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Open Access Case report

Toxoplasma, Toxocara and Tuberculosis co-infection in a four year old child

Randeewari Guneratne1, Devan Mendis2, Tharaka Bandara1 and Sumadhya Deepika Fernando3*

Author Affiliations

1 Intern House Officer, Colombo South Teaching Hospital, Kalubowila, Sri Lanka

2 Consultant Paediatrician, Colombo South Teaching Hospital, Kalubowila, Sri Lanka

3 Professor in Parasitology, Department of Parasitology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka

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BMC Pediatrics 2011, 11:44  doi:10.1186/1471-2431-11-44

Published: 26 May 2011

Abstract

Background

Tuberculosis. toxocariasis and toxoplasmosis are among the common infectious causes of lymphadenitis in children. Cases of Toxoplasma gondii and Toxocara spp co-infection have been reported.

Case Presentation

This case report describes a co-infection of Toxoplasma gondii, Toxocara spp and tuberculosis in a child with chronic lymphadenopathy and eosinophilia.

Conclusion

The case report highlights two important points. First is the diagnostic challenges that are encountered by clinicians in tropical countries such as Sri Lanka, where lymphadenopathy and eosinophilia with a positive serology commonly point towards a parasitic infection. Secondly the importance of proper history taking and performing the Mantoux test as a first line investigation in a country where the incidence of tuberculosis is low, even in the absence of a positive contact history.