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Myiasis due to Hypoderma lineatum infection mimicking the hypereosinophilic syndrome.

Myiasis is the infestation of live humans with larvae of Diptera (true flies). This report describes a protracted illness caused by infestation with Hypoderma lineatum, resembling the hypereosinophilic syndrome. A 35-year-old man had a 9-month multisystemic illness with pronounced eosinophilia, pleuritis, pericarditis, and myositis. Treatments including glucocorticoids did not alter the disease. Diagnostic studies included computed tomography, 2-dimensional echocardiography, leukocyte count, surgical biopsy of skin and muscle, blood immunoglobulin levels, and blood chemistry. Myiasis was recognized when a worm emerged from the patient's skin; after a second worm emerged, the patient's symptoms disappeared rapidly. Other determinations included IgE and IgG levels specific for H lineatum, Western blot, and immunofluorescence for eosinophil major basic protein; IgG antibodies to H lineatum decreased after emergence of the worms. The patient's symptoms mimicked the hypereosinophilic syndrome but resolved when the myiasis became apparent. Specific serologic analyses can identify infected patients, and ivermectin may be useful as treatment.

Adult↗

Studies on the hypodermosis affecting red deer in central and southern Spain.

From November 1992 to February 1993, 455 red deer (Cervus elaphus) were surveyed in order to estimate the prevalence of warble fly (Hypoderma actaeon) larvae under the skin of this ungulate species. Material came from Montes de Toledo, Sierra Morena, Sierra de Alcaraz, and Sierras de Cazorla, Segura y Las Villas Natural Park (central and southern Spain). We observed a prevalence of 92%, with a mean +/- SD intensity of 35.7 +/- 41.3 grubs per parasitized host; there was a maximum of 317 larvae per host. No significant differences in prevalence by host sex were found, although significant differences were observed in prevalences among different host age classes. The main location of feeding larvae in deer was in the back tissues.

Age Distribution↗

On the regularities of distribution of Hypoderma bovis De Geer larvae parasitizing cattle herds in different parts of the range of this warble fly.

The type and parameters of the distribution of the second and third instar larvae of Hypoderma bovis in cattle herds in Czechoslovakia (54 herds, 7233 head), Mongolia (20 herds, 1809 head) and the USSR (48 herds, 4978 head) were studied. A statistical analysis showed a) that in the majority of cases negative binomial distribution serves as a model of the distribution of larvae with sufficient reliability; b) that the regularity of dependence of the distribution exponent k of the negative binomial distribution on the incidence of infestation remains constant in different parts of the range of this warble fly. The latter fact indicates that the regulatory systems limiting the population numbers of this warble fly are associated with host-parasite relationships and do not depend on a complex of conditions specific for various natural zones. In order to understand the regulatory processes in parasite populations it is necessary to study equally the regulatory mechanisms operating primarily on the level of specimens as well as the regulatory systems operating on the level of populations.

Animals↗

Efficacy of a pour-on formulation of doramectin against lice, mites, and grubs of cattle.

OBJECTIVE: To determine effectiveness of a pour-on formulation of doramectin against Damalinia bovis, Haematopinus eurysternus, Linognathus vituli, Solenopotes capillatus, Chorioptes bovis, Sarcoptes scabiei, Hypoderma bovis, and Hypoderma lineatum. ANIMALS: Cattle of various ages with naturally acquired or artificial infestations with 1 or more species of lice, mites, or grubs. PROCEDURE: In 10 louse and 6 mite studies, cattle were treated with doramectin (500 microg/kg, topically) on day 0, and parasite counts were performed approximately weekly from days 0 to 35. In 6 grub studies, cattle expected to harbor Hypoderma spp were treated before emergence of warbles. After warbles began to emerge, they were counted every 2 weeks, and grubs were collected and identified by species. RESULTS: Burdens of D bovis, H eurystemus, L vituli, and S capillatus on doramectin-treated cattle were 0 by 28 days after treatment. Burdens of C bovis and S scabiei decreased to 0 in naturally infested cattle and approximately 0 in artificially infested cattle by day 14 to 15. In grub studies, 107 of 136 control cattle had warbles, whereas 2 of 136 doramectin-treated cattle had 1 warble each, which represented a cure rate of 98.5%. CONCLUSION AND CLINICAL RELEVANCE: One topical application of doramectin was highly efficacious against common species of lice, mites, and grubs known to affect performance, health, and appearance of cattle.

Administration, Topical↗

On the regularities of distribution of Hypoderma bovis De Geer larvae parasitizine cattle herds in different parts of the range of this warble fly.

The type and parameters of the distribution of the second and third instar larvae of Hypoderma bovis in cattle herds in Czechoslovakia (54 herds, 7233 head), Mongolia (20 herds, 1809 head) and the USSR (48 herds, 4978 head) were studied. A statistical analysis showed a) that in the majority of cases negative binomial distribution serves as a model of the distribution of larvae with sufficient reliability; b) that the regularity of dependence of the distribution exponent k of the negative binomial distribution on the incidence of infestation remains constant in different parts of the range of thes warble fly. The latter fact indicates that the regulatory systems limiting the population numbers of this warble fly are associated with host-parasite relationships and do not depend on a complex of conditions specific for various natural zones. In order to understand the regulatory processes in parasite populations it is necessary to study equally the regulatory mechanisms operating primarily on the level of specimens as well as the regulatory systems operating on the level of populations.

Animals↗

Hypoderma lineatum antigen and anti-Przhevalskiana silenus antibodies: cross-reactivity and antibody kinetics in naturally infested goats.

To evaluate the cross-reactivity between Hypoderma lineatum antigen and anti-Przhevalskiana silenus antibodies six protocols with different concentrations of antigen and different dilutions of sera and conjugate were applied. The highest cross-reaction between the H. lineatum antigen and the anti-P. silenus antibodies is given by 2 micrograms/ml of antigen concentration, 1:400 of serum and 1:10,000 conjugate dilution. The study on the kinetic development of antibodies in goats naturally infested by P. silenus and the natural course of infestation pointed out the existence of a good correlation between individual antibody kinetics and the natural evolution of the cycle of infestation. The highest antibody concentration may be registered from October through November, coinciding with the end of the migration fo the larvae inside the animal's body. In our condition, this period can be considered as a favorable sampling period for immunodiagnosis and immunoepidemiological studies of goat warble fly infestation.

Animals↗

[Bovine hypodermosis in north-eastern Algeria: prevalence and intensity of infestation].

Between 1989 and 1997 different factors related to warble fly infestation (prevalence, intensity, climate, breed) were studied in north-eastern Algeria. Mean prevalence during the period was 76%. This figure was obtained from a cattle market survey of four different regions (Jijel, Constantine, Guelma, and El Tarf). One-hundred percent of the herds were found to be infested in El Tarf and 61% of animals were infested. Within a herd, the intensity of infestation decreased with the age of the cattle. The mean number of warbles per animal decreased as reinfestations occurred. The peak of the emergence of warbles observed between January and March was progressively delayed in the older animals. Two species of Hypoderma were present in cattle in Algeria (H. bovis and H. lineatum) with a predominance of H. lineatum (63%) in the semi-arid area (Batna) and a majority of H. bovis (75%) in humid area (Jijel). Warbles appeared earlier in Batna (October) than in Jijel (November). The Prim'Holstein breed was more susceptible to the warble fly infestation than Montbeliard or local breeds. The implementation of a control programme for hypodermosis in Algeria is urgent. Control can be achieved through a mass treatment of cattle. This approach must take into account the factors described in this study which influence the epidemiology of the disease.

Algeria↗

[Effect of bovine hypodermosis on various health indicators of milk in first-calvers].

The effect of the last developmental phase of the warble fly (Hypoderma bovis de Greer) larvas was studied as exerted on some health indices of milk in 20 experimental (treated) and 18 control (untreated) first-calvers of the Pinzgau breed at two localities of an area affected by bovine hypodermosis in the period from May to June, 1975. The preparation Hypocid, at a dose of 15 ml per 100 kg of body weight, was applied externally in the lumbosacral region to the experimental animals in November, 1974. Throughout the experimental period (61 days) the milk was repeatedly examined bacteriologically and cytologically, the content of chlorides and the milk electric conductivity were determined. In none of the followed health indices of milk were significant differences in the values obtained from experimental and control first-calvers proved statistically.

Administration, Topical↗

[Treatment of oestriasis and hypodermosis in red deer (Cervus elaphus hippelaphus) and roe deer (Capreolus c. capreolus) with ivermectin (Ivomec)].

In two test areas in Austria (Burgenland, Lower Austria) ivermectin has been used to control oestrinosis and hypodermosis in red- and roe deer since many years (1985 and 1987, respectively). The results until 1992, using the injectable solution Ivomec-injection 1% only, have been reported (Kutzer, 1994). In continuation of these tests Ivomec-Praemix 0.6% was examined and it turned out that the treatment was extremely successful. In practice Ivomec-Praemix 0.6% has to be given preference due to its stability. The most favourable dosage for red- and roe deer was 2 x 0.4 mg ivermectin/kg bodyweight administered at an interval of one week, although equally good results could be obtained with 1 x 0.3-0.4 mg ivermectin/kg bodyweight. With the above mentioned dosages against Pharyngomyia picta and Cephenemyia stimulator an up to 100% and against Hypoderma actaeon a 100% success of treatment could be achieved. The administration in two doses has the advantage to eradicate intestinal and lung nematodes at the same time if there are any. Finally, it was found that the controlling measures should not be interrupted for more than one year, if no treatment was done in the neighbouring hunting grounds.

Animals↗

Palpebral myiasis.

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Animals↗

[Comparative evolution of blood antibodies in cattle infested with hypodermosis and treated with different insecticides (author's transl)].

Immunological response to hypodermosis is studied by a passive hemagglutination method in three groups of cattle naturally infested during the spring of 1972. In the autumn, one group was treated with fenthion and another with niclofolan, a drug generally used for distomatosis, but also efficient in hypodermosis and free from side-effects. The third group served as a control. Two kinds of immunological response are observed after use of the insecticide. In the group treated with fenthion, there is a rapid drop in antibodies during the 3 days following treatment; this increases for the next 2 months up to a very low level, which is stable for 3 months (fig. 3, 4, 5). During the same period, antibodies in the control group increase regularly to reach a maximum in April or May (fig. 1, 2). The immunological response of the host is closely related to the antigenic stimulation of the larvae. In the group treated with niclofolan, the slow drop in antibodies suggests that there is a parallel drop in the number of larvae during the month following treatment. A study of the other group shows that larvae are affected in the 24 hours following fenthion administration. This agent, as well as all organophosphorous compounds, are well-known to act efficiently on larvae and have anaphylactic-type side-effects on the host. The massive degradation of larvae should have induced an important antigenic reaction, but no increase in the antibodies of the host is observed; there is a even rapid drop in the number of larvae immediately after treatment. This fact is investigated further by experiments on guinea pig: the role of antigen-antibody complexes is studied by passive anaphylaxis. It appears that shock reactions, following use of organophosphorous insecticides, have a true-hyper-sensitivity origin, and are increased by the intrinsic toxicity of the first instar larvae.

Animals↗