Abstract
Dirofilariasis is the predominant emerging zoonotic filariasis in the world. The two most frequent filarial worms that infect dogs are Dirofilaria repens and Dirofilaria immitis. This study reports filariasis among dogs brought to the Veterinary Teaching Hospital (VTH) at the University of Peradeniya and signifies the first molecular characterization of D. repens, responsible for an emerging zoonotic filarial disease in Sri Lanka. Blood samples were collected and were morphologically analyzed using Modified Knott’s Technique, followed by molecular analyses. The difference in filariasis prevalence among gender, breed, and age categories was analyzed using a chi-square test. Infection intensities were analyzed using the Mann–Whitney U test and the Kruskal Wallis test. The dogs were brought to the clinic for either vaccination and/or for a regular checkup, and most were sick having non-specific clinical signs. Among the 87 dogs tested, 27.6% were positive for Dirofilaria. Conventional PCR and bi-directional sequencing of genomic DNA of microscopically tested positive samples revealed that the species in Sri Lanka was D. repens. The infection was significantly higher in males (39.1%) than in females (14.6%; χ2 = 0.447, p = 0.011), though it is not significant between puppies (age < 1 year) and adult dogs. More crossbred dogs were infected compared to older and purebred dogs. There was no difference in intensity of infection based on their gender, age, or breed. Sequences obtained from the current study were unique and were only 63% identical to those of D. repens reported from South India. The high number of Dirofilaria infections in domestic dogs indicates a potential reservoir for emerging human dirofilariasis cases in Sri Lanka. Thus, morphological and molecular diagnosis, along with epidemiological assessment of these zoonoses, is critical for the formulation of effective public health programs and control mechanisms.
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References
Abdul Cader MHM, Tharumarajah K, Rajendran K (1966) Filarial infection in domestic cats in Ceylon. Bull Indian Soc Malar & Other Commun Dis 3:155–158
Abeysinghe AHMGB, Jiffry RAM, Perera WMM (2018) Human subcutaneous dirofilariasis: an increasing phenomenon in Sri Lanka. Sri Lanka J Surg 36:35. https://doi.org/10.4038/sljs.v36i1.8480
Alsarraf M, Levytska V, Mierzejewska EJ, Poliukhovych V, Rodo A, Alsarraf M, Kavalevich D, Dwużnik-Szarek D, Behnke JM, Bajer A (2021) Emerging risk of Dirofilaria spp . infection in Northeastern Europe : high prevalence of Dirofilaria repens in sledge dog kennels from the Baltic countries. Sci Rep 1–8. https://doi.org/10.1038/s41598-020-80208-1
Annual Health Bulletin (2015) Sri Lanka. (2017). Medical Statistics Unit, Ministry of Health, Nutrition and Indigenous Medicine. Nutrition and Indigenous Medicine 30:1–208
Bamorovat M, Sharifi I, Harandi FM, Nasibi S, Sadeghi B, Khedri J, Mohammadi MA (2017) Parasitological, serological and molecular study of Dirofilaria immitis in domestic dogs, southeastern Iran. Iran J Parasitol 12:260–266
Boonyapakorn C, Srikitjakarn L, Morakote N, Hoerchner F (2008) The epidemiology of Dirofilaria immitis infection in outpatient dogs at Chiang Mai University small animal hospital, Thailand. Southeast Asian J Trop Med Public Heal 39:33–38
Borthakur SK, Deka DK, Islam S et al (2015) Prevalence and molecular epidemiological data on Dirofilaria immitis in dogs from Northeastern States of India. Sci World J 2015:1–7. https://doi.org/10.1155/2015/265385
Brunet K, Catroux M, Yera H et al (2020) Photo Quiz : Migrating Worm Naturally Exited through the Palate. J Clin Microbiol 58:1
Byeon KH, Kim BJ, Kim SM et al (2007) A serological survey of Dirofilaria immitis infection in pet dogs of Busan, Korea, and effects of chemoprophylaxis. Korean J Parasitol 45:27–32. https://doi.org/10.3347/kjp.2007.45.1.27
Chandrasekharan NV, Karunanayake HE, Franzen L et al (1994) Dirofilaria repens: cloning and characterization of a repeated DNA sequence for the diagnosis of Dirofilariasis in dogs, Canis familiaris. Exp Parasitol 78:279–286
Chandrasena TGAN, Premaratna R, Mallawaarachchi CH et al (2019) The diversity of human Dirofilariasis in Western Sri Lanka. Biomed Res Int 2019:1–7. https://doi.org/10.1155/2019/9209240
Cimpan AA, Baneth G, Nachum-Biala Y et al (2022) Dirofilaria repens predominates in shelter dogs from South Romania. Comp Immunol Microbiol Infect Dis 84:101793. https://doi.org/10.1016/j.cimid.2022.101793
Ciocan R, Dărăbuş G, Igna V (2010) Morphometric study of microfilariae of Dirofilaria spp. on dogs. Bull Univ Agric Sci Vet Med Cluj-Napoca - Vet Med 67:45–49. https://doi.org/10.15835/buasvmcn-vm:67:2:5920
Courtney CH, Zeng QY (2001) Relationship between microfilaria count and sensitivity of the direct smear for diagnosis of canine dirofilariosis. Vet Parasitol 94:199–204. https://doi.org/10.1016/S0304-4017(00)00377-0
Dasanayake R, Balendran T, Atapattu D, Iddawela D (2022) A study on canine dirofilariasis in selected areas of Sri Lanka. BMC Res Notes 15:1–6. https://doi.org/10.1186/s13104-022-06024-0
De Silva GPUP, Udugampola DS, Ekanayake EMIB et al (2021) An underrated differential diagnosis for subcutaneous lumps : 26 cases of subcutaneous Dirofilariasis. Sri Lanka J Surg 39:31–33. https://doi.org/10.4038/sljs.v39i2.8827
Dissanaike AS (1961) On some helminths of dogs in Colombo and their bearing on human infections, with a description of a new trematode Heterophyopsis yehi sp.nov. (Heterophyidae). Ceylon J Med Sci 10:1–12
Dissanaike AS (1971) Human infections with Dirofilaria, a filarial parasite of animals in Ceylon, with a brief review of recent cases. Ceylon Med J 17:91–99
Dissanaike AS (1979) Zoonotic aspects of filarial infections in man. Bull World Health Organ 57:349–357
Dissanaike AS, Abeyewickreme W, Wijesundera MD et al (1997) Human dirofilariasis caused by Dirofilaria (Nochtiella) repens in Sri Lanka. Parassitologia 39:375–382
Felsenstein J (1985) Confidence limits on phylogenies: an apptoach using the Bootstrap. Evolution (N Y) 39:783–791
Gadahi JA, Arijo AG, Abubakar M et al (2008) Prevalence of blood parasites in stray and pet dogs in hyderabad area: comparative sensitivity of different diagnostic techniqes for the detection of microfilaria. Vet World 1:229–232
Genchi C, Venco L, Genchi M (2007) Guideline for the laboratory diagnosis of canine and feline Dirofilaria infections. Mappe Parassitologiche 8:137–144
Gunathilaka N, Siriwardana S, Wijesooriya L, et al (2017) Subcutaneous dirofilariasis caused by Dirofilaria (Nochtiella) repens in Sri Lanka: a potential risk of transmitting human dirofilariasis . SAGE Open Med Case Rep 5:1–4. https://doi.org/10.1177/2050313x17701373
Hoch H, Strickland K (2008) Canine and Feline Dirofilariasis: life cycle, pathophysiology, and diagnosis. Compendium 30:133
Iddawela D, Ehambaram K, Wickramasinghe S (2015) Human ocular dirofilariasis due to Dirofilaria repens in Sri Lanka. Asian Pac J Trop Med 8:1022–1026. https://doi.org/10.1016/j.apjtm.2015.11.010
Jayasinghe RD, Gunawardane SR, Sitheeque MAM, Wickramasinghe S (2015) A case report on oral subcutaneous Dirofilariasis. Case Rep Infect Dis 2015:1–4. https://doi.org/10.1155/2015/648278
Khedri J, Radfar MH, Borji H et al (2014) Canine heartworm in southeastern of Iran with review of disease distribution. Iran J Parasitol 9:560–567
Krämer F, Schaper R, Schunack B et al (2014) Serological detection of Anaplasma phagocytophilum, Borrelia burgdorferi sensu lato and Ehrlichia canis antibodies and Dirofilaria immitis antigen in a countrywide survey in dogs in Poland. Parasitol Res 113:3229–3239. https://doi.org/10.1007/s00436-014-3985-7
Liotta JL, Sandhu GK, Rishniw M, Bowman DD (2013) Differentiation of the microfilariae of Dirofilaria immitis and Dirofilaria repens in stained blood films. J Parasitol 99:421–425. https://doi.org/10.1645/12-10.1
Mallawarachchi CH, Chandrasena NTGA, Wickramasinghe S et al (2018) A preliminary survey of filarial parasites in dogs and cats in Sri Lanka. PLoS ONE 13:1–11. https://doi.org/10.1371/journal.pone.0206633
Mallawarachchi CH, Chandrasena TGAN, Withanage GP et al (2021) Molecular characterization of a reemergent Brugia malayi parasite in Sri Lanka, Suggestive of a Novel Strain. Biomed Res Int 2021:1–7
Morchón R, Carretón E, González-Miguel J, Mellado-Hernández I (2012) Heartworm disease (Dirofilaria immitis) and their vectors in Europe - new distribution trends. Front Physiol 3:1–11. https://doi.org/10.3389/fphys.2012.00196
Pampiglione S, Canestri TG, Rivasi F (1995) Human dirofilariasis due to Dirofilaria (Nochtiella) repens: a review of world literature. Parassitologia 37:149–193
Perera SJE (1956) Preliminary survey of the incidence of filariasis in dogs in Kandy District. Ceylon Vet J 4:22–24
Rajapakshe RPAS, Perera WSR, Ihalamulla RL et al (2005) Study of dirofilariasis in a selected area in the Western Province. Ceylon Med J 50:58–61. https://doi.org/10.4038/cmj.v50i2.1570
Ratnatunga N, de Wijesundera M, S, (1999) Histopathological diagnosis of subcutaneous Driofilaria repens infection in humans. Southeast Asian J Trop Med Public Heal 30:375–378
Ravindran R, Varghese S, Nair SN, et al (2014) Canine filarial infections in a human Brugia malayi endemic area of India. Biomed Res Int 2014:1–9. https://doi.org/10.1155/2014/630160
Rishniw M, Barr SC, Simpson KW et al (2006) Discrimination between six species of canine microfilariae by a single polymerase chain reaction. Vet Parasitol 135:303–314. https://doi.org/10.1016/j.vetpar.2005.10.013
Sabu L, Devada K, Subramanian H (2005) Dirofilariosis in dogs & humans in Kerala. Indian J Med Res 121:691–693
Sabūnas V, Radzijevskaja J, Sakalauskas P et al (2019) Dirofilaria repens in dogs and humans in Lithuania. Parasit Vectors 12:1–10. https://doi.org/10.1186/s13071-019-3406-y
Saitou N, Nei M (1987) The neighbor-joining method: a new method for reconstructing phylogenetic trees. Mol Biol Evol 4:406–425. https://doi.org/10.1093/oxfordjournals.molbev.a040454
Satjawongvanit H, Phumee A, Tiawsirisup S, et al (2019) Molecular analysis of canine filaria and its Wolbachia endosymbionts in domestic dogs collected from two animal university hospitals in Bangkok metropolitan region, Thailand. Pathogens 8:1–13. https://doi.org/10.3390/pathogens8030114
Senanayake MP, Infaq MLM, Adikaram SGS, Udagama PV (2013) Ocular and subcutaneous dirofilariasis in a Sri Lankan infant: an environmental hazard caused by dogs and mosquitoes. Paediatr Int Child Health 33:111–112. https://doi.org/10.1179/2046905512Y.0000000024
Sinhabahu VP, Hettiarachchi J, Gamage M, Beneragama DH (2018) A child with an unusual lump in the cheek. Sri Lanka J Child Heal 47:89–90. https://doi.org/10.4038/sljch.v47i1.8440
Tamura K, Stecher G, Kumar S (2021) MEGA11: Molecular Evolutionary Genetics Analysis Version 11. Mol Biol Evol 38:3022–3027. https://doi.org/10.1093/molbev/msab120
Tilakaratne WM, Pitakotuwage TN (2003) Intra-oral Dirofilaria repens infection: report of seven cases. J Oral Pathol Med 32:502–505. https://doi.org/10.1034/j.1600-0714.2003.00183.x
Traversa D, Aste G, Milillo P et al (2010) Autochthonous foci of canine and feline infections by Dirofilaria immitis and Dirofilaria repens in central Italy. Vet Parasitol 169:128–132. https://doi.org/10.1016/j.vetpar.2009.12.034
Vieira AL, Vieira MJ, Oliveira JM, et al (2014) Prevalence of canine heartworm (Dirofilaria immitis) disease in dogs of central Portugal. Parasite 21:1–7. https://doi.org/10.1051/parasite/2014003
Weerasekera CJ, Hapuachchige C, Wijeratne YMTY et al (2021) Omental dirofilariasis caused by Dirofilaria repens; visceralisation in a patient with diabetes mellitus. J Ceylon Coll Physicians 52:105. https://doi.org/10.4038/jccp.v52i2.7936
Acknowledgements
We thank Ms. A.H.M.W.S. Abeyrathne, at the Department of Veterinary Clinical Sciences, the University of Peradeniya, for assisting in collecting patient history.
Funding
This work was funded by the National Science Foundation (Grant No. RG/2019/BT/01) and National Research Council (Grant No. 20–083).
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Study conception and design by Rupika S. Rajakaruna and Nayana Wijayawardhane. Sample processing, data analysis, and writing of the manuscript by Sandani S. Thilakarathne. Supervision of laboratory work and data analysis by Piyumali K. Perera. Sample and patient history collection and laboratory assistance by Chandima Mallawa. All the authors critically edited and approved the final manuscript.
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Ethical clearance for the study was obtained from the Ethical Clearance Committee of the Postgraduate Institute of Science, University of Peradeniya, Sri Lanka. No: CES_PGIS_2022_06.
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Thilakarathne, S.S., Wijayawardhane, N., Perera, P.K. et al. Filariasis in dogs brought to the Veterinary Teaching Hospital, University of Peradeniya, Sri Lanka. Parasitol Res 122, 461–469 (2023). https://doi.org/10.1007/s00436-022-07742-x
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DOI: https://doi.org/10.1007/s00436-022-07742-x