Schistosoma mekongi

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Schistosoma mekongi
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Eukaryota
Kingdom: Animalia
Phylum: Platyhelminthes
Class: Trematoda
Order: Diplostomida
Family: Schistosomatidae
Genus: Schistosoma
Species:
S. mekongi
Binomial name
Schistosoma mekongi
Voge, Bruckner & Bruce, 1978

Schistosoma mekongi is a species of trematodes, also known as flukes. It is one of the five major schistosomes that account for all human infections, the other four being S. haematobium, S. mansoni, S. japonicum, and S. intercalatum. This trematode causes schistosomiasis in humans.

Contents

Freshwater snail Neotricula aperta serves as an intermediate host for Schistosoma mekongi. [1]

History

Schistosomiasis was first reported in the Mekong River's Lower Basin region in 1957, from Laotian island of Khong to Cambodian province of Kratié, specifically. [2] It was believed that the cause of these cases was Schistosoma japonicum until 1978, when Neotricula aperta was discovered and it was determined that the Schistosome was a unique species, Schistosoma mekongi. [2] In 1967, a WHO-mission was sent to Champasack, confirming the infections, and putting focus on how it was being transferred. In 1989, the Ministry of Health in Laos initiated its first medicational intervention in the communities in Khong and Mounlapamok. One third of children were found to be positive for S. mekongi. This launched an effort to implement health information, education, and communication of the disease in addition to chemotherapy. This intervention was performed annually until 1995, and continued to 1999. After several rounds of praziquantel, the prevalence of S. mekongi infections has dropped to as low as 2% in some villages. The first national policy and strategy for control of helminth infections was developed and endorsed by the Cambodian MoH in 2009. This served as the backbone of future helminth control. A specific national schistosomiasis elimination action plan for the period 2016–2020 has been developed as a guidance for the National Control Program. This plan is supported by a Technical Taskforce at the central, provincial and district levels, and the task-force members are experts from the ministries, which are already involved by the National Committee for NTD Control. [3]

Characteristics

Schistosoma mekongi shares many general characteristics with other schistosomes, particularly S. japonicum, but it does have crucial differences. S. mekongi eggs are 30–55 μm and have a diminutive spine, and only 95 per mating pair are produced per day, whereas S. japonicum eggs are larger and produce on average 250 per day. N. aperta infected release on 42 cercaria per day, far lower than other Schistosomes. [4]

Epidemiology

Endemic region Journal.pntd.0000200.g001.png
Endemic region

Schistosoma mekongi is found in the Lower Mekong river basin region, from Khong Island in Laos to Kratié Province, Cambodia. [1] Schistosomiasis mekongi has also been found in the province of Champasack in the southern regions of Laos, and has also been found in eastern Thailand. In fact, S. mekongi has shown that it has the smallest distribution of any schistosome species. Transmission of Schistosoma mekongi occurs in the low water season in this geographical area. Approximately 140,000 people are at risk for S. mekongi infection. This is quite a small number, but infection and re-infection sustain the disease in these populations. These affect children the most because of their high level of water contact. Reservoir hosts also play a big role in keeping the disease around, although the number of reservoir hosts for the Mekong species is less than that of other species. With the use of stool examinations, only about 1500 people are shown to be infected, but it is projected that more than 10 times this number is more accurate. [3] In 1989, a universal mass treatment with praziquantel of the people of Khong Island was performed. In 1995, a similar treatment was performed in Cambodia. In some areas, this treatment was highly effective, eliminating S. mekongi. In other regions, particularly Khong Island, there was little effect. [2]

Attempting to control the intermediate host with a molluscicides also had no long-term effect. [2]

Life cycle/etiology

Schistosoma mekongi infections are caused by the penetration of the skin by the cercariae stage of the parasite. Eggs are released into the water in urine or fecal matter. These eggs hatch and release miracidia, which penetrate and infect the intermediate host, the snail Neotricula aperta . Sporocysts are then released in the water by either successive generations of snails or by predatory birds in the area eating infected snails and defecating the sporocysts in the water. The sporocysts then mature into cercariae that penetrate the skin and develop into schistosomulae. The schistosomulae circulate in the host blood and turn into adults. Adult worms release eggs into the bloodstream that lodge in the small capillaries of the intestine or bladder, penetrate the wall, and are released in feces or urine, respectively. The cycle then repeats itself. Schistosoma mekongi is much like Schistosoma japonicum in that adults more frequently in the superior mesenteric veins, but can be found in the central nervous system. [5]

Treatment and prevention

Treatment for all types of schistosomiasis are the same, but first step to treatment is always to see a physician. They will likely treat you with praziquantel for 1–2 days to treat all schistosomiasis infections. To prevent yourself from getting the parasite you should boil all drinking water and try to restrain from swimming in areas of slow current or evidence of rotting wood in the dry season. [6]

Reservoir hosts

The reservoir hosts for Schistosoma mekongi are dogs and pigs. It is believed that S. mekongi is unable to use cattle, such as water buffalo, as an effective reservoir host, unlike its close cousin S. japonicum.

Related Research Articles

<span class="mw-page-title-main">Schistosomiasis</span> Human disease caused by parasitic worms called schistosomes

Schistosomiasis, also known as snail fever, bilharzia, and Katayama fever, is a disease caused by parasitic flatworms called schistosomes. The urinary tract or the intestines may be infected. Symptoms include abdominal pain, diarrhea, bloody stool, or blood in the urine. Those who have been infected for a long time may experience liver damage, kidney failure, infertility, or bladder cancer. In children, it may cause poor growth and learning difficulty.

<span class="mw-page-title-main">Trematoda</span> Class of parasitic flatworms

Trematoda is a class of flatworms known as flukes or trematodes. They are obligate internal parasites with a complex life cycle requiring at least two hosts. The intermediate host, in which asexual reproduction occurs, is usually a snail. The definitive host, where the flukes sexually reproduce, is a vertebrate. Infection by trematodes can cause disease in all five traditional vertebrate classes: mammals, birds, amphibians, reptiles, and fish.

<i>Schistosoma</i> Genus of flukes

Schistosoma is a genus of trematodes, commonly known as blood flukes. They are parasitic flatworms responsible for a highly significant group of infections in humans termed schistosomiasis, which is considered by the World Health Organization as the second-most socioeconomically devastating parasitic disease, with hundreds of millions infected worldwide.

<span class="mw-page-title-main">Praziquantel</span> Medication

Praziquantel (PZQ), sold under the brandname Biltricide among others, is a medication used to treat a number of types of parasitic worm infections in mammals, birds, amphibians, reptiles, and fish. In humans specifically, it is used to treat schistosomiasis, clonorchiasis, opisthorchiasis, tapeworm infections, cysticercosis, echinococcosis, paragonimiasis, fasciolopsiasis, and fasciolosis. It should not be used for worm infections of the eye. It is taken by mouth.

<span class="mw-page-title-main">Clonorchiasis</span> Infectious disease caused by fish parasites

Clonorchiasis is an infectious disease caused by the Chinese liver fluke and two related species. Clonorchiasis is a known risk factor for the development of cholangiocarcinoma, a neoplasm of the biliary system.

<span class="mw-page-title-main">Trematode life cycle stages</span>

Trematodes are parasitic flatworms of the class Trematoda, specifically parasitic flukes with two suckers: one ventral and the other oral. Trematodes are covered by a tegument, that protects the organism from the environment by providing secretory and absorptive functions.

Schistosoma japonicum is an important parasite and one of the major infectious agents of schistosomiasis. This parasite has a very wide host range, infecting at least 31 species of wild mammals, including 9 carnivores, 16 rodents, one primate (human), two insectivores and three artiodactyls and therefore it can be considered a true zoonosis. Travelers should be well-aware of where this parasite might be a problem and how to prevent the infection. S. japonicum occurs in the Far East, such as China, the Philippines, Indonesia and Southeast Asia.

<i>Schistosoma mansoni</i> Species of fluke

Schistosoma mansoni is a water-borne parasite of humans, and belongs to the group of blood flukes (Schistosoma). The adult lives in the blood vessels near the human intestine. It causes intestinal schistosomiasis. Clinical symptoms are caused by the eggs. As the leading cause of schistosomiasis in the world, it is the most prevalent parasite in humans. It is classified as a neglected tropical disease. As of 2021, the World Health Organization reports that 251.4 million people have schistosomiasis and most of it is due to S. mansoni. It is found in Africa, the Middle East, the Caribbean, Brazil, Venezuela and Suriname.

<span class="mw-page-title-main">Swimmer's itch</span> Medical condition

Swimmer's itch, cercarial dermatitis or schistosome dermatitis is a short-term allergic contact dermatitis occurring in the skin of humans that have been infected by water-borne schistosomes, a type of flatworm. It is common in freshwater, brackish and marine habitats worldwide. The incidence of this condition may be increasing, although this may be attributed to better monitoring and reporting. Nevertheless, the condition is considered to be an emerging infectious disease.

<i>Schistosoma intercalatum</i> Species of fluke

Schistosoma intercalatum is a parasitic worm found in parts of western and central Africa. There are two strains: the Lower Guinea strain and the Zaire strain. S. intercalatum is one of the major agents of the rectal form of schistosomiasis, also called bilharzia. It is a trematode, and being part of the genus Schistosoma, it is commonly referred to as a blood-fluke since the adult resides in blood vessels.

<i>Schistosoma haematobium</i> Species of fluke

Schistosoma haematobium is a species of digenetic trematode, belonging to a group (genus) of blood flukes (Schistosoma). It is found in Africa and the Middle East. It is the major agent of schistosomiasis, the most prevalent parasitic infection in humans. It is the only blood fluke that infects the urinary tract, causing urinary schistosomiasis, and is the leading cause of bladder cancer. The diseases are caused by the eggs.

<i>Schistosoma malayensis</i> Species of fluke

Schistosoma malayensis is a schistosome parasite. It was first described in 1988 in Peninsular Malaysia and appears to be a zooenotic infection. The species is named after the country of Malaysia. The natural vertebrate host is van Müller's rat. The intermediate hosts are aquatic snails, Robertsiella kaporenisis. Among Robertsiella kaporenisis are two other Roberstiella species.

Schistosoma nasale is a species of digenetic trematode in the family Schistosomatidae. S. nasale inhabits blood vessels of the nasal mucosa and causes "snoring disease" in cattle, but remains symptomless in buffaloes though extruding its eggs in nasal discharge. The first intermediate host is a freshwater snail Indoplanorbis exustus that may be the sole natural intermediate host for Schistosoma nasale on the Indian sub-continent.

<span class="mw-page-title-main">Schistosomiasis vaccine</span>

A Schistosomiasis vaccine is a vaccine against Schistosomiasis, a parasitic disease caused by several species of fluke of the genus Schistosoma. No effective vaccine for the disease exists yet. Schistosomiasis affects over 200 million people worldwide, mainly in rural agricultural and peri-urban areas of the third world, and approximately 10% suffer severe health complications from the infection. While chemotherapeutic drugs, such as praziquantel, oxamniquine and metrifonate both no longer on the market, are currently considered safe and effective for the treatment of schistosomiasis, reinfection occurs frequently following drug treatment, thus a vaccine is sought to provide long-term treatment. Additionally, experimental vaccination efforts have been successful in animal models of schistosomiasis.

<i>Neotricula aperta</i> Species of gastropod

Neotricula aperta is a species of freshwater snail, an aquatic gastropod mollusk in the family Pomatiopsidae.

<i>Schistosoma spindale</i> Species of fluke

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<i>Bivitellobilharzia nairi</i>

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Heterobilharzia is a genus of trematodes in the family Schistosomatidae. The species Heterobilharzia Americana is a parasite of the Southeastern United States and typically found in raccoons. Species of this genus are responsible for Schistosoma in canines. Cercariae found in freshwater may also cause Swimmer's itch in humans.

<span class="mw-page-title-main">Gastropod-borne parasitic disease</span> Medical condition

Gastropod-borne parasitic diseases (GPDs) are a group of infectious diseases that require a gastropod species to serve as an intermediate host for a parasitic organism that can infect humans upon ingesting the parasite or coming into contact with contaminated water sources. These diseases can cause a range of symptoms, from mild discomfort to severe, life-threatening conditions, with them being prevalent in many parts of the world, particularly in developing regions. Preventive measures such as proper sanitation and hygiene practices, avoiding contact with infected gastropods and cooking or boiling food properly can help to reduce the risk of these diseases.

References

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