Sulfadoxine-pyrimethamine (SP) is the standard of care for Plasmodium falciparum malaria chemoprevention among pregnant women, infants and children. Developing alternative chemoprevention products and other prevention products, such as vaccines and monoclonal antibodies, requires significant investment. However, knowledge gaps surrounding the activity of SP and resistance put these investments at risk. Therefore, we reviewed SP’s combined antimalarial action, including the individual antiplasmodial components, other antimicrobial effects, impact on malaria immunity development and continued effectiveness in settings with high SP resistance. We created a roadmap of non-clinical and clinical evidence to better understand the effectiveness of SP for chemoprevention and inform the development of new prevention tools.

Scabies is a neglected tropical disease caused by the ectoparasitic mite, Sarcoptes scabiei var. hominis (S. scabiei). Common scabies, the most prevalent clinical subtype of scabies, is characterized by pruritus, multiple skin lesions and low mite burden. In contrast, crusted scabies, an extremely contagious variant, is characterized by hyperkeratosis and high mite burden, with or without pruritus. Scabies can be diagnosed based on clinical manifestations, with confirmation obtained through microscopic identification of diagnostic features of S. scabiei. However, owing to the diversity and non-specific nature of its clinical manifestations and insufficient knowledge regarding early-stage clinical manifestations, the diagnosis of crusted scabies continues to be delayed. Herein, we present three cases of scabies with varying degrees of crusting and mite burden. Three patients with physical and microscopic results suggesting scabies were selected for this study. Case 1 had mild crusting and low mite burden, case 2 had severe crusting and high mite burden and case 3 had mild crusting and high mite burden. In this case report, ‘the initial stage of crusted scabies’ refers to the progression from common to crusted scabies. The discussion regarding the diagnostic characteristics of the initial stage of crusted scabies is expected to aid the early diagnosis of crusted scabies.

Brazil has the richest biodiversity of Ergasilidae on Earth, with 76 species in 19 genera. However, several authors suggested that there is still great potential for discoveries, especially regarding genetic data that are still scarce for ergasilids from this region. To expand our knowledge of this taxon, we conducted an integrative study involving morphological (light and scanning electron microscopy) and molecular analyses of ergasilids from fishes sampled in the Pardo River, São Paulo State, Brazil. Two ergasilid species were found, Gamispatulus schizodontis and Rhinergasilus piranhus parasitizing the nostrils of 5 fish species (native and exotic): (i) R. piranhus from Astyanax lacustris; Cyphocharax modestus; Coptodon rendalli; Psalidodon bockmanni; and (ii) G. schizodontis from Serrasalmus maculatus. Additionally, we redescribed R. piranhus herein based on novelties and discrepancies found in the antennules, antennae, body segments and ornamentation of the swimming legs. Novel molecular data of ribosomal (18S and 28S rDNA) and/or mitochondrial (cox 1) genes were provided for both species and the phylogenetic relationships among the ergasilids were tested. Relationships between species/genera are still uncertain in Ergasilidae, but it was possible to verify the formation of 5 well-supported terminal clades – i.e. including a clade formed only by Neotropical species. More molecular data are needed to test this hypothesis, but the clades observed here represent good targets for future taxonomic revisions. The occurrence of R. piranhus specimens in the introduced fish, Co. rendalli can indicate (for the first time) host switching in this parasite species and spillback from native to introduced hosts.

Marine parasites remain understudied in South Africa with little information available on their diversity and the effects these parasites may have on their hosts. This is especially true for parasitic copepods within the family Ergasilidae. Among the 4 genera known in Africa, Ergasilus Nordmann, 1832 is the most speciose with 19 reported species. However, this represents only 12% (19/163) of the global diversity. Furthermore, only 5 known African species are reported from marine environments, and only 1 is reported from the South African coastline. Given the rich biodiversity along this coastline, a high marine parasite diversity could be expected from these shores. As a case study, the Evileye blaasop, Amblyrhynchote honckenii (Bloch), a marine and brackish fish species, was screened for parasites along the South African coastline. This resulted in the discovery of 2 species of Ergasilus new to science (Ergasilus arenalbus n. sp. and Ergasilus chintensis n. sp.), which makes them the second and third ergasilid species reported for tetraodontid pufferfishes worldwide. Although genetically distinct, the 2 newly described species clustered in the same subclade within the Ergasilidae based on 18S rDNA, 28S rDNA and COI mtDNA phylogenies. The newly described species differ morphologically from each other, and their respective congeners based on the size and armature of the antenna; body segmentation; and general ornamentation throughout the entire body. The addition of these 2 new species from a single host species indicates that South Africa's marine fishes contain most probably a hidden parasitic copepod diversity that is worth exploring.

This study investigated the prevalence and genetic diversity of Hydatigera parva in 341 native rodents in a riparian habitat in the Mediterranean part of Spain. Polycephalic larvae were found in 32% of wood mice (Apodemus sylvaticus; n = 84) and 0.4% of Algerian mice (Mus spretus; n = 257) examined, with a significantly higher prevalence in the former. No significant differences in infection prevalence in wood mouse were found between sex and age groups, habitats (agricultural vs natural) or seasons. Genetic analysis of 25 cysts using cox1 sequences revealed low nucleotide (0.00110) and haplotype diversity (0.380), suggesting limited genetic variation. Phylogenetic analysis showed that the studied H. parva isolates were genetically distinct from other species within the genus Hydatigera. The results indicate a lower genetic diversity in European than in African populations, supporting the hypothesis that H. parva was introduced to Europe from Africa, possibly with its final host, the common genet (Genetta genetta), an abundant predator in the study area. This study is the first population genetic study of H. parva in the Iberian Peninsula. It provides insights into the population structure of the parasite and its interaction with rodent hosts, and thereby constitutes an example of the potential identification of an introduction route of a parasite with its definitive host. It also confirms the importance of the wood mouse as an intermediate host for the maintenance of the parasite’s life cycle in Europe and forms the basis for further studies on the distribution and genetic diversity of H. parva.

Gastrointestinal infections constitute a significant global health concern, particularly in tropical and subtropical regions, caused by various pathogens. Among these, Cryptosporidium spp. and Giardia duodenalis are noteworthy due to their zoonotic potential. In Algeria, molecular epidemiological data on cryptosporidiosis and giardiasis are limited. To fill this gap, the present study aimed to examine the transmission dynamics of Cryptosporidium spp., and Giardia duodenalis in various households. A total of 216 samples were collected from the rural Guelma and Souk Ahras provinces, located in the eastern part of Algeria. These included human and animal faeces, as well as water and soil samples. DNA was extracted, followed by nested PCR targeting the SSU rRNA gene to detect Cryptosporidium spp., while the gp60 gene was amplified for subtyping. Detection of G. duodenalis was performed by qPCR targeting the SSU rRNA gene, followed by amplification of tpi, bg and gdh genes for genotyping and subtyping. Several Cryptosporidium species, including C. bovis, C. ryanae, C. andersoni and C. parvum, were identified in human, animal and environmental samples. The zoonotic C. parvum subtype IIaA17G2R1 was detected in human, animal and soil samples. Giardia duodenalis assemblage B was detected in a human sample, while assemblage E was found in cattle and sheep. The current investigation underscores the importance of the One Health approach in addressing issues related to intestinal parasites, highlighting the need for improved surveillance and control measures in rural settings.

Avian Plasmodium parasites can be pathogenic to their vertebrate hosts. Although cases of anaemia are frequently reported in parasitized birds, the potential damage caused by the parasite during the exoerythrocytic reproduction phase remains poorly investigated. Here, we report 2 individuals of red-legged seriemas (Cariama cristata) infected with 2 different lineages of Plasmodium huffi, one of them exhibiting potential malarial-compatible tissue lesions in the spleen, liver, brain and lungs, alongside molecular confirmation of parasite presence in the spleen. Previously classified as specific to birds from the order Piciformes, this parasite has shown different associated lineages amplified across diverse host orders in South America (Anseriformes, Charadriiformes, Columbiformes, Galliformes, Pelecaniformes and Passeriformes). Those infections, however, were defined as abortive due to the absence of gametocytes visualized in blood smear slides. Herein, we confirm P. huffi as a generalist parasite based on the first morphological characterization in the peripheral blood of a bird outside the Piciformes order. This is also the first morphological and molecular description of a Plasmodium species in Cariamiformes. In addition to the morphological analyses, we have also proposed a novel phylogenetic hypothesis based on the partial cytb gene and the near-complete mitochondrial genome of this parasite. Our findings support that the division of the genus Plasmodium into subgenera is not monophyletic, as P. (Huffia) huffi and its associated lineages cluster more closely with Plasmodium (Haemamoeba) gallinaceum than with Plasmodium (Huffia) elongatum.

The nutria was introduced to Europe from South America and kept for the fur industry. This semiaquatic rodent became a well-established species in the Czech Republic; however, it still poses a significant threat to the native fauna, not only as a natural competitor but also as a vector of non-indigenous parasites. Our research aimed to investigate the diversity of endoparasitic helminths in nutria, with a particular focus on assessing the risk posed by helminth species with zoonotic potential. A total of 46 nutria cadavers were collected at 8 locations in the Morava River basin and examined using standard parasitological post-mortem procedures. Additionally, coprological and molecular methods were used to identify the parasites. The presence of 6 helminth species was revealed. The highest prevalence was observed for Strongyloides myopotami (78.3%) and Trichuris myocastoris (37.0%), both of which are host-specific nematodes of nutria. Only 2 trematode taxa were recorded (Echinostoma sp. and a representative of the family Psilostomidae). The presence of alveolar hydatid cysts of Echinococcus multilocularis in the livers of 5 nutria specimens was also recorded. Herein, we provide novel molecular data for each parasite species collected, which is valuable for future phylogenetic analyses. Our findings also demonstrate that nutria in the Czech Republic serve as a carrier of helminths with zoonotic potential, particularly E. multilocularis and S. myopotami. Although the nutria is a relatively new species in local fauna, its synanthropic behaviour raises concerns about potential threats to human health, underscoring the importance of exercising caution when handling these animals.

The occurrence of avian blood protists is affected by multiple factors that include the characteristics of the hosts, the vectors, the parasites, as well as the environmental factors. This study provides an insight into some of the factors that influence the prevalence of avian Lankesterella, neglected but common blood parasites in breeding populations of common passerines. The highest prevalences of Lankesterella infection were observed in 1 great tit (Parus major) population at 63%, 1 blue tit (Cyanistes caeruleus) population at 49% and a sedge warbler (Acrocephalus schoenobaenus) population at 33%. Prevalence was found to be significantly influenced by sampling site followed by host age, species and sex. Julian date had no significant effect on Lankesterella prevalence. Prevalence data from different sampling sites can reveal different patterns and should be combined critically. Higher prevalence in adults suggest that the infections are chronic, which helps the parasite to persist in host populations. The differences between sexes might be related to different exposure to the transmitting vectors (e. g., mites or mosquitoes) during breeding.

In this first report of endoparasites from endemic land-mammals of the Galápagos Islands, we describe a new species of cestode of the genus Raillietina (Cyclophyllidea: Davaineidae) from a species of Nesoryzomys and summarize the extent of helminth parasitism in both oryzomyine endemics and introduced species of Rattus. Up to the current time, no helminth parasites have been reported from rodents of the Galápagos, and little work has yet been done describing and synthesizing Galápagos parasite diversity. In historical times, several species of autochthonous rodents have occupied the islands including: Nesoryzomys narboroughi Heller 1904, N. fernandinae Hutterer and Hirsch 1979, N. swarthi Orr, 1938, and Aegialomys galapagoensis (Waterhouse, 1839). Colonization of the islands by humans brought 3 known species of synanthropic rodents: Rattus rattus, R. norvegicus, and Mus musculus which are suspected to have caused the extinction of at least 3 other oryzomyines in historical times.

Different agencies have emphasized the need to evaluate current serological methods for screening patients with suspected urogenital schistosomiasis. However, there is still a lack of evidence regarding the most appropriate methods for this purpose. Here we assessed the diagnostic efficacy of a newly developed serological technique that utilizes the recombinant protein Sh-TSP-2, applied to the urine and serum of migrants suspected of having urogenital schistosomiasis. The sensitivity, specificity, positive and negative predictive values of an in-house enzyme-linked immunosorbent assay (ELISA) using the recombinant protein Sh-TSP-2 were analysed and compared with other commercial serological methods. Due to the limitations of microscopy as a perfect reference method, a latent class analysis (LCA) and composite reference standard (CRS) approach was used to determine the sensitivity and specificity of each test. According to the LCA model, the commercial tests NovaLisa® and immunochromatography test (ICT) immunoglobulin G–immunoglobulin M (IgG–IgM) presented the highest sensitivity (100%), whereas the Sh-TSP-2 serum ELISA test had 79.2%. The Sh-TSP-2 urine and serum ELISA tests had the highest specificities among the serological methods (87.5 and 75%, respectively). CRS modelling showed that the ICT IgG–IgM, NovaLisa® and Sh-TSP-2 serum tests led in sensitivity at 97.1, 88.6 and 71.4%, respectively, with all tests except that the ICT IgG–IgM test having a specificity >90%. Sh-TSP-2 has been validated as a screening tool for patients suspected of having urogenital schistosomiasis. Although commercial serological tests have shown higher sensitivities, Sh-TSP-2 could be valuable for confirming results from tests with lower specificity. Nevertheless, further studies with larger patient cohorts are necessary to fully verify its potential.

Generalist parasites experience selective pressures from the various host species they infect. However, it is unclear if parasite transmission among host species precludes the establishment of host-specific adaptations and population genetic structure. We assessed the population genetic structure of the vector-transmitted avian haemosporidian parasite Haemoproteus majoris (lineage WW2; n = 34 infections) in a single site in southern Sweden among 10 of its host species. The 2 best-sampled host genera were Phylloscopus (2 species, n = 15 infections) and Sylvia (4 species, n = 15). We designed a sequence capture protocol to isolate 1.13 Mbp (ca. 5%) of the parasite genome and identified 1399 variable sites among the sequenced infections. In a principal components analysis, infections of Phylloscopus and Sylvia species mostly separated along the first 2 principal components. Sites with the highest FST values between the genera were found in genes that have mostly not been implicated in infection pathways, but several sites code for amino acid changes. An analysis of molecular variance confirmed significant variation among host genera, but not among host species within genera. The distribution of Tajima’s D among sequenced loci was negatively skewed, plausibly reflecting a history of bottleneck followed by population expansion. Tajima’s D was lower in infections of Phylloscopus than Sylvia, plausibly because WW2 began infecting Phylloscopus hosts after it was already a parasite of Sylvia hosts. Our results provide evidence of vector-transmitted parasite population differentiation among host species in a single location. Future work should focus on identifying the mechanisms underlying this genetic population structure.

Copepods of the genus Pennella parasitize a wide range of marine animals, including cetaceans, teleosts, and cephalopods worldwide. Their taxonomy is unclear, as there is incongruence between morphological and genetic data and incomplete species coverage. This study provides new morphological and genetic (COI) data from 23 specimens of Pennella cf. filosa (syn. P. balaenoptera) from western Mediterranean whales and a swordfish. First, their position in the phylogeny of Pennella was assessed and species delimitation revisited using all available Pennella COI sequences (n = 189), obtained from Mediterranean and north Pacific specimens from 18 host species (including multiple cetaceans and teleosts). Second, it was investigated whether the geographic location, degree of host vagility, or host taxonomic identity help explain genetic differentiation. Five distinct haplotype groups with varying genetic divergence were distinguished. Although the presence of sibling species cannot be ruled out, species delimitation methods could not find interspecific genetic differences, leaving the taxonomy of the genus unresolved. The observed genetic differentiation could not be attributed to geography or host type. This suggests that members of the genus Pennella show low specificity for definitive hosts and interoceanic dispersal mediated by some vagile definitive hosts. The use of more genetic markers for addressing these questions in the future is encouraged.

Echinococcus granulosus sensu lato is the causative agent of cystic echinococcosis (CE), a globally distributed zoonotic infection. In Guatemala, no new data have been reported for the past 80 years on CE. To address this gap, a cross-sectional study at the municipal slaughterhouse of Quetzaltenango was conducted from March to August 2022 to determine the presence of Echinococcus sp. in backyard pigs. Moreover, the species and haplotypes, fertility status of hydatid cysts, association of fertility of the cysts to the sex of the pig and the size of cysts were investigated. For this purpose, 117 pigs were examined post-mortem, and cysts were extracted from their organs. Species identification was performed using nested polymerase chain reaction targeting the cox1 gene, and a haplotype network was constructed. Generalized linear models (GLMs) were applied to assess correlation between cysts fertility, sex of the pig and diameter of the cyst. The study revealed a high prevalence of 38·46% of CE, and a minimum prevalence of Taenia hydatigena of 4·27%. Genetic characterization confirmed the presence of Echinococcus canadensis of the G7 haplogroup. Eight haplotypes unique to Guatemala were identified, along with one of global occurrence. Cysts from male pigs were 3·6 times more likely to be fertile than those from female pigs. A quadratic GLM determined that cysts with a diameter range of 2·09–4·20 cm had a higher probability of being fertile. The high prevalence of CE and the diversity of Guatemalan haplotypes confirm the endemicity of E. canadensis in this region.

The crayfish plague pathogen Aphanomyces astaci (Oomycota: Saprolegniales) is native to North America but expanded with its crayfish hosts to other regions. In most of its invaded range, A. astaci haplotypes are associated with specific American crayfish, probably due to introduction bottlenecks, but haplotype diversity is higher and clear host-specific associations are lacking in its native range. However, little is known about the infection rate and load of this pathogen in North America. We investigated the distribution, prevalence and genetic variation of A. astaci in Pennsylvania (eastern USA), where multiple native and introduced crayfish species (family Cambaridae) occur. We used A. astaci-specific quantitative PCR to screen 533 individuals representing 8 crayfish species (2 Cambarus and 6 Faxonius) from 49 sites. Faxonius limosus, an American species first introduced to Europe and carrier of A. astaci genotype group E, was of particular interest. We confirmed A. astaci infections in 76% of sites in all but 1 host taxon, with the pathogen infection rate and load comparable to established populations of North American crayfish studied in Europe and Japan. Despite the absence of highly infected hosts, we genotyped A. astaci from 14 sites. We only detected 2 mitochondrial haplotypes, but nuclear markers indicated the presence of at least 4 distinct pathogen genotypes, none documented from invaded areas in Europe or Asia. Genotype group E was not detected in F. limosus, possibly due to limited spatial distribution of the original strain. Our results highlight both benefits and limitations of combining multiple pathogen genotyping methods.

Members of Sinistroporomonorchis Wee, Cutmore, Pérez-del-Olmo & Cribb, 2020 represent a small group of trematodes belonging to the Monorchiidae Odhner, 1911 with 5 species described from mugilid hosts. Specimens consistent with the generic concept of Sinistroporomonorchis were obtained from Floridichthys polyommus (Cyprinodontidae); most of them were juveniles from 4 localities within the Yucatán Peninsula. After a detailed morphological examination including scanning electron microscopy images and a principal component analysis, the specimens collected represented a new species, Sinistroporomonorchis bolini n. sp. The new species can be differentiated by the presence of an overall large pharynx including the proportion of pharynx width to oral sucker width, a uterus arranged in 2 main lateral fields, and by presenting robust caeca. In addition, sequences of the 28S of large subunit of nuclear ribosomal RNA and cox1 of the mitochondrial DNA were obtained. Phylogenetic trees inferred from each dataset, placed all the specimens in a monophyletic clade, confirming that the isolates belonged to the same species. The new species is the sixth described for the genus Sinistroporomonorchis, the fifth described from the Yucatán Peninsula and the first described from a non-mugilid host.

Birds possess the most diverse assemblage of haemosporidian parasites, although the true diversity is unknown due to high genetic diversity and insufficient sampling across all avian clades. Waterfowl (Order Anseriformes) are an ideal group to discover hidden parasite diversity and examine the role of host ecology in parasite transmission. Waterfowl contain 2 distinct feeding guilds, dabbling and diving, which differ in niche utilization that likely alters vector encounter rates and haemosporidian parasite risk. To determine the role of feeding guild in haemosporidian parasitism we analysed 223 blood samples collected by hunters from the upper Midwest of the United States from 2017 to 2019. Fifty-four individuals were infected by haemosporidian parasites (24·2% prevalence). Infection prevalence differed significantly between dabbling (34·9%, n = 109) and diving (14·0%, n = 114) ducks. Feeding guild was the only host trait that could predict haemosporidian infection risk, with a significantly higher risk in dabbling ducks. Twenty-four haemosporidian lineages were identified, with 9 identified for the first time. Thirteen lineages were found only in dabbling ducks, 5 only in diving ducks and 6 in both feeding guilds. Community analysis showed that each feeding guild harboured a unique parasite community. There was no phylogenetic signal of feeding guild within a phylogenetic reconstruction of North American waterfowl haemosporidian lineages. Our results demonstrate that waterfowl contain a diverse and distinct community of haemosporidian parasites. The unique composition of each feeding guild determines not only haemosporidian infection risk but also community structure. This is the first report of such an impact for waterfowl feeding guilds.

The rat lungworm Angiostrongylus cantonensis is a zoonotic metastrongyloid nematode, currently considered an emerging pathogen approaching Europe. In tropics and subtropics, it is an important food-borne neurotropic parasite of medical and veterinary importance. Sources of infection for mammals and birds include gastropod intermediate hosts and poikilothermic vertebrates (paratenic hosts). To evaluate the relevance of reptiles in the rat lungworm circulation, we performed an experimental series focused on long-term survival of third stage larvae (L3) of A. cantonensis in reptiles and potential of saurians to serve as a source of infection for further hosts. Twenty leopard geckos (Eublepharis macularius) were infected with varying doses of L3 (100, 1000, 10 000 larvae per animal). Live L3 were collected from all infected geckos (mostly in musculature and liver) euthanized 1–6 months after the infection and were proven to be infective for Wistar rats (definitive hosts). Three sacrificed geckos were subsequently fed to three corn snakes (Pantheropis guttatus) to test hypothesis of L3 infectivity for predators positioned higher in the food chain. Snakes were euthanized 1 month post-infection and live L3 were detected predominantly in the intestinal wall. The animals remained clinically healthy throughout the study. No reptiles showed significant changes in haematological and biochemical blood parameters, though elevated CK and GLDH were observed in most geckos in the group receiving higher infectious dose. This study highlights the significant potential of reptiles to play a crucial role in the circulation of metastrongyloid nematodes in food web and in their transmission to humans.