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KMID : 0425120140520040425
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Parasites, Hosts and Diseases
2014 Volume.52 No. 4 p.425 ~ p.428
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Pulmonary Toxocariasis Mimicking Invasive Aspergillosis in a Patient with Ulcerative Colitis
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Park Eun-Jin
Song Joon-Young
Choi Min-Ju
Jeon Ji-Ho
Choi Jah-Yeon
Yang Tae-Un
Hong Kyung-Wook
Noh Ji-Yun
Cheong Hee-Jin
Kim Woo-Joo
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Abstract
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A 45-year-old-male who had underlying ulcerative colitis and presented with fever and dry cough. Initially, the patient was considered to have invasive aspergillosis due to a positive galactomannan assay. He was treated with amphotericin B followed by voriconazole. Nevertheless, the patient deteriorated clinically and radiographically. The lung biopsy revealed eosinophilic pneumonia, and ELISA for Toxocara antigen was positive, leading to a diagnosis of pulmonary toxocariasis. After a 10-day treatment course with albendazole and adjunctive steroids, the patient recovered completely without any sequelae. Pulmonary toxocariasis may be considered in patients with subacute or chronic pneumonia unresponsive to antibiotic agents, particularly in cases with eosinophilia.
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KEYWORD
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Toxocara canis, toxocariasis, eosinophilia, respiratory disorder, aspergillosis, ulcerative colitis
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