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Published on: November 3, 2009
[Retrospective clinical and laboratory study of the toxocariasis cases hospitalised between 2005 and 2008]
Roxana-Gabriela Bahnea1, A Ivan, E Cârdei
1Disciplina de Parazitologie, Facultatea de Medicină si Farmacie Gr.T. Popa Iasi.
Insights
This study on childhood toxocariasis in Iaşi found pulmonary symptoms were most common. Diagnosis involved hypereosinophilia and serology, with albendazole proving effective.
Area of Science:
- Pediatric Infectious Diseases
- Clinical Parasitology
- Epidemiology
Context:
- Toxocariasis is a neglected tropical disease caused by the roundworm Toxocara.
- Pediatric cases present with diverse clinical manifestations, impacting diagnosis and treatment.
- Understanding the epidemiology and clinical spectrum in specific regions is crucial for public health.
Purpose:
- To retroprospectively analyze clinical and laboratory findings in hospitalized pediatric toxocariasis cases.
- To identify the most frequent clinical manifestations and laboratory abnormalities associated with toxocariasis in children.
- To evaluate the efficacy of albendazole treatment in this cohort.
Summary:
- A retroprospective study of 228 children hospitalized with toxocariasis between 2005 and 2008 in Iaşi.
- Pulmonary symptoms (dyspnea, wheezing, cough) were most prevalent (80.70%), followed by digestive (abdominal pain, hepatosplenomegaly) and cutaneous manifestations.
- Laboratory findings included high rates of hypereosinophilia (94.73%), hyperleukocytosis, and hypergammaglobulinemia. All cases were serologically confirmed.
- Children responded well to albendazole treatment.
Impact:
- Highlights the significant burden of toxocariasis in pediatric populations, particularly respiratory involvement.
- Emphasizes the importance of considering toxocariasis in the differential diagnosis of children with unexplained respiratory and gastrointestinal symptoms.
- Provides evidence for the effectiveness of albendazole in treating pediatric toxocariasis, informing clinical management guidelines.
Unlabelled:
The authors present the results of retroprospective clinical and laboratory diagnosis on toxocariasis cases hospitalized in the Paediatric Diseases Clinic of Iaşi, between January 2005-June 2008.
Material And Method:
The study included a number of 228 children.
Results:
The most frequent clinical manifestation was pulmonary symptoms 80.70%: dyspneea, wheesing, asthma, cough, interstitial pneumonitis. The most frequent digestive symptoms were abdominal pain 41.22%, hepatosplenomegaly 29.38%; cutaneous manifestations were pruritus and urticaria. The laboratory diagnosis: hypereosinophilia was present at 94.73% childrens associated with hyperleucocytosis and hyper-gammaglobulinemia. All the patients were serologic confirmed with toxocariasis. The children responded well to treatment with albendazole.
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