AJTMH Transactions of the Royal Society of Tropical Medicine and Hygiene
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Am. J. Trop. Med. Hyg., 71(6), 2004, pp. 764
Copyright © 2004 by The American Society of Tropical Medicine and Hygiene

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Right arrow Toxocariasis

A PRESUMPTIVE CASE OF TOXOCARIASIS ASSOCIATED WITH EOSINOPHILIC PLEURAL EFFUSION: CASE REPORT AND LITERATURE REVIEW

MAHI LAKSHMI ASHWATH, DONALD R. ROBINSON, AND HAROLD P. KATNER
Department of Internal Medicine, Section of Infectious Diseases, Mercer University School of Medicine, Macon, Georgia

Human toxocariasis is a helminthozoonosis caused by Toxocara sp. Larval migration of the organism through the tissues can result in eosinophila associated with a broad spectrum of clinical manifestations. We report a case of eosinophilic pleural effusion and CD8 cell deficiency associated with Toxocara sp. The symptoms of this patient responded promptly to a nonsteroidal anti-inflammatory medication (naproxen). This is only the fourth reported case of a pleural effusion associated with Toxocara.

Received February 14, 2004. Accepted for publication July 21, 2004.

Acknowledgments: We thank Dr. T. J. Lin for his help in translating a Japanese article (reference 5) and Dr. Ravi Ashwath for his help in reviewing the manuscript.

Authors’ addresses: Mahi Lakshmi Ashwath, 171 Buckcreek Road, Jackson, GA 30233, Telephone: 478-992-9946, Fax: 770-504-8796, E-mail: mahi_lakshmi{at}yahoo.com. Donald R. Robinson, Section of Pulmonary Diseases, Mercer University School of Medicine, 770 Pine Street, Macon, GA 31201, Telephone: 478-746-6191. Harold P. Katner, Department of Internal Medicine, Section of Infectious Diseases, Mercer University School of Medicine, 707 Pine Street, Macon, GA 31201, Telephone: 478-301-5850, Fax: 478-301-5856, E-mail: paulkinfdi{at}aol.com.




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