Epidemiological aspects of the first outbreak of Baylisascaris procyonis larva migrans in rabbits in Japan

Larva migrans caused by the common raccoon ascarid, Baylisascaris procyonis, is a zoonotic disease of critical importance in North America. Recently we encountered the first proven outbreak of this disease in Japan in domestic rabbits (Oryctolagus cuniculus) in a small wildlife park. In this park, raccoons (Procyon lotor) had been kept for 9 years, and one raccoon was donated to the park by a pet owner 8 weeks prior to the occurrence of an outbreak in rabbits. Of 12 total raccoons, three raccoons including the donated one shed B. procyonis eggs in the feces, and two of these positive raccoons were kept in metal mesh cages on wooden pedestals, 2 m distant from the rabbit enclosure. Circumstantial evidence indicates that the donated raccoon is the likely source of this outbreak. Treatment of the raccoons with an ascaricide and decontamination by extensive flaming of the cages and the contaminated dirt floor of the park achieved a transient disappearance of ascarids from all 12 enclosed raccoons. Three months after the control measures began, recurrent ascarid infection was detected in three young raccoons of less than 1.5 years of age. The potential risk of serious zoonosis by B. procyonis as well as the difficulty in a clearance of contaminated areas should be considered by pet owners and public health workers in Japan.     

Experimental infection of domestic swine with Baylisascaris procyonis from raccoons

Six 8-week-old ascarid-naive pigs which were experimentally infected with 72,000 embryonated Baylisascaris procyonis eggs of raccoon origin developed lesions limited to the intestines and liver. Intestinal lesions consisted of multifocal areas of inflammation by macrophages, eosinophils, and lymphocytes in the mucosa and submucosa, in association with Baylisascaris larvae; similar lesions were seen in the mesenteric lymph nodes. Typical white, granulation type, multifocal interstitial hepatitis ("milk-spots"), 1 to 5 mm in diameter, were seen in the livers by 7 days, with resolution by 47 days. Microscopically, these consisted of multifocal areas of marked periportal and interlobular edema, and influx of eosinophils, and large intralobular aggregates of eosinophils. At 47 days, hundreds to thousands of small white granulomas were seen on the serosa of the intestines; microscopically, they were discrete collections of macrophages, lymphocytes, and eosinophils in the submucosa and muscle layers surrounding nonviable remnants of Baylisascaris larvae. Larvae or lesions were not seen in other tissues, including the brain. These experiments indicated that B procyonis will undergo limited migration in swine and can produce typical white spots in the liver. The larvae were killed by cellular reactions in the intestinal wall and liver, and, unlike the situation in most other animals infected with this parasite, no somatic migration or CNS disease occurred after infection.     

Neuropathological observation of rabbits (Oryctolagus cuniculus) affected with raccoon roundworm (Baylisascaris procyonis) larva migrans in Japan

Larvae of the raccoon roundworm, Baylisascaris procyonis (B. procyonis) are a known cause of cerebrospinal larva migrans in animals and humans. The present paper described details of the central nervous lesion in the rabbits (Oryctolagus cuniculus) affected with B. procyonis larva migrans in Japan. Clinically affected animals showed neurological signs including circling, torticollis, tremor of head, or ataxic gait. The most characteristic pathological alterations were large malacic lesions associated with an activated astroglial proliferation which was seen at the corpus medullare in the cerebellum including the cerebellar peduncle. Moreover, focal malacic lesions with perivascular cuffing and infiltration by lymphocytes and heterophiles were scattered everywhere throughout the brain. In these lesions or normal-appearing areas away from obvious lesions, ascarid larvae, about a maximum 65-75 micro m in diameter, were recognized. Other prominent features were minute lesions (we call them migration tract-like lesions) composed of lymphocytes, hemosiderin-laden macrophages and reactive astrocytes scattering throughout the cerebrum. In this study, we demonstrated ascarid larvae in only eight out of 23 animals diagnosed as B. procyonis larva migrans. Since it is not always possible to detect the larvae, the possibility of B. procyonis larva migrans must be given serious consideration to the characteristic lesions described above.     

Baylisascaris procyonis encephalitis in Patagonian conures (Cyanoliseus patagonus), crested screamers (Chauna torquata), and a western Canadian porcupine (Erethizon dorsatum epixanthus) in a Manitoba zoo

Neurological disease occurred in 4 Patagonian conures (Cyanoliseus patagonus), 2 crested screamer chicks (Chauna torquata), and 1 western Canadian porcupine (Erethizon dorsatum epixanthus) at a Manitoba zoo. Baylisascaris procyonis, the common raccoon roundworm, not previously identified in Manitoba, is considered the likely cause of neural larval migrans in these cases.     

Fatal cerebrospinal disease caused by Baylisascaris procyonis in domestic rabbits

Infection with Baylisascaris procyonis, the common roundworm of raccoons, was found to be the cause of an epizootic of fatal CNS disease in domestic rabbits (Oryctolagus cuniculus). Clinical signs included torticollis, ataxia, tremors, and falling. Gross lesions were limited to white, raised nodules (1 to 1.5 mm) on the epicardium, endocardium, and liver serosa, and they were found to be larval granulomas. Microscopic lesions included multifocal myocarditis, multifocal hemorrhagic tracks and associated necrosis and inflammation in the liver, multifocal eosinophilic myositis, focal nephritis, and mild interstitial pneumonia; larval granulomas were seen in the heart, liver, lung, and mandibular salivary gland. Lesions in the brain consisted of multifocal areas of necrosis and inflammation in the cerebrum, cerebellum, midbrain, and medulla, with accompanying perivascular leukocyte aggregates and neuronal and axonal degeneration. Large numbers of large ascarid larvae were seen in the brain. Epidemiologically, infection was linked to the use of contaminated straw from a barn used by raccoons. On the basis of this study as well as that of similar studies, it was concluded that barn use and contamination by raccoons may be an important source of infection of animals and possibly man with this parasite.     

Baylisascariosis (Baylisascaris procyonis)--a rare parasitic zoonosis in Europe

Raccoons (Procyon lotor) were imported from North America into Germany many decades ago, and nowadays they are part of the home wildlife fauna. Unfortunately, the raccoon roundworm, Baylisascaris procyonis, was also imported. This nematode species is well known as an important agent of larva migrans in more than 100 animal species including man in North America, causing a fatal neurological or severe ocular disease. There are also several respective reports from Germany. A review about the biology of B. procyonis as well as the occurrence, epidemiology, pathology, clinical symptoms, zoonotic aspects of the baylisascariosis and possible preventive measurements is given.     

Intestinal parasites of raccoons (Procyon lotor) from southwest British Columbia.

This is the first extensive survey of metazoan parasites (particularly of the roundworm Baylisascaris procyonis) from the intestines of raccoons in British Columbia. The sample collected in 1997-1998 consisted of 82 raccoons that had been sick or had been killed accidentally by automobiles. Fifteen parasite taxa were found: 3 nematodes, 9 digenetic trematodes, 2 acanthocephalans and 1 cestode. Ten of these parasites constitute new host records for raccoons, including 4 digenetic trematodes that have been reported in marine birds and mammals on the Pacific Coast of North America. Baylisascaris procyonis infected 61% of the raccoons with a mean intensity of 27. The high rate of infection indicates a large potential for environmental contamination and, thus, human and animal exposure to infectious eggs. Prevention of larva migrans is discussed, particularly for people in contact with raccoons in wildlife rehabilitation centers.     

Visceral and presumptive neural baylisascariasis in an orangutan (Pongo pygmaeus).

A 32.5-year-old female hybrid orangutan (Pongo pygmaeus) developed hind-limb stiffness that progressed to tetraparesis over 2 wk. Repeated diagnostic evaluations, including serial magnetic resonance imaging of the central nervous system, revealed nonspecific lesions involving both the deep white and gray matter with an intact blood-brain barrier. Multiple empirical treatments failed to produce improvement and the animal was humanely euthanized. Histology of a granuloma in the ileum contained a nematode parasite, most consistent with Baylisascaris procyonis. Additionally, neuropil vacuolization, rarefaction, astrocytic scarring, and an eosinophilic granuloma and lymphoeosinophilic perivascular cuffing in the brain were suggestive of nematode migration. These findings confirm the presence of visceral larval migrans and support the presence of neural larval migrans. This case report of Baylisascaris procyonis confirms the presentation for the first time in an ape and documents the difficulty in antemortem diagnosis of neural larval migrans.     

棕熊蛔虫ITS rDNA的PCR扩增与序列分析

目的以核糖体DNA（rDNA）的第一与第二内转录间隔区序列（ITS-1及ITS-2）鉴定从广州动物园棕熊分离的蛔虫种类。方法应用PCR方法以保守引物NC5和NC2扩增蛔虫样本的ITS及5．8SrDNA序列,将PCR扩增出的片段纯化后克隆至pGEM-TEsay载体,用菌落PCR及酶切鉴定阳性菌落,对阳性菌落进行测序,并与Gen．Bank“公布的人蛔虫（Ascaris lumbricoides）、猪蛔虫（Ascariis suum）、浣熊贝利斯蛔虫（Baylisascaris procyonh）及狮弓蛔虫（Toxascaris leonina）ITS序列比较。结果从棕熊分离的2个蛔虫样本的ITS及5．8SrDNA总长为859—861bp,种内相似性为99．7％,与GenBank^TM公布的人蛔虫、猪蛔虫、浣熊贝利斯蛔虫及狮弓蛔虫的相似性分别为84．6％、84．5％、89．3％及72．3％,序列差异明显。结论棕熊蛔虫不同于上述种类蛔虫,可能为Baylisacaris transfuga.     

小熊猫蛔虫ITS及5.8S rDNA序列的克隆与分析

以广州动物园小熊猫体内分离出的蛔虫为研究对象,运用PCR方法,以保守引物NC5和NC2扩增其核糖体DNA（rDNA）的内转录间隔区（ITS）和5.8S序列,并对扩增后的片段进行纯化、克隆至pGEM-Teasy载体、转化、测序和序列分析,以鉴定小熊猫蛔虫的种类。结果显示2条蛔虫样品的ITS及5.8S rDNA序列基本一致,总长为913 bp,样品间序列相似性为99.7%。将序列与GenBank^TM公布的相关序列进行比较分析,结果显示2条蛔虫的ITS及5.8S序列与黑熊横走贝蛔虫（Baylisascaris transfuga注册号AB571304）相似性分别为98.1%、98.4%,与大熊猫西氏贝蛔虫（Baylisascaris schroederi注册号JN210912）相似性分别为96.9%、97.1%,与猪蛔虫（Ascaris suum注册号AB571302）相似性分别为89.9%、90.1%,与人蛔虫（Ascaris lumbricoides注册号AB571296）相似性分别为89.8%、90.1%,ITS-1序列与浣熊贝蛔虫（Baylisascaris procyonis注册号AB053230）相似性分别为92.0%、92.3%。研究结果表明小熊猫体内分离的蛔虫可能为贝蛔属蛔虫,从而为蛔虫的进一步分类、鉴定和遗传变异研究奠定了基础。     

Prevalence and distribution of Baylisascaris procyonis in urban raccoons (Procyon lotor) in Winnipeg,Manitoba

The prevalence of Baylisascaris procyonis was estimated in the urban raccoon population of Winnipeg through the fecal flotation of raccoon feces collected at active latrines and through gross postmortem and fecal flotation of samples collected from nuisance raccoons. Fecal flotation of latrine-collected feces was positive in 33 of 89 samples and, of 52 latrines identified, 26 were positive on 1 or more occasions. Trapped individual raccoons subjected to postmortem examination were positive in 57 of 114 animals captured. Comparing a single fecal flotation to the gold standard of finding adult worms in the small intestine had a sensitivity of 78.9% and specificity of 92.9%. This study suggests that carriage of Baylisascaris procyonis is widespread in raccoons in the Winnipeg urban ecosystem. Raccoon latrines in Winnipeg should be treated as infectious sites and efforts should be made to limit access of pets and people at risk to those sites.     

Hematotropic parasites of translocated raccoons in the southeast.

Ninety-four raccoons (Procyon lotor) from 6 southeastern states were examined for hematotropic parasites, to evaluate the carrier potential of these animals as they relate to translocation and release for hunting purposes. Four species of hematotropic parasites were identified, viz, Babesia procyonis, Haemobartonella procyoni, Hepatozoon procyonis, and Trypanosoma cruzi. Lesions in infected raccoons were associated only with H procyonis. Babesia procyonis was enzootic in populations of raccoons used as sources for exportation and in raccoons resident in typical release areas. Haemobartonella procyoni, H procyonis, and T cruzi were prevalent only in locales of raccoon origin. Due to the potential pathogenicity of H procyonis and T cruzi in raccoons or other hosts, the practice of translocating raccoons from enzootic to nonenzootic areas was considered biologically hazardous.     

Eurytrema procyonis and pancreatitis in a cat

A young adult male domestic shorthair cat was presented for physical examination, routine vaccinations, and a fecal examination. Physical examination revealed no significant abnormalities. Eggs of the raccoon pancreatic fluke Eurytrema procyonis were detected by fecal flotation. Results of a complete blood count and serum biochemistry panel were normal. Abdominal sonography revealed an enlarged hypoechoic pancreas with a hyperechoic rim, and a distended and thickened pancreatic duct. Serum pancreatic lipase immunoreactivity (PLI) was increased. These findings supported the possibility of fluke-associated pancreatitis. Treatment with praziquantel/pyrantel/febantel was associated with resolution of sonographic abnormalities and normalization of PLI.     

Cerebral larva migrans in a raccoon (Procyon lotor)

During 1997, gross and histopathologic examinations were performed on an adult female raccoon (Procyon lotor) that was live-trapped in Corvallis, Oregon. Multifocal eosinophilic granulomas indicative of neural and visceral larva migrans were observed. However, within these granulomas, the presence of parasitic larva was seen only in the cerebrum. Morphologic characteristics indicated that the nematode was an ascarid larva. However, it was smaller than the larva of Baylisascaris sp. This appears to be the first documented case of cerebral larva migrans in a raccoon.     

Baylisascaris procyonis in raccoons (Procyon lotor) from eastern Colorado, an area of undefined prevalence

Baylisascaris procyonis is a zoonotic parasite that has been documented in raccoons throughout much of the United States; however, no published information on its occurrence is available for the transition zone from the Great Plains to the Rocky Mountains. Because this parasite can cause neural larva migrans and diffuse unilateral subacute neuroretinitis in humans (as well as other hosts), a more complete understanding of the distribution of this parasite seems warranted for public health reasons. The purpose of this study was to begin to fill in the gaps in our knowledge of the distribution of B. procyonis in an area of the US where there is, currently, no published information available. Fifty-three raccoons were collected throughout eastern Colorado during 2007-2010. Forty-six were examined by necropsy and seven by fecal flotation. Age (11 juveniles, 25 adults) and sex (16 males, 19 females) of the raccoons were recorded when intact carcasses were available. When available, feces were further processed for the detection of Giardia and Cryptosporidium using a direct fluorescent antibody detection method. B. procyonis was found in 31 of 53 raccoons (58.5%, 95% CI=44.1%, 71.9%). Mean intensity was 11.7 with a range of 1-49 worms per infected individual. There was no significant difference between age or sex, and the presence of ascarids or the number of ascarids. Cryptosporidium spp. oocysts and Giardia spp. cysts were detected in 11/44 (25%; 95% CI: 13.2, 40.3) and 3/44 (6.9%; 95% CI: 1.4, 18.7) raccoons, respectively. The genotype of the Giardia present could not be determined. The genotype of five of six cryptosporidial isolates was 100% homologous to the skunk genotype while the sixth was 100% homologous to Cryptosporidium parvum. Based on these results, both B. procyonis and Cryptosporidium spp. appear to be prevalent in raccoons of eastern Colorado.     

Cerebrospinal nematodiasis in prairie dogs from a research facility

Baylisascaris spp larvae were determined to cause CNS disease in 3 prairie dogs maintained at a research facility. Clinical signs consisted of ataxia, stumbling, and head tilt, which progressed to severe torticollis, paddling in lateral recumbency, and loss of the righting reflex. Gross lesions were not found at necropsy. Microscopically, the cerebellar white matter and medulla oblongata were most severely affected and had numerous sections of large ascarid larvae. Our findings indicated that natural infections of Baylisacaris spp larvae can cause CNS disease in prairie dogs. Also, Baylisascaris spp larval infection should be considered in differential diagnoses of CNS disease in prairie dogs.     

Raccoon roundworm (Baylisascaris procyonis) as an occupational hazard: 2. Use of personal protective equipment and infection control practices among raccoon rehabilitators

Baylisascaris procyonis, the raccoon roundworm, is a zoonotic ascarid of importance to human and animal health. Wildlife rehabilitators who care for raccoons may be at an increased risk for exposure to the parasite, especially if proper precautions are not taken. In a wider effort to evaluate awareness regarding B. procyonis in the wildlife rehabilitation community, an online survey (38–39 questions) including questions about B. procyonis knowledge and attitudes was developed and administered to wildlife rehabilitators. To assess precautions taken among raccoon rehabilitators, participants who rehabilitated raccoons (n = 447) answered additional questions about use of personal protective equipment (PPE) and infection control practices (ICPs). Reported use of gloves was variable, but hand hygiene was generally consistent. Masks and gowns were seldom used. Part‐time or infrequent volunteers and rehabilitators located in the Central, Midwest and Southeast were significantly less likely to report consistent use of PPE. A total knowledge score from the survey was used to predict the likelihood of reporting the use of particular ICPs/PPE. Knowledge score had a highly significant but small effect on the likelihood of prophylactic use of anthelmintics, anthelmintics use for B. procyonis specifically, cleaning appropriately, and using species‐dedicated housing. Risk factor analysis was performed on data from a prior serologic survey to evaluate factors associated with exposure to B. procyonis and inconsistent handwashing after contact with live raccoons and their faeces; practising rehabilitation in B. procyonis hyperendemic regions and practising rehabilitation in the western region were significant risk factors for being seropositive. These data further demonstrate that correct PPE/ICPs are critical in mitigating the risk of B. procyonis exposure among raccoon rehabilitators and among other captive species.     

Infraorbital sinusitis associated with Pasteurella multocida in pen-raised ring-necked pheasants.

Pasteurella multocida, somatic serotype 6, was isolated from the infraorbital sinuses of 8-wk-old ring-necked pheasants with severe sinusitis. In addition, Escherichia coli, Pasteurella haemolytica-like bacteria, Mycoplasma gallinaceum, and Mycoplasma glycophilum were also isolated from some of the sinuses. Clinical signs appeared 3 days after placement on the grow-out ranch. The sinusitis consisted of severe unilateral or bilateral distention of the sinuses by mucoid to caseous exudate. Mortality and morbidity were low. Birds responded to treatment with tetracycline after proper medication procedures. The source of the infection was not determined, though possible sources include the brood ranch, wild animals, or wild waterfowl.     

Development,Survival and Availability of Gastrointestinal Nematodes of Sheep and Pastures in a Semi-arid Area of Kajiado District of Kenya

A study was carried out on a ranch in the semi-arid area of Kajiado District in Kenya during the period July 2000 to June 2001 to determine the seasonal patterns of development and survival of gastrointestinal nematodes of sheep on pastures. A series of plots were contaminated with sheep faeces every month and pasture samples were collected weekly for the recovery and identification of larvae. The availability of infective larvae on naturally contaminated pastures was also monitored on the paddocks grazed by sheep and around the night pen and the watering point every month from July 2000 to June 2001. The results from the examination of the pasture samples indicated that rainfall distribution was the major factor governing the development and survival of the pre-parasitic stages. No parasitic larvae were detected from the plots contaminated during the dry months from July to October 2000, but development and translocation of infective larvae on pastures occurred on plots contaminated during the rainy seasons and soon after when relatively high moisture was present in the herbage (November 2000 to June 2001). During this period, peak larval counts occurred between the first and the second week post contamination, then declined to undetectable levels between week 4 and 16 post contamination. The lack of development of infective larvae during the dry season and the relatively rapid decline of their population during the wet season presents an opportunity for the use of pasture spelling as a means of helminth control in the study area. The availability of infective larvae on naturally contaminated pastures, around the night pen and around the watering point also followed the rainfall distribution pattern. Infective larvae were consistently recovered around the watering point throughout the study period. This indicated that the point is an important source of infection for sheep, especially during the dry season when other pastures are non-infective.     

Epizootiological survey of Trichinella spp. infection in carnivores, rodents and insectivores in Hokkaido, Japan

In order to evaluate the present epidemiological situation of Trichinella infection in wild animals in Hokkaido, Japan, red foxes (Vulpes vulpes), raccoon dogs (Nyctereutes procyonoides) , brown bears (Ursus arctos) , martens (Martes melampus), rodents and insectivores captured in Hokkaido were examined for muscle larvae by the artificial digestion method from 2000 to 2006. Foxes (44/319, 13.8%), raccoon dogs (6/77, 7.8%) and brown bears (4/126, 3.2%) were found to be infected with Trichinella larvae and all other animal species evaluated were negative. Multiplex PCR and DNA sequencing revealed that larvae from a fox captured in Otofuke, in south-eastern Hokkaido, were T. nativa, and larvae from 27 animals including 21 foxes, 2 raccoon dogs and 4 brown bears captured in western Hokkaido were Trichinella T9.