Ahmed Nurnabi, Islam Md Nuruzzaman, Islam Md Rafiul, Roy Babul Chandra, Akter Shirin, Talukder Md Hasanuzzaman
Department of Parasitology, Bangladesh Agricultural University, Mymensingh, 2202 Bangladesh.
Bangabandhu Academy for Poverty Alleviation and Rural Development (BAPARD), Kotalipara, Gopalganj, Bangladesh.
J Parasit Dis. 2024 Jun;48(2):336-346. doi: 10.1007/s12639-024-01672-4. Epub 2024 Apr 29.
Fascioliasis is one of the most common foodborne zoonotic infection of ruminants in Bangladesh. To estimate the prevalence and associated risk factors of fascioliasis and extent of liver damage, 825 livers of sheep and goats were randomly inspected during onsite slaughterhouse visiting in Naogaon, Natore, Rajshahi and Joypurhat districts. The overall prevalence of fascioliasis was 25.09% and significantly ( = 0.008) higher in goats (26.11%) than sheep (24.00%). During gross inspection, infected livers were increased in size, fibrosed, fatty, multiple white or reddish necrotic foci on the parietal surface, hard to cut, calcified, and numerous mature and immature flukes were also observed. In histoarchitecture, inflammatory cell infiltration in the hepatic parenchyma and periportal area, fibrous connective tissue proliferation around necrotic area, hyperplastic bile duct, congestion, and primary biliary cirrhosis were seen in acute and chronic fascioliasis. Epidemiological investigations revealed that fascioliasis was higher in goats than sheep. Age, sex, BCS and season were found to have statistically significant associations with fascioliasis in goats. In case of sheep, age (OR = 5.8671; 95% CI: 2.9482-11.6757, < 0.0001), sex (OR = 3.7317; 95% CI: 1.9052-7.3094, < 0.0001), BCS (OR = 6.0346; 95% CI: 1.7986-20.2472, < .0001), and season (OR = 8.2308; 95% CI: 3.9922-16.9693, = < .0001) were also found to have statistically significant associations with fascioliasis. Results of the study can help for molecular epidemiology of fascioliasis in small ruminants to plan fluke control programs for safe food production.
肝片吸虫病是孟加拉国反刍动物最常见的食源性人畜共患感染之一。为了估计肝片吸虫病的患病率、相关危险因素以及肝脏损伤程度,在瑙冈、纳托尔、拉杰沙希和焦伊布尔哈德地区的现场屠宰场参观期间,随机检查了825份绵羊和山羊的肝脏。肝片吸虫病的总体患病率为25.09%,山羊(26.11%)的患病率显著高于绵羊(24.00%)(P = 0.008)。在大体检查中,受感染的肝脏体积增大、纤维化、脂肪变性、脏面有多个白色或红色坏死灶、难以切割、钙化,还观察到大量成熟和未成熟的吸虫。在组织学结构上,急性和慢性肝片吸虫病可见肝实质和门静脉周围区域有炎性细胞浸润、坏死区域周围纤维结缔组织增生、胆管增生、充血和原发性胆汁性肝硬化。流行病学调查显示,山羊的肝片吸虫病患病率高于绵羊。年龄、性别、体况评分和季节被发现与山羊的肝片吸虫病有统计学上的显著关联。对于绵羊,年龄(OR = 5.8671;95% CI:2.9482 - 11.6757,P < 0.0001)、性别(OR = 3.7317;95% CI:1.9052 - 7.3094,P < 0.0001)、体况评分(OR = 6.0346;95% CI:1.7986 - 20.2472,P < 0.0001)和季节(OR = 8.2308;95% CI:3.9922 - 16.9693,P < 0.0001)也被发现与肝片吸虫病有统计学上的显著关联。该研究结果有助于开展小型反刍动物肝片吸虫病的分子流行病学研究,以制定吸虫控制计划,保障食品安全。