Skip Navigation LinksHome > March 2009 - Volume 28 - Issue 3 > TOXOCARIASIS MIMICKING LIVER, LUNG, AND SPINAL CORD METASTAS...
Pediatric Infectious Disease Journal:
doi: 10.1097/INF.0b013e31818a896d
Brief Reports

TOXOCARIASIS MIMICKING LIVER, LUNG, AND SPINAL CORD METASTASES FROM RETINOBLASTOMA

Ota, Kaede V. MD*†; Dimaras, Helen PhD‡§; Héon, Elise MD¶; Babyn, Paul S. MD∥; Yau, Yvonne C. W. MD†; Read, Stanley MD*§; Budning, Andrew MD¶; Gallie, Brenda L. MD¶; Chan, Helen S. L. MB‡§

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Abstract

A boy with bilateral retinoblastoma underwent metastatic surveillance for increased risk of systemic and central nervous system metastasis because of the extensive choroid and optic nerve invasion in his enucleated eye. Two years after finishing chemotherapy, surveillance MRI showed multiple new liver, lung and spinal cord lesions. High Toxocara antibody titers, eosinophilia, and elevated IgE levels supported a diagnosis of toxocariasis, rather than retinoblastoma metastasis. This is the first report of early, asymptomatic spinal cord toxocariasis diagnosed incidentally through metastatic surveillance.

© 2009 Lippincott Williams & Wilkins, Inc.

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