Manual de Parasitos Internos

download Manual de Parasitos Internos

of 60

Transcript of Manual de Parasitos Internos

  • 8/9/2019 Manual de Parasitos Internos

    1/60

    INTERNAL PARASITES OF DOGS AND CATS

    DIAGNOSTIC MANUAL

    Developed with Dr. Byron BlagburnCollege of Veterinary Medicine

    Auburn University

  • 8/9/2019 Manual de Parasitos Internos

    2/60

    INTERNAL PARASITES OF DOGS AND CATS

    Parasitology is a fascinating field, especially when exploring the intricate mechanisms by which parasitespropagate. In the fast-paced veterinary clinic environment, the study of parasitology too often becomes routineand mundanewe simply perform yet another fecal examination and dutifully record the results.

    I invite you to step out of this routine and rediscover the amazing life cycles of these remarkable organisms.

    Challenge yourself to not only identify a hookworm egg by genus alone, but by species. Explore the complexrelationships between parasites and their intermediate and definitive hosts.

    This diagnostic manual is designed to be an informative source for the identification and exploration of internalparasites.To be of most benefit to veterinarians and technicians, the manual was designed to be convenient andeasy to use. As youll see,the parasites described in this manual have been divided into two groups accordingto the material (i.e., feces or blood) tested for infection.Additional sections are devoted to pseudoparasites(specimens frequently mistaken for parasites), parasite life cycles and practical, time-saving diagnostic procedures.In addition, you will find guidelines for parasite prevention in dogs and cats developed by the Companion

    Animal Parasite Council, plus a handy index.

    All of the information provided here is brief and to the point.Wherever possible,symbols are used to convey

    key information (see the key at left).

    We would like to acknowledge Professor Byron Blagburn,Department of Pathobiology, College of VeterinaryMedicine,Auburn University, for providing astute technical assistance and one-of-a-kind illustrative material forthis manual.

    Novartis is pleased to provide you with this laboratory manual to assist with diagnosis of common parasites indogs and cats.We hope it speeds your daily tasks of fecal examination and parasite identification and helps youeducate your clients on risks and prevention of internal parasites.We are honored to work with you toward themost important goal:a happy, healthy pet.

    David G. Stansfield, BVSc, MRCVS Jason Drake, DVMDirector, Professional Services Professional ServicesNovartis Animal Health US, Inc. Novartis Animal Health US, Inc.

    For inquiries concerning parasite identification or diagnosis, please call our Novartis 24-hour professionalservices number,1-800-637-0281.

    INTRODUCTION

    SCALE

    Throughout this manual, you willfind icons that indicate the speciesaffected by individual parasites (seedefinitions for the species iconsbelow), plus drawings that providerelative size comparisons. In eachkey, a simple drawing of the parasitebeing discussed will be shown nextto a Toxocara spp. egg drawing.

    Indicates theparasiteinfects dogs.

    Indicates theparasiteinfects cats.

    Indicates that oneor more stages inthe life cycle ofthe parasite caninfect humans.

  • 8/9/2019 Manual de Parasitos Internos

    3/60

    INTERNAL PARASITES OF DOGS AND CATS

    Parasites found in blood 5Nematodes 6

    Parasites found in feces 9Parasites of the gastrointestinal tract

    Cestodes 10Nematodes 16Protozoa 22

    Parasites of the respiratory tractNematodes 26

    Trematodes 27Parasites of the urinary tract

    Nematodes 28

    Pseudoparasites 29

    CONTENTS

    Parasite life cycles 35Cestodes 36

    Nematodes 39Protozoa 44

    Diagnostic techniques 47Direct Smear 48Sedimentation 49Flotation 50

    Companion Animal ParasiteCouncil (CAPC) guidelines 55

    Index 58

  • 8/9/2019 Manual de Parasitos Internos

    4/60

  • 8/9/2019 Manual de Parasitos Internos

    5/60

    PARASITES FOUND IN BLOOD

    NematodesAcanthocheilonema(Dipetalonema) reconditum 6

    Dirofilaria immitis 7

    PARASITES FOUND IN BLOOD

  • 8/9/2019 Manual de Parasitos Internos

    6/60

    6

    Acanthocheilonema(Dipetalonema) reconditum

    Note the characteristic smaller size and blunt anteriorend of microfilariae ofA. reconditum (top) and thecharacteristic tapering anterior end of microfilariae of

    D.immitis (bottom).

    Characteristics of microfilariaeofD. immitisand A. reconditum

    Dirofilaria Acanthocheilonemaimmitis reconditum

    Length 307322 m 246293 m(310 m average) (280 m average)

    Width (13 of length6.17.2 m 4.7 5.8 mfrom anterior end)

    Shape of head Tapered Blunted

    Cellularity ofCellular Clear spaceanterior end

    Condition of tail Straight Button hookshaped in some

    (artifact offormalin fixation)

    Motility in Stationary Progressivedirect smear of (tends to moveanticoagulated out of fieldwhole blood of view)

    PARASITES FOUND IN BLOOD INTERNAL PARASITES OF DOGS AND CATS

  • 8/9/2019 Manual de Parasitos Internos

    7/60

    INTERNAL PARASITES OF DOGS AND CATS

    7

    AdultD. immitis in the right ventricleof the heart.

    Dirofilaria immitis

    Microfilariae ofD.immitis as seen on a membrane filtrationtest. Note: Circulating microfilariae are very rarely observed inthe cat.

    Dirofilaria immitis

  • 8/9/2019 Manual de Parasitos Internos

    8/60

  • 8/9/2019 Manual de Parasitos Internos

    9/60

    PARASITES FOUND IN FECES

    PARASITES OF THEGASTROINTESTINAL TRACTCestodesDipylidium caninum 10Echinococcus spp. 14Taenia spp. 15

    NematodesAncylostoma caninum 16Ancylostoma tubaeforme 17

    Uncinaria stenocephala 18Physaloptera spp. 19Toxascaris leonina 20Toxocara canis 20Toxocara cati 20Trichuris vulpis 21

    ProtozoaGiardia spp. 22Isospora (Cystoisospora) spp. 23

    Toxoplasma gondii 25Cryptosporidium spp. 25

    PARASITES OF THERESPIRATORY TRACTNematodesAelurostrongylus abstrusus 26Eucoleus (Capillaria) aerophilus 26

    TrematodesParagonimus kellicotti 27

    PARASITES OF

    THE URINARY TRACTNematodesPearsonema (Capillaria) feliscati 28Pearsonema (Capillaria) plica 28

    PARASITES FOUND IN FECES

  • 8/9/2019 Manual de Parasitos Internos

    10/60

    10

    PARASITES FOUND IN FECES INTERNAL PARASITES OF DOGS AND CATS

    Egg packet ofD.caninum

    Dipylidium caninum

    PARASITES OF THE GASTROINTESTINAL TRACT CESTODES

    Comparison of adultD.caninumwith a canine roundworm.

    Dipylidium caninum

    SCAL

    E

  • 8/9/2019 Manual de Parasitos Internos

    11/60

    INTERNAL PARASITES OF DOGS AND CATS

    11

    Dipylidium caninum

    Parasites of the GASTROINTESTINAL TRACT CESTODES

    DriedD.caninum segments; sometimes found by pet owners.

    Dipylidium caninum

    AdultD.caninum. Note that the segments arelonger than they are wide.Dried proglottids(segments) are sometimes brought in foridentification by pet owners.

  • 8/9/2019 Manual de Parasitos Internos

    12/60

    Dipylidium caninum Taenia pisiformis*

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

    12

    Comparison of common tapeworms in dogs and cats

    *A similar tapeworm, Taenia (syn. Hydatigera) taeniaeformis infects cats. It resembles T. pisiformis.

    Both Dipylidium and Taenia tapeworms are generally nonpathogenic to dogs or cats. Rarely, heavy

    infections can cause soft or diarrheic feces, restlessness, abdominal pain, dull coat, and excessivegrooming of the perineum due to pruritus. Dipylidium caninum can infect humans, particularly smallchildren, resulting in similar clinical signs.

    Disease potential indogs or cats

    NoYes, usually small childrenZoonotic potential

    Individual eggs consist of a hexacanth embryowithin a radially striated embryophore. Eggs(3040 m) are usually passed individually in feces.Eggs ofT. pisiformis cannot be distinguished fromeggs of other Taenia spp., or from those ofEchinococcus spp.

    Individual eggs consist of a hexacanth (6-hooked)embryo within a thin embryophore (shell); individualeggs are contained in packets of 330 eggs. Eggpackets (200300 m) are passed in feces or retainedwithin proglottids.

    Structure of eggs

    Mature proglottids are square to rectangular, witha single set of reproductive organs opening into

    alternating unilateral pores. Gravid proglottidstend to be rectangular and more elongated.

    Oblong (resemble cucumber seed), with two sets ofreproductive organs opening into bilateral pores;

    proglottids are often motile. Dried proglottidsresemble rice grains.

    Structure of mature/gravid proglottids(tapeworm segments)

    Large rostellum with a double row of large hooks;rostellum is surrounded by 4 suckers

    Small rostellum (attachment device) armed with manysmall hooks; rostellum is surrounded by 4 suckers

    Structure of head

    Large; 0.62 meters (1.96.6 feet)Small; 0.2 0.8 meters (0.6 2.6 feet)Size

    RabbitsFleas, liceIntermediate host

    DogDog, cat, rarely humansDefinitive host

    Dog - Rabbit tapewormCucumber seed tapewormCommon name

  • 8/9/2019 Manual de Parasitos Internos

    13/60

    INTERNAL PARASITES OF DOGS AND CATS

    13

    Selected tapeworms of veterinary importance

    *All tapeworms inhabit the small intestine of the definitive host.

    Tapeworm Species Definitive Hosts* Intermediate Hosts Larval Stage; Site of Larval Tapeworm Development

    Dipylidium caninum Canids, felids, Flea, louse Cysticercoid; body cavity of insectsrarely humans

    Taenia pisiformis Canids Rabbits Cysticercus; abdominal cavity and liver of rabbits

    Taenia hydatigena Canids Livestock Cysticercus; abdominal cavity and liver of livestockTaenia ovis Canids Sheep, goats Cysticercus; musculature of intermediate hosts

    Taenia multiceps Canids Sheep, cattle, humans Coenurus; brain and spinal cord of intermediate hosts

    Taenia serialis Canids Rabbits, rodents, Coenurus; connective tissue of rabbits,rarely humans rodents and rarely humans

    Taenia taeniaeformis Felids Rodents Strobilocercus; liver of rodents

    Mesocestoides spp. Canids, felids Coprophilic insect Tetrathyridium in insect or mite and inor mite (1st host); abdominal cavity and liver of vertebratesmammals, reptiles,frogs, birds (2nd host)

    Echinococcus granulosus Canids Livestock, humans Unilocular hydatid cyst; liver, lungs

    Echinococcus multilocularis Canids, rarely felids Rodents, humans, Multilocular hydatid; liver, lungsrarely pig, horse

    Spirometra mansonoides Felids, canids, Copepods (1st host); Procercoid (body cavity of copepods); plerocercoidraccoons many verterbrates (body musculature and subcutaneous fascia of

    except fish (2nd hosts) vertebrates)

    Diphyllobothrium latum Humans, canids, Copepods (1st host); Procercoid (body cavity of copepods); plerocercoidfelids, porcids fish (2nd host); several (abdominal cavity, musculature of fish)

    paratenic hosts

  • 8/9/2019 Manual de Parasitos Internos

    14/60

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

    14

    Eggs ofE. granulosus

    Echinococcusspp.

    AdultE. granulosus.AlthoughE. granulosusoccurs only in thedog,other species of

    Echinococcus appearin dogs and cats.

    Parasites of the GASTROINTESTINAL TRACT CESTODESS

    CALE

  • 8/9/2019 Manual de Parasitos Internos

    15/60

    INTERNAL PARASITES OF DOGS AND CATS

    15

    Eggs ofT.pisiformisNote: Cats are host tootherTaenia spp.

    Adult T.pisiformis.Note the difference insegment shape comparedto adultD.caninum.

    Taenia spp.

    Parasites of the GASTROINTESTINAL TRACT CESTODESS

    CALE

  • 8/9/2019 Manual de Parasitos Internos

    16/60

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

    16

    Egg ofA. caninum

    Ancylostoma caninum Ancylostoma caninum

    Anterior end of adultA. caninum.Note the three pairs of ventral teeth.

    Parasites of the GASTROINTESTINAL TRACT NEMATODESS

    CALE

  • 8/9/2019 Manual de Parasitos Internos

    17/60

    INTERNAL PARASITES OF DOGS AND CATS

    17

    Egg ofA. tubaeforme

    Ancylostoma tubaeforme

    Parasites of the GASTROINTESTINAL TRACT NEMATODESS

    CALE

    PARASITES FOUND IN C S

  • 8/9/2019 Manual de Parasitos Internos

    18/60

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

    18

    Egg ofU.stenocephala

    Uncinaria stenocephala Uncinaria stenocephala

    Note the differences in size between U.stenocephala (upperright) and A. caninum (lower left).

    Parasites of the GASTROINTESTINAL TRACT NEMATODESS

    CALE

  • 8/9/2019 Manual de Parasitos Internos

    19/60

    INTERNAL PARASITES OF DOGS AND CATS

    19

    Physaloptera spp.

    Embryonated eggs ofPhysaloptera spp.(stomach worm)

    Parasites of the GASTROINTESTINAL TRACT NEMATODESS

    CALE

    S S S C SPARASITES FOUND IN FECES

  • 8/9/2019 Manual de Parasitos Internos

    20/60

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

    20

    Egg ofT.leonina

    Toxascaris leonina Toxocara canis

    Egg ofT. canis

    Toxocara cati

    Egg ofT.catiNote the size is about10 percent smallerthan the T.canis egg.

    Parasites of the GASTROINTESTINAL TRACT NEMATODES1 2 3S

    CALE

    1: T. canis

    2: T. leonina

    3: T. cati

  • 8/9/2019 Manual de Parasitos Internos

    21/60

    INTERNAL PARASITES OF DOGS AND CATS

    21

    Egg ofT.vulpis

    SCALE

    Trichuris vulpis Trichuris vulpis

    Adults ofT.vulpis Note how the lash-like anterior endsare laced through the mucosa.

    Parasites of the GASTROINTESTINAL TRACT NEMATODES

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

  • 8/9/2019 Manual de Parasitos Internos

    22/60

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

    22

    Motile trophozoite ofGiardia spp.(iodine stain)

    Giardia spp. Giardia spp.

    Cyst ofGiardia spp. (iodine stain)

    Parasites of the GASTROINTESTINAL TRACT PROTOZOAS

    CALE

    1 2

    1: trophozoite

    2: cyst

  • 8/9/2019 Manual de Parasitos Internos

    23/60

    INTERNAL PARASITES OF DOGS AND CATS

    23

    Nonsporulated oocysts ofI. canis Nonsporulated oocysts ofI. ohioensis

    Isospora (Cystoisospora)spp.

    Parasites of the GASTROINTESTINAL TRACT PROTOZOA21S

    CALE

    1: I. canis

    2: I. ohioensis

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

  • 8/9/2019 Manual de Parasitos Internos

    24/60

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

    24

    Parasites of the GASTROINTESTINAL TRACT PROTOZOA

    Isospora (Cystoisospora)spp.

    Nonsporulated oocysts ofI. felis Nonsporulated oocystsofI. rivolta

    21SCALE

    1: I. felis

    2: I. rivolta

  • 8/9/2019 Manual de Parasitos Internos

    25/60

    INTERNAL PARASITES OF DOGS AND CATS

    25

    Nonsporulated oocysts ofT.gondiiCompare the size ofT.gondiitoI. felis inthe background.

    21SCALE

    Toxoplasma gondii

    Parasites of the GASTROINTESTINAL TRACT PROTOZOA

    Cryptosporidium spp.

    Sporulated oocysts ofCryptosporidium spp.

    1: T. gondii

    2: Cryptosporidium spp.

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

  • 8/9/2019 Manual de Parasitos Internos

    26/60

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

    26

    Larva ofA.abstrususNote dorsal appendage on tail of larva.

    Aelurostrongylus abstrusus

    Parasites of the RESPIRATORY TRACT NEMATODES

    Egg ofE.aerophila

    Eucoleus (Capillaria) aerophilus

    SCALE

    1 2

    1: A. abstrusus

    2: E. aerophilus

  • 8/9/2019 Manual de Parasitos Internos

    27/60

    INTERNAL PARASITES OF DOGS AND CATS

    27

    Egg ofP. kellicotti. Note the collar surroundingthe operculum.

    Paragonimus kellicotti

    Parasites of the RESPIRATORY TRACT TREMATODESSCALE

    INTERNAL PARASITES OF DOGS AND CATSPARASITES FOUND IN FECES

  • 8/9/2019 Manual de Parasitos Internos

    28/60

    PARASITES FOUND IN FECES

    28

    Egg of aP. plica from urinary sedimentation

    Pearsonema (Capillaria) plica

    Stained egg ofP. feliscatifrom urinary sedimentation

    Pearsonema (Capillaria) feliscati

    Parasites of the URINARY TRACT NEMATODES21S

    CALE

    1: P. feliscati

    2: P. plica

  • 8/9/2019 Manual de Parasitos Internos

    29/60

    PSEUDOPARASITES

    PseudoparasitesAlternaria spp. 30Free-living nematode 31Grain mite egg 32Planarian 32Pollen granules 33

    Spurious parasiteMonocystis lumbricior

    Rhyncocystis pilosa spore 34

    Pseudoparasites are specimens found in feces or blood that are mistaken for parasites.(For the purpose of this manual, only examples of pseudoparasites found in fecesare included.) Pseudoparasites can be differentiated from spurious parasites,which areparasites of a host other than the host under examination.For example,dogs andcats often consume feces of other vertebrate animals or consume invertebrates and willsometimes excrete stages of parasites unique to their prey.Monocystis lumbriciis anexample of a spurious parasite.While it is a true parasite of earthworms, dogs and catscan ingest earthworms, causingM. lumbricito appear in fecal examinations.

    PSEUDOPARASITES

  • 8/9/2019 Manual de Parasitos Internos

    30/60

    These conidia are common environmental fungal contaminants.

    PSEUDOPARASITES INTERNAL PARASITES OF DOGS AND CATS

    Alternaria spp.

    30

  • 8/9/2019 Manual de Parasitos Internos

    31/60

    INTERNAL PARASITES OF DOGS AND CATS

    31

    These pseudoparasites are often recovered from feces collected from the ground.Note the bulbed esophagus.

    Free-living nematode

    INTERNAL PARASITES OF DOGS AND CATSPSEUDOPARASITES

  • 8/9/2019 Manual de Parasitos Internos

    32/60

    32

    Dogs and cats ingest these eggs by eating mite-infested food.Eggs are often recovered during fecal flotation.

    Grain mite egg

    This free-living flatworm is not a parasite but crawls into waterdishes kept outside. It can then be ingested and issometimes regurgitated by dogs and cats.

    Planarian

  • 8/9/2019 Manual de Parasitos Internos

    33/60

    INTERNAL PARASITES OF DOGS AND CATS

    33

    Pine pollen

    Pollen granules Pollen granules

    Tree pollen

    INTERNAL PARASITES OF DOGS AND CATSPSEUDOPARASITES

  • 8/9/2019 Manual de Parasitos Internos

    34/60

    34

    These spurious parasites often infect earthworms;dogsand cats may ingest earthworms. In fecal flotations, thespore is similar in appearance to eggs ofT.vulpis, although

    much smaller.

    Monocystis lumbriciorRhyncocystis pilosa spores

  • 8/9/2019 Manual de Parasitos Internos

    35/60

    PARASITE LIFE CYCLES

    Cestodes

    Dipylidium caninum 36Echinococcus spp. 37Taenia spp. 38

    Nematodes

    Aelurostrongylus abstrusus 39Ancylostoma spp. 40

    Uncinaria stenocephala 40Dirofilaria immitis 41Toxascaris leonina 42Toxocara canis 42Toxocara cati 42Trichuris vulpis 43

    Protozoa

    Isospora (Cystoisospora) spp. 44Giardia spp. 45

    Toxoplasma gondii 46

    PARASITE LIFE CYCLES

  • 8/9/2019 Manual de Parasitos Internos

    36/60

    Posterior (gravid) segments

    or individual egg packetsare passed in feces

    Adult worms in small intestine

    Eggs ingested

    by larval flea*

    *On occasion, the dog louse, Trichodectes canis,serves as an intermediate host forDipylidium caninum.

    Segments and egg packets infeces and on fur in perineal area

    Larval flea

    develops

    into adult flea

    Infected adult

    flea ingestedby dog or cat

    Tapeworm eggdevelops into infective

    tapeworm larval stage

    by the time the adult flea develops

    DIPYLIDIUM CANINUM

    Prepatent period: 1421 days

    INTERNAL PARASITES OF DOGS AND CATSPARASITE LIFE CYCLES

    36

  • 8/9/2019 Manual de Parasitos Internos

    37/60

    INTERNAL PARASITES OF DOGS AND CATS

    Eggs in feces

    Posterior segments

    of adult wormspass in feces

    Eggs are releasedfrom segments

    Adult worms insmall intestine

    Eggs ingested byintermediate host

    Tissues of intermediate

    host ingested bydog or cat

    Prepatent period: 47 days

    ECHINOCOCCUSspp.

    37

    INTERNAL PARASITES OF DOGS AND CATSPARASITE LIFE CYCLES

  • 8/9/2019 Manual de Parasitos Internos

    38/60

    Adult worms insmall intestine

    Posterior segments ofadult worms or eggs

    are passed in feces

    Tissues ofintermediatehost ingestedby dog or cat

    Eggs ingested byintermediate host (mouse,

    rabbit, squirrel, etc.)

    Prepatent period: 3642 days

    Eggs releasedfrom segments orare free in feces

    TAENIA spp.

    38

  • 8/9/2019 Manual de Parasitos Internos

    39/60

    INTERNAL PARASITES OF DOGS AND CATS

    Larvae moveto intestine

    via tracheal

    migration

    Adult worms inlung produce eggs;larvae hatchfrom eggs

    Larvae arepassed in feces

    Tissues of transport

    hosts ingestedby cat

    Tissues ofintermediatehost ingestedby cat

    Transporthost ingestsintermediate host

    AELUROSTRONGYLUS

    ABSTRUSUS

    Larvae ingested by intermediate

    hosts (snails and slugs)

    Prepatent period: 30 days

    ONLY

    39

    INTERNAL PARASITES OF DOGS AND CATSPARASITE LIFE CYCLES

  • 8/9/2019 Manual de Parasitos Internos

    40/60

    Nonembryonated eggspass in feces

    Adult worms lay eggsin small intestine

    Larvae migrate via lungsor directly to the intestineand mature to adult

    Prepatent period: 1518 days

    Infective larvaepenetrate skin

    Infected larvaeingested bydog or cat

    Transmission routes to offspring*

    Eggs embryonate and hatch;larvae undergo two moltsto infective third-stage larvae

    ANCYLOSTOMA spp.

    UNCINARIA STENOCEPHALA

    *Ancylostoma spp.: Transmammaryroute is the principal route oftransmission. Transplacental transmissionoccurs rarely, if at all.

    Uncinaria spp.: Apparently these parasites arenot transmitted by either transplacental ortransmammory routes.

    40

    Note: A. caninum

    can infect humans

    A.caninum produces about20,000 eggs per day

  • 8/9/2019 Manual de Parasitos Internos

    41/60

    INTERNAL PARASITES OF DOGS AND CATS

    41

    Note: Infective larvae reach theheart and lungs about 3 monthsafter being transmitted to theanimal by a bite from a carriermosquito. A positive bloodtest will be achieved after66.5 months, when infectivelarvae have matured intoadult heartworms.

    DIROFILARIA IMMITIS

    Prepatent period: 145180 days

    Mosquito ingests microfilariaewith blood meal

    Larvae mature into adults in heart; femaleadult worms release microfilariae in blood

    Mosquitobites dog or catand transmitsinfective larvae

    Microfilariae develop inmosquito to infective larvae.Development in the mosquito istemperature-dependent; infective

    larvae can develop in 8 days at 30C

    Effects of immature heartworms:

    Disease associated withDirofilaria immitis maynot be limited to mature adult worms.Immatureheartworms (L5 stages) generally arrive in theheart between 70 and 100 days.These small worms

    (approx.1.5 cm) are carried by the f low of bloodto the distal pulmonary arteries. Inflammatoryevents associated with these and maturing laterstages include peri-arteritis,interstitial edema andinflammatory interstitial disease.These immatureworms in the pulmonary vessels are notdetectable by veterinarians with availableheartworm tests.

    Effects of adult heartworms:

    Presence of adult worms in the rightheart and pulmonary arteries results inthe more commonly observed diseasesyndrome.The physical presence ofadult worms can lead to inflammation

    and proliferation of the arterial walls(villous endarteritis). Death of adultworms and resulting embolic wormfragments can trigger a cascade ofinflammatory events leading tothrombosis and decreased bloodflow to the lungs. In severe,longstanding infections,ventricularhypertrophy and classical rightheart failure are observed.

    INTERNAL PARASITES OF DOGS AND CATSPARASITE LIFE CYCLES

  • 8/9/2019 Manual de Parasitos Internos

    42/60

    Nonembryonated eggspass in feces

    Adult worms lay eggs insmall intestine

    Prepatent periods:T. leonina: 74 daysT. canis: 2835 daysT. cati: 21 days

    Embryonatedeggs ingestedby dog or cat

    Embryonated eggs ingestedby intermediate host

    Tissues ofintermediatehost ingestedby dog or cat

    Transmission routesto offspring*

    *T. canis: Transplacental or transmammary T. cati: Transmammary

    Embryonated eggs survive for longperiods in contaminated environments

    Eggs embryonate

    TOXASCARIS LEONINA

    TOXOCARA CANIS

    TOXOCARA CATI

    42

    Adult T.canis produce25,00085,000 nonembryonatedeggs per day.

    Adult T.catiproduce19,00024,000 eggs per day.

    Note:Toxocara spp.can infect humans.

  • 8/9/2019 Manual de Parasitos Internos

    43/60

    INTERNAL PARASITES OF DOGS AND CATS

    ONLY

    Eggs are passedin feces; eggs may beshed intermittently

    Adult worms lay eggs incecum or large intestine

    Embryonatedeggs in feces

    Embryonatedeggs ingestedby dog

    Prepatent period: 1112 weeks

    Embryonatedeggs can survive

    for years inthe environment

    Eggs embryonate

    TRICHURIS VULPIS

    43

    Each female T.vulpis produces anaverage of 2,035 eggs per day.

    INTERNAL PARASITES OF DOGS AND CATSPARASITE LIFE CYCLES

  • 8/9/2019 Manual de Parasitos Internos

    44/60

    Asexual and sexual stagesdevelop in intestines

    Nonsporulated oocystspassed in feces

    Tissues ofintermediatehosts ingestedby cat or dog

    Sporulatedoocysts

    ingestedby cator dog

    Sporulated oocystsingested byintermediate host

    ISOSPORA (CYSTOISOSPORA)spp.

    Oocysts sporulatein environment

    Prepatent period: 311 days

    44

  • 8/9/2019 Manual de Parasitos Internos

    45/60

    INTERNAL PARASITES OF DOGS AND CATS

    Infective cysts are

    passed in feces

    Trophozoites develop toinfective cyst stage as they passto the large intestine

    Cysts ingestedby dog or cat

    Cysts are presentin contaminatedenvironments,including food,

    water and fomites

    Prepatent period: 510 days

    GIARDIA spp.

    45

    INTERNAL PARASITES OF DOGS AND CATSPARASITE LIFE CYCLES

  • 8/9/2019 Manual de Parasitos Internos

    46/60

    Development of the parasite

    in the intestine of the cat leadsto development of oocysts

    Nonsporulated oocystspassed in feces

    Tissues ofintermediatehosts ingestedby cat

    Sporulatedoocystsingestedby cat

    Sporulated oocystsingested by many potentialintermediate hosts

    Human exposure through catfeces or consumption of rawor undercooked meat

    TOXOPLASMA GONDII

    Oocysts sporulatein environment

    Prepatent period: 324 days

    46

  • 8/9/2019 Manual de Parasitos Internos

    47/60

    DIAGNOSTIC TECHNIQUES

    Direct Smear 48Sedimentation 49Flotation 50

    Do not underestimate the importance of accurately conducting fecal examinations.Internal parasites that can be detected by fecal examination remain prevalent in U.S.dogs and cats; some of these are important zoonotic agents.

    The following descriptions will help choose the most appropriate diagnostic procedure.You will also find guidelines and techniques to help achieve the greatest success whileconducting these procedures.

    DIAGNOSTIC TECHNIQUES

    G C

  • 8/9/2019 Manual de Parasitos Internos

    48/60

    DIAGNOSTIC TECHNIQUES INTERNAL PARASITES OF DOGS AND CATS

    48

    The direct smear technique is most appropriate when:

    You suspect protozoa that can be demonstrated as active motile stages

    (e.g.,Giardia or trichomonads). You suspect a parasite that passes motile larval stages in feces.

    Flotation solution might distort the parasite stages you wish to detect.

    Notes:

    Many larvae also can be recovered in a flotation procedure.

    The direct smear procedure is convenient and fast, but has low

    sensitivity due to the small amount of feces used and the amount of

    debris on the slide.

    Direct smear procedure:

    1. Apply a small amount of fresh feces to water or saline solution on

    a slide and mix thoroughly.

    2. Add a coverslip.

    3. Examine the entire slide.Thickness of the smear should allow

    reading newsprint placed beneath it.

    Note:

    Iodine can be added to the direct smear at the coverslip margin to

    stain motile protozoa, cysts or larvae or for flotation techniques,

    the coverslip can be added to a drop of iodine already placed on

    the slide.

    Direct Smear

  • 8/9/2019 Manual de Parasitos Internos

    49/60

    INTERNAL PARASITES OF DOGS AND CATS

    49

    The sedimentation procedure is most appropriate when:

    Parasite stages are too heavy to float in standard flotation solutions

    (e.g.,heavy operculated fluke eggs or larvae of lungworms).

    Flotation solutions may distort the parasite stages you wish to detect.

    Notes:

    Centrifuging sedimentation samples can increase test speed and

    improve performance.

    Some larvae can be recovered in a flotation procedure.

    A sedimentation preparation can be difficult to read due to largeamounts of debris on the slide.

    Sedimentation procedure:

    1. Centrifuge or let preparation stand until sediment forms.2. Remove most of the liquid above the sediment.

    3. Place a drop of the sediment on a slide, then add a cover-slip and examine.

    Sedimentation

    Sample preparation forsedimentation

    Simple straining procedures canseparate large debris from para-sites and from smaller debris.

    1. Mix feces thoroughlywith water in a cleandisposable cup.

    2. Pour the mixture throughgauze sponges or a strainerinto a second clean cup.

    3. Add the strained mixture toa tube.

    INTERNAL PARASITES OF DOGS AND CATSDIAGNOSTIC TECHNIQUES

  • 8/9/2019 Manual de Parasitos Internos

    50/60

    50

    Simple flotation is most appropriate when:

    You want better sensitivity than can be provided in a direct smear.

    A centrifuge is not available or feasible.

    Notes:

    Simple flotation improves sensitivity over direct smear when a smallamount of feces is being tested.

    Simple flotation provides less sensitivity than flotation using centrifugation.

    Simple flotation procedure:1. Mix feces and flotation solution (see sidebar at left) and pour into

    a tube.

    2. Add flotation solution to form a meniscus.3. Add coverslip and wait 15 minutes.

    4. Remove coverslip,place on slide and examine.

    Simple flotation

    Flotation solutionguidelines

    Desired specific gravity ofa fecal flotation solution is1.181.20, measured with ahydrometer.

    Common parasite eggs havespecific gravities between1.06 and 1.20.

    Remember that simpleflotation may underestimateor misdiagnose low parasite

    burdens.

    Sample preparationfor flotationSimple straining procedures canseparate large debris from para-sites and from smaller debris.

    1. Mix feces thoroughly withflotation solution in a cleandisposable cup. Try to use atleast 1 gram of fresh feces.

    2. Pour the mixture through

    gauze sponges or a strainerinto a second clean cup.

    3. Add the strained mixture toa tube.

  • 8/9/2019 Manual de Parasitos Internos

    51/60

    INTERNAL PARASITES OF DOGS AND CATS

    51

    Flotation solutionguidelines

    Desired specific gravity of a fecalflotation solution is 1.181.20,

    measured with a hydrometer. Common parasite eggs havespecific gravities between1.06 and 1.20.

    Sample preparationfor flotationSimple straining procedures canseparate large debris from para-sites and from smaller debris.

    1. Mix feces thoroughly withflotation solution in a clean dis-posable cup. Try to use at least

    1 gram of fresh feces (a cubeabout 12 inch on each side).

    2. Pour the mixture throughgauze sponges or a strainerinto a second clean cup.

    3. Add the strained mixture toa tube.

    Centrifugal flotation is most appropriate when:

    Sensitivity is the most important criteria in selecting a fecal examination procedure.

    Notes:

    Increased test sensitivity will improve accuracy in recovering fecal stages from

    animals with low parasite burdens.

    Centrifugal flotation is the most sensitive fecal concentration procedure available to

    the veterinarian.

    Centrifugal flotation procedure with a swinging bucket centrifuge:

    1. Mix feces and flotation solution (see sidebar at left) and pour into acentrifuge tube.

    2. Place sample in centrifuge tube holder.3.Add f lotation solution to form a meniscus and place a coverslip on the tube.

    4 Spin at 1,200 rpm for 10 minutes.

    5 Stop centrifuge, remove coverslip,place on slide and examine.

    Centrifugal flotation procedure with a fixed-angle centrifuge:

    1. Mix feces and flotation solution (see sidebar at left) and pour into acentrifuge tube, filling to within 1/2 to 1 inch of the top.

    2. Place sample in centrifuge tube holder.

    3. Spin at 1,200 rpm for 5 minutes.4. Stop centrifuge, place sample upright in a tube holder and add flotation

    solution to form a meniscus.5.Add a coverslip and let stand for 10 minutes.

    6. Remove coverslip,place on slide and examine.

    Centrifugal flotation

    INTERNAL PARASITES OF DOGS AND CATSDIAGNOSTIC TECHNIQUES

  • 8/9/2019 Manual de Parasitos Internos

    52/60

    52

    Common fecal flotation solutions

    PreparationFlotation Specific (hot water) Comments

    Water 1.00 (standard Not applicable Not applicablefor comparison)

    Sodium chloride 1.20 approx. 400 g/liter Inexpensive;forms crystals on slide.

    Sodium nitrate 1.181.20 approx. 400 g/liter Good all-purpose solution;forms crystals on slide.

    Zinc sulfate 1.181.20 approx. 371 g/liter Good all-purpose solution; excellent for protozoa.Best general-purpose specific gravity = 1.181.20;forms crystals on slide.

    1.29 approx. 700 g/liter Will levitate heavy debris and parasites.Forms crystals more rapidly.

    Magnesium sulfate 1.27 approx. 500 g/liter Good all-purpose solution.Will levitate heavy debris and parasites.

    Sheathers sucrose 1.27 approx. 1,278 g/liter Excellent all-purpose solution; Add 6 ml phenol orformaldehyde to inhibit microbial growth; sticky solutionattracts flies and other pests; this viscosity requireslonger incubation time in simple flotation. Does notcrystallize or distort specimens if samples are held.

  • 8/9/2019 Manual de Parasitos Internos

    53/60

    INTERNAL PARASITES OF DOGS AND CATS

    53

    Specific gravities of selectedparasites of companion animals*

    *Modified from Payne PA and Dryden MW. DVM Best Practices, March 2003, pp. 811.

    Parasite Common Name Specific Gravity

    Ancylostoma spp. hookworm 1.06

    Physaloptera spp. stomach worm 1.24

    Taenia spp. taeniid tapeworm 1.23

    Toxocara canis canine roundworm 1.09

    Toxocara cati feline roundworm 1.10

    Trichuris vulpis canine whipworm 1.15

  • 8/9/2019 Manual de Parasitos Internos

    54/60

  • 8/9/2019 Manual de Parasitos Internos

    55/60

    CAPC GUIDELINES

    The Companion Animal Parasite Council (CAPC) is an independent council of U.S.veterinary,governmental and association thought leaders brought together to createguidelines for optimal control of internal and external parasites that threaten thehealth of pets and people. For more information on CAPC,go to www.capcvet.org.

    CAPC GUIDELINES

    CAPC GUIDELINES INTERNAL PARASITES OF DOGS AND CATS

  • 8/9/2019 Manual de Parasitos Internos

    56/60

    CAPC GUIDELINES INTERNAL PARASITES OF DOGS AND CATS

    Administer year-round treatment with broad-

    spectrum heartworm anthelmintics that have

    activity against parasites with zoonotic potential.

    Administer preventive flea and/or tick products as

    soon after birth as possible (consistent with label

    claims) for the life of the pet.

    Conduct annual physical examination with completehistory.

    Conduct periodic (annual is ideal) heartworm infectiontesting in dogs and periodic testing in cats.

    Feed pets cooked or prepared food (not raw meat) and

    provide fresh,potable water.

    Conduct fecal examinations two to four times during

    the first year of life and one to two times per year inadults,depending on patient health and lifestyle factors.

    Administer anthelmintic treatment of puppies at 2, 4, 6and 8 weeks of age, followed by administration of a

    monthly preventive.

    Administer biweekly anthelmintic treatment of kittensbetween 3 and 9 weeks of age, followed by administra-

    tion of a monthly preventive.

    Treat nursing bitches and queens along with their off-

    spring.

    Tailor parasite prevention programs to geographic, sea-

    sonal and lifestyle factors.

    GUIDELINES FOR CONTROLLING PARASITES IN DOGS AND CATS

    56

  • 8/9/2019 Manual de Parasitos Internos

    57/60

    INTERNAL PARASITES OF DOGS AND CATS

    57

    In the absence of optimal year-round

    heartworm preventive/intestinal parasite

    combination products, use the following protocol:

    Deworm puppies and kittens at 2, 4, 6 and 8 weeks of

    age and then again monthly until 6 months of age.

    In kittens,begin biweekly anthelmintic treatment

    between 3 and 9 weeks of age and then treat monthlyuntil 6 months of age.

    Conduct fecal examinations two to four times a year inadult pets,depending on patient health and lifestyle

    factors,and treat with appropriate parasiticides.

    Test for heartworm status yearly in dogs and/or beforestarting preventive medications.

    INTERNAL PARASITES OF DOGS AND CATSINDEX

  • 8/9/2019 Manual de Parasitos Internos

    58/60

    LifeParasites Identification Cycles

    Acanthocheilonema (Dipetalonema) reconditum 6

    Aelurostrongylus abstrusus 26 39

    Ancylostoma caninum 16 40Ancylostoma tubaeforme 17 40

    Cryptosporidium spp. 25

    Dipylidium caninum 10 36

    Dirofilaria immitis 7 41

    Echinococcus spp. 14 37

    Eucoleus (Capillaria) aerophila 26

    Giardia spp. 22 45

    Isospora (Cystoisospora) spp. 23 44

    Paragonimus kellicotti 27

    Pearsonema (Capillaria) feliscati 28Pearsonema (Capillaria) plica 28

    Physaloptera spp. 19

    Taenia spp. 15 38

    Toxascaris leonina 20 42

    Toxocara canis 20 42

    Toxocara cati 20 42

    Toxoplasma gondii 25 46

    Trichuris vulpis 21 43

    Uncinaria stenocephala 18 40

    Pseudoparasites Identification

    Alternaria spp. 30

    Free-living nematode 31

    Grain mite egg 32Planarium 32

    Pollen granules 33

    Spurious Parasite Identification

    Monocystis lumbricior

    Rhynococystis pilosa spore 34

    58

  • 8/9/2019 Manual de Parasitos Internos

    59/60

    INSIDE BACK COVER

  • 8/9/2019 Manual de Parasitos Internos

    60/60

    2004 Novartis Animal Health US, Inc. COR 030022B