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[Uveitis caused by Toxocara canis].

Zeljka Janjetović1, Zeljka Vuković Arar, Miljenko Marinić

  • 1Odjel za ocne bolesti, Opća bolnica "Dr. Josip Bencević", Slavonski Brod, Hrvatska. zeljka.janjetovic@sb.htnet.hr

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|June 29, 2006
PubMed
Summary

A case of toxocariasis in a 64-year-old man presented with bilateral uveitis. Prompt diagnosis and treatment with anthelmintics and corticosteroids led to significant improvement, highlighting the importance of recognizing this parasitic infection.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Parasitology

Background:

  • Toxocariasis is a zoonotic parasitic infection caused by nematode larvae (Toxocara canis/cati) that migrate through human organs.
  • Ocular toxocariasis can manifest as posterior uveitis, often with unclear etiology.
  • Human infection occurs through ingestion of embryonated eggs from contaminated soil or surfaces.

Observation:

  • A 64-year-old male presented with bilateral uveitis of unknown origin.
  • The patient developed systemic symptoms including fever, respiratory involvement, and hepatomegaly.
  • Laboratory findings revealed leukocytosis and eosinophilia, prompting investigation for parasitic infection.

Findings:

  • Serological testing confirmed toxocariasis as the cause of the patient's symptoms.

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  • The patient's ocular and systemic condition improved significantly following treatment with anthelmintics and corticosteroids.
  • This case underscores the potential for toxocariasis to present with severe ocular manifestations.

    • Implications:

    • Early diagnosis and treatment of toxocariasis are crucial for preventing severe complications, particularly ocular damage.
    • Public health measures focusing on animal deworming and responsible pet ownership can reduce human exposure.
    • Increased awareness among clinicians regarding parasitic causes of uveitis is essential for timely diagnosis and management.