Search Results (658)

Cryptosporidium spp. is a widely distributed gastrointestinal pathogen in vertebrates, such as the European wild boar. Furthermore, with a fecal–oral pathway, they might spread through tainted food and water or by direct contact. Related to the presence of this parasite in wild boar populations, the handling of hunted carcasses may be a source of zoonotic transmission. This work aims to evaluate the presence of Cryptosporidium spp. in 10 Portuguese hunting areas in two different locations (Northern and Central Portugal) and to preliminarily assess the risk factors of zoonotic transmission to hunting stakeholders. Cryptosporidium spp. antigens were confirmed by an immunochromatography test in the wild boars’ fecal samples from four of the 10 hunting areas analyzed (one in the North and three in the Southeast of Central Portugal). A qualitative assessment of various potential factors contributing to the persistence of infection in this wild population, but also of zoonotic risk factors related to hygiene procedures and handling of carcasses after hunting actions, was also carried out. With these potentially risky practices, it is imperative to raise awareness and establish a surveillance network in the hunting areas in order to mitigate the potential zoonotic transmission of these pathogenic agents to hunting stakeholders. Full article

Toxoplasma gondii (T. gondi) is a widespread zoonotic parasite that poses a significant threat to global public health, yet effective therapeutic options remain limited. In this study, we found that the flavonoid compound myricetin (MYR) can significantly inhibit the proliferation of T. gondii. This effect is associated with the inhibition of dihydroorotase (TgDHO) activity in the de novo pyrimidine biosynthesis pathway, and this inhibition can be partially reversed by exogenous supplementation with uracil. Further studies revealed that MYR treatment can induce cell cycle arrest in tachyzoites and impair bradyzoite proliferation, concurrently disrupting the UDP-GlcNAc glycosylation of the cyst wall. In mouse models, MYR demonstrated significant efficacy, achieving an 80% survival rate in acute infection and inducing morphological abnormalities in intracerebral cysts during chronic infection. Collectively, these findings elucidate the anti-Toxoplasma activity and multifaceted mechanisms of MYR, providing valuable insights for developing novel therapeutics against toxoplasmosis. Full article

Cystic echinococcosis (CE) is a zoonotic disease caused by the larval stage of the Echinococcus granulosus sensu lato (s.l.) complex. The disease is globally distributed, with particularly high prevalence in Central Asian countries, including Kazakhstan. Despite its significant impact on public health and livestock production, data on CE in sheep in Kazakhstan remain limited. This study investigated the prevalence and genetic diversity of Echinococcus granulosus sensu stricto (s.s.) in sheep across Kazakhstan, addressing an important zoonotic disease affecting both livestock and human health. Over the course of one year, a total of 31,389 sheep were examined, and cystic echinococcosis cysts were collected from the livers and lungs of 550 infected sheep across 14 regions of Kazakhstan. Molecular analyses targeting mitochondrial genes (nad1, cox1) were performed to determine genetic diversity. The results revealed a higher occurrence of CE in the southern regions of the country. Among the genotyped isolates (57), genotype G1 was dominant, accounting for 84.2% (48) of the samples, whereas genotype G3 (9) was detected at a lower frequency in three regions. A total of 11 distinct haplotypes were identified, indicating considerable genetic diversity among the isolates. Haplotype network analysis suggested gene flow among populations and revealed the widespread presence of the most common haplotype (EgKZ-2) across multiple regions. These findings highlight the need for continuous monitoring and targeted control strategies for cystic echinococcosis, emphasizing the importance of understanding parasite genetic diversity for public health interventions and livestock management in endemic areas. Overall, this study contributes to the understanding of the genetic diversity and transmission dynamics of E. granulosus s.s. in Central Asia. Full article

Background: Cystic echinococcosis (CE) is a chronic zoonotic parasitic disease with a significant impact on public health in endemic regions. The liver is the most frequently affected organ, and ultrasound-based surveys are considered a reliable tool for detecting asymptomatic infections. As population-based data specifically addressing hepatic CE prevalence in Türkiye remain limited, we aimed to assess the prevalence of liver cystic echinococcosis in Türkiye using only ultrasound-based surveys. Methods: A systematic review was conducted, in accordance with the PRISMA guidelines, to estimate the prevalence of liver CE in Türkiye based exclusively on ultrasound-based field surveys. Electronic databases (PubMed and Scopus) were searched up to March 2026. Eligible studies included population-based human screening surveys reporting hepatic CE prevalence confirmed via ultrasonography. Data were extracted and descriptively pooled, with subgroup analyses performed according to age group (children vs. adults) and residential setting (urban vs. rural). The protocol was prospectively registered in the International Platform of Registered Systematic Review and Meta-analysis Protocols (INPLASY; registration Number: INPLASY202630029). Only human ultrasound-based screening studies including liver CE data were accepted; alveolar echinococcosis studies were excluded. Pooled prevalence estimates with 95% confidence intervals (CIs) were calculated using a random-effects model, and between-study heterogeneity was assessed with the I² statistic. Results: We analyzed the data of 23,154 people from 11 different provinces reported in 8 studies. The overall pooled liver CE prevalence was 0.31% (95% CI: 0.14–0.54), while it was 0.12% and 0.43% for urban and rural residents, respectively. Adults had higher prevalence of liver CE than children (0.43% vs. 0.16%). When separated by both living area and age, the prevalence rates were as follows: urban children 0.07%, urban adults 0.21%, rural children 0.29% and rural adults 0.60%. Conclusions: This is the first systematic review evaluating the prevalence of liver CE in Türkiye exclusively from ultrasound-based studies. While the overall prevalence of liver CE was 0.31%, adults living in rural areas presented a nearly two-fold higher rate (0.60%). Ultrasound-based screening provides a practical and effective approach for epidemiological surveillance. Targeted control strategies—including community-based screening, health education, and veterinary interventions—are essential to reduce transmission and disease burden, particularly in high-risk rural populations. Full article

Dogs are key reservoirs of zoonotic infections, including Toxocara canis, a widely distributed parasite of major public health concern. In Vietnam, the parasite is highly prevalent in dog populations and humans. Epidemiological studies assessing infection and associated factors are essential to better understand transmission and to inform effective control strategies. We conducted a cross-sectional baseline survey to assess Toxocara infection in dogs in rural Vietnam. Fecal samples from 371 dogs were examined using centrifugal flotation (Sheather’s solution, specific gravity 1.2) and conventional polymerase chain reaction (PCR), alongside structured questionnaires on dog demographics and management. Using combined copromicroscopic and molecular methods, the overall prevalence of Toxocara infection was 44.7% (95% CI: 39.6–50.0). By microscopy alone, 29.9% (95% CI: 25.4–34.9) of samples were positive, while PCR detected Toxocara DNA in 41.2% (95% CI: 36.2–46.5) of dogs. Molecular analysis identified T. canis in 35.9% (95% CI: 31.0–41.0) and T. cati in 10.5% (95% CI: 7.7–14.2) of tested dogs. Dog age and deworming status were independently associated with PCR-detected T. canis infection. The elevated likelihood of infection among dogs that have never been dewormed highlights the importance of canine deworming. Questionnaire findings indicating suboptimal dog care and management highlight the need for community public health education to promote responsible ownership and reduce transmission risk. This baseline assessment provides essential evidence to inform targeted interventions and improve understanding of Toxocara transmission in endemic settings. Full article

Toxoplasmosis, caused by the obligate intracellular parasite T. gondii, is one of the most prevalent parasitic infections worldwide, affecting approximately one-third of the global population. Despite decades of intensive research, no effective human vaccine exists. The only commercially available vaccine, Toxovax, is restricted to veterinary use in sheep and is unsuitable for human application due to safety concerns. Beyond summarizing the literature, this review offers a critical appraisal of why translation has stalled and where the field should focus next. Live-attenuated vaccines remain the most immunogenic in preclinical models but face significant translational barriers for human use. Key antigenic targets include surface antigens (SAG), dense granule antigens (GRA), rhoptry proteins (ROP), and microneme proteins (MIC). Protective immunity relies critically on Th1-type immune responses characterized by interferon-gamma production. Major obstacles include the parasite’s complex life cycle, strain diversity, and difficulty achieving sterile immunity. Subunit and mRNA-based platforms offer more favorable safety profiles and established clinical precedents, representing the most viable pathway toward a human vaccine. Recent advances in CRISPR/Cas9 gene editing and emerging mRNA vaccine platforms offer promising new directions. This review advances the field in three ways. (i) It prioritizes mRNA and adjuvanted subunit formulations targeting multistage conserved antigens as the most realistic near-term human candidates. (ii) It identifies the limited targeting of bradyzoite-stage biology as a principal, under-addressed gap. (iii) It argues that future development must be differentiated into three complementary One Health goals—prevention of congenital disease in humans, reduction in tissue-cyst burden in livestock, and interruption of environmental transmission by vaccinating cats. In practice, a veterinary-first deployment strategy is the most immediate and impactful pathway to reducing the human and zoonotic burden of toxoplasmosis. Full article

The increasing consumption of fish has raised public health concerns regarding fish-borne zoonotic helminths (FBZHs), which are recognized as significant food-borne parasites worldwide. In freshwater environments, Clinostomum complanatum, Opisthorchis felineus, Pseudamphistomum truncatum, Dibothriocephalus latus and Eustrongylides excisus are of particular concern in Italy and neighbouring countries. This study aimed to assess the prevalence of these FBZHs in five commercially and ecologically relevant freshwater fish species from Lake Varese, a heavily anthropized and understudied basin in northern Italy. A total of 59 fish were examined via necropsy and stereomicroscopic inspection of skeletal muscles. Only Eustrongylides spp. larvae were detected, with a prevalence of 16.9%. Molecular analysis (ITS region) identified them as E. excisus. This study reports, for the first time in Western Europe, E. excisus in Sander lucioperca (p = 12.5%) and Esox lucius (p = 8.3%). The highest prevalence occurred in Silurus glanis (p = 37.5%), followed by Perca fluviatilis (p = 25.0%), while Tinca tinca showed no infection. These findings confirm that among the FBZHs considered, E. excisus is currently present and expanding both in host range and geography in Italian lakes, underscoring the need for updated epidemiological data to support risk assessment, food safety and zoonotic parasite control in freshwater fisheries. Full article

Cryptosporidium spp. are common protist pathogens, and the growing popularity of pet rodents raises concerns about their potential role in zoonotic parasites transmission. However, epidemiological data on Cryptosporidium spp. in pet rodents in Yunnan Province is scarce. To examine the occurrence of Cryptosporidium spp. in pet rodents in Yunnan, we collected 762 fecal samples from four rodent species across four cities. Nested PCR and DNA sequencing were used to characterize the species and subtypes of Cryptosporidium. The occurrence of Cryptosporidium spp. in guinea pigs (Cavia porcellus), Siberian dwarf hamsters (Phodopus sungorus), Syrian hamsters (Mesocricetus auratus) and fancy rats (Rattus norvegicus domestica) was 18.7% (80/426), 17.3% (36/207), 12.5% (15/120), 0% (0/9), respectively, with an overall rate of 17.2% (131/762). According to regions, the positivity rate of Cryptosporidium spp. in Zhaotong city, Kunming city, Yuxi city and Qujing city was 21.0%, 17.9%, 16.8% and 10.5%, respectively. In terms of sampling location, the occurrence of Cryptosporidium spp. in pet markets, farms and shops was 19.5%, 18.6% and 0%, respectively. Sequence analysis of the small subunit ribosomal RNA (SSU rRNA) gene identified six Cryptosporidium species/genotypes: Cryptosporidium homai (n = 52), Cryptosporidium wrairi (n = 30), Cryptosporidium sp. hamster genotype (n = 25), Cryptosporidium andersoni (n = 20), Cryptosporidium parvum (n = 5), and Cryptosporidium muris (n = 1). Further subtyping of C. andersoni isolates using multilocus sequence typing (MLST) revealed a single subtype, with all isolates identified as A3A4A2A2. All five C. parvum isolates were identified as subtype IIdA15G1 based on the gp60 gene. Our findings demonstrated the presence of the zoonotic C. parvum IIdA15G1 subtype in pet rodents, suggesting that these animals, particularly hamsters, may serve as reservoirs for human-pathogenic Cryptosporidium species. These results underscore the need for improved biosecurity and husbandry practices in the pet rodent trade to mitigate public health risks. Full article

Alveolar echinococcosis (AE), caused by Echinococcus multilocularis larvae, is a severe zoonotic disease mimicking tumors, primarily affecting the liver with high mortality if untreated. Host immunity plays a pivotal role, shifting from Th1/Th17-mediated clearance to Th2/Treg-driven tolerance, enabling parasite survival. Liver macrophages, including Kupffer cells, polarize towards M2 phenotype under parasite antigens (e.g., phytic acid, exosomes), promoting immunosuppression, fibrosis, and T cell exhaustion via IL-10/TGF-β. This reshapes the tumor-like immune microenvironment with M2 macrophages recruiting Tregs, suppressing NK/DC functions, and fostering angiogenesis/fibrosis. Current treatment remains centered on surgery and benzimidazole therapy, both of which have notable limitations. Experimental immunomodulatory strategies, drug repurposing approaches, and targeted delivery systems may offer future therapeutic opportunities, but these concepts remain largely preclinical, unproven in AE, and require careful evaluation for safety and efficacy. Full article

Cutaneous larva migrans (CLM) is a zoonotic parasitic infection traditionally associated with tropical and subtropical regions. In recent years, autochthonous cases have been reported in various European countries, suggesting a possible change in the epidemiological profile of the disease. We present a case of a patient with no history of international travel who developed a typical serpiginous, migrating skin lesion after local exposure. The diagnosis was made clinically, and treatment with albendazole resulted in rapid clinical improvement. To our knowledge, this is the first published probable autochthonous case of CLM in Bulgaria. The case highlights the role of climate change in expanding the geographical scope of the parasitosis and the need for increased clinical vigilance at the primary care level. Full article

Toxoplasma gondii is a protozoan parasite with high zoonotic potential. Currently, no information is available on natural toxoplasmosis in domestic rabbits in Romania; therefore, the aim of the present study was to evaluate the seroprevalence of T. gondii IgG antibodies and to determine the prevalence of T. gondii DNA in domestic rabbits in our country. In total, 372 domestic rabbits were tested. Blood samples were obtained from 352 animals and tissue samples were obtained from 49 animals, of which 29 animals provided paired blood–tissue samples. Samples were collected from pet rabbits and from rabbits raised in household settings, hereafter referred to as farm rabbits. Sera samples were analyzed using a modified agglutination test (MAT), with a cut-off of 1:24, for anti-T. gondii antibody IgG-type detection, and the tissue specimens were tested by nested polymerase chain reaction (nested PCR) targeting the B1 gene for T. gondii DNA detection. A seropositivity of 16.5% (58/352) was obtained by MAT, while the prevalence of T. gondii DNA was 4.1% (2/49). The present study highlighted the presence of T. gondii in domestic rabbits in Romania, which suggests that rabbit meat consumption may represent a potential risk to human health and therefore warrants further attention. Moreover, to the best of our knowledge, this is the first study to report data on the prevalence of T. gondii in domestic rabbits from Romania. Full article

Toxoplasma gondii and Neospora caninum are closely related apicomplexan parasites of veterinary and public health importance. T. gondii is a zoonotic pathogen for which cats are the definitive host, whereas N. caninum is a major cause of reproductive losses in cattle, with dogs acting as the definitive host. Data on exposure in pet animals in Thailand remain limited. This study investigated seroprevalence and associated risk factors of T. gondii and N. caninum in pet cats and dogs in Pathum Thani Province, an urban area adjacent to Bangkok. Between June 2020 and July 2021, serum samples were collected from 169 owned animals, including 86 cats and 83 dogs, participating in a mobile sterilization program. Antibodies were detected using the indirect fluorescent antibody test (IFAT), and animal characteristics, behaviors, and environmental factors were obtained via owner questionnaires. Serological evidence of exposure to both parasites was detected. Antibodies against T. gondii were detected in 4.73% (8/169) of animals, including 4.65% (4/86) of cats and 4.82% (4/83) of dogs. For N. caninum, the overall seroprevalence was 10.06% (17/169), with a higher prevalence in dogs (15.66%, 13/83) than in cats (4.65%, 4/86). No significant risk factors were identified for T. gondii or N. caninum infection in either cats or dogs (p > 0.05). Full article

Dirofilaria immitis constitutes a significant global veterinary burden and an emerging zoonotic risk. Despite decades of study, the structural evolution of its scientific landscape remains unexplored. This study provides a comprehensive longitudinal analysis of global research on D. immitis to evaluate its trajectory, intellectual structure, and conceptual shifts over the last eight decades. A systematic bibliometric analysis was conducted following PRISMA guidelines adapted for bibliometrics. Data were retrieved from Web of Science Core Collection and Scopus, covering the period from 1945 to 2025. After deduplication and manual screening, a final corpus of 3589 documents was analyzed using performance indicators and science mapping techniques to assess growth patterns, geographic leadership, collaboration networks, and thematic evolution. The field exhibits a mature profile with a sustained mean annual growth rate of 2.39%. Production is geographically polarized, with the United States and Italy acting as the primary research hubs, though international collaboration networks are increasingly integrating endemic regions in the Global South. Thematic analysis reveals a profound paradigm shift: while early research (1945–1980) focused on parasite morphology and clinical description, the 21st century is characterized by a multidisciplinary approach dominated by molecular biology, the study of the endosymbiont Wolbachia, and the genetic mechanisms of macrocyclic lactone resistance. The intellectual structure is currently organized into distinct but interconnected clusters, linking established clinical pathology with emerging genomic and environmental control strategies. Research on D. immitis has evolved from a classical parasitology discipline into a complex biomedical ecosystem aligned with the One Health framework. The persistence of the disease, driven by drug resistance and climate-mediated vector expansion, has catalyzed a transition toward integrative research models. Future control strategies must transcend geographic borders, combining advanced genomic surveillance with ecological modeling to mitigate the impact of this transboundary disease on both animal and human health. Full article

Cryptosporidium spp. and Giardia duodenalis are globally important intestinal protozoa causing diarrheal disease in humans and animals, with significant zoonotic potential. This study aimed to investigate the prevalence, molecular diversity, and potential transmission dynamics of these parasites in humans, livestock, and environmental samples from a rural community in Türkiye using a One Health approach, and to assess their associations with gut microbiome composition. Faecal samples were collected from 124 humans, 305 livestock (cattle, sheep, and goats), and 40 environmental samples (water and mud). Parasites were detected using qPCR and nested PCR, with positive samples genotyped by sequencing. Microbiome profiling was performed using 16S rRNA gene amplicon sequencing. Giardia duodenalis was detected in 12.1% of humans, 17.5% of livestock, and 2.5% of environmental samples, with assemblages A, B, and E identified, including the first detection of assemblage E in a human in Türkiye. Cryptosporidium spp. were found in 8.9% of humans, 19.3% of livestock, and 55% of environmental samples, with C. parvum as the dominant zoonotic species. Microbiome analysis revealed no significant differences in overall diversity. This study provides the first One Health assessment of Cryptosporidium spp. and Giardia duodenalis in Türkiye, emphasizing zoonotic transmission risks linked to livestock and the environment. Full article

Necrotizing (abscessing) lymphadenopathy is a clinically relevant condition with a broad differential diagnosis, including acute bacterial infections, mycobacterial disease, zoonoses, fungal and parasitic infections, autoimmune disorders, and malignancies with central necrosis. Early and reliable differentiation between these causes is important to avoid misdiagnosis and to guide appropriate therapy. This review summarizes the pathophysiological mechanisms, typical imaging features, and diagnostic value of contrast-enhanced ultrasound (CEUS) in necrotizing lymphadenopathy. Representative clinical vignettes illustrate the disease spectrum and correlate CEUS patterns with underlying pathology. The literature review was narrative and based on targeted searches of PubMed/MEDLINE and Google Scholar focusing on CEUS in necrotizing lymphadenopathy. A brief literature overview highlights current evidence, limitations, and research gaps. Conventional B-mode ultrasound (BMUS) and Doppler typically demonstrate enlarged hypoechoic or heterogeneous nodes with reduced central vascularity but lack specificity for necrosis. CEUS provides real-time visualization of nodal microvascular perfusion, which may support clearer differentiation between viable tissue and necrotic or abscess cavities. Common but non-specific CEUS patterns include central non-enhancement with a peripheral hyperemic rim in abscesses, irregular avascular cores in tuberculous lymphadenopathy, patchy non-enhancing areas in autoimmune conditions, and heterogeneous enhancement with ill-defined necrosis in malignant nodes. CEUS can support biopsy targeting, facilitate drainage procedures, and enable radiation-free follow-up. CEUS may offer diagnostic and interventional advantages in the evaluation of necrotizing lymphadenopathy, offering more consistent characterization of nodal necrosis compared with conventional sonography. While most evidence focuses on tuberculosis and malignancy, growing experience with zoonotic and autoimmune diseases suggests broader utility. Most currently available evidence derives from observational studies and small case series, highlighting the need for prospective multicenter validation. Standardization of CEUS criteria, integration into multiparametric ultrasound protocols, and multicenter validation are needed to establish CEUS as a routine component in the diagnostic work-up of necrotizing lymphadenopathy. Full article