BACKGROUND: In Europe, avian schistosomes of the genus Trichobilharzia are the most common etiological agents involved in human cercarial dermatitis (swimmer's itch). Manifested by a skin rash, the condition is caused by an allergic reaction to cercariae of nonhuman schistosomes. Humans are an accidental host in this parasite's life cycle, while water snails are the intermediate, and waterfowl are the final hosts. The study aimed to conduct a molecular and phylogenetic analysis of Trichobilharzia species occurring in recreational waters in North-Eastern Poland. METHODOLOGY: The study area covered three water bodies (Lake Skanda, Lake Ukiel, and Lake Tyrsko) over the summer of 2021. In total, 747 pulmonate freshwater snails (Radix spp., Lymnaea stagnalis) were collected. Each snail was subjected to 1-2 h of light stimulation to induce cercarial expulsion. The phylogenetic analyses of furcocercariae were based on the partial sequence of the ITS region (ITS1, 5.8S rDNA, ITS2 and 28SrDNA). For Radix spp. phylogenetic analyses were based on the ITS-2 region. RESULTS: The prevalence of the Trichobilharzia species infection in snails was 0.5%. Two out of 478 (0.4%) L. stagnaliswere found to be infected with Trichobilharzia szidati. Moreover, two out of 269 (0.7%) snails of the genus Radix were positive for schistosome cercariae. Both snails were identified as Radix auricularia. One of them was infected with Trichobilharzia franki and the other with Trichobilharzia sp. CONCLUSIONS: Molecular identification of avian schistosome species, both at the intermediate and definitive hosts level, constitutes an important source of information on a potential threat and prognosis of local swimmer's itch occurrence, and helps to determine species diversity in a particular area.

• Keywords
• Avian schistosomes, Cercariae, Cercarial dermatitis, Trichobilharzia,
• MeSH
• DNA, Helminth genetics   MeSH
• Phylogeny * MeSH
• Snails parasitology   MeSH
• Trematode Infections parasitology   veterinary   epidemiology   MeSH
• Lakes parasitology   MeSH
• Humans MeSH
• Schistosomatidae * genetics   MeSH
• Animals MeSH
• Check Tag
• Humans MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Poland epidemiology   MeSH
• Names of Substances
• DNA, Helminth MeSH

Digenean trematodes are common and abundant in aquatic habitats and their free-living larvae, the cercariae, have recently been recognized as important components of ecosystems in terms of comprising a significant proportion of biomass and in having a potentially strong influence on food web dynamics. One strategy to enhance their transmission success is to produce high numbers of cercariae which are available during the activity peak of the next host. In laboratory experiments with 13 Lymnaea stagnalis snails infected with Trichobilharzia szidati the average daily emergence rate per snail was determined as 2,621 cercariae, with a maximum of 29,560. During a snail's lifetime this summed up to a mass equivalent of or even exceeding the snail's own body mass. Extrapolated for the eutrophic pond where the snails were collected, annual T. szidati biomass may reach 4.65 tons, a value equivalent to a large Asian elephant. Emission peaks were observed after the onset of illumination, indicating emission synchronizing with the high morning activities of the definitive hosts, ducks. However, high cercarial emission is possible throughout the day under favorable lightning conditions. Therefore, although bird schistosomes, such as T. szidati constitute only a fraction of the diverse trematode communities in the studied aquatic ecosystem, their cercariae can still pose a considerable risk for humans of getting cercarial dermatitis (swimmer's itch) due to the high number of cercariae emitted from infected snails.

• MeSH
• Biomass MeSH
• Cercaria growth & development   MeSH
• Chronobiology Phenomena MeSH
• Ecosystem MeSH
• Lymnaea parasitology   physiology   MeSH
• Statistics, Nonparametric MeSH
• Swimming MeSH
• Schistosomatidae growth & development   MeSH
• Life Cycle Stages MeSH
• Animals MeSH
• Check Tag
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH

Cercarial dermatitis (swimmer's itch) is a condition caused by infective larvae (cercariae) of a species-rich group of mammalian and avian schistosomes. Over the last decade, it has been reported in areas that previously had few or no cases of dermatitis and is thus considered an emerging disease. It is obvious that avian schistosomes are responsible for the majority of reported dermatitis outbreaks around the world, and thus they are the primary focus of this review. Although they infect humans, they do not mature and usually die in the skin. Experimental infections of avian schistosomes in mice show that in previously exposed hosts, there is a strong skin immune reaction that kills the schistosome. However, penetration of larvae into naive mice can result in temporary migration from the skin. This is of particular interest because the worms are able to migrate to different organs, for example, the lungs in the case of visceral schistosomes and the central nervous system in the case of nasal schistosomes. The risk of such migration and accompanying disorders needs to be clarified for humans and animals of interest (e.g., dogs). Herein we compiled the most comprehensive review of the diversity, immunology, and epidemiology of avian schistosomes causing cercarial dermatitis.

• MeSH
• Biodiversity MeSH
• Disease Outbreaks MeSH
• Host Specificity MeSH
• Humans MeSH
• Bird Diseases parasitology   transmission   MeSH
• Skin Diseases, Parasitic epidemiology   immunology   parasitology   prevention & control   MeSH
• Birds MeSH
• Schistosomiasis epidemiology   immunology   parasitology   prevention & control   MeSH
• Animals MeSH
• Check Tag
• Humans MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Review MeSH
• Research Support, N.I.H., Extramural MeSH
• Research Support, U.S. Gov't, Non-P.H.S. MeSH

Cercarial dermatitis (swimmer's itch) is a common non-communicable water-borne disease. It is caused by penetration of the skin by larvae (cercariae) of schistosomatid flukes and develops as a maculopapular skin eruption after repeated contacts with the parasites. The number of outbreaks of the disease is increasing, and cercarial dermatitis can therefore be considered as an emerging problem. Swimmer's itch is mostly associated with larvae of the bird schistosomes of Trichobilharzia spp. Recent results have shown that mammalian infections (including man) manifest themselves as an allergic reaction which is able to trap and eliminate parasites in the skin. Studies on mammals experimentally infected by bird schistosome cercariae revealed, however, that during primary infection, parasites are able to escape from the skin to the lungs or central nervous system. This review covers basic information on detection of the infectious agents in the field and the clinical course of the disease, including other pathologies which may develop after infection by cercariae, and diagnosis of the disease.

• MeSH
• Central Nervous System microbiology   MeSH
• Cercaria immunology   MeSH
• Dermatitis diagnosis   immunology   parasitology   MeSH
• Skin microbiology   pathology   MeSH
• Humans MeSH
• Disease Models, Animal MeSH
• Swimming MeSH
• Lung microbiology   MeSH
• Schistosoma MeSH
• Schistosomiasis complications   diagnosis   immunology   MeSH
• Animals MeSH
• Check Tag
• Humans MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Review MeSH

Cercariae of bird schistosomes (Trichobilharzia szidati and Trichobilharzia regenti) were mechanically stimulated to transform to schistosomula and kept in different cultivation media supplemented with duck red blood cells and/or homogenized nervous tissue. The development under in vitro conditions was compared with that in vivo, using the following characters: emptying of penetration glands, surface changes, food uptake, and growth of early schistosomula. The results show that the cultivation medium routinely used for human schistosomes is also suitable for mass production of early schistosomula of bird schistosomes, including the unique nasal species-T. regenti. The changes observed resemble those present in worms developing in vivo; therefore, the in vitro produced early schistosomula might be used for further studies of host-parasite interactions.

• MeSH
• Animal Structures parasitology   MeSH
• Trematode Infections parasitology   veterinary   MeSH
• Culture Media chemistry   MeSH
• Bird Diseases parasitology   MeSH
• Nasal Cavity parasitology   MeSH
• Parasitology methods   MeSH
• Birds MeSH
• Schistosomatidae growth & development   isolation & purification   MeSH
• Animals MeSH
• Check Tag
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• Culture Media MeSH

The passage of Trichobilharzia szidati schistosomula through the vertebrate lungs was examined in natural and abnormal hosts--birds (ducks Anas platyrhynchos f. domestica) and mammals (mice Mus musculus Bagg albino/c [BALB/c]), respectively. Using the methods of classical histology, the migratory route of worms was characterized, and the impact of migration on host tissues and the host cell reactions were evaluated. Living schistosomula were recorded in the lungs of ducks 2-10 days post infection (p.i.) and in the lungs of mice 2-4 days p.i. In ducks, the schistosomula migrated from the blood vessels through the blood capillaries to the lung tissue; then, they entered free air space of the lungs. The infection resulted in inflammatory reaction with nodules composed of infiltrated lymphocytes, heterophils, eosinophils and macrophages. These structures were formed around the blood vessels and in the gas-exchange tissues of the parabronchial walls and, consequently, in the walls of secondary bronchi. An extensive inflammation of secondary bronchi and parabronchi was observed. In the lungs of mice, the parasites were localized extravascularly in the alveolar walls. No migratory pattern similar to that in the lungs of ducks was recorded. No specific inflammatory reaction occurred. However, alveolar wall congestion, edema and lymphocyte infiltrates appeared and, therefore, pathogenicity of T. szidati was also confirmed in the murine host.

• MeSH
• Ducks parasitology   MeSH
• Mice, Inbred BALB C MeSH
• Mice MeSH
• Bird Diseases parasitology   MeSH
• Lung parasitology   pathology   MeSH
• Schistosomatidae physiology   MeSH
• Animals MeSH
• Check Tag
• Mice MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH

Studies on life cycles of trematodes have a long tradition in Germany; (Odening 1978) listed a total of 177 trematodes, which can potentially complete their life cycles in German inland waters. However, almost no recent data on the occurrence of larval stages in molluscs are available. Therefore, a survey of trematodes in Southeast Germany was carried out in 2004. A total of 31 species of ten families (29 species of cercariae, seven species of metacercariae, and five species found of both) were found in 311 (4.9%) molluscs of 15 species. The dominant cercariae were Plagiorchis elegans, Echinoparyphium aconiatum, Opisthioglyphe ranae, and Diplostomum pseudospathaceum. Echinoparyphium pseudorecurvatum is reported, for the first time, under its valid scientific name from Germany. In previous studies from the same region, 88 species of cercariae of 16 families were found in 19 species of molluscs (52 cercariae with valid names and 36 not identified to species level). It is proposed that there is still a very similar spectrum of the most common species of cercariae typical for Central Europe as found 20, but also 100-150 years ago.

• MeSH
• Biodiversity MeSH
• Ecosystem MeSH
• Larva MeSH
• Mollusca parasitology   MeSH
• Rivers parasitology   MeSH
• Life Cycle Stages MeSH
• Trematoda growth & development   isolation & purification   MeSH
• Animals MeSH
• Check Tag
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Geographicals
• Germany MeSH

Induction of penetration gland emptying by cercariae of the bird schistosomes Trichobilharzia szidati and T. regenti employing linoleic acid, linolenic acid, praziquantel and calcium ionophore A23187 showed that both postacetabular and circumacetabular cells released their content at chosen stimulant concentrations. The gland secretions consisted of soluble and insoluble parts. The former one adhering to the ground seemed to have different saccharide composition from the glands of Schistosoma mansoni. It bound labelled saccharides, thus exhibiting lectin-like activity. Protein profiles of the latter one were identical after stimulation by all four stimulants in T. szidati. The soluble secretions contained several proteolytic enzymes; 31 kDa and 33 kDa cysteine proteases were identified in E/S products of T. szidati and T. regenti, respectively. The circumacetabular glands contained a significant amount of calcium. Immunohistochemistry revealed that the origin of E/S products after in vitro stimulation is in both penetration glands and tegumental structures. No crossreactivity was observed between the bird schistosomes and a serum raised against S. mansoni elastase.

• MeSH
• Anthelmintics pharmacology   MeSH
• Calcimycin pharmacology   MeSH
• Exocrine Glands drug effects   metabolism   MeSH
• Host-Parasite Interactions physiology   MeSH
• Linolenic Acids pharmacology   MeSH
• Linoleic Acids pharmacology   MeSH
• Mice, Inbred BALB C MeSH
• Mice MeSH
• Praziquantel pharmacology   MeSH
• Helminth Proteins chemistry   metabolism   MeSH
• Schistosomatidae drug effects   metabolism   MeSH
• In Vitro Techniques MeSH
• Dose-Response Relationship, Drug MeSH
• Animals MeSH
• Check Tag
• Mice MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• Anthelmintics MeSH
• Calcimycin MeSH
• Linolenic Acids MeSH
• Linoleic Acids MeSH
• Praziquantel MeSH
• Helminth Proteins MeSH