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The fox as a definitive host of Echinococcus and its role in the spread of hydatid disease.

In the first part of this discussion of the significance of the fox in the epidemiology of hydatid disease in man, the author reviews the literature on vulpine echinococciasis. He points out that the evidence available from field surveys and laboratory observations suggests that the fox is not a definitive host of Echinococcus granulosus-the parasite responsible for the most common form of hydatid disease in man-but is a host of E. multilocularis, which is found in parts of Europe and Asia, in the islands of the Bering Sea and in Alaska, and is known to be the causal agent of alveolar hydatid disease.In the second part, the author presents the results of experimental infestation of the European red fox (Vulpes vulpes) with the Australian strain of E. granulosus. These results indicate that a few tapeworms became established in some of the foxes, but were retarded in growth (as compared with their growth in the dogs used as controls) and failed to reach sexual maturity (production of ova) even 112 days after infestation. The author therefore concludes that the fox plays no role in the spread of hydatid disease caused by E. granulosus in Australia.Finally, the author discusses the etiology of two autochthonous cases of alleged alveolar hydatid disease in man in Australasia, putting forward two alternative hypotheses to explain their occurrence.

Animals↗

Intestinal obstruction due to Taenia saginata infection: a case report.

Surgical complications of Taenia saginata infection, the bovine tapeworm which man acquires by eating undercooked beef, are mentioned in standard texts; however, none of these seem to give any specific reference. Reported here is one case of acute mechanical intestinal obstruction due to a bolus impaction of Taenia saginata at the level of the ileocaecal valve. The rarity of this clinical presentation as well as the probable mechanism of obstruction are discussed.

Humans↗

[Alveolar echinococcosis in China: current data].

Very few information about alveolar echinococcosis in China is available outside the country. The aim of the authors is to give some precisions about the human cases and the infection in the natural animal hosts. It occurs in 3 distinct foci which comprise poor and remote rural areas. Approximately, 420 cases of human disease have been detected, and the most intense focus is Ningxia province in central China. In all areas, the adult tapeworm is frequently found in V. vulpes, V. corsac, and in the domestic dog. The intermediate hosts differ from an area to the others. Their infection rate is high in the central and the northern foci. More researches are needed for improving our knowledge about the epidemiology of the disease. But the actual major requirement is to apply control measures as health education and medical information.

Animals↗

[Neurocysticercosis and immigration].

Formerly an endemic disorder, the frequency of neurocysticercosis (NCC) in Spain has been declining during recent decades until reaching its near extinction. However, the strong migratory flow during recent years towards large cities from countries where NCC is highly prevalent, particularly the Andean area of South America, has been followed by a growing increase ot this infestation among immigrants. Since NCC is commonly acquired by direct contamination from carriers of the tapeworm Taenia solium, there may be an emergence of NCC among Spanish-born population unless preventive measures are taken.

Emigration and Immigration↗

[Parasitological risks--from animal husbandry to food and humans].

Livestock management influences the infection risk with parasites. Extensive outdoor management increases the well being of the animals, but may also increase the infection risk with vector or intermediate host transmitted parasites. Several parasites can be transmitted by food. Trichinellosis again represents an increasing threat to human health by newly discovered species, new reservoir hosts and increasing meat import from eastern Europe. Tapeworm infections with Taenia saginata are more frequent than reported in the official statistics. The accurate prevalence and ways of distribution are not known. Toxoplasma gondii is a serious threat to pregnant, non-immune women and their babies. Cat faeces and pork meat are the most important sources of infection. Information, prevention of transmission and diagnostic examination of endangered persons are necessary to minimise the infection risk. Sarcocystis suihominis forms cysts in muscles of pigs, which may cause gastrointestinal symptoms after oral ingestion. In most cases however this protozoan parasite is not or only transiently harmful.

Animal Husbandry↗

Effect of albendazole on gastrointestinal parasites of cattle.

The efficacy of albendazole in removing gastrointestinal nematodes and tapeworms was studied in 16 treated and 16 untreated (control) beef calves. The anthelmintic was administered as an oral drench at a dose level of 5 ml/45.5 kg of body weight (5 mg/kg). Percentage of efficacy against the various genera was: Trichostrongylus axei, Oesophagostomum radiatum, and Moniezia-100.0; Haemonchus placei, Cooperia spp, and Trichostrongylus colubriformis - greater than 99.0; Ostertagia ostertagi -98.3; and Bunostomum phlebotomum -96.2. Efficacy against Trichuris was 20.2. Efficacy against immature nematodes in the abomasum and small intestine was high, 91.9 and 86.4, respectively, but total numbers of nematodes were not large. Efficacy against immature stages in the cecum and remainder of the large intestine was 48.5. Signs of toxicosis were not observed in calves treated with albendazole.

Animals↗

Intraocular live cysticercus larva.

Ocular cysticercosis is one of the most common parasitic infections of the eye in humans. Although the adult pork tapeworm, Taenia solium, resides in the lumen of the intestine, the only structural element of an adult worm is usually found within a tissue cyst in the eye, its adenexa, or other places in the body with a single invaginated scolex. An unusual case is described in which a 13- to 14-mm live cysticercus larva was found, removed from the eye, and confirmed by histopathologic examination.

Adult↗

Isolation of an immunodiagnostic Taenia solium coproantigen.

Antigens of Taenia solium can be demonstrated by ELISA technique in stool samples of tapeworm carriers. In order to isolate these immunodiagnostic components from stool, fecal samples of known T. solium carriers were subject to chromatographic purification procedures: immunoaffinity chromatography and a subsequent two-step high performance liquid chromatography yielded a 60-kDa protein that was shown to react in a Western blot with polyclonal anti-T. solium IgG. The protein isolated appeared to be the major antigenic component excreted with the feces of parasite hosts.

Animals↗

Echinococcosis on the Tibetan Plateau: prevalence and risk factors for cystic and alveolar echinococcosis in Tibetan populations in Qinghai Province, China.

Infections by larval stages of tapeworms of the genus Echinococcus (echinococcosis or hydatid disease) are zoonotic infections of major public health importance throughout much of the world. Humans become infected through accidental ingestion of eggs passed in faeces of canid definitive hosts. Tibetan populations of China have some of the highest documented levels of infections by both Echinococcus granulosus and E. multilocularis, the causes of cystic and alveolar echinococcosis, respectively. In this study we measured the prevalence of cystic (CE) and alveolar (AE) echinococcosis disease in Tibetan communities in Qinghai, Province, China, and identified putative risk factors for both infections in these communities. 3703 volunteers in three predominately Tibetan counties of Qinghai were surveyed between June 1997 and June 1998. Parasitic lesions were diagnosed by imaging of characteristic space-occupying lesions in abdominal organs (ultrasound) or the lungs (radiographs). Specific serodiagnostic assays (Dot-ELISA and Em2-ELISA) were performed on sera of positively imaged subjects to further distinguish the disease agent. All participants completed a questionnaire documenting age, sex, education level, occupation, lifestyle (nomadic or settled), slaughter practices, drinking water source, hygienic practice and association with dogs. Data were analyzed using SAS version 8. 6.6% of the volunteers had image-confirmed infection with E. granulosus (CE) and 0.8% had E. multilocularis (AE) infection. The significant univariate factors for echinococcal infection (both CE and AE) included livestock ownership, Tibetan ethnicity, female gender, low income, herding occupation, limited education, water source, age greater than 25 years old, poor hygienic practices, offal disposal practices and dog care. Multivariate analysis revealed that livestock ownership was a significant risk factor for both forms of the disease, as well as age greater than 25 years, female gender, herding occupation, and being nomadic (vs semi-nomadic or settled). No additional significant risk factors were identified among the 344 nomadic participants. Being female and being older than 25 years of age were significant factors among the 1906 semi-nomadic participants. Among the 1445 settled participants, allowing dogs to sleep indoors was statistically significant. Issues such as inadequate assessment of animal ownership, selection bias, disease misclassification, and loss of information may have led to reduction in strength of some risk factor associations and need to be addressed in future epidemiologic analysis of echinococcosis in this population.

Adolescent↗

Field efficacy of ivermectin plus praziquantel oral paste against naturally acquired gastrointestinal nematodes and cestodes of horses in North America and Europe.

The efficacy of an oral formulation of ivermectin plus praziquantel in the reduction of nematode and cestode egg counts in horses was assessed in 273 horses under field conditions at 15 sites in North America (n = 6) and Europe (n = 9). Horses were confirmed by fecal examination to have natural infections of strongyles (100%) and tapeworms (76%). Replicates of four horses were formed at each site, and in each replicate three animals received ivermectin (0.2 mg/kg body weight) plus praziquantel (1 mg/kg body weight) oral paste and one animal remained untreated or received vehicle paste. Fecal samples were collected for fecal nematode and cestode egg counting before and 7, 8, 9, 14, 15, and 16 days after treatment. Horses treated with ivermectin plus praziquantel oral paste had significantly (P <.01) lower posttreatment strongylid and cestode egg counts (reductions of 98% or more) than controls. Combined site analyses revealed that 95% or 96% of the horses positive for cestode eggs before treatment that were treated with ivermectin plus praziquantel were negative for cestode eggs at each posttreatment fecal examination. No adverse reactions attributable to ivermectin plus praziquantel oral paste treatments were observed. The results of the studies demonstrated that ivermectin plus praziquantel paste was highly effective in reducing egg shedding by gastrointestinal nematodes and cestodes, and no adverse reactions were observed in horses treated under field conditions.

Administration, Oral↗

An annotated checklist of Hymenolepidid cestodes described from birds: 1983-2002.

A survey of the literature covering the period from January 1983 to December 2002 revealed that 17 genera and 106 species of cestodes belonging to the family Hymenolepididae have been described from birds since the publication of Schmidt's Handbook of Tapeworm Identification (his literature search terminated in March, 1983). Although the family has been revised recently, Schmidt's monograph provides the most recent list of species within the family. This work updates the list of species reported from avian hosts and includes data on the host, and collection locality along with the dimensions of the strobila, the number and length of the rostellar hooks, where applicable, and the dimensions of the cirrus sac as reported in original descriptions.

Animals↗

Human Monieziasis expansa: the first Egyptian parastic zoonosis.

This paper reports the first Egyptian zoonotic infection with the common tapeworm of sheep, Moniezia expansa. Perhaps this is the first human monieziasis expansa in the sheep raising countries worldwide. Diagnosis was based on recovery of the characteristic eggs from the stool of a fifteen-years-old shepherd. A single dose of Niclosamide one gram proved effective.

Adolescent↗

[A rare case of imported diphyllobothriasis].

The author describes a case of imported diphylobothriosis in a Czechoslovak citizen who returned after a 6-month stay from Finland. The tapeworm Diphylobothrium latum is bound in its life cycle to aqueous crustaceans and fish. Man is infected by ingestion of inadequately thermally processed fish. The author draws attention to the possible import of this uncommon parasitosis.

Adult↗

Short report: endemic focus of cystic echinococcosis in a coastal city of Peru.

No evidence of Echinococcus granulosus infection has been described in the coastal region of Peru, with the exception of the capital city of Lima. Anecdotal evidence suggests the existence of a focus of echinococcosis in the coastal city of Chincha, located south of Lima. We conducted a preliminary epidemiologic study in Chincha, which included an ultrasound, chest radiography, and serologic survey of abattoir workers, a review of medical records from local hospitals, and examination of the intestines of stray dogs to determine the presence of canine echinococcosis. Among 25 abattoir workers examined for the presence of cystic echinococcosis, we found three (12%) subjects with echinococcal cysts. A review of medical records showed a surgical incidence of 32/100,000 for the period 1996-1998. Three of 48 dogs (6.25%) were found to be infected with E. granulosus tapeworms. This study demonstrates the existence of an undocumented endemic focus of E. granulosus previously unknown in the coastal region of Peru.

Abattoirs↗

Antiparasitic activity of an ivermectin and praziquantel combination paste in horses.

Modern anthelmintic use in horses has decreased the prevalence of the large strongyles, which has in turn shifted the focus of parasitologists to the pathogenic importance of the small strongyles, tapeworms, and other parasites. These studies show that a combination product containing ivermectin and praziquantel allowed efficacious treatment of horses for nematode, cestode, and bot infections. The use of this combination product may be of special benefit to horses that are mainly kept outdoors and on grazing pastures.

Administration, Oral↗

Short report: the use of a polymerase chain reaction to detect Echinococcus granulosus (G1 strain) eggs in soil samples.

Cystic echinococcosis is a re-emerging disease in central Asia. A total of 120 soil samples taken from 30 gardens of rural homesteads in southern Kazakhstan were analyzed for the presence of taeniid eggs using a concentration technique. Of these, 21 (17.5%) were shown to be contaminated with taeniid eggs. These isolated taeniid eggs were further analyzed using a polymerase chain reaction specific for the G1 (sheep) strain of the tapeworm Echinococcus granulosus, and five samples were shown to be positive. This study demonstrates the widespread contamination of the environment with E. granulosus eggs in an Echinococcus-endemic area and thus the potential for indirect transmission of E. granulosus to humans from such sources.

Animals↗

The behavior of parasitic flatworms in vivo: what is the role of the brain?

The ecological interactions that contribute to successful host-parasite relationships are complex and involve all levels of biotic organization between the participants. At the level of parasites living within their hosts, it is felt that the parasite's environment is predictable because of host mechanisms maintaining biochemical and physiological homeostasis. It is hypothesized that fixed behavior patterns in the parasites will evolve under these specialized conditions. Current thinking on fixed behaviors in invertebrates holds that they are generated by specialized neural circuits in the brain. Therefore, it can be expected that the brains of parasitic flatworms will have important roles in the control of the organisms' behaviors. However, in the tapeworm Hymenolepis diminuta, complex fixed patterns of behavior, associated with locomotion and migration, are not affected by the removal of the worm's brain. This suggests peripheral, and not central, control of fixed behaviors. In Fasciola hepatica, at least 6 distinct fixed patterns of behavior are responsible for guiding the worm to its final habitat in the liver. Giant neurons and other phylogenetically advanced features develop in the adult worm's brain after the expression of the sequence of distinct migration behaviors. Yet, there is no apparent new locomotory behavior, corresponding to the new advanced brain, as the parasite assumes its placid life-style as a hematophage in the bile duct. Removal of the adult brain of this parasite also does not appear to affect worm locomotory activity. Thus, the regulation and control of locomotion may not be the only important roles for the brains of parasitic flatworms. It is suggested that neuroethological approaches may hold the key to understanding the biology of these parasites.

Animals↗