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Praziquantel Resistance in the Zoonotic Cestode
Jeba Jesudoss Chelladurai1, Tsegabirhan Kifleyohannes2, Janelle Scott3
1Department of Veterinary Pathology, Iowa State University College of Veterinary Medicine, Ames, Iowa.
The American Journal of Tropical Medicine and Hygiene
|September 19, 2018
Summary
A new resistance to praziquantel in Dipylidium caninum (dog tapeworm) has emerged in dogs. This cestode infection is treatable with nitroscanate or a pyrantel/praziquantel/oxantel combination.
Area of Science:
- Veterinary Parasitology
- Molecular Biology
- Drug Resistance Studies
Background:
- Dipylidium caninum is a common tapeworm affecting companion animals and humans.
- Praziquantel is a primary anthelmintic for cestode infections, with no prior resistance reported.
- Limited alternative treatments exist for tapeworm infections in both human and veterinary medicine.
Observation:
- A cluster of canine cases infected with Dipylidium caninum showed resistance to praziquantel and epsiprantel between 2016 and 2018.
- Standard praziquantel treatment protocols, including increased dosage and frequency, were ineffective.
- Genetic characterization of resistant isolates involved sequencing of 28S, 12S, and voltage-gated calcium channel beta subunit genes.
Findings:
- Confirmed clinical resistance of Dipylidium caninum isolates to praziquantel.
- Successful treatment of resistant cases was achieved using nitroscanate or a compounded pyrantel/praziquantel/oxantel product.
- Identification of genetic markers associated with praziquantel resistance in D. caninum.
Implications:
- This discovery highlights an alarming emergence of anthelmintic resistance in a common veterinary parasite.
- Veterinarians and physicians must be aware of potential praziquantel treatment failures for D. caninum.
- Further research is needed to understand the mechanisms of resistance and to develop new therapeutic strategies.
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