Hepatic visceral larva migrans: evolution of the lesion, diagnosis, and role of high-dose albendazole therapy.
An unusual presentation of hepatic involvement of visceral larva migrans is described. A 45-yr-old male presented with fever, pain in the right upper quadrant, and persistent eosinophilia. Ultrasound initially detected a solitary hypoechoic area in the right lobe of the liver which rapidly progressed to multiple lesions with peripheral hyperechoic lesions. Aspiration from the lesion revealed Charcot-Leyden crystals and sheets of eosinophils. Serology for Toxocara canis was strongly positive. Prolonged and high-dose albendazole therapy, in combination with antibiotics, was required to treat the patient effectively.
Bhatia
V
V
Department of Gastroenterology, G.B. Pant Hospital, New Delhi, India.
Sarin
S K
SK
D015766:Albendazole / Q000627:therapeutic use*; D000818:Animals; D006801:Humans; D007816:Larva Migrans, Visceral / Q000175:diagnosis* / Q000188:drug therapy*; D008099:Liver / Q000000981:diagnostic imaging / Q000469:parasitology; D008109:Liver Diseases, Parasitic / Q000175:diagnosis* / Q000188:drug therapy* / Q000469:parasitology; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D017166:Toxocara canis; D014463:Ultrasonography
D015766:Albendazole