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■Detailed data
Sex male
Age 60-64
Misc 2005-2009
Chief Complaint Blurred vision, discomfort right hypochondrium
Past history nothing particular
Present history He has visited a nearby clinic for who complained of fever and malaise and blurred vision than two months ago. No abnormality on chest X-ray, swelling of the bowel was noted in CT. Then, he has feel pain and weight loss (with 5kg/month), showed a right hypochondrium discomfort than two weeks ago. Eosinophils was increased with 20% in blood tests. For enlarged lymph nodes showed pleural effusion in the chest X-ray, and abdominal CT was referred to our hospital for blood diseases and parasitic infection is suspected. As a dietary history, was eating raw river crab marinated in soy sauce.
Laboratory findings WBC15.2×10³/μl
(St5.0,Seg6.0,Eo48.0,Ba2.0,Ly36.0,Mo3.0%)、RBC3.87×106/μl、Hb11.4g/dl、Ht36.0%、MCV93.0fl、MCH29.4pg、MCHC31.6%、PLT34.2×104/μl、TP7.6g/dl、BUN10.6mg/dl、
T-bil 0.6mg/dl、UA4.2mg/dl、AST26IU/l、ALT23IU/l、LDH268IU/l、VB12 1,240pg/ml、Fe78μg/dl、CRP0.42mg/dl、IgE942IU/l、IgG1,760mg/dl、IgA143mg/dl、CEA3.5ng/ml、CA125 136.4U/ml
【anti parasitic antibody】P.westermanii (2+)、P.miyazakkii (2+)