Amphistomiasis

Amphistomiasis

Amphistomiasis is caused by Amphistomes (Stomach flukes or Conical flukes).

Trematodes causing Amphistomiasis in Animals
Trematodes causing Amphistomiasis in Animals

Morphology

  • Small, conical in shape & pink in colour.
  • Eggs are thin shelled, oval shape, distinct operculum with a small knob at the posterior end.

Epidemiology

  • Animals are reared in extensive systems of management are more susceptible.
  • Animals are grazing near pond area/ other natural resources, especially during drier months are more susceptible.
  • The palatable grazing, concentration of cattle, snail and metacercariae over small area leading to heavy infections.
  • Incidence of disease is high during summer months with high rain fall.
  • Young animals are highly susceptible than adult.
  • Preinfection – give resistant.

Life cycle

Life cycle of Amphistomes
Life cycle of Amphistomes

Pathogenesis

Immature flukes (Pitto)

  • Immature flukes embedded in mucosa of duodenum and upper ileum, plug feeder of mucosa (drawing piece of mucosa into the sucker) causes haemorrhages and necrosis.
  • In heavy infections it causes frank haemorrhagic dueodenitis.

Clinical manifestation

  • Severe enteritis with enormous number of migrating flukes in the dueodenum.
  • Profuse persistent fetid watery diarrhoea, increased thirst and drink more water.
  • Marked weakness, depression, dehydration and anorexia.
  • Submaxillary edema with pallor of mucosa.
  • Anemia and hypoprtoteinemia.
  • Dry rough hair coat.

Necropsy Findings

  • Subcutaneous oedema.
  • Accumulation of fluid in the body cavities.
  • Presence of large no. of flesh colour worms in the intestine (dueodenum).
  • Gigantocotyle explantatum- superficial haemorrhage in the bile duct and gall bladder at the attachment.
  • In heavy infection- liver is pale and shows some degree of fibrosis.

Diagnosis

  • Based on  grazing history and clinical signs.
  • Faecal examination.
  • Presence of immature worms in  fluid faeces.
  • At post mortem-presence of large number of brownish pink parasites on intestinal mucosa.

Treatment

  • Oxyclozanide – 18.7 mg / kg for two days (Immature & Mature – 100 % effective).
  • Bithionol sulphoxide – 40 mg/ kg (activity against Immature – 100%).
  • Resorantol – 65 mg / kg (Immature – 65% &Mature – 100%).
  • Niclosamide – 90 mg / kg (Immature – 99.9% &Mature – 8%).
  • Niclofolan – 6 mg / Kg (Immature – 96% & Mature – 43%).
  • Hexachlorophene – 20 mg/ kg – single dose.
  • Rafoxanide @7.5-10 mg/kg.
  • Resorantol and Oxyclozanide are the drug of choice for both immature and mature Amphistomes.

Control

  • Avoid grazing near pond area.
  • Prevent access of natural water resources by fencing.
  • Provide wholesome water supply at convenient places.
  • Drainage of water pools & swampy area.
  • Snail control.
  • Prophylactic deworming.

Control of Snail

  • Physical – Improving drainages.
  • Chemical – Applying molluscicides.
  • Copper sulphate – 1 in 1,00,000 solution for water reservoir.
  • Copper sulphate powder – 10 – 35 kg / hectare, applied along with sand for easy application and Sheep are not allowed to graze until rainfall occurs.
  • N-tritylomorpholine – 0.45 kg/ 680 litres / hectare applied during spring or mid summer season.
  • Biological- rearing of ducks, geese and frog in infected water sources prey the snail.
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