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

The neurotropic bird schistosome Trichobilharzia regenti possesses papain-like cysteine peptidases which have also been shown to be crucial enzymes in various developmental stages of the related human parasites Schistosoma spp. In this paper, we present data obtained by real-time polymerase chain reaction on the temporal distribution of transcripts of two cathepsins in different developmental stages of T. regenti: cathepsin B1 originally described from the gut lumen of schistosomula with presumptive role in nutrient digestion and cathepsin B2 originally found in penetration glands of cercariae with probable involvement in invasion of the final host. In spite of their mutual resemblance at the sequence level, the mRNA expression profiles clearly show distinct expression of cathepsins B1 and B2 during the development from eggs to cercariae. In the case of both cathepsins, the highest level of transcription was detected in intravertebrate stages. Putative functions of cathepsins B1 and B2 in schistosome developmental stages are discussed.

• MeSH
• Snails MeSH
• Isoenzymes genetics   metabolism   MeSH
• Ducks MeSH
• Cathepsin B genetics   metabolism   MeSH
• Helminth Proteins genetics   metabolism   MeSH
• Schistosomatidae enzymology   genetics   growth & development   MeSH
• Life Cycle Stages MeSH
• Gene Expression Profiling * MeSH
• Gene Expression Regulation, Developmental * MeSH
• Animals MeSH
• Check Tag
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• Isoenzymes MeSH
• Cathepsin B MeSH
• Helminth Proteins MeSH

Cercariae of bird schistosomes (genus Trichobilharzia) are able to penetrate the skin of mammals (noncompatible hosts), including humans, and cause a Th2-associated inflammatory cutaneous reaction termed cercarial dermatitis. The present study measured the antibody reactivity and antigen specificity of sera obtained after experimental infection of mice and natural infection of humans. Sera from mice re-infected with T. regenti showed a bias towards the development of antigen-specific IgM and IgG1 antibodies and elevated levels of total serum IgE, indicative of a Th2 polarized immune response. We also demonstrate that cercariae are a source of antigens triggering IL-4 release from basophils collected from healthy human volunteers. Analysis of sera from patients with a history of cercarial dermatitis revealed elevated levels of cercarial-specific IgG, particularly for samples collected from adults (> 14 years old) compared with children (8-14 years old), although elevated levels of antigen-specific IgE were not detected. In terms of antigen recognition, IgG and IgE antibodies in the sera of both mice and humans preferentially bound an antigen of 34 kDa. The 34 kDa molecule was present in both homogenate of cercariae, as well as cercarial excretory/secretory products, and we speculate it may represent a major immunogen initiating the Th2-immune response associated with cercarial dermatitis.

• MeSH
• Antigens, Helminth chemistry   immunology   MeSH
• Basophils immunology   MeSH
• Dermatitis immunology   parasitology   MeSH
• Child MeSH
• Adult MeSH
• Immunoglobulin E MeSH
• Immunoglobulin G blood   MeSH
• Immunoglobulin M blood   MeSH
• Interleukin-4 metabolism   MeSH
• Humans MeSH
• Adolescent MeSH
• Molecular Weight MeSH
• Mice MeSH
• Antibodies, Helminth blood   MeSH
• Schistosomatidae immunology   MeSH
• Age Factors MeSH
• Animals MeSH
• Check Tag
• Child MeSH
• Adult MeSH
• Humans MeSH
• Adolescent MeSH
• Mice MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• Antigens, Helminth MeSH
• Immunoglobulin E MeSH
• Immunoglobulin G MeSH
• Immunoglobulin M MeSH
• Interleukin-4 MeSH
• Antibodies, Helminth MeSH