Visceral Larva Migrans Research Articles

Toxocara cati larval migration in rats: experimental histopathological study.

Toxocara spp. (T. canis and T. cati in particular) are the major etiological nematodes that have contributed to visceral larval migrans (VLM). So to show the ability of T. cati to produce such migration in the rats as experimental model and detection through histopathological observations to detect larval migratory patterns. Adult females T. cati were collected from naturally infected feral cats. Eight rats, Rattus norvegicus had acted as a model for experimental infection, each receiving an infectious dose of about 1000 infective T. cati eggs, while 2 rats served as non-infected control group. Two infected rats were sacrificed and examined at 7, 14, 21, and 28 day post infection (dpi) and tissue samples were taken for digestioning order to recover migrated larvae and for histopathological examination. In vitro embryonation of T. cati eggs was successfully carried out, although the percentage of embryonation was 10%, prepared inoculums were also infective to rats. Larvae recovered from the lungs at 7 and 14 dpi and were also present at 21, and 28 dpi. The larvae of T. cati were present in the intestines at 14, and 21 dpi. There were no larvae or less than one larva per gram found in other studied tissues. Histopathological changes in different organs were observed. Generally speaking, a multi-tissue response can be defined as the histopathological response of T. cati larval migration. The migratory larvae of T. cati can cause severe histopathological alterations in various tissues and organs of infected animals, within the current study shows that the lungs are a favorable site of migration for these larvae. T. cati is a zoonotic parasite that is underestimated.

Proteomic alterations in the plasma of Beagle dogs induced by Toxocara canis infection

Toxocara canis causes ocular larva migrans and visceral larva migrans in humans. Knowledge about the molecular mechanism of T. canis-hosts interaction is limited. The proteomic alterations in the plasma of Beagle dogs induced by T. canis infection were studied by the quantitative mass spectrometry-based data-independent acquisition (DIA). 418, 414 and 411 plasma proteins were identified at 24 h post-infection (hpi), 96 hpi and 36 days post-infection (dpi), including 6, 5 and 23 proteins with differential abundance, respectively. At 24 hpi, the altered proteins, retinoic acid receptor responder protein 2 (RARRES2), WD repeat-containing protein 1 (WDR1), moesin and filamin-A, may participate in pro-inflammatory reaction or promote larvae migration. At 96 hpi, the altered protein C and fibroleukin may maintain the stability of the coagulation system to protect the lung. At 36 dpi, the alterations of C-reactive protein (CRP), ficolin (FCN), complement factor H-related protein 5 (CFHR5) and other complements can affect the three traditional complement system, including the classic pathway, lectin pathway and alternative pathway. These proteins may play important roles in the interaction between T. canis and its definitive hosts. Further study on these altered proteins triggered by T. canis infection may discovery novel therapeutic or diagnostic targets for toxocariasis. Significance of the studyToxocara canis is one of the globally distributed soil-transmitted helminths, which causes ocular larva migrans and visceral larva migrans in humans and a wide range of warm-blooded animals. T. canis adapts to different microenvironments by resisting and adjusting various biological processes of the hosts. Knowledge about the molecular mechanism of T. canis-hosts interaction is limited. Plasma proteins are good marker for monitoring the occurrence and development of diseases. The proteomic alterations in the plasma of Beagle dogs induced by T. canis infection were studied by the quantitative mass spectrometry-based data-independent acquisition (DIA) in this study. A total of 418, 414 and 411 plasma proteins were identified at 24 h post-infection (hpi), 96 hpi and 36 days post-infection, respectively. Ten protein with differential abundances were validated by using parallel reaction monitoring (PRM). Collectively, our deep proteomic analysis of plasma revealed that proteins alterations were affected by disease development, and proteomic analysis is an ideal method for quantifying changes in circulating factors on a global scale in response to pathophysiological perturbations such as T. canis infection.

Distribution of Toxocara cati larvae in experimentally infected BALB/c mice

The experimental infection of mice with Toxocara cati provides one of the best models for pathological and immunological study of the visceral larva migrans syndrome. To broaden our knowledge of T. cati larval migration, BALB/c mice were inoculated with 500 embryonated eggs of T. cati for a period of two months.In the present study, T. cati eggs, obtained from faeces of naturally infected cats, were used for infection. After oral infection of 500 embryonated eggs of T. cati, mice were euthanised at 1, 2, 3, 7, 14, 21, 28, 35, and 70 days post-infection (dpi) in groups of three per day. Systemic cytokine patterns of Th2 cytokines were evaluated 1 and 2 months after the experimental challenge using sandwich ELISA.The mean number of larval recovery from all infected mice was 16.53 % during infection. The highest number of larvae was obtained from the liver at 1 and 2 dpi; from lungs at 2 dpi and from the brain at 28 dpi. In muscles, the highest recovery rates of T. cati were obtained at 28 dpi. Our data showed that experimental infection with T. cati induced Th2 responses during the infection. In addition, IL-4, IL-5, and IL-10 levels increased significantly in the sera of the infected mice compared to the control group.Larval persistence of T. cati in the muscle of BALB/c mice and its migration behaviour highlights the important role of mouse as a paratenic host in the parasite life cycle and the host-parasite relationships, especially in human toxocariasis.

Matrix metalloproteinases activation in Toxocara canis induced pulmonary pathogenesis.

Toxocara canis, a source of visceral larva migrans, causes toxocariasis and induces respiratory symptoms. The reasons by which the pulmonary pathological alteration in the lungs infected with T. canis remain unclear. The involvement of the pulmonary pathological alteration by histology, enzyme activity, and Western blot analysis in the lungs of BALB/c mice after the infection of 2000 embryonated eggs. The pathological effects gradually increased after the infection culminated in severe leukocyte infiltration and hemorrhage from days 4-14 post-inoculation. Gelatin zymography using substrate showed that the relative activity of matrix metalloproteinase (MMP) -9 and MMP-2 significantly increased in T. canis-infected mice. Western blot analysis indicated that the MMPs protein level of fibronectin monomer significantly increased in T. canis-infected mice compared with that in uninfected control. T. canis larvae mainly initiated leukocyte infiltration and hemorrhage in the lungs. These phenomena subsequently induced the activities of MMPs in parallel with the pathological changes in early stage pulmonary inflammation. In conclusion, T. canis larval migration activated the MMPs and caused pulmonary pathogenesis.

Hepatic Visceral Larva Migrans with Atypical Manifestations: A Report of Three Cases

Hepatic Visceral Larva Migrans with Atypical Manifestations: A Report of Three Cases

A Systematic Review and Meta-analysis of Toxocariasis in Iran: Is it Time to Take it Seriously?

Toxocariasis is one of the neglected zoonosis with considerable public health importance around the world. The current study aimed to elucidate the overall prevalence of Toxocara infection in human and definitive hosts and also the contamination of soil and raw vegetables with the ova of these parasites, in Iran, using systematic review and meta-analysis. Six English and Persian databases were explored from 2000 to 2017 using the terms toxocariasis, Toxocara spp., visceral larva migrans, Iran, epidemiology, and prevalence. This meta-analysis conducted using STATA, and for all statistical tests, a p value less than 0.05 was considered significant. The random-effects model was used to the report of the pooled prevalence with a 95% confidence interval (CI). The pooled prevalence of toxocariasis in human was calculated as 11% (95% CI 8-13%). In terms of definitive hosts, the pooled prevalence of Toxocara infection in dogs and cats were calculated as 17% (95% CI 14-20%) and 37% (95% CI 26-48%), respectively. Also, the pooled prevalence of Toxocara spp. eggs in the soil and raw vegetable samples were calculated as 18% (95% CI 13-23%) and 2% (95% CI 1-3%), respectively. The results of current study demonstrate that toxocariasis should be taken more seriously by health authorities. Implementing an appropriate control program is necessary to reduce the incidence of this disease in Iran.

TOXOCARIASIS: VISCERAL AND OCULAR LARVA MIGRANS

Toxocariasis is a neglected socioeconomically important zoonotic nematode parasite that afflicts millions of the pediatric and adolescent populations worldwide, especially in impoverished communities. This disease is caused by infection with the larvae of Toxocara canis and T. cati, the most ubiquitous intestinal nematode parasite in dogs and cats, respectively. Human infections can lead to syndromes called visceral larva migrans (VLM), ocular larva migrans, neurotoxocariasis, and covert toxocariasis. Infection is not often fatal, but the inflammatory response to migrating larvae is associated withincreased leukocytosis, including generalized lymphadenopathy, endophthalmitis, granulomatous hepatitis, asthma, endomyocarditis, and high eosinophilia (>30%) as well as malignancy

Nematode larva migrans caused by Toxocara cati in the North Island brown kiwi (Apteryx mantelli)

Sporadic cases of visceral and neural nematode larva migrans have been diagnosed at necropsy in the endangered New Zealand kiwi (Apteryx spp.), but the causative organisms have not yet been definitively identified. From an initial group of five affected kiwi, PCR was performed on DNA extracted from archival formalin-fixed paraffin-embedded tissue sections in which larval nematodes had been histologically identified. Sequencing of positive results from four out of the five kiwi aligned with sequences from Toxocara cati, a nematode parasite whose definitive host is the domestic cat. PCR was then performed on a second group of 12 kiwi that had histologic inflammatory lesions consistent with larva migrans, but variable larval presence. Repeatable positive PCR results were only achieved in one tissue, in which larval organisms were histologically confirmed. This study supports the use of PCR as an alternative or adjunct to the morphological identification of nematode larvae in formalin-fixed histopathological samples, as well as showing that in investigation of larva migrans, PCR has greatest chance of success from sections where nematode larvae are evident histologically. The identification of Toxocara cati from lesions of larva migrans in kiwi reflects an indirect, parasite-mediated effect of an invasive mammalian species on a native species.

Toxocariasis in Colombia: More Than Neglected

In this review, we summarized information regarding human toxocariasis knowledge of disease and relevance in Colombia. Current knowledge on the epidemiology and global burden of this infection is scarce. In part, because it remains a largely underdiagnosed clinical entity, and also since many countries do not officially recognize it as endemic, this has led to a lack of surveillance and underreporting, not considering it an officially notifiable disease. Recent reports have shown broad variability of seroprevalence rates amongst different countries. Human toxocariasis is a zoonotic parasitic disease that would represent high morbidity in many countries. Caused by Toxocara canis and Toxocara cati, clinical spectrum of this systemic helminthiasis can be extended from asymptomatic forms up to life-threating syndromes such as the visceral larva migrans.

Co-existing Tubercular Pleural Effusion and Visceral Larva Migrans in a Patient with Hypereosinophilia: A Rare Case

Eosinophilic pleural effusions accounts for 5-16% of all the cases of pleural effusion. Here the authors present a case of 21 years old male patient, with right-sided chest pain in whom peripheral blood eosinophilia along with eosinophilic pleural effusion were found after a series of relevant investigations and two causative factors were found for same i.e., Visceral Larva Migrans (VLM) and tubercular pleural effusion. Both of them individually can cause hypereosinophilia, but presence of them together makes this case rare and interesting.

Sources and seroprevalence of toxocariasis in Turkey.

Toxocariasis in humans is considered a rare disease in Turkey, and the absence of specific symptoms of this disease is probably the main reason for clinicians to underestimate and underdiagnose the disease. Although there are several seroepidemiological studies on visceral larva migrans in the country, a comparison between them is difficult as the serological tests are not standardised. After the introduction of the easily accessible ELISA kit in the market, the number of seroepidemiological studies has increased in which the reported rates ranged between 1% and 56%. Similar to other countries, Toxocara seropositivity in Turkey is more common in men, childhood, in those living in rural area, having a low income level, owning dogs, and biting their nails or practicing geophagia. In addition, toxocariasis is a risk factor for veterinarians, farmers, and pet-shop workers. Toxocara seroprevalence is significantly higher in respiratory, neuropsychiatric, musculoskeletal, skin and abdominal disorders. There are also many studies showing the importance of eosinophilia in toxocariasis. In conclusion, although there are many studies on toxocariasis in Turkey, it is still not well understood to what extent the infection is responsible for a plethora ascribed symptoms. Standardisation of the diagnostic methods and the use of molecular techniques could further throw light in the real epidemiology and the role played by the infection to induce signs and symptoms.

Prevalence of Toxocara spp. Eggs in Soil Samples of Public Parks of Ilam City, Iran

Introduction: Toxocariasis, also known as Visceral Larva Migrans (VLM) syndrome, is a parasitic disease caused by the ascaris larva migrans of dogs and cats, especially Toxocaracanis. The eggs of this parasite enter the human body through contaminated food, water, and soil. Aim: To determine the prevalence of Toxocara spp. eggs in the soil of public parks in Ilam city, Iran. Materials and Methods: In this descriptive cross-sectional study, 40 soil samples (100 grams per sample from the depth of 3 to 5 cm) were randomly collected from 10 public parks of Ilam city in the summer season of 2018. After washing, grinding, and separating large particles from the samples, parasitic eggs were isolated using 150-micron filters and sucrose flotation method. The data was analysed using SPSS 20 software. Results: Five of ten parks (50) were contaminated with Toxocara spp. eggs. From 40 soil samples collected from the public parks, 16 (40) were contaminated with Toxocara spp. eggs. Most of the contaminated samples were collected from walking and flowering areas in all the parks. Microscopic studies showed an average of 1-4 Toxocara spp. eggs per microscopic field in each sample indicating 4 to16 eggs per 100 grams of soil in each contaminated park. Conclusion: Due to the high level of contamination with Toxocara spp, eggs in Ilam city parks, it is necessary to prevent dogs and cats from entering to lawns and playgrounds in public parks by fencing.

Pathogenesis of cerebral toxocariasis and neurodegenerative diseases.

Toxocara canis belongs to one of zoonotic parasites that commonly infects canines worldwide, and its eggs in host faeces may contaminate the food, water, soil and their fur as well as the larvae entrapped in the granuloma can infect paratenic hosts including mice and humans. Survivability of T. canis embryonated eggs under moist, cool conditions may be as long as 2-4 years or more. In paratenic hosts such as mice and humans, T. canis L3 larvae neither moult, grow, nor replicate and will wander through a number of internal organs in humans so as to cause Th2-dominant pathology in various internal organs as leading to neurotoxocariasis (NT), ocular toxocariasis (OT), or visceral larva migrans (VLM). Although the systemic immune response to T. canis has been widely reported, the immune response in the brain has received little attention. Differential cytokine expression and other brain injury-associated biomarkers or neurodegeneration-associated factors have been observed in infected versus uninfected outbred and inbred mice. Preliminary data have also suggested a possible link between significant memory impairment and cytokine production associated with T. canis infection in the hippocampus which has been long recognised as being responsible for learning and memory functions. Notably, it remains an enigma concerning cerebral invasion by T. canis larvae rarely induces a recognisable neurological syndrome or its involvement in neuropathological disorders in humans. Exploration of the relationship between host and parasite in the brain may elucidate the cryptic symptoms of human cerebral toxocariasis, with patients presenting with mental retardation, epilepsy, neurodegeneration and other central nervous system (CNS) disorders.

Seroepidemiological Study of Toxocariasis in Children Aged 6-14 Year Old in Sanandaj, Western Iran

Background:Toxocariasis is a disease caused by Toxocara nematodes and occurs from consuming their eggs. The main hosts of these worms are dogs and cats. The disease in humans becomes a visceral larva migrans (VLM). This descriptive cross-sectional study was conducted to determine the prevalence of toxocariasis in children aged 6–14 years.Methods:This cross-sectional descriptive study was conducted from Jun 1 2016 to Dec 1 2017 in Sanandaj, west of Iran. A total of 182 serum samples were collected from children age 6 to14 yr referred to medical diagnostic laboratories. Demographic data (age, sex, and parents’ literacy status), clinical signs (cough, headache, fever, abdominal pain), and the history of contact with dogs and cats was collected by a questionnaire. The presence of anti-Toxocara IgG antibody was detected by T. canis IgG ELISA (IBL, Germany) kit.Results:Of 182 subjects, 97 (53.3%) were male and 85 (46.7%) female. The average age was 9.2 years. Antibodies against T. canis were positive in three cases (1.65%) of all the studied subjects.Conclusions:The results showed a low prevalence of toxocariasis in children studied.

Toxocara canis in Australia.

This review covers reports on prevalence Toxocara in dogs from 2000 to the present and views of the veterinary community as to the importance of it as a zoonosis within Australia. The contamination of soils in public areas with eggs of this parasite seems overall to be minimal for reasons related to required collection of faeces from pets and the use of routine deworming and combination dewormers associated with heartworm prevention. The potential of other canid hosts being sources of eggs is likely common, especially with the increasing red fox and wild dog populations in more urbanized environs. Human associated disease, e.g., visceral and ocular larva migrans, is reported very rarely in Australia.

Toxocara seroprevalence in Canada-Climate, environment and culture.

Human infection with larvae of canine and feline roundworms belonging to the genus Toxocara can lead to devastating visceral, neural or ocular larvae migrans disease. However, such overt disease represents a fraction of cases. Far more common is covert toxocariasis, a less severe, but clinically symptomatic form of disease, and those who are exposed to infective larvae and seroconvert, but appear to be asymptomatic. Canada represents a unique epidemiological environment for Toxocara infection and exposure. Although the freezing conditions of the vast Arctic Tundra region of the North are thought unlikely to support the lifecycle of Toxocara spp., exposure and seroconversion does occur in people belonging to Inuit communities of this region. Further south, in the sub-Arctic of northern Quebec and Saskatchewan, there is a higher seroprevalence in many Canadian First Nations communities. The epidemiology of these infections is different to that seen in the non-Indigenous communities of the Humid Continental region. Poverty and climate play a major part in the risk of Toxocara seropositive status in Canada, but other factors such as unique cultural practices, population density of humans and reservoir hosts, and contact with wildlife are also factors in exposure and subsequent seroconversion in Canadian communities. This review discusses previous Toxocara seroprevalence studies performed in Canada, summarizes the data for domestic and wild animal reservoir hosts of Toxocara canis, Toxocara cati, Toxocara vitulorum and the closely related helminth, Toxascaris leonina. It also discusses how the unique and varied aspects of climate, culture and environment impacts human Toxocara exposure in Canada.

Toxocara: Protecting pets and improving the lives of people.

Toxocara sp. are zoonotic parasitic roundworms that cause infection and morbidity in both developed and developing countries. In humans, infection is thought to be most common in children, particularly those living in poverty, and usually results from consumption of soil contaminated with parasite eggs deposited by dog or cat faeces. Infection in humans results in different clinical manifestations, some more overt like visceral or ocular larva migrans and others more cryptic like neurocognitive delay. Despite its pervasiveness, toxocariasis has become a neglected infection. We review the dynamics of the human-animal interface in the context of this parasite, discuss the challenges in controlling transmission to humans, and cite key areas of research that could enable improved interventions. With political will and proper resource allocation, we propose that effective interventions are possible in the near term.

Prevalence of Toxocara in dogs and cats in Africa.

Dogs and cats have a close association with humans providing companionship; however, pets are reservoirs of zoonotic pathogens such as Toxocara. Toxocara canis and Toxocara cati are small intestinal nematodes found in canids and felids, respectively. Infected pets shed thousands of eggs resulting in environmental contamination. Toxocara can infect a wide variety of paratenic hosts including humans, rodents, pigs and chickens. Paratenic hosts become infected by ingestion of the infective eggs containing the third stage larvae or ingestion of dormant larvae in animal tissues. Infected humans may develop visceral larval migrans or ocular toxocariasis. Regular anthelmintic treatment and restricted movement of dogs and cats are recommended to control Toxocara environmental contamination. This paper reviews the prevalence and risk factors of Toxocara in dogs and cats in Africa; and pet owners' awareness of canine zoonotic helminths.

Visceral larval migrans of Toxocara canis and Toxocara cati in non-canid and non-felid hosts.

Toxocara canis and Toxocara cati are considered the most ubiquitous gastrointestinal helminths in domesticated canids and felids. Ascarid eggs passed in the faeces of canids and felids in a suitable environment may remain infective for years and are capable of infecting not only canids and felids, but a large range of other vertebrate paratenic hosts, including man. Infection with Toxocara species also occurs following the ingestion of paratenic hosts containing infective larvae. As infective larvae are incapable of completing their lifecycle in these hosts, they instead travel to different parts of the body, sometimes inducing inflammatory responses, and in some cases remaining entrapped in the body for years. Migration routes depend on the host species; however, nearly all organs may be affected with varying quantities of larval burdens.

Toxocara seroprevalence in the USA and its impact for individuals and society.

Toxocara species are intestinal helminths of dogs and cats, the larval stages of which may infect humans and cause severe neural, ocular and visceral larva migrans disease. Such cases of severe overt disease represent only a small fraction of the of the US population who have been exposed and infected with Toxocara, subsequently developing IgG antibodies to the larvae. The true impact of exposure to Toxocara in this large group of Americans remains uncertain. Toxocara antibody positivity is associated with poverty, but other specific risk factors have been identified, including sex, age, rural residence, region of residence, race and exposure to pets. This seropositive status has also been associated with several childhood diseases, including asthma and epilepsy, increased serum lead levels, and poor neurocognitive function. Three large-scale NHANES studies have provided comprehensive datasets, while several smaller studies have explored specific disease associations. Each seroprevalence study must be interpreted in consideration of the sensitivity and specificity of the individual serological methods employed. This chapter summarizes all historical Toxocara prevalence data from dogs, cats and soil in the United States. It then carefully examines all previous human Toxocara seroprevalence surveys performed in the United States. Data from these surveys is assimilated, compared and discussed to determine the validity of findings and to accurately identify risk factors for Toxocara seropositivity. The validity of associations of exposure to Toxocara larvae and childhood diseases such as asthma and epilepsy and effects neurocognitive function within the American context are also explored.