Although human toxocariasis ranks among the most common zoonotic infections worldwide, it remains relatively unknown to the public. The causal agents are the nematode parasites Toxocara canis and T. cati, whose definitive hosts are dogs and cats, respectively. When embryonated eggs are accidentally ingested by humans, larvae hatch in the small intestine, penetrate the intestinal wall and migrate, via the bloodstream, to the liver, lungs, muscles, eye and central nervous system. Although most human infections are asymptomatic, two well-defined clinical syndromes are classically recognised: visceral larva migrans (a systemic disease caused by larval migration through major organs) and ocular larva migrans (a disease limited to the eyes and optic nerves). Two less-severe syndromes have recently been described, one mainly in children (covert toxocariasis) and the other mainly in adults (common toxocariasis). Here, the current laboratory diagnosis, epidemiology and main clinical features of both the systemic and ocular forms of human toxocariasis are reviewed. New developments in serological diagnosis are described, the available seroprevalence data are analysed, and the results of relevant clinical studies that have been published over the last decade are explored, to provide an updated overview of this neglected but highly prevalent human infection.

Human toxocariasis: diagnosis, worldwide seroprevalences and clinical expression of the systemic and ocular forms

To estimate the prevalence of Toxocara spp. infection in a representative sample of the United States population >or= 6 years of age, sera from participants in the Third National Health and Nutrition Examination Survey (1988-1994) were tested for antibodies to Toxocara. Among the 30,930 persons selected for the survey, 82% (N = 25,733) were interviewed, and 91% (N = 23,527) of those interviewed underwent physical examination of which 87% (N = 20,395) were tested. The age adjusted Toxocara seroprevalence was 13.9% (95% confidence intervals [CI] 12.5, 15.3), and was higher in non-Hispanic blacks (21.2%) than non-Hispanic whites (12%) or Mexican Americans (10.7%; P < 0.001). Increased Toxocara seropositivity was associated with head of household level of education (low versus high) (odds ratio [OR]: 2.2; CI: 1.8, 2.8), poverty (OR: 1.5; CI: 1.3, 1.8), elevated blood lead concentrations (OR: 1.4; CI: 1.1, 1.9), and dog ownership (OR: 1.2; CI: 1.1, 1.4). Toxocara infection is widespread and associated with specific risk groups.

National Seroprevalence and Risk Factors for Zoonotic Toxocara spp. Infection

The seroprevalence of toxocariasis was investigated in 2129 school children ranging in age from 4 to 19 years. Infection, as measured by titre, was found to be high compared to values obtained from children in other countries, with 31% having a titre of > or = 1:50 and 3.1% having titres of > or = 1:800. Relationships between seroprevalence and host factors including age, sex and location, and risk factors including geophagia, thumbsucking and pet ownership were explored. Age was found to be a significant factor in relation to infection with Toxocara. Males were significantly more infected than females, as were the inhabitants of rural schools versus urban schools. The percentage of seropositive children varied widely from school to school. Geophagia and pet ownership were found to be significantly associated with toxocariasis. Logistic regression analysis was used to model the relative contribution of these factors to infection with Toxocara. While this analysis identified factors which were highly significantly associated with Toxocara titre, the odds ratios were generally low indicating the low specificity of the model.

https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0031182000065252

Sero-epidemiology of toxocariasis in school children

The presence of anti-Toxocara antibodies in the sera of school children of Shiraz, southern Iran, was studied by means of an indirect enzyme linked immunosorbent assay with excretory/secretory antigen of infective stage larva. A total of 519 individuals of both sexes aged 6-13 years were analysed. The total prevalence was 25.6 per cent. A higher rate of infection was observed in urban (30.15 per cent) than rural (20.2 per cent) residents. Most potential risk factors were not related to Toxocara prevalence and no differences existed between socioeconomic classes except for parental education. Neither age or sex was found to be significantly associated with positive serology.

Seroprevalence of toxocara infection in school children in Shiraz, southern Iran.

Capitulo en el libro, Krieg, Noel R., et al. (eds.). Bergey's Manual of Systematic Bacteriology. Volume 4: The Bacteroidetes, Spirochaetes, Tenericutes (Mollicutes), Acidobacteria, Fibrobacteres, Fusobacteria, Dictyoglomi, Gemmatimonadetes, Lentisphaerae, Verrucomicrobia, Chlamydiae, and Planctomycetes. 2nd ed. New York: Springer ; [Athens, Ga.]: Bergey's Manual Trust, 2010(1984)

Phylum XIV. Bacteroidetes phyl. nov.

SUMMARY. A total of 100 poultry farms in northern and middle areas of Jordan were sampled to investigate the bacteria associated with airsacculitis in broiler chickens. Of 170 bacterial isolates, 88.2% were identified as Escherichia coli, 8.8% as Ornithobacterium rhinotracheale, and 3% as Bordetella avium. Fourteen serotypes of E. coli were identified among 66 typeable isolates and the remainder were untypeable. The most prevalent serotypes were O1, O8, and O78. The main serotype of O. rhinotracheale was serotype A. Experimental inoculation of O. rhinotracheale via intravenous, intratracheal, and intra-air sac routes resulted in growth retardation, thickening in the air sacs, arthritis, and liver necrosis. Reisolation of O. rhinotracheale from the air sacs, liver, trachea, heart, and spleen at day 7 postinoculation confirmed its role. In vitro susceptibility testing revealed that E. coli isolates were sensitive to gentamicin and colistin, O. rhinotracheale to tetracyline, and B. avium to most of the nine ...

Studies on the bacterial etiology of airsacculitis of broilers in northern and middle Jordan with special reference to Escherichia coli, Ornithobacterium rhinotracheale, and Bordetella avium.

Sera of 699 individuals, aged between 5-24 years, from the Irbid area, Jordan, were tested for Toxocara canis antibodies using an ELISA-IgG test. Crude prevalence was 10.9% (76 of 699) but age-adjusted prevalence was 14.3%. The highest prevalence was observed in females aged 5-9 years, 23.3% (7 of 30), and males of 15-19 years of age, 19.5% (16 of 82). The lowest prevalence was observed in females aged 20-25 years, 5.2% (8 of 155). Significant differences (P < 0.05) between the prevalences of the toxocaral antibodies in males and females were observed in the age groups 5-9, 15-19 and 20-24 years. The trend of prevalence in relation to age was different according to sex.

Seroprevalence of Toxocara canis antibodies in humans in northern Jordan.

Identification and characterization of Klebsiellae isolated from milk and milk products in Jordan

A total of 162 sheep fleece samples were collected from 2315 sheep clinically examined for evidence of dermatitis. The sheep belonged to 32 flocks raised in northern and middle Jordan. Eighty-three samples showed no obvious abnormalities, whereas the remainder showed exudation (79 samples), fleece discoloration (18) and fleece roughness (40) and abscesses (7). Seventeen Pseudomonas aeruginosa isolates were obtained from these samples. Antibacterial resistance in vitro was common; resistance to tetracycline, amoxycillin, erythromycin and cotrimoxazole was shown by > 90% of the isolates. Resistance to norfloxacin (29.4% of isolates), ciprofloxacin (17.6%) and amikacin (17.6%) was also demonstrated. Fourteen isolates were serum resistant when assessed after 1-3 h incubation in sheep and calf sera, and their count increased by 2-2.9 and 2.5-3.5 respectively.

Isolation and characterization of Pseudomonas aeruginosa from sheep with fleece rot in northern and middle Jordan.

A method for elution of micrograms of macromolecules from polyacrylamide and agarose gels is described. The recoveries were greater than 90% with three different macromolecules tested (28 to 360 kDa). An amount as small as 1 ug of human serum albumin was eluted from polyacrylamide gel with 90% recovery. The eluted material is collected into a small chamber the size of which can be changed as required. Elution and concentration are achieved simultaneously and in one step under mild conditions. Sterile eluates can be obtained, if the apparatus is constructed under sterile conditions.

Saeb N. El-Sukhon

Papers

Studies on the bacterial etiology of airsacculitis of broilers in northern and middle Jordan with special reference to Escherichia coli, Ornithobacterium rhinotracheale, and Bordetella avium.

Seroprevalence of Toxocara canis antibodies in humans in northern Jordan.

Identification and characterization of Klebsiellae isolated from milk and milk products in Jordan

Isolation and characterization of Pseudomonas aeruginosa from sheep with fleece rot in northern and middle Jordan.

Electrophoretic elution of macromolecules from polyacrylamide or agarose gels.