The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Eosinophilic Myocarditis-Associated Toxocariasis

개회충증에 의한 호산구성 심근염 1예

  • Kim, Tae Hyung (Department of Internal Medicine, Sam Anyang Hospital) ;
  • Ko, Doo Hyun (Department of Internal Medicine, Sam Anyang Hospital) ;
  • Kim, Jong Wook (Department of Internal Medicine, Sam Anyang Hospital) ;
  • Gu, Ja Joong (Department of Internal Medicine, Sam Anyang Hospital) ;
  • Oh, Ji Hong (Department of Internal Medicine, Sam Anyang Hospital) ;
  • Yoon, Baek Hyun (Department of Internal Medicine, Sam Anyang Hospital) ;
  • Lee, Jae Beom (Department of Internal Medicine, Sam Anyang Hospital)
  • Received : 2017.05.25
  • Accepted : 2017.09.13
  • Published : 2018.10.01
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Abstract

Human toxocariasis is a common helminthozoonosis due to the infestation of toxocara canis or toxocara cati larvae, and is a common cause of blood eosinophilia in Korea. Toxocariasis has various clinical manifestations depending on the involved organ, and cardiac involvement can range from asymptomatic to fulminant myocarditis with cardiogenic shock. Treatment of toxocariasis is based on corticosteroid and anthelmintic therapies. Here, we report a case of a 57-year-old male with eosinophilic myocarditis caused by toxocariasis as diagnosed via serial echocardiography follow up.

본 증례는 개나 고양이를 기른 적이 없고 발병 전 6개월 내에 육회나 생야채의 섭취 병력 또한 없었으며 호산구 증가도 심하지 않았던 환자에서 심한 심부전을 동반한 내장 유충이행증이 발생하여 알벤다졸과 스테로이드로 치료 후 후유증없이 호전된 1예를 경험하여 보고하는 바이다.

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References

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