Atypical Mansonella ozzardi Microfilariae from an Endemic Area of Brazilian Amazonia.

Mansonellosis is endemic in several regions of Africa, the Caribbean, and Latin America. Mansonella ozzardi and Mansonella perstans have been reported in Latin America, including the Amazon region. A morphological and molecular microfilariae study was performed in Pauini (Brazil). Blood samples were collected from 40 individuals, and were analyzed by Giemsa-stained blood film and by two different nested polymerase chain reactions which detect internal transcribed spacer-1 and the major sperm protein gene. By microscopy, 14 of 40 were positive: 11 as M. ozzardi and three as M. perstans-like infections. Both molecular methods detected 19 positive cases as M. ozzardi, including those 14 individuals detected by microscopy, without detectable genetic differences among any of the 19 positive samples. Molecular techniques showed an improvement of mansonellosis diagnosis and may become an effective tool to evaluate the present status of M. ozzardi and M. perstans in Latin America.

No evidence of Wolbachia endosymbiosis with Loa loa and Mansonella perstans.

Endosymbiotic Wolbachia bacteria from different filarial species, including major pathogens of humans such as Wuchereria bancrofti, Brugia malayi and Onchocerca volvulus, seem to play an important role in the development, viability and fertility of these worms. Wolbachia trigger inflammatory host responses as well as adverse reactions against standard treatment regimens and are therefore under investigation as novel treatment targets. We investigated whether Wolbachia are also endosymbiotic in Loa loa and Mansonella perstans. In both male and female adult L. loa, we found no evidence of bacteria by light or transmission electron microscopy. Furthermore, Wolbachia-specific PCR was negative in both L. loa and M. perstans microfilariae. The absence of Wolbachia in both filarial species therefore discourages the use of antibiotics as an adjunct or alternative approach to current treatment concepts for both loiasis and mansonelliasis perstans.

En face view of Mansonella (Mansonella) akitensis (Uni, 1983) by scanning electron microscopy.

The en face view of the head of M. (M.) akitensis was examined by scanning electron microscopy (SEM). The cephalic extremity with major axis dorsoventral confirmed the taxonomical position of the species.

The tail of the Mansonella streptocerca microfilaria.

Morphological studies of stained Mansonella streptocerca microfilariae from the skin of man and chimpanzees in West Africa revealed that the tail is bifid rather than blunt. This feature may be useful in characterization of related species.

Ultrastructure of Mansonella ozzardi microfilaria, with a comparison of the South American (simuliid-transmitted) and the Caribbean (culicoid-transmitted) forms.

Ultrastructural studies conducted to elucidate and compare the microanatomy of the South American (simuliid-transmitted) and the Caribbean (culicoid-transmitted) microfilariae of Mansonella ozzardi revealed that these microfilariae are essentially identical. The only difference detected was the larger central body of the Colombian microfilariae. Although the microanatomy of M. ozzardi microfilaria is essentially the same as that of other microfilariae, some of the subtle differences noted between M. ozzardi and other microfilariae include: amphids of unequal lengths, a large nucleus located approximately 30 microns from the anterior end, and an esophagus which appears to be less developed than that of Loa loa and Brugia spp. The microfilaria has a small cephalic hook, intracellular bacteriae in the hypodermal cells, and crystalloid inclusions which are most prominent in the R-1 cell and are also present in the hypodermal and esophageal cells. These crystalloids appear to be unique to M. ozzardi microfilariae.