title: [Toxocariasis in a 5-year-old boy--manifesting as bronchial asthma and behavioral disorder].
abstract: We report on a five year old boy who was admitted to hospital because of obstructive airway disease; initially, findings were interpreted to indicate bronchial asthma. In addition, the patient presented with a behavioural abnormality of aggressiveness and hyperactivity. Laboratory examinations showed an elevated IgE level and eosinophilia, chest x-ray revealed infiltrations in both lungs. After excluding a spectrum of chronic lung disorders by relevant investigations, serological testing for parasitosis revealed massively elevated toxocara IgG antibodies. The diagnosis of a "covert form" of toxocarosis was established and an antihelminthic therapy with albendazole was initiated. Chronic respiratory symptoms in childhood can also indicate the presence of a parasitic infestation.
authors.affiliation: Klinische Abteilung für Pulmonologie, Univ.-Klinik für Kinder- und Jugendheilkunde Graz.
authors.forename: E M
authors.initials: EM
authors.lastname: Varga
authors.forename: H
authors.initials: H
authors.lastname: Auer
authors.forename: M
authors.initials: M
authors.lastname: Zach
mesh_terms: D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D001249:Asthma / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D007074:Immunoglobulin G / Q000097:blood; D007816:Larva Migrans, Visceral / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D008174:Lung Diseases, Parasitic / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D008297:Male
chemical_list: D000871:Anthelmintics; D007074:Immunoglobulin G; D007073:Immunoglobulin E; D015766:Albendazole
vernacular_title: Toxokarose bei einem fünfjährigen Knaben--Manifestation als Asthma bronchiale und Verhaltensstörung.