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.

Dolichoperoides macalpini (Nicoll, 1914) (Digenea: Dolichoperoididae) infecting venomous snakes (Elapidae) across Australia: molecular characterisation and infection parameters.

Specimens of Dolichoperoides macalpini (Nicoll, 1914) (Digenea: Dolichoperoididae) were collected from Australian venomous snakes (Elapidae): Notechis scutatus Peters, 1861 and Austrelaps superbus (Günther, 1858) from Tasmania and surrounding islands and N. s. occidentalis Glauert, 1948 from wetlands near Perth, Western Australia. Despite variation in morphological measurements, genetic analysis showed that the one species of digeneans infected the snakes from all locations. This study presents the first DNA sequences for D. macalpini (internal transcribed spacer, 18S, 28S), confirming its placement in a family separate from the Reniferidae and Telorchiidae. Analysis of the infection dynamics of infection in Western Australian snakes showed significant differences in levels of infection between wetland locations, season and year of collection. Infection of D. macalpini was reported in the gastrointestinal tract, including the mouth, in freshly euthanised snakes in Western Australia, and in the lung in Tasmanian snakes, consistent with earlier reports. Differences in morphology and site of infection are suggested to be due to a combination of season and maturity of the digenean, with infection potentially occurring early in the season, as the snakes emerge from torpor. The need for research on the seasonal dynamics of infection with this parasite is discussed.

New records of philometrids (Nematoda: Philometridae) from marine fishes off Australia, including description of four new species and erection of Digitiphilometroides gen. n.

The following six species of the Philometridae (Nematoda: Dracunculoidea) were recorded from marine fishes off the northern coast of Australia in 2015 and 2016: Philometra arafurensis sp. n. and Philometra papillicaudata sp. n. from the ovary and the tissue behind the gills, respectively, of the emperor red snapper Lutjanus sebae (Cuvier); Philometra mawsonae sp. n. and Dentiphilometra malabarici sp. n. from the ovary and the tissue behind the gills, respectively, of the Malabar blood snapper Lutjanus malabaricus (Bloch et Schneider); Philometra sp. from the ovary of the goldbanded jobfish Pristipomoides multidens (Day) (Perciformes: all Lutjanidae); and Digitiphilometroides marinus (Moravec et de Buron, 2009) comb. n. from the body cavity of the cobia Rachycentron canadum (Linnaeus) (Perciformes: Rachycentridae). Digitiphilometroides gen. n. is established based on the presence of unique digital cuticular ornamentations on the female body. New gonad-infecting species, P. arafurensis and P. mawsonae, are characterised mainly by the length of spicules (252-264 µm and 351-435 µm, respectively) and the structure of the gubernaculum, whereas P. papillicaudata is characterised mainly by the body length (70 mm) of gravid female, extent of the oesophageal gland, size of caudal projections and the location in the host. Dentiphilometra malabarici differs from congeners mainly in the arrangement of circumoral teeth (in a single row), extent of the oesophageal gland and the absence of sclerotised teeth or protuberances on the oesophageal lobes in the mouth. Digitiphilometroides marinus has not previously been reported from fishes in Australian waters.

New tissue-dwelling species of Philometra Costa, 1845 and Philometroides Yamaguti, 1935 (Nematoda: Philometridae) from marine perciform fishes off the northern coast of Australia.

Based on light and scanning electron microscopical studies, three new species of philometrids (Nematoda: Philometridae) are described from females collected in marine perciform fishes off the northern coast of Australia: Philometra gracilis n. sp. and Philometroides branchiarum n. sp. from tissues behind the gills and gill arches, respectively, of the John's snapper Lutjanus johnii (Bloch) (Lutjanidae), and Philometroides stomachicus n. sp. from the stomach wall of the blackspotted croaker Protonibea diacanthus (Lacépède) (Sciaenidae). Philometra gracilis differs from other congeners described from the Lutjanidae mainly in the presence of large caudal projections, short gravid females (28-42 mm long), the oesophageal gland extending anteriorly far anterior to the level of the nerve-ring, the site in the host and its geographical distribution. Philometroides branchiarum is mainly characterised by the possession of conspicuous, sclerotised oesophageal teeth and very short gravid females (6-8 mm long), whereas P. stomachicus can be differentiated by the body length of gravid females (85-90 mm), the length of the oesophagus (2.67 mm) representing 3% of the body length, the maximum width/body length ratio of gravid females (1:28-32), cuticular bosses densely distributed throughout the body but absent from the oesophageal region, the absence of oesophageal teeth and caudal projections, and the site in the host. The presence of P. gracilis and P. branchiarum in L. johnii and that of P. stomachicus in P. diacanthus confirm the possibility of the coexistence of more philometrid species in different sites within sympatric specimens of one and the same definitive host.

Description of Piscicapillaria bursata sp. nov. (Capillariidae) and Redescription of Parascarophis sphyrnae Campana-Rouget, 1955 (Cystidicolidae), Two Nematode Parasites of Hammerhead Sharks (Sphyrna spp.) off Australia.

PURPOSE: Data on helminth parasites in hammerhead sharks are scarce and, therefore, new examinations of these hosts are needed to recognize the species composition of their parasites, including nematodes. METHODS: Helminthological examinations of hammerhead sharks, Sphyrna lewini (Griffith et Smith) (209 specimens) and Sphyrna mokarran (Rüppell) (57 specimens) (Sphyrnidae, Carcharhiniformes), from off the northern coast of Australia revealed one new and one insufficiently known species of intestinal nematode parasites. These were studied with the use of light and scanning electron microscopy. RESULTS: Both nematode species are described. Piscicapillaria bursata sp. nov. (Capillariidae) from S. mokarran (type host) and S. lewini differs from its congeners mainly in the spicule length (330 µm), body length of gravid females 12.80-21.26 mm and in possessing a subterminal female anus. The specimens of Parascarophis sphyrnae Campana-Rouget, 1955 (Cystidicolidae) (type species of Parascarophis Campana-Rouget, 1955) collected from S. lewini made it possible to redescribe the female and, for the first time, to describe the male; the same species was also found in S. mokarran. Amended diagnosis of Parascarophis is provided. Parascarophis is mainly characterized by the presence of lateral alae, a unique feature within the Cystidicolidae, and by the cephalic structures (presence of a cuticular hood and a pair of anterolateral plate-like structures in the mouth). CONCLUSIONS: In addition to the discovery of a new nematode species, Pi. bursata sp. nov., the finding of Pa. sphyrnae in Australian waters represents a new geographical record of this parasite outside the Atlantic Ocean. The species of Parascarophis previously described from teleosts, P. bharatii Agrawal, 1965, P. oteroi Arya, 1992 and P. mulloidi Imam, Tawfik et Abdel Hady, 1982, are designated as species inquirendae and incertae sedis. The finding of P. sphyrnae in Australian waters represents a new geographical record of this parasite outside the Atlantic Ocean. Pa. sphyrnae had not been reported previously from beyond the Atlantic Ocean.