This review article summarizes the history of amoebic dysentery (entamoebiasis) caused by Entamoeba histolytica. Initially, Entamoeba species were thought to be the most primitive extant eukaryotes, but more recent research revealed that they emerged relatively late in evolutionary history. Paleoparasitological data suggest that E. histolytica has been a parasite of humans since ancient times and was probably spread throughout the world by man during early human migration. By the end of the 19th century, it was established that E. histolytica was the etiological agent of amoebic dysentery and liver abscess. The issue over pathogenic and non-pathogenic strains of E. histolytica was resolved in the 1980s by the discovery of the morphologically indistinguishable harmless sister species Entamoeba dispar. Being mainly a disease of tropical and subtropical low-income countries, entamoebiasis cases have increased among travellers and immigrants arriving from endemic regions in recent years.

Sulfadoxine-pyrimethamine (SP) is the standard of care for Plasmodium falciparum malaria chemoprevention among pregnant women, infants and children. Developing alternative chemoprevention products and other prevention products, such as vaccines and monoclonal antibodies, requires significant investment. However, knowledge gaps surrounding the activity of SP and resistance put these investments at risk. Therefore, we reviewed SP’s combined antimalarial action, including the individual antiplasmodial components, other antimicrobial effects, impact on malaria immunity development and continued effectiveness in settings with high SP resistance. We created a roadmap of non-clinical and clinical evidence to better understand the effectiveness of SP for chemoprevention and inform the development of new prevention tools.

Spirometra is a genus of zoonotic cestodes with an ambiguous species-level taxonomic history. Previously, Spirometra mansonoides was considered the only species present in North America. However, recent molecular data revealed the presence of at least three distinct species in the USA: Spirometra sp. 2 and 3, and Spirometra mansoni. This study aimed to elucidate the diversity and potential host associations of Spirometra species among companion animals in the USA. Samples (N = 302) were examined from at least 13 host species, including mammals, amphibians and reptiles. Sample types included eggs isolated from faeces (n = 222), adult specimens (n = 71) and plerocercoids (n = 9) from 18 different states and 2 territories across the USA. Extracted genomic DNA was subjected to PCR targeting a fragment of the mitochondrial cytochrome c oxidase subunit 1 (cox1) gene. Generated sequences (n = 136) were included in a phylogenetic analysis. Spirometra mansoni was detected in domestic cats (n = 76), dogs (n = 12), a White’s tree frog (n = 1), a Cuban knight anole (n = 1), a green iguana (n = 1) and a serval (n = 1) across 15 states and Puerto Rico. Spirometra sp. 2 was found only in dogs (n = 3) from Florida and Spirometra sp. 3 was found only in cats (n = 41) from 17 states. All plerocercoid samples were consistent with S. mansoni. The results confirm that at least three distinct Spirometra species are present and established in companion animals, such as dogs and cats, and likely are using various native and exotic species as paratenic hosts within the USA.

Distinguishing between Stomylotrema bijugum and S. vicarium is challenging due to their phenotypic plasticity. In this study, adult specimens were recovered from 9 host species in the Mexican tropical lowlands. To explore the morphological differences, 32 morphological characteristics were evaluated in 54 specimens. Linear discriminant analysis provided enough evidence to differentiate the 2 species. Additionally, a principal component analysis (PCA) was performed for each species. The PCA of S. bijugum revealed 3 groups separately corresponding to specimens from the 3 hosts, suggesting host-induced phenotypic plasticity, whereas the PCA of S. vicarium revealed that the specimens from 3 host species were clustered together, indicating morphometric homogeneity. To confirm the morphological differences between the 2 species of Stomylotrema, we sequenced 2 molecular markers: the D1–D3 domains of the large subunit (LSU) from nuclear DNA and nicotinamide adenine dinucleotide dehydrogenase subunit 1 (Nad1) from mitochondrial DNA. Sequences of the LSU were aligned and compared with the LSU sequences of other congeneric species available in GenBank. Phylogenetic analyses supported the monophyly of Stomylotrema, with 2 main subclades that corresponded to S. bijugum and S. vicarium. A haplotype network was predicted with 25 Nad1 sequences, revealing the presence of 2 clusters representing the 2 species separated from each other by 98 substitutions. The current studies on S. bijugum and S. vicarium revealed new hosts and geographical regions in the Americas, suggesting that both species addressed in the current study can complete their life cycle in the Neotropical region of Mexico.

Population dynamics of aquatic parasites respond to factors like host availability, habitat age and quality. Amphipods are intermediate hosts for Acanthocephala, a widespread group of parasitic worms. Acanthocephalan infections of amphipods can easily be detected, and the widespread occurrence of amphipods makes their infection status an attractive potential proxy for the ecological status of their aquatic environment, including stressors introduced by urbanization. This study investigated the prevalence and the species-level and genetic diversity of Acanthocephala in the stream amphipod Gammarus fossarum. The study streams cross forested, agricultural and urban landscapes in the eastern foothills of the European Alps. Parasite prevalence ranged from 0% to 8.8% and increased towards downstream reaches independent of surrounding land use. Oxford Nanopore Technology was used to sequence the mitochondrial cytochrome oxidase I barcoding locus to identify parasite species and assess their genetic diversity. The majority of the parasites were Pomphorhynchus tereticollis, which use fish as definitive hosts. Despite their relative abundance in the studied streams, their genetic diversity was low and the most common haplotype was found at all sampling sites, which might indicate population expansion. Amphipods also hosted P. laevis and Polymorphus sp. type 1, the first evidence of this cryptic species within Polymorphus cf. minutus in Austria. Genetic diversity was high in Polymorphus sp. type 1, possibly reflecting a large effective population size due to gene flow maintained by the avian final hosts. The low and downstream-biased prevalence suggests that definitive hosts may be a limiting factor for Acanthocephala populations in small streams.

There is growing interest in using avermectins in livestock as a vector control tool for mosquitoes involved in the transmission of human malaria in sub-Saharan Africa (SSA). If implemented, the potential health and productivity impacts across the livestock sector would need to be considered, as avermectins are already commonly used in veterinary medicine to treat gastrointestinal helminths and parasitic insects. Here we present the results of a restricted systematic review that summarizes what is known about the effects of avermectins on cattle and swine productivity in SSA and the presence of avermectin resistance in endo- and ectoparasites of importance in these species. A total of 583 unique journal articles were identified using key search terms in 3 databases: Agriculture, Life, and Natural Sciences Databases from ProQuest, CAB Abstracts and Scopus. Ten articles met the criteria for inclusion on impacts on productivity and 4 met the inclusion criteria related to avermectin resistance. All studies documenting impacts of avermectins on productivity were performed using ivermectin in cattle. Generally, these showed a positive significant effect on growth rates. Resistance to avermectins was documented in 2 of the 4 included articles. Considering the extensive literature documenting resistance to avermectins in other areas of the world, our findings may reflect a paucity of studies on the subject in SSA. The authors conclude that additional research is needed to quantify the potential benefits and challenges to the livestock sector of using avermectins for malaria control across different production systems, and in a variety of ecological settings.

Avian trypanosomes (Trypanosoma, Kinetoplastea) are successful blood parasites occurring worldwide. These parasites are usually non-pathogenic to their avian hosts, thus neglected in studies regarding their life cycles and vectors. Several families of blood-sucking dipteran insects, including mosquitoes, have been identified as vectors of avian trypanosomes. Mosquitoes have been experimentally confirmed as vectors of Trypanosoma culicavium and Trypanosoma thomasbancrofti. In this study, we describe a third species of avian trypanosomes occurring in mosquitoes, designated as Trypanosoma tertium n. sp. This species can be distinguished from related trypanosome species based on morphology and small subunit rRNA gene sequence. Two isolates of T. tertium n. sp. obtained from a mosquito and a bird host were able to infect two subspecies of laboratory Culex pipiens mosquitoes, with infection rates reaching 60% and heavy infections in 90% of positive females. In infected mosquitoes, trypanosomes occurred as long epimastigotes in the midgut and short epimastigotes and rosettes in the hindgut. Putative infectious stages were detected in the diuretic liquid of infected mosquitoes, suggesting, besides transmission through ingestion of the infected vector, a possible transconjunctival infection. Among wild mosquitoes, avian trypanosomes were detected exclusively in Cx. pipiens with 3.3% total prevalence, while T. tertium n. sp. prevalence was only 0.08% among 1128 dissected Cx. pipiens individuals. In birds, T. tertium n. sp. was detected in 8 species within which the prevalence was 1.3% (686 birds), while it was 0.3% in total (3084 birds). We discuss the relationship of the newly described T. tertium n. sp. with other mosquito-transmitted trypanosomes.

Scabies is a neglected tropical disease caused by the ectoparasitic mite, Sarcoptes scabiei var. hominis (S. scabiei). Common scabies, the most prevalent clinical subtype of scabies, is characterized by pruritus, multiple skin lesions and low mite burden. In contrast, crusted scabies, an extremely contagious variant, is characterized by hyperkeratosis and high mite burden, with or without pruritus. Scabies can be diagnosed based on clinical manifestations, with confirmation obtained through microscopic identification of diagnostic features of S. scabiei. However, owing to the diversity and non-specific nature of its clinical manifestations and insufficient knowledge regarding early-stage clinical manifestations, the diagnosis of crusted scabies continues to be delayed. Herein, we present three cases of scabies with varying degrees of crusting and mite burden. Three patients with physical and microscopic results suggesting scabies were selected for this study. Case 1 had mild crusting and low mite burden, case 2 had severe crusting and high mite burden and case 3 had mild crusting and high mite burden. In this case report, ‘the initial stage of crusted scabies’ refers to the progression from common to crusted scabies. The discussion regarding the diagnostic characteristics of the initial stage of crusted scabies is expected to aid the early diagnosis of crusted scabies.

The Nippostrongylinae is a group of strongylid nematodes that includes species typically associated with coprophagous mammals; in the New World, it is represented by 82 species within 11 genera. Two main morphological features, the synlophe and the caudal bursa, are used to evaluate the characteristics that allow identification and classification of the organisms in the taxon. However, the analysis of these characters often requires a partial or total destruction of specimens and therefore morphological variation is studied in only a very small subset of organisms per species. To evaluate the phylogenetic signal from these characteristics, we use genetic data to reconstruct the first phylogeny for the Nippostrongylinae using nuclear and mitochondrial genes and include representatives of the most common and diverse genera. The reconstructed phylogeny features five distinct clades and allows us to identify three non-monophyletic taxa including Carolinensis, Vexillata and Hassalstrongylus. From these, Carolinensis s. l. is divided into four genera including Carolinensis, Boreostrongylus, Neoboreostrongylus n. gen. and Tepalcuanema n. gen. Stunkardionema is resurrected to include Vexillata noviberiae and Hassalstrongylus is divided into two, establishing Lovostrongylus n. gen. to include species that are closely related to Guerrerostrongylus and Trichofreitasia. Organisms in these three genera feature a caudal arrangement of type 2-2-1. Furthermore, species in Hassalstrongylus sensu stricto are more closely related to species in Malvinema and Stilestrongylus. Our results reveal the existence of an additional unnamed genus and underscore the usefulness of framing morphological characters in a comparative framework. A key for genera from the Americas is proposed.

Visceral leishmaniasis (VL) is a tropical disease that can be fatal if acute and untreated. Diagnosis is difficult, the treatment is toxic and prophylactic vaccines do not exist. Leishmania parasites express hundreds of proteins and several of them are relevant for the host's immune system. In this context, in the present study, 10 specific T-cell epitopes from 5 parasite proteins, which were identified by antibodies in VL patients’ sera, were selected and used to construct a gene codifying the new chimeric protein called rCHI. The rCHI vaccine was developed and thoroughly evaluated for its potential effectiveness against Leishmania infantum infection. We used monophosphoryl lipid A (MPLA) and polymeric micelles (Mic) as adjuvant and/or delivery system. The results demonstrated that both rCHI/MPLA and rCHI/Mic significantly stimulate an antileishmanial Th1-type cellular response, with higher production of IFN-γ, TNF-α, IL-12 and nitrite in vaccinated animals, and this response was sustained after challenge. In addition, these mice significantly reduced the parasitism in internal organs and increased the production of IgG2a isotype antibodies. In vivo and in vitro toxicity showed that rCHI is safe for the mammalians, and the recombinant protein also induced in vitro lymphoproliferative response and production of Th1-type cytokines by human cells, which were collected from healthy subjects and treated VL patients. These data suggest rCHI plus MPLA or micelles could be considered as a vaccine candidate against VL.

Helminth infection is highly prevalent in indigenous chickens reared in semi-scavenging/ scavenging systems in Bangladesh. Here, we estimated the prevalence of gizzard worm infection in indigenous chickens, the detection of the worm-induced pathologies, the development of ex vivo cultural protocol, and anthelmintic efficacy. We randomly collected and examined 390 chickens and isolated worms from the gizzard and proventriculus. The isolated worms were identified as Cheilospirura hamulosa Diesing, 1861. The overall prevalence of C. hamulosa was 33.1% (129 out of 390). Prevalence of the worm was almost similar in both sexes but significantly (p <0.05) higher in adult chickens (44.3%) and in the summer season (47.1%). In heavy infections, C. hamulosa destroyed the muscular layer of the gizzard. The presence of brown necrotic tissues and curd-like caseous materials was detected in the affected gizzards. In severe cases, the horny lining of the gizzard was inflamed, necrotized and marked by multiple holes and brick-red colored spots. Liquefied, fetid materials oozed out from the muscular layer in extensive cases. Histopathological examination showed marked infiltrations of eosinophils. In serum-supplemented M199 and DMEM, adult C. hamulosa survived well and reproduced. Levamisole (LEV) and ivermectin (IVM) efficiently killed the worm. However, albendazole (ABZ), mebendazole (MBZ) and piperazine (PPZ) did not kill the worms. Our results suggest that C. hamulosa is highly prevalent in semi-scavenging chickens in Bangladesh. LEV and IVM can be used to treat and control the infection in chickens.

Brazil has the richest biodiversity of Ergasilidae on Earth, with 76 species in 19 genera. However, several authors suggested that there is still great potential for discoveries, especially regarding genetic data that are still scarce for ergasilids from this region. To expand our knowledge of this taxon, we conducted an integrative study involving morphological (light and scanning electron microscopy) and molecular analyses of ergasilids from fishes sampled in the Pardo River, São Paulo State, Brazil. Two ergasilid species were found, Gamispatulus schizodontis and Rhinergasilus piranhus parasitizing the nostrils of 5 fish species (native and exotic): (i) R. piranhus from Astyanax lacustris; Cyphocharax modestus; Coptodon rendalli; Psalidodon bockmanni; and (ii) G. schizodontis from Serrasalmus maculatus. Additionally, we redescribed R. piranhus herein based on novelties and discrepancies found in the antennules, antennae, body segments and ornamentation of the swimming legs. Novel molecular data of ribosomal (18S and 28S rDNA) and/or mitochondrial (cox 1) genes were provided for both species and the phylogenetic relationships among the ergasilids were tested. Relationships between species/genera are still uncertain in Ergasilidae, but it was possible to verify the formation of 5 well-supported terminal clades – i.e. including a clade formed only by Neotropical species. More molecular data are needed to test this hypothesis, but the clades observed here represent good targets for future taxonomic revisions. The occurrence of R. piranhus specimens in the introduced fish, Co. rendalli can indicate (for the first time) host switching in this parasite species and spillback from native to introduced hosts.