Eosinophilic hepatic abscesses in microfilarial disease : A rare presentation.
Filariasis involving the scrotum. Hepatic eosinophilic abscesses.
Multiple liver lesions in an adult may be congenital, neoplastic, have an infectious origin or may be due to other miscellaneous conditions. Eosinophilic abscesses in the liver are described with parasites such as Toxocara canis, Fasciola hepatica, Clonorchis sinensis, Spirometra mansonoides, and Taenia solium. Association with filariasis is not described in literature. This case describes a rare occurrence of multiple hypoattenuating liver lesions in a 31-year-old male who presented with moderate to severe epigastric and right upper quadrant pain and intermittent low grade fever occurring over a 1-month period. There was peripheral eosinophilia. Biopsy from the liver lesion showed eosinophilic microabscesses. A scrotal ultrasound done for scrotal tenderness, revealed classic filarial dance sign in the left epididymis. He was treated with antibiotics and antihistaminics. Patient became asymptomatic and ultrasound showed complete resolution of hepatic lesions at 3 months follow up. The radiologist should be aware of the existence of this condition and imaging features which help to differentiate them from liver metastasis.