Coşkun Figen, Akıncı Emine
Clinic of Emergency Medicine, Ankara Training and Research Hospital, Ankara, Turkey.
Turkiye Parazitol Derg. 2013;37(2):151-3. doi: 10.5152/tpd.2013.33.
Toxocara canis and Toxocara cati are common helminths that reside in the intestinal tract of cats and dogs. Toxocariasis and, commonly, T. canis, is a disease commonly seen in children, which is characterised by hypereosinophilia, hepatomegaly, fever, transient pulmonary infiltration, and hypergammaglobulinaemia. Humans, who are not the actual host for these parasitic worms, are infected following oral intake of the infective eggs. Radiological differentiation of hepatic toxocariasis can be difficult, as liver lesions, which present as multiple hypoechoic lesions with regular borders, can look like a tumour, an infarction or an infection. We report on a case that presented to our emergency department (ED) with abdominal pain. During the initial review, the pathology in the liver was thought to be an infarction or an infection; however, the patient was diagnosed with hepatic toxocariasis following further evaluation.
犬弓首蛔虫和猫弓首蛔虫是寄生于猫和狗肠道内的常见蠕虫。弓首蛔虫病，通常是犬弓首蛔虫病，是一种常见于儿童的疾病，其特征为嗜酸性粒细胞增多、肝肿大、发热、短暂性肺部浸润和高球蛋白血症。人类并非这些寄生虫的实际宿主，通过口服感染性虫卵而被感染。肝弓首蛔虫病的影像学鉴别可能具有难度，因为肝脏病变表现为边界规则的多个低回声病灶，可能看起来像肿瘤、梗死或感染。我们报告一例因腹痛前来我院急诊科就诊的病例。在初步检查时，肝脏病变被认为是梗死或感染；然而，经过进一步评估，该患者被诊断为肝弓首蛔虫病。
