Toxocariasis is a worldwide human helminthiasis. This disease is mostly asymptomatic and caused by Toxocara canis and Toxocara cati, intestinal nematodes (roundworms) in dogs and cats. These can cause visceral larva migrans syndrome in humans who ingest eggs from contaminated soil or consume of meat of paratenic hosts. A 6-year-old child had fever, chills, right upper quadrant pain, eosinophilia of 20%, elevated total serum immunoglobulin levels. Ultrasonography demonstrated two hypoechoic heterogeneous hepatic lesions 0.7 × 0.7 cm in size, located in the right lobe of liver. An enlarged periportal lymph node was noted. The case was diagnosed as hepatic toxocariasis based on sonographic and biopsy finding. The final diagnosis was confirmed by ELISA test. It can be concluded that hepatic toxocariasis should be included in the differential diagnosis of multiple liver nodules, particularly in cases of eosinophilia.
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