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Case of acute ileus caused by a spirurina larva.

A growing body of clinical cases suggests that a kind of nematode larva, type X larva of the suborder Spirurina that inhabits firefly squids (Watasenia scintillans, or 'Hotaru-ika' in Japanese), can cause acute ileus in humans. However, the larva itself has rarely been found in the wall of the obstructed intestine. We describe here a case of acute ileus, in which a type X spirurina larva was found histologically. A 60-year-old Japanese man suffered from acute abdomen, and an emergency laparotomy revealed a marked stenosis of the ileum. Histological study of the surgically resected ileum showed severe eosinophilic enteritis and a nematode larva. The morphological features of this larva were identical to those of the type X spirurina larva. Interestingly, the larva that was found existed within a small blood vessel, suggesting that the larva migrans of type X spirurina can take place via vasculature. The patient in the present case did not recall ingesting raw squids prior to the onset of his disease. Hence, this indicates that even if the ingestion of raw firefly squids is uncertain, spirurina infection should be included in the differential diagnosis of acute ileus or eosinophilic enteritis.

Acute Disease↗

Creeping eruption caused by a larva of the suborder Spirurina type X.

We report a 40-year-old Japanese man with a creeping eruption caused by a larva of the nematode suborder Spirurina type X. He had eaten raw small squid (hotaruika) 4 weeks before the serpiginous erythematous eruption appeared on his abdomen. Routine laboratory tests revealed only slight eosinophilia in his peripheral blood. Although we could not find the larva in an excised skin specimen, an indirect immunofluorescence test confirmed the presence of antibodies against larvae of the suborder Spirurina type X. We review 28 reported cases in Japan which showed that creeping eruption caused by larvae of the suborder Spirurina type X has the following clinical characteristics: an incubation time of 1-4 weeks; a migratory, well-defined, narrow, serpiginous erythematous eruption; and only slight peripheral blood eosinophilia. Excision of the advancing end of the track was curative in our patient.

Adult↗

[Clinical study of ten cases with acute abdomen after eating raw firefly squid (Watasenia scintillans, Hotaruika), which are probably due to type X larvae of the suborder spirurina].

We studied ten cases with abdominal pain after eating raw firefly squid, Watasenia scintillans, Hotaruika. Characteristic clinical features were abdominal pain, nausea, vomiting, diarrhea, creeping eruption and ileus with ascites. In ten patients, there were all cases with abdominal pain, nine with nausea and vomiting, four with diarrhea, one with creeping eruption, six with ileus. Laboratory examination revealed eosinophilia on peripheral blood in ten cases and high serum IgE value in nine cases. The infection rate of type X lavae of the suborder spirurina in Watasenia scintillans is almost 3%, so we measured the antibody to type X larvae of the suborder spirurina in nine patients by indirect fluorescent antibody method and the antibody titer was positive in seven cases. Most patients recovered in several days from first visit. But one patient was diagnosed peritonitis and operated with partial ileectomy. Pathological finding of resected specimen showed an erosion in the mucosal layer and an inflammation with marked eosinophilia in the submucosal layer. These results suggest that abdominal complaints after eating Watasenia scintillans are due to type X larvae of the suborder spirurina.

Abdomen, Acute↗

Creeping eruption caused by a larva of the suborder Spirurina type X.

We report a case of creeping eruption caused by a larva of the suborder Spirurina type X, which developed in a 46-year-old Japanese male. The patient ate small raw squids (Watasenia scintillans) 5 days before the onset of symptoms. On examination, an approximately 25-cm-long serpiginous red track with vesicles was observed from the right to the upper left side of the abdomen of the patient. Histological examination revealed the transverse section of a larval worm in the upper to middle dermis.The patient serum was positive only for the antibody against larvae of the suborder Spirurina type X in ELISA, and negative for all other anti-parasite antibodies. Because a considerable number of people are fond of eating raw or nearly-raw fish and shellfish in Japan, opportunities for developing creeping eruption cause by parasites present in raw fish and shellfish are relatively high.

Animals↗

Evolutionary relationships of Spirurina (Nematoda: Chromadorea: Rhabditida) with special emphasis on dracunculoid nematodes inferred from SSU rRNA gene sequences.

The analysis of 26 new small subunit rRNA sequences obtained from helminths that primarily parasitize fishes sampled from five continents provided well-supported trees, allowing us to study the phylogenetic relationships among spirurid nematodes. The analyses have shown that Dracunculoidea is a paraphyletic taxon and Anguillicolidae and Gnathostomatidae constitute the basal branch of the suborder Spirurina. The genera Philometra and Philometroides appear to be paraphyletic, while on the higher taxonomic level, good correlation between the morphology-based system and molecular data was observed. Neither co-evolution of the studied helminths with their hosts, nor phylogeographic pattern, are apparent in our dataset.

Animals↗

[Clinical study of ileus like symptom due to eating of raw firefly squid, Watasenia scintillans].

We report 12 patients who ate raw firefly squid, Watasenia scintillans. The patients experienced abdominal pain one or two days after eating them. Ileus was suspected by abdominal X-ray, but abdominal muscle guarding was not recognized. No specific findings was revealed on laboratory data. Patients were recovered two or three days after admission by only drip infusion. Recently, type X larva of the suborder Spirurina is recognized in 3.3% of firefly squid viscus. Indirect fluorescent antibody test using antigen of the type X larva was evaluated for the sera of the 8 ileus patients who were admitted in 1993. The antibody titers were positive in 5 patients and were negative in 3 patients. These results suggested that the ileus like symptom we reported here was attributed to the type X larva of the suborder Spirurina.

Adult↗

Paraspiralatus sakeri n. g., n. sp. (Nematoda: Spiruroidea, Spirocercidae) from saker falcons, Falco cherrug in Saudi Arabia and the first report of larvae from the subcutaneous tissues of houbara bustards, Chlamydotis undulata macqueeni in Pakistan.

A new nematode genus and species, Paraspiralatus sakeri, is described from the stomach of a wild-caught, female saker falcon in Saudi Arabia. This spirurid differs from the nearest genus and species Spiralatus baeri Chabaud, Brygoo & Durette, 1963 in the shape of the pseudolabia, shape of the buccal capsule and absence of a large cephalic vesicle. In addition, third stage spirurid larvae were recovered for the first time from subcutaneous tissues of two houbara bustards. These had died in the Rahim Yar Khan Rehabilitation Center (Houbara Foundation International, Lahore, Pakistan) in Pakistan and were examined at the National Avian Research Center in the United Arab Emirates. The morphology of the larvae and host pathology are described. Comparative studies with the adult spirurids from the saker falcon showed each to have similar cephalic and pharyngeal morphological features to the adults described indicating they are probably the same species. Spirurid nematodes of the suborder Spirurina normally have an arthropod intermediate host. In view of the host, the site from which the larvae were recovered and the fact that this is a rare occurrence, the houbara bustard is considered to be a paratenic host.

Animals↗

One confirmed and six suspected cases of cutaneous larva migrans caused by overseas infection with dog hookworm larvae.

Cutaneous larva migrans (CLM) is characterized as creeping eruption/serpiginous erythema and/or mobile erythematous induration on the skin. In Japan, Gnathostoma spp. are the most well known pathogens causing CLM, especially the creeping eruption type. Recently, Spirurina type X larvae have been added to the list of causative agents for creeping eruption in Japan. Here we report one confirmed and 6 suspected cases of creeping eruption caused by infection with dog hookworm larvae. The patients were assumed to have been infected overseas. Dog hookworms such as Ancylostoma caninum and A. brasiliense should be considered as possible causative agents for creeping eruption, especially when the patients have a history of travelling overseas.

Albendazole↗

[Classification of nematode parasites of vertebrate animals].

The authors give the analysis of the best known systems of nematodes, parasitizing vertebrates. The classifications of Chitwood (1933, 1937); Skrjabin et Schultz (1940) and Chabaud (1974) are discussed. A new variant of the system of the mentioned nematode groups is proposed, the classification of Chabaud being assumed as its basis. In the subclass Adenophorea the authors distinguish two orders--Trichocephalida and Dioctophymida. The subclass Secernentea includes according to Chabauds system five orders: Rhabditida, Strongylida, Oxyurida, Ascaridida and Spirurida. Two suborders--Ascaridina and Heterakina are distinguished in the order Ascaridida, three suborders--Spirurina, Cammallanina and Filariina--in the order Spirurida. The suborders Gnathostomatina and Cucullanina are admitted to be not enough valid. Both these groups are considered as superfamilies in the new variant of classification. A conception of the close phylogenetic relationships between the orders of the subclass Seurina, Cammallanina and Filariina--in the order Spirurida. The suborders Gnathostomatina and Cucullanina are admitted to be not enough valid. Both these groups are considered as superfamilies in the new variant of classification. A conception of the close phylogenetic relationships between the orders of the subclass Seurina, Cammallanina and Filariina--in the order Spirurida. The suborders Gnathostomatina and Cucullanina are admitted to be not enough valid. Both these groups are considered as superfamilies in the new variant of classification. A conception of the close phylogenetic relationships between the orders of the subclass Secernentea is championed. The authors believe that the historical development of the representatives of this nematode group occurred from the rabditiform worms towards the strictly specialized parasitic forms, which are met in the order Spirurida. The representatives of the order Rhabditida are the most closely related to the ancestral forms of the subclass Secernentea.

Animals↗

The efficacy of ivermectin against the eyeworm, Thelazia skrjabini, in experimentally infected cattle.

The anthelmintic efficacy of ivermectin (administered subcutaneously at 200 micrograms kg-1 body weight) was assessed for control of Thelazia skrjabini in experimentally infected calves. Twenty-four uninfected male Holstein calves, 1-2 weeks old, were artificially infected with Thelazia skrjabini by placing 15 third-stage larvae under the third eyelid of calves. The challenge larvae were recovered from naturally infected face flies, Musca autumnalis. The exposed calves were randomly assigned to either an ivermectin treatment group or a control group within pairs ranked by weight. Equal numbers of calves were housed in each of four indoor fly-free rooms. The calves were treated with ivermectin or saline 35 days post-infection, then slaughtered 14 days later to determine eyeworm numbers. All eyes and associated tissues (including the lacrimal glands and ducts) were removed and examined for total number, species and viability of eyeworms. Thelazia skrjabini was found in the control group of calves only. The efficacy of ivermectin against Thelazia skrjabini was thus shown to be 100%.

Animals↗

Echinocephalus janzeni n. sp. (Nematoda: Gnathostomatidae) in Himantura pacifica (Chondrichthyes: Myliobatiformes) from the Pacific coast of Costa Rica and Mexico, with historical biogeographic analysis of the genus.

Echinocephalus janzeni n. sp. in the stingray, Himantura pacifica, is described from the eastern Pacific Ocean off the coasts of Costa Rica and southern Mexico. On the basis of the presence of 6 postanal caudal papillae, and modified annules anterior to the caudal alae in males, E. janzeni is most similar to Echinocephalus daileyi and Echinocephalus diazi. Specimens of E. janzeni are distinguished from those of E. daileyi by bilobed caudal alae and long cervical sacs that extend up to 65% of the length of the esophagus; E. janzeni is differentiated from E. diazi by the number of rows of cephalic spines (30-38 vs. 26-27), arrangement of the postanal caudal papillae, 3 rather than 2 preanal papillae, relative position and distance between the anus and vulva (395-460 microm vs. 70 microm), the digitiform female tail with a terminal cuticular fold, and the length of the female tail (450-480 microm vs. 270 microm). Cladistic analysis of the 10 Echinocephalus spp. resulted in a single most parsimonious tree (consistency index=0.893) and placed E. janzeni in a highly derived subclade where E. daileyi is the sister species of E. diazi + E. janzeni. Historical biogeographic analysis of hosts and parasites provides support for origins in the Pacific rather than the Atlantic for the potamotrygonid stingrays.

Animals↗

Spiroxys hanzaki n. sp. (Nematoda: Gnathostomatidae) collected from the giant salamander, Andrias japonicus (Caudata: Cryptobranchidae), in Japan.

Spiroxys hanzaki n. sp. (Nematoda: Gnathostomatidae) taken from the giant salamander, Andrias japonicus (Temminck, 1836) (Caudata: Cryptobranchidae) from Hyogo Prefecture, Japan, is described. It closely resembles Spiroxys allegheniensis Walton, 1930, from the hellbender, Cryptobranchus alleganiensis (Daudin, 1803) (Cryptobranchidae), of North America, in that it has minute dorsal and ventral lobes of the pseudolabium and a reduced gubernaculum but is readily distinguished by a pseudolabium with 2 apical, 1 dorsal, and 1 ventral tooth on the median lobe.

Animals↗