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Case report: First confirmed case of canine peritoneal larval cestodiasis caused by Mesocestoides vogae (syn. M. corti) in Japan

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Abstract

Canine peritoneal larval cestodiasis (CPLC) is an unusual parasitic disease in dogs that is caused by asexual proliferation of larval Mesocestoides. A 12 year-old spayed Shetland sheepdog with abdominal distension was referred to the Animal Medical Center at Nihon University, Japan. The presence of ascites was confirmed by abdominal ultrasonography and X-ray imaging. In addition, a number of parasites were observed in the ascitic fluid collected by abdominal paracentesis. Each of the whitish colored parasites was less than 1 mm in size. The parasites were morphologically identified as Mesocestoides sp. tetrathyridia. The parasites had four suckers and calcareous corpuscles, but no hooks or rostellum. Mitochondrial (mt) 12S rDNA and mt cytochrome c oxidase subunit 1 DNA amplified from the tetrathyridia were used for molecular identification to species level. DNA sequence analysis showed that the tetrathyridia shared more than 99% identity with M. vogae (syn. M. corti) for each gene. The patient was treated with a standard dose (5 mg/kg) of praziquantel, which was administered subcutaneously twice at an interval of 14 days. This resulted in successful deworming. This is the first case that CPLC was diagnosed in a dog that had never been taken outside of Japan, indicating that M. vogae is distributed in this country.

Introduction

Cestodes of the genus Mesocestoides belong to the order Cyclophyllidea. Unlike other Cyclophyllidea, Mesocestoides require at least two intermediate hosts to complete their life cycles (Loos-Frank, 1991, Padgett and Boyce, 2004). However, the complete lifecycle is not known for any species within this genus. In Japan, Kugi (1983) tried to elucidate complete life cycle of M. paucitesticulus and found some species of birds could be second intermediate hosts. However, first intermediate host of this parasite is still unknown.

Adult Mesocestoides spp. worms reside in the intestinal tracts of their final hosts, which include carnivores, birds and occasionally humans (Soulsby, 1982). Infection with adult worms is usually asymptomatic. In contrast, the third stage larvae, which are called tetrathyridium, live in the serosal cavities of their intermediate hosts, which include amphibians, reptiles, birds, and rodents. Dogs and cats can also harbor tetrathyridia in their peritoneal cavities (Soulsby, 1982). Interestingly, the tetrathyridia of several (but not all) species belonging to the genus Mesocestoides, including Mesocestoides vogae (syn. M. corti), can proliferate asexually (Specht and Voge, 1965, Conn, 1990, Padgett and Boyce, 2004). Active proliferation of tetrathyridia in the peritoneal cavity of dogs causes canine peritoneal larval cestodiasis (CPLC). Dogs affected by CPLC usually show no symptoms at all or nonspecific symptoms such as ascites, anorexia and decreased physical activity (Crosbie et al., 1998, Caruso et al., 2003, Boyce et al., 2011). Indeed, although it has been reported that CPLC can be fatal, subclinical infections have been detected incidentally during surgery for unrelated issues (Crosbie et al., 1998, Caruso et al., 2003, Papini et al., 2010, Boyce et al., 2011).

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Case report

In December 2010, a 12 year-old spayed Shetland sheepdog with abdominal distension was referred to the Animal Medical Center at Nihon University, Kanagawa, Japan. The dog had been owned in Kanagawa prefecture, Japan. The dog had a history of chronic cough and diagnosed with chronic bronchitis. Leukocytosis (20,800 cells/μl) and eosinophilia (22%) were detected on blood examination. The presence of ascites was confirmed by abdominal ultrasonography and X-ray imaging (Fig. 1). Upon removal of 20 ml

Discussion

Mesocestoides require at least two intermediate hosts to complete their life cycles (Loos-Frank, 1991, Padgett and Boyce, 2004) although the complete lifecycle is not known for any species within this genus. The putative first intermediate host is ground-dwelling coprophagous arthropods that ingest oncospheres and accommodate the development of cysticercoides. Tetrathyridia, the metacestode form of Mesocestoides spp., are found in the abdominal cavity of a variety of intermediate hosts such as

Acknowledgement

This work was supported in part by Grant-in-Aid for Young Scientists (B) (to JM) from the Japanese Society for the Promotion of Science.

References (18)

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