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Lungworms are parasitic nematode worms of the order Strongylida that infest the lungs of vertebrates. The name is used for a variety of different groups of nematodes, some of which also have other common names; what they have in common is that they migrate to their hosts' lungs or respiratory tracts, and cause bronchitis or pneumonia. The lungworm will gradually damage the airways or lung tissue by inciting an inflammatory reaction inside the tissue. Ultimately, the parasites survive and reproduce in the respiratory tissues. [1] The category is thus more a descriptive than a precisely taxonomic one.
The most common lungworms belong to one of two groups, the superfamily Trichostrongyloidea or the superfamily Metastrongyloidea, but not all the species in these superfamilies are lungworms.
The lungworms in the superfamily Trichostrongyloidea include several species in the genus Dictyocaulus which infest hoofed animals, including most common domestic species. Different species are found in cattle and deer ( D. viviparus ), donkeys and horses ( D. arnfeldi ), and sheep and goats ( D. filaria ). These animals have direct life-cycles. The lungworms in the superfamily Metastrongyloidea include species that infest a wider range of mammals, including sheep, goats and pigs but also cats and dogs.
These include Metastrongylus elongatus (apri), found in pigs; Oslerus osleri found in dogs; and Aelurostrongylus abstrusus [2] found in cats. Some of these have indirect, and complex, life-cycles; several of them involve slugs or snails as intermediate hosts, where the habit of sniffing at slug trails, or even licking them, causes the parasite egg to enter the dog's respiratory tract. In the case of A. abstrusus the cat is normally infected by eating a bird or rodent that has itself eaten the original host. [3]
The general life cycle of a lungworm begins with an ingestion of infective larvae. The infective larvae then penetrate the intestinal wall where larvae migrate into the lungs through the bloodstream. The infected larvae reside in the lungs until the development into an adult lungworm. The eggs of the adult hatch thus producing L1 larvae. The eggs or L1 larvae that reside in the lungs are coughed up and then ingested back into the stomach and released into the environment via the feces. Infected wildlife or dogs will quickly contaminate their environment with many lungworm larvae increasing the risk for reinfection or for infection to others. [4]
The most common symptom is coughing and other typical symptoms are wheezing and weight loss. These symptoms are caused by larvae that reside in the lungs where immunity develops and the accumulation of mucus cause blockage of the airway into the lungs.
If an animal is suspected of lungworm infection, there are many ways to detect this parasitic infection such as performing one or more of the following techniques: a complete medical history including lung auscultation (stethoscope examination), doing a chest X ray, fecal examination for detection of ova or larvae, examination of respiratory secretions for ova or larvae, and/or a complete blood count (CBC) to check for signs of increase in eosinophils,
While examination of feces is more commonly performed in cattle as a diagnostic, transtracheal wash cytology can occasionally yield lungworm eggs in infected animals. [5]
Lungworm infestations can cause significant distress to the animal but are usually treatable with drugs. If infected with lungworm parasite, an anti-parasite drug must be administered.
In the case of a severe reaction, an anti-inflammatory drug of corticosteroids may be given for a brief period (3 to 10 days).
To treat tissue inflammation, the corticosteroid Prednisone is usually given (5–10 days). However, there are some side effects such as increased urination or appetite.
The drugs fenbendazole or moxidectin are usually administered to kill the parasite.
There are several different lungworm parasites that have been identified. Although they all originate from the lungworm parasite, they are treated somewhat differently and requires a combination of various drugs to treat the parasite. [ citation needed ]
Repeat chest X-rays in 2 and 4 weeks after treatment. Also, recheck a fecal sample to monitor for the presence of larvae or ova in 2 to 4 weeks. This will confirm if the parasite is still living inside the respiratory tissue.
Lungworms and other sheep parasites feature heavily in the 20th century novel Independent People (Sjálfstætt fólk) by Icelandic author Halldór Laxness.
Strongyloides stercoralis is a human pathogenic parasitic roundworm causing the disease strongyloidiasis. Its common name in the US is threadworm. In the UK and Australia, however, the term threadworm can also refer to nematodes of the genus Enterobius, otherwise known as pinworms.
Trichuriasis, also known as whipworm infection, is an infection by the parasitic worm Trichuris trichiura (whipworm). If infection is only with a few worms, there are often no symptoms. In those who are infected with many worms, there may be abdominal pain, fatigue and diarrhea. The diarrhea sometimes contains blood. Infections in children may cause poor intellectual and physical development. Low red blood cell levels may occur due to loss of blood.
Ascariasis is a disease caused by the parasitic roundworm Ascaris lumbricoides. Infections have no symptoms in more than 85% of cases, especially if the number of worms is small. Symptoms increase with the number of worms present and may include shortness of breath and fever in the beginning of the disease. These may be followed by symptoms of abdominal swelling, abdominal pain, and diarrhea. Children are most commonly affected, and in this age group the infection may also cause poor weight gain, malnutrition, and learning problems.
Toxocariasis is an illness of humans caused by the dog roundworm and, less frequently, the cat roundworm. These are the most common intestinal roundworms of dogs, coyotes, wolves and foxes and domestic cats, respectively. Humans are among the many "accidental" or paratenic hosts of these roundworms.
Dirofilaria immitis, also known as heartworm or dog heartworm, is a parasitic roundworm that is a type of filarial worm, a small thread-like worm, and which causes dirofilariasis. It is spread from host to host through the bites of mosquitoes. Four genera of mosquitoes transmit dirofilariasis, Aedes, Culex, Anopheles, and Mansonia. The definitive host is the dog, but it can also infect cats, wolves, coyotes, jackals, foxes, ferrets, bears, seals, sea lions and, under rare circumstances, humans.
Paragonimiasis is a food-borne parasitic disease caused by several species of lung flukes belonging to genus Paragonimus. Infection is acquired by eating crustaceans such as crabs and crayfishes which host the infective forms called metacercariae, or by eating raw or undercooked meat of mammals harboring the metacercariae from crustaceans.
Parasitic bronchitis, also known as hoose, husk, or verminous bronchitis, is a disease of sheep, cattle, goats, and swine caused by the presence of various species of parasite, commonly known as lungworms, in the bronchial tubes or in the lungs. It is marked by cough, dyspnea, anorexia and constipation. Lungworms which cause parasitic bronchitis include nematodes of the genera Dictyocaulus, Metastrongylus, and Protostrongylus. Hoose is essentially an infantile disease, almost always afflicting animals under one year of age.
Dictyocaulus is a genus of nematode parasites of the bronchial tree of horses, sheep, goats, deer, and cattle. Dictyocaulus arnfieldi is the lungworm of horses, and Dictyocaulus viviparus is the lungworm affecting ruminants.
Mammomonogamus is a genus of parasitic nematodes of the family Syngamidae that parasitise the respiratory tracts of cattle, sheep, goats, deer, cats, orangutans, and elephants. The nematodes can also infect humans and cause the disease called mammomonogamiasis. Several known species fall under the genus Mammomonogamus, but the most common species found to infest humans is M. laryngeus. Infection in humans is very rare, with only about 100 reported cases worldwide, and is assumed to be largely accidental. Cases have been reported from the Caribbean, China, Korea, Thailand, and Philippines.
The Strongylida suborder includes many of the important nematodes found in the gastrointestinal tracts of ruminants, horses, and swine, as well as the lungworms of ruminants and the hookworms of dogs and cats.
Muelleries capillaris, also known as the hair or goat lungworm, is one of the most economically important nematodes of small ruminants. Although normally non-pathogenic in sheep, the parasite causes a disease condition called muelleriosis in goats. Sheep and goats commonly become infected after accidentally ingesting M. capillaris infected snails or slugs, and the parasite produces eggs in the lungs of its host, causing life-threatening bronchopneumonia in serious cases.
Toxocara cati, also known as the feline roundworm, is a parasite of cats and other felids. It is one of the most common nematodes of cats, infecting both wild and domestic felids worldwide. Adult worms are localised in the gut of the host. In adult cats, the infection – which is called toxocariasis – is usually asymptomatic. However, massive infection in juvenile cats can be fatal.
Angiostrongylus cantonensis is a nematode (roundworm) parasite that causes angiostrongyliasis, an infection that is the most common cause of eosinophilic meningitis in Southeast Asia and the Pacific Basin. The nematode commonly resides in the pulmonary arteries of rats, giving it the common name rat lungworm. Snails are the primary intermediate hosts, where larvae develop until they are infectious.
Toxascaris leonina is a common parasitic roundworm found in dogs, cats, foxes, and related host species. T. leonina is an ascarid nematode, a worldwide distributed helminth parasite which is in a division of eukaryotic parasites that, unlike external parasites such as lice and fleas, live inside their host. The definitive hosts of T. leonina include canids and felines (cats), while the intermediate hosts are usually rodents, such as mice or rats. Infection occurs in the definitive host when the animal eats an infected rodent. While T. leonina can occur in either dogs or cats, it is far more frequent in cats.
Capillaria aerophila is a nematode parasite found in the respiratory tract of foxes, dogs, and various other carnivorous mammals. A few cases of human infestation have also been reported. Though it is sometimes called a "lungworm", this term usually refers to other species of nematodes. Infestation by C. aerophila is referred to as "pulmonary capillariasis", "bronchial capillariasis", or (rarely) "thominxosis". This parasite has a direct life cycle, meaning that the life cycle can be completed in a single host. C. aerophila usually causes only minor clinical symptoms, such as irritation of the respiratory tract and coughing. However, secondary bacterial infections of the respiratory tract, including pneumonia, may develop in heavy infestations. Treatment with anthelmintics, such as levamisole or fenbendazole, is usually sufficient to cure C. aerophila infestations.
Angiostrongylus costaricensis is a species of parasitic nematode and is the causative agent of abdominal angiostrongyliasis in humans. It occurs in Latin America and the Caribbean.
Aelurostrongylus abstrusus is a species of nematode from the family Angiostrongylidae.
Oxfendazole is a broad spectrum benzimidazole anthelmintic. Its main use is for protecting livestock against roundworm, strongyles and pinworms. Oxfendazole is the sulfoxide metabolite of fenbendazole.
Cat worm infections, the infection of cats (Felidae) with parasitic worms, occur frequently. Most worm species occur worldwide in both domestic and other cats, but there are regional, species and lifestyle differences in the frequency of infestation. According to the classification of the corresponding parasites in the zoological system, infections can be divided into those caused by nematode and flatworms - in the case of the latter, mainly cestoda and trematoda - while other strains are of no veterinary significance. While threadworms usually do not require an intermediate host for their reproduction, the development cycle of flatworms always proceeds via alternate hosts.
Nematode infection in dogs - the infection of dogs with parasitic nemamotodes - are, along with tapeworm infections and infections with protozoa, frequent parasitoses in veterinary practice. Nematodes, as so-called endoparasites, colonize various internal organs - most of them the digestive tract - and the skin. To date, about 30 different species of nematode have been identified in domestic dogs; they are essentially also found in wild dog species. However, the majority of them often cause no or only minor symptoms of disease in adult animals. The infection therefore does not necessarily have to manifest itself in a worm disease (helminthosis). For most nematodes, an infection can be detected by examining the feces for eggs or larvae. Roundworm infection in dogs and the hookworm in dogs is of particular health significance in Central Europe, as they can also be transmitted to humans (zoonosis). Regular deworming can significantly reduce the frequency of infection and thus the risk of infection for humans and dogs.
lungworm usually causes progressively worsening signs of cardiac and respiratory disease