Baylisascaris procyonis in raccoons (Procyon lotor) from eastern Colorado, an area of undefined prevalence

Zoonotic Giardia duodenalis sub-assemblage BIV in wild raccoons (Procyon lotor) from Germany and Luxembourg

Giardia duodenalis is a cosmopolitan flagellate that causes giardiasis, one of the most significant gastrointestinal diseases in humans. This parasite can be a serious threat to public health because it can cause waterborne outbreaks as well as sporadic infections in humans. Invasive raccoons (Procyon lotor) may play a role in disseminating Giardia into the environment and transmitting it to humans and domestic animals because they live in high densities and deposit their faces in latrines near areas used by humans. While Giardia infections have been reported from raccoons in North America, it is unknown whether they carry G. duodenalis with zoonotic assemblage A and B, which have the potential to cause illness in humans. We collected faecal samples from 66 legally harvested raccoons in Germany and Luxembourg and examined for Giardia using molecular techniques. Using a quantitative PCR based on primers specific to Giardia genetic assemblages A and B, we detected the presence of zoonotic assemblage B in 27% (95% CI, 17.0-39.6) of all examined faecal samples from raccoons, including animals sampled in buildings. We did not detect genetic assemblage A in any of the samples. Sequences obtained from the glutamate dehydrogenase and beta-giardin gene fragments from a selection of three of the positive samples showed that raccoons carried a zoonotic G. duodenalis genotype belonging to sub-assemblage BIV, which is commonly found in humans and animals worldwide. Our results suggest that free-ranging raccoons have the potential to play an increasingly important role in the epidemiology of Giardia and pose a threat to public health in Europe and other regions where this species is common and lives in close association with humans.

Cryptosporidium sp. skunk genotype in wild raccoons (Procyon lotor) naturally infected with Baylisascaris procyonis from Central Germany

Cryptosporidium spp. are apicomplexan parasites of public health concern. They are one of the main causes of intestinal diseases in humans and animals. Contaminated water is among the main sources of infection for humans and mammals. Raccoons are an introduced species in Germany. They are anthropogenic adapters with a natural affinity for water bodies. We collected samples from wild raccoons in the Federal States of Saxony and Thuringia, Central Germany. Through molecular genotyping, we found Cryptosporidium sp. skunk genotype in one raccoon from Saxony (1/24) and in one animal from Thuringia (1/27). Both raccoons were also infected with the zoonotic nematode Baylisascaris procyonis. This is the first report of co-infection with these two parasites in raccoons from Germany. Our study highlights the potential of these animals as carriers of zoonotic pathogens. Since raccoons can thrive in human settlements, this study provides data that can be used as a baseline for preventive programs.

Baylisascaris procyonis infection in raccoons: A review of demographic and environmental factors influencing parasite carriage

Baylisascaris procyonis, the roundworm of raccoons (Procyon lotor), is an emerging helminthic zoonosis in North America. Since the larval form is capable of causing neurological disease in more than 150 species of birds and mammals including humans, understanding factors that influence carriage of the parasite by raccoons is important for mitigating risk. This review examines the current literature to identify major demographic and environmental risk factors associated with B. procyonis carriage in wild raccoons. Raccoon age and season of sample collection were most commonly identified as risk factors, with increased prevalence found in juvenile animals and when sample collection occurred in the fall. Human urbanization and agricultural land use were also observed as potential risk factors; however, there are inconsistencies in the direction of influence these risk factors have on the prevalence of infection. Further investigation into the role of environmental risk factors is required to better understand how human activities influence parasite carriage in raccoons. Additionally, future research using multivariable statistical models guided by epidemiological principles to control for confounding variables and identify interaction effects will help clarify the effect of these demographic and environmental factors. Developing a better understanding of the primary risk factors for parasite carriage in raccoons will help identify areas of higher risk for environmental contamination and will aid in the development and refinement of education and management programs to reduce the risk of human exposure.

Baylisascaris procyonis Roundworm Seroprevalence among Wildlife Rehabilitators, United States and Canada, 2012-2015

Baylisascaris procyonis roundworms can cause potentially fatal neural larva migrans in many species, including humans. However, the clinical spectrum of baylisascariasis is not completely understood. We tested 347 asymptomatic adult wildlife rehabilitators for B. procyonis antibodies; 24 were positive, suggesting that subclinical baylisascariasis is occurring among this population.

Native and introduced squirrels in Italy host different Cryptosporidium spp

The present study was undertaken to describe Cryptosporidium spp. infection in tree squirrels from 17 locations in Northern Italy. A total of 357 squirrels were examined, including species native to Europe (Sciurus vulgaris; n=123), and species introduced from North America (Sciurus carolinensis; n=162) and Southeast Asia (Callosciurus erythraeus; n=72). Faecal samples of all squirrels were examined for the presence of Cryptosporidium infection by microscopy (flotation method) and PCR/sequence analysis of the Cryptosporidium 18S rRNA, actin, and gp60 genes. Despite the overlapping ranges of native and introduced tree squirrel species in the study area, they host different Cryptosporidium spp. Sciurus vulgaris were exclusively infected with Cryptosporidium ferret genotype (n=13) belonging to three novel gp60 subtypes, VIIIb-VIIId. Sciurus carolinensis hosted C. ubiquitum subtype XIIb (n=2), Cryptosporidium skunk genotype subtype XVIa (n=3), and chipmunk genotype I subtype XIVa (n=1). Cryptosporidium chipmunk genotype I subtype XIVa was also found in two C. erythraeus. Comparing data from this and previous studies, we propose that Cryptosporidium skunk genotype and possibly C. ubiquitum subtype XIIb were introduced to Europe with eastern grey squirrels. Cryptosporidium chipmunk genotype I and ferret genotype were associated with high intensity infections, but there was no association with diarrhoea.

Baylisascaris procyonis roundworm infection patterns in raccoons (Procyon lotor) from Missouri and Arkansas, USA

Baylisascaris procyonis is a helminth parasite of raccoons Procyon lotor and represents a health concern in paratenic hosts, including humans and diverse domestic and wildlife species. In North America the helminth is expanding its geographic range. To better understand patterns of infection in the Ozark region of the USA, raccoons (n = 61) were collected in 2013-2014 from five counties in Missouri and Arkansas, USA and necropsied. We documented B. procyonis in all surveyed locations. The overall prevalence of B. procyonis was 44.3 % (95 % CI = 31.9 - 57.4) and was significantly higher in females than males. There were also significant differences in prevalence among raccoons sampled north and south of the Missouri River. Mean intensity was 9.9 (CI = 5.44 - 17.22), and parasites were highly aggregated among hosts such that approximately 20 % of hosts harbor 90 % of parasites. These levels of parasitism indicate that B. procyonis is common in the region and its impacts on paratenic hosts could be qualitatively similar to effects observed in other localities.

Cerebral Larva Migrans Caused by Baylisascaris spp. in a Free-ranging North American Porcupine ( Erethizon dorsatum )

A free-ranging North American porcupine ( Erethizon dorsatum ) from Utah, US, exhibited neurologic symptoms and was submitted for necropsy. Histologic examination of the brain revealed severe encephalitis with an intralesional nematode larva consistent with Baylisascaris spp. Neurologic larva migrans had not been reported in free-ranging porcupines, or from wildlife in Utah.

Update on Baylisascariasis, a Highly Pathogenic Zoonotic Infection

Baylisascaris procyonis, the raccoon roundworm, infects a wide range of vertebrate animals, including humans, in which it causes a particularly severe type of larva migrans. It is an important cause of severe neurologic disease (neural larva migrans [NLM]) but also causes ocular disease (OLM; diffuse unilateral subacute neuroretinitis [DUSN]), visceral larva migrans (VLM), and covert/asymptomatic infections. B. procyonis is common and widespread in raccoons, and there is increasing recognition of human disease, making a clinical consideration of baylisascariasis important. This review provides an update for this disease, especially its clinical relevance and diagnosis, and summarizes the clinical cases of human NLM and VLM known to date. Most diagnosed patients have been young children less than 2 years of age, although the number of older patients diagnosed in recent years has been increasing. The recent development of recombinant antigen-based serodiagnostic assays has aided greatly in the early diagnosis of this infection. Patients recovering with fewer severe sequelae have been reported in recent years, reinforcing the current recommendation that early treatment with albendazole and corticosteroids should be initiated at the earliest suspicion of baylisascariasis. Considering the seriousness of this zoonotic infection, greater public and medical awareness is critical for the prevention and early treatment of human cases.

The Increase of Exotic Zoonotic Helminth Infections: The Impact of Urbanization, Climate Change and Globalization

Zoonotic parasitic diseases are increasingly impacting human populations due to the effects of globalization, urbanization and climate change. Here we review the recent literature on the most important helminth zoonoses, including reports of incidence and prevalence. We discuss those helminth diseases which are increasing in endemic areas and consider their geographical spread into new regions within the framework of globalization, urbanization and climate change to determine the effect these variables are having on disease incidence, transmission and the associated challenges presented for public health initiatives, including control and elimination.

Parasites and the conservation of small populations: The case of Baylisascaris procyonis

Human demands on natural resources result in landscape changes that facilitate the emergence of disease. Most emerging diseases are zoonotic, and some of these pathogens play a role in the decline of vulnerable wildlife species. Baylisascaris procyonis, the common roundworm parasite of raccoons (Procyon lotor), is a well recognized zoonotic infection that has many of the properties associated with a pathogen capable of driving extinction. It is highly non-specific and frequently pathogenic with regard to paratenic hosts, which contact eggs of B. procyonis at raccoon latrines. Eggs accumulate at latrines and remain viable for many years. Transmission of B. procyonis is sensitive to changes in land-use, and fragmented habitats increase contact rates between raccoons, potential paratenic hosts, and the parasite. Raccoons, and subsequently B. procyonis, have been introduced to Europe and Japan, where naïve vertebrates may be exposed to the parasite. Finally, domestic animals and exotic pets can carry patent infections with B. procyonis, thus increasing environmental contamination beyond raccoon latrines, and expanding the area of risk to potential paratenic hosts. This parasite can potentially contribute to extinctions of vulnerable species, as exemplified by the case of the Allegheny woodrat (Neotoma magister), a species that has experienced local declines and extinctions that are linked to B. procyonis. Conservation strategies for vulnerable species should consider the transmission ecology of parasitic pathogens, like B. procyonis.

Baylisascariosis--infections of animals and humans with 'unusual' roundworms

The nematode genus Baylisascaris (order Ascaridida, superfamily Ascaridoidea) contains nine relatively host-specific, parasite species of carnivores, omnivores, herbivores, carnivorous marsupials or rodents. They have a facultative heteroxenous life cycle, at least under experimental conditions. Eggs passed in faeces embryonate in the environment and the second-stage larva infective for both definitive and intermediate hosts develops. In intermediate hosts larvae migrate extensively through tissues, where they grow and moult to the third-stage, causing extensive damage. All Baylisascaris spp. are considered a potential cause of visceral, ocular and/or neural larval migrans in mammals including humans and in birds. This paper summarises our current knowledge on the prevalence, biology, pathogenicity and zoonotic significance of three Baylisascaris species: B. transfuga, B. schroederi and B. procyonis which have as definitive hosts bears, giant pandas and raccoons (occasionally dogs), respectively.

Baylisascaris procyonis in raccoons (Procyon lotor) from North Carolina and current status of the parasite in the USA

Baylisascaris procyonis is an intestinal nematode of raccoons (Procyon lotor) that can cause fatal larva migrans in numerous species of birds and mammals, including humans. Historically, this parasite has been rare in the southeastern USA but recently has been reported in eastern Tennessee and isolated parts of Georgia and Florida. The objective of the current study was to investigate the distribution and prevalence of B. procyonis in raccoons from North Carolina. In western North Carolina, in counties bordering Tennessee, B. procyonis was detected in nine of 74 (12 %) raccoons sampled in 2010-2011. In general, worm burdens (average 20 worms) were low, but one raccoon had 122 adult worms. No difference was noted in prevalence by year or age, but significantly more males were infected compared with females. Sequences of the internal transcribed spacer 2 region from three samples were identical to B. procyonis. In central North Carolina (Guilford County), all 34 raccoons and 49 fecal samples tested were negative. Collation of data from previous studies conducted in the Southeast indicates that B. procyonis has been reported from numerous counties, but surveillance has been patchy and many negative results are >30 years old. These results indicate that B. procyonis is established in North Carolina and given the zoonotic and wildlife health implications of this parasite, additional surveillance in North Carolina and other southeastern states is warranted.