A case of adult hepatic toxocariasis.
Background A 56-year-old female presented to the emergency room with a 2-week history of fevers, chills and right upper quadrant pain. She had no sick contacts, had not traveled recently and denied high-risk sexual behavior. The patient had adopted a stray cat 1 month before presentation. Investigations Physical examination; laboratory tests (including complete blood count with differential, complete metabolic panel including liver enzymes, and serum Toxocara serology); chest and abdominal CT scans; and percutaneous liver biopsy. Diagnosis Toxocariasis (visceral larva migrans). Management Supportive care and antihelmintic agents.
Hossack
Jared
J
Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medical Center, Chicago, IL 60637, USA. jared.hossack@uchospitals.edu
Ricketts
Paul
P
Te
Helen S
HS
Hart
John
J
D000818:Animals; D002415:Cats; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology*; D008875:Middle Aged; D014120:Toxocariasis / Q000188:drug therapy / Q000473:pathology*; D016896:Treatment Outcome