Bogomoletz W
Ann Anat Pathol (Paris). 1977;22(1):75-9.
The author reports an anatomoclinical observation of eosinophilic granulomatous hepatitis due to toxocariasis. The problems of the histologic differential diagnosis are discussed. Human cases of parasitic infestation by Toxacara canis--larva migrans syndrome--are quite uncommon (1, 2). In the acute stage the hepatic lesion most often consists in eosinophilic granulomatous hepatitis. The chance finding of an eosinophilic granuloma in a puncture biopsy of the liver may rise problems as concerns the histological differential diagnosis, especially when there is no clinical evidence of a parasitosis and when no parasite is found in the biospy specimen.
作者报告了一例由弓蛔虫病引起的嗜酸性粒细胞性肉芽肿性肝炎的解剖临床观察。讨论了组织学鉴别诊断的问题。犬弓蛔虫寄生人体病例——幼虫移行症候群——相当罕见(1,2)。在急性期,肝脏病变最常见的是嗜酸性粒细胞性肉芽肿性肝炎。在肝脏穿刺活检中偶然发现嗜酸性肉芽肿可能会引发组织学鉴别诊断方面的问题,尤其是在没有寄生虫病临床证据且活检标本中未发现寄生虫的情况下。