Susan C. Cork and Mani Lejeune
3.1 Introduction
Parasitology is an important part of any routine health monitoring programme and often forms the largest component of the work in regional and district veterinary laboratories. Gastrointestinal worms, and other helminths, protozoa and ectoparasites are responsible for reduced productivity and a range of clinical problems in young and adult livestock. Faecal examination is the most common diagnostic approach employed to detect endoparasitic infection in a host. It must be noted that parasites that have predilection to various organ systems such as central nervous system, circulatory, musculo-skeletal, respiratory and, to some extent, urinary system may also shed their infective stages (for example, eggs, cysts, oocysts, trophozoites, larvae and so on) in the host’s faeces. A comprehensive faecal evaluation can provide very useful information about the parasitic status of the host. Government and commercial veterinary diagnostic laboratories may offer a wide range of parasitological tests and have the ability to handle large numbers of samples using semiautomated systems. However, in resource poor settings, and at the district level, more basic manual tests and field adapted protocols are commonly used.
Classical parasitology testing performed in regional and district laboratories does not require cost prohibitive resources but it is worth investing in good quality microscopes. The basic laboratory protocols for parasitology are generally easy to perform but interpretation of the results requires adequate knowledge of at least general parasitology. In this chapter, we will outline the most frequently performed parasitology tests, along with a brief mention of some more specialized techniques. The emphasis will be on techniques that can be performed using simple protocols yet produce reliable results. The following sections will outline key parasitic diseases and the relevant diagnostic procedures used in veterinary helminthology, protozoology and entomology. Further information on the biology of a wider range of parasitic diseases can be found in the references provided at the end of the chapter.
3.2 General helminthology
Helminths (worms) are an important group of organisms. There are both free-living and parasitic species but in veterinary medicine the term generally refers to the latter.
There are two main groups or phyla:
- nemathelminthes: nematodes (roundworms), currently, they are classified as phylum: nematoda
- platyhelminthes: trematodes (flat worms) and cestodes (tapeworms).
There is also a group of helminths of lesser veterinary importance, the acanthocephala (thorny headed worms).
Nematodes are the most abundant of the worms but not all are parasitic, there are many free-living forms and some parasitize plants. There are a wide range of parasitic nematodes, the adults of which have a predilection for a particular organ in the host. While the majority reside in the gastrointestinal tract (for example, Haemonchus sp., Trichostrongylus sp., Ascaris sp., Trichuris sp.), some live in the lungs (for example, Dictyocaulus sp., Protostrongylus sp.), peritoneal cavity (Setaria sp.), kidney (Stephanurus sp.), eye (Thelazia sp.), connective tissue (Onchocerca sp.) and meninges (Paraelaphostrongylus tenuis). The life cycle of nematodes can be simple; with the eggs hatching in the environment and developing into infective larvae that are ingested by the host and reach the gastrointestinal tract to develop into adults, for example, Haemonchus contortus. Others have complex life cycles with larval stages migrating through organs such as the liver or lungs before reaching gastrointestinal tract to reside as adults, for example, Ascaris suum. The life cycle can also be direct or indirect. The latter requires development of early parasitic stages in a suitable intermediate host (for example, houseflies for Habronema muscae). With the majority of helminths having an environmental component to their life cycle the diseases that they cause can be seasonal and are effected by climatic conditions. In addition, some parasitic helminths have specific host and habitat preferences limiting their distribution to specific parts of the world.
Trematodes and cestodes are considered to be more primitive than nematodes. They are largely hermaphrodites (that is, the sexes are not separate) with the notable exception being the schistisomes. Most trematodes and cestodes that are parasitic to animals have an indirect life cycle requiring an intermediate host. For example, the majority of trematodes use snails as intermediate hosts; whereas, most cestodes exist by cleverly exploiting the predator–prey relationship between the intermediate and definitive hosts (for example, Taenia spp.). Adult trematodes invariably reside in the organs of the gastrointestinal system (for example, Paramphistomum sp., Fasciola sp. and so on) with one exception (Schistosoma sp. in blood vessels). Similarly, adult cestodes generally reside in the gastrointestinal tract of the definitive host (usually a predator), however, the larval forms tend to have a predilection for various organ systems in the intermediate hosts (usually prey species).
Some ‘parasitic’ worms appear to live ‘in balance’ with the host causing little apparent harm (for example, Cooperia sp. of sheep). However, some are highly pathogenic and cause poor production and ill health in livestock (for example, Haemonchus contortus of sheep). The disease caused by helminths may be subclinical or clinical. Clinical signs depend on (1) the number and species of parasite present, (2) the location of the parasite(s) in the body and (3) the general immune status of the host animals (which can be determined by age, previous exposure, concurrent disease, nutrition and so on). Clinical disease is also exhibited if the host animal becomes physiologically stressed as a result of lack of feed, harsh climate, concurrent disease, pregnancy or during seasonal migration. Not all animals in a herd or flock will be equally infected with a particular parasite species because some animals may be genetically susceptible, whereas others may have a degree of resistance. Parasites residing in resistant animals will often shed fewer eggs than those in more susceptible animals. This is exemplified by the fact that in a horse herd with strongyle infection only 20–30% are heavy egg shedders, the remaining animals are often either low or moderate shedders. For this reason, eggs counts are often used to determine which animals in a herd need to be given treatment (anthelmintic).
In the last few decades it has become more widely accepted that helminthic infection is not always harmful. The beneficial role of helminths for host health has been documented through the ‘hygiene hypothesis’ developed to explain the steep increase in inflammatory bowel disease and allergic response in hosts that are devoid of parasitic infections. Nevertheless, treatment or control measures are warranted when helminth infection is perceived to be the cause of poor animal health or is documented to significantly decrease the production of a livestock unit.
A sound helminth control strategy requires breaking the life cycle(s) of the species implicated. The majority of helminth parasites have a life cycle that has an environmental component (for example, egg development and hatching of larvae), which may require a specific range of temperature and humidity. Environmen...