Zoonotic Onchocerca lupi Infection in a 22-Month-Old Child in Arizona: First Report in the United States and a Review of the Literature
Identifieur interne : 002F68 ( Main/Curation ); précédent : 002F67; suivant : 002F69Zoonotic Onchocerca lupi Infection in a 22-Month-Old Child in Arizona: First Report in the United States and a Review of the Literature
Auteurs : Mark L. Eberhard ; Gholamabbas Amin Ostovar ; Kote Chundu ; Dan Hobohm ; Iman Feiz-Erfan ; Blaine A. Mathison ; Henry S. Bishop ; Paul T. CanteySource :
- The American Journal of Tropical Medicine and Hygiene [ 0002-9637 ] ; 2013.
Abstract
A 22-month-old girl presented with neck pain and stiffness and magnetic resonance imaging showed an extradural mass extending from C2 through the C4 level with moderate to severe compression of the cord. A left unilateral C2–C4 laminectomy was performed revealing an extradural rubbery tumor; a small biopsy was obtained. Examination of stained tissue revealed the presence of a parasitic worm that was identified as a gravid female
Url:
DOI: 10.4269/ajtmh.12-0733
PubMed: 23382171
PubMed Central: 3592550
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Infection in a 22-Month-Old Child in Arizona: First Report in the United States and a Review of the Literature</title>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Zoonotic <italic>Onchocerca lupi</italic>
Infection in a 22-Month-Old Child in Arizona: First Report in the United States and a Review of the Literature</title>
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<author><name sortKey="Hobohm, Dan" sort="Hobohm, Dan" uniqKey="Hobohm D" first="Dan" last="Hobohm">Dan Hobohm</name>
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<front><div type="abstract" xml:lang="en"><p>A 22-month-old girl presented with neck pain and stiffness and magnetic resonance imaging showed an extradural mass extending from C2 through the C4 level with moderate to severe compression of the cord. A left unilateral C2–C4 laminectomy was performed revealing an extradural rubbery tumor; a small biopsy was obtained. Examination of stained tissue revealed the presence of a parasitic worm that was identified as a gravid female <italic>Onchocerca lupi</italic>
. A magnetic resonance imaging at 7 weeks follow-up showed a significantly decreased size of the enhancing lesion and the patient's symptoms gradually resolved. This is the first report of zoonotic <italic>O. lupi</italic>
in the United States. The parasite has been reported in dogs and cats in the western United States, and from people in four cases reported from Europe. A great deal more needs to be learned, including full host range and geographic distribution, before we fully understand <italic>O. lupi</italic>
infections in animals and man.</p>
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