Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Familial Case of Visceral Larval Migrans of Toxocara Canis after Ingestion of Raw Chicken Liver

닭 간 생식 후 가족에서 집단으로 발생한 개회충에 의한 내장 유충 이행증 1예

  • Park, Min-Su (Department of Pediatrics, School of Medicine, Chosun University) ;
  • Ahn, Young-Joon (Department of Medical Education, School of Medicine, Chosun University) ;
  • Moon, Kyung-Rye (Department of Pediatrics, School of Medicine, Chosun University)
  • 박민수 (조선대학교 의학전문대학원 소아과학교실) ;
  • 안영준 (조선대학교 의학전문대학원 의학교육학교실) ;
  • 문경래 (조선대학교 의학전문대학원 소아과학교실)
  • Received : 2010.02.16
  • Accepted : 2010.03.08
  • Published : 2010.03.30
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Abstract

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/$mm^3$ 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.

저자들은 닭 간을 생식한 가족에서 복통, 기침, 미열두통 등 동일한 임상증상과 심한 호산구 증가증을 보여면역혈청학적 검사를 통해 진단한 개회충에 의한 내장유충 이행증 1예를 경험하였기에 보고하는 바이다.

Keywords

References

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