Brachylaima

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Brachylaima
Brachylaima metacercariae.png
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Eukaryota
Kingdom: Animalia
Phylum: Platyhelminthes
Class: Trematoda
Order: Diplostomida
Family: Brachylaimidae
Genus: Brachylaima
Dujardin, 1843
Species
Synonyms
  • BrachilaimusDujardin, 1844
  • Brachylaema
  • BrachylaemusBlanchard, 1847
  • BrachylemusDiesing, 1850
  • Ectosiphonus
  • Entosiphonus
  • HarmostomumBraun, 1899

Brachylaima is a genus of trematodes that can infect the gastrointestinal tract of human beings.

Contents

Epidemiology and transmission

The first documented case of Brachylaima infestation (known as brachylaimiasis) in a human was in 1996, with 8 subsequent cases in the next 4 years. Diagnosis has spread from Australia to other parts of the world, such as the Spanish cities of Barcelona, Bilbao, Madrid, Tudela, Valencia, and Zaragoza. [1] In 2020, it was reported that snails in France were also infected by metacercariae of two species of Brachylaima. [2] Moreover, a study in 2022, from the United Kingdom identified three Brachylaima ( Brachylaima arcuate, B. fuscata and B. mesostoma ) were present in wild terrestrial gastropod species in the city of Nottingham. [3]

The transmission cycle of Brachylaimiasis The transmission cycle of Brachylaimiasis.png
The transmission cycle of Brachylaimiasis

Transmission occurs via the ingestion of infected undercooked (or raw) terrestrial gastropods, such as Cornu aspersum (Pulmonata: Stylommatophora). Gastropods act as both the first and second intermediate host in the terrestrial life cycle of Brachylaima species. The first intermediate host harbors asexual sporocysts and produces cercaria through their mucus glands to infect other gastropods via skin to skin contact. The second intermediate host harbors unencysted metacercariae in their kidneys (e.g. Cochlicella acuta , Cernuella virgata and Theba pisana ). Definitive hosts of this species include various species of amphibians, birds, mammals and reptiles. [4] It was first believed that the infection of humans was from children who had purposely eaten the snails, and adults have accidentally ingested snails on vegetables and become infected. [5] Though this may be the case in some parts of the world, it has been shown that humans actively ingest these snails as a source of food in some areas. One study showed that the Spanish city of Tudela had a very high prevalence of the parasite in the snails that were sold as food, though this prevalence fluctuates throughout the year, with the peak season being autumn. This prevalence has become a public concern in many Spanish countries due to the spread of brachylaimiasis. Eggs of this species can remain viable in feces/soil for up to twelve months. The sporocyst infection is 7–10 weeks after the eggs have been ingested.

Clinical features

Clinical features have varied from recurrent short-lived episodic abdominal pain to recurrent severe watery diarrhea, which has a 5-10% mortality rate [1]

Cardiac arrhythmias associated with heart failure refractory to treatment were present in a child infected and completely resolved with anti-helminthic treatment.

Diagnosis

Diagnosis is by examination of stools, in search of the eggs of the parasite, but is highly dependent on the skill and technique of the laboratory worker, with previous diagnoses missed by other hospital labs and only noted after examination at The Queen Elizabeth Hospital in Woodville, Adelaide, South Australia.

Treatment

Treatment with a round of praziquantel results in complete resolution of symptoms and clearance of eggs from stools.

Related Research Articles

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<i>Clonorchis sinensis</i> Species of fluke

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<span class="mw-page-title-main">Digenea</span> Class of flukes

Digenea is a class of trematodes in the Platyhelminthes phylum, consisting of parasitic flatworms with a syncytial tegument and, usually, two suckers, one ventral and one oral. Adults commonly live within the digestive tract, but occur throughout the organ systems of all classes of vertebrates. Once thought to be related to the Monogenea, it is now recognised that they are closest to the Aspidogastrea and that the Monogenea are more closely allied with the Cestoda. Around 6,000 species have been described to date.

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

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

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<i>Echinostoma</i> Genus of flukes

Echinostoma is a genus of trematodes (flukes), which can infect both humans and other animals. These intestinal flukes have a three-host life cycle with snails or other aquatic organisms as intermediate hosts, and a variety of animals, including humans, as their definitive hosts.

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<i>Leucochloridium paradoxum</i> Parasitic flatworm

Leucochloridium paradoxum, the green-banded broodsac, is a parasitic flatworm. Its intermediate hosts are land snails, usually of the genus Succinea. The pulsating, green broodsacs fill the eye stalks of the snail, thereby attracting predation by birds, the primary host. These broodsacs visually imitate caterpillars, a prey of birds. The adult parasite lives in the bird's cloaca, releasing its eggs into the faeces.

Metagonimoides oregonensis is a trematode, or fluke worm, in the family Heterophyidae. This North American parasite is found primarily in the intestines of raccoons, American minks, frogs in the genus Rana, and freshwater snails in the genus Goniobasis. It was first described in 1931 by E. W. Price. The parasite has a large distribution, from Oregon to North Carolina. Adult flukes vary in host range and morphology dependent on the geographical location. This results in different life cycles, as well as intermediate hosts, across the United States. On the west coast, the intermediate host is freshwater snails (Goniobasis), while on the east coast the intermediate host is salamanders (Desmognathus). The parasites on the west coast are generally much larger than on the east coast. For example, the pharynx as well as the body of the parasite are distinctly larger in Oregon than in North Carolina. The reverse pattern is observed on the east coast for uterine eggs, which are larger on the west coast. In snails, there is also a higher rate of infection in female snails than in males. Research on the life history traits of the parasites have been performed with hamsters and frogs as model species.

<i>Leucochloridium variae</i> Species of fluke

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<i>Brachylaima cribbi</i> Species of fluke

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<i>Fasciolopsis</i> Genus of flukes

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<i>Nanophyetus</i> Genus of flukes

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<i>Heterophyes heterophyes</i> Species of fluke

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

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References

  1. 1 2 Gracenea, Mercedes; Gállego, Laia (2017). "Brachylaimiasis: Brachylaima spp. (Digenea: Brachylaimidae) mtacercariae parasitizing the edible snail Cornu aspersum (Helicidae) in Spanish public marketplaces and health-associated risk factors". Journal of Parasitology. 103 (5): 440–450. doi:10.1645/17-29. ISSN   0022-3395.
  2. Gérard, Claudia; Ansart, Armelle; Decanter, Nolwenn; Martin, Marie-Claire; Dahirel, Maxime (2020). "Brachylaima spp. (Trematoda) parasitizing Cornu aspersum (Gastropoda) in France with potential risk of human consumption". Parasite. 27: 15. doi: 10.1051/parasite/2020012 . ISSN   1776-1042. PMC   7069358 . Open Access logo PLoS transparent.svg
  3. Andrus, P. S.; Rae, R.; Wade, C. M. (2022). "Nematodes and trematodes associated with terrestrial gastropods in Nottingham, England". Journal of Helminthology. 96: e81. doi:10.1017/S0022149X22000645. ISSN   0022-149X.
  4. Butcher, A.R.; Grove, D.I. (2001). "Description of the life-cycle stages of Brachylaima cribbi n. sp. (Digenea: Brachylaimidae) derived from eggs recovered from human faeces in Australia". Systematic Parasitology. 49 (3): 211–221. doi:10.1023/A:1010616920412. ISSN   0165-5752.
  5. Butcher, A.R.; Grove, D.I. (2001-07-01). "Description of the life-cycle stages of Brachylaima cribbi n. sp. (Digenea: Brachylaimidae) derived from eggs recovered from human faeces in Australia". Systematic Parasitology. 49 (3): 211–221. doi:10.1023/A:1010616920412. ISSN   1573-5192.