is a cosmopolitan cestode infecting dogs, cats, and humans. Praziquantel is a highly effective cestocidal drug and resistance in adult cestodes has not been reported. From 2016 to 2018, a population of dogs with cestode infections that could not be eliminated despite multiple treatments with praziquantel or epsiprantel was identified. Cases of were clinically resistant to praziquantel and could not be resolved despite increasing the dose, frequency, and duration of treatment. Resistant isolates were identified and characterized by sequencing the 28S, 12S, and voltage-gated calcium channel beta subunit genes. Cases were only resolved following treatment with nitroscanate or a compounded pyrantel/praziquantel/oxantel product. Clinicians should be aware of this alarming development as treatment options for cestodes are limited in both human and veterinary medicine.
Cryptosporidium, a protozoan parasite in the phylum Apicomplexa, is the etiological agent of cryptosporidiosis, an intestinal infection characterized by profuse watery diarrhea. Over 30 species of Cryptosporidium are recognized, some host specific whereas others infect a broader host range. Cryptosporidium hominis and Cryptosporidium parvum are the species most commonly associated with human infection; C. hominis is largely associated only with human infections, but C. parvum is also associated with infection in animals, especially young ruminants. In some regions, cryptosporidiosis is a serious veterinary problem, particularly for calves, and lambs. Many outbreaks of human cryptosporidiosis have been associated with zoonotic transmission following contact with infected animals. In Africa, where cryptosporidiosis is a major contributor to pediatric morbidity and mortality, evidence suggests transmission is principally anthroponotic. Given the frequent close contact between humans and animals in Africa, the apparent predominance of human-to-human transmission is both interesting and puzzling. In this article, after a brief "text book" introduction to the parasite, we consider in separate sections the different aspects of relevance to Cryptosporidium transmission in African countries, describing different aspects of the various species and subtypes in human and animal infections, considering livestock management practices in different African countries, and looking for any characteristic "hot spots" where zoonotic transmission has apparently occurred. Studies where transmission networks have been investigated are particularly relevant. Finally, in a separate section, we try to gather these different strands of evidence together in order to assess the reasons behind the apparent predominance of anthroponotic transmission in Africa. Reviewing the available evidence provides an opportunity to rethink transmission pathways, not only in Africa but also elsewhere, and also to pose questions. Does the predominance of human-to-human transmission in Africa reflect a relative absence of zoonotic C. parvum in African livestock? Are Africans less susceptible to zoonotic Robertson et al. Zoonotic Cryptosporidium Transmission in Africa Cryptosporidium infection, perhaps resulting from early immunostimulation by C. hominis or due to inherent genetic traits? Is the African environment-in all its variety-simply more detrimental to oocyst survival? Will the so-called hypertransmissible subtypes, currently relatively rare in Africa, be introduced from Europe or elsewhere, and, if so, will they fade out or establish and spread? Our intention with this manuscript is not only to summarize and consolidate diverse data, thereby providing an overview of data gaps, but also to provide food for thought regarding transmission of a parasite that continues to have a considerable impact on both human and animal health.
Aim: The objective of this study was to investigate prevalence of gastrointestinal parasites and Cryptosporidium species in extensively managed pigs in Mekelle and urban areas of southern zone of Tigray Region, Ethiopia during June -September, 2012. Material and methods:Seven hundred fourteen pigs of different ages and sexes were selected for fecal sample collection. Fecal samples were collected from the rectum of pigs with strict sanitation. A total of 25 soil samples were also collected from backyards of pig pens using clean zipped plastic bags. Both fecal and soil samples were examined for eggs and cysts of GIT parasites by flotation and sedimentation techniques. Modified Ziehl -Neelsen technique was used to examine oocysts of Cryptosporidium species from 276 randomly selected fecal samples.Results: Out of 714 pigs examined through flotation and sedimentation, 27.3% were infected by at least one gastrointestinal parasite. Ascaris suum (25.9%) was the most prevalent parasite followed by Fasciola hepatica (1.8%), Eimeria spp. (1.7%) 2 and Trichuris suis (0.3%). There was no significant association between sex and prevalence of parasites χ [df 1] = 1.921; 2 P=0.166). Contrary to this, age of pigs had effect on prevalence of parasites χ [df 2] = 8.376; P=0.015). About 7% of pigs examined were positive for oocysts of Cryptosporidium spp. Moreover, 72% of the soil samples found to be contaminated with eggs of Ascaris spp. in the study area. Apart from causing morbidity in the infected pigs, the potential of Ascaris of pigs to infect man and vice versa together with poor environmental hygiene, may complicate the epidemiology and control of Ascariasis in the study areas. Extensively managed pigs may also act as potential reservoirs for zoonoses of Cryptosporidium species. Conclusion:It is concluded that further investigations are crucial on molecular characterization of Ascaris and Cryptosporidium isolates of extensively managed pigs to determine the parasites upto species level so as to suggest proper control strategies.
Goats are a primary or additional income source for many families in resource-poor areas. Although often considered inferior to other livestock, the resilience of goats and their ability to thrive in a range of environments means that that they are of particular value. Furthermore, goats emit less methane than other livestock species. In these same areas, it is well-documented that cryptosporidiosis has a substantial impact on infant morbidity and mortality, as well as reducing child growth and development. As Cryptosporidium also causes diarrheal disease in goats, the question arises whether goats may represent a reservoir of infection to humans. Epidemiological studies regarding the potential for transmission of Cryptosporidium between goats and humans have largely concluded that Cryptosporidium species infecting goats are not zoonotic. However, these studies are mostly from developed countries, where goat husbandry is smaller, management routines differ greatly from those of developing countries, contact between goats and their owners is more limited, and cryptosporidiosis has less impact on human health. In this article, background information on goat husbandry in different countries is provided, along with information on Cryptosporidium prevalence among goats, at both the species and sub-species levels, and the potential for zoonotic transmission. The intention is to indicate data gaps that should be filled and to increase awareness of the role of goats as providers for low-income families, often living in areas where cryptosporidiosis is endemic and where appropriate baseline interventions could have a positive impact, regardless of species of goat or parasite.
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