Eosinophil cationic protein as a possible marker of active human Toxocara infection.

作者: J-F. Magnaval , A. Berry , R. Fabre , B. Morassin

DOI: 10.1034/J.1398-9995.2001.00284.X

关键词: Eosinophil cationic proteinEosinophilImmunologyAllergyEosinophiliaSerologyHelminthiasisToxocara canisToxocariasisMedicine

摘要: Background: Human toxocariasis is a common, worldwide helminthozoonosis that may elicit syndromes including various allergy symptoms. The diagnosis relies upon specific serology. However, this parasitosis often self-limiting, and many subjects have residual antibodies, thus making differential quite difficult when blood eosinophilia, commonly accepted criterion of active helminthiasis due to tissue-dwelling parasites, lacking. Methods results: We present patient with chronic irritant cough displaying negative allergologic screening, normal but positive immunodiagnosis. Therefore, case presented the fortuitous association an unexplained allergic picture anti-Toxocara antibodies. In attempt distinguish between past toxocaral infection, subject's level eosinophil cationic protein (ECP) was assessed then compared those four control groups, namely, healthy volunteers, presenting patients helminthiases, disease. Since patient's ECP found be sharply elevated, we hypothesized viable Toxocara larvae were still in tissues, given anthelmintic therapy. At checkup, had waned decreased below mean value observed both infections. Conclusions: These data suggest, first, should checked for even if eosinophilia lacking, and, second, such immunodiagnosis, assessment would useful marker

参考文章(13)
O W van Assendelft, Reference values for the total and differential leukocyte count. Blood cells. ,vol. 11, pp. 77- 96 ,(1985)
Fujisawa, Terada, Atsuta, Iguchi, Kamiya, Sakurai, Clinical utility of serum levels of eosinophil cationic protein (ECP) for monitoring and predicting clinical course in childhood asthma Clinical & Experimental Allergy. ,vol. 28, pp. 19- 25 ,(1998) , 10.1046/J.1365-2222.1998.00148.X
E. J. L. Soulsby, Larva Migrans in Perspective Helminth Zoonoses. ,vol. 43, pp. 137- 148 ,(1987) , 10.1007/978-94-009-3341-5_20
LAWRENCE T. GLICKMAN, JEAN-FRANÇOIS MAGNAVAL, LINDA M. DOMANSKI, FRANCES S. SHOFER, SALVATORE S. LAURIA, BRUNO GOTTSTEIN, BERNARD BROCHIER, Visceral larva migrans in French adults: a new disease syndrome? American Journal of Epidemiology. ,vol. 125, pp. 1019- 1034 ,(1987) , 10.1093/OXFORDJOURNALS.AJE.A114618
D KOLLER, C WOJNAROWSKI, K HERKNER, G WEINLANDER, M RADERER, I EICHLER, T FRISCHER, High levels of eosinophil cationic protein in wheezing infants predict the development of asthma The Journal of Allergy and Clinical Immunology. ,vol. 99, pp. 752- 756 ,(1997) , 10.1016/S0091-6749(97)80007-3
Inger Ljungström, Frans van Knapen, An epidemiological and serological study of toxocara infection in Sweden. Scandinavian Journal of Infectious Diseases. ,vol. 21, pp. 87- 93 ,(1989) , 10.3109/00365548909035685
J. -F. Magnaval, R. Fabre, P. Maurières, J. -P. Charlet, B. de Larrard, Application of the western blotting procedure for the immunodiagnosis of human toxocariasis. Parasitology Research. ,vol. 77, pp. 697- 702 ,(1991) , 10.1007/BF00928685