Toxocariasis as a Rare Parasitic Complication of a Transthoracic Spine Surgery Procedure

Human toxocariasis is a helminthozoonosis caused by the migration of Toxocara species larvae through an organism. The infection in humans is transmitted either by direct ingestion of the eggs of the parasite, or by consuming undercooked meat infested with Toxocara larvae. This parasitosis can be found worldwide, but there are significant differences in seroprevalence in different areas, depending mainly on hot climate conditions and on low social status. However, the literature estimates of seroprevalence are inconsistent. Infected patients commonly present a range of symptoms, e.g., abdominal pain, decreased appetite, restlessness, fever, and coughing. This manuscript presents a case report of a polytraumatic patient who underwent a two-phase spinal procedure for a thoracolumbar fracture. After the second procedure, which was a vertebral body replacement via thoracotomy, the patient developed a pathologic pleural effusion. A microscopic cytology examination of this effusion revealed the presence of Toxocara species larvae. Although the patient presented no specific clinical symptoms, and the serological exams (Enzyme–linked immunosorbent assay (ELISA), Western blot) were negative, the microscopic evaluation enabled a timely diagnosis. The patient was successfully treated with albendazole, with no permanent sequelae of the infection.

How Domestic Animals aid in the spread of Geohelminths in their faecal Deposits, Benue State, Nigeria

Domestic animals are source of protein and additional income in most families in Okpokwu Local Government Area BenueState. This study determined the prevalence of geohelminths in the faecal deposits from some domestic animals in OkpokwuLocal Government Area. A total of 480 faecal deposits were collected into the sterile specimen bottles and examined forpresence of helminthes eggs using test tube floatation technique. Of the 480 faecal samples examined, 161(33.5%) werepositive for one or more eggs of helminth parasites. The prevalences were 20%, 15.2%, 9.8%, 5.2% and 3.8% for Ascarisspecies, Toxocara species, Ancylostoma species, Strongloides and Trichuris species, respectively. The highest prevalence of48% was recorded in Ojigo ward and the least prevalence rate of 23% in Okpale/Ingle ward with no significant difference(p>0.05) in the distribution of eggs in the twelve (12) wards sampled. The public health importance of geohelminths eggs infaecal deposits cannot be underestimated therefore, community health education and restriction of animals from roaming arerecommended. Keywords: Geohelminths, Domestic animals, Faeces, Okpokwu.

Status of human toxocariasis, a neglected parasitic zoonosis in Iran: a systematic review from past to current

Although human toxocariasis can lead to serious complications including neurological, ocular and visceral complications, there is a lack of comprehensive epidemiological information about the seroprevalence of Toxocara species in humans. In the present study, we analysed and reviewed the overall seroprevalence of human toxocariasis in Iran. The data collection was systematically undertaken on published articles using the PubMed, Google Scholar, ScienceDirect and Scopus databases. A total of 27 studies from the past two decades reporting seroprevalence of human toxocariasis met our eligibility criteria. The pooled proportion of Toxocara infection was estimated as 6.58% (95% confidence interval = 3.98–9.77). A wide variation between different studies was observed (Q statistic = 799.37, df = 26, P < 0.0001, and I2 = 96.7%). The seroprevalence rate of toxocariasis in the Iranian population is relatively high; contamination of the environment by eggs from the host as well as from household dogs and cats should be blamed.

Parasitological and molecular study of Toxocara spp. in Lumbericus terrestricus earthworms

Soil-associated invertebrates which are coprophagic are capable of acting as paratenic hosts for Toxocara species larvae eggs. The aim of the present study was to assess the role of Lumbricus terrestris earthworms as potential intermediate host for Toxocara species. A total of 240 earthworms were collected from the public places in four areas of Karaj, Alborz Province, Iran. The subjects of the study were digested to detect Toxocara species using microscopy and molecular analyses. Toxocara larvae and larval eggs were recovered from 1.7% (4/240) of the sampled earthworms. The recovery rate in Shah'Abbasi and Talaghani regions in the studied areas was higher than that of the other regions. In the mentioned area, 8.3% (4/48) of earthworms were revealed to be positive for Toxocara species by microscopic observation and only one was confirmed to be positive for Toxocara canis by polymerase chain reaction (PCR). This is the first molecular report of Toxocara canis infective larvae in Lumbricus terrestris earthworms that could be demonstrated in common environment.

Human Toxocara Infection: Allergy and Immune Responses

Background: Toxocariasis is a cosmopolitan infection that occurs in various regions worldwide, more frequently in developing countries. Chronic infections with Toxocara species in humans are associated with the production of high levels of specific and non-specific antibodies of all isotypes and IgG subclasses and a cytokine response characterized by the production of Th2 cytokines including IL-4, IL-5 and IL-13 by Peripheral Blood Monocytes (PBMCs) and Leukocytes (PBLs) in whole blood cultures. Other Th2 effector responses are also prominent during infection, reflected by elevated numbers of peripheral blood eosinophils and increased expression of eosinophil degranulation products. The production of IFN-γ by PBMCs/PBLs stimulated with Toxocara-secreted proteins is not prominent in toxocariasis but IL-10 production may be increased in infected individuals. The relationship between Toxocara species with allergic reactions was reported in the recent century. Experimental and epidemiological investigations revealed that toxocariasis with this parasite led to the development of allergic symptoms, such as asthma. However, the findings are conflicting since in other investigations no association between these two immunopathologies has been reported. Conclusion: The present review endeavours to summarize the data on Toxocara species and findings from studies on the relationship of toxocariasis with symptoms and signs of allergy. Furthermore, the mechanisms of immune responses and the factors associated between allergy and Toxocara infection are discussed.