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 journalArticle

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 Jan 1

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Keywords

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

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases

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