Abstract
Background A 56-year-old female presented to the emergency room with a 2-week history of fevers, chills and right upper quadrant pain. She had no sick contacts, had not traveled recently and denied high-risk sexual behavior. The patient had adopted a stray cat 1 month before presentation.
Investigations Physical examination; laboratory tests (including complete blood count with differential, complete metabolic panel including liver enzymes, and serum Toxocara serology); chest and abdominal CT scans; and percutaneous liver biopsy.
Diagnosis Toxocariasis (visceral larva migrans).
Management Supportive care and antihelmintic agents.
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Acknowledgements
Charles P Vega, University of California, Irvine, CA, is the author of and is solely responsible for the content of the learning objectives, questions and answers of the Medscape-accredited continuing medical education activity associated with this article.
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Hossack, J., Ricketts, P., Te, H. et al. A case of adult hepatic toxocariasis. Nat Rev Gastroenterol Hepatol 5, 344–348 (2008). https://doi.org/10.1038/ncpgasthep1140
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DOI: https://doi.org/10.1038/ncpgasthep1140
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