63 mg/dL protein, and 49 mg/dL sugar; no bacteria or viruses were detected.

Bottom Line: Toxocariasis is a parasitic infection caused by the roundworms Toxocara canis or Toxocara cati, mostly due to accidental ingestion of embryonated eggs.Clinical manifestations vary and are classified as visceral larva migrans or ocular larva migrans according to the organs affected.Central nervous system involvement is an unusual complication.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Daegu Catholic University Medical Center, Daegu, Korea.

ABSTRACT
Toxocariasis is a parasitic infection caused by the roundworms Toxocara canis or Toxocara cati, mostly due to accidental ingestion of embryonated eggs. Clinical manifestations vary and are classified as visceral larva migrans or ocular larva migrans according to the organs affected. Central nervous system involvement is an unusual complication. Here, we report a case of multiple cerebral infarction and concurrent multi-organ involvement due to T. canis infestation of a previous healthy 39-year-old male who was admitted for right leg weakness. After treatment with albendazole, the patient's clinical and laboratory results improved markedly.

No MeSH data available.


Related in: MedlinePlus