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Deadly raccoon roundworm can infect humans without symptoms, new UGA study finds

University of Georgia Research News Mar 29, 2017

A deadly raccoon parasite that can cause severe neurological problems in infected hosts has been popping up in the South, and seven new cases of human infection in the U.S. have been documented in the last two years alone.

Although this "raccoon roundworm" was believed to cause severe problems and even death in people who become infected, a new University of Georgia study shows that's not always the case. Researchers found that people with frequent contact with raccoons who have a higher risk of becoming infected with Baylisascaris procyonis–such as wildlife rehabilitators–did test positive for the parasite but weren't showing any symptoms.

Michael Yabsley, who has a joint appointment with the UGA Warnell School of Forestry and Natural Resources, worked with several other researchers on the new study, recently published in journal Emerging Infectious Diseases.

Baylisascaris procyonis can spread from raccoons to other wildlife, dogs or humans. Animals become infected by either rooting through raccoon feces containing the parasite eggs or eating an infected animal.

This parasite hasn't been commonly found in the southeastern U.S., with most infections in the region being detected in raccoons in the Appalachian region. However, in recent years the parasite has been found throughout Florida and in parts of Georgia, and it recently caused the death of two beavers at an Athens–area zoo after raccoons entered and contaminated their enclosure with feces.

After an animal or person swallows Baylisascaris eggs, microscopic larvae hatch in the intestines and then move into the bloodstream, causing damage to tissues as they grow. Symptoms of an infection in humans include nausea, liver enlargement, loss of coordination, loss of muscle control and blindness.

Human infections are rare, but children or those who are more likely to ingest dirt or animal waste have a higher risk of acquiring the parasite. Those diagnosed with pica disorder, which compels people to eat substances that contain no nutrition, such as ice, dirt, hair or paint, are also at risk.

Although there were only 22 confirmed cases of human infection of Baylisascaris between 1973 and 2010, another recently published study in the CDC's Morbidity and Mortality Weekly Reports reported seven new human cases diagnosed over just the past two years.

Baylisascaris infections can be difficult to diagnose, especially if physicians do not know about a past exposure to items potentially contaminated with raccoon feces or when these cases occur in areas where the parasite is uncommon, Yabsley said.

The recent report in the Morbidity and Mortality Weekly confirmed human Baylisascaris procyonis infections in California, Ohio, Oklahoma, Massachusetts, Minnesota and Virginia. All the patients survived, Yabsley said, but some had severe neurological complications.

Yabsley and other UGA researchers worked with the CDC to determine the prevalence of raccoon roundworm exposure for people who work closely and frequently with wildlife, particularly raccoons. Their results show that out of the 347 wildlife rehabilitators who participated in the study, 24 of them tested positive for Baylisascaris antibodies.

Researchers could not determine how each of the rehabilitators was infected, although most said they had various degrees of contact with raccoons. However, researchers did find that those who tested positive had inconsistent use of gloves and handwashing, both of which can minimize the risk of transmission.
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