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Am. J. Trop. Med. Hyg., 76(3), 2007, pp. 600-602
Copyright © 2007 by The American Society of Tropical Medicine and Hygiene

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CEREBRAL TOXOCARIASIS AFTER CONSUMPTION OF RAW DUCK LIVER

BODO HOFFMEISTER*, SVEN GLAESER, HOLGER FLICK, SEBASTIAN PORNSCHLEGEL, NORBERT SUTTORP, AND FRANK BERGMANN
Department of Infectious Diseases and Pulmonology, Charité University Hospital, Berlin, Germany; Department of Neurology, Schlosspark-Klinik, Berlin, Germany; Department of Infectious Diseases and Pulmonology, Charité University Hospital, Berlin, Germany

Human toxocariasis is usually contracted by exposure to contaminated soil. This disease is rarely transmitted by raw meat or giblets of paratenic animals, such as chickens, lambs, or cows. We present a case of isolated cerebral toxocariasis presumably caused by the consumption of raw duck liver. This 55-year-old woman had sudden-onset hemiparesis of the right leg, eosinophilia of 30%, and markedly elevated total serum IgE levels. Magnetic resonance imaging demonstrated multiple cerebral hyperintense lesions on T2-weighed images. Tests for antibodies to Toxocara in serum and cerebrospinal fluid yielded highly positive results. Repeated courses of albendazole and corticosteroids led to significant clinical improvement.

Received October 18, 2006. Accepted for publication December 6, 2006.

Acknowledgments: We thank J. B. Lande for help in preparing this article.

* Address correspondence to Bodo Hoffmeister, Department of Infectious Diseases and Pulmonology, Charité University Hospital, Augustemburger Platz 1, 13353 Berlin, Germany, E-mail: b.hoffmeister-infekt{at}charite.de

Authors’ addresses: Bodo Hoffmeister, Sven Glaeser, Holger Flick, Norbert Suttorp, and Frank Bergmann, Department of Infectious Diseases and Pulmonology, Charité University Hospital, Augustemburger Platz 1, 13353 Berlin, Germany, E-mails: b.hoffmeister-infekt{at}charite.de, sven.glaeser{at}charite.de, holger.flick{at}charite.de, norbert.suttorp{at}charite.de, and frank.bergmann@charite.de. Sebastian Pornschlegel, Schlosspark-Klinik, Heubnerweg 2, 14059 Berlin, Germany, E-mail: Sebastian.Pornschlegel{at}schlosspark-klinik.de.






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Copyright © 2007 by the American Society of Tropical Medicine and Hygiene.