REVIEW OF DIOCTOPHYME RENALE: ETIOLOGY, MORPHOLOGY, BIOLOGY, ECOEPIDEMIOLOGY, PATHOGENESIS, SYMPTOMATOLOGY, DIAGNOSIS, TREATMENT, AND PREVENTION.

Dioctophyme renale has a worldwide distribution and has been diagnosed in several wild and domestic animals as well as in humans. As numerous reports in the literature exist concerning the presence of D. renale in different animal species, as well as its diagnosis, treatment, and confirmation in new geographic areas, we reviewed existing information to contribute to the knowledge of the etiology, biology, epidemiology, pathogenesis, symptoms, diagnosis, treatment, and prevention of D. renale. Results of dioctophymosis may range from asymptomatic infection to even death of the host. Diagnosis is based on data from morphology, imaging, and antibody testing, with surgical treatment being the most effective. A high potential for infection of pets exists when there is overlap with wild parasitized animals; given common risk factors for infections in humans, D. renale should be considered as having zoonotic potential.

[Enteroparasitosis in Peru and its relation to the Human Development Index]. / Enteroparasitosis en Perú y su relación con el Índice de desarrollo humano.

BACKGROUND: Diseases related to enteroparasites are a serious public health problem. OBJECTIVE: To assess the prevalence of enteroparasites in Peru and its relationship with the Human Development Index (HDI). MATERIAL AND METHODS: A coproparasitological study using the direct method from children and adults from the communities of Pamplona Alta in Lima, the province of San Sebastián de Quera, Castillo Grande, Pillco Marca and Puelles in Huánuco, Llupa-Huaraz in Ancash, and Machaguay in Arequipa, Peru, was carried out from 2012 to 2016. RESULTS: 864 samples were analyzed, and a total prevalence of 23.03% (199 cases) was found. The non-pathogenic protozoan Entamoeba coli, with 10.42% (90 cases), and the nematode Ascaris lumbricoides, with 6.37% (55 cases), were the most prevalent. PERMANOVA analysis based on the prevalences of enteroparasites in urban and rural areas of Peru showed differences among communities. The overall prevalence of urban communities was similar to that of the rural ones. CONCLUSIONS: Enteroparasitosis in Peru are not related to HDI. However, the levels of infestation by enteroparasites varied between the different communities, and they were related to the bioecological characteristics of parasites.

INTRODUCCIÓN: las enfermedades relacionadas con enteroparásitos son un grave problema de salud pública. OBJETIVO: evaluar la prevalencia de enteroparásitos en el Perú y su relación con el Índice de desarrollo humano (IDH). MATERIAL Y MÉTODOS: se realizó un estudio coproparasitológico por el método directo en niños y adultos de las comunidades de Pamplona Alta en Lima, de la provincia de San Sebastián de Quera, Castillo Grande, Pillco Marca y Puelles en Huánuco, Llupa-Huaraz en Ancash y Machaguay en Arequipa, Perú, de 2012 a 2016. RESULTADOS: se analizaron 864 muestras y se encontró una prevalencia total del 23.03% (199 casos). El protozoario no patógeno Entamoeba coli con 10.42% (90 casos) y el nematodo Ascaris lumbricoides con 6.37% (55 casos) fueron los más prevalentes. La prevalencia de protozoos fue mayor que la de los helmintos. No se observó asociación entre el IDH frente a la prevalencia total ni frente a las cuatro especies de enteroparásitos más frecuentes. El análisis PERMANOVA a partir de las prevalencias de enteroparásitos en áreas urbanas y rurales de Perú mostró diferencias entre las comunidades. La prevalencia total de las comunidades urbanas fue similar a la de las rurales. CONCLUSIONES: la enteroparasitosis en el Perú no se relaciona con el IDH. Sin embargo, los niveles de infestación por enteroparásitos variaron entre las diferentes comunidades y se relacionaron con las características bioecológicas de los parásitos.

Enteroparasitosis en Perú y su relación con el Índice de desarrollo humano / Enteroparasitosis in Peru and its relation to the Human Development Index

Introducción: las enfermedades relacionadas con enteroparásitos son un grave problema de salud pública. Objetivo: evaluar la prevalencia de enteroparásitos en el Perú y su relación con el Índice de desarrollo humano (IDH). Material y métodos: se realizó un estudio coproparasitológico por el método directo en niños y adultos de las comunidades de Pamplona Alta en Lima, de la provincia de San Sebastián de Quera, Castillo Grande, Pillco Marca y Puelles en Huánuco, Llupa-Huaraz en Ancash y Machaguay en Arequipa, Perú, de 2012 a 2016. Resultados: se analizaron 864 muestras y se encontró una prevalencia total del 23.03% (199 casos). El protozoario no patógeno Entamoeba coli con 10.42% (90 casos) y el nematodo Ascaris lumbricoides con 6.37% (55 casos) fueron los más prevalentes. La prevalencia de protozoos fue mayor que la de los helmintos. No se observó asociación entre el IDH frente a la prevalencia total ni frente a las cuatro especies de enteroparásitos más frecuentes. El análisis PERMANOVA a partir de las prevalencias de enteroparásitos en áreas urbanas y rurales de Perú mostró diferencias entre las comunidades. La prevalencia total de las comunidades urbanas fue similar que la de las rurales. Conclusiones: la enteroparasitosis en el Perú no se relaciona con el IDH. Sin embargo, los niveles de infestación por enteroparásitos variaron entre las diferentes comunidades y se relacionaron con las características bioecológicas de los parásitos.

Background: Diseases related to enteroparasites are a serious public health problem. Objective: To assess the prevalence of enteroparasites in Peru and its relationship with the Human Development Index (HDI). Material and methods: A coproparasitological study using the direct method from children and adults from the communities of Pamplona Alta in Lima, the province of San Sebastián de Quera, Castillo Grande, Pillco Marca and Puelles in Huánuco, Llupa-Huaraz in Ancash, and Machaguay in Arequipa, Peru was carried out from 2012 to 2016. Results: 864 samples were analyzed, and a total prevalence of 23.03% (199 cases) was found. The non-pathogenic protozoan Entamoeba coli, with 10.42% (90 cases), and the nematode Ascaris lumbricoides, with 6.37% (55 cases), were the most prevalent. PERMANOVA analysis based on the prevalences of enteroparasites in urban and rural areas of Peru showed differences among communities. The overall prevalence of urban communities was similar to that of rural ones. Conclusions: Enteroparasitosis in Peru are not related to HDI. However, the levels of infestation by enteroparasites varied between the different communities, and they were related to the bioecological characteristics of parasites.

Eye trematode infection in small passerines in Peru caused by Philophthalmus lucipetus, an agent with a zoonotic potential spread by an invasive freshwater snail.

Until now, four species of eye trematodes have been found in South America. Of them, Philophthalmus lucipetus (synonymized with Philophthalmus gralli) displays a broad host spectrum, with at least 30 bird species (prevalently large water birds), five mammal species and humans serving as definitive hosts, and with snails Fagotia (Microcolpia) acicularis, Amphimelania holandri, Melanopsis praemorsa and Melanoides tuberculata serving as intermediate hosts. When examining a total of 50 birds of ten species in the wetland of Pantanos de Villa, Lima, Peru in July 2011, eye trematodes were identified visually in the edematous conjunctival sac of 11 (48%) out of 23 resident many-colored rush tyrants Tachuris rubrigastra. Based on morphometric characteristics, the trematodes were identified as P. lucipetus. ITS2 and CO1 gene of the examined specimens combined showed a 99% similarity to an Iranian isolate of Philophthalmus sp. from the intermediate host Melanoides tuberculata, an invasive freshwater snail, suggesting that these two isolates represent the same species with a wide geographical range. Moreover, the prevalence of infection with the philophthalmid cercariae was 31% in 744 Melanoides tuberculata examined in Pantanos de Villa in 2010. It is evident that P. lucipetus occurs throughout the world as well as locally, including Eurasia and South America. Here we report this trematode for the first time in Peru, and we were the first to sequence any of the South American eye trematodes. Low host specificity of P. lucipetus and the invasive character of Melanoides tuberculata as a competent intermediate host suggest that eye trematodosis caused by P. lucipetus may emerge frequently in various parts of the world, especially in the tropics. Increase of the zoonotic potential of the P. lucipetus associated with this invasive snail spreading across the world is predictable and should be of interest for further research.

The influence of habitat on the distribution and abundance of metacercariae of Macravestibulum obtusicaudum (Pronocephalidae) in a small Indiana stream.

Snails (Elimia livescens) from a central Indiana stream were examined for encysted metacercariae of Macravestibulum obtusicaudum (Pronocephalide) to determine the distribution and abundance of this parasite on its second intermediate host. Five samples of snails were collected, with 2 samples being restricted to high-flow (riffle) or low-flow (pool) areas of the stream. Snails (n = 386) were measured for shell length; the shell and the inner and outer surfaces of the operculum (in most samples) were examined for metacercariae. Seventy-five percent of snails (overall) had encysted metacercariae (range, 52-97%), primarily on the opercula. A significantly lower proportion of snails from riffles were infected, and these snails had significantly fewer cysts as well. Snails collected from pools showed up to 10 times as many metacercariae than those from riffles, although there was no significant difference in the proportion of snails with intramolluscan infections of M. obtusicaudum. The inner opercular surface appeared to be the preferred site of encystment in both flow regimes. Differences in microhabitats, in terms of both snails in the stream and metacercariae on the snails, clearly must be considered when evaluating the infection patterns of this trematode.