title: [Multiple pulmonary opacities revealing toxocariasis].
abstract: BACKGROUND
  Toxocariasis is a parasitosis which complicates the accidental infestation of the humans by larvae of a roundworms belonging of the genus Toxocara. In adults, the discovery is often incidental during a hypereosinophilia check-up. Clinical signs are not specific and depend on affected organs.
  
  
  METHODS
  We report the case of a 53-year-old-woman who has consulted for a recent cough, after spontaneous resolution of abdominal pain. The laboratory examination isolated an hypereosinophilia and the liver sonography showed two hypoechogenic nodules. The CT-scan found bilateral lung nodules with ground glass halo. Broncho-alveolar lavage identified an eosinophilic alveolitis. Positive serologic results for toxocariasis and western blot results allowed to conclude to the diagnosis of pulmonary and hepatic toxocariasis.
  
  
  CONCLUSIONS
  Although rare, pulmonary toxocariasis should be suspect in any lung eosinophilia, especially if the patient has never traveled.
authors.affiliation: Service des maladies respiratoires, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51 092 Reims cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Jorge
authors.affiliation: Groupe Courlancy, Cabinet d'infectiologie, Clinique Saint-André, 51100 Reims, France.
authors.forename: C
authors.initials: C
authors.lastname: Strady
authors.affiliation: Groupe Courlancy, Cabinet de pneumologie, Clinique Saint-André, 51100 Reims, France.
authors.forename: B
authors.initials: B
authors.lastname: Guy
authors.affiliation: Service des maladies respiratoires, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51 092 Reims cedex, France; Unité 903, Inserm, 51100 Reims, France.
authors.forename: G
authors.initials: G
authors.lastname: Deslée
authors.affiliation: Service des maladies respiratoires, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51 092 Reims cedex, France; EA 4683, université de médecine et de pharmacie, 51100 Reims, France.
authors.forename: F
authors.initials: F
authors.lastname: Lebargy
authors.affiliation: Service des maladies respiratoires, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51 092 Reims cedex, France; EA 4683, université de médecine et de pharmacie, 51100 Reims, France. Electronic address: sdury@chu-reims.fr.
authors.forename: S
authors.initials: S
authors.lastname: Dury
mesh_terms: D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000473:pathology; D005260:Female; D006801:Humans; D007816:Larva Migrans, Visceral / Q000000981:diagnostic imaging / Q000473:pathology*; D008168:Lung / Q000000981:diagnostic imaging / Q000469:parasitology / Q000473:pathology; D008174:Lung Diseases, Parasitic / Q000000981:diagnostic imaging / Q000473:pathology*; D008875:Middle Aged; D014120:Toxocariasis
keywords: Chest computed tomography; Hypereosinophilia; Hyperéosinophilie; Nodules pulmonaires; Parasitose; Parasitosis; Pulmonary nodules; Tomodensitométrie thoracique; Toxocariasis; Toxocarose; Visceral larva migrans