A critical review of anisakidosis cases occurring globally.

A review was conducted to identify the most common causative agents of anisakidosis, the methods used for identification of the causative agents, and to summarize the sources of infection, and patients' demographics. A total of 762 cases (409 articles, inclusive of all languages) were found between 1965 and 2022. The age range was 7 months to 85 years old. Out of the 34 countries, Japan, Spain, and South Korea stood out with the highest number of published human cases of anisakidosis, respectively. This raises the question: Why are there few to no reports of anisakidosis cases in other countries, such as Indonesia and Vietnam, where seafood consumption is notably high? Other than the gastrointestinal tract, parasites were frequently found in internal organs such as liver, spleen, pancreas, lung, hiatal and epigastric hernia, and tonsils. There are also reports of the worm being excreted through the nose, rectum, and mouth. Symptoms included sore throat, tumor, bleeding, gastric/epigastric/abdominal/substernal/lower back/testicular pain, nausea, anorexia, vomiting, diarrhea, constipation, intestinal obstruction, intussusception, blood in feces, hematochezia, anemia, and respiratory arrest. These appeared either immediately or up to 2 months after consuming raw/undercooked seafood and lasting up to 10 years. Anisakidosis commonly mimicked symptoms of cancer, pancreatitis, type I/II Kounis syndrome, intussusception, Crohn's disease, ovarian cysts, intestinal endometriosis, epigastralgia, gastritis, gastroesophageal reflux disease, hernia, intestinal obstruction, peritonitis, and appendicitis. In these cases, it was only after surgery that it was found these symptoms/conditions were caused by anisakids. A range of not only mainly marine but also freshwater fish/shellfish were reported as source of infection. There were several reports of infection with >1 nematode (up to >200), more than one species of anisakids in the same patient, and the presence of L4/adult nematodes. The severity of symptoms did not relate to the number of parasites. The number of anisakidosis cases is grossly underestimated globally. Using erroneous taxonomic terms, assumptions, and identifying the parasite as Anisakis (based solely on the Y-shaped lateral cord in crossed section of the parasite) are still common. The Y-shaped lateral cord is not unique to Anisakis spp. Acquiring a history of ingesting raw/undercooked fish/seafood can be a clue to the diagnosis of the condition. This review emphasizes the following key points: insufficient awareness of fish parasites among medical professionals, seafood handlers, and policy makers; limited availability of effective diagnostic methodologies; and inadequate clinical information for optimizing the management of anisakidosis in numerous regions worldwide.

Genetic characterisation of Tanqua (von Linstow, 1879) (Nematoda: Gnathostomatidae) larval forms including new host and locality records.

In an unrelated study of spotted snakehead fish Channa punctata (Bloch) of family Channidae (N = 103) from Bangladesh, ten fish had taupe and clear coloured cysts attached to the intestinal mesentery. Investigation of the cysts revealed larval nematodes. The larvae were damaged and not suitable for detailed morphological study, however, key features such as tooth like projections of the pseudolabia and lateral pseudolabium were observed in specimens with undamaged cephalic regions. Molecular characterisation was undertaken and although the parasite genetic material was poor, five of the twelve nematode larvae through sequencing of the 18S ribosomal RNA gene, showed 98.17% match with sequences assigned for Tanqua tiara (accession number JF934728) deposited in GenBank. The prevalence of infection was 9.7% and the mean intensity 2.70. Tanqua has not previously been identified in fish, or from the definitive host, the Asian water monitor Varanus salvator (Laurenti, 1768) of family Varanidae (class Reptilia), in Bangladesh. Therefore, this study represents a new host and locality record for this nematode species. In many previous reports from this region, nematode larvae have been identified morphologically and assigned to a diverse range of nematode genera. Some confusion therefore exists regarding their accuracy and further investigations are required using molecular methodology to clarify the species of larval nematodes which infect edible fish in Bangladesh.

Redescription of Ascarophis distorta Fusco et Overstreet, 1978 (Nematoda, Cystidicolidae) from the stomach of some butterflyfishes off New Caledonia.

PURPOSE: The nematode Ascarophis distorta Fusco et Overstreet, 1978 (Cystidicolidae), originally described from the butterflyfish Chaetodon paucifasciatus Ahl (Perciformes, Chaetodontidae) in the Red Sea, was established based solely on the light microscopical (LM) examination of specimens. However, the present taxonomy of cystidicolid nematodes is mostly based on details of the cephalic structures properly visible only with the use of scanning electron microscopy (SEM). METHODS: Helminthological examinations of some marine fishes from coral reefs off New Caledonia, South Pacific, carried out in the years 2003-2007, revealed the presence of A. distorta in two Chaetodon spp. and thus enabled its redescription. The nematode specimens were studied with the use of both LM and SEM. RESULTS: The specimens of A. distorta were obtained from the stomach of the threadfin butterflyfish Chaetodon auriga Forsskål and the vagabond butterflyfish Chaetodon vagabundus Linnaeus. This is just the second record of this parasite since its description 43 years ago. SEM, used in this species for the first time, revealed some taxonomically important, previously unreported or insufficiently described morphological features, such as details in the cephalic structure, the shape of deirids, structure of the distal tip of the left spicule, or the exact number and distribution of male caudal papillae. The finding of A. distorta in C. auriga and C. vagabundus off New Caledonia represents new host and geographical records. The examination of 39 specimens of butterflyfishes from off New Caledonia, belonging to 14 Chaetodon spp. and 3 Heniochus spp., revealed that the nematode was only present in the 2 fish species listed above. CONCLUSIONS: This parasite seems to be host-specific to only certain species of butterflyfishes (Chaetodon spp.), and is probably widespread in the Indo-Pacific region, as well as its hosts.

Do parasites influence behavioural traits of wild and hatchery-reared Murray cod, Maccullochella peelii?

This study aimed to investigate the links between parasites and behavioural traits of juvenile Murray cod (Maccullochella peelii). The Murray cod is an endangered Australian freshwater fish for which restocking programs are in place and there is a growing human consumption market. However, little is known about the parasites of these fish and how these parasites influence their behaviour and survival. Fingerlings and yearling fish were sourced from a hatchery and the wild, and after acclimatisation in the laboratory, variation in behavioural traits was examined using emergence, exploration and predator inspection tests. The fish were then euthanised to determine their age and examined for infection with parasites. Wild fish had more camallanid nematodes and lernaeid copepods than hatchery fish. An information theoretic approach using Akaike's Information Criterion (AIC) indicated that infection with protozoan cysts was an important factor for predicting the latency to emerge and explore a new environment, which was interpreted as reduced "boldness". In contrast, the presence of lernaeid copepods was included in two of the four best models predicting predator inspection, indicating that infected fish were less likely to inspect a predator. Source of fish (wild or hatchery) was found to be a strong influence on behavioural responses in all our tests. All parasites found in the present study are known to result in clinical signs of diseases in their fish hosts, raising the possibility that responses in tests of behavioural traits reflect side effects of infection. Additionally, the effect of host adaptation to not show signs of parasite infection, or more simply that the effects on behaviour are subtle and difficult to reveal with small sample sizes, is discussed. Nonetheless, we propose that it is important that infection with parasites is considered in fish behavioural studies both to assess survival behaviour and to avoid misinterpretation of behavioural tests of animal personality.

Preliminary report of occurrence of Corynosoma spp. (Acanthocephala: Polymorphidae) in Southern Caspian sprat (Clupeonella grimmi).

In recent years, there has been a steady decline in the populations of clupeid fish in the Caspian Sea which has been attributed to factors such as overfishing and introduced invasive species of jellyfish. Very little is known about the diseases and possible health impacts of infectious agents such as parasites on the population of these important fish in the Caspian Sea. The aim of this study was to determine if infection with parasites can have adverse impacts on fish health and population. Sixty fish were collected, measured for weight and length, aged, and then examined for presence of Acanthocephala. Ages were recorded, as well as length and weight data for each age category and the number of acanthocephalan parasites. The internal organs, including the liver, ovary, and testis, were subjected to histopathological examination. Ninety percent of fish were found to be infected with acanthocephalan parasites, identified as Corynosoma strumosum. Fish data including the number of parasites, age, length, and weight showed that there was no significant difference in length and weight between different age groups, e.g., between 2 and 6 years old, suggesting that those fish may not grow fully as they age. There were several granuloma of different sizes in the liver and gonads, indicating the occurrence of a chronic inflammation. It is known that large numbers of granuloma may disturb the normal function of the liver and gonads and if associated with long term infection this may cause sterility, affecting the population numbers. Further research, with targeted aims, is needed to understand the impact of infection with acanthocephala on this fish and to determine the causative agents of the histopathological changes observed in the present study.

Preliminary report of histopathology associated with infection with tongue worms in Australian dogs and cattle.

Tongue worms utilise herbivorous mammals as intermediate hosts and reside in the nasopharynx of carnivores as their definitive hosts. A recent study in south eastern Australia showed an unexpectedly high infection (67%) of wild dogs with these parasites. The present study aimed at determining the pathogenicity of the parasite in both definitive (dog) and intermediate (cattle) hosts by histopathology. The definitive host showed multifocal haemorrhage of the interstitium of the nasal mucosa, multifocal mucosal erosion, congestion and haemorrhage, with haemosiderin laden macrophages present in those foci and distortion and destruction of the nasal mucosa. Histopathologic examination of lymph nodes from an infected cow showed diffuse eosinophilic granulomatous necrotising lymphadenitis and perinodal panniculitis with intralesional parasitic remnants and comparatively large numbers of eosinophils. A large, ~300-500 µm diameter, area of necrosis was also observed in one lymph node. This is the first time a study has been undertaken in Australia to determine the pathogenicity of tongue worms in both their definitive and intermediate hosts. This is a preliminary study and to properly estimate the health impact of infection with this pathogenic parasites on Australian production and companion animals more studies are necessary.

Occurrence of Terranova larval types (Nematoda: Anisakidae) in Australian marine fish with comments on their specific identities.

Pseudoterranovosis is a well-known human disease caused by anisakid larvae belonging to the genus Pseudoterranova. Human infection occurs after consuming infected fish. Hence the presence of Pseudoterranova larvae in the flesh of the fish can cause serious losses and problems for the seafood, fishing and fisheries industries. The accurate identification of Pseudoterranova larvae in fish is important, but challenging because the larval stages of a number of different genera, including Pseudoterranova, Terranova and Pulchrascaris, look similar and cannot be differentiated from each other using morphological criteria, hence they are all referred to as Terranova larval type. Given that Terranova larval types in seafood are not necessarily Pseudoterranova and may not be dangerous, the aim of the present study was to investigate the occurrence of Terranova larval types in Australian marine fish and to determine their specific identity. A total of 137 fish belonging to 45 species were examined. Terranova larval types were found in 13 species, some of which were popular edible fish in Australia. The sequences of the first and second internal transcribed spacers (ITS-1 and ITS-2 respectively) of the Terranova larvae in the present study showed a high degree of similarity suggesting that they all belong to the same species. Due to the lack of a comparable sequence data of a well identified adult in the GenBank database the specific identity of Terranova larval type in the present study remains unknown. The sequence of the ITS regions of the Terranova larval type in the present study and those of Pseudoterranova spp. available in GenBank are significantly different, suggesting that larvae found in the present study do not belong to the genus Pseudoterranova, which is zoonotic. This study does not rule out the presence of Pseudoterranova larvae in Australian fish as Pseudoterranova decipiens E has been reported in adult form from seals in Antarctica and it is known that they have seasonal presence in Australian southern coasts. The genetic distinction of Terranova larval type in the present study from Pseudoterranova spp. along with the presence of more species of elasmobranchs in Australian waters (definitive hosts of Terranova spp. and Pulchrascaris spp.) than seals (definitive hosts of Pseudoterranova spp.) suggest that Terranova larval type in the present study belong to either genus Terranova or Pulchrascaris, which are not known to cause disease in humans. The present study provides essential information that could be helpful to identify Australian Terranova larval types in future studies. Examination and characterisation of further specimens, especially adults of Terranova and Pulchrascaris, is necessary to fully elucidate the identity of these larvae.