A serological study of human toxocariasis in north India.

BACKGROUND Human toxocariasis owing to lodgement of the larvae of Toxocara canis in different organs can result in serious clinical syndromes such as visceral larva migrans or ocular larva migrans. Detection of an antibody response to Toxocara canis excretory-secretory (TES) antigen in serum samples is sensitive and specific for diagnosis and epidemiological surveys. To assess the extent of this problem in northern India, we tested the antibody response to the TES antigen by ELISA technique in subjects residing in a rural area near Chandigarh and in patients attending Nehru hospital, Chandigarh and clinically suspected to have toxocariasis. METHODS Serum samples were collected from 94 randomly selected subjects, residents of Kheri village, Ambala district, Haryana; 30 patients clinically suspected to have toxocariasis attending Nehru hospital, Chandigarh; 25 control patients and 15 normal healthy individuals. These were subjected to ELISA technique for detection of an antibody response to TES antigen usinga commercial kit (LMD Laboratories Inc. Ca. USA). All the samples were tested in duplicate and positive samples were tested by a different kit (Melotec Biotechnology, Spain). RESULTS Of the 94 subjects residing in Kheri village and 30 clinically suspected toxocariasis patients, 6 (6.4%) and 7 (23.3%), respectively, were seropositive for anti-Toxocara antibody response. A history of pica and/or contact with puppies could not be obtained from all the subjects/patients, hence the exact mode of transmission could not be ascertained. However, 3 (3.2%), 2 (2.13%) and 1 (1.06%) seropositive subjects in Kheri village were in the age groups of 1-10, 11-20 and 21-30 years, respectively, while 4 (13.33%) and 3 (10%) seropositive patients who attended Nehru hospital, Chandigarh were in the age groups of 1-10 and 21-30 years, respectively. None of the control patients/healthy individuals were seropositive. CONCLUSION A positive antibody response to TES antigen in 6.4% subjects residing in a rural area near Chandigarh and in 23.3% of patients clinically suspected to have toxocariasis indicates that human toxocariasis may be endemic in certain regions of northern India. A detailed epidemiological study is needed to determine the extent of this problem.