Visceral Larva Migrans Due to Ascaris suum Which Presented with Eosinophilic Pneumonia and Multiple Intra-hepatic Lesions with Severe Eosinophil Infiltration. Outbreak in a Japanese Area Other than Kyushu.
Year: 2002
Type: article
Study design: Case Report
Abstract: A 32-year-old man presented with the chief complaint of severe cough. Examination of peripheral blood showed a marked increase in eosinophils. Chest CT demonstrated multiple ground glass opacities in both lungs. Bronchoalveolar lavage showed abundant eosinophils. Abdominal CT demonstrated multiple low attenuation areas in the liver. Liver biopsy with ultrasonography revealed severe eosinophil infiltrations around the portal veins. Serologically, a multi-dot enzyme linked immunosorbent assay (DOT-ELISA) and ELISA inhibition test using microtiter plates were positive for Ascaris suum. Thus, visceral larva migrans due to Ascaris suum was diagnosed. Outbreaks of this disease in Japan have previously been confined to the Kyushu area. The present case which occurred outside that area, illustrates the importance of constant attention to the epidemiology of this disease.
Source: Internal Medicine
Authors: Ayako SAKAKIBARA, Kenji BABA, Sayaka NIWA, Takeo YAGI, Hideo WAKAYAMA, Kazuhito YOSHIDA, Tadashi KOBAYASHI, Takio YOKOI, Kazuo HARA, Makoto ITOH, Eisaku KIMURA
Institutions: Aichi Medical University, Aichi Medical University Hospital
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W1978195772