Jung Jae Kwon, Jung Jin Tae, Lee Chang Hyeong, Kim Eun Young, Kwon Joong Goo, Kim Byung Seok
Department of Internal Medicine, Catholic University of Daegu, School of Medicine, Daegu, Korea.
Korean J Hepatol. 2007 Sep;13(3):409-13. doi: 10.3350/kjhep.2007.13.3.409.
Toxocariasis is a helminozoonosis caused by the infection of a human host by the larva of Toxocara canis and Toxocara catis, which are common nematodes in dogs and cats, and occurs more frequently in school age children. Toxocariasis shows variable clinical manifestations including hepatomegaly, bronchial asthma, uveitis, central nervous system symptoms with peripheral eosinophilia and an increased total serum IgE level. However a hepatic abscess caused by toxocara infection in adults is rare. We experienced a case of heavy alcoholic patients with a hepatic eosinophilic abscess caused by toxocara infestation, which was confirmed by microscopic examination of liver biopsy, enzyme-linked immunosorbent assay test, abdominal CT and the ultrasonography findings.
弓蛔虫病是一种由犬弓首蛔虫和猫弓首蛔虫的幼虫感染人类宿主引起的蠕虫病，这两种蛔虫是犬猫常见的线虫，在学龄儿童中更常见。弓蛔虫病临床表现多样，包括肝肿大、支气管哮喘、葡萄膜炎、伴有外周嗜酸性粒细胞增多的中枢神经系统症状以及血清总IgE水平升高。然而，成人由弓蛔虫感染引起的肝脓肿很少见。我们遇到一例重度酒精性肝病患者，其因弓蛔虫感染导致肝嗜酸性脓肿，通过肝活检显微镜检查、酶联免疫吸附测定试验、腹部CT和超声检查结果得以确诊。
