Baylisascaris procyonis: Difference between revisions

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Baylisascaris procyonis
(Created page with "* Nematode found in racoon feces * Eggs can be ingested * Clinical presentation is eosinophilic meningitis {{DISPLAYTITLE:''Baylisascaris procyonis''}} Category:Nematodes")
 
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* Nematode found in racoon feces
*Nematode found in raccoon feces, known as the raccoon roundworm

* Eggs can be ingested
==Background==
* Clinical presentation is eosinophilic meningitis
===Microbiology===

===Life Cycle===

*Direct life cycle involves raccoons (''Procyon lotor'')
*Indirect life cycle can involve other vertebrates, including humans

===Epidemiology===

*Eggs can be ingested from soil contaminated by raccoon feces
*The worm can infect a number of vertebrate animals
*Present in North America, Europe, Japan, and possibly South America

==Clinical Manifestations==

*Spectrum of infectious syndromes, including asymptomatic infection
*[[Causes::Visceral larva migrans]], causing eosinophilia and symptoms associated with whichever organs are involved
*[[Causes::Neural larva migrans]], which is essentially visceral larva migrans of the brain
*[[Causes::Ocular larva migrans]], presenting with vision loss
*[[Causes::Diffuse unilateral subacute neuroretinitis]]

== Management ==

* Ocular larva migrans: laser therapy ± concurrent albendazole
* Neurological larva migrans: albendazole and praziquantel for a long duration, ± corticosteroids
** Poor outcomes

==Further Reading==

*Update on Baylisascariasis, a Highly Pathogenic Zoonotic Infection. ''Clin Microbiol Rev''/ 2-16;29(2):375-399. doi: [https://dx.doi.org/10.1128/CMR.00044-15 10.1128/CMR.00044-15]


{{DISPLAYTITLE:''Baylisascaris procyonis''}}
{{DISPLAYTITLE:''Baylisascaris procyonis''}}

Latest revision as of 19:32, 28 August 2020

  • Nematode found in raccoon feces, known as the raccoon roundworm

Background

Microbiology

Life Cycle

  • Direct life cycle involves raccoons (Procyon lotor)
  • Indirect life cycle can involve other vertebrates, including humans

Epidemiology

  • Eggs can be ingested from soil contaminated by raccoon feces
  • The worm can infect a number of vertebrate animals
  • Present in North America, Europe, Japan, and possibly South America

Clinical Manifestations

Management

  • Ocular larva migrans: laser therapy ± concurrent albendazole
  • Neurological larva migrans: albendazole and praziquantel for a long duration, ± corticosteroids
    • Poor outcomes

Further Reading

  • Update on Baylisascariasis, a Highly Pathogenic Zoonotic Infection. Clin Microbiol Rev/ 2-16;29(2):375-399. doi: 10.1128/CMR.00044-15