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Case Report

Five cases of ocular toxocariasis confirmed by serology

Sung-Pyo Park1, Inwon Park1, Hyun-Young Park2, Soo-Ung Lee2, Sun Huh2, Jean-François Magnaval3
The Korean Journal of Parasitology 2000;38(4):267-273.
Published online: December 31, 2000

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Corresponding author (shuh@sun.hallym.ac.kr)
• Received: June 27, 2000   • Accepted: October 23, 2000

Copyright © 2000 by The Korean Society for Parasitology

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Five cases of ocular toxocariasis confirmed by serology
Korean J Parasitol. 2000;38(4):267-273.   Published online December 31, 2000
DOI: https://doi.org/10.3347/kjp.2000.38.4.267
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Five cases of ocular toxocariasis confirmed by serology
Korean J Parasitol. 2000;38(4):267-273.   Published online December 31, 2000
DOI: https://doi.org/10.3347/kjp.2000.38.4.267
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Figure

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  • 1
Five cases of ocular toxocariasis confirmed by serology
Image Image
Figs. 1-4 Fundoscopic findings of the cases. Fig. 1. Tractional retional detachment with inflammatory exudate in inferonasal peripheral retinal and relationship to vitreoretinal traction band (arrow) in case 1. Fig. 2. Peripapillary, superonasal to the disc, inflammatory granulomatous lesion in case 2. Fig. 3. A dense inflammatory exudate (snowbank) in inferonasal peripheral retina in case 3. Fig. 4. Tractional retinal detachment with exudate and prominent fibrovascular vitreoretinal band in inferotemporal peripheral retina in case 5.
Fig. 5 Immunoblot finding of the sera of 5 cases of toxocariasis showing typical seven band pattern: 24-28 (fused bands), 30, 35, 132, 147, 200 KDa bands. M: marker, lane 1, control serum; lane 2, serum of case 1; lane 3, serum of case 2; lane 4, serum of case 3; lane 5, serum of case 4; lane 6, serum of case 5.

Figs. 1-4

Fig. 5

Five cases of ocular toxocariasis confirmed by serology
Case number Age/Sex   Symptoms   Signs Count of eosinophils
 Total IgE antibodiesc)
(cells/mm3)a) (%)b) (IU/mL)
1 68/M Decreased visual acuity, Floating sensation Tractional retinal detachment 3,340 29.1 3116.1
2 42/M Floating sensation Peripapillary inflammatory lesion 230 3.2 not done
3 45/F Decreased visual acuity, floating sensation Inflammatory exudate in peripheral retina 223 4.1 13.4
4 29/M Sudden decreased visual acuity Total retinal detachment with white gliotic mass in peripheral retina 176 2.8 179.3
5 31/M Bubbling sensation Tractional retinal detachment with exudate and vitreoretinal traction band in pepheral retina 247 2.7 1013.5
  Case 1 2 3 4 5
Toxocariasis
 Immunoblotting Positive Positive Positive Positive Positive
 ELISA (Specific IgEa)) 34,000 TU 28 TU 15 TU 108 TU 10 TU
Ascariasis
 ELISA absorbanceb) 1.400 0.760 1.290 1.050 1.130
Strongyloidiasis
 IFAc) 40 20 40 < 20 Negative
Table 1. Clinical manifestations of the 5 cases of ocular toxocariasis

Normal range: 0-700/mm3

Normal range: 0-7%

Noraml range: 0-170 IU/mL

Table 2. Results of the immunodiagnostic tests for toxocariasis, showing marked cross reactions with Ascaris and Strongyloides infections which were likely due to the presence of high titers of anti-Toxocara antibodies.

cut-off value: 5 Toxocara Units (TU);

cut-off value: 0.500;

IFA: immunofluorescent assay, cut-off value: 20.

Table 1.

Table 2.

PHD : Parasites, Hosts and Diseases

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