Nodular onchocercosis in red deer (Cervus elaphus) in Sweden

The first record of Culicoides deltus as a putative vector of Onchocerca flexuosa in Slovak red deer (Cervus elaphus)

Within the research conducted in the years 2016-2022 in the area of Volovsky Mountains in Slovakia, 63,950 biting midges were collected during 74 trapping sessions. The aim of the study was to identify species composition of biting midges, their host preference and potential transmission of parasites by these insects under natural conditions. The collected biting midges fell into 29 species and the most common were the Culicoides (C. obsoletus/C. scoticus/C. montanus) that accounted for 47.9% of the collected biting midges. Identification of species was based on the morphology of biting midges and the use of molecular methods. We confirmed positive suckling results on red deer in three samples namely C. montanus, C. scoticus and C. deltus. We examined these samples for the presence of Onchocerca worm DNA. We confirmed the presence of O. flexuosa DNA in one C. deltus sample. The host preference of biting midges was identified by molecular technique that involved sequencing a 350-bp sequence of the mitochondrial cytochrome b gene (cyt b). The presence of Onchocerca flexuosa DNA in C. deltus was confirmed by sequencing of fragments of mitochondrial genes cox1. The sequences matched the previously published sequences for O. flexuosa. Data on high prevalence of infections caused by Onchocerca worms in red deer in Slovakia have already been published and indicated favourable conditions for the vectors and a suitable environment for parasite circulation in Slovakia. According to the authors' knowledge, this was the first ever detection of O. flexuosa in C. deltus in wild nature.

First description of Onchocerca flexuosa infections in Danish red deer (Cervus elaphus)

The prevalence of Onchocerca infection in wild cervids from Denmark was studied in 119 fallow deer (Dama dama), 123 red deer (Cervus elaphus), 51 roe deer (Capreolus capreolus) and eight sika deer (Cervus Nippon) shot during the hunting season from October 2017 to January 2018 from 18 geographical locations across Denmark. The carcasses were macroscopic checked for nodules, and skin samples were examined for microfilaria. All roe deer, fallow deer and sika deer were negative for Onchocerca, while 30.9% red deer were positive for either microfilaria, nodules or both. Significantly more adult red deer (50.8%; 37.6-62.4; p < 0.0001) were infected with Onchocerca than juveniles <1 year (7.8%; 2.1-18.5), while there was an insignificant (p = 0.075) difference in prevalence observed between males (17.4%; 7.8-31.4) and females (41.7%; 30.2-53.9). Onchocerca-positive red deer were observed from 91.7% (11/12) of the sampled geographical locations. Species identification was done on adult worms from nodules taken from the lumbar region of 20 red deer of different geographical origin by sequencing the mitochondrial 12S, 16S and nad5 gene fragments. The sequences matched with previously published sequences for Onchocerca flexuosa. The high prevalence of Onchocerca infection caused by O. flexuosa in red deer in Denmark shows that Denmark has favourable vector conditions and a suitable environment for the maintenance of the parasite. To our knowledge, this is the first systematic study of Onchocerca in wild-living cervids in Denmark.

Sarcocystis infection in red deer (Cervus elaphus) with eosinophilic myositis/fasciitis in Switzerland and involvement of red foxes (Vulpes vulpes) and hunting dogs in the transmission

Red deer (Cervus elaphus) carcasses showing grey-greenish discolouration have been increasingly observed in the canton of Grisons, Switzerland. We investigated whether Sarcocystis infections were associated with this pathology, and whether wild and domestic canids were involved in their transmission. Meat from affected red deer (n = 26), faeces and intestines from red foxes (Vulpes vulpes) (n = 126), and faeces from hunting dogs (n = 12) from the region, were analysed. Eosinophilic myositis and/or fasciitis were diagnosed in 69% of the deer, and sarcocysts were observed in 89% of the animals. Molecular typing targeting a ~700bp variable region of the 18S rRNA gene revealed Sarcocystis hjorti in 73%, S. venatoria/S. iberica in 54%, S. linearis/S. taeniata in 12%, S. pilosa in 8% and S. ovalis in 4% of the deer samples. No inflammatory changes were observed in red deer carcasses with normal appearance (n = 8); however, sarcocysts were observed in one sample, and S. hjorti, S. venatoria/S. iberica or S. silva DNA was detected in five samples. Sarcocystis oocysts/sporocysts were observed in 11/106 faecal and 6/20 intestinal fox samples, and in 2/12 canine samples. Sarcocystis tenella (n = 8), S. hjorti (n = 2), S. gracilis (n = 2), and S. miescheriana (n = 1) were identified in foxes, and S. gracilis (n = 2), S. capreolicanis (n = 1) and S. linearis/S. taeniata (n = 1) in dogs. This study provides first molecular evidence of S. pilosa and S. silva infection in red deer and S. linearis/S. taeniata in dogs and represents the first record of S. ovalis transmitted by corvids in Central Europe. Although Sarcocystis species infecting red deer are not regarded as zoonotic, the affected carcasses can be declared as unfit for human consumption due to the extensive pathological changes.

Zoonotic Implications of Onchocerca Species on Human Health

The genus Onchocerca includes several species associated with ungulates as hosts, although some have been identified in canids, felids, and humans. Onchocerca species have a wide geographical distribution, and the disease they produce, onchocerciasis, is generally seen in adult individuals because of its large prepatency period. In recent years, Onchocerca species infecting animals have been found as subcutaneous nodules or invading the ocular tissues of humans; the species involved are O. lupi, O. dewittei japonica, O. jakutensis, O. gutturosa, and O. cervicalis. These findings generally involve immature adult female worms, with no evidence of being fertile. However, a few cases with fertile O. lupi, O. dewittei japonica, and O. jakutensis worms have been identified recently in humans. These are relevant because they indicate that the parasite’s life cycle was completed in the new host—humans. In this work, we discuss the establishment of zoonotic Onchocerca infections in humans, and the possibility of these infections to produce symptoms similar to human onchocerciasis, such as dermatitis, ocular damage, and epilepsy. Zoonotic onchocerciasis is thought to be an emerging human parasitic disease, with the need to take measures such as One Health Strategies, in order to identify and control new cases in humans.

First molecular detection of Onchocerca flexuosa (Wedl, 1856) in red deer in Slovakia

The present paper deals with the post-mortem diagnostics of onchocerciasis and the molecular detection of causative agents of this disease in wild ruminant ungulates (Cervus elaphus, Dama dama and Capreolus capreolus). The animals were shot in hunting seasons 2017 and 2018, in two regions of the Eastern Slovakia. The total number of examined skins was fifty-eight. The presence of subcutaneous nodules was confirmed in 27.59% (95% CI 16-39) of animals. All positive skins belonged to red deer individuals (47.06%; 95% CI 30-64). The nodules were present mainly in the back area and in the lumbar area, and their sizes ranged from 2.9 to 24.1 mm, with the average count of 10 nodules per animal. Thirteen worms, isolated from the nodules collected from 13 animals, were subjected to molecular identification. Applying the standard PCR method, targeting the mitochondrial 12S rRNA, 16S rRNA and NADH-dehydrogenase gene, and subsequent sequencing, all the worms were identified as Onchocerca flexuosa Wedl, 1856. The sequences were submitted to GenBank under specific accession numbers. Two samples were identified as Onchocerca flexuosa haplotype B, in which T176A and A177T were present. Despite the presence of mutations in the 12S rRNA of the Onchocerca flexuosa, the standardized PCR remains to be a very specific and sensitive method that uses this fragment as a selectable marker for the detection of the studied parasite.