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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 : 002F69

Zoonotic 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. Cantey

Source :

RBID : PMC:3592550

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 Onchocerca lupi. 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 O. lupi 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 O. lupi infections in animals and man.


Url:
DOI: 10.4269/ajtmh.12-0733
PubMed: 23382171
PubMed Central: 3592550

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PMC:3592550

Le document en format XML

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<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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<name sortKey="Eberhard, Mark L" sort="Eberhard, Mark L" uniqKey="Eberhard M" first="Mark L." last="Eberhard">Mark L. Eberhard</name>
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<name sortKey="Ostovar, Gholamabbas Amin" sort="Ostovar, Gholamabbas Amin" uniqKey="Ostovar G" first="Gholamabbas Amin" last="Ostovar">Gholamabbas Amin Ostovar</name>
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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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<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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