A Case of Acute Cholecystitis Combined with Eosinophilic Pericarditis Caused by Toxocariasis.
- Author:
Jin Woo CHOO
1
;
Hyun Jong CHOI
;
Jong Ho MOON
;
Jong Ho CHUNG
;
Jin Seok PARK
;
Yu Sik MYUNG
;
Hye Sun SEO
Author Information
1. Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea. joseph@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Eosinophilia;
Toxocariasis;
Cholecystitis, Pericarditis
- MeSH:
Abdominal Pain;
Albendazole;
Antibodies;
Central Nervous System;
Cholecystitis;
Cholecystitis, Acute;
Eggs;
Eosinophilia;
Eosinophils;
Eye;
Female;
Humans;
Larva;
Liver;
Lung;
Ovum;
Parasites;
Pericardial Effusion;
Pericarditis;
Toxocara canis;
Toxocariasis
- From:Korean Journal of Medicine
2013;84(6):836-841
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Toxocariasis is a parasite infection of a human host caused by Toxocara canis. Most human infections occur in persons who eat contaminated food containing embryonated eggs or larvae. Toxocariasis can produce various symptoms associated with eosinophilic infiltration into various internal organs such as the liver, lungs, eyes, or central nervous system. However, a simultaneous onset of cholecystitis and pericarditis has not yet been reported in the literature. A 39-year-old female patient complained of right upper abdominal pain. Several imaging studies revealed acute cholecystitis and pericarditis with pericardial effusion. Marked eosinophilia was observed in her peripheral blood and pericardial fluid. A high titer of antibodies against T. canis was discovered during the search for the cause of the eosinophilia. All clinical features and the eosinophilia improved dramatically after treatment with albendazole. We report a case of simultaneous onset of acute cholecystitis and pericarditis associated with marked eosinophilia caused by T. canis.