8. EVALUATION THE EFFICIENCY AND SAFETY OF ALBENDAZOL AND IVERMECTIN ON TOXOCARA INFECTED PATENTS AT THONG NHAT - DONG NAI GENERAL HOSPITAL FROM 2022 TO 2023
Main Article Content
Abstract
Introductions: Toxocariasis is commonly infected from dogs and causes an inflammatory reaction that damages tissues and related organs where they pass through, leading to the syndrome of moving larvae (ATDC). This disease is more prevalent in our country than the global average.
Research objective: To evaluate the effecticiency and safety of Albendazole and Ivermetin in patients with toxocariasis.
Research subjects and methods: Retrospective and prospective study of 88 patients diagnosed with Toxocara canis infection at Thong Nhat Dong Nai General Hospital from June 2022 to June 2023. Research on clinical and subclinical characteristics, treatment efficiency and safety of Albendazole and Ivermectin.
Results: The average age of patients was 50.5 years old, the most common source of disease was in households with pets and close contact with dogs and/or cats. Common symptoms on the skin and mucous membranes included itchy rashes (81.8%), eyebrows urticaria (55.6%), 35% of patients had a mild increase in the number of eosinophils in peripheral blood), unwanted drug effects appeared in 30.6% of patients, including dizziness and/or headache (17%), ). After 3 months of treatment, the rate of clinical and subclinical symptoms statistically decreased.
Conclusion: Characteristics of Toxocariasis cases infected from dogs and cats are commonly composed of symptoms of itching and hives, possibly increased eosinophils in peripheral blood, ELISA test for anti-Toxocara antibodies. spp. IgG positive. The efficiency of Albendazole and Ivermectine in toxocariasis is high and side effects are mild and transient.
Article Details
Keywords
Toxocaracanis, dog and cat roundworm larvae.
References
ngày 30/5/2022 về việc ban hành Hướng dẫn
chẩn đoán, điều trị và phòng bệnh ấu trùng giun
đũa chó, mèo, 2022.
[2] Đỗ Như Bình, Đào Văn Thắng, Lê Văn Nam
& cs, Bước đầu đánh giá kết quả sau 1 tháng
điều trị bệnh nhân Toxocariasis bằng liệu pháp
albendazole; Y học thực hành, 1123(12):123-
6, 2019.
[3] Đỗ Thị Phượng Linh, Lương Trường Sơn, Đặng
Thị Nga & cs, Đánh giá một số chỉ số sinh hóa,
huyết học trên những bệnh nhân nhiễm ấu trùng
Toxocara spp., Y học thành phố Hồ Chí Minh,
17(số 1 phụ bản):105-9, 2013
[4] Lê Trần Anh, Phạm Thị Mỹ Hằng, Lê Thị Thu
Hương, Một số đặc điểm dịch tễ học nhiễm
Toxocara spp. trên bệnh nhân mày đay mãn
tính nhiễm Toxocara spp. tại Viện 103, Tạp chí
Phòng chống bệnh sốt rét và các bệnh ký sinh
trùng, 4:52-8, 2012.
[5] Nguyễn Văn Chương, Huỳnh Hồng Quang, Bùi
Văn Tuấn, Nghiên cứu một số đặc điểm lâm
sàng, cận lâm sàng trên bệnh ấu trùng giun đũa
chó ở người tại miền Trung-Tây Nguyên và hiệu
lực điều trị albendazole, Tạp chí Phòng chống
bệnh sốt rét và các bệnh ký sinh trùng, số 4, tr.3-
13, 2014.
[6] Britta L, Constantine T, Abinash V, 33-year-old
woman with marked Eosinophillia, Mayo Clin
Proc, Vol. 82, No. 1,pp. 103-106, 2007.
[7] De NV, Trung NV, Duyet LV et al., Molecular
diagnosis of an ocular toxocariasis patient
in Vietnam, Korean Journal of Parasitology,
51(5):563-7, 2013.
[8] Holland CV, Knowledge gaps in the epidemiology
of Toxocara: the enigma remains. Parasitology,
144(1):81-94, 2017.
[9] Humbert P, Niezborala M, Salembier R et al.,
Skin manifestations associated with toxocariasis:
a case-control study. Dermatology, 201(3):230-
4, 2000.
[10] Ma G, Holland CV, Wang T et al.,
Human toxocariasis. Lancet Infect Dis.,
18(1):e14-e24, 2018.
[11] Moreira GM, Telmo Pde L, Mendonça M et
al., Human toxocariasis: current advances in
diagnostics, treatment, and interventions. Trends
Parasitol., 30(9):456-64, 2014.
[12] Jang E, Choi M, Gwak G et al., Enhanced
resolution of eosinophilic liver abscess associated
with toxocariasis by albendazole treatment.71
Korean J Gastroenterol., 65(4):222-8, 2015.
[13] Rostami A, Riahi SM, Holland CV et al.,
Seroprevalence estimates for xocariasis in
people worldwide: A systematic review and
meta-analysis. PLoS Negl Trop Dis., 13(12):
e0007809toxocariasis in people worldwide: A
systematic review and meta-analysis. PLoS Negl
Trop Dis., 13(12), 2019.
[14] Yasuda K, Kuroda E, Role of eosinophils in
protective immunity against secondary nematode
infections. Immunol Med., 42(4):148-55, 2019.
[15] Yoon SY, Baek S, Park SY et al., Clinical course
and treatment outcomes of toxocariasis - related
eosinophilic disorder. Medicine (Baltimore),
97(37):e12361, 2018.
[16] Zyoud SH, Global toxocariasis research trends
from 1932 to 2015: A bibliometric analysis.
Health Research Policy and Systems.,
15(1):14, 2017.