Saduria entomon infected with Hysterothylacium aduncum found in situ in the stomach of cod (Gadus morhua) from the Baltic Sea.

The parasite fauna of cod (Gadus morhus) is well described, but the life cycles of Baltic cod parasites are known only in general terms. Invertebrates commonly found in the stomach of cod are recognized as intermediate hosts in the life cycles of nematodes or acanthocephalans. The aim of this study was to determine the source of infection of Baltic cod with parasites found in situ in invertebrates present in the cod stomach. Our results indicate that Saduria entomon is both a source of infection of Baltic cod with parasites and an intermediate host in the life cycle of Hysterothylacium aduncum in the Baltic Sea.

Great sandeel (Hyperoplus lanceolatus) as a putative transmitter of parasite Contracaecum osculatum (Nematoda: Anisakidae).

In the Baltic Sea, the great sandeel (Hyperoplus lanceolatus), a common fish species that inhabits sandy substrates, is an important element in the diet of marine mammals, sea birds, and piscivorous fish. It can also act as a transmitter of parasites to its predators, but parasitological studies on this species are limited. We sampled great sandeels in April 2016 in two areas of the southern Baltic Sea (SB-south of Bornholm and GG-the Gulf of Gdansk) and found parasitic anisakid nematodes in both locations. The only one species of nematode parasites has been detected: liver worm (Contracaecum osculatum) with average prevalence of infection 8.96%. This is the first study to report on infection of H. lanceolatus with anisakid nematodes in the southern Baltic Sea and our results suggest that the great sandeel may play a role in the transmission of liver worm in the food web of this marine environment.

Clinico-laboratory profile of dengue patients returning from tropical areas to Poland during 2010-15.

BACKGROUND & OBJECTIVES: Dengue is a mosquito-borne viral disease, incidences of which have increased rapidly in the past decade. About 400 million new infections are recorded annually worldwide, and 40% of the human population lives in the areas at risk of dengue transmission. In this study, the clinical and laboratory profile of dengue diagnosed patients returning to Poland from tropical areas has been analyzed. METHODS: This is a retrospective study of 65 patients based on clinical symptoms and serological tests conducted in the Department of Tropical Parasitology of Institute of Maritime and Tropical Medicine (IMTM) in Gdynia, Poland during 2010-15. The diagnosis of dengue virus (DENV) infection was based on the detection of specific immunoglobulin M (IgM) and IgA antibodies performed by specific ELISA assays. The samples were considered as positive, if the absorbance was >10% above the cut-off value. RESULTS: Among 65 persons with dengue selected for the analysis, 59 patients were admitted to the hospital because of clinical symptoms of the disease; the six persons initially asymptomatic were hospitalized due to routine control treatment returning from tropical regions. Patients reported various destinations, purpose and duration of their travels. All of them had returned from dengue endemic regions and were positive for IgM antibodies against DENV. Common clinical symptoms observed were fever (ranging from 38 to 40°C in 43% of patients), weakness, headache and rash. Laboratory tests revealed elevated levels of transaminase activity, leukopenia and thrombocytopenia in 35.3, 24.6 and 20% of patients, respectively. INTERPRETATION & CONCLUSION: The number of Polish travelers to subtropics and tropics increases every year. As cases of fever and other symptoms appear to be increasingly in Polish people returning from tropical regions of Asia, America and Africa, their screening and management should be taken seriously. The study also suggests that the disease might be more widespread than it was known previously.

Liver Transplantation for Incurable Alveolar Echinococcosis: An Analysis of Patients Hospitalized in Department of Tropical and Parasitic Diseases in Gdynia.

INTRODUCTION: Alveolar echinococcosis is a parasitic disease caused by the larval stage of tapeworm Echinococcus multilocularis. It usually involves the liver, but can spread to other organs. The treatment of choice is a surgical resection supported by antiparasitic drugs. In the advanced stages of the disease a liver transplantation is the only option. AIM: This article presents the problems related to care of patients after liver transplantation for advanced alveolar echinococcosis. MATERIAL: Sixty-seven patients with alveolar echinococcosis were hospitalized in our clinic in the years 2000-2015. Liver transplantation has been a therapeutic option for 9 patients. We retrospectively analyzed data of qualification for the liver transplantation and the postoperative treatment. RESULTS: Follow-up time after liver transplantation ranged from 7 months to 155 months (average, 6.4 years). One patient, with a history of advanced disease (P4N1M0), died due to liver failure. One patient was lost to follow-up. After liver transplantation all patients were receiving albendazole treatment. Two patients did not follow the medical recommendations. In 1 patient, who decided to stop therapy after 1 year, the relapse of alveolar echinococcosis in the left lobe of the transplanted liver passing through the diaphragm to the pericardium was detected. In another case we suspected a relapse of alveolar echinococcosis in transplanted liver due to positive serological tests. CONCLUSION: The prognosis of patient after liver transplantation for alveolar echinococcosis is good. The main problem caused by immunosuppressive therapy is a recurrence of disease in the transplanted liver.

First finding of Echinococcus multilocularis DNA in soil: preliminary survey in Varmia-Masuria Province, northeast Poland.

The aim of this study was to estimate the presence of Echinococcus multilocularis DNA in the soil in rural areas of Varmia-Masuria Province, Poland, which is the region with the highest recorded number of human alveolar echinococcosis (AE) cases in this country. In total, 62 soil samples were analyzed. Samples were collected in forests near the lairs of foxes, as well as from arable fields, kitchen gardens and farmyards. The parasite DNA was detected in 11.3% of the samples. This study is the first environmental survey of the presence of E. multilocularis DNA in soil. The results demonstrate that the soil can be a direct source of human infections. These results should motivate the appropriate institutions to introduce informative and educational campaigns about the risk of infection, as well as developing methods for protecting the population, especially those living in at-risk areas.

Acetylcholinesterase activity in the host-parasite system of the cod Gadus morhua and acanthocephalan Echinorhynchus gadi from the southern Baltic Sea.

Acetylcholinesterase (AChE) activity measurement is widely used as a specific biomarker of neurotoxic effects. The aim of this study was to evaluate AChE activity in a host fish (the cod) and its acanthocephalan parasite Echinorhynchus gadi from the southern Baltic. AChE activity in hosts and parasites was inversely related: the highest cod AChE activity corresponded to the lowest E. gadi enzymatic activity and vice versa ("mirror effect"). This is the first report on the simultaneous application of this biomarker in cod and its acanthocephalan parasites. Results obtained for the host-parasite system are complementary and provide comprehensive information about the response of this biomarker. Analysis of the system allows for detection of a greater number of factors influencing AChE activity in the marine environment than separate analysis of the host and parasites. Thus, AChE activity measurement in a host-parasite system may be considered to be a promising tool for biomonitoring.

The first detection of Toxoplasma gondii DNA in environmental fruits and vegetables samples.

Toxoplasma gondii infections are prevalent in humans and animals all over the world. The aim of the study was to estimate the occurrence of T. gondii oocysts in fruits and vegetables and determine the genotype of the parasites. A total number of 216 fruits and vegetables samples were taken from shops and home gardens located in the area of northern Poland. Oocysts were recovered with the flocculation method. Then, real-time polymerase chain reaction (PCR) targeting the B1 gene was used for specific T. gondii detection and quantification. Toxoplasma DNA was found in 21 samples. Genotyping at the SAG2 locus showed SAG2 type I and SAG2 type II. This is the first investigation describing T. gondii DNA identification in a large number of fruits and vegetables samples with rapid molecular detection methods. The results showed that fruits and vegetables contaminated with T. gondii may play a role in the prevalence of toxoplasmosis in Poland.

Genetic and morphological variation in Echinorhynchus gadi Zoega in Müller, 1776 (Acanthocephala: Echinorhynchidae) from Atlantic cod Gadus morhua L.

Previous studies have shown considerable variability in morphological features and the existence of genetically distinct sibling species in the acanthocephalan Echinorhynchus gadi Zoega in Müller, 1776. The aim of the present study was to follow up and extend those earlier studies by using a combination of DNA analysis and morphometrics to investigate differences between samples of E. gadi from Atlantic cod Gadus morhua L. caught at five fishing grounds in the Baltic Sea and three in different parts of the North Atlantic. Twelve morphological features were measured in 431 specimens of E. gadi, 99 individuals were studied by polymerase chain reaction-restriction fragment length polymorphosm (PCR-RFLP), and selected PCR products were sequenced. The molecular analyses showed the nucleotide sequences of E. gadi rDNA from cod caught at all the sampling sites to be identical. The comparative morphological study, in contrast, revealed significant differences between samples of E. gadi from different sampling sites and showed the separation of E. gadi into two groups corresponding approximately to the systematic classification of cod into the two subspecies, Atlantic G. morhua morhua and Baltic G. morhua callarias. The E. gadi infrapopulation size had a significant effect on some of the morphological features. The results are discussed in relation to cod population biology, the hydrography of the study area and the history of the Baltic Sea formation.

Detection of Toxoplasma gondii oocysts in environmental soil samples using molecular methods.

Infections caused by Toxoplasma gondii are prevalent in humans and animals throughout the world. So far, there is no sufficient information concerning T. gondii oocysts prevalence in the environment, especially in soil. Therefore, the aim of this study was to estimate occurrence of T. gondii oocysts in soil and determine the genotype of detected parasites. A total of 101 soil samples were taken from different sites (sand-pits, "farming ground", areas around rubbish dumps) located in the Tri-City (Poland). Oocysts were recovered using the flotation method. Then, PCR reactions targeting the B1 gene were performed for specific T. gondii detection. The positive samples were further confirmed by PCR amplification of a repetitive element (REP) sequence [GenBank accession number AF146527]. Toxoplasma DNA was found in 18 samples. Among them, seven samples were successfully genotyped at the SAG2 locus. They were classified as SAG2 type I (5 samples) and SAG2 type II (2 samples). This is one of the first investigations describing T. gondii oocyst detection in environmental soil samples with rapid molecular detection methods and genotyping. The results of our findings showed that soil contaminated with T. gondii oocysts may play a role in the epidemiology of human toxoplasmosis in Poland.

Identification of anisakid nematodes from the Southern Baltic Sea using PCR-based methods.

Four common species of Baltic anisakids Anisakis simplex, Hysterothylacium auctum, Contracaecum osculatum from fish (the last one also from the grey seal) and C. rudolphii from cormorants were examined using PCR-RFLP technique for working out the method allowing their identification and differentiation. A fragment of nuclear DNA containing intergenic regions (ITS-1 and ITS-2) of ribosomal DNA together with adjacent sequences of genes coding 18S and 28S rRNA (in total; approximately 1500 bp) was amplified and the products were digested using three endonucleases Hin fI, Hae III and Pvu II. Digestion with Hin fI endonuclease enabled species identification and differentiation between all nematode species studied. Digestion with Hae III endonuclease enabled identification of A. simplex and H. auctum while electrophoretic patterns obtained for both Contracaecum species were similar (differentiation between A. simplex, H. auctum and the genus Contracaecum). Pvu II endonuclease was not suitable to this purpose. On the basis of nucleotide sequences obtained, the pairs of species-specific primers were designed for each species studied. By the use of these pairs of primers the species-specific PCR reactions were carried out. The sizes of specific products were: 486 bp for A. simplex, 491 bp for C. osculatum, 505 bp for C. rudolphii and 663 bp for H. auctum. The methods presented herein can be useful in diagnostics of human anisakidosis, especially when parasites are disrupted.

[Occurrence of parasites, bacteria, viruses and fungi in fish that are pathogenic to men and fish]. / Wystepowanie u ryb baltyckich pasozytów, bakterii, wirusów i grzybów patogennych dla ludzi i ryb.

Parasitological examinations comprised above 20,000 fish which were searched for parasitic nematoda of Anisakidae. It was evidenced that herring were infected with anisakid larvae in 8%, cod and flatfish in 4% and the eelpouts in as many as in 52%. The species that prevails in these fish were: Anisakis simplex, Contracaecum osculatum C, Hysterothylacium auctum and Pseudoterranova decipiens, respectively. In direction of the bacteria pathogenic to man 765 fish were examined; in 38% there were found pathogenic strains such as coagulase-positive staphylococci, even Salmonella and Shigella. Besides there were cultivated 109 strains of bacteria pathogenic to fish belonging to the genera: Aeromonas, Pseudomonas, Acinetobacter and Moraxella Virological evaluation comprised 527 fish, in that number Enteroviruses (Coxsackie, ECHO) were identified in 31% fish and viral agent, likely to be pathogenic to fish in 8% specimens. Not a one case of infection with Ichthyophonus hoferi fungus in the herring hitherto examined was noted.