Martin Kvac, Eva Myskova, Nikola Holubova, Klara Kellnerova, Marta Kicia, Dusan Rajsky, John McEvoy, Yaoyu Feng, Vladimir Hanzal, Bohumil Sak
Parasites of the genus Cryptosporidium Tyzzer, 1910 are one of the most common protistan parasites of vertebrates. Faecal samples from 179 red foxes (Vulpes vulpes [Linnaeus]), 100 grey wolves (Canis lupus Linnaeus), 11 golden jackals (Canis aureus Linnaeus), and 63 brown bears (Ursus arctos Linnaeus) were collected in the Czech Republic, Poland and Slovakia. Samples were examined for the presence of Cryptosporidium spp. using microscopy and PCR/sequence analysis. Phylogenetic analysis based on the small subunit ribosomal RNA (SSU), actin and 60-kDa glycoprotein (gp60) genes using the maximum likelihood method revealed the presence of Cryptosporidium tyzzeri Ren, Zhao, Zhang, Ning, Jian et al., 2012 (n = 1) and C. andersoni Lindsay, Upton, Owens, Morgan, Mead et Blackburn, 2000 (n = 2) in red foxes, C. canis Fayer, Trout, Xiao, Morgan, Lai et Dubey, 2001 (n = 2) and C. ubiquitum Fayer, Santín et Macarisin, 2010 (n = 2) in grey wolves, and C. galli Pavlásek, 1999 in brown bears (n = 1) and red foxes (n = 1). Subtyping of isolates of C. ubiquitum and C. tyzzeri based on sequence analysis of gp60 showed that they belong to the XIId and IXa families, respectively. The presence of specific DNA of C. tyzzeri, C. andersoni and C. galli, which primarily infect the prey of carnivores, is probably the result of their passage through the gastrointestinal tract of the carnivores. Finding C. ubiquitum XIId in wolves may mean broadening the host spectrum of this subtype, but it remains possible this is the result of infected prey passing through the wolf - in this case deer, which is a common host of this parasite. The dog genotype of C. canis was reported for the first time in wolves.
{"title":"Occurrence and genetic diversity of Cryptosporidium spp. in wild foxes, wolves, jackals, and bears in central Europe.","authors":"Martin Kvac, Eva Myskova, Nikola Holubova, Klara Kellnerova, Marta Kicia, Dusan Rajsky, John McEvoy, Yaoyu Feng, Vladimir Hanzal, Bohumil Sak","doi":"10.14411/fp.2021.002","DOIUrl":"https://doi.org/10.14411/fp.2021.002","url":null,"abstract":"<p><p>Parasites of the genus Cryptosporidium Tyzzer, 1910 are one of the most common protistan parasites of vertebrates. Faecal samples from 179 red foxes (Vulpes vulpes [Linnaeus]), 100 grey wolves (Canis lupus Linnaeus), 11 golden jackals (Canis aureus Linnaeus), and 63 brown bears (Ursus arctos Linnaeus) were collected in the Czech Republic, Poland and Slovakia. Samples were examined for the presence of Cryptosporidium spp. using microscopy and PCR/sequence analysis. Phylogenetic analysis based on the small subunit ribosomal RNA (SSU), actin and 60-kDa glycoprotein (gp60) genes using the maximum likelihood method revealed the presence of Cryptosporidium tyzzeri Ren, Zhao, Zhang, Ning, Jian et al., 2012 (n = 1) and C. andersoni Lindsay, Upton, Owens, Morgan, Mead et Blackburn, 2000 (n = 2) in red foxes, C. canis Fayer, Trout, Xiao, Morgan, Lai et Dubey, 2001 (n = 2) and C. ubiquitum Fayer, Santín et Macarisin, 2010 (n = 2) in grey wolves, and C. galli Pavlásek, 1999 in brown bears (n = 1) and red foxes (n = 1). Subtyping of isolates of C. ubiquitum and C. tyzzeri based on sequence analysis of gp60 showed that they belong to the XIId and IXa families, respectively. The presence of specific DNA of C. tyzzeri, C. andersoni and C. galli, which primarily infect the prey of carnivores, is probably the result of their passage through the gastrointestinal tract of the carnivores. Finding C. ubiquitum XIId in wolves may mean broadening the host spectrum of this subtype, but it remains possible this is the result of infected prey passing through the wolf - in this case deer, which is a common host of this parasite. The dog genotype of C. canis was reported for the first time in wolves.</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"68 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25334456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Over the last two decades my colleagues and I have assembled the literature on a good percentage of most of the coccidians (Conoidasida) known, to date, to parasitise: Amphibia, four major lineages of Reptilia (Amphisbaenia, Chelonia, Crocodylia, Serpentes), and seven major orders in the Mammalia (Carnivora, Chiroptera, Lagomorpha, Insectivora, Marsupialia, Primates, Scandentia). These vertebrates, combined, comprise about 15,225 species; only about 899 (5.8%) of them have been surveyed for coccidia and 1,946 apicomplexan valid species names or other forms are recorded in the literature. Based on these compilations and other factors, I extrapolated that there yet may be an additional 31,381 new apicomplexans still to be discovered in just these 12 vertebrate groups. Extending the concept to all of the other extant vertebrates on Earth; i.e. lizards (6,300 spp.), rodents plus 12 minor orders of mammals (3,180 spp.), birds (10,000 spp.), and fishes (33,000 spp.) and, conservatively assuming only two unique apicomplexan species per each vertebrate host species, I extrapolate and extend my prediction that we may eventually find 135,000 new apicomplexans that still need discovery and to be described in and from those vertebrates that have not yet been examined for them! Even doubling that number is a significant underestimation in my opinion.
{"title":"Biodiversity of the Coccidia (Apicomplexa: Conoidasida) in vertebrates: what we know, what we do not know, and what needs to be done.","authors":"Donald W Duszynski","doi":"10.14411/fp.2021.001","DOIUrl":"https://doi.org/10.14411/fp.2021.001","url":null,"abstract":"<p><p>Over the last two decades my colleagues and I have assembled the literature on a good percentage of most of the coccidians (Conoidasida) known, to date, to parasitise: Amphibia, four major lineages of Reptilia (Amphisbaenia, Chelonia, Crocodylia, Serpentes), and seven major orders in the Mammalia (Carnivora, Chiroptera, Lagomorpha, Insectivora, Marsupialia, Primates, Scandentia). These vertebrates, combined, comprise about 15,225 species; only about 899 (5.8%) of them have been surveyed for coccidia and 1,946 apicomplexan valid species names or other forms are recorded in the literature. Based on these compilations and other factors, I extrapolated that there yet may be an additional 31,381 new apicomplexans still to be discovered in just these 12 vertebrate groups. Extending the concept to all of the other extant vertebrates on Earth; i.e. lizards (6,300 spp.), rodents plus 12 minor orders of mammals (3,180 spp.), birds (10,000 spp.), and fishes (33,000 spp.) and, conservatively assuming only two unique apicomplexan species per each vertebrate host species, I extrapolate and extend my prediction that we may eventually find 135,000 new apicomplexans that still need discovery and to be described in and from those vertebrates that have not yet been examined for them! Even doubling that number is a significant underestimation in my opinion.</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"68 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25321341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-22DOI: 10.21203/RS.3.RS-151344/V1
Diana Bărburaș, V. Cozma, A. Ionică, I. Abbas, R. Bărburaș, V. Mircean, G. D’Amico, J. Dubey, A. Győrke
Buffaloes represent an important economic resource for several regions of the world including Romania. In the present study, we examined 104 faecal samples collected from 38 buffalo calves (2-11 weeks old) from household rearing systems in Romania for gastrointestinal parasites. All samples were tested using the saturated salt flotation, McMaster and modified Ziehl-Nielsen staining methods. PCR coupled with sequencing isolates were used to identify assemblages of Giardia lamblia (Kunstler, 1882) and species of Cryptosporidium Tyzzer, 1907. Overall, 33 out of 38 examined buffalo calves were infected with different gastrointestinal parasites: 16 had single infections and 17 had mixed infections with two or three parasites. Species of Eimeria Schneider, 1875 (32/38; 84%) were the most prevalent parasites; eight species were identified according to the oocyst morphology, including the pathogenic E. bareillyi (Gill, Chhabra et Lall, 1963) which was detected for the first time in buffaloes from Romania. The nematodes Toxocara vitulorum (Goeze, 1782) (11/38; 37%) and Strongyloides papillosus (Wedl, 1856) (6/38; 16%) were also detected. Cryptosporidium spp. were found in four (11%) buffalo calves; two of them were molecularly identified as C. ryanae Fayer, Santin et Trout, 2008, and another one clustered in the same clade with C. ryanae, C. bovis Fayer, Santin et Xiao, 2005, and C. xiaoi Fayer et Santin, 2009. Giardia duodenalis assemblage E was also molecularly detected in a single (2.6%) buffalo calf. The presence of other buffaloes in the same barn was identified as a risk factor for infection with T. vitulorum. Our results indicate extensive parasitic infections in buffalo calves from northwestern Romania and underline the necessity of prophylactic treatments for T. vitulorum and E. bareillyi.
水牛是包括罗马尼亚在内的世界多个地区的重要经济资源。在本研究中,我们检查了从罗马尼亚家庭饲养系统采集的38头水牛幼崽(2-11周大)的104份粪便样本中的胃肠道寄生虫。使用饱和盐浮选法、麦克马斯特法和改良的Ziehl-Nielsen染色法对所有样品进行测试。PCR与测序分离株相结合,用于鉴定兰氏贾第鞭毛虫(Kunstler,1882)和Tyzzer隐孢子虫(Cryptosporidium Tyzzer,1907)的组合。总的来说,38头接受检查的水牛幼崽中有33头感染了不同的胃肠道寄生虫:16头感染了单一感染,17头感染了两到三种寄生虫。Eimeria Schneider,1875种(32/38;84%)是最常见的寄生虫;根据卵囊形态鉴定出8种,其中包括首次在罗马尼亚水牛中检测到的致病性E.bareilli(Gill,Chhabra et Lall,1963)。还检测到了线虫Toxocara vitulorum(Goeze,1782)(11/38;37%)和Strongyloides papillosus(Wedl,1856)(6/38;16%)。在4头(11%)水牛幼崽身上发现隐孢子虫属;其中两个被分子鉴定为C.ryanae-Fayer,Santin et Trout,2008,另一个与C.ryanae、C.bovis-Fayer、Santin et Xiao,2005和C.xiaoi-Fayer et Santin,2009聚集在同一支中。十二指肠贾第鞭毛虫组合E也在单个(2.6%)水牛中被分子检测到。在同一个畜棚中存在其他水牛被确定为感染毛滴虫的风险因素。我们的研究结果表明,罗马尼亚西北部水牛幼崽存在广泛的寄生虫感染,并强调了预防性治疗黄颡菌和巴氏乳杆菌的必要性。
{"title":"Intestinal parasites of buffalo calves from Romania: molecular characterisation of Cryptosporidium spp. and Giardia duodenalis, and the first report of Eimeria bareillyi.","authors":"Diana Bărburaș, V. Cozma, A. Ionică, I. Abbas, R. Bărburaș, V. Mircean, G. D’Amico, J. Dubey, A. Győrke","doi":"10.21203/RS.3.RS-151344/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-151344/V1","url":null,"abstract":"Buffaloes represent an important economic resource for several regions of the world including Romania. In the present study, we examined 104 faecal samples collected from 38 buffalo calves (2-11 weeks old) from household rearing systems in Romania for gastrointestinal parasites. All samples were tested using the saturated salt flotation, McMaster and modified Ziehl-Nielsen staining methods. PCR coupled with sequencing isolates were used to identify assemblages of Giardia lamblia (Kunstler, 1882) and species of Cryptosporidium Tyzzer, 1907. Overall, 33 out of 38 examined buffalo calves were infected with different gastrointestinal parasites: 16 had single infections and 17 had mixed infections with two or three parasites. Species of Eimeria Schneider, 1875 (32/38; 84%) were the most prevalent parasites; eight species were identified according to the oocyst morphology, including the pathogenic E. bareillyi (Gill, Chhabra et Lall, 1963) which was detected for the first time in buffaloes from Romania. The nematodes Toxocara vitulorum (Goeze, 1782) (11/38; 37%) and Strongyloides papillosus (Wedl, 1856) (6/38; 16%) were also detected. Cryptosporidium spp. were found in four (11%) buffalo calves; two of them were molecularly identified as C. ryanae Fayer, Santin et Trout, 2008, and another one clustered in the same clade with C. ryanae, C. bovis Fayer, Santin et Xiao, 2005, and C. xiaoi Fayer et Santin, 2009. Giardia duodenalis assemblage E was also molecularly detected in a single (2.6%) buffalo calf. The presence of other buffaloes in the same barn was identified as a risk factor for infection with T. vitulorum. Our results indicate extensive parasitic infections in buffalo calves from northwestern Romania and underline the necessity of prophylactic treatments for T. vitulorum and E. bareillyi.","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"69 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46563294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linda Van Der Spuy, Nico J Smit, Bjoern C Schaeffner
The examination of eight spotted skates, Raja straeleni Poll, resulted in the discovery of four new species of Acanthobothrium van Beneden, 1849, namely A. microhabentes sp. n., A. microtenuis sp. n., A. crassus sp. n., and A. dolichocollum sp. n., located off the Western Cape of South Africa. With a total of over 200 valid species of Acanthobothrium recognised worldwide, the use of an integrative approach becomes imperative in the interest of simplifying interspecific comparisons between congeners. In accordance with this, the four new species were incorporated into the category classification system established by Ghoshroy and Caira in 2001, where they were identified as category 2 species, which, at present, includes 47 recognised species of Acanthobothrium. Nevertheless, each of the four new species exhibits postovarian testes, a most intriguing and highly unusual feature among Acanthobothrium, instantly differentiating them from most congeners. This feature has been reported in 12 congeners, which have previously been considered to be restricted to waters of the Indo-Pacific Ocean. Not only do the four new congeners represent the first species of Acanthobothrium reported from southern Africa, but they also represent the first reported species with postovarian testes from the southern Atlantic Ocean. Regarding the legitimacy of the four new species, only two other category 2 species are reported to exhibit this feature, namely A. popi Fyler, Caira et Jensen, 2009, and A. bobconniorum Fyler et Caira, 2010, to which the four congeners were compared to. Acanthobothrium microhabentes sp. n. is the smallest of the congeners and differs from A. popi and A. bobconniorum by having fewer testes and postovarian testes, a shorter body, fewer proglottids, a shorter scolex, and longer cephalic peduncle. Acanthobothrium microtenuis sp. n. differs from A. popi and A. bobconniorum by having fewer testes and postovarian testes, a shorter scolex, longer cephalic peduncle, and the possession of columnar spinitriches on the anterior region of the terminal proglottid. Acanthobothrium crassus sp.n. differs from A. popi and A. bobconniorum by having fewer postovarian testes, a narrower cirrus-sac, larger vitelline follicles, and a longer cephalic peduncle. Acanthobothrium dolichocollum sp. n. is the longest of the four new species and differs from A. popi and A. bobconniorum by having fewer postovarian testes, more postporal testes, a larger body, more proglottids, larger testes and vitelline follicles, and an exceptionally long cephalic peduncle. Apart from differences in overall size, the four new species differ in a combination of measurements for the scolex, vitelline follicles, muscular pad and cephalic peduncle, and the number of proglottids and testes. The four species were recovered from a previously unexplored host and locality, expanding the host associations and geographical distribution of the genus.
Raja straeleni Poll对8个斑点冰鞋进行了检查,结果发现了4个新的Acanthobothrium van Beneden, 1849年,即A. microhabentes sp. n., A. microtenuis sp. n., A. crasssus sp.和A. dolichocollum sp. n.,位于南非西开普省。随着棘骨菌属在世界范围内被确认的有效物种总数超过200种,为了简化同系物之间的种间比较,使用综合方法变得势在必行。据此,这4个新种被纳入Ghoshroy和Caira于2001年建立的类分类体系,并被确定为第2类,目前Acanthobothrium已被确认的种有47种。尽管如此,这四个新物种中的每一个都表现出卵巢后睾丸,这是棘骨菌中最有趣和最不寻常的特征,立即将它们与大多数同系物区分开来。这一特征已经在12个同系物中被报道,这些同系物以前被认为仅限于印度洋-太平洋水域。这四个新的同系物不仅代表了非洲南部报道的第一个Acanthobothrium物种,而且它们也代表了来自南大西洋的第一个报道的具有后卵泡睾丸的物种。关于这4个新种的合法性,只有另外2个第2类物种(A. popi Fyler, Caira et Jensen, 2009)和A. bobconniorum Fyler et Caira, 2010)被报道具有这一特征,并与这4个同属物种进行了比较。microhabentes Acanthobothrium sp. n.是同类中最小的,与a . popi和a . bobconniorum的不同之处是睾丸和卵后睾丸较少,身体较短,前脚较少,头节较短,头状花序较长。细刺棘球绦虫(Acanthobothrium microtenuis sp. n.)与a . popi和a . bobconniorum的不同之处是睾丸和卵后睾丸较少,头节较短,头足柄较长,在末端的前门上有柱状刺。砂棘菌属与a . popi和a . bobconniorum的不同之处是卵泡后睾丸较少,卷囊较窄,卵黄卵泡较大,头部花梗较长。Acanthobothrium dolichocollum sp. n.是四个新种中最长的,不同于a . popi和a . bobconniorum,其卵泡后睾丸较少,卵泡后睾丸较多,身体较大,有较多的前体,较大的睾丸和卵泡,以及一个特别长的头状花序梗。除了整体大小的不同,这四个新物种在头节、卵泡、肌肉垫和头柄的测量组合以及前肢和睾丸的数量上也存在差异。这4种是在以前未开发的寄主和地点恢复的,扩大了该属的寄主联系和地理分布。
{"title":"Four new species of Acanthobothrium van Beneden, 1849 (Cestoda: Onchoproteocephalidea) from the spotted skate, Raja straeleni Poll, off the Western Cape, South Africa.","authors":"Linda Van Der Spuy, Nico J Smit, Bjoern C Schaeffner","doi":"10.14411/fp.2020.036","DOIUrl":"https://doi.org/10.14411/fp.2020.036","url":null,"abstract":"<p><p>The examination of eight spotted skates, Raja straeleni Poll, resulted in the discovery of four new species of Acanthobothrium van Beneden, 1849, namely A. microhabentes sp. n., A. microtenuis sp. n., A. crassus sp. n., and A. dolichocollum sp. n., located off the Western Cape of South Africa. With a total of over 200 valid species of Acanthobothrium recognised worldwide, the use of an integrative approach becomes imperative in the interest of simplifying interspecific comparisons between congeners. In accordance with this, the four new species were incorporated into the category classification system established by Ghoshroy and Caira in 2001, where they were identified as category 2 species, which, at present, includes 47 recognised species of Acanthobothrium. Nevertheless, each of the four new species exhibits postovarian testes, a most intriguing and highly unusual feature among Acanthobothrium, instantly differentiating them from most congeners. This feature has been reported in 12 congeners, which have previously been considered to be restricted to waters of the Indo-Pacific Ocean. Not only do the four new congeners represent the first species of Acanthobothrium reported from southern Africa, but they also represent the first reported species with postovarian testes from the southern Atlantic Ocean. Regarding the legitimacy of the four new species, only two other category 2 species are reported to exhibit this feature, namely A. popi Fyler, Caira et Jensen, 2009, and A. bobconniorum Fyler et Caira, 2010, to which the four congeners were compared to. Acanthobothrium microhabentes sp. n. is the smallest of the congeners and differs from A. popi and A. bobconniorum by having fewer testes and postovarian testes, a shorter body, fewer proglottids, a shorter scolex, and longer cephalic peduncle. Acanthobothrium microtenuis sp. n. differs from A. popi and A. bobconniorum by having fewer testes and postovarian testes, a shorter scolex, longer cephalic peduncle, and the possession of columnar spinitriches on the anterior region of the terminal proglottid. Acanthobothrium crassus sp.n. differs from A. popi and A. bobconniorum by having fewer postovarian testes, a narrower cirrus-sac, larger vitelline follicles, and a longer cephalic peduncle. Acanthobothrium dolichocollum sp. n. is the longest of the four new species and differs from A. popi and A. bobconniorum by having fewer postovarian testes, more postporal testes, a larger body, more proglottids, larger testes and vitelline follicles, and an exceptionally long cephalic peduncle. Apart from differences in overall size, the four new species differ in a combination of measurements for the scolex, vitelline follicles, muscular pad and cephalic peduncle, and the number of proglottids and testes. The four species were recovered from a previously unexplored host and locality, expanding the host associations and geographical distribution of the genus.</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"67 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38775578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bjoern C Schaeffner, Divan van Rooyen, Ruan Gerber, Tomas Scholz, Nico J Smit
Parasitological examination of freshwater fishes of the Phongolo River in north-eastern KwaZulu-Natal, South Africa resulted in the discovery and morphological and molecular characterisation of a new species of Wenyonia Woodland, 1923 (Cestoda: Caryophyllidea). The new species from the plain squeaker, Synodontis zambezensis Peters (Siluriformes: Mochokidae), is morphologically most similar to Wenyonia acuminata Woodland, 1923, a species reported from three species of Synodontis in north-eastern, western and central Africa (Sudan, Nigeria, Democratic Republic of the Congo). Both these species are markedly different from congeners by having a nematoform body and a digitiform scolex. Wenyonia gracilis sp. n. differs from W. acuminata in its general body size, length and width of main body regions (testicular and uterine regions), a posterior extension of the testes into the uterine region, numerous postovarian vitelline follicles filling the entire medulla, eggs c. 1/3 larger in size, and a scolex with an apical introvert but devoid of longitudinal furrows and a well-defined base. Wenyonia gracilis is the seventh species in the genus and the first autochthonous caryophyllidean ever reported and described from southern Africa (south of the Zambezi River).
{"title":"Wenyonia gracilis sp. n. (Cestoda: Caryophyllidea) from Synodontis zambezensis (Siluriformes: Mochokidae): the first native caryophyllidean tapeworm from southern Africa.","authors":"Bjoern C Schaeffner, Divan van Rooyen, Ruan Gerber, Tomas Scholz, Nico J Smit","doi":"10.14411/fp.2020.035","DOIUrl":"https://doi.org/10.14411/fp.2020.035","url":null,"abstract":"<p><p>Parasitological examination of freshwater fishes of the Phongolo River in north-eastern KwaZulu-Natal, South Africa resulted in the discovery and morphological and molecular characterisation of a new species of Wenyonia Woodland, 1923 (Cestoda: Caryophyllidea). The new species from the plain squeaker, Synodontis zambezensis Peters (Siluriformes: Mochokidae), is morphologically most similar to Wenyonia acuminata Woodland, 1923, a species reported from three species of Synodontis in north-eastern, western and central Africa (Sudan, Nigeria, Democratic Republic of the Congo). Both these species are markedly different from congeners by having a nematoform body and a digitiform scolex. Wenyonia gracilis sp. n. differs from W. acuminata in its general body size, length and width of main body regions (testicular and uterine regions), a posterior extension of the testes into the uterine region, numerous postovarian vitelline follicles filling the entire medulla, eggs c. 1/3 larger in size, and a scolex with an apical introvert but devoid of longitudinal furrows and a well-defined base. Wenyonia gracilis is the seventh species in the genus and the first autochthonous caryophyllidean ever reported and described from southern Africa (south of the Zambezi River).</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"67 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38699013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liver pathologies and infection with Toxoplasma gondii (Nicolle et Manceaux, 1908) are widespread among HIV-infected patients. However, a possible contribution of toxoplasmosis to the development of various forms of liver diseases in HIV-infected individuals has not yet been determined. This research is a retrospective cohort study. Medical cards of 907 HIV-positive patients, including 119 individuals who died, were studied. The patients were divided into two groups: 531 patients were seropositive to T. gondii and 376 seronegative. General liver pathology was more widespread among patients seropositive to T. gondii than in seronegative patients (63.1 ± 2.1% and 51.9 ± 2.6%, respectively, p < 0.001). The association of seropositive to T. gondii with general liver pathology is weak both in the whole cohort (Pearson's contingency coefficient C = 0.112), and among the deceased patients (C = 0.228). Chronic HBV-HCV coinfection was more common in the seropositive than in seronegative individuals as it was found both in entire cohorts (26.0 ± 1.9% and 18.6 ± 2.0%, respectively, p = 0.010) and in died patients (31.0 ± 5.5% and 14.6 ± 5.1%, respectively, p = 0.041). Toxoplasma gondii had a weak role in distributing of HBV-HCV coinfection between cohorts (C = 0.187). In both cohorts in patients with chronic hepatitis, regardless of its etiology, there was no significant difference in alanine transaminase activity (ALT). Cirrhosis of the liver occurred 4.5 times more often in deceased seropositive patients than in the entire seropositive cohort (23.9 ± 5.1 and 5.3 ± 2.0, respectively, p = 0.0006) whereas it no significantly increased in seronegative cohort (10.4 ± 4.4 against 4.8 ± 1.1, p > 0.05). In them T. gondii is weakly involved in cirrhosis formation (C = 0.168). Thus, in HIV-infected patients, T. gondii is a weak nonspecific adjunct that supports chronic liver inflammation and progression of cirrhosis, regardless of etiology, but does not influence the degree of hepatitis activity. The increased prevalence of HBV-HCV coinfection in patients seropositive for T. gondii may be related to their risk factor behaviour associated with uncontrolled blood contacts.
{"title":"Infection with Toxoplasma gondii can promote chronic liver diseases in HIV-infected individuals.","authors":"Ihor H Hryzhak","doi":"10.14411/fp.2020.034","DOIUrl":"https://doi.org/10.14411/fp.2020.034","url":null,"abstract":"<p><p>Liver pathologies and infection with Toxoplasma gondii (Nicolle et Manceaux, 1908) are widespread among HIV-infected patients. However, a possible contribution of toxoplasmosis to the development of various forms of liver diseases in HIV-infected individuals has not yet been determined. This research is a retrospective cohort study. Medical cards of 907 HIV-positive patients, including 119 individuals who died, were studied. The patients were divided into two groups: 531 patients were seropositive to T. gondii and 376 seronegative. General liver pathology was more widespread among patients seropositive to T. gondii than in seronegative patients (63.1 ± 2.1% and 51.9 ± 2.6%, respectively, p < 0.001). The association of seropositive to T. gondii with general liver pathology is weak both in the whole cohort (Pearson's contingency coefficient C = 0.112), and among the deceased patients (C = 0.228). Chronic HBV-HCV coinfection was more common in the seropositive than in seronegative individuals as it was found both in entire cohorts (26.0 ± 1.9% and 18.6 ± 2.0%, respectively, p = 0.010) and in died patients (31.0 ± 5.5% and 14.6 ± 5.1%, respectively, p = 0.041). Toxoplasma gondii had a weak role in distributing of HBV-HCV coinfection between cohorts (C = 0.187). In both cohorts in patients with chronic hepatitis, regardless of its etiology, there was no significant difference in alanine transaminase activity (ALT). Cirrhosis of the liver occurred 4.5 times more often in deceased seropositive patients than in the entire seropositive cohort (23.9 ± 5.1 and 5.3 ± 2.0, respectively, p = 0.0006) whereas it no significantly increased in seronegative cohort (10.4 ± 4.4 against 4.8 ± 1.1, p > 0.05). In them T. gondii is weakly involved in cirrhosis formation (C = 0.168). Thus, in HIV-infected patients, T. gondii is a weak nonspecific adjunct that supports chronic liver inflammation and progression of cirrhosis, regardless of etiology, but does not influence the degree of hepatitis activity. The increased prevalence of HBV-HCV coinfection in patients seropositive for T. gondii may be related to their risk factor behaviour associated with uncontrolled blood contacts.</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"67 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38681845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Darya Krupenko, Anna Gonchar, Georgii Kremnev, Boris Efeykin, Vladimir Krapivin
We found unusual digenean intramolluscan stages, sporocysts and cercariae, in gastropods Sulcospira dautzenbergiana (Morelet) (Caenogastropoda: Pachychilidae) from Southern Vietnam and named them Cercaria cattieni 1. These cercariae have a stylet and thus belong to the Xiphidiata. However, such combination of characters as extremely large body size and I-shaped excretory bladder has not been found before in any other xiphidiocercariae. We obtained COI, ITS1, 5.8S + ITS2, and 28S rDNA sequences for C. cattieni 1. The latter allowed us to specify the phylogenetic position of the discovered cercariae: C. cattieni 1 falls within the superfamily Microphalloidea and is most closely grouped to Pachypsolus irroratus (Rudolphi, 1819) (Pachypsolidae), the sea turtle parasite. Information on the family Pachypsolidae is limited. Judging from the molecular phylogeny, C. cattieni 1 might be the larva of the Pachypsolidae, documented for the first time.
{"title":"New type of xiphidiocercariae (Digenea: Microphalloidea) from South Vietnam.","authors":"Darya Krupenko, Anna Gonchar, Georgii Kremnev, Boris Efeykin, Vladimir Krapivin","doi":"10.14411/fp.2020.033","DOIUrl":"https://doi.org/10.14411/fp.2020.033","url":null,"abstract":"<p><p>We found unusual digenean intramolluscan stages, sporocysts and cercariae, in gastropods Sulcospira dautzenbergiana (Morelet) (Caenogastropoda: Pachychilidae) from Southern Vietnam and named them Cercaria cattieni 1. These cercariae have a stylet and thus belong to the Xiphidiata. However, such combination of characters as extremely large body size and I-shaped excretory bladder has not been found before in any other xiphidiocercariae. We obtained COI, ITS1, 5.8S + ITS2, and 28S rDNA sequences for C. cattieni 1. The latter allowed us to specify the phylogenetic position of the discovered cercariae: C. cattieni 1 falls within the superfamily Microphalloidea and is most closely grouped to Pachypsolus irroratus (Rudolphi, 1819) (Pachypsolidae), the sea turtle parasite. Information on the family Pachypsolidae is limited. Judging from the molecular phylogeny, C. cattieni 1 might be the larva of the Pachypsolidae, documented for the first time.</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"67 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38681846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Species of Hepatozoon Miller, 1908 are vector-borne parasites that infect domestic and wild animals worldwide. Hepatozoon ursi Kubo, Uni, Agatsuma, Nagataki, Panciera et al., 2008 was reported from bears (Ursidae) in Japan and India. The present study represents the first report of infection with H. ursi in Turkish brown bears (Ursus arctos Linnaeus) by microscopic and molecular analysis. Two dead brown bears were found in Uzundere and Pasinler districts of Erzurum. Blood and visceral organ (spleen and liver) samples were delivered to laboratory by the Nature Conservation and National Parks officers. Detected gamonts were evaluated based on morphological features and confirmed as gamonts of H. ursi. The size of gamonts and parasitemia were 8.2 × 3.5 μm (6.9-8.7 × 3.0-3.9 μm; n = 12) and 0.6% (6/1000 leukocytes), respectively. The blood and visceral organ samples were positive for species of Hepatozoon by PCR targeting partial sequence of 18S rDNA. Sequence analysis of newly obtained sequences of H. ursi showed 98.8-100% identity with previously sequenced isolates of H. ursi. Sequences of H. ursi from Erzurum were identical to each other and showed 100% identity with isolates of H. ursi from ticks Ixodes ricinus (Linnaeus), Rhipicephalus turanicus Pomerantzev and Hyalomma marginatum Koch collected from two brown bears in Turkey (GenBank accession numbers MN463021, MN463022, MN905023). Analysis of partial sequences of the 18S rRNA gene of H. ursi showed that Turkish isolates differ in NT substitutions found at three different positions [72 (A→G), 537 (A→G) and 570 (A→T)]. This study provides morphological and molecular data of H. ursi infection in brown bears from two districts of Erzurum, Turkey. Further studies are needed to elucidate whether brown bears have any eco-epidemiologic importance in the life cycle of H. ursi in wildlife.
{"title":"Morphological and molecular data of Hepatozoon ursi in two brown bears (Ursus arctos) in Turkey.","authors":"Muzaffer Akyuz, Ridvan Kirman, Esin Guven","doi":"10.14411/fp.2020.032","DOIUrl":"https://doi.org/10.14411/fp.2020.032","url":null,"abstract":"<p><p>Species of Hepatozoon Miller, 1908 are vector-borne parasites that infect domestic and wild animals worldwide. Hepatozoon ursi Kubo, Uni, Agatsuma, Nagataki, Panciera et al., 2008 was reported from bears (Ursidae) in Japan and India. The present study represents the first report of infection with H. ursi in Turkish brown bears (Ursus arctos Linnaeus) by microscopic and molecular analysis. Two dead brown bears were found in Uzundere and Pasinler districts of Erzurum. Blood and visceral organ (spleen and liver) samples were delivered to laboratory by the Nature Conservation and National Parks officers. Detected gamonts were evaluated based on morphological features and confirmed as gamonts of H. ursi. The size of gamonts and parasitemia were 8.2 × 3.5 μm (6.9-8.7 × 3.0-3.9 μm; n = 12) and 0.6% (6/1000 leukocytes), respectively. The blood and visceral organ samples were positive for species of Hepatozoon by PCR targeting partial sequence of 18S rDNA. Sequence analysis of newly obtained sequences of H. ursi showed 98.8-100% identity with previously sequenced isolates of H. ursi. Sequences of H. ursi from Erzurum were identical to each other and showed 100% identity with isolates of H. ursi from ticks Ixodes ricinus (Linnaeus), Rhipicephalus turanicus Pomerantzev and Hyalomma marginatum Koch collected from two brown bears in Turkey (GenBank accession numbers MN463021, MN463022, MN905023). Analysis of partial sequences of the 18S rRNA gene of H. ursi showed that Turkish isolates differ in NT substitutions found at three different positions [72 (A→G), 537 (A→G) and 570 (A→T)]. This study provides morphological and molecular data of H. ursi infection in brown bears from two districts of Erzurum, Turkey. Further studies are needed to elucidate whether brown bears have any eco-epidemiologic importance in the life cycle of H. ursi in wildlife.</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"67 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38648372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zuzana Strizova, Klara Havlova, Ondrej Patek, Daniel Smrz, Jirina Bartunkova
Babesiosis is a tick-borne disease that may exhibit a broad range of clinical manifestations. According to the Food and Drug Administration (FDA), Babesia species belong to the most common transfusion-transmitted pathogens (FDA, May 2019), but the awareness of the disease caused by these parasitic protists is still low. In immunocompromised patients, the clinical course of babesiosis may be of extreme severity and may require hospital admission. We demonstrate a case of a young male who experienced severe polytrauma requiring repetitive blood transfusions. Six months later, the patient developed a classic triad of arthritis, conjunctivitis and non-specific urethritis. These symptoms largely mimicked Reiter's syndrome. The patient was later extensively examined by an immunologist, rheumatologist, urologist, and ophthalmologist with no additional medical findings. In the search for the cause of his symptoms, a wide laboratory testing for multiple human pathogens was performed and revealed a babesiosis infection. This was the first case of human babesiosis mimicking Reiter's syndrome. Following proper antimicrobial therapy, the patient fully recovered in four weeks. We aim to highlight that a search for Babesia species should be considered in patients with non-specific symptomatology and a history of blood transfusion or a possible tick exposure in pertinent endemic areas.
{"title":"The first human case of babesiosis mimicking Reiter's syndrome.","authors":"Zuzana Strizova, Klara Havlova, Ondrej Patek, Daniel Smrz, Jirina Bartunkova","doi":"10.14411/fp.2020.031","DOIUrl":"https://doi.org/10.14411/fp.2020.031","url":null,"abstract":"<p><p>Babesiosis is a tick-borne disease that may exhibit a broad range of clinical manifestations. According to the Food and Drug Administration (FDA), Babesia species belong to the most common transfusion-transmitted pathogens (FDA, May 2019), but the awareness of the disease caused by these parasitic protists is still low. In immunocompromised patients, the clinical course of babesiosis may be of extreme severity and may require hospital admission. We demonstrate a case of a young male who experienced severe polytrauma requiring repetitive blood transfusions. Six months later, the patient developed a classic triad of arthritis, conjunctivitis and non-specific urethritis. These symptoms largely mimicked Reiter's syndrome. The patient was later extensively examined by an immunologist, rheumatologist, urologist, and ophthalmologist with no additional medical findings. In the search for the cause of his symptoms, a wide laboratory testing for multiple human pathogens was performed and revealed a babesiosis infection. This was the first case of human babesiosis mimicking Reiter's syndrome. Following proper antimicrobial therapy, the patient fully recovered in four weeks. We aim to highlight that a search for Babesia species should be considered in patients with non-specific symptomatology and a history of blood transfusion or a possible tick exposure in pertinent endemic areas.</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"67 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38692259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steven P Ksepka, Brian H Hickson, Nathan V Whelan, Stephen A Bullard
The sicklefin redhorse, Moxostoma sp. (Cypriniformes: Catostomidae), is an innominate imperiled catostomid endemic to the Hiwassee and Little Tennessee river basins, which has been restricted to a few tributaries of these systems by impoundments. During collections to propagate sicklefin redhorse for reintroduction, a myxozoan, described herein, was observed infecting sicklefin redhorse in the Little Tennessee River Basin, North Carolina. Myxobolus naylori Ksepka et Bullard sp. n. infects the stratum spongiosum covering the scales of sicklefin redhorse. Myxospores of the new species differ from all congeners by the combination of having a mucous envelope, intercapsular process, and sutural markings as well as lacking an iodinophilic vacuole in the sporoplasm. A phylogenetic analysis of the 18S rDNA gene recovered the new species in a polytomy with Myxobolus marumotoi Li et Sato, 2014 and a clade comprised of species of Myxobolus Bütschli, 1882; Thelohanellus Kudo, 1933, and Dicauda Hoffman et Walker, 1973. Histological sections of infected sicklefin redhorse skin revealed myxospores within a plasmodium in the stratum spongiosum dorsal to scales, encapsulated in collagen fibres, and associated with focal erosion of scales directly beneath the plasmodium; in some instances, the scale was perforated by the plasmodium. The specificity of the new species to sicklefin redhorse may make it a useful biological tag to differentiate sicklefin redhorse from morphologically similar species. The new species is the first parasite reported from sicklefin redhorse, a species of concern to the United States Fish and Wildlife Service. No species of Myxobolus has been reported from species of Moxostoma in the Southeast United States. As it was observed that Myxobolus minutus Rosser, Griffin, Quiniou, Alberson, Woodyard, Mischker, Greenway, Wise et Pote, 2016 is a primary junior homonym of Myxobolus minutus Nemeczek, 1911, we propose the replacement name Myxobolus diminutus (Rosser, Griffin, Quiniou, Alberson, Woodyard, Mischker, Greenway, Wise et Pote, 2016).
镰状红马,Moxostoma sp.(鲤形目:猫形马科),是一种不知名的濒危猫形马,原产于海沃河和小田纳西河流域,由于蓄水池的限制,只存在于这些流域的一些支流。在收集繁殖镰状红马以重新引入的过程中,在北卡罗来纳州的小田纳西河流域观察到一种黏液动物感染镰状红马。粘虫(Myxobolus naylori Ksepka et Bullard sp.)感染镰状红马鳞片上的海绵层。新种黏液孢子与所有同类的不同之处在于其具有粘液包膜、包膜间突和针状标记,并且在孢子质中缺乏嗜碘液泡。18S rDNA基因在Myxobolus marumotoi Li et Sato, 2014和Myxobolus b tschli, 1882的一个分支中恢复新种的系统发育分析;theelohanellus Kudo, 1933,和Dicauda Hoffman et Walker, 1973。受感染的镰状红马皮肤的组织学切片显示,在鳞片背侧的海绵层中,疟原虫内存在黏液孢子,被胶原纤维包裹,并与疟原虫正下方鳞片的局灶性糜烂有关;在某些情况下,鳞片被疟原虫穿孔。该新种与镰状红马的特异性可能使其成为区分镰状红马与形态相似物种的有用生物学标记。这一新物种是第一个从镰状红马身上报道的寄生虫,镰状红马是美国鱼类和野生动物管理局关注的物种。在美国东南部的Moxostoma种中未发现粘虫属。由于观察到Myxobolus minutus Rosser, Griffin, Quiniou, Alberson, Woodyard, Mischker, Greenway, Wise et Pote, 2016是Myxobolus minutus Nemeczek, 1911的初级谐音,我们建议将Myxobolus diminutus替换为Myxobolus (Rosser, Griffin, Quiniou, Alberson, Woodyard, Mischker, Greenway, Wise et Pote, 2016)。
{"title":"A new species of Myxobolus Bütschli, 1882 (Bivalvulida: Myxobolidae) infecting stratum spongiosum of the imperiled sicklefin redhorse, Moxostoma sp. (Cypriniformes: Catostomidae) from the Little Tennessee River, North Carolina, USA.","authors":"Steven P Ksepka, Brian H Hickson, Nathan V Whelan, Stephen A Bullard","doi":"10.14411/fp.2020.030","DOIUrl":"https://doi.org/10.14411/fp.2020.030","url":null,"abstract":"<p><p>The sicklefin redhorse, Moxostoma sp. (Cypriniformes: Catostomidae), is an innominate imperiled catostomid endemic to the Hiwassee and Little Tennessee river basins, which has been restricted to a few tributaries of these systems by impoundments. During collections to propagate sicklefin redhorse for reintroduction, a myxozoan, described herein, was observed infecting sicklefin redhorse in the Little Tennessee River Basin, North Carolina. Myxobolus naylori Ksepka et Bullard sp. n. infects the stratum spongiosum covering the scales of sicklefin redhorse. Myxospores of the new species differ from all congeners by the combination of having a mucous envelope, intercapsular process, and sutural markings as well as lacking an iodinophilic vacuole in the sporoplasm. A phylogenetic analysis of the 18S rDNA gene recovered the new species in a polytomy with Myxobolus marumotoi Li et Sato, 2014 and a clade comprised of species of Myxobolus Bütschli, 1882; Thelohanellus Kudo, 1933, and Dicauda Hoffman et Walker, 1973. Histological sections of infected sicklefin redhorse skin revealed myxospores within a plasmodium in the stratum spongiosum dorsal to scales, encapsulated in collagen fibres, and associated with focal erosion of scales directly beneath the plasmodium; in some instances, the scale was perforated by the plasmodium. The specificity of the new species to sicklefin redhorse may make it a useful biological tag to differentiate sicklefin redhorse from morphologically similar species. The new species is the first parasite reported from sicklefin redhorse, a species of concern to the United States Fish and Wildlife Service. No species of Myxobolus has been reported from species of Moxostoma in the Southeast United States. As it was observed that Myxobolus minutus Rosser, Griffin, Quiniou, Alberson, Woodyard, Mischker, Greenway, Wise et Pote, 2016 is a primary junior homonym of Myxobolus minutus Nemeczek, 1911, we propose the replacement name Myxobolus diminutus (Rosser, Griffin, Quiniou, Alberson, Woodyard, Mischker, Greenway, Wise et Pote, 2016).</p>","PeriodicalId":55154,"journal":{"name":"Folia Parasitologica","volume":"67 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38692260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}