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Toxoplasma gondii Cyst Wall Formation in Activated Bone Marrow-derived Macrophages and Bradyzoite Conditions
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Liver abscess in human toxocariasis.

V Treska1, A Sutnar, P Mukensnabl

  • 1Department of Surgery, School of Medicine, University Hospital, Pilsen, Czech Republic. treska@fnplzen.cz

Bratislavske Lekarske Listy
|December 21, 2011
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Summary

Toxocariasis, a parasitic infection, can rarely cause liver abscesses. Surgical removal (hepatectomy) may be necessary if conservative treatments for this rare Toxocara complication fail.

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Area of Science:

  • Parasitology
  • Hepatology
  • Infectious Diseases

Background:

  • Toxocariasis, caused by *Toxocara* species, is a globally prevalent parasitic infection.
  • The liver is a primary target organ, often exhibiting eosinophilic infiltrates.
  • Liver abscess formation is an exceptionally rare manifestation of toxocariasis.

Observation:

  • A case of toxocariasis with a right liver lobe abscess is presented.
  • Diagnosis involved patient history, clinical assessment, imaging (ultrasound, CT), serology, and hypereosinophilia.
  • Initial conservative management with Mebendazole, antibiotics, and corticosteroids proved ineffective.

Findings:

  • Surgical intervention via right hepatectomy was performed due to treatment failure.
  • A postoperative biliary fistula occurred but was successfully managed with stent implantation.
  • The patient experienced no complications six months post-surgery.

Implications:

  • This case highlights liver abscess as a rare complication of toxocariasis.
  • The etiology of pyogenic liver abscess in toxocariasis remains debated.
  • Hepatectomy is a viable treatment for refractory cases when conservative measures fail.