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. 2016 Mar 9;29(2):375–399. doi: 10.1128/CMR.00044-15

TABLE 2.

Diagnostic and laboratory findings for 25 reported cases of Baylisascaris procyonis neural and visceral larva migransa

Patient no./yrb/sex/age/location Funduscopic exam result Blood eosinophilia (%) CSF eosinophilia (%) Serology for B. procyonisc Chest radiography result Reference(s)
1/1973/F/18 mos/Missouri NR 30 49, 80, 34, 100 Positive for Ascaris by bentonite flocculation, S = 1:160, C = 1:10 Mild right perihilar infiltrate 5, 7, 8, 13
2/1980/M/10 mos/Pennsylvania Optic atrophy later 27 68 S = strong positive by IFA NR 58, 34
3/1984/M/18 mos/Illinois Normal 37, 34 NR, 50, 80 S = positive by IFA and later by ELISA, S = 1.635d Normal 58, 35
4/∼1985/M/21 yrs/Oregon NR NR NR S = positive by ELISA, 1.800 NR 5, 6, 7, 33; K. D. Thomson, unpublished data and written communication to K. R. Kazacos (2005, 2010)
5/1990/M/13 mos/New York Normal 39 60, 52 Positive by EIA (Western blotting; S = >1:10, 240, C = 1:40–80) and later by ELISA (S = 2.600–2.961, C = 1.655–1.689) Normal 58, 33
6/1993/M/13 mos/California R, diffusely mottled retina, reddish macular lesion, optic pallor 45 Prominent eosinophilia S = positive by IFA (1:1,024) and ELISA (0.809, 1:102, 400) Mild bihilar and right middle lobe infiltrates 58, 36
7/1993/M/9 mos/Michigan Normal 29, 33, 43, 40 many eosinophils, 85, 89, 62, 71 S = positive by ELISA, 3.113 Normal 5, 6, 8; J. M. Proos and C. Gushurst, unpublished data (1993) and written communication to K. R. Kazacos (1993–1994)
8/∼1994/M/10 yrs/Massachusetts ND 15 ND ND NR 5, 7, 8, 37
9/1996/M/6 yrs/Illinois L, DUSN 5 (post-3.5 yrs) 6 (post-3.5 yrs) Positive later by IFA (S = 1:4,096, C = 1:64) and by ELISA (S = 2.230, C = 1.114) NR 58, 38
10/1996/M/13 mos/Minnesota Normal 35, 14, 12 54, 73, 4, 6 Positive by IFA (S = 1:1,024–4,096; C = 1:64) and by ELISA (S = 1.361, C = 0.438, 1.333) NR 58, 39
11/1997/M/19 mos/Minnesota Normal 18, 22, 22, 26 4, 19, 13, 5, 67 Positive by IFA (S = 1:4,096, C = 1:64–256) and by ELISA (S = 2.316, C = 0.289–0.795) NR; CT normal 58, 39
12/1998/M/11 mos/California R, DUSN, with chorioretinal scarring, linear track lesions, optic atrophy 17, 17 6, 7 Positive by IFA (S = 1:64–1,024, C = 1:64) and by ELISA (S = 1.334, 2.574, C = 0.128) NR 58, 40
13/2000/M/2.5 yrs/Illinois R, Multifocal choroiditis with infiltrates 28, 6 32, 26 Positive by IFA (S = 1:1,024–4,096, C = 1:1,024) and by ELISA (S = 3.132–3.218, C = 1.888, 2.021) Normal 58, 38, 41
14/2000/M/17 yrs/California ND 15 37, 42 Positive by IFA (S = 1:4,096, C = 1:256) and by ELISA (S = 3.025, 3.035, C = 1.746, 1.765) ND 58, 41; W. A. Kennedy, unpublished data (2001) and written communication to K. R. Kazacos (2001)
15/2002/M/11 mos/California Normal 30, 30 23, 54, 33 Positive by ELISA, S = 1.869, 2.451, C = 0.624–1.017 ND 58; K. R. Kazacos, unpublished data (2002–2004); D. Paul, unpublished data (2003) and written communication to K. R. Kazacos (2003)
16/2004/M/4 yrs/Louisiana NR 12 55 Positive by ELISA, S = 0.547, 0.976 NR 42
17/2004/F/15 mos/New York NR Marked eosinophilia Eosinophilia Positive by ELISA, S = 1.921–2.556, C = 0.175, 0.347 NR 43; C. J. Crosley, unpublished data (2004) and written communication to K. R. Kazacos (2004)
18/2005/M/7 yrs/Ontario Bilateral patchy subretinal infiltrates 24, 21, 8 30, 7 Positive by ELISA (S = 1.813, C = 0.186, 0.723) and by Western blotting NR 8, 44
19/2007/M/17 yrs/Oregon Bilateral subtle edema of optic discs 8, 21 49, 39 Positive by ELISA (S = 2.376, C = 0.600) and by Western blotting Normal 45
20/2007/F/18 mos/Missouri NR Profound eosinophilia 40 Positive by ELISA (S = 2.130, 2.164, C = 1.919) and by Western blotting NR 46; M. A. Jackson, unpublished data (2007) and written communication to K. R. Kazacos (2007)
21/2008/M/12 mos/New York Normal 30, 24 29, 46, 19 Positive by ELISA, S = 1.385, C = 1.453 Normal 47
22/2008/M/14 mos/Massachusetts Normal 24, 10, 4 24 S = Positive by ELISA with rising titer (0.243–0.500) and by Western blotting NR 48, 49
23/2008/M/14 mos/Ontario Normal 32 NR Positive by ELISA (S = 0.744, C = neg) and by Western blotting NR 50
24/2009/M/54 yrs/Missouri NR NR Normal ND NR 51; M. Cohen, unpublished data (2009) and written communication to K. R. Kazacos (2011)
25/NR/F/73 yrs/British Columbia NR NR NR ND NR 52
a

CSF; cerebrospinal fluid; R, right eye; L, left eye; NR, not reported; ND, not done; IFA, indirect immunofluorescence assay; ELISA, enzyme-linked immunosorbent assay; DUSN, diffuse unilateral subacute neuroretinitis; EIA, enzyme immunoassay; CT, computed tomography; neg, negative.

b

yr, year of onset or presentation.

c

Data include unpublished ELISA results from K. R. Kazacos. S, serum; C, CSF.

d

For ELISA, the value is the optical density (OD) reading, where an OD of >0.250 is considered positive for serum.