First report of Kudoa sp. in the palate and pharyngeal musculature of Gobioides grahamae Palmer and Wheeler, 1955 (Perciformes, Gobiidae) from Marajó Island, Brazil / Primeiro registro de Kudoa sp. na musculatura do palato e faringeal de Gobioides grahamae Palmer e Wheeler, 1955 (Perciformes, Gobiidae) da Ilha do Marajó, Brasil

The aim of this study was to describe the first occurrence ofKudoasp. inGobioides grahamae, contributing to the understanding of this group of parasites in the Amazonian ichthyofauna. Forty specimens ofG. grahamaecollected from the natural environment were analyzed. Cysts ofKudoasp. were diffusely distributed through the striated skeletal muscle fibers with severe edema and inflammatory infiltrate composed of lymphocytes were observed in 30% of the specimens. Edema and marked coagulation necrosis of the muscle fibers was associated with infection byKudoasp. spores, which had accumulated inside the skeletal muscle fibers. Although there are no records of foodborne outbreaks caused by Kudoa spp. in Brazil, it is of paramount importance that we evaluate its occurrence, since the consumption of fish, especially raw fish, has increased because of the adoption of Japanese cuisine. To minimize the economic impacts on the fisheries market and the risk of this parasite to public health, it is necessary to initiate a program to monitor the presence of this likely underdiagnosed, emerging parasite.(AU)

O objetivo deste estudo foi descrever a primeira ocorrência de Kudoa sp. em Gobioides grahamae, contribuindo, assim, para a compreensão desse grupo de parasitas na ictiofauna amazônica. Foram analisados 40 espécimes de G. grahamae coletados de ambiente natural. Cistos de Kudoa sp. foram distribuídos difusamente através das fibras musculares esqueléticas estriadas com presença de edema grave e infiltrado inflamatório composto de linfócitos, que foram observados em 30% dos espécimes. Edema e necrose de coagulação acentuada das fibras musculares foram associados com a infecção por esporos de Kudoa sp., acumulados no interior das fibras musculares da faringe. Apesar de não haver registros de surtos de origem alimentar causada por Kudoa spp. no Brasil, é de suma importância a avaliação de sua ocorrência, uma vez que o consumo de peixe, especialmente peixe cru, aumentou por causa da adoção da culinária japonesa. Para minimizar os impactos econômicos no mercado da pesca e o risco desse parasita para a saúde pública, é necessário iniciar um programa para monitorar a presença desse parasita emergente, possivelmente subdiagnosticada.(AU)

Diffuse cutaneous leishmaniasis with oral involvement in a patient of Northern Mexico.

Diffuse cutaneous leishmaniasis is a rare chronic infectious disease, associated with Leishmania mexicana and L. amazonensis, presenting as multiple non-ulcerative painless nodules, with a tendency to relapse soon after treatment. We report a case of a 56-year-old Mexican woman exhibiting nodular lesions, plaques, crusts and scars involving the whole body. A solitary nodule was present at the junction between hard and soft palates. Diffuse cutaneous leishmaniasis is a disfiguring disease resulting in severe scarring if untreated.

Morphological and molecular characterization of Thelohanellus macrovacuolaris n. sp. (Myxosporea: Bivalvulida) infecting the palate in the mouth of common carp Cyprinus carpio L. in China.

Thelohanellus macrovacuolaris n. sp. is described during a survey on myxozoan diversity of common carp Cyprinus carpio L. in China. It is characterized by the presence of round or ellipsoidal plasmodium in the palate in the mouth of host. Mature spores were pyriform in frontal view, lemon shaped in lateral view, measuring 21.6±0.9 (19.3-23.8) long, 12.5±0.7 (10.3-13.6) wide, and 10.2±0.4 (9.8-11.8) thick. Most spores were surrounded by the membrane sheath. Single polar capsule was round with an apophysis at its top end presented close to apex of spore, measuring 9.1±0.6 (8.0-10.0) in length, 8.6±0.5 (7.8-9.6) in width. Polar filaments coiled, with 7 to 8 turns. A large, round iodinophilous vacuole was present, with 5.8-7.5 in diameter. The present species is morphologically distinct from all other Thelohanellus species. The BLAST search indicated that the newly obtained small subunit ribosomal RNA (ssrRNA) gene sequence of T. macrovacuolaris n. sp. did not match any available sequences in GenBank. Phylogenetically, T. macrovacuolaris n. sp. was placed sister to Thelohanellus wangi in the Thelohanellus clade. Both morphology and ssrRNA gene sequence data revealed that the present parasite is a new species of genus Thelohanellus.

Myxobolus oralis sp. n. (Myxosporea: Bivalvulida) infecting the palate in the mouth of gibel carp Carassius auratus gibelio (Cypriniformes: Cyprinidae).

During a survey on the myxosporean fauna of gibel carp Carassius auratus gibelio (Bloch) in China, a species of Myxobolus Bütschli, 1882 that did not conform to any known species was found. The species is characterised by the presence of round to ellipsoidal plasmodia of 2.6-4.0 mm in diameter in the palate of host. Mature spores are obovate in frontal view and lemon-shaped in lateral view, with the following range, mean and standard deviation of dimensions: 10.8-12.8 µm (11.7 ± 0.4 µm) long, 8.2-9.9 µm (8.9 ± 0.4 µm) wide and 6.0-7.5 µm (6.8 ± 0.3 µm) thick. Two polar capsules are pyriform, 4.0-5.5 µm (4.8 ± 0.3 µm) long by 2.9-3.6 µm (3.0 ± 0.2 µm) wide. Polar filaments are coiled, with 5 to 6 turns. A small proportion of spores possesses a short caudal process. Scanning electron microscopy revealed discoid spores with a low sutural ridge and middle bulge. The small subunit ribosomal DNA sequence of this species did not match any available sequences in GenBank. Phylogenetically, this species is sister to M. nielii (Nie et Li, 1973) and M. hearti Chen, 1998 in a Henneguya-Myxobolus clade with robust support. Given the morphological and molecular differences between this species and other Myxobolus species, we propose the name Myxobolus oralis sp. n. for this parasite from gibel carp.

Myiasis in palate by Cochliomyia hominivorax.

Myiasis is the infestation of tissues and organs of animals and humans caused by the larvae of certain dipteran flies. It is more common in undeveloped and tropical countries and usually affects elderly patients, persons who are sick, and patients with mental illness. Oral myiasis is a rare pathologic condition and a risk to the patient's life because of its great destructive potential. Therefore, appropriate treatment is necessary. This article aimed to report a case of myiasis caused by Cochliomyia hominivorax in the palate of a patient with primary progressive aphasia, which was successfully treated through mechanical removal of larvae plus administration of ivermectin.

Advanced stage of oral myiasis in children: a clinical case report.

Human myiasis is characterized by larval infestation of body tissues or cavities of live individuals. Although most frequently observed in underdeveloped and tropical countries, reports of human myiasis have been encountered throughout the world. Conventional treatment is the mechanical removal of the larvae, one by one, which is painful and embarrassing and repugnant to both health professional and patient. Even though human myiasis is not considered rare, most dental professionals have very little knowledge of the diagnosis and treatment of this pathology. The purpose of this article, therefore, is to report a case of advanced-stage oral myiasis in a 9-year-old patient treated at a health and dentistry clinic. Diagnosis was based on visual observation of Cochliomyia hominivorax larvae, a dipterous fly of the Calliphoridae family, which were between the second and third stages of development. Predisposition factors include lack of information, malnutrition, poor oral hygiene, preexistence of oral lesions, and severe halitosis, which decisively influence the appearance and development of oral myiasis. A brief review of the literature is also included, in which the importance of early clinical diagnosis, myiasis etiology, and possible associations with other pathologies and different types of treatment are discussed.

Gingival leishmaniasis in an HIV-negative patient.

Gingival leishmaniasis is unusual and is mainly observed in immunocompromised patients. We report a case involving the palate, uvula, and gingiva of an HIV-negative patient who was initially diagnosed as having paracoccidioidomycosis. The patient underwent a biopsy for parasite isolation and in situ histopathology and immunohistochemistry. The Leishmania spp. were detected in lesions of the uvula and gingiva. Despite the poor state of teeth, the gingival lesions were caused by American tegumentary leishmaniasis (ATL). The gingival lesions presented an intense inflammatory infiltrate permeated by neutrophils. Immunohistochemistry revealed a predominantly lymphocytic infiltrate. The patient responded well to treatment, with no reactivation during follow-up. The rarity of gingival involvement in immunocompetent patients and the need for inclusion of ATL in the differential diagnosis of gingival lesions are discussed.

Mucocutaneous leishmaniasis in a US citizen.

Mucocutaneous leishmaniasis (MCL) is endemic to many areas of Central and South America. A case of MCL in a US citizen is reported here. An ulcer appeared on the patient's left hard palate, years after a working trip to Peru. Punch biopsies of the lesion were obtained, Leishmania promastigotes were isolated by culture and animal inoculation, and the patient was appropriately treated. As this case demonstrates, a patient's travel history is a key element in making a differential diagnosis of oral lesions.

[Infective stomatitis of the palate]. / Localización palatina de las estomatitis infecciosas.

Having on base a wide and selective review of the literature, it has seemed to us interesting to detail the infective pathology on this location or sometimes occurring. This region is, as well will see, the seat of a rich pathology. We pretend on the other hand to reassess the importance of the meticulous examination of the oral cavity in "systemic problems". We describe the palatal infections divided in four groups: bacterial, viral, fungal and parasitory, according to the causal agent. We review the palatine manifestations of other fewer current syndromes as well.

Oral myiasis. A case report.

Myiasis is a disease commonly seen in animals, especially sheep and cattle. The condition is rare in man. A patient with a neglected fractured mandible with superimposed myiasis is reported.

Oral myiasis: report of two cases.

Case reports are presented of two patients from Oman who developed myiasis in the palate. Both suffered from cerebral palsy and had incompetent lips, anterior open bite and very poor oral hygiene. Both patients had denuded areas of hard palate anteriorly. In both cases large numbers of maggots were found under the surrounding mucoperiosteam. Removal of the maggots and debridement resulted in resolution of the condition.

Miasis cavitaria de localización oral / Oral cavity myiasis

Se presenta un caso de miasis cavitaria de localización oral, eventualidad poco frecuente en nuestro medio, en un paciente joven con parálisis cerebral y retardo mental grave. Se efectúa una revisión del tema y se plantea la necesidad de la cirugía como única opción válida en este tipo de miasis

Miasis cavitaria de localización oral / Oral cavity myiasis

Se presenta un caso de miasis cavitaria de localización oral, eventualidad poco frecuente en nuestro medio, en un paciente joven con parálisis cerebral y retardo mental grave. Se efectúa una revisión del tema y se plantea la necesidad de la cirugía como única opción válida en este tipo de miasis (AU)

Relationships of Trichomonas gallinae to the palatal-esophageal junction of ring doves (Streptopelia risoria) as revealed by scanning electron microscopy.

Ring doves (Streptopelia risoria) were experimentally infected with pathogenic (virulent) Trichomonas gallinae so that trichomonad activities in the upper alimentary tract, prior to canker formation, could be examined with scanning electron microscopy. Between 6 and 15 hr postinoculation low numbers of ameboid T. gallinae were attached to apical microfolds and cell borders of the palatal-esophageal junction squamous epithelium. Initial parasite activities at tightly attached cell borders and apical microfolds suggest that some parasite-secreted factor or factors initiated squamous cell damage, separation, and removal. As squamous cell borders separated, trichomonads invaded areas beneath them and ultimately aided in their complete removal. Accelerated parasite-mediated desquamation, the invasion of increased mucosal surface area by trichomonads, and the eruption and expansion of cankers were the primary changes to the palatal-esophageal junction and other upper alimentary tract tissues that occurred between 19 and 240 hr postinoculation.