Document Detail


Eosinophilic pneumonia due to visceral larva migrans possibly caused by Ascaris suum: a case report and review of recent literatures.
MedLine Citation:
PMID:  21937827     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 62-year-old man who developed eosinophilic pneumonia due to visceral larva migrans (VLM) that was possibly caused by Ascaris suum. The patient, a resident of the middle Kyushu area who was found of eating raw porcine liver, complained of dry cough without dyspnea. The chest radiography showed a migration of infiltrative shadow. Transbronchial lung biopsy of the right middle lobe revealed massive infiltration of eosinophils. The multi-dot enzyme-linked immunosorbent assay (ELISA) and microtiter plate ELISA showed positive results for A. suum; therefore, the patient was diagnosed with VLM caused by A. suum. The patient was administered albendazole (600 mg/day) for 28 days; he recovered successfully with no adverse effects except mild liver dysfunction. Several cases of VLM caused by A. suum have been reported in Japan, with a majority of the cases being reported in Kyushu. Careful history taking of the patient's area of residence and dietary habit is essential for the diagnosis of this parasitic disease with underestimated prevalence.
Authors:
Koichi Izumikawa; Yoshihisa Kohno; Kinichi Izumikawa; Kohei Hara; Hiroko Hayashi; Haruhiko Maruyama; Shigeru Kohno
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Japanese journal of infectious diseases     Volume:  64     ISSN:  1884-2836     ISO Abbreviation:  Jpn. J. Infect. Dis.     Publication Date:  2011  
Date Detail:
Created Date:  2011-09-22     Completed Date:  2012-01-19     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  100893704     Medline TA:  Jpn J Infect Dis     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  428-32     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Izumikawa Hospital, Nagasaki 859-1504, Japan. koizumik @nagasaki-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Albendazole / administration & dosage
Animals
Anthelmintics / administration & dosage
Ascaris suum / isolation & purification*
Biopsy
Enzyme-Linked Immunosorbent Assay
Histocytochemistry
Humans
Japan
Larva Migrans, Visceral / complications*,  diagnosis*
Lung / pathology
Male
Middle Aged
Parasitology / methods
Pulmonary Eosinophilia / diagnosis*,  parasitology*
Radiography, Thoracic
Tomography, X-Ray Computed
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anthelmintics; 54965-21-8/Albendazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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