Human toxocariasis: diagnosis, worldwide seroprevalences and clinical expression of the systemic and ocular forms
Abstract
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.
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Despite infection by Toxocara spp. being the most prevalent human helminthosis in some industrialized countries, public awareness of this syndrome is scant.
“despite the infection by Toxocara spp. is the most prevalent human helminthosis in some industrialized countries, public awareness of this syndrome is scant [201]”
From Pet roundworms and hookworms: A continuing need for global worming (2012) · cites this paper as [201]
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- Authors
- Rubinsky-Elefant, G., Hirata, C. E., Yamamoto, J. H., & Ferreira, M. U.
- Affiliations
- Universidade de São Paulo (BR)
- Venue
- Annals of Tropical Medicine & Parasitology
- Publisher
- Informa UK Limited
- Published
- 2010-01
- Volume
- 104
- Issue
- 1
- Pages
- 3-23
- ISSN
- 0003-4983 (ISSN-L)
- 1364-8594
- OpenAlex
- W1971181215
- Cited by
- 390
- References
- 187
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 13 · 2023: 12 · 2022: 39 · 2021: 22 · 2020: 34 · 2019: 24 · 2018: 26 · 2017: 24 · 2016: 28 · 2015: 33 · 2014: 30 · 2013: 21 · 2012: 32
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Tropical Medicine and Parasitology (publishedVersion)
- PubMed (publishedVersion)
- Scientific Electronic Library Online (São Paulo Research Foundation, Latin American and Caribbean Center on Health Sciences Information, Conselho Nacional de Desenvolvimento Científico e Tecnológico) (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Parasitic infections in humans and animals
- Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Keywords
- human toxocariasis, Toxocara canis, Toxocara cati, visceral larva migrans, ocular larva migrans, seroprevalence, serological diagnosis, zoonoses, clinical syndromes, neglected parasitic diseases
- MeSH terms
- Animals, Animals, Domestic, Anthelmintics, Cat Diseases, Cats, Disease Reservoirs, Dog Diseases, Dogs, Female, Humans, Larva Migrans, Larva Migrans, Visceral, Male, Pregnancy, Risk Factors, Rural Health, Soil, Toxocara, Urban Health, Global Health, Eye Infections, Parasitic, Seroepidemiologic Studies
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