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ELISA, using excretory-secretory antigens from infective-stage larvae, is the diagnostic test of choice. In patients whose clinical signs and history suggest visceral toxocariasis, a positive Toxocara ELISA is strong presumptive evidence of Toxocara infection. A rising or falling titer with a twofold difference in a recently ill patient is consistent with visceral toxocariasis

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ELISA stands for enzyme-linked immunoassay. It is a commonly used laboratory test to detect antibodies in the blood. An antibody is a protein produced by the body's immune system when it detects harmful substances, called antigens