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Booker’s bill also targets illnesses such as mosquito-borne dengue fever, toxocariasis, cysticercosis, Chagas disease, toxoplasmosis and trichomoniasis.

Since making this patient’s diagnosis last spring, she told me she has diagnosed nearly a dozen cases of toxocariasis in patients whom she might not have thought to test for the parasite if not for this older man and his rash.

In covert toxocariasis, the only symptom is an itchy rash.

Iammatteo said she would test for both toxocariasis and strongyloidiasis.

You probably have toxocariasis, she told him.