Affiliations: Department of Parasitology and Tropical Medicine,
National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria | Department of Pediatrics, Medical University, Varna,
Bulgaria
Note: [] Correspondence: Iskra G. Raynova, Department of Parasitology and
Tropical Medicine, National Center of Infectious and Parasitic Diseases
(NCIPD), 26 Yanko Sakazov blvd., Sofia 1504, Bulgaria. Tel.: +359 887 575 450;
E-mail: rainova@ncipd.org
Abstract: Toxocariasis is usually manifested as a visceral larva migrans and
is a rarely reported disease in many countries worldwide. In this report, we
describe six cases of children, who were hospitalized due to iron deficiency
anemia. In the course of their hospitalization, high eosinophilic pleocytosis
in peripheral blood was detected and subsequent serological testing for
toxocariasis revealed positive results. Laboratory tests were carried out for
all 6 patients with two methods-enzyme-linked immunosorbent assay IgG and
Western blot. Improvement in the clinical and laboratory results was achieved
using two courses of albendazole, anti-anemic drugs and vitamins. Regarding
this issue, we consider that in the differential diagnosis of severe anemia in
children toxocariasis should be included.