Summary
Eosinophilic ascites is rarely observed in clinical practice. It may be associated with the serosal type of eosinophilic gastroenteritis, abdominal lymphoma, hypereosinophilic syndrome, or peritoneal dialysis but is uncommonly related to parasitic infections. We report a case of a previously healthy young patient who developed diarrhea and exudative eosinophilic ascites. The final diagnosis was consistent with a parasitic infection due toToxocara canis, while the clinical and radiological findings suggested an eosinophilic gastroenteritis. The diagnostic approach, especially parasitic serological data, which must be carefully interpreted, are discussed; in addition, the possible pathophysiological mechanisms involved in the production of ascites are evoked.
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References
Adams HW, Mainz DL: Eosinophilic ascites: A case report and review of the literature. Dig Dis Sci 22:40–42, 1977
Levinson JD, Ramanathan VR, Noziek JH: Eosinophilic gastroenteritis with ascites and colonic involvement. Am J Gastroenterol 68:603–607, 1977
Harmon WA, Helman CA: Eosinophilic gastroenteritis and ascites. J Clin Gastroenterol 3:371–373, 1981
Chusid MJ, Dale PC, Wast BC, Wolff SM: The hypereosinophilic syndrome: Analysis of fourteen cases with review of the literature. Medicine 54:1, 1975
Daugirdas JT, Leehey DJ, Popli S, Hoffman W, Zayas I, Gandhi VC, Ing TS: Induction of peritoneal fluid eosinophilia and/or monocytosis by intraperitoneal air injection. Am J Nephrol 7:116–120, 1987
Lambroza A, Dannenberg AJ: Eosinophic ascites due to hyperinfection withStrongyloïdes stercoralis. Am J Gastroenterol 82(1):89–91, 1991
Liepman M: DisseminatedStrongyloïdes stercoralis: A complication of immunosuppression. JAMA 231:387–388, 1975
Scowden EB, Schaffner W, Stone WJ: Overwhelming strongyloïdiasis. Medicine 57(6):527–543, 1978
Taylor MRH, Keane CT, O'Connor P, Mulvihill E, Holland C: The expanded spectrum of toxocaral disease. Lancet 1:692–694, 1988
Morris PD, Katerndahl DA: Human toxocariasis: Review with report of a probable case. Postgrad Med 81(1):263–267, 1987
Herrmann N, Glickman LT, Schantz PM, Weston MG, Domanski LM: Seroprevalence of zoonotic toxocariasis in the United States: 1971–1973. Am J Epidemiol 122(5):890–896, 1985
Glickman L, Schantz PM, Dombroske R, Cypess R: Evaluation of serodiagnostic tests for visceral larva migrans. Am J Trop Med Hyg 27(3):492–498, 1978
Schantz PM, Glickman LT: Current concepts in parasitology: Toxocaral visceral larva migrans. N Engl J Med 298(8):436–439, 1978
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Van Laethem, J.L., Jacobs, F., Braude, P. et al. Toxocara canis infection presenting as eosinophilic ascites and gastroenteritis. Digest Dis Sci 39, 1370–1372 (1994). https://doi.org/10.1007/BF02093807
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DOI: https://doi.org/10.1007/BF02093807