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타조 생간 섭취 후 발생한 개회충증에 의한 심한 호산구증가증
강성윤 ( Sung Yoon Kang ),강민규 ( Min Kyu Kang ),김미영 ( Mi Yeong Kim ),이서영 ( Suh Young Lee ),김태완 ( Tae Wan Kim ),이소희 ( So Hee Lee ),김세훈 ( Sae Hoon Kim ),강혜련 ( Hye Ryun Kang ),박흥우 ( Heung Woo Park ),장윤석 ( Yo 대한천식알레르기학회 2011 천식 및 알레르기 Vol.31 No.2
Toxocariasis is an infection in a human host caused by Toxocara canis. Most human infections occur in younger persons who eat dirt containing embryonated eggs or larvae in raw or uncooked foods, particularly raw liver. Toxocariasis can produce various clinical manifestations associated with hypereosinophila and eosinophilic infiltration into the internal organs in the form of abscess or granuloma. We report the case of a 63-year-old man with hypereosinophilia caused by Toxocara infection, who had a history to eat raw ostrich liver 6 months before. He had general weakness and weight loss after ingestion of raw ostrich liver and was then referred to our hospital for the evaluation of hematologic malignancies because he had hypereosinophilia, anemia and a reversed albumin-globulin (A/G) ratio. Toxocara infection was confirmed by enzyme-linked immunosorbent assay for Toxocara canis. He was treated with albendazole for 2 weeks and was discharged from the hospital without any complications. At the 4 month and 1 year follow-up visits, his clinical symptoms improved, the total eosinophil counts were markedly reduced, and the A/G ratio. (Korean J Asthma Allergy Clin Immunol 2011;31:144-147)