No abstract

The present study was undertaken to investigate the prevalence of ascarid infections in Swedish commercial laying hens in 2004 and 2008 following a recent nationwide change to alternative housing systems but before anthelmintics became available. Also, the influence on prevalence of farm and flock characteristics and management was studied in 2004. The results showed that the overall prevalence was significantly higher in 2008 (38%; n 0 64/169) compared with 2004 (24%; n 0 44/186) (P 0 0.001). Ascarid infections were rare in caged flocks, including furnished (enriched) cages, both years (2.4 to 4.3%), and were significantly more common in non-cage systems in both years (16.7 to 48.6% in 2004, and 28.6 to 77.1% in 2008 depending on the housing system). There was no significant difference in prevalence between hens kept on litter indoors and free-range/organic hens. The absence of a hygiene barrier at the entrance of the house or unit increased the risk of infection (P B 0.001), which suggests that parasite eggs were introduced horizontally to the farms. The risk of infection also increased with the age of equipment used in the barn; for example, the risk increased with an odds ratio of 7.5 (95% confidence interval 0 2.3 to 25) when comparing equipment 1 year old with equipment ]7 years old. The results of this study show that ascarid infections may re-emerge following a change to alternative housing. With the impending ban on conventional battery cages in the member states of the European Union, ascarid infections are likely to increase in importance and efficient control options such as hygiene barriers should be implemented on all farms.

No abstract

A 34-year-old splenectomized man presented with fever, myalgia and dysuria. His condition rapidly deteriorated, he became anuric and developed severe haemolytic anaemia, thrombocytopenia and fibrinolysis. Peripheral blood smears revealed intra-erythrocytic parasites consistent with Babesia divergens in 40% of the erythrocytes. The diagnosis was confirmed by gerbil inoculation and by a significant rise in antibody titer. Blood exchange transfusion reduced the number of babesia infected erythrocytes to 1%. Parenteral therapy with a combination of quinine and clindamycin eradicated parasitaemia after 10 days of treatment and the patient rapidly improved. Renal failure necessitated haemodialysis for one month, whereafter the patient made a full recovery. Human babesiosis is a rare disease, but with a potential fatal outcome and should be considered as a diagnostic alternative in splenectomized and otherwise immunocompromised individuals with severe febrile illnesses.

Echinococcus multilocularis is a parasite that can cause alveolar echinococcosis disease. After the first positive finding of E. multilocularis in Sweden in 2011, a consulting group with representatives from relevant authorities was summoned. In this group, all relevant information was shared, strategies for information dissemination and any actions to be taken due to the finding of E. multilocularis were discussed and decided. The present paper describes the actions taken during 2011 and the results thereof, including surveillance in animals, risk assessment for humans to become infected and recommendations given to the public. Further discussion about whether the parasite was introduced, and if so, how, as well as possible future development of the infection in animals and humans in Sweden and future actions are included.