The Characteristics of Eosinophilc Lung Diseases Cause by Toxocara Canis Larval Infestation. (original) (raw)
| The Characteristics of Eosinophilc Lung Diseases Cause by Toxocara Canis Larval Infestation. [Yu Jin Kim](/articles/search%5Fresult.php?term=author&f%5Fname=Yu Jin&l%5Fname=Kim), [Sun Young Kyung](/articles/search%5Fresult.php?term=author&f%5Fname=Sun Young&l%5Fname=Kyung), [Chang Hyeok An](/articles/search%5Fresult.php?term=author&f%5Fname=Chang Hyeok&l%5Fname=An), [Young Hee Lim](/articles/search%5Fresult.php?term=author&f%5Fname=Young Hee&l%5Fname=Lim), [Jung Woong Park](/articles/search%5Fresult.php?term=author&f%5Fname=Jung Woong&l%5Fname=Park), [Seong Hwan Jeong](/articles/search%5Fresult.php?term=author&f%5Fname=Seong Hwan&l%5Fname=Jeong), [Sang Pyo Lee](/articles/search%5Fresult.php?term=author&f%5Fname=Sang Pyo&l%5Fname=Lee), [Dong Chull Choi](/articles/search%5Fresult.php?term=author&f%5Fname=Dong Chull&l%5Fname=Choi), [Young Bae Jeong](/articles/search%5Fresult.php?term=author&f%5Fname=Young Bae&l%5Fname=Jeong), [Shin Yong Kang](/articles/search%5Fresult.php?term=author&f%5Fname=Shin Yong&l%5Fname=Kang) 1Department of Internal Medicine Gachon University, Gil Medical Center, Korea. drsplee@gachon.ac.kr 2Department of Internal Medicine Sungkyunkwan University, Korea. 3Department of Parasitology, Cheju National University, Korea. 4Department of Parasitology, Chung Ang University, Korea. Abstract BACKGROUNDToxocariasis is a common cause of eosinophilia and eosinophilic lung disease in Korea. We analyzed the characteristics of eosinophilic lung disease in toxocariasis. METHOD: One hundred and forty one patients with eosinophilia caused by a toxocara larval infection were evaluated from September 1, 2001 through March 30, 2006. The plain chest x-ray, chest CT(computed tomography), and bronchoalveolar larvage(BAL) were examined. A diagnosis of toxocariasis was made by ELISA using that secretory-excretory antigen from the T. canis larvae. RESULTS: Toxocarial eosinophilic lung diseases was diagnosed in 32 out of 141 patients. Ground glass attenuation was the main feature on the CT scans in 23 out of 141 patients (71.9%). Thirteen patients (40.6%) had a random in zonal distribution on CT. Pleural effusion was observed in 9 patients (28.1%). Twenty eight patients (87.5%) complained of respiratory symptoms. Eleven patients (34.4%) had gastrointestinal symptoms and 12 patients (37.5%) had liver infiltration. CONCLUSIONS: The most common findings of the chest CT in patients with toxocariasis was a randomly distributed ground grass attenuation. A toxocara infection should be considered in a differential diagnosis of patients who exhibit pulmonary infiltration with eosinophilia in Korea. Key Words: Eosinophilia, Pneumonia, Toxocara, Parasite |
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