Search

Equine Protozoal Myeloencephalitis (EPM) is an infectious disease whose main agent is the protozoan Sarcocystis neurona. The parasite affects the central nervous system of horses and can cause neurological alterations like ataxia, paresis, muscle atrophy and changes in mental status. With wide distribution in the national territory, it is important that this disease is part of the differential diagnosis in animals of equine species, since equines with this disease can present from discrete signs, such as a slight decrease in performance, to serious neurological signs. That is why the veterinarian must understand its characteristics and effective diagnostic methods for its identification. A five-year-old Brazilian Sport Horse mare was attended in the city of Belo Horizonte, Minas Gerais, with a history of atrophy in the lumbar region and rump. Also, the presence of opossums on the farm where the animal lived was reported. In neurological examination, grade 2 motor incoordination was detected. The SAG ELISA test was performed, and a positive result was obtained. All findings and the positive test result corroborate the diagnosis of EPM, which led to the recommended treatment, and visible clinical improvement. The aim of this paper is to report a clinical case of EPM in a mare in the city of Belo Horizonte, Minas Gerais, Brazil, taking into account the importance of knowledge of the epidemiological, clinical, diagnostic and therapeutic aspects of disease. [ABSTRACT FROM AUTHOR]

The Diplostomidae include a large group of flatworms with complex life cycles and are frequently found parasitizing the eyes and central nervous system of freshwater fishes. The morphological identification of the metacercariae at species level is not always possible. Thus, molecular tools have become essential to assist in the parasite species determination. This study was aimed at describing two diplostomid metacercariae found in freshwater fish in São Paulo, Brazil, based on morphological characters and in the genetic characterization of COI sequences. Our results showed that the two recognized taxa (Tylodelphys sp. and Diplostomidae gen. sp.) appear to be different from the species already described in South America. Tylodelphys sp. differs morphologically from Tylodelphys xenopi, T. mashonense, T. jenynsiae, and T. scheuringi. The metacercariae of T. clavata and T. conifera are smaller than Tylodelphys sp., while T. podicipina is larger than the metacercariae described here. The phylogenetic analysis of COI sequences yielded Tylodelphys sp. as the sister species of Tylodelphys sp. 4, a species reported from the brain of the eleotrid Gobiomorus maculatus in Oaxaca, Mexico. The metacercariae identified as Diplostomidae gen. sp. are morphologically different from the known diplostomid metacercariae and did not match with other diplostomid sequences available. Diplostomidae gen. sp. is recovered as the sister species of Diplostomum ardeae. Although the morphological evidence and the COI sequences differentiate the metacercariae found, the absence of adult specimens of both species precludes the specific designation. This is one of the first papers that use an integrative taxonomy approach to describe the species diversity of diplostomid trematodes in Brazil. [ABSTRACT FROM AUTHOR]

• This systematic review evaluates data obtained from Brazilian congenital toxoplasmosis studies. • Children born from treated mothers have better outcomes than those born from untreated mothers, thus, gestational treatment is a watershed • Congenital toxoplasmosis is diagnosed late in Brazil, despite existing government guidelines. Congenital toxoplasmosis is a zoonosis caused by the intracellular Apicomplexa protozoan Toxoplasma gondii. This infection causes subclinical or clinical lesions, such as retinochoroiditis and central nervous system lesions. The severity of fetal infection is related to the stage of pregnancy and the efficacy of the gestational treatment on fetal infection, whether it is achieved, or if it starts early. South America is the region with the highest burden of congenital toxoplasmosis and the most pathogenic genotypes. Here, we present the results of a comprehensive systematic review and meta-analysis of the congenital toxoplasmosis in Brazil. PubMed, Web of Science, and CAPES databases were used to search for relevant studies that were published between 1 January 2007 and 31 December 2018. The final searching process yielded 21 papers. The studies accounted for 469 children with congenital toxoplasmosis. Of these, 269 (57%) had a diagnosis in the postnatal period. Concerning mothers, 209 (44.6%) underwent prenatal care, but 47 (22.5%) did not receive any drug for toxoplasmosis treatment. There were 226 (48.2%) children with retinochoroiditis; 83 (17.7%) with brain calcifications; 9 (1.9%) with neurosensory auditory dysfunction; and 2 (0.42%) with human immunodeficiency virus coinfection. A total of 460 (98%) children had a medical and multidisciplinary follow-up for at least one year and the most frequent genotype was #11(BRII), found in seven children. There was a statistical correlation between the mother's treatment and asymptomatic children. The gestational treatment seems to protects the fetus since children of mothers who received anti-T. gondii medications have a better prognosis. The retinochoroiditis was the main finding among children, followed by brain calcifications. [ABSTRACT FROM AUTHOR]