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Risk factors associated with toxoplasmosis and toxocariasis in populations of children from nine cities in southern Brazil

Published online by Cambridge University Press:  11 April 2014

A.A. Marchioro*
Affiliation:
College Inga, Uninga 87070-000, Brazil
C.M. Colli
Affiliation:
Environmental Parasitology Laboratory, State University of Maringá, Block I-90, 5790 Colombo Avenue, CEP 87020-900Maringá, Paraná, Brazil
É.C. Ferreira
Affiliation:
Environmental Parasitology Laboratory, State University of Maringá, Block I-90, 5790 Colombo Avenue, CEP 87020-900Maringá, Paraná, Brazil
B.M. Viol
Affiliation:
Environmental Parasitology Laboratory, State University of Maringá, Block I-90, 5790 Colombo Avenue, CEP 87020-900Maringá, Paraná, Brazil
S.M. Araújo
Affiliation:
Environmental Parasitology Laboratory, State University of Maringá, Block I-90, 5790 Colombo Avenue, CEP 87020-900Maringá, Paraná, Brazil
A.L. Falavigna-Guilherme
Affiliation:
Environmental Parasitology Laboratory, State University of Maringá, Block I-90, 5790 Colombo Avenue, CEP 87020-900Maringá, Paraná, Brazil
*
*Fax: +55 44 3018 4486 E-mail: [email protected]

Abstract

This study investigated the epidemiological factors that contribute to the seroprevalence of Toxoplasma gondii and Toxocara spp. in children from Paraná state, Brazil. Immunoglobulin G (IgG) antibodies to T. gondii were detected using indirect immunofluorescence, and IgG antibodies to Toxocara were detected using an enzyme-linked immunosorbent assay. For each individual, a questionnaire was completed that contained epidemiological and clinical data. The data analysis was performed using multiple logistic regression. Of the 544 children investigated, 3.2% presented co-infection with T. gondii and Toxocara spp. Of this total, 7.4% were positive for antibodies to T. gondii, and 25% were positive for antibodies to Toxocara spp. The presence of antibodies to Toxocara spp. increased the risk of T. gondii infection (P= 0.029). Children who were 1–8 years of age were less infected by T. gondii than those who were 9–12 years of age. The variables that influenced positivity for anti-Toxocara spp. were the origin of the children and contact with sand. Children with positive serology for Toxocara spp. presented more eosinophilia compared with those with non-reactive serology. Infection with both parasites reveals the need for preventive measures, such as guidance about modes of infection, parasite control and monitoring recreational areas.

Type
Research Papers
Copyright
Copyright © Cambridge University Press 2014 

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References

Beaver, P.C. (1956) Larva migrans. Experimental Parasitology 5, 587621.CrossRefGoogle ScholarPubMed
Bonametti, A.M., Passos, J.N., Silva, M.K. & Bortoliero, A.L. (1997) Surto de toxoplasmose aguda transmitida através da ingestão de carne crua de gado ovino. Revista da Sociedade Brasileira de Medicina Tropical 30, 2125.CrossRefGoogle Scholar
Castilho-Pelloso, M.P., Falavigna, D.L. & Falavigna-Guilherme, A.L. (2007) Suspected acute toxoplasmosis in pregnant women. Revista de Saúde Pública 41, 2734.CrossRefGoogle ScholarPubMed
Chieffi, P.P., Ueda, M., Camargo, E.D., de Souza, A.M.C., Guedes, M.L.S., Gerbi, L.J., Spir, M. & Moreira, A.S. (1990) Visceral larva migrans: a seroepidemiological survey in five municipalities of São Paulo state, Brazil. Revista do Instituto de Medicina Tropical de São Paulo 32, 204210.CrossRefGoogle ScholarPubMed
Colli, C.M., Rubinsky-Elefant, G., Paludo, M.L., Falavigna, D.L.M., Guilherme, E.V., Mattia, S., Araújo, S.M., Ferreira, E.C., Previdelli, I.T.S. & Falavigna-Guilherme, A.L. (2010) Serological, clinical and epidemiological evaluation of toxocariasis in urban areas of south Brazil. Revista do Instituto de Medicina Tropical de São Paulo 52, 6974.CrossRefGoogle ScholarPubMed
De Savigny, D.H., Voller, A. & Woodruff, A.W. (1979) Toxocariasis: serological diagnosis by enzyme immunoassay. Journal of Clinical Pathology 32, 284288.CrossRefGoogle ScholarPubMed
Despommier, D. (2003) Toxocariasis: clinical aspects, epidemiology, medical ecology, and molecular aspects. Clinical Microbiology Reviews 16, 265272.CrossRefGoogle ScholarPubMed
Dubey, J.P. (2009) History of the discovery of the life cycle of Toxoplasma gondii. International Journal for Parasitology 39, 877882.CrossRefGoogle ScholarPubMed
Glickman, L.T. & Shofer, F.S. (1987) Zoonotic visceral and ocular larva migrans. Veterinary Clinics of North America: Small Animal Practice 17, 3953.CrossRefGoogle ScholarPubMed
Guneratne, R., Mendis, D., Bandara, T. & Fernando, S.D. (2011) Toxoplasma, Toxocara and tuberculosis co-infection in a four year old child. BMC Pediatrics 11, 44.CrossRefGoogle Scholar
Henry, J.B. (2008) Diagnóstico clínico e tratamento por métodos laboratoriais. 20th edn.593 pp. Barueri, Manole.Google Scholar
Higa, L.T., Araújo, S.M., Tsuneto, L., Castilho-Pelloso, M., Garcia, J.L., Santana, R.G. & Falavigna-Guilherme, A.L. (2010a) A prospective study of Toxoplasma-positive pregnant women in southern Brazil: a health alert. Transactions of the Royal Society of Tropical Medicine and Hygiene 104, 400405.CrossRefGoogle Scholar
Higa, L.T., Ramos, J., Suetake, H., Antoniassi, P., Mantovan, H.F., Castilho-Pelloso, M. & Guilherme, A.L.F. (2010b) Relato de dois casos de toxoplasmose em gestantes atendidas no noroeste do Paraná. Brasil. Scientia Medica 20, 99102.Google Scholar
IPARDES (Instituto Paranaense de Desenvolvimento Econômico e Social). (2013) Available athttp://www.ipardes.gov.br (accessed accessed 15 October 2013).Google Scholar
Jones, J.L., Kruszon-Moran, D., Won, K., Wilson, M. & Schantz, P.M. (2008) Toxoplasma gondii and Toxocara spp. co-infection. American Journal of Tropical Medicine and Hygiene 78, 3539.CrossRefGoogle ScholarPubMed
Kravetz, J.D. & Federman, D.G. (2005) Toxoplasmosis in pregnancy. American Journal of Medicine 118, 212216.CrossRefGoogle ScholarPubMed
Lopes, C.D., Silva, N.M., Ferro, E.A., Sousa, R.A., Firminot, M.L., Bernardes, E.S., Roque-Barreira, M.C. & Pena, J.D. (2009) Azithromycin reduces ocular infection during congenital transmission of toxoplasmosis in the Calomys callosus model. Journal of Parasitology 95, 10051010.CrossRefGoogle ScholarPubMed
Mattia, S., Colli, C.M., Adami, C.M., Guilherme, G.F., Nishi, L., Rubinsky-Elefant, G., Marchioro, A.A., Gomes, M.L. & Falavigna-Guilherme, A.L. (2012) Seroprevalence of Toxocara infection in children and environmental contamination of urban areas in Paraná State, Brazil. Journal Helminthology 86, 440445.CrossRefGoogle ScholarPubMed
Mioranza, S.L., Meireles, L.R., Mioranza, E.L. & Júnior, H.F.A. (2008) Evidência sorológica da infecção aguda pelo Toxoplasma gondii em gestantes de Cascavel, Paraná. Revista da Sociedade Brasileira de Medicina Tropical 41, 628634.CrossRefGoogle ScholarPubMed
Naveira, J.B. (1960) Aspectos da biologia dos eosinófilos. Revista Brasileira Maraliolog de Doenças Tropicais 12, 103.Google Scholar
Paludo, M.L., Falavigna, D.L.M., Elefant, G.R., Gomes, M.L., Baggio, M.L.M., Amadei, L.B. & Falavigna-Guilherme, A.L. (2007) Frequency of Toxocara infection in children attended by the health public service of Maringá, south Brazil. Revista do Instituto de Medicina Tropical de São Paulo 49, 343348.CrossRefGoogle ScholarPubMed
Pawlowski, Z. (2001) Toxocariasis in humans: clinical expression and treatment dilemma. Journal Helminthology 75, 299305.CrossRefGoogle ScholarPubMed
Radman, N.E., Archelli, S.M., Fonrouge, R.D., Guardis, M.V. & Linzitto, O.R. (2000) Human toxocarosis: its seroprevalence in the city of La Plata. Memórias do Instituto Oswaldo Cruz 95, 281285.CrossRefGoogle ScholarPubMed
Remington, J.S., McLeod, R., Thulliez, P. & Desmonts, G. (2006) Toxoplasmosis. pp. 9471091in Remington, J.S., Klein, J.O., Wilson, C.B. & Baker, C.J. (Eds) Infectious diseases of the fetus and newborn infant. 6th edn.Philadelphia, Elsevier Saunders.CrossRefGoogle Scholar
Rubinsky-Elefant, G., Hoshino-Shimizu, S., Sanchez, M.C.A., Jacob, C.M.A. & Ferreira, A.W. (2006) A serological follow-up of toxocariasis patients after chemotherapy based on the detection of IgG, IgA and IgE antibodies by enzyme-linked immunosorbent assay. Journal of Clinical Laboratory Analysis 20, 164172.CrossRefGoogle Scholar
Safar, E.H., Abd-El Ghaffar, F.M., Saffar, S.A., Makled, K.M., Habib, K.S., El Abiad, R. & El Shabrawy, E. (1995) Incidence of Toxoplasma and Toxocara antibodies among out-patients in the Ophthalmic Research Institute, Egypt. Journal of the Egyptian Society of Parasitology 25, 839852.Google ScholarPubMed
Silveira, L.M. (2003) Análise rítmica dos tipos de tempo no norte do Paraná aplicada ao clima local de Maringá – Paraná. Doctoral Thesis, Faculdade de Filosofia, Letras e Ciências Humanas, Universidade de São Paulo, Brazil.Google Scholar
Taylor, M.R., Keane, C.T., O'Connor, P., Mulvihill, E. & Holland, C. (1988) The expanded spectrum of toxocaral disease. Lancet 1, 692695.CrossRefGoogle ScholarPubMed
Tenter, A.M., Heckeroth, A.R. & Weiss, L.M. (2000) Toxoplasma gondii: from animals to humans. International Journal for Parasitology 302, 12171258.CrossRefGoogle Scholar
Tiyo, R., Guedes, T.A., Falavigna, D.L.M. & Falavigna-Guilherme, A.L. (2008) Seasonal contamination of public squares and lawns by parasites with zoonotic potential in southerm Brazil. Journal Helminthology 82, 16.CrossRefGoogle Scholar
Vallochi, A.L., Muccioli, C., Martins, M.C., Silveira, C., Belfort, R. & Rizzo, L.V.N. (2005) The genotype of Toxoplasma gondii strains causing ocular toxoplasmosis in humans in Brazil. American Journal of Ophthalmology 139, 350351.CrossRefGoogle ScholarPubMed
Vasconcelos, R.C., Câmara, J.C., Silva, D.G.K.C., Vaz, R.M., Dantas, V.C.R., Lima, L.R.B.C., Sales, V.S.F. & Júnior, G.B.C. (2007) Avaliação da eficácia das reações de imunofluorescência indireta e hemoaglutinação indireta na investigação sorológica para toxoplasmose em parturientes e recém-natos. Revista Brasileira de Análises Clínicas 39, 205211.Google Scholar
Zarkovic, A., MacMurray, C., Deva, N., Ghosh, S., Whitley, D. & Guest, S. (2007) Seropositivity rates for Bartonella henselae, Toxocara canis and Toxoplasma gondii in New Zealand blood donors. Clinical and Experimental Ophthalmology 35, 131134.CrossRefGoogle ScholarPubMed