닭 간 생식 후 가족에서 집단으로 발생한 개회충에 의한 내장 유충 이행증 1예
Familial Case of Visceral Larval Migrans of Toxocara Canis after Ingestion of Raw Chicken Liver
박민수, 안영준, 문경래,
소속 상세정보
박민수 ( Park Min-Su )
조선대학교 의과대학 소아과학교실
안영준 ( Ahn Young-Joon )
조선대학교 의학전문대학원 의학교육학교실
문경래 ( Moon Kyung-Rye )
조선대학교 의과대학 소아과학교실
KMID : 0816120100130010070
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/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.
키워드
Visceral larva migrans; Toxocara canis; Raw liver
원문 및 링크아웃 정보
등재저널 정보