Lungworm Infection Research Articles

Rat Lungworm Infection in Rodents across Post-Katrina New Orleans, Louisiana, USA.

Rat lungworm (Angiostrongylus cantonensis), a parasitic nematode that can cause eosinophilic meningitis in humans, was first detected in New Orleans, Louisiana, USA, in the mid-1980s and now appears to be widespread in the southeastern United States. We assessed the distribution, prevalence, and intensity of A. cantonensis infection in New Orleans by examining lung biopsy samples of rodents trapped at 96 sites in 9 areas in Orleans Parish and 1 area in neighboring St. Bernard Parish during May 2015 through February 2017. These areas were selected to capture contrasting levels of income, flooding, and pos-disaster landscape management after Hurricane Katrina in 2005. We detected A. cantonensis in all areas and in 3 of the 4 rat species trapped. Overall prevalence was ≈38% but varied by area, host species, and host species co-occurrence. Infection intensity also varied by host species. These findings suggest that socioecological analysis of heterogeneity in definitive and intermediate host infection could improve understanding of health risks across the city.

A comparison of helminth infections as assessed through coprological analysis and adult worm burdens in a wild host.

Coprological analysis is the most widely used diagnostic tool for helminth infection in both domestic and wild mammals. Evaluation of the efficacy of this technique is rare, due to the lack of availability of adult worm burden. Where information is available the majority of studies are in small ruminants and seldom in a wild host. This study of 289 wild badgers is the first to report the relationship between faecal egg/larval counts and adult worm burden in badgers whilst also evaluating the reliability of coprological analysis as a diagnostic tool for hookworm (Uncinaria criniformis) and lungworm (Aelurostrongylus falciformis) infection. The prevalence of hookworm and lungworm infection, as assessed through adult worm burden was 59.2% and 20.8% respectively. For both species of helminth, infection was consistently under-reported by coprological analysis compared to adult worm burden with a reported 41% sensitivity for hookworm and 10% for lungworm. A significant positive relationship was found between faecal counts and adult worm burden for both species of helminths. Additionally the density –dependent relationship often reported in helminth infection appears to be weak or non-existent in this study, up to the observed worm intensity of 500.

PREVALENCE AND PATHOLOGICAL FEATURES OF OVINE LUNGWORM IN NILE DELTA

A cross-sectional study was conducted from March 2017 to March 2018, to determine the prevalence of ovine lungworm infection, and to describe the related pathological lesions in naturally infected local breed sheep. A total of 200 whole lungs were collected from fifteen slaughter houses in Nile Delta, Egypt. The overall prevalence for ovine lungworm infection was 4.5%. The prevalence rates in Ossimi, Rahmani, and Barki breeds were 5.55, 4.28, and 2.5%, respectively. The only identified species of lungworms was Dictyocaulus filaria (D. filaria) (100%). Grossly, the fundamental lesions were multiple patchy consolidated pulmonary tissues with the presence of adult parasites mixed with foamy and sometimes mucous exudate in the lumens of trachea and bronchi. Histopathologically, alveolitis, obstructive bronchiolitis, bronchiolar hyperplasia, emphysema, granulomatous pneumonia, pleural thickening, peribronchiolar lymphoid hyperplasia and trapped different developmental stages and adult parasites besides degenerated and necrotic parasites in the pulmonary tissue were the hallmarks of the histopathological features. In conclusion, ovine lungworms were prevalent in sheep at Nile Delta, Egypt, causing significant damage to the lung and produce characteristic gross and microscopic lesions.

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English

A heart-breaking disease: how to prevent lungworm infection

Since first detected in the British Isles, in a Greyhound in Ireland in 1968, the lungworm Angiostrongylus vasorum has spread to become a prevalent parasitic disease, and a leading cause of morbidity and mortality, in dogs. Faced with the increasing threat posed by canine lungworm, parasitologists are tracing the geographic spread of infections; and some clinicians remain uncertain about the optimal frequency of dosing for preventive therapy. For this reason, control of canine lungworms has been an increasingly important focus of the veterinary profession, with significant progress being made on a number of fronts, particularly the diagnosis and treatment of lungworm disease. One notable success has been the development of potent anthelmintic drugs to control this disease. Despite this progress, infection due to A. vasorum remains a formidable clinical problem, and may continue to do so for many years to come. What has been learned over the past decade, is that control of lungworms is too complex to be handled by a single approach; and any attempt to do so may be unsuccessful. In this article, the author argues that the implementation of integrated parasite control strategies is crucial, in order to mitigate the risks caused by lungworms, reduce the transmission of infection and improve treatment outcomes.

Cystocaulus ocreatus (Nematoda: Protostrongylidae) as an ovine lungworm: Molecular diagnosis and histopathological aspects

Lungworms are associated with several clinicopathologic consequences in the respiratory system of the small ruminants. In this study, the lungs with single or multiple small nodules or raised mass-like (granulomas) lesions were collected from the slaughterhouse and the histopathologic features and molecular analysis using the ITS-2 rRNA gene sequence of the lungworm infection was investigated in the fat-tailed breed sheep. Also, adult worms and the first stage larvae were examined based on comparative morphology. In addition to the establishment of Cystocaulus ocreatus, remarkable molecular identities were found between this nematode and a protostrongylid nematode, Umingmukstrongylus pallikuukensis, described from Muskoxen (Ovibos moschatus). The present results confirm the necessity of conducting the effective control and preventive measures for Cystocaulus ocreatus as an important lungworm in the small ruminants.

Lungworm infection in small ruminants in Ethiopia: Systematic review and meta-analysis

Lungworms are important parasitic nematodes of small ruminants that colonize the lower respiratory tract and cause high morbidity and economic loss throughout the world. This systematic review was conducted with the aim of estimating the pooled prevalence of lungworm infection in small ruminants in Ethiopia. Besides, it examines the predictors thought to be responsible for heterogeneity noted between the reports. The search databases used were PubMed, CAB direct, AJOL and Web of science. Eligible studies were selected based on predefined inclusion and exclusion criteria. Thirty two studies published between 2000 and 2016 were found eligible and data were generated on 14,257 small ruminants (12,310 sheep and 1947 goats). Predictors including the study area, type of small ruminants affected, parasitic species involved, a diagnostic test used, study design, management systems, breed, agroecology, and year article published were used as milestone of data extraction. The statistical tool employed were meta-analysis, univariable and multivariable meta-regression and Egger's and begg's statistics for sensitivity analysis. Accordingly, the estimated pooled prevalence of lung worm infection in small ruminants was 40.8% (95% CI: 36.1, 45.6) with a very high heterogeneity between the study reports (I2 = 96.5%). However, diagnostic test used and administrative States were the only two predictors identified to explain 15.5% of the explainable heterogeneity (R2 = 0.1545, tau2 unexplained = 0.6032, tau2 total = 0.7135) noted between studies. The reviewed studies showed that three genera of lungworms, namely Dictyocaulus filaria, Mullerius capillaris and Protostrogylus rufescens were prevalent both in sheep and goats in Ethiopia. Mixed infection with two or three species was reported in 4.4 to 48.6% of the total infected animals. Indeed this review is informative and provides a better picture on lungworm infection in Ethiopia; however, it is not exhaustively detailed as there was lack of clear data on the role of some important factors like age, flock size, management system and seasonal variation on lungworm infection. Thus, thorough epidemiological studies including all seasons are required for formulation of meaning full control strategies.

Comparison of clinical and imaging findings in cats with single and mixed lungworm infection.

This study has compared clinical and imaging features in 52 cats naturally infected by respiratory nematodes Aelurostrongylus abstrusus, Troglostrongylus brevior and Capillaria aerophila, and in both monospecific and mixed infections. Medical records of cats with a lungworm disease were retrospectively reviewed. Cats with clinical examination findings, haematobiochemical analysis and thoracic radiography were included in the study and clinical and radiographic scores were assigned. For eight cats CT of the thorax was also available and analysed. A statistical analysis was performed to investigate the potential correlation between clinical and radiographic score, and to evaluate the effect of age, sex and infection on clinical and radiographic severity. Monospecific infections by A abstrusus (32/52), T brevior (6/52) and C aerophila (5/52) and coinfections by T brevior/ A abstrusus (7/52), T brevior/ C aerophila (1/52) and A abstrusus/ C aerophila (1/52) were diagnosed. Cats with mixed infections showed higher clinical scores compared with cats with monospecific parasitoses ( P <0.05), while no differences were observed for radiographic scores. No correlation between clinical and radiographic scores was found (rs = 0.50), and these scores were not affected by patient age or sex. CT, performed on cats infected with A abstrusus, T brevior or A abstrusus/T brevior, provided additional information in cats with mild radiographic signs. This study indicates that clinical parameters may be more severe in mixed infections than in monospecific parasitoses. A significant correlation between clinical and radiographic score was not detected, while several subclinically infected cats showed radiographic changes. In cats with mild-to-moderate lung patterns, the ventrodorsal/dorsoventral projection showed lesions that are not visible in the lateral projections, especially in the caudal lobes.

Lungworm infections in dogs from Central Europe

Angiostrongylus vasorum and Crenosoma vulpis are parasites in the respiratory tract of domestic and wild carnivores. Recently, an increasing number of lungworm infections in dogs has been recognized in Europe. In this report, the results of the first copro-epidemiological study of A. vasorum and C. vulpis in dogs from Slovakia are presented. The Baermann technique and the modified flotation method with zinc sulphate solution (specific gravity 1.2) was used for lungworm detection. In addition, conventional PCR was performed for species confirmation. The majority of lungworm infections were found in the eastern part of the country. A relatively high prevalence (4.13%) of A. vasorum was detected in different parts of Slovakia. Infection was detected most frequently incidentally in asymptomatic dogs. Within this study, crenosomosis was detected for the first time in dogs from Slovakia. Since one infected dog had no travel history, the case is considered autochthonous. An autochthonous case report of angiostrongylosis in a Hanoverian hound puppy from central Slovakia is also described.

Examination of feces

Fecal examination is indicated in diarrhoeic diseases, constipation, anorexia, jaundice, hepatitis, lungworm infection, anemia, weakness, low milk production and in dysentery. Examination of feces is mainly carried out for the detection of parasites, their ova/larva/oocyst, blood and other foreign material.

First record of Halocercus sp. (Pseudaliidae) lungworm infections in two stranded neonatal orcas (Orcinus orca).

Orca (Orcinus orca) strandings are rare and post-mortem examinations on fresh individuals are scarce. Thus, little is known about their parasitological fauna, prevalence of infections, associated pathology and the impact on their health. During post-mortem examinations of two male neonatal orcas stranded in Germany and Norway, lungworm infections were found within the bronchi of both individuals. The nematodes were identified as Halocercus sp. (Pseudaliidae), which have been described in the respiratory tract of multiple odontocete species, but not yet in orcas. The life cycle and transmission pathways of some pseudaliid nematodes are incompletely understood. Lungworm infections in neonatal cetaceans are an unusual finding and thus seem to be an indicator for direct mother-to-calf transmission (transplacental or transmammary) of Halocercus sp. nematodes in orcas.

Survival of the feces: Does a nematode lungworm adaptively manipulate the behavior of its cane toad host?

Parasites can enhance their fitness by modifying the behavior of their hosts in ways that increase rates of production and transmission of parasite larvae. We used an antihelminthic drug to experimentally alter infections of lungworms (Rhabdias pseudosphaerocephala) in cane toads (Rhinella marina). We then compared subsequent behaviors of dewormed toads versus toads that retained infections. Both in the laboratory and in the field, the presence of parasites induced hosts to select higher body temperatures (thereby increasing rates of lungworm egg production), to defecate in moister sites, and to produce feces with higher moisture content (thereby enhancing survival of larvae shed in feces). Because those behavioral modifications enhance rather than decrease parasite fitness, they are likely to have arisen as adaptive manipulations of host behavior rather than as host adaptations to combat infection or as nonadaptive consequences of infection on host physiology. However, the mechanisms by which lungworms alter cane toad thermal preference and defecation are not known. Although many examples of host manipulation by parasites involve intermediate hosts facilitating their own demise, our findings indicate that manipulation of definitive hosts can be as subtle as when and where to defecate.

Troglostrongylus brevior: a feline lungworm of paediatric concern

The immature immune system of cats in their paediatric age (i.e., first six months of life) favours the establishment of infectious respiratory tract diseases mainly caused by well recognized viruses and bacteria species. Conversely, lungworm infections are less investigated during respiratory disorders in kittens. In the last decade, Troglostrongylus brevior has been found affecting the respiratory tract of cats, along with the better-known Aelurostrongylus abstrusus. Given the scant data available on the epidemiology of feline troglostrongylosis, faecal samples from 575 domestic animals living in three Italian municipalities (i.e., Bari, Messina and Siena) were screened for lungworm infection by Baermann and molecular tecniques. Animals were grouped according to their age as ≤6 months (i.e., paediatric patients), 6–24 months, or >24 months. Paediatric cats were further sub-divided in infant (2–6 weeks), weanling (6–12 weeks) and juvenile (3–6 months). Of the 575 animals tested, 241 (42.0%) were younger than 6 months, 188 (33%) were 6–24-month-old and 146 (25%) were older than 24 months. Lungworm infection was diagnosed in 84 (14.6%) of the examined cats. Of the 49 (20.3%) paediatric animals positive for lungworms, T. brevior was the nematode species most frequently diagnosed (n = 44; 89.8%), followed by A. abstrusus (n = 2; 4.1%), and three cats (6.1%) were co-infected by both species. The diagnosis of T. brevior infection was significantly associated with animals aging ≤6 months (18.2%; P < 0.01) than elder cats. Indeed, the prevalence of infection by T. brevior decreased in animals aging 6–24 months (3.2%) being not detected in cats older than two years. Results of this study indicate that paediatric cats are at higher risk of T. brevior infection compared to adults (P < 0.01).

Epidemiology of small ruminants lungworm in Gedeb Asasa district, West Arsi zone, Ethiopia

A cross-sectional study was carried out in Gedeb Asasa district of West Arsi zone, Ethiopia from November 2016 to April 2017 to identify and determine prevalence of small ruminant lungworm species and assess potential risk factors. A total of 400 fecal samples were randomly collected from 288 sheep and 112 goats in the study area and collected samples were cultured and first stage larvae (L1) were isolated using modified Baerman technique. Isolated first stage larvae (L1) were examined and identified morphologically using microscope. The present study recorded an overall prevalence of 44.8%. The prevalence of lungworm infection by animal species was determined to be (45.5%) and (42.9%) for sheep and goat, respectively. The study identified three lungworm nematode species of small ruminants: Dictyocaulus filaria, Muelleris capillaris, Protostronylus rufescens along with mixed infection by coprological larval morphology identification system with respective prevalence of 17%, 14.5%, 5.3% and 8% applying descriptive statistics. Statistically, higher lungworm infection rate in female (48.8%) recorded compared to male (37.5%), in young (53.3%) compared to adult (36.3%) in animals with poor body condition (66.9%) followed by medium (37.5%) and good body condition (31.9%) animals and non- dewormed animals (49.2%) compared to dewormed ones (37.2%). To determine the existence of association between the disease and risk factors (sex, animal origin, animal species, age, body condition, anthelmintic treatment), Chi-Square statistics was employed and only four (sex, age, body condition, anthelmintic treatment) were found to have association with the disease. Multivariate logistic regression analysis confirmed the existence of statistically significant impact (P<0.005) of the four factors (sex, age, body condition, anthelmintic treatment) on small ruminants lungworm infection dynamics.

The effect of patent Dictyocaulus viviparus (re)infections on individual milk yield and milk quality in pastured dairy cows and correlation with clinical signs

BackgroundInfections with the bovine lungworm Dictyocaulus viviparus might lead to reduced milk production and detrimental impacts on milk quality resulting in considerable economic losses in dairy farming.MethodsIn the presented field study, 1988 faecal samples were collected from 1166 Black and White dairy cows allocated in 17 small and medium-sized German grassland farms. Faecal samples were collected in summer and autumn 2015 to assess D. viviparus larvae excretion. Test-day records were used to estimate the association between patent D. viviparus infections in individual cows and the milk production parameters milk yield, milk protein and milk fat content by using linear mixed models. Bulk tank milk (BTM) samples from each farm and individual milk samples from those cows which were excreting larvae in summer were collected in autumn. In addition, occurrence of the clinical symptom “coughing” was noted in individual cows during autumn sampling to determine its association with patent lungworm infections.ResultsPatent D. viviparus infections were found on 23.5% (4/17) of farms with a prevalence at the individual cow level of 0.9% (9/960) in summer and 3.4% (35/1028) in autumn. No BTM sample exceeded the BTM ELISA cut-off value of 0.410 optical density ratio (ODR), the mean value was 0.168 ODR. Only one individual milk sample exceeded the individual milk ELISA cut-off value of 0.573 ODR (mean value of 0.302 ODR). A patent D. viviparus infection status was associated with a lower average daily milk yield of 1.62 kg/cow/day (P = 0.0406). No significant association was found with milk protein or fat content representing milk quality parameters. Coughing was observed in 5.9% (61/1028) of cows. Of the coughing cows, only 4.9% (3/61) had a patent lungworm infection. Fisher’s exact test showed no significant difference between infected and non-infected coughing cows.ConclusionsFarmers and veterinarians should be aware that patent lungworm (re)infections in dairy cows reduce milk yield, despite the absence of clinical signs. Furthermore, if dairy cows present with coughing, other differential diagnoses need to be considered in addition to dictyocaulosis.

Troglostrongylus brevior: a new parasite for Romania

BackgroundThe genus Troglostrongylus includes nematodes infecting domestic and wild felids. Troglostrongylus brevior was described six decades ago in Palestine and subsequently reported in some European countries (Italy, Spain, Greece, Bulgaria, and Bosnia and Herzegovina). As the diagnosis by the first-stage larvae (L1) may be challenging, there is a possibility of confusion with Aelurostrongylus abstrusus. Hence, the knowledge on the distribution of this neglected feline parasite is still scarce. The present paper reports the first case of T. brevior infection in Romania. In July 2017, a road-killed juvenile male Felis silvestris, was found in in Covasna County, Romania. A full necropsy was performed and the nematodes were collected from the trachea and bronchioles. Parasites were sexed and identified to species level, based on morphometrical features. A classical Baermann method was performed on the lungs and the faeces to collect the metastrongyloid larvae. Genomic DNA was extracted from an adult female nematode. Molecular identification was accomplished with a PCR assay targeting the ITS2 of the rRNA gene.ResultsTwo males and one female nematodes were found in the trachea and bronchioles. They were morphologically and molecularly identified as T. brevior. The first-stage larvae (L1) recovered from the lung tissue and faeces were morphologically consistent with those of T. brevior. No other pulmonary nematodes were identified and no gross pulmonary lesions were observed.ConclusionsThis paper represents the first report of Troglostrongylus brevior infection in Romania, so far representing the second northernmost location for this genus in Europe. The diversity of species infecting wild and domestic felids and the differences regarding the clinical significance of these nematodes highlight the need for a more intense surveillance and proper diagnosis of feline lungworm infections, especially in countries where more species were demonstrated to be present. Furthermore, an increased awareness between clinicians is needed for a correct diagnostic approach to feline lungworm diagnosis.

Seasonal dynamics of endoparasitic infections at an organic goat farm and the impact of detected infections on milk production

This study evaluated patterns and species composition of parasitic infections detected over a 1-year period at an organic goat farm. As a result of coprological examination, the overall prevalence of observed strongylids (99%), coccidia of the genus Eimeria (98%), and Muellerius capillaris lungworms (93%) was calculated. The most prevalent strongylids recovered from incubated fecal samples were Haemonchus contortus (42%), genera Trichostrongylus (23%), Oesophagostomum columbianum (13%), and Teladorsagia circumcincta (11%). A maximum intensity of coccidia infection 5150 oocysts per gram, strongylids infection 9900 eggs per gram and lungworm infection 867.26 larvae per gram were detected. The various effects (including environment, host, and parasites) on milk yield, lactose, protein, and fat were evaluated using generalized linear mixed models. Milk yield (P<0.0001), milk fat (P<0.01), and lactose (P<0.0001) were affected by month, i.e., these parameters were influenced by the month of the year, regardless of the individual goat. With the intensity of infection detected in our study, only protein content was affected (P<0.01) by parasitic infection (exclusively caused by strongylids). Correlation between measurements from one individual revealed that the goat itself can substantially decrease protein content but has much less of an effect on fat, milk yield, and lactose. Based on our results, we can conclude that a low intensity of parasitic infections does not significantly affect milk yield and the qualitative parameters of milk.

Application of real-time quantitative PCR assays for detecting marine Brucella spp. in fish.

Brucella ceti and Brucella pinnipedialis have been documented as occurring in marine mammals, and B. ceti has been identified in 3 naturally acquired human cases. Seroconversion and infection patterns in Pacific Northwest harbor seals ( Phoca vitulina richardii) and North Atlantic hooded seals ( Cystophora cristata) indicate post-weaning exposure through prey consumption or lungworm infection, suggesting fish and possibly invertebrates play an epizootiologic role in marine Brucella transmission and possible foodborne risk to humans. We determined if real-time quantitative PCR (qPCR) assays can detect marine Brucella DNA in fish DNA. Insertion sequence (IS) 711 gene and sequence type (ST)27 primer-probe sets were used to detect Brucella associated with marine mammals and human zoonotic infections, respectively. First, DNA extracts from paired-species fish (containing 2 species) samples were tested and determined to be Brucella DNA negative using both IS 711 and ST27 primer-probe sets. A representative paired-species fish DNA sample was spiked with decreasing concentrations of B. pinnipedialis DNA to verify Brucella detection by the IS 711 primer-probe within fish DNA. A standard curve, developed using isolated DNA from B. pinnipedialis, determined the limit of detection. Finally, the IS 711 primer-probe was used to test Atlantic cod ( Gadus morhua) DNA extracts experimentally infected with the B. pinnipedialis hooded seal strain. In culture-positive cod tissue, the IS 711 limit of detection was ~1 genome copy of Brucella. Agreement between culture and PCR results for the 9 positive and 9 negative cod tissues was 100%. Although a larger sample set is required for validation, our study shows that qPCR can detect marine Brucella in fish.

The costs of parasite infection: Effects of removing lungworms on performance, growth and survival of free‐ranging cane toads

Abstract Most research on the effects of parasites on their hosts has focused on the parasites of mammals or birds (especially, domesticated taxa) rather than systems in which the hosts are ectothermic wildlife species. We used experimental methods (antihelminthic drugs) to quantify the effects of lungworms (Rhabdias pseudosphaerocephala) on their anuran hosts, the invasive cane toad (Rhinella marina). In captivity, eradicating lungworms enhanced toad activity (measures of boldness and level of spontaneous activity), performance (locomotor speed, climbing ability) and foraging success (feeding rate). In free‐ranging toads (n = 123) at a site in tropical Australia, eradicating lungworm infection increased rates of host survival by 8%, movement by 20%, growth by 28% and elaboration of male secondary sexual characteristics by 30%. The presence of the lungworm thus has a substantial negative effect on fitness‐related traits of the host. Given their long shared evolutionary history and the mild inflammatory and immune response elicited by the parasite in the host, the magnitude of the effects of parasite removal were surprising. Parasites may impose hidden costs, related to modification of host behaviour or metabolism. Experimental removal of parasites can be a useful means of quantifying costs of infection. A plain language summary is available for this article.

Using experimental de-worming to measure the immunological and pathological impacts of lungworm infection in cane toads.

The immunological and pathological consequences of parasite infection can be more rigorously assessed from experimental manipulation than from correlational studies of natural infections. We used anthelmintic treatment to experimentally decrease intensities of lungworm infection in captive and free-ranging wild cane toads to assess parasite impacts on host immune responses. First, we administered the anthelmintic drug Ivermectin to both infected and uninfected toads, to distinguish drug effects per se from the impacts of killing lungworms. Worms began dying and decomposing <48 h after injection. The only immunological variables that were affected by anthelmintic treatment were bactericidal capacity of the blood which increased in parasitized toads (presumably triggered by decomposing worms in the lungs), and the phagocytic capacity of blood (which increased in both infected and uninfected toads); the latter effect presumably was caused by the injection of Ivermectin per se rather than removal of parasites. Second, we looked at correlates of variation in the infection intensity induced by de-worming (in both captive and free-ranging toads) over an eight-week period. Heavier lungworm infection was associated with increased phagocytic ability of the host's blood, and a reduction in the host's liver mass (and hence, energy stores). Experimental de-worming thus revealed pathological and immunological costs of the presence of lungworms, and of their removal by anthelmintic injection.