대한흉부영상의학회 Korean Society of Thoracic Radiology

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Weekly Chest CasesArchive of Old Cases

Case No : 651 Date 2010-04-18

  • Courtesy of Myung Suk Lee, Chang Hyun Lee / Seoul National University Hospital
  • Age/Sex 71 / M
  • Chief ComplaintCough, Abnormality on chest PA in heath check-up
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2009-03-05

Diagnosis With Brief Discussion

Diagnosis
Visceral lava migrans of Toxocariasis
Radiologic Findings
On the follow up studies, migrating patchy ground glass opacities are noted. CT findnigs are not quite different from other eosinophilic pneumonias (random distribution, GGO with consolidation or nodules, pleural effusion(28%), pneumothorax (9%)). This patient had a history of ingestion of raw cow liver.
Brief Review
Chops of raw cow liver are one of the popular dishes in some restaurants or buffets in Korea. Chops of raw cow liver are usually served along with usual cooked or barbecued meat. Some people believe that raw liver and meat are good for health, particularly for eyesight.
Like animals, human infections may take place in 2 ways: 1) ingestion of embryonated eggs, and 2) transfer (ingestion) of encapsulated larvae of T. canis in the tissues of a paratenic host. In certain ethnic groups, some adults tend to eat uncooked animal tissues which contain encapsulated infective larvae. After swallowing, the encapsulated larvae are liberated after hatching in the small intestine, penetrate the intestinal wall, get into the portal vein, and then reach the liver and lungs. They again become encapsulated and remain alive for a certain period. Uncooked livers of cow, pig, lamb, and chicken have been reported as sources of human infections.
High parasitic loads or repeated infection can lead to visceral larva migrans (VLM).VLM is primarily diagnosed in young children, because they are more prone to exposure and ingestion of infective eggs.[
References
Keywords
Lung, Infection, Parasitic infection,

No. of Applicants : 101

▶ Correct Answer : 29/101,  28.7%
  • - Hangang sacred heart hospital , Korea (South) You Mie Han
  • - University of British Columbia , Canada Amr Ajlan
  • - Osaka University , Japan Osamu Honda
  • - Chonbuk National University Hospital , Korea (South) Jisoo Song
  • - Lilavati Hospital , India Pralhad Prabhudesai
  • - Hospital M de Deus , Brazil Thiago Bento da Silva
  • - SMG-SNU boramae medical center , Korea (South) Kwang Nam Jin
  • - Armed Force Capital Hospital , Korea (South) Dae Kun Oh
  • - Samsung Medical Center , Korea (South) Eun Kim
  • - ROK air force aerospacemedical center , Korea (South) Daekeon Lim
  • - hospital de clinicas de porto alegre , Brazil ana zanardo
  • - Kangnam severance hospital , Korea (South) Song Jae Min
  • - seoul national university hospital , Korea (South) Ijin Joo
  • - Bundang CHA hospital , Korea (South) Jung Jin Young
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - chonnam national university , Korea (South) Byung Hyun Baek
  • - Uzunkopru Devlet Hastanesi , Turkey Armagan Sarac
  • - CNUH , Korea (South) Seoin Jeong
  • - CNUH , Korea (South) Hyedoo Jung
  • - Chonnam national university hosipital , Korea (South) Byung chan Lee
  • - chonnam national university hospital , Korea (South) Park seo yeon
  • - Chungnam national university hospital , Korea (South) Jeoung Eun Lee
  • - Kwang Myung Sungae Hospital , Korea (South) Jiyong Rhee
  • - Chonnam national university hospital , Korea (North) Seung Lee
  • - CHU Grenoble , France Fabrice Bing
  • - Chonnam national university hospital , Korea (South) Yunhong Yoon
  • - Department of Radiology, Chonnam National University Hospital , Korea (South) Hyungjun Kim
  • - Chonnam national university hospital , Korea (South) Jang-hyeon Song
  • - Chonnam National University Hwasoon Hospiral , Korea (South) You Ri Choi
▶ Correct Answer as Differential Diagnosis : 18/101,  17.8%
  • - radiologist, aditya imaging centre , India vivek patel
  • - , Korea (South) park ji hoon
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - Korea Univ. Guro Hospital , Korea (South) Eun-Tae Park
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - Saga University , Japan Ryoko Egashira
  • - Hotel-Dieu Montreal , Canada nicolas gautier
  • - All India Institute of medical sciences , India Justin Moses
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - IRSA Rochefort , France Viviane Pages
  • - IRSA , France jean-luc BIGOT
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - NOUR EL-ISLAM RADIOLOGY CENTER , Egypt Elsayed Mousa
  • - Chonnam university hospital , Korea (South) Minyoung Jung
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