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KMID : 0816120100130010070
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2010 Volume.13 No. 1 p.70 ~ p.74
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Familial Case of Visceral Larval Migrans of Toxocara Canis after Ingestion of Raw Chicken Liver
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Park Min-Su
Ahn Young-Joon
Moon Kyung-Rye
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Abstract
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We report a familial case of visceral larva migrans of Toxocara canis after eating raw chicken liver. A 9-year-old female ate raw chicken liver with her father and older brother and was admitted to the hospital with periumbilical pain, a mild fever, and headache. The total peripheral eosinophil count was 9,884/mm3 and the total lgE concentration was 2,317 IU/dL. Chest and abdominal computed tomography (CT) scans demonstrated multiple, poorly-defined, small, nodular lesions scattered in the liver and lung parenchyma. Toxocara ELISA and Western blot tests were positive in the patient, and her father and brother. A liver biopsy revealed extensive eosinophilic infiltrations in the portal and lobular areas. She took albendazole for 5 days and was discharged in good condition. These results suggest that clinicians should consider foodborne toxocariasis in patients with multiple, small nodules in the liver and lung parenchyma with eosinophilia and a history of raw meat ingestion.
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KEYWORD
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Visceral larva migrans, Toxocara canis, Raw liver
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