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The patient\u2019s history revealed previous treatment with albendazole against a <jats:italic>Toxocara<\/jats:italic> infection 2 weeks prior in Poland. Blood analysis showed such severe eosinophilia and markedly elevated levels of IgE that, initially, a hematologic malignancy was suspected. However, diagnostic workup including autoimmune diagnostic, molecular genetic testing, fluorescence in situ hybridization (FISH), bone marrow aspiration, and parasitological testing led to the diagnosis of an insufficiently treated <jats:italic>Toxocara<\/jats:italic> infection. Treatment with albendazole and prednisone (six cycles for 4 weeks each) was administered. This treatment regime led to prompt improvement of symptoms and normalization of laboratory findings.<\/jats:p>","DOI":"10.1007\/s00436-024-08119-y","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T03:02:22Z","timestamp":1705460542000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Toxocarosis in a patient with autism spectrum disorder presenting with severe hypereosinophilia and acute respiratory distress: a case report"],"prefix":"10.1007","volume":"123","author":[{"given":"Daniel","family":"\u00dcblagger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herbert","family":"Auer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milina","family":"Bezakova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"Kirchlechner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,17]]},"reference":[{"key":"8119_CR1","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/bs.apar.2020.01.005","volume":"109","author":"H Auer","year":"2020","unstructured":"Auer H, Walochnik J (2020) Toxocariasis and the clinical spectrum. 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