Sayas Iris, Álvarez Pamela, Pajuelo Rossana, Luque Walter, Tassara Carla
Hospital Nacional Dos de Mayo, Lima, Perú.
Rev Chilena Infectol. 2021 Oct;38(5):698-701. doi: 10.4067/s0716-10182021000500698.
We present the case of an 8-year-old girl with an atypical presentation of toxocariasis, from the Peruvian Amazon. A month ago, the clinical presentation was characterized by the presence of abdominal pain, paleness and geophagia, associated with an abdominal mass and generalized lymphadenopathy. There were no respiratory, dermal, ocular or neurological symptoms. Marked peripheral eosinophilia was found in the blood count, and moderate eosinophilia in the spinal cord aspírate. The diagnosis was confirmed by serology with the enzyme-linked immunosorbent assay (ELISA), which showed the presence of IgG and IgM anti- Toxocara antibodies. Treatment with albendazole 400 mg once daily was administered for five days with favorable evolution.
我们报告了一例来自秘鲁亚马逊地区的8岁女童，其患有无典型表现的弓蛔虫病。一个月前，临床表现为腹痛、面色苍白和异食癖，伴有腹部肿块和全身淋巴结肿大。无呼吸、皮肤、眼部或神经症状。血常规检查发现明显的外周嗜酸性粒细胞增多，脊髓穿刺液中有中度嗜酸性粒细胞增多。通过酶联免疫吸附测定（ELISA）血清学检查确诊，结果显示存在抗弓蛔虫IgG和IgM抗体。给予阿苯达唑400mg每日一次，连用五天，病情进展良好。
