SIGNIFICANCE OF SEROLOGICAL MONITORING FOR POULTRY ORNITOBACTERIOSIS THERAPY

One of the main problems of poultry diseases is respiratory diseases. Among them a special place is occupied by ornithobacteriosis (ORT). Losses from ORT consist of: direct losses as a result of the disease - death of chickens, increased culling due to lameness, low live weight gain (up to 40%), reduction of carcass categories, reduction of egg production by 6-20%; indirect losses associated with the immune-suppressive effect of ornithobacteria, which increase the risk of other infections and prevent the formation of post-vaccination immunity. The diagnosis is established on the basis of epizootological data, clinical signs, pathological and anatomical changes, bacteriological and serological tests, positive bioassay. In most cases, infections caused by ornithobacteria are not diagnosed in time, the pathogen is difficult to isolate due to complications of other pathogens, or because experts are currently insufficiently aware of the ability of ORT to cause disease. ORT can be isolated by bacteriological method only at an early stage of the disease. The most relevant method of diagnosis is PCR. The advantage of the method is not only the isolation of DNA of individual cells of the pathogen in the sample, but also the ability to detect all serotypes. In addition, PCR is a successful diagnosis in the detection of ORT nucleic acid not only in tissue samples, but also in feces, eggs, dust, which is important for timely diagnosis. Enzyme-linked immunosorbent assay (ELISA) is used to control the presence of ornithobacteriosis in bird. The presence of antibodies to this pathogen in poultry of many species indicates its wide circulation. Thus, when conducting serological monitoring of blood serum from different age groups of broilers aged 1-44 days, the percentage of positive samples ranged from 40 to 100, which indicates the circulation of the field strain of the pathogen ornithobacteriosis. The percentage of positive serum from broilers to ORT was: from 1 to 5 days - from 88 to 50, from 6 to 10 days serum were negative, while at 17, 21 days and from 32 days to the end of cultivation (44 days) – 100 %. The percentage of positive batches at the end of fattening ranged from 42-53 days in the range from 75 to 100%, indicating the circulation of the field strain of the ornithobacteriosis pathogen antibiotic therapy against this disease.

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Markers of the early stage of rheumatoid arthritis

Diagnostyka Laboratoryjna ◽

10.5604/01.3001.0008.2523 ◽

2016 ◽

Vol 51 (4) ◽

pp. 305-314

Author(s):

Beata Polińska ◽

Joanna Matowicka-Karna ◽

Halina Kemona

Keyword(s):

Rheumatoid Arthritis ◽

Human Population ◽

Early Stage ◽

Clinical Signs ◽

High Sensitivity ◽

Unknown Etiology ◽

Serological Tests ◽

Citrullinated Peptide ◽

Peptide Antibodies

Rheumatoid arthritis (RA) is a chronic, autoimmune connective tissue disease of unknown etiology. RA affects about 1% of the human population, women suffer three times more often than men, with the peak incidence between the age of 40 to 50. The up-to-date criteria from 2010 for the diagnosis of RA include: occurrence and duration of clinical signs, indicators of inflammation and serological tests. Neopterin, a protein released by macrophages, is a sensitive indicator of inflammation and the severity of RA. Regarding the serological tests, anti-cyclic citrullinated peptide antibodies represent a well-known marker with the specificity for RA of about 98%. The antibodies may be present in the serum of patients even a few years before the first clinical signs of the disease, heralding erosive changes in the joints and more severe course of RA. The literature also contains reports about autoantibodies anti-CarP and anti-Sa/ anti-MCV, which may occur in people with pain and swelling of joints and precede full-blown development of RA as well as reflect disease activity. Serological diagnosis of RA may be supported by some genetic tests based on PCR for detecting mutations e.g. C1858T in the PNPN22 gene. In turn, the quantitative analysis of different classes of miRNAs seems justified in order to better classify patients showing symptoms of RA. Further studies are needed that take into account the role of different markers in the development of RA, and confirm the high sensitivity and specificity of these markers in the diagnosis of the disease.

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Molecular characterization and serodiagnostic potential of two serpin proteins in Psoroptes ovis var. cuniculi

Parasites & Vectors ◽

10.1186/s13071-020-04501-8 ◽

2020 ◽

Vol 13 (1) ◽

Author(s):

Xiaobin Gu ◽

Yuhang Chen ◽

Chongyang Zhang ◽

Yue Xie ◽

Nengxing Shen ◽

...

Keyword(s):

Inflammatory Responses ◽

Early Stage ◽

Characteristic Curve ◽

Clinical Signs ◽

Serine Proteinase ◽

Reproductive Development ◽

Enzyme Linked Immunosorbent Assay ◽

Diagnostic Efficiency ◽

Psoroptes Ovis ◽

Domestic Rabbits

Abstract Background Psoroptes ovis var. cuniculi is a common ectoparasite of wild and domestic rabbits worldwide that causes economically devastating losses in commercial rabbit husbandry and significantly affects the overall health of rabbits. Serine proteinase inhibitor (serpin) is present in almost all organisms that are involved in host–pathogen interactions, inflammatory responses, and reproductive development, among others. However, very little research has been carried out on P. ovis var. cuniculi serpins. Methods Two serpin genes of P. ovis var. cuniculi (Pso c 27 and PsoSP2 cDNAs) were cloned and molecularly characterized. The transcriptional profiles and tissue localization of these two serpins in P. ovis var. cuniculi were investigated by quantitative real-time PCR and immunohistochemistry, respectively. The potential function of recombinant Pso c 27 and PsoSP2 (rPso c 27 and rPsoSP2) in the serodiagnosis of P. ovis var. cuniculi infestation in rabbits was evaluated using a newly devleoped indirect enzyme-linked immunosorbent assay. Results Both the 523-residue Pso c 27 and the 240-residue PsoSP2 proteins contained typical serpin domains and signatures. Both Pso c 27and PsoSP2 cDNAs were expressed throughout the life-cycle; specifically, the cDNAs showed significantly higher expression in female mites than in larva, nymph, and male mites (Pso c 27: F(3, 8) = 1935.953, P < 0.0001; PsoSP2: F(3, 8) = 660.669, P < 0.0001). The native Pso c 27 and PsoSP2 proteins localized in the ovary and mouthparts of adult female mites, respectively. Compared to rPsoSP2, rPso c 27 showed better diagnostic efficiency, with higher values of sensitivity, specificity, and area under the receiver operating characteristic curve (rPso c 27 vs rPsoSP2: 96.0 vs 90.0%; 90.91 vs 78.18%; 0.988 vs 0.964, respectively). Moreover, rPso c 27 showed seropositivity in 80% of the rabbits as early as the 2 weeks post-infestation, prior to visible clinical signs and microscopy-positive of skin scrapings. Conclusions These results suggest that these two serpins may play essential roles in reproductive development, serum-feeding, and pathogenicity of P. ovis var. cuniculi. Compared to PsoSP2, Pso c 27 appears to be a potential antigen for serodiagnosis of P. ovis var. cuniculi infestation in rabbits, especially at the early stage of infestation.

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Co-infection with bovine viral diarrhoea virus and Anaplasma marginale in a dairy cattle herd may lead to acute bovine anaplasmosis

Veterinární Medicína ◽

10.17221/252/2015-vetmed ◽

2016 ◽

Vol 61 (No. 9) ◽

pp. 504-515

Author(s):

A. Szabara ◽

J. Majer ◽

L. Ozsvari ◽

C. Jakab ◽

W. Baumgartner

Keyword(s):

Dairy Cattle ◽

Age Groups ◽

Clinical Signs ◽

Bovine Viral Diarrhoea Virus ◽

Anaplasma Marginale ◽

Cattle Herd ◽

Bovine Viral Diarrhoea ◽

Serological Tests ◽

Diarrhoea Virus ◽

Dairy Cattle Herd

This report describes an acute exacerbation of subclinical anaplasmosis manifesting itself in clinical signs in a large number of animals after infection with bovine viral diarrhoea virus (BVDV). The simultaneous transmission of BVDV and Anaplasma was unintended and most likely the result of a vaccination operation in a large Holstein-Friesian dairy cattle herd in Hungary. From Day 35 after the first vaccination, a total of 33 cows developed fever, depression, general weakness, lack of appetite, a sudden drop of milk production, anaemia, icterus, and tachypnoea on exercise. In addition, a total of seven abortions and three stillbirths occurred. Between Days 30 and 35 after the second vaccination four cows showed clinical signs typical of anaplasmosis, and two stillbirths occurred. The presence of Anaplasma marginale infection was demonstrated by haematological, biochemical, PCR and haemocytological examinations of blood samples collected from animals showing clinical signs as well as by necropsy. To assess the prevalence of infection in the herd, a specified number of animals belonging to different age groups were subjected to serological tests. The rate of seropositive animals was substantially higher (50%) in the older (3- to 4-year-old and more than 4-year-old) age groups than in the younger cows (10–30%). This study has demonstrated for the first time that if bovine animals susceptible to both A. marginale and BVDV are infected by the two pathogens roughly at the same time, the immunosuppressive effect of BVDV will support the progression of A. marginale infection and manifestation of the disease resulting in acute clinical signs.

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Molecular characterization and serodiagnostic potential of two serpin proteins in Psoroptes ovis var. cuniculi

10.21203/rs.3.rs-47911/v5 ◽

2020 ◽

Author(s):

Xiaobin Gu ◽

Yuhang Chen ◽

Chongyang Zhang ◽

Yue Xie ◽

Nengxing Shen ◽

...

Keyword(s):

Inflammatory Responses ◽

Early Stage ◽

Characteristic Curve ◽

Clinical Signs ◽

Serine Proteinase ◽

Reproductive Development ◽

Enzyme Linked Immunosorbent Assay ◽

Diagnostic Efficiency ◽

Psoroptes Ovis ◽

Domestic Rabbits

Abstract Background: Psoroptes ovis var. cuniculi is a global common ectoparasite of wild and domestic rabbits and causes an economically devastating loss and serious welfare issues of commercial rabbit husbandry. Serine proteinase inhibitor (serpin) is present in almost all organisms that are involved in host-pathogen interactions, inflammatory responses, and reproductive development, etc. However, the research on P. ovis var. cuniculi serpins is still limited.Methods: In this study, two serpin genes of P. ovis var. cuniculi (Pso c 27 and PsoSP2 cDNAs) were cloned, and the molecular characterization was analyzed. The transcriptional profiles and tissue localization of these two serpins in P. ovis var. cuniculi were investigated by quantitative real-time PCR and immunohistochemistry, respectively. The potential function of recombinant Pso c 27 and PsoSP2 (rPso c 27and rPsoSP2) in the serodiagnosis of P. ovis var. cuniculi infestation in rabbits were evaluated by indirect enzyme-linked immunosorbent assay (iELISA). Results: Both of the 523 residue Pso c 27 and the 240 residue PsoSP2 proteins contained typical serpin domains and signatures. Both Pso c 27and PsoSP2 cDNAs expressed throughout the life-cycle, more specifically, significantly higher expression in female mites than the larva, nymph, and male mites (Pso c 27, F(3, 8) = 1935.953, P < 0.0001; PsoSP2, F(3, 8) = 660.669, P < 0.0001). The native Pso c 27 and PsoSP2 localized in ovary and mouthpart of adult female mites, respectively. Compared to rPsoSP2, the rPso c 27 displayed better diagnostic efficiency with higher values of sensitivity, specificity and the area under the receiver operating characteristic curve (AUC) (rPso c 27 vs rPsoSP2: 96.0 vs 90.0%; 90.91 vs 78.18%; 0.988 vs 0.964, respectively). Moreover, the rPso c 27 showed seropositive in 80% rabbits as early as the 2 weeks post-infestation (p.i.), prior to visible clinical signs and microscopy-positive of skin scrapings. Conclusions: These results suggested that these two serpins may play essential roles in reproductive development, serum-feeding, and pathogenicity of P. ovis var. cuniculi. Compared to PsoSP2, Pso c 27 appeared as a potential antigen for serodiagnosis of P. ovis var. cuniculi infestation in rabbits, especially at the early stage of infestation.

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Seroprevalence and Clinical Presentation of Chikungunya Virus Infection among Febrile Outpatients Seeking Health Care in Mzuzu City, Malawi

10.20944/preprints202105.0387.v1 ◽

2021 ◽

Author(s):

Flywell Kawonga ◽

Gerald Misinzo ◽

Dylo Pemba ◽

Leonard Mboera ◽

Isaac Thom Shawa

Keyword(s):

Chikungunya Virus ◽

Clinical Presentation ◽

Age Groups ◽

Clinical Signs ◽

Signs And Symptoms ◽

Viral Disease ◽

Elisa Test ◽

Enzyme Linked Immunosorbent Assay ◽

Serum Samples ◽

Igm Antibodies

Chikungunya is a mosquito-borne viral disease caused by Chikungunya virus (CHIKV. We conducted this study determine the seroprevalence and clinical presentation of Chikungunya infection among outpatients seeking healthcare in Mzuzu City, Malawi. Blood samples were collected from malaria negative and non-septic febrile outpatients with fevers ≥38 °C, for not more than 5 days. The enzyme- linked immunosorbent assay (ELISA) test was used to detect anti-CHIKV IgM antibodies and its results were used to determine seroprevalence of Chikungunya. A total of 119 serum samples were tested, of these, 73 (61.3%) tested positive for anti-CHIKV IgM antibodies by ELISA. Laboratory requisition forms were used to capture demographic information such as age, sex, clinical signs and symptoms presented by the enrolled patients. Age groups of 1-9, 10- 19, 20- 29, 30- 39, 40- 49, and ≥50 years had 17.8% (n= 13), 12.3 %,( n=9), 15.1%) (n=11), 19.2%; (n=14), 17.8% (n=13) and 17.8% (n=13) proportion of seroprevalence respectively. Most of the CHIKV infected individuals presented with fever (52.05%), joint pain (45.21%) and abdominal pain (42.67%). The presence of anti- CHIKV IgM antibodies suggest the presence of recent CHIKV infection and therefore accurate laboratory assays are highly recommended for CHIKV diagnosis and appropriate management of febrile patients.

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Molecular characterization and serodiagnostic potential of two serpin proteins in Psoroptes cuniculi

10.21203/rs.3.rs-47911/v3 ◽

2020 ◽

Author(s):

Xiaobin Gu ◽

Yuhang Chen ◽

Chongyang Zhang ◽

Yue Xie ◽

Nengxing Shen ◽

...

Keyword(s):

Inflammatory Responses ◽

Early Stage ◽

Characteristic Curve ◽

Clinical Signs ◽

Serine Proteinase ◽

Reproductive Development ◽

Enzyme Linked Immunosorbent Assay ◽

Diagnostic Efficiency ◽

Psoroptes Cuniculi ◽

Domestic Rabbits

Abstract Background: Psoroptes cuniculi is a global common ectoparasite of wild and domestic rabbits and causes an economically devastating loss and serious welfare issues of commercial rabbit husbandry. Serine proteinase inhibitor (Serpin) is present in almost all organisms that are involved in host-pathogen interactions, inflammatory responses, and reproductive development, etc. However, the research on P. cuniculi serpins is still limited.Methods: In this study, two serpin genes of P. cuniculi (Pso c 27 and PsoSP2 cDNAs) were cloned, and the molecular characterization was analyzed. The transcriptional profiles and tissue localization of these two serpins in P. cuniculi were investigated by quantitative real-time PCR and immunohistochemistry, respectively. The potential function of recombinant Pso c 27 and PsoSP2 (rPso c 27and rPsoSP2) in the serodiagnosis of P. cuniculi infestation in rabbits were evaluated by indirect enzyme-linked immunosorbent assay (iELISA). Results: Both of the 523 residue Pso c 27 and the 240 residue PsoSP2 proteins contained typical serpin domains and signatures. Both Pso c 27and PsoSP2 cDNAs expressed throughout the life cycle, more specifically, significantly higher expression in female mites than the larva, nymph, and male mites (Pso c 27, F(3, 8) = 1935.953, p < 0.0001; PsoSP2, F(3, 8) = 660.669, p < 0.0001). The native Pso c 27 and PsoSP2 localized in ovary and mouthpart of adult female mites, respectively. Compared to rPsoSP2, the rPso c 27 displayed better diagnostic efficiency with higher values of sensitivity, specificity and the area under the receiver operating characteristic curve (AUC) (rPso c 27 - rPsoSP2: 96.0% - 90.0%; 90.91% - 78.18%; 0.988 - 0.964, respectively). Moreover, the rPso c 27 showed seropositive in 80% rabbits as early as the 2nd week post-infestation (p.i.), prior to visible clinical signs and microscopy-positive of skin scrapings. Conclusions: These results suggested that these two serpins may play essential roles in reproductive development, serum-feeding, and pathogenicity of P. cuniculi. Compared to PsoSP2, Pso c 27 appeared as a potential antigen for serodiagnosis of P. cuniculi infestation in rabbits, especially at the early stage of infestation.

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Molecular characterization and serodiagnostic potential of two serpin proteins in Psoroptes cuniculi

10.21203/rs.3.rs-47911/v4 ◽

2020 ◽

Author(s):

Xiaobin Gu ◽

Yuhang Chen ◽

Chongyang Zhang ◽

Yue Xie ◽

Nengxing Shen ◽

...

Keyword(s):

Inflammatory Responses ◽

Early Stage ◽

Characteristic Curve ◽

Clinical Signs ◽

Serine Proteinase ◽

Reproductive Development ◽

Enzyme Linked Immunosorbent Assay ◽

Diagnostic Efficiency ◽

Psoroptes Cuniculi ◽

Domestic Rabbits

Abstract Background: Psoroptes cuniculi is a global common ectoparasite of wild and domestic rabbits and causes an economically devastating loss and serious welfare issues of commercial rabbit husbandry. Serine proteinase inhibitor (serpin) is present in almost all organisms that are involved in host-pathogen interactions, inflammatory responses, and reproductive development, etc. However, the research on P. cuniculi serpins is still limited.Methods: In this study, two serpin genes of P. cuniculi (Pso c 27 and PsoSP2 cDNAs) were cloned, and the molecular characterization was analyzed. The transcriptional profiles and tissue localization of these two serpins in P. cuniculi were investigated by quantitative real-time PCR and immunohistochemistry, respectively. The potential function of recombinant Pso c 27 and PsoSP2 (rPso c 27and rPsoSP2) in the serodiagnosis of P. cuniculi infestation in rabbits were evaluated by indirect enzyme-linked immunosorbent assay (iELISA). Results: Both of the 523 residue Pso c 27 and the 240 residue PsoSP2 proteins contained typical serpin domains and signatures. Both Pso c 27and PsoSP2 cDNAs expressed throughout the life-cycle, more specifically, significantly higher expression in female mites than the larva, nymph, and male mites (Pso c 27, F(3, 8) = 1935.953, P < 0.0001; PsoSP2, F(3, 8) = 660.669, P < 0.0001). The native Pso c 27 and PsoSP2 localized in ovary and mouthpart of adult female mites, respectively. Compared to rPsoSP2, the rPso c 27 displayed better diagnostic efficiency with higher values of sensitivity, specificity and the area under the receiver operating characteristic curve (AUC) (rPso c 27 vs rPsoSP2: 96.0 vs 90.0%; 90.91 vs 78.18%; 0.988 vs 0.964, respectively). Moreover, the rPso c 27 showed seropositive in 80% rabbits as early as the 2 weeks post-infestation (p.i.), prior to visible clinical signs and microscopy-positive of skin scrapings. Conclusions: These results suggested that these two serpins may play essential roles in reproductive development, serum-feeding, and pathogenicity of P. cuniculi. Compared to PsoSP2, Pso c 27 appeared as a potential antigen for serodiagnosis of P. cuniculi infestation in rabbits, especially at the early stage of infestation.

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Pathogenesis of Bohle Iridovirus (Genus Ranavirus) in Experimentally Infected Juvenile Eastern Water Dragons (Intellagama lesueurii lesueurii)

Veterinary Pathology ◽

10.1177/0300985818823666 ◽

2019 ◽

Vol 56 (3) ◽

pp. 465-475 ◽

Cited By ~ 3

Author(s):

Alicia Maclaine ◽

María J. Forzán ◽

Narges Mashkour ◽

Jennifer Scott ◽

Ellen Ariel

Keyword(s):

Early Stage ◽

Kidney Tissue ◽

Clinical Signs ◽

Virus Detection ◽

Lymphocytic Infiltration ◽

Tissue Samples ◽

Reliable Source ◽

Liver And Kidney ◽

Diagnostic Samples ◽

Intellagama Lesueurii

Juvenile eastern water dragons ( Intellagama lesueurii lesueurii) are highly susceptible to infection with Bohle iridovirus (BIV), a species of ranavirus first isolated from ornate burrowing frogs in Townsville, Australia. To investigate the progression of BIV infection in eastern water dragons, 11 captive-bred juveniles were orally inoculated with a dose of 104.33 TCID50 and euthanized at 3, 6, 8, 10, 12, and 14 days postinfection (dpi). Viral DNA was detected via polymerase chain reaction (PCR) in the liver, kidney, and cloacal swabs at 3 dpi. Mild lymphocytic infiltration was observed in the submucosa and mucosa of the tongue and liver at 3 dpi. Immunohistochemistry (IHC) first identified viral antigen in foci of splenic necrosis and in hepatocytes with intracytoplasmic inclusion or rare single-cell necrosis at 6 dpi. By 14 dpi, positive IHC labeling was found in association with lesions in multiple tissues. Selected tissues from an individual euthanized at 14 dpi were probed using in situ hybridization (ISH). The ISH labeling matched the location and pattern detected by IHC. The progression of BIV infection in eastern water dragons, based on lesion severity and virus detection, appears to start in the spleen, followed by the liver, then other organs such as the kidney, pancreas, oral mucosa, and skin. The early detection of ranaviral DNA in cloacal swabs and liver and kidney tissue samples suggests these to be a reliable source of diagnostic samples in the early stage of disease before the appearance of clinical signs, as well as throughout the infection.

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Genotypic diversity and live weight in the populations of the Chukchi breed reindeer

Genetika i razvedenie zhivotnyh ◽

10.31043/2410-2733-2021-2-36-44 ◽

2021 ◽

pp. 36-44

Author(s):

G. Brizgalov ◽

L. Ignatovich

Keyword(s):

Genetic Diversity ◽

Correlation Coefficient ◽

Polymorphic Information Content ◽

Age Groups ◽

Live Weight ◽

Genotypic Diversity ◽

Significant Similarity ◽

Genetic Studies ◽

Tissue Samples ◽

Expected Heterozygosity

Purpose: study of associations of live weight and genotypic traits in reindeer populations.Materials and methods. The studies were carried out in 2018-2020. on the basis of 8 agricultural enterprises in Chukotka. Tissue samples (ear pinch) of deer of different sex and age groups served as material for genetic studies. In molecular genetic studies, 1002 samples were used. Individual genotyping of animals was carried out using the ISSR-PCR method. The live weight of the reindeer was determined using the materials of the zootechnical reports of the reindeer farms. Associations of the average population indices of genetic diversity and live weight of deer were established by a calculation-statistical method of comparing the values of values. The correlation coefficient was calculated by the product method according to the Pearson formula.Results. The variability of ISSR markers in populations indicates a significant similarity between them in most of the allelic frequencies, which confirms the common origin, economic and breeding use of the Chukchi breed deer. The populations are characterized by a high degree of heterogeneity. Differences in live weight between highly productive and less productive populations on average for all sex and age groups of deer amounted to 16.8%. At the same time, the populations with a high live weight of deer significantly exceeded the populations with a lower live weight in the average number of alleles per locus by 5.0% (P <0.01), the number of effective effective alleles - by 11.8% (P <0.001), polymorphic information content index (PIC) - by 35.8% (P <0.01). The homozygosity coefficient in the low-productive animals was 12.6% higher than in the high-productive group. In the populations with the highest live weight of deer - WZR, WAE and AMG, the most significant indicators of genetic diversity were also found: the average number of alleles per locus is 8.57; 10.45 and 8.71; effective alleles per locus - 7.57; 9.10 & 8.15; expected heterozygosity - 0.868; 0.890 & 0.877; PIC index - 0.248; 0.380 and 0.374, respectively. In populations with a low live weight of deer - OST and CHN, the smallest values of the number of active effective alleles per locus were found - 6.68 and 6.41; expected heterozygosity - 0.850 and 0.844, PIC index (proportion of heterozygotes) - 0.151 and 0.254. The correlation coefficient between the indicator of live weight and the genetic diversity of deer turned out to be equal for the average number of alleles per locus r = 0.335; the number of effective alleles - r = 0.52; heterozygosity - r = 0.558, the proportion of heterozygous variants - r = 0.646.Conclusion. The data obtained make it possible to state the existence of a dependence of the live weight of deer on the genotypic diversity in the populations of the Chukchi breed.

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Clinical Characteristics of Pediatric Patients with Ocular Toxocariasis in China

Ophthalmologica ◽

10.1159/000443215 ◽

2016 ◽

Vol 235 (2) ◽

pp. 97-105 ◽

Cited By ~ 7

Author(s):

Yalu Liu ◽

Qi Zhang ◽

Jing Li ◽

Xunda Ji ◽

Yu Xu ◽

...

Keyword(s):

Rural Areas ◽

Clinical Characteristics ◽

Pediatric Patients ◽

Age Of Onset ◽

Age Groups ◽

Clinical Signs ◽

Clinical Manifestations ◽

Signs And Symptoms ◽

Enzyme Linked Immunosorbent Assay ◽

Ocular Toxocariasis

Objective: The aim of the study was to analyze the clinical characteristics of pediatric patients with ocular toxocariasis. Methods: Ocular toxocariasis was diagnosed and treated in 46 children from Shanghai and surrounding provinces. The diagnosis of ocular toxocariasis was confirmed immunologically by performing an enzyme-linked immunosorbent assay on serum and/or intraocular fluid. All pediatric patients and their guardians completed a questionnaire concerning their cases and living habits. Results: The mean age of onset was 6 ± 3 years. Most children (85%) resided in rural areas, and 91% of the children had contact with adult dogs or puppies. At the first visit, visual acuity (VA) was <20/200 in 36 cases, and we detected peripheral granuloma in 36 patients. In our study, the most common signs were vitritis, vitreous strands, and tractional retinal detachment. The Optomap 200Tx device detected granuloma with an 85% sensitivity, which is much higher than that of other techniques. We treated 40 cases (87%) with topical corticosteroids, while 28 patients (61%) were treated with systemic corticosteroids. Only 18 children (39%) required surgical intervention. All patients were examined and treated by the same ophthalmologists. Conclusions: Preschool children in China are more often affected by toxocariasis compared with other age groups. The most common signs included unilateral granuloma and ocular inflammation. In our study, clinical manifestations were severe and complicated. At the first visit, VA was <20/200 in most patients. Ocular toxocariasis was diagnosed on the basis of clinical signs and symptoms; the diagnosis was confirmed by immunological testing. Techniques using the Optomap 200Tx device can facilitate the early detection and lead to better visual prognosis.

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