Helminths and the transmammary route of infection

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SUMMARY: The transfer of infective larval stages of helminths via the mammary glands is probably more common than generally recognized. Recent investigations of both natural and experimental infections of various animals have shown that the transmammary transmission of some helminths is a major avenue of infection. Other studies indicate that there are at least 13 helminth parasites which may be transmitted as prenatal infections and at least 17 transmitted via the mammary glands. The majority of these are nematodes. However, in one case the tetrathyridia of the cestode Mesocestoides was observed. In this report the life-cycle and transmission of 2 species of diplostomatid trematodes in the genus Pharyngostomoides is described. The raccoon, Procyon lotor, is the only definitive host; a planorbid snail, Menetus dilatatus, and a branchiobdellid annelid, Cambarincola osceola, a commensal on crayfishes, are intermediate hosts. Records for a period of 11 years are now available for the maternal transmission and longevity of this trematode. During this time one infected female raccoon was maintained in the laboratory on a diet of commercial dog food, sweet potatoes and corn. She produced 25 offspring, most of which were infected with Pharyngostomoides, through the 6th litter. There was a declining number of worms in each litter, ranging from nearly 2000 in one of the 1st litter, to none in the 7th litter. After nearly 12 years she continues to pass a few trematode ova. Rather than assume she has retained the same adult worms for 12 years, it is reasonable to conclude that mesocercariae move through her body and eventually mature in the intestine. Because the mesocercariae have a predilection for the lactating mammary gland, it seems likely that a hormonal influence is present. The transmammary transmission of larvae is a viable alternative in the life-cycles of a number of helminths, and in some instances it is probably the major route of infection.

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