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Baylisascaris Infection  114.e3


           Chronic Treatment                    recent contact with raccoon environments is     forks of trees, attics, haylofts, abandoned
                                                possible.
           •  Patients  surviving  the  initial  neurologic   •  B. procyonis does not usually cause any   buildings), which may contain raccoon feces
  VetBooks.ir  •  A  long  course  of  glucocorticoids  may  be   outwardly observable clinical signs in   •  Raccoons are attracted to sources of food.   Diseases and   Disorders
             disease may be permanently handicapped
                                                                                    with millions of infective eggs.
             and require supportive and nursing care.
                                                                                    People should not attempt to feed them.
                                                raccoons.
             necessary to control the necrosis and inflam-
             mation associated with larval migration and   Prevention             •  Young children should be closely observed
                                                                                    when outside to reduce risk of ingestion of
             parasite death.                   Preventing exposure to raccoons and their feces   infective eggs.
                                               is paramount. Cover sandboxes when unused,
            PROGNOSIS & OUTCOME                and avoid raccoon latrine areas.   SUGGESTED READING
                                                                                  Gavin PJ, et al: Baylisascariasis. Clin Microbiol Rev
           •  Severity of signs and speed of progression   Technician Tips         18:703-718, 2005.
             are related to the egg burden ingested.  •  Make  clients  aware  that  raccoons  should
           •  Prognosis is poor if clinical signs are advanced   never be considered as family pets, indoors   ADDITIONAL SUGGESTED
             at time of diagnosis, fair to good if signs are   or outdoors. In most states, laws prohibit   READING
             mild and treated quickly.          maintaining any wild animal as a pet without   Kazacos KR: Baylisascaris procyonis and related
                                                official permits.                  species.  In  Samuel WM,  et  al,  editors:  Parasitic
           PEARLS & CONSIDERATIONS             •  Technicians should always wash hands after   diseases of wild mammals, Ames, IA, 2001, Iowa
                                                handling feces.                    State University Press, pp 301-340.
           Comments                                                               AUTHOR: Charles M. Hendrix, DVM, PhD
           •  Consider  NLM  in  an  animal  with  acute   Client Education       EDITOR: Joseph Taboada, DVM, DACVIM
             onset of asymmetrical neurologic deficits   •  People and pets should avoid raccoon latrines
             consistent with encephalitis, especially if   (e.g., bases of trees, fallen logs or large rocks,

























































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