title: Liver abscess in human toxocariasis.
abstract: BACKGROUND
  Toxocariasis is a parasitic infection caused by Toxocara canis or Toxocara cati. It is distributed worldwide. Liver is the main organ affected by Toxocara infection, typically with multiple eosinophilic infiltrates. Liver abscess formation is a very rare condition.
  
  
  METHODS
  The authors report on a case of Toxocariasis infection with abscess formation in the right liver lobe. The diagnosis was made upon patient's history, clinical examination, use of ultrasonography, computed tomography and especially upon positive serologic test and hypereosinophilia. After unsuccessful conservative treatment (Mebendazole, antibiotics and corticoids), right hepatectomy was performed.
  
  
  RESULTS
  The postoperative course was complicated by biliary fistula in the resection area. The complication was successfully managed by temporary stent implantation to the left hepatic duct. Six months after the operation, the patient is with no complications.
  
  
  CONCLUSIONS
  Liver abscess formation is a rare condition associated with Toxocara infection. It is still a matter of debate whether liver abscess results from severe parasitic infection or whether human toxocariasis is a predisposing cause of pyogenic liver abscess formation. Liver resection is the only treatment option when sepsis fails to respond to conservative treatment (Fig. 5, Ref. 22).
authors.affiliation: Department of Surgery, School of Medicine, University Hospital, Pilsen, Czech Republic. treska@fnplzen.cz
authors.forename: V
authors.initials: V
authors.lastname: Treska
authors.forename: A
authors.initials: A
authors.lastname: Sutnar
authors.forename: P
authors.initials: P
authors.lastname: Mukensnabl
authors.forename: T
authors.initials: T
authors.lastname: Manakova
authors.forename: D
authors.initials: D
authors.lastname: Sedlacek
authors.forename: H
authors.initials: H
authors.lastname: Mirka
authors.forename: J
authors.initials: J
authors.lastname: Ferda
mesh_terms: D000328:Adult; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis* / Q000469:parasitology / Q000628:therapy; D008297:Male; D014120:Toxocariasis / Q000175:diagnosis* / Q000628:therapy