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Biomedical subjects

R L Rausch

Publications and source records attributed to R L Rausch.

At least 37 records · Page 2Linked to original sources

The ecology of Echinococcus multilocularis (Cestoda: Taeniidae) on St. Lawrence Island, Alaska. II. Helminth populations in the definitive host.

The helminths of 1,579 arctic foxes from St. Lawrence Island were investigated by standard methods. The foxes, obtained mainly during the winter from fur trappers, harbored 22 species of helminths. Four of those were trematodes, viz., Maritrema afanassjewi Belopol'skaia, 1952, Orthosplanchnus pygmaeus Iurakhno, 1967, Plagiorchis elegans (Rudolphi, 1802) and Alaria marcianae (LaRue, 1917), each of which occurred in a single host. Two species of cestodes, Diphyllobothrium dendriticum (Nitzsch, 1824) and Mesocestoides kirbyi Chandler, 1940, were uncommon (in 2.7 and 1.3% of the foxes, respectively). Taenia polyacantha Leuckart, 1856 and Echinococcus multilocularis Leuckart, 1863 were present in about 80% of the foxes, and Taenia crassiceps (Zeder, 1800) in less than 10%. The specimens of Taenia spp. from the autumn-winter sample were usually destrobilate. In about 2% of the foxes, acanthocephalans of six species occurred. Four of those, of the genus Corynosoma Lühe, 1904, were common in marine mammals of the region; a fifth, Corynosoma clavatum Goss, 1940, has been reported previously only from marine birds of the Southern Hemisphere; and the sixth, Polymorphus cf. minutus (Goeze, 1782), has been found widely in waterfowl of the Northern Hemisphere. Of the nematodes, Sobolophyme baturini Petrov, 1930, Cylicospirura felineus (Chandler, 1925), and Physaloptera sp. were rare (with each in only one to three foxes). Trichinella nativa Boev et Britov, 1972 and Crenosoma vulpis (Dujardin, 1844) were uncommon (1.5 and 4%, respectively). The nematodes most often present were Toxascaris leonina (von Linstow, 1902) (89%) and Uncinaria stenocephala (Railliet, 1884) (40%). Several of the rare to uncommon helminths probably were transported to the island by foxes immigrating from the adjacent continents via the pack ice.

Acanthocephala↗

Reproductive anatomy and gametogenesis in Shipleya inermis (Cestoda: Dioecocestidae).

Study of the reproductive anatomy in 65 strobilae of the dioecious cestode Shipleya inermis Fuhrmann, 1908 (Acoleata: Dioecocestidae) showed that a common genital duct, probably arising through fusion of the vas deferens and the proximal portion of the vaginal duct, compensated functionally for the loss of a patent vagina. Gonochorism was characteristic, but rudimentary genital organs of the opposite sex were present in 26% of males and 9% of females; two strobilae (3%) were hermaphroditic. Hermaphrodites had normally developed male organs and were capable of cross-fertilization as males; their female organs were much reduced in size but were functional, and eggs or fertilized ova in the uteri indicated that self-fertilization occurred. Gametogenesis was traced, mainly in chromosomal preparations. The diploid chromosomal complement in embryos and germ-line cells consisted of four pairs of homologues (2n = 8, n = 4, FN = 14). Based on observation in female cestodes of one pair of chromosomes having non-homologous or non-pairing segments due to influence of heterochromatin, the authors suggest that females produce gametes of two types relative to heterochromatic DNA, while males are homogametic, and that sex-determining effects are associated therein. In males, meiosis included chromosomal pairing and recombination, after which heterochromatin was eliminated from germline cells through fragmentation. Other biological characteristics of S. inermis in the hosts, Limodromus spp. (Charadriiformes), are briefly discussed.

Animals↗

A programme to reduce the risk of infection by Echinococcus multilocularis: the use of praziquantel to control the cestode in a village in the hyperendemic region of Alaska.

This paper reports the results of a 10-year field trial designed to reduce the risk of infection by Echinococcus multilocularis to residents of a village in a hyperendemic area (Savoonga, St. Lawrence Island). The objective was to prevent dispersal of infective eggs of the cestode within the village by means of monthly treatments of dogs with praziquantel. Northern voles, Microtus oeconomus, present in the village as commensals, served as an index of risk, as the incidence of infection in the voles provides information about the availability of eggs within the confines of the inhabited area. Voles were examined annually during early June before the population of overwintering voles was diluted by the first annual litters. The pretreatment infection-rate within the village was 29% (range 22-35%), and in control areas at some distance from the village for the entire study period it averaged 53% (284 infected voles from a sample of 533). Some fluctuation in incidence of infection in village voles occurred, apparently depending on the extent to which the residents kept their dogs chained and thus available for treatment. The success of the programme was demonstrated by the reduction in prevalence of infection to about 1% of voles in 1985, and an average infection rate during the last five years of the study of 5% (29 infected voles in a sample of 582). This 83% average reduction in the prevalence of the larval cestode within the village reflects a corresponding reduction in the risk of acquiring by the residents of the village. The method would be applicable for the control of E. multilocularis in most hyperendemic regions. Success depends, however, on elimination of unrestrained dogs and a precise schedule of treatment.

Alaska↗

Cysticerci of Taenia mustelae in the fox squirrel.

The liver of a fox squirrel (Sciurus niger rufiventer) contained many clear, spherical cysts approximately 1 mm in diameter throughout the parenchyma. On dissection, most of these exhibited a dense, white area with four muscular suckers at a single point on the bladder. Based on the size of the organisms, the characteristically tiny hooks on the scolex and the location of the cysts in this host, the parasites were identified as cysticerci of Taenia mustelae. This is the first report in this host. The parasites were surrounded by an intense inflammatory response consisting primarily of lymphocytes mixed with some eosinophils, and early deposition of fibrous connective tissue.

Animals↗

Cysticerci (Cestoda: Taeniidae) from white-tailed deer, Odocoileus virginianus, in southern Florida.

Metacestodes (cysticerci) of Taenia omissa Lühe, 1910, and Taenia hydatigena Pallas, 1776, were found in 9 and 1 of 124 white-tailed deer, respectively, in southern Florida in 1984-1986. Intensities of T. omissa varied from 1 to 15 (mean = 4.6); only 1 cysticercus of T. hydatigena was collected. No significant difference in the prevalences of T. omissa according to sex, age, or locality was observed.

Age Factors↗

Application of the avidin-biotin immunohistochemical method for the diagnosis of alveolar hydatid disease from tissue sections.

The avidin-biotin immunohistochemical (ABC) method was applied to the diagnosis of alveolar hydatid disease in patients from the hyperendemic region of western Alaska. The test was specific for larval cestodes of the genus Echinococcus, and exhibited high sensitivity. A negative reaction was obtained in all cases in which spontaneous death of the larval cestode had occurred. Results were inconsistent in sections of lesions from patients who had received long-term therapy with mebendazole, because of the persistence of antigens for a considerable time following the death of the parasite.

Animals↗

Postoncospheral development and cycle of Taenia polyacantha Leuckart, 1856 (Cestoda: Taeniidae). First part.

The postoncospheral development and cycle of Taenia polyacantha Leuckart, 1856, an holarctic species of cestode, were investigated in the laboratory as well as in the tundra of northern Alaska. Foxes, Alopex lapogus (L.) and Vulpes vulpes (L.), serve as final host of T. polyacantha; the northern vole, Microtus oeconomus (Pallas), and the brown lemming, Lemmus sibiricus (Kerr), are important as the intermediate host. As determined in experimentally infected voles and lemmings, the oncosphere of T. polyacantha transformed to a primary vesicle in the liver. On the 6th day postexposure, coinciding with its migration to the peritoneal cavity, the larval cestode consisted of a minute aggregation of secondary vesicles. By 9-10 days postexposure, the secondary vesicles dissociated, thereafter developing independently to infective cysticerci by 30-40 days postexposure. At an age of about 60 days, the infective larvae began to undergo further growth and morphological modification, which led to acquisition of some strobilar characteristics by the forebody. Such late transformation of a cysticercus to a more advanced form of larva is known otherwise only in Taenia martis (Zeder, 1803). Differences in numbers and sizes of rostellar hooks provided the basis for recognition of two taxa at the infraspecific level: Taenia p. polyacantha Leuckart, 1856, distributed in Eurasia to the south of the zone of tundra, and T. p. arctica ssp. nov., present throughout the holarctic tundra. Observations concerning interactions of T. polyacantha and its hosts are discussed.

Animals↗

Echinococcus vogeli Rausch and Bernstein, 1972, from the paca, Cuniculus paca L. (Rodentia: Dasyproctidae), in the Departamento de Santa Cruz, Bolivia.

Among approximately 2,000 mammals examined for helminths in various regions of Bolivia during 1983-1987, cysts of Echinococcus vogeli Rausch and Bernstein, 1972, were found in a single paca, Cuniculus paca L., collected at La Laguna, Departamento de Santa Cruz (lat. 16 degrees 36'W; long. 62 degrees 42'S). This record, the first from Bolivia, represents a considerable extension of the known geographic range of this species in South America. Upon analysis of the morphologic characteristics of the protoscoleces derived from the cysts, the sizes of rostellar hooks from the material from the paca were found to be well within the ranges reported in previous studies. Statistical analysis of frequency distributions of hook characteristics revealed some deviations from normality. These results indicate that parametric statistics should be applied with caution in analyses of inter-and intraspecific variation of morphologic characteristics of hooks of metacestodes of the genus Echinococcus.

Animals↗

Demonstration of amyloid and immune complex deposits in renal and hepatic parenchyma of Alaskan alveolar hydatid disease patients.

Histopathological changes and the incidence of amyloid and immune complex (IC) deposits were examined in six liver (autopsy or biopsy) and two kidney (autopsy) samples from seven Alaskan alveolar hydatid disease (AHD) patients. Both the kidney samples showed evidence of severe nephropathy and glomerular IC deposits. Two of the six liver samples had typical amyloid deposits. All the liver samples examined showed variable amounts of parenchymal atrophy adjacent to the locus of larval Echinococcus multilocularis, periportal and portal fibrosis. Thus secondary amyloidosis and IC-mediated pathological changes should be included as possible complications of AHD.

Adult↗

Spontaneous death of Echinococcus multilocularis: cases diagnosed serologically (by Em2 ELISA) and clinical significance.

Nine cases of asymptomatic alveolar hydatid disease (AHD) of the liver were diagnosed in 1985 among Eskimos from the endemic region of western Alaska. The patients were identified by screening with the enzyme-linked immunosorbent assay, using purified Echinococcus multilocularis antigen (Em2 ELISA). Five patients, and one diagnosed earlier (1979), were found to have lesions in which the larval E. multilocularis had died spontaneously at an early stage of infection. Viability was assessed histologically; by the avidin-biotin immunohistochemical method; and in vivo through intraperitoneal inoculation of membranes of the larval cestode into red-backed voles, Clethrionomys rutilus. The results were in agreement with the clinical impression, based on findings by computerized tomography and ultrasound scanning, and on the macroscopic appearance of the lesions, that the cestode was dead. Spontaneous death of E. multilocularis in humans has not been previously reported. The findings show that the Em2 ELISA may be positive in patients having lesions of AHD in which the etiologic agent is no longer viable.

Aged↗

Albendazole therapy in alveolar hydatid disease: a report of favorable results in two patients after short-term therapy.

Albendazole was administered preoperatively to two patients with active alveolar hydatid disease for 58 and 84 days. Vesicles of larval Echinococcus multilocularis obtained from surgical tissues were inoculated into red-backed voles for in vivo testing viability. No proliferation of the larval cestode had occurred when the animals were dissected three months post-inoculation. These findings suggest that short-term therapy with albendazole was effective in killing the larval cestode in these two cases. Albendazole was found to be hepatotoxic but resulting transaminase abnormalities have been reversible. Close monitoring of liver function and hematology is essential in patients under albendazole therapy.

Adult↗

Consequences of continuous mebendazole therapy in alveolar hydatid disease--with a summary of a ten-year clinical trial.

The assessment of a ten-year clinical trial of continuous therapy in eight patients revealed further evidence of a significant therapeutic effect of mebendazole on alveolar hydatid disease. Life-expectancy was increased when compared to untreated historical controls, especially in the patients over 55 years of age. All symptomatic patients showed subjective improvement. In four patients, three had a 50% or greater reduction in the diameter of massive hepatic lesions, and in the fourth, progressively enlarging metastases were arrested. Fall in the IHA titre suggested that the causative organism had been destroyed in two additional patients. Of greater significance was the absence of progression of the disease process as measured by changes in the size of the hepatic lesion or lack of development of distant metastases in patients under therapy. In contrast, progressive enlargement of hepatic lesions or the appearance of distant metastases were cardinal features of untreated cases (15 of the 16 cases followed). In vivo determination of viability of tissues of the larval Echinococcus multilocularis from patients receiving long-term therapy was considered important in evaluating efficacy of the drug. Such tissues, obtained by autopsy from two patients under continuous therapy for four and ten years, failed to proliferate when inoculated into rodents (red-backed voles), whereas similar inoculations from untreated patients or those receiving 15 months' or less of therapy brought about production of vesicles in rodents in eight of 11 tests (73%). These two deaths, unrelated to therapy, resulted from late fibrotic constriction of end-stage parasitic lesions about the portal vein and major bile ducts. The clinical findings in combination with negative in vivo tests and other data indicate that the mebendazole therapy significantly alters the clinical course of alveolar hydatid disease. The evidence strongly indicates that long-term therapy may eventually have a lethal effect on the larval cestode in advanced disease.

Adult↗

The taxonomic status of Echinococcus cruzi Brumpt and Joyeux, 1924 (Cestoda: Taeniidae) from an agouti (Rodentia: Dasyproctidae) in Brazil.

Paratype material of Echinococcus cruzi Brumpt and Joyeux, 1924, described from an agouti, Dasyprocta leporina (L.), in Brazil, was compared with Echinococcus oligarthrus (Diesing, 1863), of which the larval stage occurs also in agoutis and other rodents in South America and Central America. Comparisons of the larval cestodes (metacestodes) showed that the rostellar hooks from protoscolices of the two taxa corresponded in form, and their slightly greater lengths in E. cruzi were considered to be of no taxonomic significance. They agreed as well in other morphological characteristics. Echinococcus cruzi was compared also with the other neotropical species, E. vogeli Rausch and Bernstein, 1972, Based on these comparisons and in agreement with the earlier conclusion of Cameron (1926), E. cruzi Brumpt and Joyeux, 1924 is placed in synonymy with E. oligarthrus (Diesing, 1863).

Animals↗

Maseria vespertilionis n.g., n.sp. (Dorylaimina : Muspiceidae), a nematode from nearctic bats (Vespertilionidae).

Maseria vespertilionis n. g., n. sp. (Dorylaimina : Muspiceidae) is described from nearctic bats (Vespertilionidae). In addition to the type host, Eptesicus fuscus (P. de Beauvois), in Oregon, M. vespertilionis was recorded from Myotis volans (Allen) in Oregon, and from M. lucifugus (Le Conte) in Oregon and Alaska. The nematode was found only in subcutaneous tissues near the plantar surface of the rear feet of the host. The genus Maseria is distinguished from other genera in Muspiceidae by various morphological characteristics, among which the presence of a Demanian system is important. The lesions produced in the feet of the host are described, and other biological characteristics of the nematode are discussed.

Alaska↗

Serologic tests for diagnosis and post-treatment evaluation of patients with alveolar hydatid disease (Echinococcus multilocularis).

The indirect hemagglutination (IHA) and immunoelectrophoresis (IEP) tests were used for diagnosis and follow-up evaluation of 17 patients with alveolar hydatid disease caused by Echinococcus multilocularis. Follow-up periods ranged from 2 to 22 years. At the time of diagnosis 16 (94%) patients' sera gave IHA titers greater than or equal to 1:128. Serum specimens from 13 patients were examined by IEP; nine (69%) revealed the arc 5, and three of the four arc 5-negative sera revealed one or more non-characterized bands. Titers declined markedly during the first year following radical surgical resection of the larval lesions; in three cases clinical evidence of recurrence was preceded by rising serologic titers. Antibody has persisted at high levels in non-resected patients treated continuously with high doses of mebendazole.

Adolescent↗