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Background Infections may contribute to Alzheimer's disease (AD) risk. Limited evidence suggests Toxocara spp. infection/exposure could influence AD development. Methods We investigated Toxocara seropositivity and AD in Iranian adults using a matched case–control study. Our sample included 90 AD cases and 91 healthy older adults. Anti- Toxocara immunoglobulin G (IgG) antibodies were assessed via enzyme-linked immunosorbent assay. We computed the odds ratios (ORs) and 95% confidence intervals (CIs) through univariable and multivariable analyses, adjusting for potential confounders. Results There were 33/90 (36.67% [95% CI 26.75 to 47.48]) anti- Toxocara IgG seropositive individuals identified among the AD cases and 21/91 (23.07% [95% CI 14.89 to 33.09]) among the healthy controls. In univariable analysis, a significant association was identified between anti- Toxocara IgG seropositivity and AD (OR 1.93 [95% CI 1.01 to 3.69], p<0.001). Moreover, the association remained significant (OR 2.18 [95% CI 1.05 to 4.49], p<0.001) in multivariable analysis after adjustment for covariates. There was no association between anti- Toxocara IgG seropositivity and the severity of AD (OR 0.75 [95% CI 0.21 to 2.61], p=0.47). Conclusions Our findings indicated that Toxocara exposure/infection could be a potential risk factor for development of AD. To better understand a real causality between Toxocara exposure/infection and AD and related dementias, follow-up designed and adequately powered studies are needed. [ABSTRACT FROM AUTHOR]

This study was conducted on hunting dogs in Kanagarian Sungai Kamunyang, Luak District, Limapuluh Kota Regency. The purpose of this study was to identify Toxocara spp., and Strongyloides spp., and to determine the prevalence of worm infection in hunting dogs. This research is an observational study conducted by cross sectional. Samples were taken as many as 50 hunting dog feces and examined using the floating test method. The results of this study found that from 50 hunting dogs whose feces samples were taken, 30 samples of feces were identified as infected by Toxocara spp., 3 samples and Strongyloides spp., 14 samples. The conclusion of this study was that hunting dogs in the Kanagarian Sungai Kamunyang were infected with Toxocara spp., 6%, Strongyloides spp., 28%.

Toxocariasis is a cosmopolitan helminthiasis linked to contamination with Toxocara cati or Toxocara canis. Only six isolated cases of pleural toxocariasis have been reported in the literature. We describe a case of pleurisy with isolated eosinophilia varying between 600 and 1500/mm3 likely linked o presumptive toxocariasis in a 72-year-old patient. Our patient was admitted to hospital with severe dyspnoea, asthenia and diarrhoea. Imaging studies confirmed right unilateral pleurisy without any parenchymal involvement. Serology of serum and pleural fluid was positive for anti-Toxocara antibodies by ELISA and immunoblotting. Treatment by pleural drainage and anti-parasitic medication with albendazole for 8 days resulted in the resolution of symptoms. A decrease in the levels of polynuclear eosinophils and total IgE confirmed the clinical resolution. The presence of hypereosinophilia in pleural fluid should evoke a diagnosis of pleural toxocariasis. Clinical symptoms and imaging are non-specific, but positive serology for anti-Toxocara antibodies in serum and pleural fluid can confirm the diagnosis. [ABSTRACT FROM AUTHOR]

Copyright of Media Kedokteran Hewan is the property of Universitas Airlangga and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Chickens are a host to a variety of pathogens of zoonotic importance and this depends more on the husbandry system practiced. Toxoplasma gondii and Toxocara spp which are more prevalent in free-range chickens (FRC) can be acquired by humans via the ingestion of raw or undercooked meat (muscle) and/or viscera contaminated with infective stages of T. gondii and Toxocara spp. This study aimed to assess knowledge and practices on the household consumption of FRC meat and viscera by rural communities in KwaZulu-Natal (KZN) province, South Africa, as a risk factor in the transmission of zoonotic pathogens with special emphasis on T. gondii and Toxocara spp. A cross-sectional study was conducted on twenty (20) randomly selected households in four selected communities located on the northern coast (Gingindlovu and Ozwathini) and southern coast (uMzinto and Shongweni) of KZN province using a semi-structured questionnaire. To determine the presence of selected zoonotic pathogens in FRC, birds were purchased from randomly selected households in the study localities for sacrifice. Brain tissues were collected and subjected to molecular detection of T. gondii using TOX4 and TOX5 primers while other tissues and organs that were collected were subjected to molecular detection of Toxocara spp using Nem 18S primers. Questionnaire data were analyzed using the statistical package for social sciences (SPSS) version 25.0. Descriptive and chi-square statistics were used to assess knowledge and practices related to FRC consumption and zoonosis transmission. Molecular results showed four positive samples for T. canis from Gingindlovu (n = 1), uMzinto (n = 1), and Shongweni (n = 2). The role of FRC consumption in zoonosis transmission is discussed. [ABSTRACT FROM AUTHOR]

Copyright of Epidemiological Review / Przegląd Epidemiologiczny is the property of National Institute of Public Health - National Institute of Hygiene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Intestinal parasitic infections (IPIs) are a major cause of morbidity worldwide and have been described as an important public health problem. The present study aimed to determine the un usual parasitic infection and identification of risk factors among 4-12years old school age children residing in lower dir district, Pakistan from 2018- 2019. Of the 400 children studied in which the overall prevalence rate for intestinal parasitic infections was found to be 71.75%. Children infected with single parasite accounted for 67.94% and 32.05% were detected with poly-parasitism. Shistosoma japonicum (0.69%), Taxocara spp (0.69%) and cryptosporidium (0.69%), were identified in children living in studied areas. We conclude that there is a need for mass scale campaigns to create awareness regarding health and hygiene in children and the need for development of effective poverty control programmes.

Copyright of Brazilian Journal of Biology is the property of Instituto Internacional de Ecologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Se realizó un estudio para determinar la prevalencia de Toxocara spp. en siete Facultades del Campus Octavio Méndez Pereira para ello se colectaron 525 muestras de suelo durante la estación seca entre los meses de febrero y marzo de 2018. Las muestras fueron procesadas aplicando las técnicas de concentración de Ritchie y Willis-Molloy, para concentrar y observar las formas parasitarias presentes. Los resultados muestran que las Facultades con mayor prevalencia de Toxocara spp. fueron las Facultades de Arquitectura y Comunicación Social con 66,7%; seguidas por Ciencias Naturales, Exactas y Tecnología con 50.0% y Economía con 30.0%. Las Facultades con mayor porcentaje de parásitos fueron: Ciencias Naturales, Exactas y Tecnología (37%), Farmacia (15%) y Comunicación social (12%). Se realizó el conteo de gatos por Facultad con el fin de realizar una correlación con la presencia de parásitos; detectando un factor de correlación del 17% entre la presencia del parásito en suelos y la presencia de gatos. En general, se determinó que los suelos del Campus Octavio Méndez Pereira están infectados con huevos de Toxocara spp., con una prevalencia del 42%.

Background: Toxocara spp. is a zoonotic parasite that can infect human; children are the largest group at risk of infection. Therefore, this study aimed to determine the prevalence and viability of Toxocara spp. eggs in the soil of public parks. Methods: Overall, 1180 soil samples from 236 public parks in four sectors of the city of Culiacan were collected at random, between Jun and Dec, 2013. The presence of Toxocara spp. eggs was determined by light microscopy using a centrifugation-flotation technique and viability by trypan blue staining technique. Results: Of the 236 parks sampled, 18 were positive to Toxocara spp. resulting in a prevalence of 7.6% and viability of 94.4% with a P

Introduction: Contaminated environment with canine parasitic eggs is the main source for toxocariasis and other geohelminth infections of humans. This study aimed to determine the prevalence and associated risk factors for intestinal parasitic infections in dogs and the degree of soil contamination with Toxocara eggs in Kandy and Gampaha districts in Sri Lanka. Methods: A total of 188 fecal samples from both stray and domestic owned dogs from Gampaha district and Kandy district were collected. In addition, soil samples were collected from home gardens and public places. Hypochlorite recovery technique and zinc sulfate floatation method were used to concentrate eggs in soil samples. Results: The prevalence of intestinal parasitic infections of domestic and stray dogs in Gampaha district was 38.2% and 42.9%, respectively, while in Kandy district, it was 41.1% and 50%, respectively. Hookworms were the most common parasitic infection among domestic dogs (18.5%), while Toxocara spp. were the most common among stray dogs (17.2%). Intestinal parasitic infections were significantly more prevalent among female dogs than males. Age, deworming, immunization, immunization time, and living in rural areas were not significantly associated with intestinal parasitic infections in domestic dogs. A total of 4% and 4.5% soil samples were contaminated with Toxocara spp. eggs in Gampaha and Kandy districts, respectively. Conclusions: The higher prevalence of intestinal parasitic infections in dogs could be a major public health issue. Implementations of programs to improve the awareness of parasitic infections among pet owners and control strategies need to decrease the risk of infections to both animal and human health. [ABSTRACT FROM AUTHOR]

Background: Human toxocariasis occurs worldwide and is caused by nematodes of the species of the genus Toxocara. Infection occurs by the ingestion of eggs and is usually asymptomatic or oligosymptomatic. However, severe manifestations occur. The burden of disease and its public health impact remain ill-defined. The aim of this review was to summarize all available data on the seroprevalence of toxocariasis on the African continent and factors associated with seropositivity. Methods: Twenty-seven original papers published between 1991 and 2017 were identified that provided data suitable for this review. Case-control studies were included and the seroprevalence in the (healthy) control group was used as a surrogate parameter. Results: Antibodies against Toxocara spp. were found to be frequent in most populations and regions in Africa with the exception of two publications, one from the Democratic Republic of the Congo and one from Djibouti, where all participants were seronegative. The highest proportion of participants with antibodies was found on the island of La Réunion with 359 out 387 study participants being positive (92.8%). Factors associated with seropositivity were reported across studies, including--among others--older age, contact with soil via geophagia, agricultural activity or playing with soil, contact with animals, especially dogs, and low socio-economic status, defined as absence of water supply or poor housing. Three Egyptian studies found male gender to be associated with toxocariasis, whereas in La Réunion females were at increased risk. Conclusions: Exposure to toxocariasis seems to be very frequent and common in large parts of the African continent. However, no data are available for most countries. The public health impact of human toxocariasis and the frequency of severe manifestations remain unclear. [ABSTRACT FROM AUTHOR]

Toxocariasis is a worldwide zoonosis most commonly caused by roundworm larvae of Toxocara canis and Toxocara cati. The disease is prevalent in countries where the regular antihelminth prophylaxis of dogs and cats and the control of their population are limited. Children are usually more vulnerable due to a combination of several risk factors: underdeveloped hygiene habits, frequent contact with animals, playing in sandboxes, playgrounds and parks contaminated with animal excrements. Children in rural areas and with lower socio-economic status are at higher risk. Geophagy, which can be observed in various conditions in childhood, is also an important predisposing factor. The clinical symptoms of toxocariasis are extremely diverse - from severe involvement of the visceral organs: lungs, liver, pancreas, heart, kidneys, eyes and CNS to subclinical or an asymptomatic infection. Routine diagnostics includes ELISA for the presence of specific IgG antibodies against the excretory-secretory antigens of Toxocara spp. Since cross-reactions with other helminth agents are not rarely observed, a confirmatory test such as Western blot is usually required. Conformation of the diagnosis leads to the appropriate etiologic treatment, which assures the swiftly cure of the patients with toxocariasis. [ABSTRACT FROM AUTHOR]

Introduction and objective The main source of many zoonoses is soil contaminated with feline and canine faeces. Thus, the aim of this study was to estimate the prevalence of intestinal parasites in stray dogs and cats adopted in Lodz shelter (Poland). Material and Methods In total, 163 faecal samples were collected from 95 dogs and 68 cats from 2011 to 2012. The samples were processed by sedimentation techniques using Mini Parasep®SF. Results Six parasite genera belonging to protozoa, cestoda, and nematoda, were found in dogs, while eight were found in cats. Out of the 163 fecal samples, 37.4% were positive for the presence at least one species of intestinal parasites. The majority of positive dog samples contained eggs from Toxocara and Trichuris genera, and the family Ancylostomatidae, while Toxocara and Taenia eggs, as well as Cystoisospora oocysts, predominated in cat faeces. A significantly higher prevalence of parasites was noted in cats (48.5%) than in dogs (29.5%) (χ 2 =6.15, P=0.013). The Toxocara genus was the most prevalent parasite in both populations; eggs were found in 27.9% and 16.8% of cats and dogs, respectively. Animals younger than 12 months of age showed higher infection rates with Toxocara , but differences were not statistically significant. The average numbers of Toxocara eggs/gram of faeces in positive puppy and kitten samples were over 5 and 7 times higher than in older dogs and cats, respectively. Mixed infection were found in dogs (5.3%) and cats (8.8%). Conclusions Cat faeces represent a more important potential source of environmental contamination with zoonotic parasites than dog faeces. Among the detected parasites of stray dogs and cats, Toxocara present an important zoonotic risk for the local human population, especially children.

Abstract The aim of this study was to evaluate environmental contamination by helminth eggs with zoonotic potential that were found in dog feces in the vicinity of elementary schools. Seventy-nine samples of dog feces were collected from 28 municipal schools located in five neighborhoods in Pelotas, Rio Grande do Sul (RS), Brazil. The samples were processed using the Willis-Mollay technique and analyzed using an optical microscope (40X), to identify any parasite eggs present. All neighborhoods were positive and 74.7% of the samples exhibited one or more helminth genera. The agent with the highest prevalence was Ancylostoma spp. (93.2%), followed by Trichuris spp. (18.6%), Toxocara spp. (11.9%) and Toxascaris (1.7%). These data show that there is a need for greater care towards controlling these helminths with zoonotic potential, including responsible pet ownership and daily activities to clean and collect dog feces in the vicinity of schools, because these are places where children play and study.

Soil-transmitted helminths have great relevance in public health, due to the resistance of their infective forms (eggs and larvae) in the environment. Geohelminthiasis present a relevant capacity to cause morbidity and disability, but with low mortality. This study aimed to investigate the soil contamination by geohelminths in squares of the municipality of Botucatu-SP, identifying the prevalence of the main genera and their occurrence in squares of different areas of the municipality. The squares were cataloged and distributed among administrative regions. In this study soil samples were collected and evaluated by means of centrifugal-sedimentation techniques, centrifugal-flotation with zinc sulfate, and the Baermann-Moraes method in the search for eggs and larvae of geohelmints. The samples were carried out in two times: point I (from October to December of 2017) and point II (from February to March of 2018). From the analyzes of the soil samples, the occurrence of Toxocara sp. was observed in 17.7% and 23.3% respectively at moments I and II. The contamination by egg of Ancylostomatidae was observed in 6.6%, being found only in the time II collections. The results obtained in the present study demonstrated that the risk of human contamination by Toxocara spp. exists because it was the most prevalent geohelminth and the main risk factor observed and related to the presence of Toxocara spp. at the places investigated. Therefore, public health policies are necessary to avoid contamination of the human population that frequents these sites, combining approaches to prevent soil contamination and the control of geohelminthiasis in the population. [ABSTRACT FROM AUTHOR]

Currently domestic animals have changed the dynamics and family structure. They are present in most of Brazilian homes, often being considered as integral members of the family. However, this close contact with pets, may transmit several zoonoses. The contamination of children's play areas with parasites in the soil of parks, open public squares and sandboxes, are huge public health problem, since these areas are mostly open and available to dogs, cats, pigeons, sparrows and other animals. Those places bring potential risks to human health, when we think of the risk of contamination by infectious and parasitic diseases. The present study evaluated the occurrence of parasites in 15 kindergartens and schools and 05 municipal parks in Luziânia, Goiás, in the period from August to December 2013. The sand samples were collected at three different points of the study area, stored in plastic bags and sent to the Parasitological Laboratory of UNIDESC for processing through the techniques of Willis-Mollay. The samples studied showed the occurrence of Toxocara spp.s and Ancylostoma spp. We concluded that there is high risk of contamination by parasites up for the children of the area surveyed using public squares and some of the schools of Early Childhood Education.

Objective: To review current evidence on infections related to the concentration of soil-transmitted helminth (STH) eggs in wastewater, sludge and vegetables irrigated with wastewater or grown on sludge-amended soils.Method: Search of Web of Science, Science Direct, PubMed and Google Scholar databases for publications reporting on STH egg concentration in wastewater, sludge and vegetables and for epidemiological studies on wastewater/sludge reuse and STH infections.Results: STH egg concentrations were variable but high in wastewater and sludge especially in developing countries. They ranged from 6 to 16 000 eggs/L in wastewater and from 0 to 23 000 eggs/g in sludge and far exceed limits set in the WHO guideline for wastewater/sludge reuse. Numbers of STH eggs on vegetables ranged from 0 to 100 eggs/g. The concentration of STH eggs in wastewater, sludge and vegetables therefore relates to risks of infection through different exposure routes.Conclusion: Epidemiological evidence reveals an increased prevalence of STH infections associated with direct exposure to wastewater or sludge (farmers) and consumption of vegetables grown on soil treated with it. This calls for increased efforts to reduce the adverse health impact of wastewater and sludge reuse in line with the WHO multi-barrier approach. [ABSTRACT FROM AUTHOR]

Background Toxocariasis is a widespread zoonosis caused by canine and feline Toxocara spp. In Venezuela, seroepidemiological studies in Aragua State have been carried out only in preschool children. The objective of this study was to determine the prevalence of anti- Toxocara spp. antibodies and identify clinical symptoms and risk factors of Toxocara spp. infection in school children in two municipalities of Aragua State of Venezuela. Methods A cross-sectional field study with 259 children between 6 and 12 y of age was conducted in six schools in Aragua State. Immunoglobulin G antibodies against Toxocara spp. by enzyme-linked immunosorbent assay, haematology and eosinophil counts were detected in blood. Participating families filled in a questionnaire and studied children were clinically evaluated by paediatricians. Results Anti- Toxocara spp. antibodies were detected in 14.3% of children. The seroprevalence in the schools studied ranged from 4.4% to 24.1%. Statistical associations with eosinophilia, decreased visual acuity, eyestrain, headache and paleness were found. Significant risk factors were contact with dogs, playing with dogs and playing with soil. Conclusions The identification of risk factors and their association with infection suggest that the infection is a problem in the municipalities studied, so screening for toxocariasis in school children should be recommended. [ABSTRACT FROM AUTHOR]

Background: Human toxocariasis is contained in the list of neglected diseases. The infection occurs after ingestion of embryonated eggs in contaminated soil. The present study was carried out to estimate the extent of soil contamination with Toxocara spp. eggs in the public places. Methods: Soil samples were collected randomly from 41 public places in various parts in and around of Ardabil, Iran, between March 2013 and March 2014. Data were examined by microscopy following sodium nitrate flotation. Results: Of the 200 collected soil samples, 35 (17.5%) were positive for soil parasites. The eggs of Toxocara spp. were found in 14 (7%) soil samples. Conclusion: This investigation gives baseline knowledge regarding soil contamination with Toxocara spp. eggs in Ardabil city and provides information for local control of toxocariasis.

INTRODUÇÃO: A concentração de cães e gatos em áreas urbanas, associada a um número cada vez mais crescente da população errante desses animais, tem um papel epidemiológico importante na contaminação de solos de praças e parques públicos e na disseminação de infecções por variados gêneros de parasitas. O objetivo do presente estudo foi determinar a frequência de geo-helmintos com potencial zoonótico em solo de praças públicas e escolas municipais infantis da Cidade de Fernandópolis, Estado de São Paulo, Brasil, no período compreendido entre março de 2007 e fevereiro de 2008. MÉTODOS: Foram avaliadas todas as praças (32) e escolas (13) da cidade. As amostras foram testadas pelos métodos de Rugai adaptado, Willis e Caldwell e Caldwell. RESULTADOS: Foram avaliadas 225 amostras de solo com 30,2% (68) de positividade. Nas amostras provenientes de praças públicas, a positividade foi de 40% (64), ao passo que, nas escolas, foi de apenas 6,1% (6). Os ovos de parasitas encontrados foram Toxocara spp. 79,3% (47), Trichuris spp. 13,8% (8) e ancilostomídeos 6,9% (4). Variáveis relacionadas ao local, como o número de cães (OR 21,18 - IC95%: 10,81-41,51), de espécimes de fezes (OR 6,87 - IC95%: 3,51-13,47) e a utilização de cerca (OR 0,1 - IC95%: 0,05-0,20) tiveram impacto na contaminação do solo. CONCLUSÕES: Foram observados, nas amostras contaminadas, parasitas com potencial zoonótico, entre os quais estão os agentes etiológicos de doenças como a larva migrans visceral e cutânea, fato que representa risco a saúde da população que frequenta tais ambientes.INTRODUCTION: The concentration of dogs and cats in urban areas, associated with an ever-increasing wandering population of these animals, has an important epidemiological role in the soil contamination of public spaces and the spread of infections of several types of parasites. This study aimed to determine the frequency of soil-transmitted helminths with zoonotic potential in public squares and municipal primary schools in Fernandópolis, State of São Paulo, Brazil, conducted between 2007 and 2008. METHODS: All the squares (32) and schools (13) in the town were evaluated. Soil samples were tested using the Rugai method modified by Willis, Caldwell and Caldwell. RESULTS: A total of 225 soil samples were evaluated and 30.2% (68) were positive for helminths. In samples from public squares, 40% (64) contamination was observed; however, contamination in schools was only 6.1% (6). The parasites eggs identified were Toxocara spp. 79.3% (47), Trichuris spp. 13.8% (8) and Ancylostomatidae 6.9% (4). Variables related to the site, such as the number of dogs (OR 21.18, 10.81 - 41.51), fecal samples (OR 6.87, 3.51 - 13.47) and the use of fences (OR 0.1, 0.05 - 0.20), had an impact on soil contamination. CONCLUSIONS: In the contaminated samples, parasites with zoonotic potential were identified, including the etiologic agents of diseases like cutaneous and visceral larva migrans, a fact that poses a risk to health of the population that frequent such environments.

The aim of this study was to analyze the prevalence of Toxocara spp. antibodies in children from two different socioeconomic classes in the Presidente Prudente municipality, São Paulo State, Brazil, and the protective and risk factors associated with toxocariasis. One hundred and twenty-six middle-class (MC) and 126 disadvantaged children (DC) were included in this study. Anti-Toxocara ELISA test was performed in order to evaluate seroprevalence. A survey was applied to the children's guardians/parents in order to analyze the protective and risk factors. The overall prevalence was 11.1%, and of 9.5% (12/126) and 12.7% (16/126) for MC and DC subgroups, respectively. Toxocara seropositivity was inversely proportional to the family income. A high household income was considered a protective factor for toxocariasis in the total population and in both MC and DC subgroups. Being a girl was considered a protective factor for the total population and for both subgroups. Whilst being an owner of cat was a risk factor for children belonging to the total and for both MC and DC subgroups, having dog was considered as a risk factor for only the MC. Epidemiologic protective/factor risks can be distinct depending on the strata of the same population. Thus, it is relevant to evaluate these factors independently for different socioeconomic classes in order to design future investigations and programs for preventing the infection of human beings by Toxocara spp. and other geohelminths.

Toxocara species infect a wide range of companion, domestic and wild animals as definitive and paratenic hosts, via multiple routes of transmission, producing long-lived tissue-inhabiting larvae and resistant eggs that can survive in the external environment. Therefore Toxocara and the disease it causes in humans, toxocariasis, represents an ideal aetiological agent for the development of the one health approach. However, despite increasing awareness of the public health significance of toxocariasis, gaps in our understanding of certain key aspects of the parasite's biology and epidemiology remain. These gaps hinder our ability to integrate research effort within the veterinary, medical and environmental disciplines. This review will highlight key deficits in our understanding of nine dimensions of Toxocara epidemiology and discuss a potential scenario to develop a more integrated, one health approach to improve our understanding of the prevention and control of this complex and cryptic zoonosis. [ABSTRACT FROM AUTHOR]

Toxocariasis, caused by Toxocara canis or Toxocara catis , is a worldwide occurring parasitic disease, reaching high prevalences especially in tropical and subtropical countries. The clinical presentation can range from asymptomatic seropositivity to life threatenting disease, depending on the organ system involved. Cardiac involvement, one of the possible manifestations of human Toxocara spp . infection, is rarely reported in case reports. As far as we know, no systematic reviews of clinical presentations have been published till now and no clear recommendations regarding the treatment of Toxocara spp. infection involving the heart exist. In a systematic review of the literature, 24 published cases of Toxocara spp. infection involving the heart were identified. The cardiac entities described included myocarditis, pericarditis, and Loeffler’s endocarditis. The clinical presentation ranged from asymptomatic or mild disease to life threatening myocarditis/pericarditis with heart failure or cardiac tamponade, leading to death. In most cases, the diagnosis was based on a combination of clinical, laboratory and radiological findings. Only in three of the nine cases in which histological analysis was performed (either pre- or post-mortem), granulomas or remnants of the parasite were detected. In the other six cases, findings were non-specific; the damage of the heart was equally caused by direct invasion of the larvae and by immunological reactions, either caused by the systemic hypereosinophilia or by the presence of the larvae in the tissue. The treatment regimen described mostly consisted of anthelmintic drugs in combination with corticosteroids. Even though dosage and duration of treatment varied widely, ranging from days to months, most patients were treated successfully. Cardiac involvement in Toxocara spp. infection is a rare but potentially life-threatening complication of a very common disease. The therapeutic regimens vary widely especially with regard to the duration of therapy, however, the combination of an anthelmintic drug and a corticosteroid appears to be a valuable option. For the daily clinical work, tissue manifestation by parasites should be considered in cases of unspecific organ manifestations, (i.e. heart, lungs, liver), accompanied by fever and eosinophilia with or without allergic skin rashes. [ABSTRACT FROM AUTHOR]

Background: Infection by Toxocara spp. is known to be significantly associated with partial epilepsy. It has become popular for people to raise dogs/cats as pets and consume roasted meat/viscera, and the status of Toxocara spp. infection, epilepsy awareness, and associated risk factors among the general population are currently unknown in Taiwan. Methods: A seroepidemiological investigation among 203 college students (CSs), consisting of 110 males and 93 females with an average age of 21.5 ± 1.2 years, was conducted in 2009 in Taipei City. A Western blot analysis based on excretory-secretory antigens derived from Toxocara canis larvae (TcESs) was applied to determine the positivity of serum immunoglobulin G antibodies. A self-administered questionnaire was also given to obtain information about demographic characteristics, epilepsy awareness, and risk factors. A logistic regression model was applied for the statistical analysis using SPSS software. Results: The overall seropositive rate of Toxocara spp. infection was 8.4% I (17/203). As to epilepsy awareness, a non-significantly higher seroprevalence was found in CSs who claimed to "know" about epilepsy compared to those who did not know (P > 0.05). Conclusions: It appears that appropriate educational programs are urgently needed to provide correct knowledge related to the prevention and control measures against Toxocara spp. infections to avoid potential threats by this parasite to the general population in Taiwan. [ABSTRACT FROM AUTHOR]

A freqüência de contaminação de parques e praças públicas de Botucatu, São Paulo, Brasil, por ovos de Toxocara spp foi estudada durante 12 meses, com colheitas mensais de amostras de solo de dez praças, que foram processadas pela técnica de concentração em solução decinormal de hidróxido de sódio. Das 120 amostras analisadas, 21 estavam contaminadas, correspondendo a 17,5%, em um total de seis praças. A maioria desses ovos porém apresentaram características de inviabilidade infectiva. Embora a chance de aquisição dessa zoonose nas praças estudadas seja pequena, existe o risco de infecção da população.

Objectives: To evaluate the clinical and laboratory factors involved in the severity of the disease and the profile of the immune response in pyomyositis compared with Toxocara spp Pyomyositis-association. Methods: An observational study of patients with tropical pyomyositis during 36 months admitted to public hospitals. Patients aged more than one year old with muscular abscesses confirmed by imaging or surgery. Results: Included 116 patients, 69.8% males with a mean age of 29.0 years (SD 19.4). The diagnosis was done in the early stage of the disease (78.4%) and with a single muscular abscess (72.4%). In 27,6% of the patients there was dissemination of the infection, 25% presented complications, HIV Test positive in 1.7% and serum positivity for Toxocara spp in 53.3%; hypoalbuminemia in 44.8% and anemia in 33.6%. Patients with pyomyositis and positive serology for Toxocara spp had a greater chance of spreading of the disease (c2= 6.16 p = 0.01), OR e 3.80 (95% CI 1.27 to 11.21), as well as increased IL5, IL6, IL10 and TNF, and decreased IL4 and IFN. Mean hospital stay OF 16.9 days (Dp13,5) AND Mortality OF 6%. Conclusion: Patients with tropical pyomyositis presenting decrease in serum albumin and positive serology for Toxocara spp have more probability of spreading of the infection. [ABSTRACT FROM AUTHOR]

O objetivo deste trabalho foi verificar a presença de ovos de Toxocara spp nos solos de praças públicas da cidade de Uberlândia, região do Triângulo Mineiro, no período de outubro de 1991 a janeiro de 1992. A cidade possui 89 praças distribuídas em 39 bairros. Para que se tivesse um perfil da ocorrência do parasita, foram colhidas amostras de terra e areia (quando existente) de uma praça, determinada por sorteio, por bairro. As amostras de solo homogeneizadas de 5 pontos distintos das 39 praças foram colhidas em frascos plásticos e analisadas empregando-se os métodos de flutuação em solução saturada de cloreto de sódio e de solução saturada de sulfato de magnésio contendo 5% de iodeto de potássio. Para cada amostra foram realizados os dois métodos em duplicata. Os resultados mostraram estarem contaminados os solos de 9 praças (23,07%), das quais 6 localizavam-se próximas ao centro da cidade. A realização de mais de um método laboratorial permitiu a identificação do agente em maior porcentagem de locais.The objective of this study was to verify the presence of Toxocara spp eggs in the public squares ground in Uberlândia, region of Triângulo Mineiro, from October 1991 to January 1992. The city has 89 squares distributed in 39 boroughs. In order to have an outline of the parasite's occurrence, ground and sand (when existent) samples were collected from one square per boroughors. The squares were determined by draw. The homogenized ground samples of distinct points of the 39 squares, were colected in plastic flasks and analysed by the methods of fluctuation in sodium chloride saturated solution and magnesium sulphate saturated solution which contained 5% of potassium iodate. Both methods were executed twice for each sample. The results showed that the ground of 9 squares (23.07%) was contaminated, 6 of which were located near downtown. The execution of more than one laboratorial method permited the agent's identification in a grater percentage of squares.

Abstract: The contamination of soil and sand with helminth eggs in children''s play areas in Lodz (Poland) was assessed over two seasons using the flotation method with saturated sodium nitrate solution. A total of 88 samples were examined from 7 children''s playgrounds from various public parks, 6 sandpits situated in school or kindergarten areas and 9 school sports fields. The differences in the number of positive samples from these sites were significant (χ 2 =21.83, d.f.=2 and p <0.0001). The highest rate of contamination was found in the area around sports fields. (15.7%). There was a significant difference between the frequencies of positive samples from the surface and from the deeper layers of the examined sites (χ 2 =11.41, d.f.=1, and p =0.0007). The average density of geohelminth eggs in 100g of soil or sand was 1.1 from sports fields, 0.4 from playgrounds and 0.07 from fenced sandpits. Throughout the study, 4 genera of nematode eggs (Toxocara, Uncinaria/Ancylostoma, Ascaris, Trichuris) and 1 genus (Cystoisospora spp.) of oocysts were detected. A total of 62 eggs were recovered, and 43.5% were fully developed to embryonated egg stages. The contamination rate was different in autumn 2010 and spring 2011, but there was no significant difference in the number of positive findings between these seasons. The helminth eggs were found in 10.9% and 7.6% of samples collected in the spring and in the autumn, respectively. The most frequently seen eggs were from Toxocara sp., which were the most prevalent in both seasons. [Copyright &y& Elsevier]

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Toxocariasis is a worldwide distributed zoonosis that affects characteristically children. Clinical presentation is highly variable, often asymptomatic, and treatment duration is controversial. A retrospective descriptive study (January 2014–December 2019) was performed in a referral Unit for Pediatric Tropical Diseases. Patients younger than 18 years of age diagnosed with toxocariasis were included. Out of 931 children screened for toxocariasis, 49 (5.3%) were seropositive. The median age was 11.0 years, 55.1% male and 30.6% referred contact with puppies. Overall, 34.7% were Latin-American, 24.5% Asiatic, 20.4% European, and 20.4% African. Only 34.7% presented symptoms, gastrointestinal the most common (52.9%). The 57.1% of children presented eosinophilia and 50% elevated total IgE. Most cases (95.9%) corresponded to covert toxocariasis. All children were treated with albendazole for 5, 14 or 21 days, and 4 children required a second course. Follow-up data were available in 32 children (65.3%) for a median of 7 months, showing a progressive decline in eosinophils, IgE-titers and ELISA optical density. Toxocariasis is mostly asymptomatic in children and eosinophilia is not always present. Serological tests should be included in migrant health screening and in the diagnostic assessment of eosinophilia. Eosinophil count, IgE-titers and ELISA optical-density could be useful during follow-up. • Toxocariasis is mostly asymptomatic in children. • The most common form is covert toxocariasis. • Eosinophilia is only present in up to 60% of seropositive children. • Eosinophil count, IgE-titers and ELISA optical-density could be useful for follow-up. • Screening in high-risk populations is recommended. [ABSTRACT FROM AUTHOR]