Disease Fact Sheet Series:
What is Baylisascaris procyonis
This is a large roundworm parasite that lives in the
intestines of raccoons. The worm does not harm the raccoon, but on rare
occasions can cause serious illness in humans. About half of all raccoons
tested in Wisconsin have been found to be infected. Raccoons throughout
the state have been shown to be infected with Baylisascaris procyonis,
but the parasite is more prevalent in the southern portion of Wisconsin.
How is this raccoon roundworm spread?
The adult worms shed microscopic eggs that are passed
in the raccoon's feces. Millions of eggs may be passed each day. These
eggs can survive for months to years in the environment. The parasite is
transmitted when the eggs are ingested by another animal. Humans generally
become infected from accidentally ingesting eggs from soil, water, hands,
or other objects which are contaminated with raccoon feces.
What are the signs and symptoms of Baylisascaris
procyonis in humans?
The severity of the disease depends to a large extent
on how many eggs are ingested. These eggs hatch into larvae which then
cause disease by migrating through the central nervous system, eyes, and
other organs. Symptoms include nausea, lethargy, liver enlargement,
incoordination, loss of muscle control, coma, and blindness. Fatalities
are extremely rare, but have been reported. There have been no human cases
ever reported in Wisconsin.
How soon after infection do symptoms appear?
In general, symptoms appear one to three weeks
post-infection, although they may take as long as two months. This
interval depends on the number of eggs ingested.
Who is at greatest risk for Baylisascaris procyonis infection?
Because of young children's tendency to put their
fingers or objects into their mouths, such children are at risk if they
play in areas which are frequented by raccoons. Hunters, trappers,
taxidermists, and wildlife rehabilitators are also at increased risk if
they handle raccoons or items contaminated with raccoon feces. In general,
the risk of acquiring the infection are very low, and requires a fairly
substantial exposure to raccoon feces.
How are Baylisascaris procyonis infections
treated in humans?
There are no consistently effective treatment regimens
available at this time.
How can I avoid exposure to this parasite?
Do not keep raccoons as pets; this is not only dangerous, it is
also illegal. Baby raccoons are often infected. Discourage raccoons from
visiting your home or yard by eliminating access to food sources like
garbage cans and bird feeders. Raccoons may nest in (and defecate on)
places like woodpiles, attics, chimneys, sheds, and barn lofts. Entrances
to these areas can be sealed when the raccoons are away. Accumulated feces
and contaminated wood, soil, hay or straw should be removed and burned or
deeply buried in a site remote from houses. It is important to wear
disposable gloves, boots, and a dust mask (such as a painter's mask) when
disposing of such material. Contaminated surfaces can be decontaminated by
flaming with a propane torch (used for concrete and other non-flammable
surfaces) or with boiling Lysol.
For more information, contact your
Local
Public Health Department
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Last Revised: November 04, 2008
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