An overview of the host spectrum and distribution of Calodium hepaticum (syn. Capillaria hepatica): part 1-Muroidea.

Calodium hepaticum (syn. Capillaria hepatica) is a worldwide-distributed species of zoonotic nematodes with a high affinity to the liver. Several rodent species of the superfamily Muroidea serve as main hosts for this pathogen. C. hepaticum has been found in Muroidean hosts in more than 60 countries in Europe; North, Central, and South America; Asia; Africa; and Oceania. C. hepaticum was documented in more than 90 Muroidean rodent species (Murinae, Deomyinae, Arvicolinae, Neotominae, Cricetinae, Sigmodontinae, Gerbillinae, and Cricetomyinae). Globally, the Norway rat (Rattus norvegicus) seems to be the main host species for this nematode. However, locally high prevalences (above 50 %) have also been observed in several other synanthropic (commensal and non-commensal) Muroidea species (e.g., Rattus tanezumi, Ondatra zibethicus, Apodemus sylvaticus). This review gives an overview of the distribution and host spectrum of C. hepaticum in Muroidea host species.

Alterações iniciais da fibrose septal por Capillaria Hepatica (Bancroft, 1893) em ratos / Initial changes of septal fibrosis Capillaria hepatica (Bancroft, 1893) in rats

espaço-porta é o local de origem da fibrose em muitas doenças crônicas hepáticas. Essa área do fígado participa da drenagem linfática hepática e abriga diversos elementos celulares potencialmente fibrogênicos. Estudos sobre a fibrose hepática relacionados à infecção experimental de ratos pelo helminto Capillaria hepatica têm demonstrado que a fibrose começa em áreas portais com a distribuição de septos que sulcam o parênquima hepático se desenvolvendo em áreas próximas ao espaço de Disse. Entretanto, apesar de esta fibrose ocorrer de forma paralela aos sinusóides, estudos têm revelado que não apenas as células estreladas hepáticas participam da fibrose septal, mas também outros tipos celulares residentes nos espaços-porta. Diante destes aspectos, o presente estudo desenvolveu-se com o intuito de investigar a contribuição das células potencialmente fibrogênicas dos espaços-porta, nas fases iniciais da infecção, onde a fibrose se concentra. Para isso, foram utilizados fragmentos de fígado, em blocos parafinados, disponíveis nos arquivos do Laboratório de Patologia Experimental (CPqGM/Fiocruz) provenientes de ratos infectados com 800 ovos de Capillaria hepatica e foi possível observar que ocorreu a proliferação de colangiócitos e a concentração de miofibroblastos em áreas portais, além da ativação de células estreladas hepáticas, sendo todos os resultados vistos por meio da coloração de rotina HE, Picro-sírius vermelho e imunohistoquímica para α-actina de músculo liso, CD31 e GFAP.

Portal space is the local of origin for fibrosis in many chronic liver diseases. This area is involved with lymph drainage and contains several cell types, potentially fibrogenic. Experimental studies related to hepatic fibrosis during Capillaria hepatica infection in rats have suggested that the septal fibrosis indeed takes origin from portal spaces, with the distribution of the septs in the parenchymal region in proximity areas of Disse space. However, despite this fibrosis occurs in parallel to sinusoids, studies have revealed that not only the hepatic stellate cells participate in septal fibrosis, but also other resident cell types in the portal spaces. In face these aspects, the goal of present study was investigate the contribution of the cells potentially fibrogenic in the portal space, in the early phases of the infection. For this, blocks in paraffin available of the liver of rats infected with 800 eggs of Capillaria hepatica archived in the Laboratory of Experimental Pathology (Research Center Gonçalo Moniz, Fiocruz - BA), were utilized and it was observed that proliferation of colangiocytes and concentration of myofibroblasts occurred portal areas, in addition to the activation of hepatic stellate cells. All results were analised by routine staining HE, Sirius red and immunohistochemistry for α-SMA, GFAP and CD31.

The role of culture media on embryonation and subsequent infectivity of Capillaria obsignata eggs.

This study investigated whether infectivity of Capillaria obsignata eggs depends on media culture used for embryonation. Intact female worms were kept in one of following four media: 0.5 % formalin, 2 % formalin, 0.1 % potassium dichromate and 0.1 N sulfuric acid. Embryonation rates of the eggs were quantified either daily in intact females for 16 days, or weekly in disrupted females. Infectivity of the embryonated eggs was tested through an experimental infection of chickens with a single dose of 250 eggs/ bird. The vast majority of the eggs (>82 %) in the first two thirds of the uteri was able to complete embryonation, irrespective of the culture media used for incubation. However, only 32.6 % of total eggs could be harvested after disruption of the intact females. Embryonation rates of the eggs from disrupted worms were different among four culture media, with 0.1 N sulfuric acid resulting in the highest embryonation rate (44.2 %). All the experimentally infected birds harboured mature worms, with varying establishment rates depending on the culture media (P < 0.001). Incubation of the eggs in potassium dichromate 0.1 % resulted in a lower (P < 0.001) establishment rate (10.2 %) when compared with formalin (70.5 and 47.9 % for concentrations at 0.5 and 2 %, respectively) or with 0.1 N sulfuric acid (57.5 %). It can be concluded that most of the eggs in first two thirds of the uteri in the intact females have the potential to complete embryonation without being influenced by the culture media. However, disruption of the intact females results in lower number of harvestable embryonated eggs, with a considerable variation due to culture media used. With the exception of 0.1 % potassium dichromate, any of the three media, particularly 0.1 N sulfuric acid, can be suggested for embryonation of C. obsignata eggs.

Rattus norvegicus como indicador de la circulación de Capillaria hepatica y Taenia taeniaeformis en la Plaza Minorista de Medellín, Colombia / Rattus norvegicus as an indicator of circulation of Capillaria hepatica and Taenia taeniaeformis on a groceries trade center of Medellín, Colombia

Introducción. Rattus norvegicus cumple un papel epidemiológico en el mantenimiento y dispersión de agentes zoonóticos bacterianos, virales y parasitarios de interés en salud pública. La presencia de infección por helmintos en especies Rattus cercanas a poblaciones expuestas en condiciones ambientales propicias, puede convertirse en un factor de riesgo de transmisión. Objetivo. Reportar la frecuencia de infección con Capillaria hepatica y formas larvarias de Taenia taeniaeformis en ratas silvestres (R. norvegicus) capturadas en una zona urbana de Medellín. Materiales y métodos. Se capturaron 254 ejemplares de R. norvegicus. Los hígados de 54 ejemplares que presentaron lesión hepática macroscópica durante la necropsia, fueron examinados por histopatología convencional. Resultados. La frecuencia de infección por C. hepatica fue de 20,1 % (51/254). Seis hígados fueron también positivos para larvas de T. taeniaeformis con una frecuencia de 2,4 % (6/254). Los hígados infestados con C. hepatica exhibían parásitos en el estadio adulto o juvenil y huevos ovalados con opérculos bipolares, asociados con hepatitis granulomatosa leve a moderada multifocal y acompañada por infiltrado leucocitario. Se observaron lesiones granulomatosas en resolución y fibrosis residual o calcificada que contenía huevos. Donde se encontraron cisticercos de T. taeniaeformis, el hallazgo más frecuente fueron quistes hepáticos que contenían larvas, y lesiones inflamatorias y fibróticas. Conclusión. Estos resultados indican que helmintos de potencial zoonótico circulan en R. norvegicus de ambientes urbanos. Debe investigarse la verdadera distribución de estos parásitos, para determinar el riesgo potencial que corren las poblaciones animales y humanas expuestas a adquirir este tipo de infecciones.

Introduction. Rattus norvegicus, the Norway rat, plays a pivotal role in the maintenance and spread of several zoonotic bacterial, viral and parasitic pathogens of public health interest. The presence of helminthic infections near susceptible human populations can, under appropriate environmental conditions, become a risk factor for their transmission. Objective. Frequencies of infection were reported for Capillaria hepatica and larval forms of Taenia taeniaeformis in wild rats (R. norvegicus) captured in an urban area. Materials and methods. Two hundred and fifty-four adult specimens of R. norvegicus were collected in an urban zone of Medellín, Colombia. The livers of 54 specimens that showed macroscopic hepatic lesions during necropsy were examined by conventional histopathology. Results. The frequency of infestation with C. hepatica was 20.1% (51/254). Six livers (2.4%) were also positive for larvae of T. taeniaeformis. Livers infested with C. hepatica exhibited adult or juvenile parasites and oval eggs with bipolar opercula, and were associated with mild to moderate multifocal granulomatous hepatitis with leucocyte infiltrate. Granulomatous lesions and calcified residual fibroses were found with eggs but without adult parasites. Those animals with cysticerci of T. taeniaeformis showed a high frequency of hepatic cysts containing larvae as well as inflammed and fibrotic lesions. Conclusion. Zoonotic helminths circulate at high frequency in R. norvegicus that occur in urban environments. Further research about the distribution of these parasites will determine the level of health threat they present for susceptible human and domestic animal populations.

Capillaria philippinensis in Upper Egypt: has it become endemic?

The goal of this study was to present an overview of human infections with Capillaria philippinensis, a new emerging parasite in Upper Egypt. The study included 21 inpatients who had been admitted to the Assiut University Hospital. Patients suffered from intermittent abdominal pain, borborygmi, chronic diarrhea lasting for several weeks, and marked weight loss. Hypoalbuminemia and low serum levels of potassium, calcium, and sodium were detected in most patients. A stool examination was performed using direct smears and the formalin-ether concentration method. Intact adult worms and/or eggs were evaluated using a light microscope and processed for scanning electron microscopy. The examination by light microscopy illustrated the general morphology of different stages. Using scanning electron microscopy, intestinal villi were found partially covering the cuticle of the adult worms, which provided evidence for the invasion of adult worms into the jejunal mucosa. Two distinct types of eggs, thick-shelled and thin-shelled, were identified and measured.

[Rattus norvegicus as an indicator of circulation of Capillaria hepatica and Taenia taeniaeformis on a groceries trade center of Medellín, Colombia]. / Rattus norvegicus como indicador de la circulación de Capillaria hepatica y Taenia taeniaeformis en la Plaza Minorista de Medellín, Colombia.

INTRODUCTION: Rattus norvegicus, the Norway rat, plays a pivotal role in the maintenance and spread of several zoonotic bacterial, viral and parasitic pathogens of public health interest. The presence of helminthic infections near susceptible human populations can, under appropriate environmental conditions, become a risk factor for their transmission. OBJECTIVE: Frequencies of infection were reported for Capillaria hepatica and larval forms of Taenia taeniaeformis in wild rats (R. norvegicus) captured in an urban area. MATERIALS AND METHODS: Two hundred and fifty-four adult specimens of R. norvegicus were collected in an urban zone of Medellín, Colombia. The livers of 54 specimens that showed macroscopic hepatic lesions during necropsy were examined by conventional histopathology. RESULTS: The frequency of infestation with C. hepatica was 20.1% (51/254). Six livers (2.4%) were also positive for larvae of T. taeniaeformis. Livers infested with C. hepatica exhibited adult or juvenile parasites and oval eggs with bipolar opercula, and were associated with mild to moderate multifocal granulomatous hepatitis with leucocyte infiltrate. Granulomatous lesions and calcified residual fibroses were found with eggs but without adult parasites. Those animals with cysticerci of T. taeniaeformis showed a high frequency of hepatic cysts containing larvae as well as inflammed and fibrotic lesions. CONCLUSION: Zoonotic helminths circulate at high frequency in R. norvegicus that occur in urban environments. Further research about the distribution of these parasites will determine the level of health threat they present for susceptible human and domestic animal populations.

New insights into morphological and biological features of Capillaria aerophila (Trichocephalida, Trichuridae).

Capillaria aerophila is a trichuroid nematode affecting the respiratory system of dogs, cats, wild carnivores and, occasionally, humans. Animals become infected by ingesting larvated eggs or earthworms, which act as facultative intermediate hosts. The aim of this work is to present new insights into morphological and biological features of this neglected lungworm. Typical features of C. aerophila eggs, differentiating them from those of most known trichuroid whipworms (i.e. size, asymmetry of bipolar plugs and a wall with a network of anastomosing ridges), were detected upon light and scanning electron microscopy. Eggs of C. aerophila were used for in vitro development. Light microscopy showed typical features of C. aerophila eggs: size, asymmetry of bipolar plugs and a wall with a network of anastomosing ridges. All these features were confirmed upon SEM, in that C. aerophila eggs showed an outer densely striated and net-like shell. Eggs of T. vulpis, used for a comparative analysis, were bigger than those of C. aerophila and showed a thick and smooth wall at both light and scanning electron microscopy. Eggs started to develop after 35 days from shedding and mobile larvae were observed in the eggs after two months. The results of this study provide key information on the biological cycle of C. aerophila and present key morphological characters for the identification of eggs in faeces.

Histopathological features of Capillaria hepatica infection in laboratory rabbits.

Capillaria hepatica is a nematode parasite of wild rodents and other mammals. Adult worms inhabit the liver. Recently, during the necropsy examination of a group of 160 rabbits from a commercial supplier, firm pale or cystic areas (1-5 mm) were noted on the liver in thirteen animals. On further investigation, these animals were found to be infected with C. hepatica. The histopathological features of the infection in the rabbit are described for the first time and diagnostic features recorded. Lesions were identified predominantly in portal tracts consisting of dilated bile ducts with luminal debris, peribiliary inflammatory cell infiltrates, and fibrosis. Large granulomas (macrogranulomas) were evident in portal areas and involved the bile ducts. Macrogranulomas contained collections of characteristic C. hepatica eggs, macrophages, eosinophils, and lymphocytes. Small granulomas (microgranulomas), characterized by epithelioid macrophages surrounded by lymphocytes and eosinophils, were also identified. C. hepatica eggs were also observed in the lumina of the bile ducts and gall bladder. No adult C. hepatica worms were identified. Oocysts of Eimeria stiedae were also evident in the biliary epithelium in some animals. The unique characteristics of the C. hepatica life cycle are described, and the differential diagnosis of hepatic capillariasis is discussed.

Efficacy of ivermectin (Ivomec) against intestinal capulariosis in falcons.

52 captive falcons out of 3,988 (1.3 %) raptors microscopically examined for intestinal parasites in the Middle East proved infested with hairworms (capillariid parasites). 26 of these (50 %) showed concurrent parasitoses. In the group of 26 falcons diagnosed with capillariosis as sole infestation (50 %) compatible clinical signs such as anorexia, weight loss, weakness, dyspnoea, regurgitation of food and blood, diarrhoea and dark tarry faeces, were recorded. These birds were treated intramuscularly with ivermectin at doses of 2 mg/kg. In fecal samples examined 10-15 days later, the eggs of capillariid parasites had disappeared, in association with complete clinical recovery.

Human intestinal capillariasis in Thailand.

Intestinal capillariasis caused by Capillaria philippinensis appeared first in the Philippines and subsequently in Thailand, Japan, Iran, Egypt and Taiwan; major outbreaks have occurred in the Philippines and Thailand. This article reviews the epidemiology, history and sources of C. philippinensis infection in Thailand. The annual epidemiological surveillance reports indicated that 82 accumulated cases of intestinal capillariasis were found in Thailand from 1994-2006. That made Thailand a Capillaria-prevalent area. Sisaket, in northeast Thailand, was the first province which has reported intestinal capillariasis. Moreover, Buri Ram presented a high prevalence of intestinal capillariasis, totaling 24 cases from 1994-2006. About half of all cases have consumed raw or undercooked fish. However, even if the numbers of the intestinal capillariasis cases in Thailand is reduced, C. philippinensis infection cases are still reported. The improvement of personal hygiene, specifically avoiding consumption of undercooked fish and promoting a health education campaign are required. These strategies may minimize or eliminate C. philippinensis infection in Thailand.

Population dynamics of nematode parasites of reindeer in the sub-arctic.

Nematode parasite infections of semi-domestic reindeer grazing in their natural habitat in northern Finland were monitored for approximately 2 years. This was achieved by monthly faecal egg counts of male and female calves and adult females from an experimental reindeer herd, in addition to estimating the acquisition of nematode infection from pasture using tracer reindeer calves. The most abundant parasite was Ostertagia gruehneri in the worm counts of tracer animals and in faecal egg counts of adult female reindeer. Capillaria sp. eggs were detected in calves and adults, but Nematodirinae eggs were only recovered from calves. Faecal egg counts showed variations between months for each nematode species, with male and female calves shedding similar numbers of eggs. During each year, calves shed more Capillaria sp. eggs than adult female reindeer, but similar numbers of O. gruehneri eggs. Egg counts of O. gruehneri were more abundant in late summer-autumn (July-September), whereas Capillaria sp. and the Nematodirinae dominated the winter months (November-February). The seasonal trends of adult worm burdens of O. gruehneri in the tracers paralleled the egg count patterns. Capillaria sp. was not detected in tracer worm counts. Tracer worm burdens showed that the proportion of inhibited larvae of O. gruehneri and Nematodirinae steadily increased from spring to early winter, followed by a decline and a commensurate increase in the number of adult parasites in the second summer. This investigation showed that parasite transmission occurs continuously throughout the year for nematode parasites of reindeer in northern Finland.

Ultrastructure of eggs of Paracapillaria (Crossicapillaria) philippinensis and evidence related to its life cycle.

The varied ultrastructure of the eggshell of Paracapillaria (Crossicapillaria) philippinensis, collected from a human sample, is reported from a scanning electron microscopy study. Two distinct egg shapes were identified: typical peanut-shaped and swollen peanut-shaped. Both thick and thin eggshells were detected. Thick eggshells are either fairly smooth or bear a beam-like network in relation to the pillars in their surface ultrastructure. Thin eggshells are transparent allowing visibility of the coiled larva within. Presence of the thin shell provides supportive evidence of autoinfection involved in the life cycle of this medically important parasite.

[Calodium hepaticum (Bancroft, 1893) Moravec, 1982--capillaria with an atypical life cycle]. / Calodium hepaticum (Bancroft, 1893) Moravec, 1982--kapilaria o nietypowym cyklu rozwojowym.

Calodium hepaticum (Bancroft, 1893)--commonly known as Capillaria hepatica is a nematode parasitising in liver of rodents, some domestic and wild mammals: Insectivora, Carnivora, Artiodactyla and Primates including human as well. C. hepaticum is the only nematode--geohelminth, which for the continuity of the life cycle needs the death of the host being the intermediate and final host at the same time. The eggs of the parasite deposited by female worms in liver of the host became entrapped in fibrotic tissue. C. hepaticum is a cosmopolitic nematode. Rats and mice (domestic and field) are the main hosts of this parasite, the prevalence of infection can be very high e.g. Rattus norvegicus--100% in the Baltimore Zoo (Farhang-Azad 1977) as well as from the urban area of Milan (Italy)--the prevalence of infection was 36% (Ceruti et al. 2001). Hepatic capillariasis was not recorded in our country but its existence seems to be very probable.

[Bladder infection with Capillaria plica in a male dog]. / Blaasinfectie met Capillaria plica bij een sheltie reu.

In a male dog with symptoms of haematuria an infection with C. plica was established. During the first urine examination large numbers of erythrocytes and leucocytes were seen. The dog was treated with antibiotics. After 10 days a second urine examination revealed several eggs of C. plica, accompanied by leucocytes and erythrocytes. The infection was eliminated with fenbendazole treatment (50 mg/kg/day, for 10 days).

Parasitological aspects of Capillaria philippinensis recovered from Egyptian patients.

Seven new cases of intestinal capillariasis were detected in Kasr El-Aini University Hospitals, Cairo, during the period from July 1997 to June 1998. A parasitological study concerning the morphological features of Capillaria philippinensis recovered from the stool of Egyptian cases was carried out. Eggs were separated, cultured and used to infect Oreochromis nilotica niloticus, a famous popularly consumed type of fresh water fish in Egypt in a trial for identification of the fish intermediate host for this parasite, but infection had not developed in the intestine of this species of fish.

Moxidectin as an endectocide in reindeer.

During the winter 1991-92, 42 reindeer hinds of the Kaamanen Experimental Reindeer Herd in Finnish Lapland, naturally infected with various parasites, were allocated to 3 groups. One group was an untreated control group and the other 2 groups received either moxidectin or ivermectin at a dose of 200 micrograms kg-1 subcutaneously. The efficacy of treatment was followed with monthly faecal examinations for nematode eggs and counting of warbles, Hypoderma tarandi larvae, and throat bots, Cephenemyia trompe larvae, from live animals in spring. The efficacy of moxidectin against warbles (92.8%) and throat bots (70.8%) did not match that of ivermectin, which was 100% against both species. Both moxidectin and ivermectin were effective against gastrointestinal trichostrongylid egg production over the December to May trial period indicating good efficacy against adult and inhibited trichostrongylids. Only non-significant differences were seen in weight development and calf birth weights between the groups. Because of its only moderate insecticidal efficacy, moxidectin cannot be recommended as an endectocide in reindeer.

[The fate of parasites of animal origin transmitted to humans]. / Devenir des parasites d'origine animale transmis à l'homme.

The fate of a parasite transmitted from an animal to man depends on the ability of the contaminating agent to reach a place where it can thrive, to find necessary nutrients, and to resist host defense mechanisms. The purpose of this study was to evaluate the incidence of transmission of parasites from animals to man and to determine to what extent transmission is followed by development. Stenoxenic parasites whose life cycle requires transmission from animals to man obviously develop in man and then return to animals. These parasites cause holozoonoses of the cyclozoonosis type. Some euryxenic parasites can develop as well in man as in animals. These parasites can cause holozoonoses of the amphixenoses type. Other presumably euryxenic parasites can be transmitted from animals to man but not vice versa. These parasites are hemizoonoses agents. Non-transmission back from man to animals can be observed under several circumstances: incomplete development in man with failure to reach the stage at which transmission back to animals is possible; full development but with immaturity or sterility of the elements of dissemination necessary for transmission back to animals; full development but no way of evacuating elements of dissemination; full development and evacuation but with failure of elements of dissemination to survive. In these four cases man constitutes a dead-end for the parasite. A fifth possibility is that the parasite reaches full development but transmission back to animals cannot occur because man is not preyed upon by a carnivorous animal. In this case parasites are potential agents of holozoonoses and man is a cul-de-sac for the involved parasites.

[The distribution and biology of Capillaria garfiai from Sus scrofa]. / Zur Verbreitung und Biologie von Capillaria garfiai aus Sus scrofa.

The infestation extent of wild boars (Sus scrofa) with Capillaria garfiai Gallégo & Mas-Coma, 1975 in East-Austria and the localisation of the nematodes in the tongue (n = 159) were examined. The infestation extent (prevalence) was between 66.6 and 90.9 percent. Concerning the location of the parasites in the tongue there was a striking difference between C. garfiai males and females. So, the number of C. garfiai females continuously decreased from the first to the fourth quarter of the tongue, whereas C. garfiai males could be found increasingly in the epithelium of the third quarter. Further, we investigated the biology of C. garfiai and could show, that the development is only involving intermediate hosts, which could be identified as earthworms (Lumbricus terrestris, Allolobophora caliginosa, A. rosea). The morphological characteristics of C. garfiai specimens of wild boars and domestic pigs were compared, but no noticeable differences could be detected.

Effect of Capillaria hepatica infection on Schistosoma mansoni challenge in mice.

The combined infection between Capillaria hepatica and Schistosoma mansoni was studied. The results of this work revealed that C. hepatica infection induced significant reduction of S. mansoni worm load in the two groups infected with C. hepatica and challenged with S. mansoni either during worm maturation period of C. hepatica, or at the time of presence of C. hepatica eggs in the liver Reduction in total and tissue egg count was also reported, but eggs excreted in the stool showed no difference in count from that of S. mansoni-infected controls. Oogram pattern of the experimental groups revealed a higher percentage of dead eggs and absence of mature and some developing stages. Scanning electron microscopy demonstrated severe destruction of adult worm of both groups. All these data showed the vigorous destructive effect of C. hepatica infection on the challenged S. mansoni.

Capillariasis philippinensis: a fish-borne parasitic zoonosis.

Fish from lagoons in Northern Luzon, Philippines, have been shown experimentally to be intermediate hosts of Capillaria philippinensis. Eggs ingested by the fish hatch in the intestines and the larvae double in size in 3 weeks. When fed to monkeys, Mongolian gerbils and birds, the larvae develop into adults and reproduce. Fish from the lagoons or purchased from the market were fed to gerbils and the animals developed patent infections, demonstrating natural transmission of the parasite. Philippine and Thailand populations have the habit of eating uncooked freshwater and brackish water fish and some have been experimentally infected with C. philippinensis. These countries report the largest number of cases of intestinal capillariasis. Fish-eating birds are now considered natural hosts for the parasite, fish the intermediate hosts, and humans accidentally become infected by eating infected fish.