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Volume 10, Issue 2 (May 2023)                   IJML 2023, 10(2): 166-172 | Back to browse issues page


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Mikaeili Galeh T, Nakhaei M, Daryani A, Sarvi S, Hosseini S A, Gholami S. A Study on Prevalence, Morphology and Morphometric of Gongylonema pulchrum in Sheep Slaughtered in Sari, Northern Iran. IJML 2023; 10 (2) :166-172
URL: http://ijml.ssu.ac.ir/article-1-449-en.html
Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
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Introduction
Gongylonema is a nematode genus belonging to the superfamily Spiruroidea [1]. There are now about 50 species identified which parasitize mammals and birds [2]. So far, over 60 cases of human gongylonemiasis have been reported, with cases in Austria, Germany, Hungary, Japan, Spain, Thailand, France, the United States, China, New Zealand, and Iran [3-13]. This gullet worm has been found in Iranian cattle, sheep, buffalo, goats, wild boars, and donkeys [14]. According to studies conducted in Iran, the level of gongylonemiasis infection has been reported differently [14-19]. Sazmand et al., Naem et al., Eslami et al., Tavassoli et al. (2007), and Yousefi et al. reported the level of infection in sheep in different cities as 0%, 2%, 4.57%, 4.9%, and 8.5%, respectively [17-21]. In a study conducted by Halajian et al. on cattle slaughtered in Mazandaran province, the incidence of G. pulchrum was estimated at 25.4% [14]. Many researchers believe that the parasite does not cause much damage to the tissues of the esophageal wall, but Bleier et al. believe that this nematode can cause esophageal cancer [22]. The parasite's life cycle is indirect, and the mammalian hosts, as final hosts, become infected by ingesting infected arthropod intermediates and paratenic hosts or by consuming polluted water [20]. On ingestion by the final host, the third-stage larvae in the intermediate hosts are released and eventually migrate to the esophagus or oral cavity through the wall of the stomach or duodenum [23]. About 50 species of arthropods, such as beetles and cockroaches, are possible intermediate hosts of Gongylonema. According to an analysis conducted in Iran, Copris lunaris may be a biological vector for the transfer of Gongylonema spp. to vertebrates [24]. Local inflammation of the oral mucosa, as well as occasional blood expectoration, pitchy stools, numbness of the tongue, pain in the chest and abdomen, vomiting, bloating, pharyngitis, and stomatitis, are the most common clinical symptoms of Gongylonema pulchrum (G. pulchrum) infection in humans. Clinical diagnosis of gongylonemiasis is difficult due to the rarity of the infection, transient symptoms, and the possibility of worms located in different parts of the oral cavity and esophagus [23]. Identification of Gongylonema spp. requires nematode removal and microscopic examination of the key morphologic features. Due to the difficulty of detecting Gongylonema eggs in the stools, it is difficult to diagnose the infection without removing the parasite [25]. Molecular diagnosis methods can confirm the diagnosis, and they are very helpful when morphological criteria are insufficient for identifying Gongylonema and differentiating species [26]. Investigating the prevalence and determination of parasite species in the host is important in controlling and preventing the disease. This research aimed to determine the prevalence rate of gongylonemiasis in sheep slaughtered in Sari's industrial slaughterhouse and examine morphological and morphometric characteristics of retrieved worms.

Materials and Methods
Esophagi of 340 sheep were collected from Sari's industrial slaughterhouse during the summer and autumn of 2021 (summer = 115, autumn = 225). The collected samples were transported to the department of parasitology and mycology of Mazandaran University of Medical Sciences. First, the esophagi were cut longitudinally and thoroughly rinsed with water after removing food. Then mucosal surfaces were carefully checked under the light and with the naked eye. The worms embedded in zigzag tracks of the esophageal epithelium were retrieved, and the number of worms found in each esophagus was recorded. The isolated worms were relaxed in hot water and then fixed in 70% ethanol with 50% glycerin solution. The samples were placed in azocarmine and lactophenol solution for clearing and staining for several days. After estimating the prevalence, for examining morphological and morphometric characteristics of the genus Gongylonema, a calibrated light microscope and a camera lucida were used, and the required parts were photographed and measured. The body length, maximum body width, pharynx length, cervical lateral papillae, excretory
pore, nerve ring, the total length of the esophagus, muscular esophagus length, glandular esophagus length, left spicule length, right spicule length, gubernaculum length, number of precloacal papillae, number of postcloacal papillae, vulva to end, tail length, egg length, and egg width were measured using a calibrated ocular micrometer (using an
Anix Software version 1.5 on the photos) at magnifications of 40× (25 μm per unit space), 100× (10 μm per unit space), and 400× (2.5 μm per unit space). The Mazandaran University of Medical Sciences Ethics Committee approved this cross-sectional study with the ethics ID code: IR.MAZUMS. REC.1398.656.

Results
In this study, 340 esophagi of sheep were collected from Sari's industrial slaughterhouse during the summer and autumn of 2021, 26 (7.6%) of which were infected with Gongylonema. Of these, 32 male and 66 female worms were identified. There were one or more white to pink zigzag tracks in the mucosa of the infected esophagi, and the worms were embedded in the epithelium of the mucosa (Fig. 1). From 1 to 23 worms were recovered from the infected esophagi. Morphological examination of the worms showed characteristic morphologies of G. pulchrum. 12 out of 115 (10.4%) and 14 out of 225 (6.2%) esophagi were infected with G. pulchrum for the summer and autumn seasons, respectively. The seasonal variations of gongylonemiasis are shown in Table 1. The esophagi were more infected during summer (12, 10.4%) rather than autumn (14, 6.2%), but this difference was not statistically significant (p= 0.17). For both seasons, eight worms from each sex were selected, and their morphological characteristics were measured (Table 2). Due to the correct recovery of only one male worm from the esophagi collected in the summer, only its information was recorded for this sex.
Fig 1. Zigzag tracks of Gongylonema in the esophageal epithelium
Table 1. Seasonal variations of gongylonemiasis in 340 esophagi of slaughtered sheep in Sari abattoir
Season No. of Examined No. of Infected (%) No. of recovered worms (average) No. of male
worms (%)
No. of female worms (%)
Summer 115 12 (10.4%) 1-13 (3.7) 5/30 (16.7%) 25/30 (83.3%)
Autumn 225 14 (6.2%) 1-23 (5.5) 27/68 (39.7%) 41/68 (60.3%)
Total 340 26 (7.6%) 1-23 (4.7) 32/98 (32.6%) 66/98 (67.3%)

Table 2. Measurements of Gongylonema pulchrum collected from esophagi of slaughtered sheep in Sari abattoir
Season Summer Autumn
Sex/Number of worms examined Male
n= 1
Female
n= 8
Male
n= 8
Female
n= 8
Body length (mm) 47 84-130
(105.25 ± 10.6)
35-53
(47.5 ± 3.57)
88-133
(110.625 ± 10.1)
Maximum body width 307.25 344.5-485.25
(435.06 ± 33.5)
251-298.5
(278.19 ± 14.4)
384.75-538.5
(450.34 ± 32.75)
Pharynx length 39.375 38.925-49.6
(44.81 ± 2.6)
37.675-51.9
(42.51 ± 3.95)
41.65-56.8
(48.65 ± 2.9)
Esophagus length 5926.625 6964.5-10610.325
(8513 ± 845)
5037.125-6700.375
 (6194.125 ± 340)
8145.7-10242.675
(8841.5 ± 482.5)
Muscular portion 538.325 773.075-1006.825
(863.975 ± 58.3)
537.625-799.25
(648.475 ± 56.2)
739.35-909.525
(823.613 ± 41.2)
Glandular portion 5388.3 6112-9603.5
(7355.05 ± 946)
4348-6162.75
(5545.65 ± 358)
7319.4-9333.15
(8017.98 ± 453)
Cervical lateral papillae* 156.88 143.68-172.13
(156.5375 ± 5.35)
111.53-158.48
(131.8438 ± 9.96)
122.6-171.83
(140.845 ± 10.3)
Nerve ring* 343 417.3-486.6
(458.55 ± 38.1)
335.6-441.8
(416.68 ± 50.7)
360.2-490.9
(431.68 ± 54.7)
Excretory pore* 540.7 593-768.3
(722.013 ± 40.9)
447.4-541.9
 (514.48 ± 29.9)
621.4-804.8
 (709.313 ± 34.8)
Left spicule (mm) 21.97 12.53-23.52
(19.56 ± 2.22)
Right spicule 169.5 129.375-181.05
(157.91 ± 11)
Gubernaculum 123.65 90.525-124.85
(104.81 ± 9.28)
Number of precloacal papillae 5 5-6
Number of postcloacal papillae 5 5
Tail length 312.8 258.5-362.9
(347 ± 62.3)
282.3-322
(300.82 ± 10.3)
274.2-406.2
(307.85 ± 28.8)
Vulva to end 4055.25-6258.75
(5054.97 ± 627.79)
4115.5-7819.25
 (5537.16 ± 862.5)
Egg length 52.725-60.25
(57.06 ± 1.49)
52.375-59.375
 (56.19 ± 1.97)
Egg width 27.875-35.125
(31.9 ± 1.38)
31-34.4
 (32.53 ± 0.91)
* Distance from the anterior end. All measurements are in microns except body length and left spicule, which are in millimeters


The minimum body lengths of males and females were 35 and 84 mm. Males and females have maximum body lengths of 53 and 133 mm. The minimum size of the left and right spicules was 12.53 mm and 129 μm. The maximum size of the left and right spicules was 23.52 mm and 181 μm (Table 2). In our study, 126 out of 340 (37.1%) esophagi examined were infected with Sarcocystis cysts of different sizes. Sarcocystosis was also observed in 9 out of 26 (34.6%) esophagi infected with gongylonemiasis. 
Discussion
G. pulchrum, with minimal host specificity, infects a wide range of mammals, including domestic and wild species [14, 27]. Although it is primarily a parasite of ruminants, humans can get it accidentally [28]. There are numerous reports of human infections with Gongylonema from around the world [3-13]. In addition to infection of livestock and other animals, a human case of gongylonemiasis has been reported from Iran [13]. Gongylonema spp. has previously been reported from a dung beetle in Iran [24], but this parasite was not observed in a study with cockroaches in Sari [29]. In the present study, the prevalence of the parasite in the sheep was estimated at 7.6%, indicating a moderate infection level compared to the results of most studies conducted in different parts of Iran [14, 15-19] .Some studies in the country have reported high levels [14-16] and others low levels of infection in different hosts [17-19]. Studies carried out on sheep by Sazmand et al., Naem et al., Eslami et al., Tavassoli et al., and Yousefi et al. in different cities reported the level of infection 0%, 2%, 4.57%, 4.9%, and 8.5%, respectively [17-21]. In a study conducted by Halajian et al. on cattle slaughtered in Mazandaran province, the incidence of G. pulchrum was estimated at 25.4% [14].
The reason for the variability of infection levels in the studies could be related to the sample size, industrial or native breeding of tested animals, sampling season, climatic conditions of the region, age of animals, etc. An insufficient sample size would cause an incorrect estimation of the infection load. Industrially bred livestock are usually less exposed to dung beetles and cockroaches that transmit the infection than native animals. Infection of livestock in warm seasons and hot and humid weather can be high due to suitable conditions for the growth, development, and survival of the infective larvae of this nematode and its intermediate hosts [30]. As studies have illustrated, the animal's age is one factor affecting the infection rate [14, 31]. Usually, the level of infection increases with the age of the sampled animals because of the increased risk of infection through frequent livestock grazing.
Although it is not easy to identify species of the genus Gongylonema using morphological characteristics, using the most stable taxonomic characters, such as total body length, left and right spicule lengths, etc., can be considered as having a specific value. By comparing the morphological characteristics of the isolated worms of the present study with other studies [14, 31, 32], all of them were identified as G. pulchrum. The obligate intracellular protozoan Sarcocystis belongs to the Apicomplexan phylum, which has a prevalence of 74.40% in the ruminants of Iran [33]. In this study, the prevalence of Sarcocystis spp. in the esophagus of the studied animals was 37.1%, 7.1% of which had coinfection with Gongylonema spp. Despite its strengths, each study may also have weaknesses, and the following are the main limitations of our study: 1- The impossibility of slaughterhouse conditions to record the age and gender of the sampled animals, and as a result, not estimating the prevalence of parasite according to age and gender. 2- Lack of sufficient funds to conduct molecular studies. 3- The epidemic of Corona disease and the closure of universities and, subsequently, the impossibility of sampling in all seasons.
Conclusions
The present study estimated a moderate level of gongylonemiasis infection in the sheep from Sari's industrial slaughterhouse during the summer and autumn of 2021. Morphological examination of the retrieved worms showed characteristic morphologies of G. pulchrum. To clarify the status of the infection, many studies are needed in different parts of the country as well as invertebrate vectors and various animals, including domestic, wild, industrial, and native, especially in areas with no data. Most importantly, in order to definitively diagnose Gongylonema species, in addition to morphological features, molecular validation is required, and studies should be conducted in this regard. Environmental hygiene and optimal livestock care are essential to increase livestock products and reduce parasitic infections.
Conflict of Interest
The authors declare that they have no competing interests.
Acknowledgments
The authors thank the Toxoplasmosis Research Centre (TRC) of Mazandaran University of Medical Sciences.


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Type of Study: Research | Subject: Parasitology
Received: 2022/05/29 | Accepted: 2022/11/29 | Published: 2023/05/31

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