Definition
Parafilariasis is a vector-borne parasitic infection of cattle and
buffalo caused by the filaroid nematode Parafilaria bovicola. The disease is
characterized by hemorrhagic nodules on the skin of cattle and subsequent bruise-like
lesions in subcutaneous and intramuscular tissues of affected carcasses (1,2,3,4).
Etiology
The parasite species P. bovicola belongs to the family
Filariidae, subfamily Filariinae, genus Parafilaria (1). The parasite female is 5
to 6 cm long and 500 mm wide, and the male is half that size.
Host Range
No age, sex, or breed preference of cattle and buffalo has been
noted in cases exposed to P. bovicola. Bleeding points are more easily recognized
in light-colored breeds like the Charolais, and therefore positive cases are reported more
often in these breeds.
Geographic Distribution
Parafilaria bovicola was first described in 1934 by M. A.
Tubangui from the Philippines (6) and has since been identified on all the major
continents except Australia and South America. Parafilariasis in cattle has also been
reported from India (1934); U.S.S.R. (1941); Tunisia and Morocco (1935) (7);
French-speaking west Africa, Nigeria, and east Africa (8); Rwanda (1949); Burundi, South
Africa (1964); Romania (1949); Bulgaria and France (9); Sweden (5,10); and most recently
from Pakistan (20). The source of introduction in Sweden was probably Charolais cattle
imported from France in 1969 and 1970, for the parasite was earlier recovered from
Charolais cattle imported from France into Canada in 1966 (5,21,22). The parasite was not
transmitted from the imported cattle to indigenous cattle in Canada (21,22). P.
bovicola has not been reported in the United States.
Transmission
Vector-borne diseases, such as parafilariasis in cattle, are
restricted to certain geographical regions that coincide with those of their vectors.
Although the parasite is not presently known in the United States, a real threat exists to
the beef industry, because of the presence of the face fly, Musca autumnalis.
Experimental transmission studies carried out in Sweden demonstrated that face flies
obtained from the United States are capable of serving as biological vectors of P.
bovicola, as is the European face fly (15).
Investigations in South Africa have shown that the licking flies, Musca
xanthomela, M. lusoria, and M. nevilli species are vectors of P.
bovicola (7,11,12,13). A preliminary research note from India suggests another licking
fly, M. vitripennis, may also act as a vector for P. bovicola (14).
Results of experimental transmission in calves indicated that
positive cases were observed following inoculation by the intraconjunctival route, whereas
calves exposed by the subcutaneous route did not develop lesions (15). This correlates
with reported findings that M. autumnalis feeds primarily on eye secretions
(11,18). However, experimental infections and intraconjunctival routes have been reported
by others (9,11).
The spread of P. bovicola to new localities may occur in
several ways. Infected vectors may move actively or passively (livestock trade) to new
sites, or the infected bovine may be moved to virginal geographic areas (16,17,29).
The developmental period of the parasite extends from the time
vector flies feed on bleeding points of parafilaria-affected cattle during the pasture
season to the time bleeding points first appear in February (3,15). Later in the year,
only sterile or calcified nematodes, or both have been found in healing or healed lesions
(3). Also, forth-stage larvae from new infections are found (5). These observations
indicate that adult parasites seem to die off after oviposition and do not survive into
the next season and that affected animals are newly infected every year (5,28). This is an
important fact when considering parasite control (Fig. 85).
Life Cycle
The life cycle of P. bovicola begins when flies feed on the
bleeding points of parafilariasis-affected cattle and ingest infective microfilariae
(first-stage larvae). These flies then become the intermediate host.
After 11 days in South Africa (11) and 20 days in Sweden (15), the
microfilariae develop in the fly into infective third-stage larvae (12). These larvae are
infective for cattle on which the vector flies subsequently feed. The developmental period
in cattle from the infective third stage larvae to mature adult Parafilaria is 9 to
10 months under Swedish conditions. This is comparable to the 7 to 10-month period
reported from South Africa (7), which suggests that the prepatent period of the parasite
under Swedish conditions might be longer than in South Africa owing to differences in
climate (5,15,19) (Fig. 82).
Viljoen (9) has subsequently shown that the third molt takes place
about 7 days after infection and the fourth molt at approximately 65 days after infection.
After 135, days the fifth-stage larva is adult; oviposition starts about 240 days after
infection (9). The parasites produce subcutaneous nodules in the superior parts of the
body, particularly the head and neck, the withers, the shoulders, and the sides of the
body. Several hours after the appearance of the nodule, the female makes an opening about
0.5 to 1 mm in diameter on the summit. Generally, the nodules develop rapidly and within a
few hours exude blood that coagulates, matting the hair in the region. The bleeding stops
within 24 to 48 hours, and another nodule may develop in the vicinity of the first one and
produce the same sequence of events (Fig. 83).
Later in the year, only sterile or calcified nematodes, or both are found in healing or
healed lesions (3). These observations indicate that adult parasites seem to die off after
oviposition and do not survive into the next season, and that affected animals are newly
infected every year (5,28).
The reservoir of infection in Sweden is the infected cow herd,
where the presence of infection does not present an economic problem for the farmer,
because there are few condemnation losses of cows at slaughter owing to the minimal
lesions caused by the parasite in adult cattle (5,26). Direct economic losses exist for
beef producers who have limited their production to raising young bulls and steers for
market. These become infected on initial pasture exposure to flies containing P.
bovicola infective larvae. At this time the cattle weigh from 300 to 400 kg and are 1
to 2 years of age. Three to nine months later (December through July) the infections
result in a high percentage of condemnations and substantial economic losses. However,
these animals are not important as reservoirs of infection under the present Swedish meat
production system, for they do not normally survive through two subsequent pasture seasons
(29).
Clinical Signs
Clinical signs are mild and rather characteristic. Female P.
bovicola, which live in the subcutaneous tissue, lay eggs on the surface of the skin,
reaching this position by penetrating the dermis and epidermis. As the female pierces the
skin at the neck and back of the bovine, a trickle of bleeding becomes visible for some
minutes or even hours. In the live animal the condition is characterized by the appearance
of swollen, painful hemorrhagic nodules on the skin (40 mm in diameter and 10 mm in depth)
as a result of the female penetrating the skin. Before penetration by the female, the
nodules are 12 to15 mm in diameter and 5 to7 mm in height (9) (Fig. 84).
Lesions and cutaneous bleeding points caused by the parasite
appear in a seasonal pattern in the Northern Hemisphere, starting in December and
February, respectively, and lasting through the first half of the calendar year. After
this they gradually disappear (3,5). In the Southern Hemisphere, on the African continent,
this reportedly occurs in a similar but reversed seasonal pattern in the period from June
to January (23). The developmental period of the parasite to sexual maturity coincides
with vector fly activity during the pasture season (May to September) in Sweden, and
results in this seasonal occurrence of bleeding points and lesions detected at slaughter.
Gross Lesions
Subcutaneous lesions on the carcasses of affected cattle look
remarkably like bruises caused by handling and transport before slaughter (Fig. 85). Acute lesions have an opaque yellow-green
appearance. Edematous areas are intermingled by clearer areas with petechiae in the
subcutaneous tissue, on the fascia, and in the superficial muscle layers (Fig. 86). Chronic lesions have a greenish, dirty brown
appearance because of eosinophilic infiltration of the inflammatory tissue (2,5,15,24,25).
Morbidity and Mortality
Retrospective studies in Sweden revealed parafilarial lesions at
slaughter in 35 percent of the young cattle from herds exposed to face flies on pasture
during the year preceding slaughter. However, parafilarial lesions were not found in
cattle from herds managed indoors and not exposed to face flies (15).
Diagnosis
Field Diagnosis
A provisional diagnosis is usually made by clinical examination
(cutaneous bleeding points) in endemic areas. However, many bleeding foci remain
undetected, and therefore, many of infected animals are not diagnosed (Fig. 87).
Specimens for Laboratory
To help confirm a diagnosis of parafilariasis in cattle, collect
blood for serum and blood (fresh or dried) from a cutaneous bleeding point of a suspicious
case into a suitable container holding 1 ml of 0.85 percent saline solution. The specimens
should be kept cool during transport to the laboratory. In addition, a biopsy of a skin
lesion can be submitted in 10 percent formalin.
Laboratory Diagnosis
The blood collected from the cutaneous bleeding point should be
transferred to a centrifuge tube and centrifuged at 400 gravities for 10 minutes. The
pellet should then be examined microscopically for the characteristic eggs containing
microfilariae or free microfilariae, or both, which are 200 to 300 mm wide.
A serologic enzyme-linked immunosorbent assay (ELISA) test has
been developed (26) and evaluated (27) to diagnose P. bovicola infection reliably
in living animals. Significant diagnostic titers appear approximately 3 months after
exposure.
Differential Diagnosis
In live cattle, the focal cutaneous hemorrhages resemble injury by
thorns, wire, biting flies, or ticks. Identification of microfilariae in cutaneous
bleeding lesions establishes the diagnosis of parafilariasis. Subcutaneous lesions on
carcasses of affected cattle resemble bruises due to trauma. Parafilaria-induced lesions
can easily be differentiated from bruises by the presence of an eosinophilic infiltrate
and by isolating the nematode.
There are other nematodes belonging to the Filarioidea superfamily that cause tissue lesions in cattle, namely the Onchocerca species.
However, in contrast to Parafilaria, the Onchocerca species cause neither
extensive edema and discoloration of subcutaneous tissues nor intermuscular and
intramuscular lesions (5). O. gutturosa causes a green-colored inflammation, but
this is mainly restricted to the nuchal ligament and knee-joint tendon (5).
Treatment
Ivermectin has been used successfully in the Union of South Africa
to reduce the number and surface area of Parafilaria lesions and the weight of
tissue trimmed from affected carcasses (31-34). Similar results have been reported from
Pakistan (11) as well as from Burundi (35) and Sweden (30,34). A single dose of 200 µg/kg
reduced the number of subcutaneous lesions by 88.2 percent, the total lesion area by 98.7
percent and the mass of tissue trimmed from carcasses by 98.8 percent at slaughter 83 days
posttreatment (30).
Nitroxynil is an effective anthelmintic at a dose of 20 mg/kg
repeated 3 days later. Lesion area was reduced by 95 percent and visible carcass lesions
by 90 percent. High doses of levamisole and fenbendazole given daily for 4 to 5 days have
also been used (23,24,36).
Control and Eradication
Elimination of infective P. bovicola from cattle before
they leave the exporting country would be the method of choice in preventing the entry of
parafilariasis into free areas such as the United States. Availability of the diagnostic
serologic ELISA test makes possible testing of cattle in P. bovicola endemic areas
(26,27). Cattle on pasture should be tested about 3 months after the pasture season ends.
If tested earlier, a retest should be done at least 3 months after the pasture season
ends. Seropositive animals should be considered to have been infected with P. bovicola during
the previous pasture season. The following recommendations are offered for buyers and
sellers of livestock in Sweden (30):
1. Calves should be sold during the period October 1 to April 30
if they are born between October and March.
2. The trade of young livestock and older cattle can take place
according to the following alternatives:
a. Serological control.
The animal can he sold during the period December 1 to April 30 if
the animal tests negative on serology. If the animal tests positive, the animal can be
sold if treated according to alternative b.
b. Treatment with Ivermectin.
During the period May 1 to November 30, the animal can be sold if
it is treated with ivermectin in the herd of origin (seller) in conjunction with the sale
and is treated in the herd of destination (buyer) 1 month before being released onto
pasture. This later treatment can be abolished if serologic testing of a sample taken
between December 1 and April 30 is negative.
c. Animals kept stabled for the entire pasture season.
Animals can be traded during the period October 1 to April 30 if
it can be guaranteed that the animal has not been on pasture during the previous pasture
season.
Experience from South Africa indicated that treatment with
ivermectin reduces bleeding points 14 days after a single treatment using 200 µg/kg.
These trials indicated that ivermectin has a substantial effect on the reduction of Parafilaria lesions most probably as the result of activity against the adult worm. Further
work is required to ascertain whether this activity includes the preadult stages (31).
For import into a P. bovicola-free area such as the United
States, where the vector fly M. autumnalis is abundant, it is highly recommended
that animals be serotested in the country of origin before export. Specific guidelines
regarding live animal trade between endemic and P. bovicola-free areas have been
developed in Sweden (30). Guidelines are constantly being updated as changes in the
disease situation occur.
Vector control measures against M. autumnalis as a method
to control P. bovicola have had limited success in breaking the infection cycle in
endemic areas. Because this fly occupies vast areas and remains for only a short time at
the host, control has been inadequate with conventional methods of repeated application of
insecticidal sprays as well as the use of self-application devices such as dust bags and
oilers. Good vector control over the entire period of P. bovicola transmission will
lead to control of the parasite, as reported by Nevill et al. (34). They used weekly to
fortnightly dipping of all cattle with a pyrethroid spray-wash containing 2.5 percent m/v
delmethrin. All cattle were sprayed with 50 ppm delmethrin in a spray race weekly from
August to April (9 months). Another approach of using pyrethroid-impregnated eartags or
spot treatments with pyrethroids aimed at control of the face flies found around the head
has been reported from Sweden (34), where Parafilaria bovicola control was achieved
in a 260 km2 area by treating all 2,600 cattle with a fenvalerate-impregnated eartag in
each ear. The use of insecticide-impregnated cattle eartags reportedly reduces the number
of face flies around tagged livestock (18,37-39).
Public Health
Humans are not known to be susceptible to P. bovicola.
GUIDE TO THE LITERATURE
1. SOULSBY, E.J.L. 1982. Helminths, Arthropods and Protozoa of
Domesticated Animals. 7th ed, Bailliere,and Tindall,eds., Philadelphia: Lea and
Febiger, . p. 313
2. PIENAAR, J.G., and VAN DEN HEEVER, LOO. 1964. Parafilaria
bovicola (Tubangui 1934) in came in the Republic of South Africa. J. S. Afr. Vet. Med.
Assoc., 35:181-184.
3. BECH-NIELSEN, S., SJOGREN, V., and LUNDQUIST, H. 1982 Parafilaria bovicola (Tubangui 1934) in cattle: Epizootiology disease occurrence. A. J. Vet.
Res. 43:945-947.
4. SOULSBY, E.J.L.1965. Nematodes of the Skin of Cattle -Parafilaria
bovicola. In: Textbook of Veterlnary Clinical Parasitology, Vol. l. Helminths,
Blackwell Scientific Publications, p. 755-758.
5. LUNDQUIST, H. 1983. Parafilaria bovicola (Tubangui 1934)
established in Sweden. Nord. Vet. Med., 35:57-68.
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Philippines. Bureau of Science. II. Filarioidea. Philipp. J. Sci., 55:115-122..
7. NEVILL, E.M. 1975. Preliminary report on the transmission of Parafilaria
bovicola in South Africa. Onderstepoort J. Vet. Res., 42:41-48.
8. SCHILLHORN VAN VEEN,T.W. 1982. Michigan State University,
personal communication.
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bovicola and its pathogenesis in cattle, Ph.D. thesis. Department of Parasitology,
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en arbetsgrupp (in Swedish). Sven. Veterinartidning (Stockholm), 30:785-787.
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bovicola to cattle using Musca species (Subgenus Eumusca) as
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1981.
13. NEVILL, E.M., and SUTHERLAND, B. 1987. The colonization and
life-cycles of Musca lusoria, Musca Xanthomelas and Musca nevilli,
vectors of Parafilaria bovicola in South Africa. Onderstepoort J. Vet. Res.,
54:607-611.
3. BECH-NIELSEN, S., SJOGREN, V., and LUNDQUIST, H. 1982 Parafilaria bovicola (Tubangui 1934) in cattle: Epizootiology disease occurrence. A. J. Vet.
Res. 43:945-947.
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bovicola. In: Textbook of Veterlnary Clinical Parasitology, Vol. l. Helminths,
Blackwell Scientific Publications, p. 755-758.
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established in Sweden. Nord. Vet. Med., 35:57-68.
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26. SUNDQUIST, B., ZAKRISSON, G., BECH-NIELSEN, S., and BIANCO,
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Steen Bech-Nielsen, D.V.M., Ph.D., Professor, Maglebjergvej 4,
3200 Helsinge, Denmark
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