• Title/Summary/Keyword: Larva migrans, Visceral

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Highlights of human toxocariasis

  • Magnaval, Jean-Francois;Glickman, Lawrence-T.;Dorchies, Philippe;Morassin, Bruno
    • Parasites, Hosts and Diseases
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    • v.39 no.1
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    • pp.1-11
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    • 2001
  • Human toxocariasis is a helminthozoonosis due to the migration of Toxocara species larvae through human organism. Humans become infected by ingesting either embryonated eggs from soil (geophagia, pica), dirty hands or raw vegetables, or larvae from undercooked giblets. The diagnosis relies upon sensitive immunological methods (ELISA or western-blot) which use Toxocara excretory-secretory antigens . Seroprevalence is high in developed countries, especially in rural areas, and also in some tropical islands. The clinical spectrum of the disease comprises four syndromes, namely visceral larva migrans, ocular larva migrans, and the more recently recognized "common" (in adults) and "covert"(in children) pictures. Therapy of ocular toxocariasis is primarily based upon corticosteroids use, when visceral larva migrans and few cases of common or covert toxocariasis can be treated by anthelmintics whose the most efficient appeared to be diethylcarbamazine. When diagnosed , all of these syndromes require thorough prevention of recontamination (especially by deworming pets) and sanitary education.

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A Case of Pulmonary Infiltration with Eosinophilia in Visceral Larval Migrans by Toxocara Canis (개회충에 의한 유충 내장 이행증 1예)

  • Kim, Young-Chan;Shin, Sung-Joon;Lee, Jae-Hyung;Kim, Mi-Ok;Shon, Jang-Won;Yang, Seok-Chul;Yoon, Ho-Joo;Shin, Dong-Ho;Park, Sung-Soo;Ryu, Jae-Sook;Jeong, Myung-Sook
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.1
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    • pp.71-78
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    • 2002
  • Human toxocariasis is a zoonotic parasitic disease caused by the larva of toxocara canis or cati. It is one of the most commonly reported zoonotic helminth infection in the world. Human are infected mainly by the accidental ingestion of embryonated eggs due to the pica, geophagia, the consumption of contaminated raw vegetables and poor personal hygiene particularly in childhood. In adults, the consumption of raw meat from potential paratenic hosts e.g. chickens, lambs, rabbits and dogs is a major cause of human toxocariasis. The larva can reach various organs such as the liver, lung, brain, and eye by the hematogenous spread and cause visceral larva migrans. We experience a case of pulmonary infiltration with eosinophilia by visceral larva migrans after eating the raw liver and kidney of a dog.

Familial Case of Visceral Larval Migrans of Toxocara Canis after Ingestion of Raw Chicken Liver (닭 간 생식 후 가족에서 집단으로 발생한 개회충에 의한 내장 유충 이행증 1예)

  • Park, Min-Su;Ahn, Young-Joon;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.1
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    • pp.70-74
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    • 2010
  • We report a familial case of visceral larva migrans of Toxocara canis after eating raw chicken liver. A 9-year-old female ate raw chicken liver with her father and older brother and was admitted to the hospital with periumbilical pain, a mild fever, and headache. The total peripheral eosinophil count was 9,884/$mm^3$ and the total lgE concentration was 2,317 IU/dL. Chest and abdominal computed tomography (CT) scans demonstrated multiple, poorly-defined, small, nodular lesions scattered in the liver and lung parenchyma. Toxocara ELISA and Western blot tests were positive in the patient, and her father and brother. A liver biopsy revealed extensive eosinophilic infiltrations in the portal and lobular areas. She took albendazole for 5 days and was discharged in good condition. These results suggest that clinicians should consider foodborne toxocariasis in patients with multiple, small nodules in the liver and lung parenchyma with eosinophilia and a history of raw meat ingestion.

Hepatic Toxocariasis with Atypical CT and MR Imaging Findings: a Case Report

  • Shin, Hye Soo;Shin, Kyung Sook;Lee, Jeong Eun;Min, Ji Hye;You, Sun Kyoung;Shin, Byung Seok
    • Investigative Magnetic Resonance Imaging
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    • v.22 no.2
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    • pp.113-118
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    • 2018
  • Hepatic toxocariasis is a type of visceral larva migrans caused by the migration of second-stage larvae of certain nematodes such as Toxocara canis to the liver. Histologically, the condition is characterized by granulomatous lesions containing eosinophils and inflammatory cells. We report a case of hepatic toxocariasis with atypical clinical and radiologic findings presenting as distinct, solitary hepatic nodule detected in a middle-aged woman.

Alteration of Cytokine Production during Visceral Larva Migrans by Toxascaris leonina in Mice

  • Kang, Shin Ae;Park, Mi-Kyung;Cho, Min Kyoung;Yu, Hak Sun
    • Parasites, Hosts and Diseases
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    • v.51 no.5
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    • pp.583-588
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    • 2013
  • To determine alteration of immune responses during visceral larva migrans (VLM) caused by Toxascaris leonina at several time points, we experimentally infected mice with embryonated eggs of T. leonina and measured T-helper (Th) cell-related serial cytokine production after infection. At day 5 post infection (PI), most larvae were detected from the lungs, spleen, intestine, and muscle. Expression of thymic stromal lymphopoietin (TSLP) and CCL11 (eotaxin) showed a significant increase in most infected organs, except the intestine. However, expression of the CXCL1 (Gro-${\alpha}$) gene was most highly enhanced in the intestine at day 14 PI. Th1-related cytokine secretion of splenocytes showed increases at day 28 PI, and the level showed a decrease at day 42 PI. Th2-related cytokine secretion of splenocytes also showed an increase after infection; in particular, IL-5 level showed a significant increase at day 14 PI, and the level showed a decrease at day 28 PI. However, levels of Th17-related cytokines, IL-6 and IL-17A, showed gradual increases until day 42 PI. In conclusion, Th1, Th2, and Th17-related cytokine production might be important in immune responses against T. leonina VLM in experimental mice.

Characterization of a Toxocara canis species-specific excretory-secretory antigen(TcES-57) and development of a double sandwich ELISA for diagnosis of visceral larva migrans

  • Iddawela, R.D.;Rajapakse, R.P.V.J.;Perera, N.A.N.D.;Agatsuma, Takeshi
    • Parasites, Hosts and Diseases
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    • v.45 no.1 s.141
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    • pp.19-26
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    • 2007
  • This study describes the isolation of a Toxocara canis species-specific excretory-secretory(ES) antigen and the development of an enzyme-linked immunosorbent assay(ELISA) based on this antigen. Analysis of the ES antigens of T. canis, Toxocara vitulorum, Ascaris lumbricoides and Necator americanus larval antigen was performed by SDS-PAGE followed by western blotting. A 57 kDa T. canis-specific antibody fraction(TcES-57) was identified by western blotting and labelling with anti-Toxocara antibodies(from experimental rabbits and human patients) and tracing with anti-human or anti-rabbit peroxidase conjugate. No protein fraction of 57 kDa was detected in ES or larval antigens collected from T. canis, T. vitulorum, A. lumbricoides and N. americanus. Using TcES-57, a specific anti-serum was produced in rabbits and a double sandwich ELISA was developed. This test was validated using known seropositive sera from toxocariasis patients, sera from A. lumbricoides or N. americanus patients, and 50 serum samples from cats. These tests revealed that TcES-57 antigen is specific to T. canis infection and does not cross react with sera of other related infections. Thus, ELISA based on TcES-57 antigen was proven to be an effective tool in the diagnosis of toxocariasis and studies on the role of T. canis in the epidemiology of human toxocariasis.

Imported Parasitic Diseases (해외유입 기생충 감염질환)

  • Min, Deuk-Yeong
    • Journal of Korea Association of Health Promotion
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    • v.2 no.1
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    • pp.77-83
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    • 2004
  • Recently, peoples of travelling to endemic area of parasitit diseases are rapidly increased and the imported parasitic diseases by tourists have become a public health problem. Here author describess briefly about the imported parasitic in Korea. The 15 kinds of parasitic diseases, I.e., malaria, babesiosis, cutaneous leishmaniasis, visceral leishmaniasis, ancylostomiasis, cutaneous larva migrans, angiostrongylosis, gnathostomiasis,loiasis, heterophyiasis, urinary schistosomiasis, hydatis disease, pentastomiasis, cutaneous myiasis and syngamosis were imported during last thirty years. The most prevalent imported parasitic disease was malaria. Indigenous vivax malaria has been eradicated since 1970s. However imported malaria(1970~1985) was reported 107 cases of patient with a history of travel abroad. Futhermore a case of reemerging vivax malaria was patient were occurred in 2000.These parasitic disease are sometimes overlooked or misdiagnosed. There is a need to concern about travel medicine and imported parasitic diseases.

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A Study of Contamination of soil in playgrounds with the eggs of Toxocara canis reduced ocular toxocariasis (Toxocara canis 충란에 의한 놀이터 토양 오염에 관한 연구)

  • Kim, Sang-Moon
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.447-453
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    • 2004
  • The prevalence of Toxocara canis eggs in the public places in the city of Gwangju were studied through examination of 800 soil and 123 fecal specimens. Toxocara canis eggs were found in 15% of soil samples. In 25% parks and 17% residential quarters, these eggs were detected with higher contamination rate than other places. The soil contamination rate of playgrounds in spring and autumn was higher than that of summer and winter, and the variation range of the rate was high in parks and residential quarters. The contamination rate of eggs in 123 samples of dogs' feces was 31%, it was higher than that of soil samples(21%).

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The dynamics of proteinase activity at different stages of toxocariasis in mice (개회충에 감염된 생쥐에 있어서 시기별 단백분해효소 활성의 변동)

  • Joo, Chong-Yoon;Chung, Myung-Sook;Joo, Kyoung-Hwan
    • Journal of agricultural medicine and community health
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    • v.23 no.2
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    • pp.295-303
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    • 1998
  • Toxocariasis is a parasitic zoonosis caused by infestation of humans with larvae of Toxocara canis, the common roundworm in dogs. Two syndromes have been identified : visceral larva migrans and ocular toxocariasis. In this study we were characterized proteinase activity in crude extracts from liver, lung, kidney and heart of mice infected with Toxocara canis and the dynamics of their changes in different stages of disease. The optimal pH was 5.5. In liver of mice infected with Toxocara canis, the maximun activity of proteinase was observed in 5 day post infection. In lung, the activity reached its maximun on 5th day in A group (infected with 100 embryonated eggs), and on 5th week in B group (infected with 50 embryonated eggs). In kidney, the maximum activity was shown at 6th week in A group, and in B group was shown at 10th day. In early infection, the activity reached its maximun in heart of mice infected with Toxocara canis. As we could see, the dynamics of the changes of proteinase activity in mice is similar in the case of the disease with other biochemical and immunological indices observed in toxocariasis.

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Transmission of $Toxocara$ $canis$ via Ingestion of Raw Cow Liver: A Cross-Sectional Study in Healthy Adults

  • Choi, Dong-Il;Lim, Jae-Hoon;Choi, Dong-Chull;Lee, Kyung-Soo;Paik, Seung-Woon;Kim, Sun-Hee;Choi, Yoon-Ho;Huh, Sun
    • Parasites, Hosts and Diseases
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    • v.50 no.1
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    • pp.23-27
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    • 2012
  • The aim of this study is to ascertain the relationship between ingestion of raw cow liver and $Toxocara$ $canis$ infection. A total of 150 apparently healthy adults were divided into 2 groups; 1 group consisted of 86 adults with positive results of Toxocara ELISA, and the other group of 64 adults with negative results. One researcher collected the history of ingestion of raw cow liver within 1 year and recent history of keeping dogs. Among 86 seropositive adults for $T.$ $canis$, 68 (79.1%) had a recent history of ingestion of raw cow liver. Multivariate statistical analysis showed that a recent ingestion of raw cow liver and keeping dogs were related to an increased risk of toxocariasis (odds ratios, 4.4 and 3.7; and 95% confidence intervals, 1.9-10.2 and 1.2-11.6, respectively). A recent history of ingestion of raw cow liver and keeping dogs was significantly associated with toxocariasis.