Hepatic Toxocariasis in a Child: ACase Report 'from Shiraz, Southern Iran

Toxocariasis is a worldwide human helminthiasis. this disease is mostly asymptomatic and caused by toxocara canisand toxocara cati, intestinal nematodes (roundworms) in dogs and cats. these can cause visceral larva migranssyndrome in humans who ingest eggs from contaminated soil or consume of meat of paratenic hosts. a 6-year-old childwith fever, chills, pain in right upper quadrant, eosinophilia of 20% and elevated total serum immunoglobulin levels ispresented. ultrasonography demonstrated two hypoechoic heterogeneous hepatic lesions measuring 0.7 x 0.7 cm insize located in the right lobe of liver. an enlarged periportal lymph node was noted. the case was diagnosed as hepatictoxocariasis based on sonographic and biopsy findings. the final diagnosis was confirmed by enzyme-linkedimmunosorbent assay (elisa) test. it can be concluded that hepatic toxocariasis should be included in the differentialdiagnosis of multiple liver nodules, particularly in cases with eosinophilia.