Abstract
A case of Toxocariasis Cati was presented. A 65-year-old male was referred to our hospital because of appetitelos, general fatigue and low grade fever. He had lived in Akita prefecture and had a habit of eating a raw liver of chicken. The main abnormal laboratory data were leucocytosis (22, 000/mm3) with eosinophilia (70.5%), hypergammerglobulinemia (IgE 7, 500 u/ml) and mild hepatic damage. Hepatoscintigraphy showed multiple defects in the liver. On laparoscopy, some yellow nodules were scattered on an irregular surface of the liver. Histologically, the hepatic specimen revealed focal necrosis, inflammatory changes and eosinophilic granulomas. The diagnosis was confirmed by an immunoelectro-phoresis technique, because the serum reacted strongly with antigen of Toxocara Cati. Accordingly, thiabendazole was prescribed. Then, the abnormal laboratory data were improved and his complaints disappeared. The repeated liver biopsy showed that eosino-philic infiltration and granumatous changes were minimized. This case was the sixth report of Toxocariasis Cati and the second having laparo-scopic observation, according to the available Japanese literatures.
