Toxocariasis: a silent threat with a progressive public health impact

Background: Toxocariasis is a neglected parasitic zoonosis 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...

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Main Authors: Chen, Jia, Liu, Quan, Liu, Guo-Hua, Zheng, Wen-Bin, Hong, Sung-Jong, Sugiyama, Hiromu, Zhu, Xing-Quan, Elsheikha, Hany M.
Format: Article
Published: BioMed Central 2018
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Online Access:https://eprints.nottingham.ac.uk/52433/
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author Chen, Jia
Liu, Quan
Liu, Guo-Hua
Zheng, Wen-Bin
Hong, Sung-Jong
Sugiyama, Hiromu
Zhu, Xing-Quan
Elsheikha, Hany M.
author_facet Chen, Jia
Liu, Quan
Liu, Guo-Hua
Zheng, Wen-Bin
Hong, Sung-Jong
Sugiyama, Hiromu
Zhu, Xing-Quan
Elsheikha, Hany M.
author_sort Chen, Jia
building Nottingham Research Data Repository
collection Online Access
description Background: Toxocariasis is a neglected parasitic zoonosis 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. In this article, recent advances in the epidemiology, clinical presentation, diagnosis and pharmacotherapies that have been used in the treatment of toxocariasis are reviewed. Main text: Over the past two decades, we have come far in our understanding of the biology and epidemiology of toxocariasis. However, lack of laboratory infrastructure in some countries, lack of uniform case definitions and limited surveillance infrastructure are some of the challenges that hindered the estimation of global disease burden. Toxocariasis encompasses four clinical forms: visceral, ocular, covert and neural. Incorrect or misdiagnosis of any of these disabling conditions can result in severe health consequences and considerable medical care spending. Fortunately, multiple diagnostic modalities are available, which if effectively used together with the administration of appropriate pharmacologic therapies, can minimize any unnecessary patient morbidity. Conclusions: Although progress has been made in the management of toxocariasis patients, there remains much work to be done. Implementation of new technologies and better understanding of the pathogenesis of toxocariasis can identify new diagnostic biomarkers, which may help in increasing diagnostic accuracy. Also, further clinical research breakthroughs are needed to develop better ways to effectively control and prevent this serious disease.
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spelling nottingham-524332020-05-04T19:40:18Z https://eprints.nottingham.ac.uk/52433/ Toxocariasis: a silent threat with a progressive public health impact Chen, Jia Liu, Quan Liu, Guo-Hua Zheng, Wen-Bin Hong, Sung-Jong Sugiyama, Hiromu Zhu, Xing-Quan Elsheikha, Hany M. Background: Toxocariasis is a neglected parasitic zoonosis 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. In this article, recent advances in the epidemiology, clinical presentation, diagnosis and pharmacotherapies that have been used in the treatment of toxocariasis are reviewed. Main text: Over the past two decades, we have come far in our understanding of the biology and epidemiology of toxocariasis. However, lack of laboratory infrastructure in some countries, lack of uniform case definitions and limited surveillance infrastructure are some of the challenges that hindered the estimation of global disease burden. Toxocariasis encompasses four clinical forms: visceral, ocular, covert and neural. Incorrect or misdiagnosis of any of these disabling conditions can result in severe health consequences and considerable medical care spending. Fortunately, multiple diagnostic modalities are available, which if effectively used together with the administration of appropriate pharmacologic therapies, can minimize any unnecessary patient morbidity. Conclusions: Although progress has been made in the management of toxocariasis patients, there remains much work to be done. Implementation of new technologies and better understanding of the pathogenesis of toxocariasis can identify new diagnostic biomarkers, which may help in increasing diagnostic accuracy. Also, further clinical research breakthroughs are needed to develop better ways to effectively control and prevent this serious disease. BioMed Central 2018-06-13 Article PeerReviewed Chen, Jia, Liu, Quan, Liu, Guo-Hua, Zheng, Wen-Bin, Hong, Sung-Jong, Sugiyama, Hiromu, Zhu, Xing-Quan and Elsheikha, Hany M. (2018) Toxocariasis: a silent threat with a progressive public health impact. Infectious Diseases of Poverty, 7 (1). p. 59. ISSN 2049-9957 Toxocara canis Toxocariasis Zoonosis Larva migrans Epidemiology Diagnosis Control https://idpjournal.biomedcentral.com/articles/10.1186/s40249-018-0437-0 doi:10.1186/s40249-018-0437-0 doi:10.1186/s40249-018-0437-0
spellingShingle Toxocara canis
Toxocariasis
Zoonosis
Larva migrans
Epidemiology
Diagnosis
Control
Chen, Jia
Liu, Quan
Liu, Guo-Hua
Zheng, Wen-Bin
Hong, Sung-Jong
Sugiyama, Hiromu
Zhu, Xing-Quan
Elsheikha, Hany M.
Toxocariasis: a silent threat with a progressive public health impact
title Toxocariasis: a silent threat with a progressive public health impact
title_full Toxocariasis: a silent threat with a progressive public health impact
title_fullStr Toxocariasis: a silent threat with a progressive public health impact
title_full_unstemmed Toxocariasis: a silent threat with a progressive public health impact
title_short Toxocariasis: a silent threat with a progressive public health impact
title_sort toxocariasis: a silent threat with a progressive public health impact
topic Toxocara canis
Toxocariasis
Zoonosis
Larva migrans
Epidemiology
Diagnosis
Control
url https://eprints.nottingham.ac.uk/52433/
https://eprints.nottingham.ac.uk/52433/
https://eprints.nottingham.ac.uk/52433/