[A case of toxocariasis with eosinophilic pleural effusion].
A 76-year-old man admitted for general malaise with fever was found in clinical examination on admission to have eosinophilic pleural effusion, peripheral eosinophilia, and a slightly elevated inflammatory reaction. Immunological examination, including microplate ELISA, showed a high titer of specific antibody against Toxocara canis in both the serum and pleural effusion. We started treatment using albendazole, and found inflammatory findings and serum IgE were ameliorated. Parasitic disease is an important consideration in the differential diagnosis of eosinophilic pleural effusion, and serology is useful in screening for this.
Seki
Masafumi
M
Department of Internal Medicine, Kitakyushu City Yahata Hospital.
Hiromatsu
Kenji
K
Kosai
Kosuke
K
Fukuda
Yuichi
Y
Kakugawa
Tomoyuki
T
Nakamura
Fukumi
F
Izumikawa
Koichi
K
Yanagihara
Katsunori
K
Higashiyama
Yasuhiko
Y
Miyazaki
Yoshitsugu
Y
Hirakata
Yoichi
Y
Mukae
Hiroshi
H
Tashiro
Takayoshi
T
Kohno
Shigeru
S
D000368:Aged; D000818:Animals; D004285:Dogs; D004802:Eosinophilia / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology*; D014120:Toxocariasis / Q000150:complications* / Q000175:diagnosis; D015047:Zoonoses