Talaizadeh A H, Maraghi S, Jelowdar A, Peyvasteh M.
Human toxocariasis: a report of 3 cases.
Pak J Med Sci Jan ;23(5):782-4.

Toxocariasis is a worldwide helminthic zoonosis due to the infection of human by larvae of Toxocara canis or Toxocara cati. In this study, three cases of human visceral larva migrans are reported. The first case was a 5 year old male referred to hospital with the symptoms of abdominal pain, loosing appetite, tenderness, cashexia, fever and 9.5gr/dl haemoglobin. Abdominal sonography revealed an echohetrogeny 49×20×54mm in. RUQ and indicated an abscess of fecalis mass. Laparatomy was carried out and 26cm of large intestine including secum, attached small intestine and appendix (5cm) in length and ilocecal lymph node measured 2.5× 1.5×0.7cm were removed. Histopathological indicated toxocariasis. The second patient was a two years old girl admitted with symptoms of abdominal pain, tenderness, loosing appetite and loosing weight for two months. The patient was anemic and hypereosinophilic (46%). Physical examination indicated a solid mass in RUQ. Abdominal sonography revealed a solid hypoechoic mass with margin measured 88×44×63mm. The solid mass was removed after laparatomy. Histopathological examination verified the serological test against toxocara toward toxocariasis. The third case was a 46 year old female admitted with the symptoms of abdominal pain in RUQ, right tenderness, leukocytosis and eosinophilia (10%). The clinical diagnosis was appendicitis. Appendectomy was carried out. The appendix was inflamed and around the colon was highly inflamed as well. Serological test on serum sample of the patient against toxocariasis was positive.

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