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Studies on flotation techniques for the recovery of helminth eggs from soil and the prevalence of eggs of Toxocara spp in some Kansas public places.

A technique for extracting Toxocara spp eggs from soil had a recovery efficiency ranging from 53% to 68%. Using the technique, 50 of 232 (22%) soil samples from city and university properties were found to be contaminated with eggs of Toxocara spp. Of 50 samples from highway rest areas, 8 (16%) were contaminated. From a public health standpoint, it was particularly noteworthy that 9 of 23 (39%) samples from sandboxes in student family quarters were contaminated with Toxocara spp eggs.

Animals↗

Experimental Toxocara canis infection in cynomolgus macaques (Macaca fascicularis).

Visceral larva migrans was produced in 16 cynomolgus macaques (Macaca fascicularis) experimentally inoculated with 45,000 embryonated eggs of Toxocara canis as a single bolus or in 3 divided doses. The hematologic and serologic changes were similar to those observed in children with visceral Toxocara infection. Neurologic signs developed in 3 animals and were characterized by ataxia and nystagmus. Growth rates were diminished in inoculated animals when compared with the rates in noninoculated controls. Diagnostic antibody titers as measured by enzyme-linked immunosorbent assay were noted in all inoculated macaques by the 4th week, and these titers persisted during the 7-month period of observation. Antibody to Toxocara was not detected in the aqueous or vitreous humors. Lesions comprised severe granulomatous hepatitis and encephalomyelitis. Intraocular lesions associated with larval migration were not observed.

Animals↗

[Eosinophilic meningo-encephalo-myelitis due to Toxocara canis].

A 21-year-old woman was admitted to our hospital because of frontal headache, low-grade fever and convulsion. The patient had long been in a close contact with a dog. Neurologic examination revealed meningeal irritation signs and cerebellar ataxia. Slight leukocytosis with an increased rate of eosinophils (23.2%) was present. A lumbar puncture yielded 330 leukocytes/microliters with 30% of eosinophils; protein, 55 mg/dl; and increased IgG synthesis, 43.6 mg/day. The antibody titer against Toxocara canis was positive both in serum and in CSF by the use of immunoblotting assay, Ouchterlony, indirect immunofluorescence and ELISA. Cranial MRI showed a number of lesions located mainly cortically or subcortically, which had a hyperintense appearance on T2-weighted images and were clearly enhanced with Gd-DTPA. A diagnosis of eosinophilic meningoencephalo-myelitis due to Toxocara canis was made. In spite of the treatment with diethylcarbamazine and prednisolone, other lesions including cervical cord and optic nerves developed. Although CSF antibodies against Toxocara canis were reduced in titer, neurologic symptoms relapsed, raising the possibility that some allergic mechanisms may, at least in part, be responsible for this neurologic complication.

Adult↗

Incidence of Toxoplasma and Toxocara antibodies among out-patients in the Ophthalmic Research Institute, Egypt.

Infection by Toxoplasma gondii and Toxocara canis is getting much important nowadays. Both are soil transmitted infections. The present study was planned to detect the incidence of T. gondii and T. canis antibodies among 100 patients attending the outpatient clinics in Research Institutes of Ophthalmology (RIO), whose urine and stool were free from other parasitic stages. Patients were classified into two groups, group I; (70 ocular cases) and group II, (30 non-occular cases). Control group (group III); 30 healthy persons. Sera from all individuals were subjected to IFAT and IHAT to detect Toxoplasma antibodies and IFAT to detect Toxocara antibodies. By using IFAT for Toxoplasma revealed, 25% as a total incidence, 21.4% in group I, 33.3% in group II and 6.6% in group III. While IHAT revealed 51% as a total incidence, 51.4% in group I, 50% in group II and 23.3% in group III. Among group I, retinochoroiditis cases showed the highest incidence and titre. While hydrocephalic cases showed highest incidence and titre in group II. T. canis antibodies revealed 23% as a total incidence, 14.3% in group I, 43.3% in group II and 5% in group III. Cases presented with retinal detachment showed the highest incidence and titre in group I while in group II hepatomegalic cases gave the highest incidence and titre. Concomitant infection of both Toxoplasma and Toxocara was detected in 8% of positive cases.

Animals↗

[Soil contamination with Toxocara sp. eggs in public parks and home gardens from Mexico City].

Due to de high number of stray dogs and cats which defecate in public places in Mexico City (3 millions approximately), in addition to domestic dogs and cats, exists the potential risk to man of infection by Toxocara sp. eggs. A study to determine the contamination frequency by Toxocara sp. eggs in public parks, public flower beds, and home gardens in Mexico City, Distrito Federal, was carried out in the 1995 first semester. Fourteen hundred and five soil samples were collected from 156 public parks, 83 public flower beds and 42 home gardens across the 16 delegations in Mexico City, Distrito Federal. Samples were processed by the zinc sulfate centrifugal flotation method, and supernatants read by microscopy. Out of the whole 281 sampled sites, 12.5% were found contaminated with Toxocara sp. eggs. Positivity found was: 10.9% in public parks, 13.3% in public flower beds and 16.7% in home gardens. Ninety percent of the eggs were embryonated or larvaeted measuring 60 to 90 micrometers. The high contamination frequencies found make necessary to prompt for Public Health measures granted the risk of infection acquisition spread on the most exposed population (children) provided that it is acquired via geophagia.

Animals↗

Henoch-Schönlein purpura associated with Toxocara canis infection.

We describe a case of Henoch-Schönlein purpura in the onset of Toxocara canis infection. The diagnosis was made in a 17-year-old boy based on the association of palpable purpura, oligoarthritis, acute abdominal pain, microhematuria, and cutaneous vasculitis. Toxocariasis, suggested by hypereosinophilia and domestic contact with a puppy, was confirmed by anti-Toxocara IgG and IgE and Western blot. Complete spontaneous resolution occurred within a few days. Transient presence of antinuclear antibodies and the absence of larvae in the skin biopsy favor an immunologic parasite induced disorder. A hypersensitivity vasculitis to Toxocara canis is suggested.

Adolescent↗

The progression of behavioral and pathological effects of the parasite Toxocara canis in the mouse.

Toxocara canis, the parasitic roundworm of the dog may infect aberrant hosts including mice and humans. The present study examined the behavioral and pathological changes at each of three postintubation periods (Period 1: 8-10 days, 2: 49-51 days, and 3: 84-86 days postintubation, respectively) in independent groups of mice intubated with 1000 eggs of T. canis. Eight-ten days after intubation Toxocara infected animals typically showed depressed levels of activity relative to saline-intubated controls. The scope and severity of behavioral changes were attenuated when different mice were tested 49-51 days after infection, and then became more severe when the third set of animals was tested 84-86 days after intubation. While brain pathology increased over the three periods, visceral organs showed marked pathology 8-10 days after intubation followed by a decrease in severity. These data suggest that Toxocara associated pathological changes in visceral organs and in the brain have behavioral consequences in mice. Given the similarity in migratory pathways of this parasite in rodents and humans, and the findings of T. canis larvae in human brain tissue, the results of this animal study may have implications concerning the possible etiology of behavioral disorders for children who have a known history of pica for dirt.

Animals↗

Seroprevalence of Toxocara canis infection in tropical Venezuela.

An enzyme-linked immunosorbent assay (ELISA) was used to determine the seroprevalence of Toxocara canis infection in different socio-economic groups of the tropical population of Venezuela. The lack of definitive independent diagnostic criteria for toxocariasis required the establishment of operational upper limits of normality for Toxocara ELISA values, based upon their log-normalized distribution in a presumptive "non-toxocariasis" sub-population. Only 1.8% of urban subjects of medium-high socio-economic level were considered to be clearly positive in Toxocara ELISA, compared to 20.0% of urban slum dwellers, 25.6% rural subsistence farmers and 34.9% Amazon Indians. As the test was performed using excretory-secretory antigen, and under conditions of competitive inhibition by soluble extracts of non-homologous parasites, co-infection by common intestinal helminths, protozoa or other organisms did not give rise to false positive results. However, strong cross-reactivity with Onchocerca volvulus may have influenced the prevalence figure obtained for the Amazon Indians. These results indicate that T. canis is yet another parasite that is widely distributed in economically underprivileged tropical populations.

Adolescent↗

Toxocara canis and lead alter consummatory behavior in mice.

Ingestion of palatable and unpalatable solutions was measured in adult mice in which had been administered the common parasite of the dog, Toxocara canis alone, or in combination with lead. In addition, response to hot plate and susceptibility to electroconvulsive seizure were also measured. Results from the palatability test indicated that either lead or Toxocara may alter the mouse's mode of interacting with its environment. However, the two agents in combination interacted in their effects on consummatory behavior. Results from the hot plate and ECS measures were less clear with respect to how lead and/or Toxocara influence temperature reactivity and seizure susceptibility. Histological examination of the CNS in parasite infected animals revealed Wallerian Type degeneration of fiber pathways including the corpus callosum, olfactory tract, and cerebellar penduncles.

Animals↗

Toxocara canis infestation. Clinical and epidemiological associations with seropositivity in kindergarten children.

We studied a cohort of 333 children in kindergarten to determine the prevalence of seropositivity to Toxocara canis, and to detect and measure chronic health effects that might be attributable to past infection. We found that 23.1% of the children had serologic evidence of infection (antibody titer greater than or equal to 1:32), assayed by means of an enzyme-linked immunosorbent assay. Black children were more frequently infested than white children, as were children of parents who did not graduate from high school. In a subsample of seropositive and seronegative children, we found associations between seropositivity and both pica and puppy ownership; we did not find differences in the symptoms and signs that occur in toxocaral visceral larva migrans nor differences in measures of growth and nutrition. No child had ocular toxocariasis although 31.8% (106) of the children had antibody titers greater than or equal to 1:16. In a population in which approximately 20 to 30% of the children show serologic evidence of Toxocara infestation, care must be taken in differentiating toxocariasis-like ophthalmic lesions, due to the potential for the coincidental occurrence of retinoblastoma in a child who is seropositive for the Toxocara parasite.

Animals↗

[Comparative studies of Toxocara infections in Belgium and in other countries].

An enzyme-linked immunosorbent assay with larval stage antigen was used to measure the concentration of antibodies to Toxocara sp in 2206 human sera. The results led to the determination of the specificity of our method, the experimental cutoff estimation and the Toxocara sp seroprevalence in different human populations. The prevalence of canine toxocariasis in pet dogs and the associated environmental contamination were studied through examination of 107 faecal and 20 sand-pits samples for Toxocara sp eggs. Our immunological studies and environmental research revealed the existence of toxocariasis as a zoonotic disease in Belgium. We compare here our results with those found in the world literature: in spite of some surprising results, the environmental factors are important for toxocaral infection. The urban residence, the restricted number of playgrounds for children and areas for dogs, the socioecological status are preponderant in the spread of infection.

Adolescent↗

Prevalence of Toxocara spp. and other parasites in dogs and cats in Halifax, Nova Scotia.

Several cases of visceral larva migrans syndrome in children led to an investigation of the ova of Toxocara spp. and other species in stool specimens from stray dogs and cats in Halifax, Nova Scotia. Fecal samples from 474 stray dogs and 299 stray cats were examined. Ova of Toxocara canis or cati were present in stools from 26.6% of the dogs and 25.1% of the cats. In dogs the prevalence of Toxocara canis was noticeably greater in puppies (56.1%) than in mature animals (11.9%).

Animals↗

[No effects of the educational campaign among family physicians on Toxocara infections in humans].

OBJECTIVE: To evaluate the effect on general practitioners of an educational campaign about Toxocara and toxocariasis in man. DESIGN: Descriptive. SETTING: General practices in the Netherlands. METHOD: Telephone interviews of two groups of general practitioners before (n = 135) and 6 months after (n = 105) an educational campaign in 1993. RESULTS: No significant difference in knowledge concerning Toxocara and toxocariasis was observed in the two interviews. From the general practitioners interviewed, 44% considered Toxocara infections a zoonosis and 13-15% knew that 90-100% of puppies are infected. The clinical symptoms that were mentioned, agreed very little with the actual symptoms of toxocariasis. CONCLUSION: The knowledge of this important zoonosis was in general inadequate and the campaign to improve the awareness failed.

Animals↗

[Intraocular solitary granuloma of toxocara canis (author's transl)].

5 cases of intraocular Toxocara canis solitary granuloma are demonstrated. The coincidence of two different aspects of a disease: pseudocoloboma of the macula (toxoplasmosis) in the right and a toxocara solitary granuloma in the left eye of the same patient (case 5) perhaps will furnish proof possibility of foetal infection (via placenta) by Toxocara canis.

Adolescent↗

Differentiation of Toxocara canis and T. cati eggs by light and scanning electron microscopy.

In this study, we investigated the morphological identification of Toxocara canis and T. cati eggs on the basis of light and scanning electron microscopic (SEM) observations. T. canis and T. cati eggs used in this study were recovered from the uteri of respective gravid female worms. Measurement of egg size was not helpful in the differentiation of these species, because approximately 90% of eggs measured were of similar size. Using SEM, we were able to differentiate T. canis eggs from T. cati eggs based on their respective characteristic surface structures. Both species have subspherical eggs with markedly pitted surfaces like those of a golf ball, but the surface pitting in T. canis is more coarse than that in T. cati. In this study, however, these differences were not absolute, as 16% of T. canis and 29% of T. cati eggs showed surface pitting that was uncharacteristic of their species. Of the 16% of T. canis eggs that could not be differentiated by surface structure, 3% had pitting resembling T. cati, and the remaining 13% showed intermediate type surface pitting. Similarly, 5% of T. cati eggs resembled T. canis, and 25% of these were of intermediate type. Light microscopic observation yielded results similar to those of SEM, indicating that light microscopy is also a useful tool for the identification of Toxocara eggs.

Animals↗

Prevalence of Toxocara eggs and number of faecal deposits from dogs and cats in sandpits of public parks in Japan.

Contamination of 13 sandpits in public parks in Hyogo Prefecture, Japan, by Toxocara eggs and animal faeces was studied. All 13 sandpits were contaminated with faeces. The mean number of faeces found in 1 m2 of the sandpits was 35, from which the number of faeces in each sandpit was estimated to be 261 to 2205. Toxocara eggs were detected in 12 of the 13 sandpits, each examined 4-15 times; the overall prevalence was 92%. The eggs were not always distributed in the same pattern, but in general, eggs were numerous on the sandpit surface but also present at depths of about 35 cm. Of the eggs recovered, 63% were fully embryonated. Of the 13 sandpits examined, two were heavily contaminated by eggs, and all but one of the others were mildly contaminated. The difference between heavy and light contamination was not related to differences in the environment or in the number of faeces; the cause is unknown.

Animals↗

Cryopreservation and long-term in vitro maintenance of second-stage larvae of Toxocara canis.

Second stage larvae of Toxocara canis were isolated from developed eggs, frozen in Eagle's Minimal Essential Medium with 5% dimethyl sulfoxide or 10% glycerol as cryoprotectants according to two cooling schedules and maintained in liquid nitrogen for 1 week. After thawing, the previously frozen larvae (FL) and unfrozen controls (CL) were maintained in a chemically defined medium in vitro for 35 weeks. While CL had motility rates around 95% to 97% throughout the experiment, previously frozen larvae (FL) exhibited rates of 48%-58% at the beginning and of 19%-39% at the end of the 35 week in vitro maintenance period. The surviving FL and CL larvae proved to be infective for mice. Excretory/secretory (ES) antigens isolated from several batches of culture medium in which FL and CL had been maintained reacted in the ELISA with human sera containing antibodies against Toxocara. Antigens from FL and CL separated by SDS-PAGE and silver-stained showed some differences in polypeptide patterns. Western-blot analysis revealed that these differences were not related to antigenic polypeptides but were most likely caused by substances without antigenic properties originating from dead and/or degenerating larvae. It can be concluded that ES antigens produced by previously frozen larvae are essentially the same as those derived from unfrozen controls. The value of cryopreservation of T. canis larvae for routine production of ES antigens will be further evaluated.

Animals↗

[Serological differentiation of Ascaris suum and Toxocara canis infections in pigs (author's transl)].

Groups of eight miniature pigs were infected either with 1,500 embryonated eggs each of Ascaris suum or Toxocara canis or with 1,000 eggs each of both nematodes. Sera were sampled before the infection as well as three and six weeks postinfection and then investigated in the ELISA on microtitre plates against antigens of various developmental stages. When extracts of adult Ascaris and Toxocara worms were used as antigens, distinct reactions were registered both in the infected and in the uninfected control groups. Antigens isolated from either embryonated eggs or larvae of both worms produced distinctly positive reactions with sera of the infected animals, including those pigs with heterologous infections but not with sera from uninfected controls. After saturation with heterologous antigens, the sera showed distinct antibody reactions against homologous antigen extracts and in this way infections with the two nematode species could be serologically differentiated.

Animals↗