Institute of Parasitology, Vetsuisse-Faculty, University of Zurich, Winterthurerstrasse 266a, CH-8057 Zurich, Switzerland.
Vet Parasitol. 2014 Jan 17;199(1-2):116-20. doi: 10.1016/j.vetpar.2013.09.023. Epub 2013 Sep 27.
Taenia crassiceps is a cestode parasite that uses carnivores as definitive hosts and rodents and rabbits as main intermediate hosts, but other animal species and humans may also get infected. One adult male chinchilla (Chinchilla lanigera) from an animal shelter in Switzerland presented widespread subcutaneous fluctuant swellings extended over the forehead, nose, face and thoracic regions with a progressive growth over 3 months. The thoracic swelling was surgically resected, and it consisted of numerous 3-4mm small transparent vesicles, mainly confined to the subcutaneous tissue, which were morphologically identified as cysticerci of T. crassiceps. The diagnosis was confirmed by PCR and DNA sequence analysis of fragments of the mitochondrial small subunit rRNA and NADH dehydrogenase subunit 1 genes. After 1.5 months, due to enlargement of the swollen areas and deterioration of the general health condition, the chinchilla was euthanized and a necropsy was performed. Thousands of small cysticerci were observed widespread in the subcutis, involving underlying musculature of the whole body, in the thoracic cavity, larynx, pharynx and in the retropharyngeal region. Additionally, three larger metacestodes were detected in the liver and morphologically and molecularly identified as Taenia taeniaeformis strobilocerci. The present case represents an indicator of the environmental contamination with Taenia eggs, highlighting the risk of infection for susceptible animals and humans. Besides the clinical relevance for pets, T. crassiceps is a zoonotic parasite and can be also cause of severe cysticercosis in humans.
多头绦虫是一种绦虫寄生虫,它以肉食动物为终末宿主,以啮齿动物和兔子为主要中间宿主,但其他动物物种和人类也可能被感染。一只来自瑞士动物收容所的成年雄性龙猫(Chinchilla lanigera)出现广泛的皮下波动肿胀,延伸至额头、鼻子、面部和胸部区域,在 3 个月内逐渐增大。胸部肿胀通过手术切除,它由许多 3-4mm 的小透明囊泡组成,主要局限于皮下组织,这些囊泡被形态学鉴定为多头绦虫的囊尾蚴。通过聚合酶链反应(PCR)和线粒体小亚单位 rRNA 和 NADH 脱氢酶亚单位 1 基因片段的 DNA 序列分析确认了诊断。1.5 个月后,由于肿胀区域的增大和整体健康状况的恶化,龙猫被安乐死并进行了尸检。数千个小囊尾蚴广泛分布于皮下组织,涉及全身的皮下肌肉,胸腔、喉咙、咽和咽后区域。此外,在肝脏中还检测到三个较大的多头绦虫,形态学和分子学鉴定为阔节裂头绦虫的实尾蚴。本病例代表了绦虫卵环境污染的一个指标,突出了易感动物和人类感染的风险。除了对宠物的临床意义外,多头绦虫是一种人畜共患寄生虫,也可能导致人类严重的囊尾蚴病。