First Report of the Introduction of an Exotic Tick, Amblyomma coelebs (Acari: Ixodidae), Feeding on a Human Traveler Returning to the United States from Central America.

Introduction of ticks into the United States that can carry disease-causing pathogens to humans, companion animals, and wildlife has accelerated in recent years, mostly due to globalization, frequency of travel, and a rise in legal and illegal animal trades. We hereby report for the first time introduction of a live fully engorged Amblyomma coelebs feeding on a human into the United States from Central America. Amblyomma coelebs is geographically distributed in the Neotropical region and reaches the southern states of Mexico. This species is capable of transmitting a number of pathogens of public health and veterinary importance including spotted fever group rickettsiae, raising concern that A. coelebs, if it became established in the United States, might also be able to carry these pathogens. Considering the risks of exotic ticks as vectors of numerous pathogens and their potential to establish new populations under conducive climatic and habitat conditions, rigorous inspection practices of imported livestock and pet animals at ports of entry are vital. It is also important for travelers and practitioners to develop a heightened awareness of the public health risks associated with the unintended importation of exotic ticks and the potential such parasites have for breaching United States biosecurity defenses.

Unusual sites for primary hydatid cysts: self experience with five cases.

Hydatid disease is a zoonotic disease caused by the tapeworm Echinococcus granulosus. It is common in the sheep-raising countries including Iraq. The usual site for involvement is the liver, followed by the lungs. Other sites may be affected less commonly and require a high index of suspicion for diagnosis. We present our experience with five cases of unusual sites of primary hydatid cyst, including the pancreas, the abdominal wall, the spleen, the back and the thigh. Three patients were females and two patients were males; their ages were between 15 and 39 years. All the patients were operated at our centre, and after a period of follow-up ranging between 2 and 6 years, there was no reported recurrence in any of the patients, neither at the primary site nor at other sites.

Two cases of Old World cutaneous leishmaniasis in Australian travelers visiting Morocco.

Two cases of Old World cutaneous leishmaniasis (OWCL) acquired by travelers to Morocco are described. In Australia, OWCL is more frequently seen in migrants rather than returned travelers. The patients were treated with sodium stibogluconate and fluconazole. Optimal treatment is not established, particularly in returned travelers, but identification of Leishmania species can help with the selection of appropriate therapy.

Onchocerca-Simulium complexes in Venezuela: can human onchocerciasis spread outside its present endemic areas?

The compatibility between sympatric and allopatric combinations of Onchocerca volvulus-anthropophilic species of Simulium was studied in the north-eastern focus of human onchocerciasis as well as in a densely populated locality of the Amazonas State in Venezuela. The objectives were to test the conjecture that local adaptation exists between the parasite and its vectors (the Onchocerca-Simulium complex hypothesis), and assess the possibility of the infection spreading from its present distributional range. For the homologous combination, O. volvulus-S. metallicum cytospecies E in Anzoátegui State (north-eastern focus), parasite yield was 45% in contrast to 1% for the heterologous, southern parasite-S. metallicum infection. This was significantly lower than the parasite yield (4-10%) expected after allowing for the effect of density-dependent limitation of infective larval output described in this paper for S. metallicum. The population of S. exiguum s.l. from southern Venezuela allowed no larval development beyond the L1 stage of either northern or southern parasites. Mechanisms for such refractoriness probably operate at the level of the thoracic muscles, not affecting microfilarial uptake or migration out of the bloodmeal. The parasite yield of southern O. volvulus in S. oyapockense s.l. flies biting man at Puerto Ayacucho (Amazonas) was about 1%, in agreement with the figures recorded for highly compatible sympatric combinations such as O. volvulus-S. ochraceum s.l. in Guatemala. No infective larval development of the northern parasite was observed in southern S. oyapockense. These results, together with considerations of typical worm burdens in the human host, presence/absence of armed cibaria in the simuliids, parasite-induced vector mortality, and fly biting rates, suggest a lower potential for onchocerciasis to spread between the northern and southern endemic areas of Venezuela than that between Amazonian hyperendemic locations and settlements outside this focus with high densities of S. oyapockense s.l.

Further evidence on the internal life cycle of Przhevalskiana silenus (Diptera, Oestridae).

Knowledge of the internal life cycle of goat warble fly infestation is scarce despite ample data available on the aetiology, epidemiology, immunodiagnosis and treatment of such infestations. This study was carried out at the slaughterhouse of Rossano Calabro (Cosenza, southern Italy) on 154 animals from 10 months to 6 years of age from May 1997 to June 1998. 1206 Przhevalskiana silenus larvae were collected during the trial period from the subcutaneous tissue of the slaughtered animals. The larval stage average size ranged from 4.7 mm, for first instar larvae (May), to 16.6 mm, for third instar larvae (February), in the first cycle of infestation. No larvae were found in March-April, coinciding with the pupation period. Small first instar larvae were found at the beginning of the second cycle of infestation (May-June). Necroscopic examinations were also carried out on internal organs and no larvae were found. The results pointed out that the internal life cycle of P. silenus is exclusively subcutaneous and there is no internal migration of the larvae.

[Primary localization of a hydatid cyst in the major dorsal muscle: report of a case]. / Localizzazione muscolare primaria di cisti idatidea del gran dorsale: caso clinico.

A case of primary hydatidosis of major muscle dorsal is reported. Hydatid cyst, though known to occur in many areas of the body, is rare in skeletal muscle. Echinococcosis of muscle is caused by the larval stage of Echinococcus granulosus or, rarely, by the more aggressive Echinococcus multilocularis. Although Echinococcus is the most common cause of liver cyst, hydatidosis of muscle appears to be uncommon, as muscle is involved in only 3% of echinococcal infection. We report a case of a 65 year old woman, of rural origin, with an infestation of the major muscle dorsal. We discuss the serologic and instrumental diagnosis, methods and the hypothesis of a primary muscular localization and surgical and clinical management of these atypical lesion. This authors recommend total pericystectomy Postoperative results were satisfying: no recurrence but one was found at follow up.

Spatial distribution and spread of sheep biting lice, Bovicola ovis, from point infestations.

The spatial distribution of chewing lice (Bovicola ovis) on their hosts was examined in Polypay and Columbia ewes initially artificially infested on the midside or the neck. Densities of lice were determined at 69 body sites in eight body regions at approximately monthly intervals for 2 years. In the second year, half of the ewes were mated and lice were counted at 26 body sites on the resulting lambs. Polypay ewes had higher densities of lice than Columbias at most inspections but there was little effect of infestation point or mating on either numbers or the distribution of lice. During periods of high louse numbers densities were generally greatest on the sides or the back. Densities on the head were also high at times and peaked later than overall louse densities. Shearing markedly reduced density but increased the proportion of lice found on the neck, belly and lowleg sites. The distribution of lice on the lambs was similar to that on the ewes except that fewer lice were found on the head. Comparisons of lice per part with the numbers of lice extracted from clipped patches indicated that a sheep with wool bearing area of 1 m2 and a mean count of one louse per 10 cm fleece parting carried approximately 2000 lice. At most times of the year inspections for sheep lice should be concentrated on the sides and back, but in recently shorn sheep greater attention should be paid to the lower neck and ventral regions. Implications of the observed distributions of lice for the efficacy of chemical treatments are discussed.

Dermatobia hominis in the accident and emergency department: "I've got you under my skin".

An unusual form of larval infestation from South America is presented which, in view of increasing tourism to South america's tropical areas, may present to any accident and emergency department. Infestation with Dermatobia hominis is reviewed in terms of clinical recognition and life cycle. Techniques of removal are described.

Análisis de las poblaciones de sarcoptes scabiei (acaridida: sarcoptidae) en un paciente con escabiosis noruega de Costa Rica / Analysis of the sarcoptes scabiei (acaridida: sarcoptidae) populations in a case of norwegian scabies at Costa Rica

Se realizó un análisis de las poblaciones de ácaros sarcoptes scabiei (acaridida: sarcoptidae) presentes en un paciente con escabiosis noruega que presentaba lesiones en espalda -glúteos, muslo derecho, axila izquierda. mano derecha y codo izquierdo. Se encontraron formas evolutivas del ácaro en todos los sitios con lesiones, siendo la espalda-glúteos el lugar de mayor densidad de ácaros (p< 0,01)

Bot fly parasitism (Rogenhofera bonaerensis) (Diptera, Cuterebridae) in the pampean grassland mouse (Akodon azarae), in Argentina.

Seasonality and impact of parasitism by the larvae of Rogenhofera bonaerensis (Diptera: Cuterebridae) in pampean grassland mouse (Akodon azarae, Rodentia, Cricetidae) populations were studied in grasslands and cropfield borders near Diego Gaynor (Buenos Aires Province, Argentina), from November 1985 to December 1986. Trapped mice infections ranged from one larva (77%) to four (4%) per host; larvae occurred on tails (75.7%), backs (17.1%), thighs (5.7%), and abdomen (1.4%). Prevalence of larvae occurred in late spring (November and December) (35%), and in fall (March to June) (20%), with a peak of 25% during April and May. In spring these larvae affected 46% of resident and 19% of transient individuals; however, no differences were found between residents and transients in spring or fall. There was no significant relationship between mouse population density and prevalence of parasitism (r = -0.56). The annual percentage of infected rodents changed with age (body size classes): adults (37%) greater than subadults (25%) greater than juveniles (16%); with no differences between the sexes. Similar results were recorded in the spring, but there were no differences in the fall. Significant differences were not detected between stable (22% infected) and disturbed habitats (14% infected). During winter uninfected mice survived better than those infected during the previous fall. In contrast, the summer survival among spring infected mice and noninfected mice was similar. Parasitism showed no effects on reproductive activity and on home range size. Larvae showed strong host specificity for A. azarae (99%). Only one case was recorded in the long-tailed mouse (Oligoryzomys flavescens), and none in the white paunch mouse (Calomys laucha), both species sympatric with A. azarae.(ABSTRACT TRUNCATED AT 250 WORDS)