Porocephaliasis

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Porocephaliasis
Specialty Infectious disease

Porocephaliasis is a condition associated with species in the closely related genera Porocephalus and Armillifer . (The term "pentastomiasis" encompasses all diseases of Pentastomida, which includes porocephaliasis and linguatulosis.)

Contents

Porocephaliasis is associated with contact with snakes. (This is in contrast with linguatulosis, which is associated with contact with dogs or wolves.)

It has been reported from Africa, Malaysia and the Middle East. Its occurrence has been rare in Europe and North America where it has been found in immigrants and travelers. [1]

Transmission and presentation

It is prevalent in parts of Africa [2] and Asia [3] where eating snake meat is common. In Africa it has also been associated with groups who use the snake as a totem. [4] Unlike linguatuliasis, humans are only ever an accidental intermediate host for Armillifer, i.e. the larvae establish themselves in the visceral organs causing human visceral pentastomiasis, but adults do not occur in the human respiratory system. After a while the larvae die within the host and sometimes calcify, leaving characteristic crescent-shaped structures seen in X-ray. [5] In extreme cases a heavy parasite burden can have serious medical consequences [6] and can even be fatal. [7]

Diagnosis

Diagnosis is by histopathology. [1]

Treatment and prevention

No treatment is necessary in asymptomatic patients, but there is no antiparasitic pharmacotherapy or medical treatment available for pentastomiasis. Surgery may be needed for infection by many parasites. [1] Infection can be prevented by washing the hands after touching snake secretions or meat and cooking snake meat thoroughly prior to consumption. [1]

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Angiostrongylus cantonensis is a parasitic nematode (roundworm) that causes angiostrongyliasis, 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.

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<i>Porocephalus crotali</i> Species of crustacean

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Linguatulosis Medical condition

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<i>Armillifer armillatus</i> Species of crustacean

Armillifer armillatus is a species of the genus Armillifer occurring in tropical Africa. Its typical definitive hosts are pythons, such as the African rock python, while rodents are presumed to act as intermediate hosts. Humans may become accidentally infected by the eggs particularly if consuming infected snakes. Ingested eggs develop into nymphs that invade different visceral organs causing a disease called porocephalosis. Most human infections are asymptomatic, some are debilitating, or rarely even lethal.

<i>Armillifer grandis</i> Species of crustacean

Armillifer grandis is a species of the pentastomid genus Armillifer distributed in tropical Central and West Africa. Its typical definitive hosts are viperid snakes, while rodents are presumed to act as intermediate hosts. Humans may become accidentally infected by the eggs, particularly if consuming infected snakes. Ingested eggs develop into nymphs that invade different visceral organs, causing a disease that is often called porocephalosis. Most human infections are asymptomatic, some are debilitating, or rarely even lethal. Abdominal infections are more widespread, but typically undiagnosed, while ocular manifestations are rare and may cause blindness.

<i>Baylisascaris shroederi</i> Species of roundworm

Baylisascaris shroederi, common name giant panda roundworm, is a roundworm (nematode), found ubiquitously in giant pandas of central China, the definitive hosts. Baylisascaris larvae in paratenic hosts can migrate, causing visceral larva migrans (VLM). It is extremely dangerous to the host due to the ability of the parasite's larvae to migrate into brain tissue and cause damage. Concern for human infection is minimal as there are very few giant pandas living today and most people do not encounter giant pandas in their everyday activities. There is growing recognition that the infection of Baylisascaris shroederi is one of the major causes of death in the species. This is confirmed by a report stating that during the period of 2001 to 2005; about 50% of deaths in wild giant pandas were caused by the parasite infection.

References

  1. 1 2 3 4 Dennis Tappe & Dietrich W. Büttner (2009). Bethony, Jeffrey M. (ed.). "Diagnosis of Human Visceral Pentastomiasis". PLOS Neglected Tropical Diseases . 3 (2): 1–7. doi:10.1371/journal.pntd.0000320. PMC   2643528 . PMID   19238218.
  2. V. du Plessis; A. J. Birnie; I. Eloff; H. Reuter; S. Andronikou (2007). "Pentastomiasis (Armillifer armillatus infestation)" (PDF). South African Medical Journal . 97 (10): 928–930. PMID   18027470.[ permanent dead link ]
  3. M. H. Yao; F. Wu; L. F. Tang (2008). "Human pentastomiasis in China: case report and literature review". Journal of Parasitology . 94 (6): 1295–1298. doi:10.1645/GE-1597.1. PMID   18576869. S2CID   45387356.
  4. J. C. B. Dakubo; S. B. Naaeder; R. Kumodji (2008). "Totemism and the Transmission of Human Pentastomiasis". Ghana Medical Journal . 42 (4): 165–168. PMC   2673832 . PMID   19452026.
  5. E. M. Mapp; M. D. Pollack; L. H. Goldman (1976). "Roentgen diagnosis of Armillifer armillatus infestation (porocephalosis) in man". Journal of the National Medical Association . 68 (3): 198–200. PMC   2609651 . PMID   933188.
  6. C.-M. Pan; H.-F. Tang; M.-H. Qui; Q.-X. Xiong (2005). "Heavy infection with Armillifer moniliformis: a case report". Chinese Medical Journal . 118 (3): 262–264. PMID   15740662. Archived from the original on 2011-07-18.
  7. H. Yapo Ette; L. Fanton; K. D. Adou Bryn; K. Botti; K. Koffi; D. Malicier (2003). "Human pentastomiasis discovered post-mortem". Forensic Science International . 137 (1): 52–54. doi:10.1016/S0379-0738(03)00281-0. PMID   14550614.