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G. McCommon, DVM; O. Samples, RVT, MPH, DHSc; A. Collins
Fort Valley State University, Ft. Valley, GA Baylisascaris procyonis: An Environmental Threat to Children and Hunters
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Baylisascaris procyonis
Gastrointestinal parasite of North American Raccoon (Procyons lotor) Commonly known as “raccoon roundworm”
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Baylisascaris procyonis – Biology
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Externally Speaking… 2-4 weeks for eggs to become infective
Embryonated egg contains 1 larvae Upon hatching, larvae is a destructive force to humans
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Eggs Shed by Raccoon Ingested by definitive host
Ingested by paratenic host* *Paratenic host: intermediate host whose presence may or may not be required for completion of life cycle but does not include parasite development
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Larval Invasion 80 micrometers long
Reproduce in raccoon small intestines Excreted in fecal matter Larvae can only reach adulthood in raccoons
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Larval Invasion of Hosts
Raccoons Definitive host Dogs Alternative definitive host Small Mammals/Birds Paratenic host* *Paratenic host a host not necessary for parasite development
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Raccoon Toiletry Latrines are:
Raccoons utilize “latrines” for defecation/urination Latrines are: Communal areas of habitual excretion Contaminated with eggs and larvae
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Danger…Danger!!! Common latrine sites Attics Crawlspaces Woodpiles
Gutters House Eaves/Gables
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Latrines
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Zoonotic Implications
Latrines as well as raccoons, dead or alive pose serious heath risks to humans
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Contamination/Infection
Eggs may be picked up unknowingly and ingested Children Individuals practicing geophagia (dirt eating) Hunters (cleaning/handling carcass) Taxidermists (carcass preservation)
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Ingestion = Infection Upon ingestion, eggs hatch into larvae
In humans larvae migrate to organs/tissues Liver Heart Lungs Brain Eyes
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Visceral Larval Migrans (VLM)
Heart Brain Lungs Liver
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Ocular Larval Migrans (OLM)
Eyes
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Like A Rolling Stone Larvae are notorious wanderers
Continue to grow as long as in human body Destroying tissue Pathologic signs and symptoms Can be fatal
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The Lazarus Effect Baylisascaris procyonis does not readily die
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Symptoms of Human Baylisascaris procyonis Larval Infection
Abdominal pain (VLM) Loss of balance (VLM) Loss of muscle coordination (VLM) Blindness (OLM) Death (VLM)
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Diagnosis Blood evaluation of antibody levels
CSF evaluation of eosinophil presence (brain & spinal cord) CAT Scan/MRI Ocular examination for larval activity Biopsy of tissue Autopsy
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Treatment No Cure!!!
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Supportive Treatment Corticosteroids Larvacide
= suppresses inflammation = minimize organ/tissue damage Larvacide Albendazole mg/kg SID x 10 days *possibility of Rx resistance
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Prevention Keep trash cans covered to discourage raccoon feeding
Keep attics and crawlspaces tightly sealed to discourage habitation Train children to wash hands before eating outside Hunters and taxidermists should use gloves, masks, other PPE’s when handling carcass Keep gutters, eaves and gable areas clean of debris and leaves to discourage latrine activity
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QUESTIONS
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Many Thanks… Department of Veterinary Science
Ms. Jovy Pitts (creative design)
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References Centers for Disease Control and Prevention . (2015, March 18). Parasites - Baylisascaris infection. Retrieved May 18, 2015, from cdc.gov:
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