Experiments on habitat selection of Heterophyes species in different definitive hosts

Fishborne zoonotic heterophyid infections: An update

Fishborne heterophyid trematodes infecting humans are at least 29 species worldwide and belong to 13 genera. Its global burden is much more than 7 million infected people. They include Metagonimus (M. yokogawai, M. takahashii, M. miyatai, M. minutus, and M. katsuradai), Heterophyes (H. heterophyes, H. nocens, H. dispar, and H. aequalis), Haplorchis (H. taichui, H. pumilio, H. yokogawai, and H. vanissimus), Pygidiopsis (P. summa and P. genata), Heterophyopsis (H. continua), Stellantchasmus (S. falcatus), Centrocestus (C. formosanus, C. armatus, C. cuspidatus, and C. kurokawai), Stictodora (S. fuscata and S. lari), Procerovum (P. varium and P. calderoni), Acanthotrema (A. felis), Apophallus (A. donicus), Ascocotyle (A. longa), and Cryptocotyle (C. lingua). Human infections are scattered around the world but the major endemic areas are located in Southeast Asia. The source of human infection is ingestion of raw or improperly cooked fish. The pathogenicity, host-parasite relationships, and clinical manifestations in each species infection are poorly understood; these should be elucidated particularly in immunocompromised hosts. Problems exist in the differential diagnosis of these parasitic infections because of close morphological similarity of eggs in feces and unavailability of alternative methods such as serology. Molecular diagnostic techniques are promising but they are still at an infant stage. Praziquantel has been proved to be highly effective against most of the patients infected with heterophyid flukes. Epidemiological surveys and detection of human infections are required for better understanding of the geographical distribution and global burden of each heterophyid species. In this review, the most updated knowledge on the morphology, biology, epidemiology, pathogenesis and pathology, immunology, clinical manifestations, diagnosis and treatment, and prevention and control of fishborne zoonotic heterophyid infections is provided.

Echinostoma caproni in mice: studies on the attachment site of an intestinal trematode

During infection in mice Echinostoma caproni is attached to the mucosa of the small intestine with the ventral sucker (acetabulum). The morphology, histology and dynamics of attachment sites from primary infections were examined. The sites were highly characteristic microscopically, and consisted of a plug of grasped mucosa occupying the cavity of the ventral suckers. The mucosa in the area of the small intestine where the parasite resided showed marked villous atrophy and crypt hyperplasia. The cellular composition of the attachment sites did not appear significantly different from what was seen in other parts of the mucosa in the residential area, and the study did not reveal any specific cellular host response at the attachment site. After mechanical removal of the parasites from unfixed tissue in saline, the attachment sites gradually reduced in size and disappeared. It is suggested that the attachment sites are only temporary structures, formed by the mechanical grasp of the ventral sucker as the parasites move about in the residential area of the intestine.