Although this devastating disease is rare, lack of effective treatment and the widespread distribution of raccoons in close association with humans make baylisascariasis
a disease that seriously affects public health.
After consultation with CDC, empirical treatment with oral albendazole (25 mg/kg/day) and intravenous steroids for suspected baylisascariasis
was initiated on April 29, while B.
(2003) Toxocariasis and baylisascariasis
. In DJ Richardson and PJ Krause (Editors), North American Parasitic Zoonoses, pp.
(6.) The Medical Letter (Drugs for Parasitic Infections) http://www.dpd.cdc.gov/dpdx/HTML/PDF Files/MedLetter/ Baylisascariasis
Although documented cases of human baylisascariasis
remain relatively uncommon, environmental contamination by infected raccoons suggests that the risk of exposure and human infection is substantial.
in raccoons from southern coastal Texas.
In Santa Barbara County, a baylisascariasis
case was reported in a toddler in 2002 (1,5); raccoon roundworm consistently infects >80% of raccoons (6,7); and latrines are abundant in residential areas (J.F.
is not a nationally notifiable disease in the United States, and little is known about how commonly it occurs or the range of clinical disease in humans.
. http://www.cfsph.iastate.edu/Factsheets/pdfs/baylisascariasis.pdf (accessed May 1, 2005).
The clinical spectrum of baylisascariasis
is not fully understood.
Because of the patient's rapid neurologic decline, we initiated albendazole (20 mg/kg/d, given in doses every 12 h) and dexamethasone (4 mg every 6 h) on day 17 for empiric reatment of baylisascariasis
or other helminth infection; we also initiated empiric fluconazole and doxycycline.
Thirty severe or fatal human cases of baylisascariasis
have been reported (5-7; K.R.