Institute of Tropical Medicine Pedro Kourí, Havana, Cuba.
PLoS Negl Trop Dis. 2012;6(2):e1382. doi: 10.1371/journal.pntd.0001382. Epub 2012 Feb 28.
Human toxocariasis (HT) is a zoonotic disease caused by infection with the larval stage of Toxocara canis, the intestinal roundworm of dogs. Infection can be associated with a wide clinical spectrum varying from asymptomatic to severe organ injury. While the incidence of symptomatic human toxocariasis appears to be low, infection of the human population is widespread. In Cuba, a clear overview on the status of the disease is lacking. Here, we review the available information on toxocariasis in Cuba as a first step to estimate the importance of the disease in the country. Findings are discussed and put in a broader perspective. Data gaps are identified and suggestions on how to address these are presented. The available country data suggest that Toxocara infection of the definitive dog host and environmental contamination with Toxocara spp. eggs is substantial, but information on HT is less conclusive. The availability of adequate diagnostic tools in the country should be guaranteed. Dedicated studies are needed for a reliable assessment of the impact of toxocariasis in Cuba and the design of prevention or control strategies.
人兽弓蛔虫病(HT)是一种由犬弓首蛔虫幼虫感染引起的动物源性疾病。感染可引起广泛的临床症状谱,从无症状到严重器官损伤不等。虽然有症状的人兽弓蛔虫病的发病率似乎较低,但人群感染却很普遍。在古巴,对该病的现状缺乏明确的概述。在这里,我们回顾了古巴有关弓蛔虫病的现有信息,作为评估该病在该国重要性的第一步。讨论了研究结果,并从更广泛的角度进行了讨论。确定了数据空白,并提出了如何解决这些问题的建议。现有的国家数据表明,最终宿主犬的弓首蛔虫感染和环境中弓首蛔虫属卵的污染相当严重,但人兽弓蛔虫病的信息则不太明确。该国应保证获得足够的诊断工具。需要开展专门的研究,以可靠评估弓蛔虫病对古巴的影响,并制定预防或控制策略。