First report about a cerebrospinal nematode infection in an alpaca (Vicugna pacos)

The number of New World camelids in European farms is rising and thus, the need for veterinary care towards these animals arises. However, veterinary care requires sophisticated knowledge on disease and pathogen occurrence within New World camelids. Here, an alpaca cria with neurological signs was admitted to the veterinary clinic. Although the animal was treated with antibiotics, vitamins and dexamethason, it refused to drink milk and the clinical status worsened. After euthanasia, necropsy and histopathological examination were carried out and revealed intracerebral nematode larvae. The morphology of these larvae strongly suggests them to be Baylisascaris procyonis, a parasite of raccoons. The extended history revealed that a fully grown raccoon was living within farm enclosures, suggesting an infection of the alpaca and the development of a cerebrospinal larva migrans. This zoonotic disease is characterized by aberrant larval migration that typically shows extraintestinal migration in dead-end hosts. The aim of this report is to sensitize practical colleagues towards this rare, but occasionally fatal infection in New World camelids while familiarizing diagnostic pathologists with the morphological characteristics of this disease.