1.Atypical Toxocara canis-Induced Hepatic Visceral Larva Migrans: Diagnostic Challenges and Literature Review
Tien Manh HUYNH ; Khanh Quoc Le TRAN ; Trung Hoang DINH ; Man Minh VO ; Thong Quang PHAM ; Thong Duy VO
The Korean Journal of Gastroenterology 2024;83(6):247-252
Toxocariasis, a zoonotic infection transmitted by Toxocara canis (from dogs) and Toxocara cati (from cats) larvae, poses rare but severe risks to humans. We present a case of hepatic visceral larva migrans (VLM) caused by Toxocara canis in a 21-year-old male with a history of close contact with a pet dog. Initial symptoms and imaging findings mimicked a pyogenic liver abscess. The initial laboratory investigations revealed neutrophilia and elevated levels of IgE. Despite broad-spectrum antibiotics, persistent fever prompted further investigation. Subsequent serological testing for Toxocara antibodies and histopathological analysis of liver tissue demonstrating eosinophil infiltrates and Charcot-Leyden crystals led to a confirmed diagnosis of a liver abscess caused by Toxocara canis. Serological testing for Toxocara antibodies and histopathological analysis of liver tissue confirmed a Toxocara canis-induced liver abscess. Albendazole treatment yielded significant clinical improvement. This case highlights the necessity of considering toxocariasis in liver abscess differentials, particularly in high-seroprevalence regions like Vietnam. Relying solely on serological tests may be insufficient, emphasizing the need for corroborative evidence, including invasive procedures like liver biopsy, for accurate hepatic toxocariasis diagnosis.
2.Preliminary remarks on ecological character of An.epiroticus in newly salinized areas of Can Duoc distrist, Long An province
Hoi Xuan Le ; Trung Dinh Ho ; Hoang Van Ho
Journal of Malaria and parasite diseases Control 2004;0(3):69-78
Background: In recent year, provinces in coastal south west area have many changes in environment which makes difficult to manage the epidemiology of malaria. Objective: To investigate ecological character of An.epiroticus in newly salinized areas of Can Duoc distrist, Long An province. Subject and Method:The investigation of An.epiroticus and environmental factors was carried out in newly salinized areas in Can Duoc district, Long An province from 2006- 2007. Result and Conclusion: The result showed that An.epiroticus populations in both zones categorized as shrimp-rice fields and brackish shrimp fields were anthropophilic. This species bites human both in and outdoor throughout the night with peak of biting rates were from 20h00 to 02h00. A considerable number of An.epiroticus was found to rest indoors in the morning. This species in studied site was resistant to both Alpha-cypermethrin and Lambdacyhalothrin. The larvae of An.epiroticus were mainly found in stagmant or slow running brakish water bodies having salinity of 1.0 to 3.5 g of NaCl/litre; pH = 7.0 - 8.0; temperature 28 - 30\xb0C; with presence of aquatic plants.
Ecological character
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An.epiroticus

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