Arslan Ferhat, Baysal Naciye Betul, Aslan Ahmet, Simsek Bengu Cobanoglu, Vahaboglu Haluk
Department of Infectious Diseases, Göztepe Training and Research Hospital, Istanbul Medeniyet University, Dumlupınar Mahallesi, D100 No:98, 34000 Kadıköy/İstanbul, Turkey.
Department of Infectious Diseases, Göztepe Training and Research Hospital, Istanbul Medeniyet University, Dumlupınar Mahallesi, D100 No:98, 34000 Kadıköy/İstanbul, Turkey.
Parasitol Int. 2019 Dec;73:101950. doi: 10.1016/j.parint.2019.101950. Epub 2019 Jul 4.
Toxocariasis is a clinical syndrome caused by the larvae of two ascarid nematodes, namely, Toxocara canis and T. cati that live in dogs and cats as definitive hosts. Humans acquire Toxocara infection by accidental consumption of eggs contaminated foods, soil, water or larvae encapsulated in the viscera or meats of various paratenic hosts e.g., chicken. After oral ingestion, the ova hatch and the free larvae penetrate the intestinal wall to migrate to distant tissues throughout the body. Larvae may also infiltrate the intestinal wall and cause enteritis and mass occupying lesions. Here, we present a T. canis related gastroenteritis and peritonitis case successfully treated with albendazole. We reviewed the literature and found seven previously published Toxocara related peritonitis cases. To our knowledge, this is the first review about non-disseminated toxocariasis that restricted to the intestine and presented as eosinophilic ascites due to peritoneal inflammation. The most common abdominal symptoms were abdominal pain and nausea, and the most common findings were eosinophilic infiltrations on endoscopic biopsy specimens and eosinophilia in the peripheric blood samples.
弓蛔虫病是一种临床综合征，由两种蛔虫线虫的幼虫引起，即犬弓首蛔虫和猫弓首蛔虫，它们以狗和猫作为终宿主。人类通过意外食用受污染食物、土壤、水中的虫卵，或食用各种转续宿主（如鸡）的内脏或肉中包裹的幼虫而感染弓蛔虫。经口摄入后，虫卵孵化，游离的幼虫穿透肠壁，迁移至全身远处组织。幼虫也可能浸润肠壁，引起肠炎和占位性病变。在此，我们报告1例成功用阿苯达唑治疗的犬弓首蛔虫相关性胃肠炎和腹膜炎病例。我们回顾了文献，发现7例先前发表的弓蛔虫相关性腹膜炎病例。据我们所知，这是关于局限于肠道并表现为因腹膜炎症导致嗜酸性腹水的非播散性弓蛔虫病的首次综述。最常见的腹部症状是腹痛和恶心，最常见的发现是内镜活检标本上的嗜酸性浸润和外周血样本中的嗜酸性粒细胞增多。
