Pulmonary toxocariasis mimicking invasive aspergillosis in a patient with ulcerative colitis

Eun Jin Park, Joon Young Song, Min Ju Choi, Ji Ho Jeon, Jah Yeon Choi, Tae Un Yang, Kyung Wook Hong, Ji Yun Noh, Hee Jin Cheong, Woo Joo Kim

    Research output: Contribution to journalArticlepeer-review

    Abstract

    A 45-year-old-male who had underlying ulcerative colitis and presented with fever and dry cough. Initially, the patient was considered to have invasive aspergillosis due to a positive galactomannan assay. He was treated with amphotericin B followed by voriconazole. Nevertheless, the patient deteriorated clinically and radiographically. The lung biopsy revealed eosinophilic pneumonia, and ELISA for Toxocara antigen was positive, leading to a diagnosis of pulmonary toxocariasis. After a 10-day treatment course with albendazole and adjunctive steroids, the patient recovered completely without any sequelae. Pulmonary toxocariasis may be considered in patients with subacute or chronic pneumonia unresponsive to antibiotic agents, particularly in cases with eosinophilia.

    Original languageEnglish
    Pages (from-to)425-428
    Number of pages4
    JournalKorean Journal of Parasitology
    Volume52
    Issue number4
    DOIs
    Publication statusPublished - 2014 Aug 1

    Keywords

    • Aspergillosis
    • Eosinophilia
    • Respiratory disorder
    • Toxocara canis
    • Toxocariasis
    • Ulcerative colitis

    ASJC Scopus subject areas

    • Parasitology
    • Infectious Diseases

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