Host-dependent variations in the seasonal prevalence and intensity of heterophyid encysted metacercariae (Digenea: Heterophyidea) in brackish water fish in Egypt.

The prevalence of heterophyid (Digenea: Heterophyidae) encysted metacercariae (EMC) in its second intermediate host, the fish Mugil spp. and Tilapia spp. was studied in a subtropical permanent Lake in northeastern Egypt. Seasonal changes in the occurrence of the EMC in different fish hosts were monitored in a longitudinal field survey lasting 12 months from June 2006 to May 2007. This study tested two hypotheses; (i) prevalence and intensity of heterophyid EMC fluctuate seasonally throughout the year and (ii) variation in the prevalence and intensity of heterophyid EMC is host-dependent. A total of 832 fish specimens comprising 5 species collected from Manzala Lake, northeastern Egypt were examined by artificial gastric juice digestion for EMC. All five species of brackish water fish examined were found to harbor the EMC of the family Heterophyidae in their muscles. The overall infection prevalence of EMC over 12 months was 23.2%. The adult flukes recovered from puppies experimentally infected with morphologically different metacercariae from different fish species were compatible with six species belong to five genera of Heterophyidae, namely, Heterophyes heterophyes, Heterophyes aequalis, Pygidiopsis genata, Phagicola sp., Haplorchis sp. and Stictodora sp. EMC of H. heterophyes were most abundant, detected in 56% of the total fish examined. P. genata was ranked second, followed by Phagicola sp., H. aequalis, Haplorchis sp., and Stictodora sp., respectively. Seasonal differences in infection were observed for all heterophyid species studied in all fish species examined. Heterophyid infections reached peak prevalences during the summer season 38.2% followed by spring 26.6% and autumn 19.3% seasons, whereas the lowest prevalence was recorded in the winter 8.7%. Intensity of heterophyid EMC followed the same seasonal pattern, being high during summer months and low in winter months. All fish species were infected with all the heterophyid digeneans, but with different prevalence. Possible reasons for these findings are discussed with reference to host, climatic and biotic factors.

Comparison of three immunodiagnostic tests for experimental Heterophyes heterophyes infection in dogs.

The aim of this study was to compare the performance of three in-house diagnostic tests, i.e. counter current immunoelectrophoresis (CCIE), intradermal (ID) and indirect fluorescent immunoassay (IFI), for the diagnosis of Heterophyes infection. One hundred and twenty puppies were randomly divided into eight groups (n=15/group). Heterophyes heterophyes infections were established in these puppies by administering a dose of 50 H. heterophyes encysted metacercariae/puppy by gavage. Forty puppies of similar age and sex were divided into eight groups, of five puppies each and were used as negative controls. Sera pooled from separate infected and uninfected groups were tested against H. heterophyes antigens, weekly for 8 weeks post-infection (PI). The ID assay detected infected puppies sooner than any of the serological tests. Sero-conversion was first detected 2 weeks PI by ID assay and 1 week later by CCIE and IFI assays. ID test performed well till the end of the experiment (sensitivity and specificity: 100% and 90%, respectively). Both IFI and CCIE assays had a sensitivity of 40% and 20%, respectively for early detection of antibody, which was less sensitive than ID but both assays were more specific (100%) than the ID assay. The lowest agreement was between ID and IFI tests (40.3%), whilst the highest was observed between CCIE and IFI tests (67.2%). Of the three evaluated methods, the ID test could be recommended for scientific and laboratory diagnosis of heterophyosis in naturally infected animals. However, since none of the investigated method are optimal (i.e, offers 100% specificity and sensitivity), the choice of test employed must depend on the aim of the study.

Hepatic hydatid disease: four case reports.

We report four cases who were referred to Mansoura University Teaching Hospital, Egypt suffering from abdominal pain and gastrointestinal manifestations. The patients' history was unremarkable, except that they had contact with dogs and live in rural communities. Laboratory findings showed peripheral blood eosinophilia, leucocytosis, and elevated liver enzymes. Serological tests were positive in three cases. Ultrasonography showed well-circumscribed cystic masses in the liver. Diagnosis of hydatid cysts was confirmed by computed tomography (CT). Surgical treatment along with chemotherapy was performed and all patients recovered well. The results of these cases support the notion that CT scan can led to increased clarity, regarding surgical management, because of discordance between radiographic and laboratory findings.

Preliminary observations on infection of brackish and fresh water fish by heterophyid encysted metacercariae in Egypt.

The infection status with heterophyids in the second intermediate host fish obtained from brackish and fresh water resources in Dakahlia governorate, northern Egypt was investigated. Encysted metacercariae (EMC) in the fish species Mugil cephalus, Mugil capito, Mugil auratus, Tilapia nilotica, and Tilapia zilli from brackish water and T. nilotica and T. zilli from fresh water were isolated by artificial digestion method and identified by microscopic examination. Morphometric analysis of EMC isolated from these fishes identified seven phenotypically distinct groups. No significant morphologic differences were detected between EMC of the same group obtained from different fish species. The adult flukes recovered from seven groups of puppies separately infected with distinct EMC groups were compatible with seven species belong to six genera of Heterophyidae namely Heterophyes heterophyes, Heterophyes aequalis, Pygidiopsis genata, Haplorchis yokogawi, Prohemostomum vivax, Phagicola ascolonga, and Stictodora tridactyla. EMC of these seven heterophyid species were detected in all examined brackish water fishes. On the other hand, only EMC of P. genata, H. yokogawi, and P. ascolonga were detected in fresh water fishes, T. nilotica and T. zilli. These results indicate that heterophyid infections occur in brackish and fresh water fishes in northern Egypt, where the parasites are indigenous.

Protozoal pollution of surface water sources in Dakahlia Governorate, Egypt.

Water samples were collected different water sources and different districts of Dakahlia G., from September 2005 to August 2006, were investigated for pathogenic protozoa. Water specimens were examined by concentration technique followed by modified Ziehl-Neelsen (MZN) and Truant auramine-rhodamine (AR) stains for Giardia sp. cysts, Cryptosporidium sp. oocysts, and other protozoa species. In the 1st survey, 94/480 (19.6%) water samples had protozoa. Prevalence rates were in summer 38/120 (31.6%), autumn 27/ 120 (22.5%), spring 20/ 120 (16.6%) and lastly winter 9/120 (7.5%). Protozoa were less common in treated potable water tanks 15/120 (12.5%), followed by River Nile (Demiatta branch) 22/120 (18.3%) and sub-branch Bahr-El-Saghear 24/120 (20%). The highest prevalence was in water of the main local draining 33/120 (27.5%). In the 2nd survey, 840 potable water samples from seven districts were examined. Prevalence in descending order was C. parvum (3.1%), G. intestinalis (2.1%), E. histolytica (1%), Blastocystis homi-nis (1%), Iodamoeba sp, (0.5%), Isospora belli (0.47%), E. coli (0.36%), Cyclospora cayetanensis (0.24%), and Chilomastix mesnilli (0.12%). Data suggested that C. parvum and G. intestinalis were the commonest disease-agent. The implementation of preventive measures to protect water system from protozoa contamination was given.