Hemolytic and coagulation properties of Sphaeridiotrema globulus (Trematoda)

Metacercariae of Sphaeridiotrema globulus (Trematoda) were obtained from naturally infected Goniobasis virginica (Pleuroceridae). Excysted metacercariae were placed individually on blood-agar plates. After 8 hr of incubation at 42 C the plates exhibited beta-hemolysis. The reaction zone was approximately 1.5 mm in diameter. Laboratory-reared mallard ducks (Anas platyrhynchos) were infected with S. globulus. Mallards developed fatal sphaeridiotremiasis and demonstrated increased prothrombin time on days 3 and 6 postinfection.

Single and concurrent infections of the golden hamster, Mesocricetus auratus, with Echinostoma revolutum and E. liei (Trematoda: Digenea)

Single or concurrent infections of the intestinal trematodes Echinostoma revolutum and E. liei were studied in the golden hamster (Mesocricetus auratus). In single infections, some hamsters were fed 25 +/- 5 metacercarial cysts and others 100 +/- 25 cysts of either E. revolutum or E. liei. In concurrent infections, hamsters were fed simultaneously 20 +/- 5 metacercarial cysts of E. revolutum and 20 +/- 5 cysts of E. liei or 100 +/- 25 cysts each of both trematodes. All hamsters exposed singly to E. revolutum or E. liei were infected. In concurrent infections, 9 of 10 hamsters were infected with both species of echinostomes, and the ratio of E. revolutum to E. liei was 3:1. In single infections, 80% of the E. liei and 60% of the E. revolutum were in the posterior third of the small intestine. In concurrent infections, 80% of the E. liei were in the posterior third and 57% of the E. revolutum in the middle third of the small intestine. The histopathological response of E. liei and E. revolutum in single and concurrent infections showed erosion of intestinal villi with lymphocytic infiltration as the primary response. Extraintestinal echinostomiasis occurred in 2 of the infection groups. Differences in hemoglobin and packed cell volume occurred in the different infection groups.

Humoral and cellular response to infection with Echinostoma revolutum in the golden hamster, Mesocricetus auratus

Laboratory hamsters (Mesocricetus auratus) were infected with Echinostoma revolutum (Trematoda). Immunoelectrophoretic studies of hamster serum showed no demonstrable antibody response to E. revolutum. Histopathologic examination of intestinal tissue of infected hamsters showed erosion of intestinal villi and lymphocytic infiltration as the primary host response. Spleens from infected hamsters were hyperplastic during the first 3 weeks of infection and atrophic from 4 to 8 weeks postinfection. Hamsters were unable to acquire a resistance to E. revolutum infection. Lack of resistance was demonstrated in hamsters where the parasite infection was no longer detected based on the absence of eggs in the faeces; these hamsters were then reinfected. Hamsters treated with the anthelmintic oxyclozanide were also reinfected with E. revolutum.

The effects of crowding on adults of Echinostoma revolutum (Digenea: Echinostomatidae) in experimentally infected golden hamsters, Mesocricetus auratus

All 30 female golden hamsters, Mesocricetus auratus, fed either 125 +/- 50 (group A), 300 +/- 50 (group B), or 500 +/- 50 (group C) metacercarial cysts of Echinostoma revolutum were infected 7-35 days postexposure. The mean number of worms in A, B, and C were 62, 96, and 212, respectively. Most of the worms in A were in the jejunum, but in C worms were about equally distributed in the duodenum, jejunum, and ileum, and some were in the cecum. The body area and wet and dry weights of worms from C were significantly less than that of A or B at 2, 4, and 5 wk postinfection. Echinostoma revolutum eggs were in the feces of 100% of the hamsters by days 12, 13, and 14 in A, B, and C, respectively.

Homologous and heterologous resistance of Echinostoma revolutum and E. liei in ICR mice

To study resistance of echinostomes in the mouse, female ICR mice were challenged homologously or heterologously with Echinostoma revolutum or E. liei metacercariae. Mice challenged homologously had significantly fewer worms which weighed less than those from control mice. In heterologous studies where the primary infection was not eliminated with an anthelmintic, the number of worms in challenged mice was not significantly different than that in controls which received only the primary infection. However, the mean dry weight/worm of the secondary infection was less than that of controls. Mice challenged with E. revolutum 2 days after a 21-day-old E. liei infection was eliminated with Zanil contained significantly fewer E. revolutum, which weighed less than those of controls.

Excystation in vitro of Echinostoma liei and E. revolutum (Trematoda) metacercariae

Metacercariae of Echinostoma liei and E. revolutum were excysted in an alkaline bile-trypsin medium at 41 C in the absence of acid-pepsin pretreatment. After 60 min at a pH of 7.8 or 8.0, excystation of E. liei reached 98%; optimal excystation of E. revolutum occurred at pH 8.2 and was 70% after 60 min. The rate of excystation was very rapid in E. liei, reaching 91% at 30 min, and less rapid in E. revolutum reaching 40% at 30 min. Almost 100% of the E. liei cysts stored for 5.5 mo at 4 C in Locke's 1:1 excysted in the medium, compared to 40% for E. revolutum treated identically.

Argentophilic and scanning electron microscopic observations of the tegumentary papillae of Echinostoma revolutum (Trematoda) cercariae

Argentophilic staining and scanning electron microscopy (SEM) were used to study the tegumentary papillae of Echinostoma revolutum cercariae. The most abundant papilla was uniciliate and arranged bilaterally on the body and tail of the cercaria. The distribution of these papillae was similar to that seen in other 37-collar spined echinostome cercariae. SEM revealed a total of 18 multiciliate papillae--16 on the anterior end and 2 at the middle of the body. These papillae contained up to 18 cilia per papilla and have not been reported previously from any cercaria.

Site-finding and pairing of Echinostoma revolutum (Trematoda) on the chick chorioallantois

Site-finding of 14-day-old Echinostoma revolutum from the domestic chick was studied by inoculating single worms into various sites on the chorioallantoic membrane (CAM) of 13-day-old chick embryos. Regardless of the site of inoculation, single worms were attracted significantly to the area of the CAM above the embryo. More worms were found in this site at 24 than at 1 hr postinoculation. Worm-pairing was studied in chick embryos by inoculating 2 worms in separate windows, 2 cm apart. Worm-pairing, i.e., worms in contact or within 5 mm of each other, was very evident at 24 hr. The percentage of paired worms on the CAM above the embryo was considerably less than single worms.

Strategic planning with family physicians: a case study

Family physicians at Sunnybrook Medical Centre were engaged in a strategic planning process to develop a practice philosophy, mission statement, short-term goals, and plan for future programming. Numerous issues were identified in relation to the need for planning, the successful involvement of family physicians in the planning process, and the traditional relationship between physicians and managers which, in the past, has inhibited productive collaboration. Strategies were developed to overcome potential obstacles in these areas, and suggestions are outlined for administrators wishing to involve physicians more fully in the planning process.

Experimental infection of Physa heterostropha, Helisoma trivolvis, and Biomphalaria glabrata (Gastropoda) with Echinostoma revolutum (Trematoda) Cercariae

Gross and histologic studies were done on laboratory-raised Physa heterostropha, Helisoma trivolvis, and Biomphalaria glabrata snails exposed individually to 100 cercariae of Echinostoma revolutum. Cercariae showed a predisposition for the kidneys of snails. They entered the nephridiopore, migrated up the tubular kidney, and encysted in the saccular kidney within 2 hr. Considerably more cysts were in the kidney of B. glabrata at 24 hr than in H. trivolvis or P. heterostropha kidneys. Encysted metacercariae were not infective to domestic chicks at 2 hr, but were infective by 4 hr. Biomphalaria glabrata exposed to about 1,000 cercariae/snail and necropsied either 10 or 16 wk postexposure contained 300-500 cysts/kidney; about one-half the cysts were viable and infective to chicks. Biomphalaria glabrata is an excellent second intermediate host for the laboratory propagation of E. revolutum.

Clinical and pathological effects of Echinostoma revolutum (Digenea: Echinostomatidae) in the golden hamster, Mesocricetus auratus

Laboratory hamsters (Mesocricetus auratus) were infected with Echinostoma revolutum (Trematoda). Hamsters developed marked and sometimes fatal echinostomiasis. Clinical signs included progressive unthriftiness, watery diarrhoea and weight loss. Packed cell volume, haemoglobin and red blood cell counts increased in those animals with severe diarrhoea. No increase in eosinophils was noted in peripheral blood smears. Examination of tissues of infected animals showed wide individual variations related to the intensity of infection. The histopathological responses of hamsters to the parasite showed erosion of intestinal villi with lymphocytic infiltration being the primary response. Periportal lymphocytic infiltration and focal hepatic necrosis were observed in livers from some infected animals. The findings of this study are discussed in terms of variations in pathogenicity of E. revolutum and as a model for the study of echinostomiasis.

Growth and feeding of Echinostoma revolutum on the chick chorioallantois and in the domestic chick

Chemically excysted metacercariae of Echinostoma revolutum cultivated on the chick chorioallantois grew slowly until day 5, more rapidly between 5 and 7 days, and slowly between 7 and 10 days. Worms did not become ovigerous in this site by 12 days, at which time studies were terminated. In contrast, chemically excysted metacercariae reared in the domestic chick were ovigerous by day 9, at which time their mean body area was about 4 times greater than the largest chorioallantoic worms. Histochemical studies, solubility tests for hematin, and X-ray microanalysis of cecal contents showed that chorioallantoic-worms fed on blood from the vascular membrane, whereas chick-worms fed on host intestinal mucosa.

Infectivity, growth, and development of Echinostoma revolutum (Digenea: Echinostomatidae) in the golden hamster, Mesocricetus auratus

All 30 female golden hamsters, Mesocricetus auratus, each fed 100 +/- 25 metacercarial cysts of Echinostoma revolutum were found to be infected 2 to 105 days post-infection with 3 to 103 (avg. 38) flukes in the small intestine. Worm wet weights averaged 0.6 mg at 9 days, 3.5 mg at 14 days, and 19 mg at 42 days; average dry weights for the identical days were 0.2, 1.2 and 5.8 mg, respectively. The average body length of worms fixed in hot (80 C) alcohol-formalin-acetic acid was 0.33 mm on day 2, 5.11 mm on day 10, 9.30 mm on day 42 and 8.56 mm on day 105. Body and gonadal area increased rapidly from about day 5 to 15 and then less rapidly. Eggs of E. revolutum were seen in the feces of 10% of the hamsters by day 9, 89% by day 10 and 100% by day 11. Eggs teased from worms, embryonated in tap water, and produced miracidia which infected lab-reared Helisoma trivolvis.

Scanning electron microscopy and chemical excystation of Fascioloides magna (Trematoda) metacercariae

Scanning electron microscopy was used to study encysted metacercariae and newly excysted juveniles of Fascioloides magna. The outer cyst was rough, coarse and discontinuous in the ventral aspect; the inner cyst was smooth. The newly excysted metacercaria was plump and contained numerous tegumentary spines; large dome-shaped papillae were prominent around the oral sucker and on the rim of the acetabulum. Encysted metacercariae with outer cysts were excysted in an alkaline bile salts-trypsin medium at an elevated temperature in the absence of acid saline or acid pepsin pretreatment. Pretreatment in acid saline slightly decreased subsequent excystation, while pretreatment in acid pepsin slightly enhanced subsequent excystation in the alkaline bile salts-trypsin medium.