Despite the advent of highly effective, easily administered broad-spectrum parasite control products for cats, infection with
intestinal parasites in general, and ascarids (roundworms) in particular, remains a common finding in cats. Toxocara cati
is of particular concern because it not only induces disease in cats, but also poses a risk of infection to people. Wellness
programs should include measures to actively seek to identify feline intestinal parasites through routine fecal examination
performed under best practice guidelines, as well as proactively manage both cats to limit infections with ascarids and other
common intestinal parasites. This presentation will review the importance of Toxocara cati as a pathogen of cats and a potential
zoonosis, provide current prevalence data for pet cats in the United States, and suggest strategies to limit infections with
Toxocara cati is the most commonly identified intestinal parasite in cats
Cats in North America may be infected with ascarids (Toxocara cati, Toxascaris leonina), hookworms (Ancylstoma tubaeforme,
A. braziliense, or rarely Uncinaria stenocephala), and Giardia spp. Of these, ascarid infection, particularly infection with
T. cati, is by far the most common. Cats acquire ascarids by ingestion of larvated eggs or ingestion of larvae in the muscle
tissues of transport hosts; with continued exposure the risk of infection and re-infection remains high throughout the life
of a cat. Transplacental transmission of T. cati is not known to occur, but kittens may infected from the dam transmammarily.
The most common and important zoonotic intestinal parasites of cats that fecal flotation is effective for diagnosing are listed
in Table 1. Infection rates with each of these parasites vary according to age, lifestyle, and other factors that impact
exposure and susceptibility rates of individual cats. Data on infections in cats are somewhat limited compared to that in
dogs, and both clients and some veterinarians may have the erroneous impression that parasitism is relatively uncommon in
pet cats. However, more recently acquired national data is demonstrating that infections with these parasites commonly occur
in pet cats, with almost 10% of pet cats shown to be shedding eggs of at least one parasite on single fecal examination.
A recent study of fecal examination results from samples submitted from over 250,000 pet cats across the United States showed
that ascarid infection is very common in cats, with 5.5% of pet cats shedding T. cati nationally; in some areas, such as the
Midwestern US, infection rates are as high as 10.6% (Johnson and Little, unpublished data). Appropriate fecal examination
techniques (i.e. active centrifugation with an adequate sample size) must be used to identify these infections; when centrifugation
is not performed, many infections are missed.
Table 1. Common and important intestinal parasites of cats in the United States.
Toxocara cati as a zoonotic agent
Like Toxocara canis from dogs, Toxocara cati is a zoonotic pathogen capable of inducing visceral and ocular larva migrans
as well as other forms of toxocariasis in people. People, usually children, become infected with T. cati when they ingest
larvated, infective eggs from an environment previously contaminated with feces from an infected cat. A recent survey revealed
13.9% of people in the US are seropositive to Toxocara spp.; seroprevalence was higher in rural communities and in those of
lower socioeconomic status (Won et al., 2008). Indeed, toxocariasis is now considered a disease of poverty in the US (Hotez,
2009). Toxocara cati contributes to the disease burden in people, in part, because cats remain highly susceptible to infection
with T. cati throughout their life. Cats of all ages may harbor ascarids and cats are also much less likely that dogs to
be maintained on a monthly heartworm preventive product with efficacy against ascarids, and thus infections are more likely
to persist long-term. Because many pet cats have access to a litter box in the home, the risk of zoonotic infection exists
indoors as well as in the area around the home where cats defecate.