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Results of serum antibody tests for <span class="elsevierStyleItalic">Borrelia burgdorferi</span>&#44; <span class="elsevierStyleItalic">Coxiella burnetti</span> and <span class="elsevierStyleItalic">Treponema pallidum</span> were also negative&#46; In contrast&#44; the <span class="elsevierStyleItalic">Toxocara canis</span> serologic tests were strongly positive by both <span class="elsevierStyleItalic">Toxocara</span> enzyme-linked Immunosorbent assay and <span class="elsevierStyleItalic">Toxocara</span> Western blot assays&#46; The patient did not have a dog but was living in a rural area and reported frequent contacts with soil&#46; Pains disappeared rapidly after 4 days of albendazole treatment&#46; Six months later&#44; the patients relapsed with similar symptoms in intensity and location&#59; the pains disappeared again after 4 days of albendazole treatment&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Human toxocariasis is a widespread soil-transmitted parasitic disease&#46; Principal risk factors include contact with dogs and soil and residence in a rural region&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> After ingestion <span class="elsevierStyleItalic">Toxocara</span> spp&#46; embryonated eggs hatch in the intestines and the larvae migrate via the blood circulation to the liver&#44; lungs and left heart&#44; from where they disseminate via the systemic circulation to eyes&#44; brain or muscles&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a><span class="elsevierStyleItalic">Toxocara</span> spp&#46; infections are highly pleiomorphic&#44; depending on the number and location of encysted larvae in the body and the immune sensitivity of the host&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Definitive diagnosis of toxocariasis would require identification of larvae in human tissues such as skin biopsies&#44; but this is rarely achieved&#46; 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Images in clinical rheumatology
Lumbar myositis associated with Toxocara spp. infection
Miositis lumbar asociada a infección por Toxocara spp
Anne-Pauline Bellangera,b,
Autor para correspondencia
, Michel Rungec, Daniel Wendlingd, Philippe Humberte,f
a Department of Parasitology-Mycology, University Hospital, Besançon, France
b CNRS-University of Franche-Comte/UMR 6249 Chrono-environnement, Besançon, France
c Department of Radiology, University Hospital, Besançon, France
d Department of Rheumatology, University Hospital, Besançon, France
e Department of Dermatology, University Hospital, Besançon, France
f SFR FED 4234 IBCT Cell and Tissue Engineering and Biology, INSERM U 1098_University of Franche-Comte, Besançon, France
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Results of serum antibody tests for <span class="elsevierStyleItalic">Borrelia burgdorferi</span>&#44; <span class="elsevierStyleItalic">Coxiella burnetti</span> and <span class="elsevierStyleItalic">Treponema pallidum</span> were also negative&#46; In contrast&#44; the <span class="elsevierStyleItalic">Toxocara canis</span> serologic tests were strongly positive by both <span class="elsevierStyleItalic">Toxocara</span> enzyme-linked Immunosorbent assay and <span class="elsevierStyleItalic">Toxocara</span> Western blot assays&#46; The patient did not have a dog but was living in a rural area and reported frequent contacts with soil&#46; Pains disappeared rapidly after 4 days of albendazole treatment&#46; Six months later&#44; the patients relapsed with similar symptoms in intensity and location&#59; the pains disappeared again after 4 days of albendazole treatment&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Human toxocariasis is a widespread soil-transmitted parasitic disease&#46; Principal risk factors include contact with dogs and soil and residence in a rural region&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> After ingestion <span class="elsevierStyleItalic">Toxocara</span> spp&#46; embryonated eggs hatch in the intestines and the larvae migrate via the blood circulation to the liver&#44; lungs and left heart&#44; from where they disseminate via the systemic circulation to eyes&#44; brain or muscles&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a><span class="elsevierStyleItalic">Toxocara</span> spp&#46; infections are highly pleiomorphic&#44; depending on the number and location of encysted larvae in the body and the immune sensitivity of the host&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Definitive diagnosis of toxocariasis would require identification of larvae in human tissues such as skin biopsies&#44; but this is rarely achieved&#46; 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2022 Marzo 86 53 139
2022 Febrero 64 33 97
2022 Enero 84 42 126
2021 Diciembre 59 42 101
2021 Noviembre 44 52 96
2021 Octubre 87 48 135
2021 Septiembre 65 44 109
2021 Agosto 48 46 94
2021 Julio 111 47 158
2021 Junio 127 38 165
2021 Mayo 168 35 203
2021 Abril 238 56 294
2021 Marzo 91 57 148
2021 Febrero 65 36 101
2021 Enero 59 26 85
2020 Diciembre 53 19 72
2020 Noviembre 46 23 69
2020 Octubre 43 19 62
2020 Septiembre 52 30 82
2020 Agosto 47 17 64
2020 Julio 41 19 60
2020 Junio 45 29 74
2020 Mayo 49 18 67
2020 Abril 35 24 59
2020 Marzo 41 21 62
2020 Febrero 55 19 74
2020 Enero 66 22 88
2019 Diciembre 45 28 73
2019 Noviembre 51 20 71
2019 Octubre 63 24 87
2019 Septiembre 45 25 70
2019 Agosto 50 32 82
2019 Julio 52 27 79
2019 Junio 54 24 78
2019 Mayo 84 50 134
2019 Abril 51 67 118
2019 Marzo 54 29 83
2019 Febrero 50 33 83
2019 Enero 53 29 82
2018 Diciembre 97 59 156
2018 Noviembre 88 10 98
2018 Octubre 66 12 78
2018 Septiembre 37 11 48
2018 Agosto 37 10 47
2018 Julio 17 6 23
2018 Mayo 3 1 4
2018 Abril 57 5 62
2018 Marzo 65 11 76
2018 Febrero 43 4 47
2018 Enero 39 4 43
2017 Diciembre 45 8 53
2017 Noviembre 46 9 55
2017 Octubre 29 13 42
2017 Septiembre 33 6 39
2017 Agosto 36 11 47
2017 Julio 30 16 46
2017 Junio 46 7 53
2017 Mayo 60 8 68
2017 Abril 46 6 52
2017 Marzo 33 10 43
2017 Febrero 31 4 35
2017 Enero 39 8 47
2016 Diciembre 60 14 74
2016 Noviembre 72 8 80
2016 Octubre 94 13 107
2016 Septiembre 68 8 76
2016 Agosto 25 12 37
2016 Julio 16 5 21
2016 Junio 0 13 13
2016 Mayo 1 11 12
2016 Abril 0 8 8
2016 Marzo 0 12 12
2016 Enero 0 15 15
2015 Diciembre 2 0 2
2015 Septiembre 1 0 1
2015 Agosto 2 0 2
2015 Julio 12 6 18
2015 Junio 42 9 51
2015 Mayo 42 17 59
2015 Abril 35 12 47
2015 Marzo 52 12 64
2015 Febrero 49 2 51
2015 Enero 39 0 39
2014 Diciembre 51 0 51
2014 Noviembre 54 0 54
2014 Octubre 53 0 53
2014 Septiembre 43 0 43
2014 Agosto 47 0 47
2014 Julio 52 0 52
2014 Junio 52 0 52
2014 Mayo 78 0 78
2014 Abril 71 0 71
2014 Marzo 88 38 126
2014 Febrero 109 58 167
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