Skin Deep: An Overlap of Delusions.

Delusional infestation (DI) describes a fixed, false belief where a person believes that they are infested with living or inanimate pathogens despite the absence of medical evidence for such infestation. Descriptions of alleged pathogens have evolved over time, incorporating inanimate objects such as fibrous strands. With the emergence of Morgellons disease and its controversy, we report a case of a 40-year-old female presenting with a strong belief of scabies infestation along with fibers emerging from her skin. Further, although insects are still the most alleged source of infestation, the overlap of Morgellons disease and the delusion of infestation supports it as a DI variant and questions the notion of its existence as a separate diagnostic entity.

Avocado cultivar and tree-to-tree leaf compositional differences affect infestation severity of Pseudocysta perseae (Hemiptera: Tingidae).

Avocado lace bug, Pseudocysta perseae (Heidemann) (Hemiptera: Tingidae), is a sap-feeding insect that feeds on the underside of avocado leaves. First observed in 2019, P. perseae has spread throughout the Hawaiian islands, causing premature leaf drop and decrease in avocado yield. Due to Hawai'i's approximately 200 cultivars comprised of all 3 avocado races with extensive racial hybrids, we were able to investigate whether certain cultivars were more prone to experiencing higher P. perseae abundances and infestations compared to others. We conducted longitudinal abundance surveys on Hawai'i Island across several common avocado varieties monitoring changes in P. perseae abundance. These surveys were supplemented with longitudinal infestation severity surveys across 4 avocado lineages (Mexican, Guatemalan, West Indian, and Guatemalan × West Indian hybrid). Additionally, we collected leaves of 'Sharwil', 'Hass', 'Kahalu'u', and 'Nishikawa' cultivars looking at associations between P. perseae abundance and cultivar, herbivory-related biomechanical traits, and soluble sugar content. We found that some cultivars, such as 'Malama', typically experience lower P. perseae abundances compared to cultivars such as 'Kahalu'u', 'Beshore', and 'Sharwil'. Guatemalan × West Indian hybrid trees were also shown to have a higher probability of experiencing more severe P. perseae infestations compared to other lineages. Lastly, soluble sugar content, specifically fructose content, had a positive effect on juvenile P. perseae abundance. These findings suggest that cultivar differences in P. perseae infestations may exist, but tree-to-tree leaf compositional differences, such as soluble sugar content, may be a large driver of variation in P. perseae abundance.

Ignatzschineria indica Bacteremia Initially Misdiagnosed in a Patient With a Maggot-Infested Wound.

Gram-negative bacteremia in hospitalized patients often leads to prolonged hospital stays, increased healthcare costs, and mortality rates. Simultaneously, the presence of comorbidities like chronic wounds increases the risk of severe infection and complicated hospital courses involving amputation, broad-spectrum antibiotic use, and repeat hospital admissions, after discharge. This case presents a 72-year-old male with a past medical history significant for chronic lower extremity cellulitis with multiple prior hospitalizations. On admission, the patient had a chief complaint of progressively worsening left lower extremity pain along with nausea, vomiting, and diarrhea. CT imaging of the left lower extremity suggested severe cellulitis without signs of osteomyelitis. Blood cultures initially suggested Corynebacterium jeikeium, but were sent to an outside facility due to ambiguity of results. The outside facility identified the pathogen as Ignatzschineria indica. After confirming the results, antibiotics were appropriately de-escalated to oral levofloxacin. The patient continued to show clinical improvement and was discharged with follow-up appointments scheduled for infectious disease and bi-weekly visits to wound care. Considering the increasing prevalence of chronic wounds in the United States, awareness and recognition of emerging pathogens are crucial for the timely diagnosis, treatment, and management of these complex patients. Our case adds to the growing body of reports on the management of I. indica bacteremia resulting from maggot-infested wounds.

Metabolomics analysis of physicochemical properties associated with quality deterioration in insect-infested hawthorn berries.

The sliced and dried hawthorn berries are easily infested by insects during storage. This study aimed to determine the effect of insect infestation on the quality of hawthorn berries and assess the change at metabolite level by analyzing physicochemical property and metabolomics profiling. A total of 184 shared differential metabolites were obtained, mainly including flavonoids, fatty acids, carboxylic acids and derivatives, and nitrogenous compounds. Through receiver operating characteristic curve assessment, 9 significant differential markers were screened out to distinguish insect infestation of hawthorn berries. Correlation analysis showed that the color, total organic acids, total phenolics, and total flavonoids were effective indicators for quality evaluation of insect infestation, and uric acid and hippuric acid can serve as biomarkers for the quality deterioration of hawthorn berries during storage. This study demonstrated that insect infestation could decrease the quality of hawthorn berries from macro and micro perspectives.

Cutaneous Lesions in the Gular Region Caused by Feather Follicle Infestation with Harpirhynchidae sp. Mites in Great Crested Flycatchers (Myiarchus crinitus) in New York, USA 2016-23.

Great Crested Flycatchers (Myiarchus crinitus), migratory passerines with a breeding range throughout the northeastern, midwestern, and southern US, are banded annually at the Braddock Bay Bird Observatory located on the southern shore of Lake Ontario, New York, USA. In 2016, a Great Crested Flycatcher was observed with distinct lesions in the gular and ventral neck region, which prompted evaluation for similar lesions in subsequently trapped flycatchers and other passerine species. From 2016 to 2023, 62/102 banded Great Crested Flycatchers had their gular region examined, and seven were found to have lesions (11.3% incidence). Similar lesions were not found in any other species. Lesions were localized to the gular region and included extensive feather loss with thickened, corrugated, pale-yellow skin. Grossly visible 1- to 2-mm-diameter, raised, white-to-yellow foci throughout the affected region corresponded microscopically to feather follicles that were massively dilated with mites. Morphologic analysis of mites obtained from skin scrapes revealed that this mite species belongs to the family Harpirhynchidae. Mites in this family have restricted avian host ranges and cause varying clinical presentations in passerines, though many species remain unidentified. PCR efforts were unsuccessful in yielding a species-level identification. Further monitoring of Great Crested Flycatchers and other avian species is warranted, as the fitness implications of this ectoparasitism at the individual and population levels are not known.

Beyond the Surface: Understanding Demodex and Its Link to Blepharitis and Facial Dermatoses.

Demodex represents the most frequent ectoparasite found in humans. Although Demodex mites are considered commensals of human pilosebaceous units, an abnormally high mite density can cause several ocular and cutaneous symptoms and signs, sometimes to a severe degree. Both Demodex spp. (folliculorum and brevis) play a significant part in eye pathology and facial dermatoses. These mites have been related to blepharitis, ocular rosacea, meibomian gland dysfunction and various skin diseases, including rosacea, demodicosis and seborrheic dermatitis. Understanding the importance of Demodex in both eye and skin conditions is crucial for accurate diagnosis and appropriate management strategies, which may involve targeted treatments to control the mite population and reduce associated symptoms.

State-of-the-Art Review: Evaluation and Management of Delusional Infestation.

Delusional infestation is a condition encountered frequently by healthcare professionals across a variety of specialties in which patients have a fixed, false belief that they are infested with living creatures, such as bugs, parasites, worms, or mites, or nonliving objects, such as fibers. Delusional infestation can be debilitating for patients, who not only present with intense psychological distress and physical discomfort but are also at risk of developing numerous dermatological and psychiatric complications. This condition poses unique diagnostic challenges, as these symptoms can occur secondary to many metabolic or infectious causes, as well as unique treatment challenges, with patients frequently refusing psychiatric care and consequently seeking evaluation by other healthcare professionals. In this review, we aim to use existing literature to provide clinicians in infectious diseases or other specialties with sufficient clinical context and treatment guidance for the appropriate management of delusional infestation.

Diversity of hard ticks parasitizing farm animals in the Qarabulli region, Northwestern Libya.

Background: There are 26 species of ticks known to exist in Libya. Despite the presence of a number of investigations on ticks in Libya, there are no published studies on ticks in the Al-Qarboulli area. Aim: The aim of this study was to identify the tick species infesting farm animals in the Qarabulli region. Methods: Ticks were collected manually on a monthly basis from the examined hosts (cattle, sheep, dogs, and camels) that were selected randomly in the period between July 2021 and June 2022. Results: A total of 717 ticks were collected on 775 hosts, eight tick species were encountered: Hyalomma excavatum (41.00%), Rhipicephalus sanguineus (23.43%), Hyalomma dromedarii (12.13%), Hyalomma marginatum (9.21%), Hyalomma anatolicum (8.51%), Rhipicephalus annulatus (5.30%), Hyalomma rufipes (0.28%), and Boophilus microplus (0.14%). The mean prevalence of all species was 22.32%. The mean intensity of all species was 0.93 ticks per host. The presence of ticks among the months of the year varied among tick species. Conclusion: The results showed high tick infestation in farm animals of Qarabulli, Libya, suggesting an increased risk of tick-borne diseases. This highlights the need for preventative measures and public awareness to reduce tick populations. Further studies are recommended to understand the spread of tick-borne diseases in the area.

Prevalence and Risk Factors of Ocular Demodex at Ultra-High Altitude and Sea Level: A Cross-Sectional Study of Shigatse and Shanghai.

Purpose: Demodex infestation is a risk factor for several ocular surface diseases. However, the prevalence of ocular Demodex infection in the ultra-high altitude population is not clear. This study aimed to compare the prevalence and factors associated with Demodex in populations residing in ultra-high altitude region and sea level areas. Methods: Consecutive patients who visited Shigatse People's Hospital (> 4,000 m) and Shanghai Tongren Hospital (sea level) for eye complaints between January 2023 and January 2024 were included. Subjects were divided into ultra-high altitude and sea level groups. All subjects underwent eyelash epilation for ocular Demodex identification and counting. Demographic and lifestyle information was also collected. Results: A total of 517 subjects were eligible, including 255 subjects in the ultra-high-altitude group and 262 subjects in the sea level group. In the overall analysis, the prevalence of ocular Demodex infection was significantly different between the ultra-high-altitude and sea level groups (15.7% vs. 33.2%, P < 0.001). Multiple logistic regression showed that age, time spent outdoors, and makeup were associated with ocular Demodex infection in both groups. In addition, in the ultra-high-altitude group, people who wear sun hats outdoors were more likely to be infected with Demodex. Conclusion: The infection rate of ocular Demodex in the residents of ultra-high altitude area was significantly lower than that in the residents of sea level area, which may be related to lower ambient temperature, lower humidity, and higher solar radiation. Additionally, age, time spent outdoors, and makeup may be associated with ocular Demodex infection.

Myiasis Encountered in Squamous Cell Carcinoma of the Oral Cavity: A Case Report.

Myiasis is a rare parasitic condition, caused by fly larvae infesting human tissues. Its consequences can be severe, as deafness, blindness, extensive tissue loss, and even death can occur due to the infestation. We present a case of myiasis in a 62-year-old Pakistani woman with advanced well-differentiated oral squamous cell carcinoma (OSCC) undergoing palliative chemotherapy. The patient presented with an extensive, necrotic lesion in the submental and submandibular region infested with live larvae. Management included mechanical removal over three sessions and ivermectin. Once all the larvae were eradicated, the patient was referred to the plastic surgery department for reconstruction. This case report highlights the importance of maintaining a high index of suspicion for myiasis in patients with OSCC, particularly those with extensive ulcerated lesions. Educating at-risk individuals and healthcare providers on myiasis and the importance of wound hygiene is crucial for reducing the burden of this preventable complication.

A survey of nematodes in the European hake (Merluccius merluccius) intended for human consumption.

Ensuring the safety of fish for human consumption is paramount in safeguarding public health, particularly in relation to parasitic infections. The European hake (Merluccius merluccius Linnaeus, 1758) may harbor various parasitic nematodes, some of which have zoonotic potential. This cross-sectional survey analyzed a random sample of European hake collected from two fish shops in Batna city (NE Algeria). After 24 h in cold storage, the samples were transported to the laboratory for further examination. Fish autopsies revealed a staggering 70% parasitization rate. Microscopic examination of isolated nematodes, treated with glycerine, identified two genera within the Anisakidae family: Anisakis sp. (62%) and Pseudoterranova sp. (31.25%). Unidentified nematodes accounted for 6.75%. The detection of Anisakidae family nematodes in fish intended for human consumption underscores the urgency of rigorous veterinary control. This imperative measure aims to preserve public health, mitigate economic losses, and curtail the environmental consequences associated with the proliferation of such parasites.

A Case Series of Delusional Infestation in Huntington's Disease.

 Huntington's disease (HD) is an autosomal dominant disorder that affects the basal ganglia, caused by CAG repeats in the huntingtin gene. Delusional infestation (DI) is a rare psychotic manifestation of the disease. This report presents two cases of HD patients with DI, both middle-aged females. The first patient achieved remission of DI with olanzapine, later cross-tapered to risperidone, but had spontaneous relapses. The second experienced gradual resolution of DI with risperidone in the setting of iron repletion and amantadine discontinuation, although her other psychotic symptoms remained. These cases shed light on an uncommon condition and may help guide understanding of the most effective treatment for it.

Use of whole-genome sequence data for fine mapping and genomic prediction of sea louse resistance in Atlantic salmon.

Sea louse (Lepeophtheirus salmonis) infestation of Atlantic salmon (Salmo salar) is a significant challenge in aquaculture. Over the years, this parasite has developed immunity to medicinal control compounds, and non-medicinal control methods have been proven to be stressful, hence the need to study the genomic architecture of salmon resistance to sea lice. Thus, this research used whole-genome sequence (WGS) data to study the genetic basis of the trait since most research using fewer SNPs did not identify significant quantitative trait loci. Mowi Genetics AS provided the genotype (50 k SNPs) and phenotype data for this research after conducting a sea lice challenge test on 3,185 salmon smolts belonging to 191 full-sib families. The 50 k SNP genotype was imputed to WGS using the information from 197 closely related individuals with sequence data. The WGS and 50 k SNPs of the challenged population were then used to estimate genetic parameters, perform a genome-wide association study (GWAS), predict genomic breeding values, and estimate its accuracy for host resistance to sea lice. The heritability of host resistance to sea lice was estimated to be 0.21 and 0.22, while the accuracy of genomic prediction was estimated to be 0.65 and 0.64 for array and WGS data, respectively. In addition, the association test using both array and WGS data did not identify any marker associated with sea lice resistance at the genome-wide level. We conclude that sea lice resistance is a polygenic trait that is moderately heritable. The genomic predictions using medium-density SNP genotyping array were equally good or better than those based on WGS data.

Transcriptome Analysis of Picea crassifolia in Response to Rust Infestation.

This study examines the relationship between needle age and rust resistance in Picea crassifolia, focusing on the needle morphology, including size, shape, and physiological traits. One-year-old spruce needles are more susceptible to rust, while two-year-old needles show effective resistance. Using RNA-seq on the Illumina HiSeq500 platform, we analyzed both healthy and diseased one-year-old needles (N and B), as well as healthy one-year-old and two-year-old needles (N and L). We applied a fold change (FC) threshold of ≥2 and a false discovery rate (FDR) of <0.01, alongside GO annotation and KEGG pathway enrichment, to identify differentially expressed genes (DEGs). In N vs. B, DEGs were significantly enriched in processes such as metabolism, cellular function, catalysis, binding, ribosomal function, plant-pathogen interactions, endoplasmic reticulum protein processing, and signal transduction, revealing a polygenic network regulating the rust response. Similarly, in N vs. L, electron microscopy highlighted morphological differences in the wax layers of needles, with subsequent transcriptome sequencing uncovering genes involved in the development of one-year-old and two-year-old needles. DEGs were primarily found in pathways related to cutin, suberin, wax biosynthesis, fatty acid metabolism, photosynthesis, and phenylalanine synthesis. Two-year-old needles displayed reduced stomatal density, higher lignin content, and a thicker wax layer compared to one-year-old needles. Validation of the RNA-seq data through RT-qPCR on 10 DEGs confirmed the consistency of gene expression trends, enhancing our understanding of Picea crassifolia's genetic response to rust and supporting future research into its disease resistance.

Assessment of spongy moth infestation impacts on forest productivity and carbon loss using the Sentinel-2 satellite remote sensing and eddy covariance flux data.

Background: Deciduous forests in eastern North America experienced a widespread and intense spongy moth (Lymantria dispar) infestation in 2021. This study quantified the impact of this spongy moth infestation on carbon (C) cycle in forests across the Great Lakes region in Canada, utilizing high-resolution (10 × 10 m2) Sentinel-2 satellite remote sensing images and eddy covariance (EC) flux data. Study results showed a significant reduction in leaf area index (LAI) and gross primary productivity (GPP) values in deciduous and mixed forests in the region in 2021. Results: Remote sensing derived, growing season mean LAI values of deciduous (mixed) forests were 3.66 (3.18), 2.74 (2.64), and 3.53 (2.94) m2 m-2 in 2020, 2021 and 2022, respectively, indicating about 24 (14)% reduction in LAI, as compared to pre- and post-infestation years. Similarly, growing season GPP values in deciduous (mixed) forests were 1338 (1208), 868 (932), and 1367 (1175) g C m-2, respectively in 2020, 2021 and 2022, showing about 35 (22)% reduction in GPP in 2021 as compared to pre- and post-infestation years. This infestation induced reduction in GPP of deciduous and mixed forests, when upscaled to whole study area (178,000 km2), resulted in 21.1 (21.4) Mt of C loss as compared to 2020 (2022), respectively. It shows the large scale of C losses caused by this infestation in Canadian Great Lakes region. Conclusions: The methods developed in this study offer valuable tools to assess and quantify natural disturbance impacts on the regional C balance of forest ecosystems by integrating field observations, high-resolution remote sensing data and models. Study results will also help in developing sustainable forest management practices to achieve net-zero C emission goals through nature-based climate change solutions.

Vertical and temporal flight patterns of coffee berry borer (Coleoptera: Curculionidae) in Hawaii.

Coffee berry borer (Hypothenemus hampei Ferrari) (Coleoptera: Curculionidae) is the most damaging insect pest of coffee worldwide, causing significant losses in coffee yields and quality. Knowledge of vertical and temporal flight patterns in coffee berry borer could be used to optimize spray timing and precision targeting of areas within the coffee tree, which may be more susceptible. In the present study, we estimated the vertical distribution of coffee berry borer females using traps set at 1-m intervals up to 5 m in height. We also quantified coffee berry borer infestation in the low, mid, and high canopy and documented fruit availability. Temporal flight patterns were estimated using timer traps, and correlation analyses were conducted to determine the relationship between the timing of daily flight and weather variables. Across the 4 study sites, we observed that 77%-84% of the trap catch was at 1 m, 11%-20% was at 2 m, and 1%-4% was at 3-5 m in height. Fruit infestation was significantly higher in the low branches (35%) relative to the high branches (17%). Flight height remained the same year-round, regardless of fruit availability. Coffee berry borer flew in low numbers during the day and night but peaked from 12 to 4 PM. Daily flight was positively correlated with an increase in air temperature and wind speed and negatively correlated with relative humidity. Findings from this study suggest that pesticide sprays should target low- to mid-level branches at 1-2 m in height and aim to be conducted in the early afternoon when coffee berry borer are actively flying and most vulnerable to chemical controls.

Prevalence, trend comparisons, and identification of ixodid ticks (Acari: Ixodoidea) among cattle in Ethiopia: A systematic review and meta-analysis.

Ticks and tick-borne pathogens are the main challenge to livestock production and productivity in sub-Saharan Africa, particularly in Ethiopia, where favorable conditions exist for the activity of various parasites due to its geographical location, climate, and biological and cultural characteristics. This study was to provide pooled estimates for individually available data on ixodid ticks, their trend comparisons, and ixodid tick grouping among cattle in Ethiopia. Cochrane's Q, I2, sensitivity analysis, funnel plot, Begg, and Egger regression tests were used to check heterogeneity and publication bias. A random effect model was used to calculate the pooled magnitude of ixodid ticks among cattle. A total of 17,161 cattle from 41 studies were included. The pooled prevalence of ixodid ticks among cattle was 64.42% (95% CI = 57.13-71.71). A total of 82,804 adult ticks belonging to three different genera of ixodid ticks, namely Rhipicephalus (Boophilus) (47.53%), Amblyomma (46.10%), and Hyalomma (6.37%), were recorded from the included studies. The general trend for the prevalence of ixodid tick infestation among cattle has decreased, from 68.65% in 2010-2015 to 60.13% in 2021-2023. In the present scenario, ixodid tick infestation range from 59.21 to 89.58% and are higher in Gambella region.