title: Toxoplasma, toxocara and tuberculosis co-infection in a four year old child.
abstract: BACKGROUND
  Tuberculosis. toxocariasis and toxoplasmosis are among the common infectious causes of lymphadenitis in children. Cases of Toxoplasma gondii and Toxocara spp co-infection have been reported.
  
  
  METHODS
  This case report describes a co-infection of Toxoplasma gondii, Toxocara spp and tuberculosis in a child with chronic lymphadenopathy and eosinophilia.
  
  
  CONCLUSIONS
  The case report highlights two important points. First is the diagnostic challenges that are encountered by clinicians in tropical countries such as Sri Lanka, where lymphadenopathy and eosinophilia with a positive serology commonly point towards a parasitic infection. Secondly the importance of proper history taking and performing the Mantoux test as a first line investigation in a country where the incidence of tuberculosis is low, even in the absence of a positive contact history.
authors: Colombo South Teaching Hospital, Kalubowila, Sri Lanka.
authors: Randeewari
authors: R
authors: Guneratne
authors: Devan
authors: D
authors: Mendis
authors: Tharaka
authors: T
authors: Bandara
authors: Sumadhya Deepika
authors: SD
authors: Fernando
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