Prevalence of Toxoplasma gondii and Toxocara canis among Patients with Uveitis

Ocul Immunol Inflamm. 2015 Apr;23(2):111-7. doi: 10.3109/09273948.2013.839798. Epub 2013 Oct 16.

Abstract

Purpose: To investigate the prevalence of Toxoplasma gondii and Toxocara canis in patients with uveitis.

Methods: Patients with uveitis were examined. Serum antibodies to T. gondii and T. canis were tested by using the enzyme-linked immunosorbent assay. Polymerase chain reaction (PCR) was done using blood and aqueous humor (AH).

Results: Ninety-eight patients were enrolled. Mean age was 43.5 ± 13.2 years. Six patients were seropositive for T. gondii with the following pattern: anterior uveitis, 1; posterior uveitis with retinitis, 2; pan uveitis, 2. One patient had a positive PCR result for T. gondii in AH, who showed panuveitis. Twenty-three patients were positive to serum IgG for T. canis with the following clinical manifestation: granuloma, 6; pigmented scar, 3; vitritis, 6--but none were PCR positive.

Conclusions: T. gondii and T. canis are still important causes of uveitis. Ocular toxocariasis is not an uncommon cause of uveitis, even in adults.

Keywords: Ocular toxocariasis; ocular toxoplasmosis; parasite; serologic test; uveitis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • Antibodies, Protozoan / analysis
  • Aqueous Humor / immunology
  • DNA, Protozoan / analysis
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Male
  • Middle Aged
  • Polymerase Chain Reaction
  • Prevalence
  • Prospective Studies
  • Republic of Korea / epidemiology
  • Toxocara canis / genetics
  • Toxocara canis / immunology
  • Toxocara canis / isolation & purification*
  • Toxoplasma / genetics
  • Toxoplasma / immunology
  • Toxoplasma / isolation & purification*
  • Toxoplasmosis, Ocular / diagnosis
  • Toxoplasmosis, Ocular / epidemiology*
  • Toxoplasmosis, Ocular / parasitology
  • Uveitis / diagnosis
  • Uveitis / epidemiology*
  • Uveitis / parasitology

Substances

  • Antibodies, Protozoan
  • DNA, Protozoan