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Am. J. Trop. Med. Hyg., 75(2), 2006, pp. 303-306
Copyright © 2006 by The American Society of Tropical Medicine and Hygiene

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CASE REPORT


A FAMILIAL CASE OF VISCERAL LARVA MIGRANS AFTER INGESTION OF RAW CHICKEN LIVERS: APPEARANCE OF SPECIFIC ANTIBODY IN BRONCHOALVEOLAR LAVAGE FLUID OF THE PATIENTS

YOSHITAKA MORIMATSU*, NOBUAKI AKAO, HIROYA AKIYOSHI, TAKETOSHI KAWAZU, YOSHINOBU OKABE, AND HISAMICHI AIZAWA
Division of Respiratory Medicine, National Hospital Organization, Kumamoto Medical Center, Kumamoto, Japan; Section of Environmental Parasitology, Division of Public Health, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan; Shunyokai Kawazu Internal and Respiratory Clinic, Hita, Japan; Second Department of Internal Medicine, Kurume University School of Medicine, Kurume, Japan; First Department of Internal Medicine, Kurume University School of Medicine, Kurume, Japan

 

ABSTRACT

We report a familial case of visceral larva migrans (VLM) caused by Toxocara canis larvae. Patient 1 was a 45-year-old man who presented to our university hospital complaining of mild fever, general fatigue, and headache. Patient 2 was a 71-year-old man and was the father of Patient 1; he presented complaining of cough and hyper-viscous white sputum. Laboratory data from both patients showed extensive eosinophilia, their chest X-ray findings revealed multiple pulmonary infiltrates, and their bronchoalveolar lavage fluid (BALF) showed an elevated eosinophil count. The diagnosis of VLM was made based on a positive result in a serological test using T. canis larval excretory–secretory both in the serum and BALF. T. canis larvae were identified in meat that was prepared from chicken taken from the same source as that ingested. This is the first report to identify antibodies in BALF in patients with VLM.

Received February 1, 2006. Accepted for publication April 5, 2006.

Acknowledgments: The authors thank Yoshifumi Nawa, MD, Division of Parasitology, Miyazaki University School, for contributing to this manuscript.

* Address correspondent to Yoshitaka Morimatsu, Division of Respiratory Medicine, National Hospital Organization, Kumamoto Medical Center 1-5, Ninomaru, Kumamoto 860-0008, Japan. E-mail; morimatu{at}kumamoto2.hosp.go.jp

Authors’ addresses: Yoshitaka Morimatsu, Division of Respiratory Medicine, National Hospital Organization, Kumamoto Medical Center 1-5, Ninomaru, Kumamoto 860-0008, Japan, E-mail: morimatu{at}kumamoto2.hosp.go.jp. Nobuaki Akao, Section of Environmental Parasitology, Division of Public Health, Graduate School, Tokyo Medical and Dental University 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan, E-mail: ocha.vip{at}tmd.ac.jp. Hiroya Aki-yoshi and Taketoshi Kawazu, Shunyokai Kawazu Internal and Respiratory Clinic, 2-592-6, Ishii-machi, Hita 877-0061, Japan, E-mails: kawazu{at}mocha.ocn.ne.jp and akiyoshinaika{at}violet.plala.or.jp. Yoshinobu Okabe, Second Department of Internal Medicine, Kurume University School of Medicine 67, Asahi-machi, Kurume 830-0011, Japan. Hisamichi Aizawa, First Department of Internal Medicine, Kurume University School of Medicine 67, Asahi-machi, Kurume 830-0011, Japan, E-mail: aizawa{at}med.kurume-u.ac.jp.




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B. HOFFMEISTER, S. GLAESER, H. FLICK, S. PORNSCHLEGEL, N. SUTTORP, and F. BERGMANN
CEREBRAL TOXOCARIASIS AFTER CONSUMPTION OF RAW DUCK LIVER
Am J Trop Med Hyg, March 1, 2007; 76(3): 600 - 602.
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Copyright © 2006 by the American Society of Tropical Medicine and Hygiene.