title: [Case of Toxocara canis larva migrans cured by additional treatment with albendazole].
abstract: A 42-year-old man presented at our emergency department with fever, sputum, and dyspnea. His chest X-ray films showed ground-glass opacities mainly in the upper and middle lung fields. We diagnosed pneumonia, gave antibiotic treatment, and his symptoms improved. However he later showed eosinophilia. We performed additional workup, and diagnosed Toxocara canis larva migrans. We treated him with albendazole for four weeks, but his eosinophil count rose again from the end of treatment one month later. Therefore we performed additional treatment with albendazole for 8 weeks, after which the clinical imaging findings and serum antibody titer improved. There are few reports about additional treatment for Toxocara canis larva migrans, and there is not yet a consensus. We think that we should consider additional treatment in cases that do not show improvement on initial treatment.
authors.affiliation: Department of Respiratory Medicine, Osaka City General Hospital.
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Takamatsu
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Sumitani
authors.forename: Shigeki
authors.initials: S
authors.lastname: Nanjyou
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Nishijima
authors.forename: Seiichi
authors.initials: S
authors.lastname: Syoji
authors.forename: Nobuhide
authors.initials: N
authors.lastname: Takifuji
authors.forename: Hidemi
authors.initials: H
authors.lastname: Kiyota
authors.forename: Haruko
authors.initials: H
authors.lastname: Daga
authors.forename: Koji
authors.initials: K
authors.lastname: Takeda
mesh_terms: D000328:Adult; D015766:Albendazole / Q000008:administration & dosage*; D000818:Animals; D000871:Anthelmintics / Q000008:administration & dosage*; D004285:Dogs; D006801:Humans; D007816:Larva Migrans, Visceral / Q000175:diagnosis / Q000188:drug therapy*; D008297:Male; D011657:Pulmonary Eosinophilia / Q000188:drug therapy / Q000209:etiology; D017166:Toxocara canis; D016896:Treatment Outcome
chemical_list: D000871:Anthelmintics; D015766:Albendazole