Indian Journal of Animal Research

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Indian Journal of Animal Research, volume 54 issue 4 (april 2020) : 473-477

Pathological Conditions Associated with Physaloptera Stomach Worm Infestation in Bengal Monitor Lizard (Varanus bengalensis)

V. Manjunatha1,*, M. Rout2, H.K. Muniyellappa3, S. Roopa4, B.P. Shivashankar3, S.M. Byregowda5
1Wild Animal Disease Diagnostic Laboratory, Institute of Animal Health and Veterinary Biologicals, Bannerghatta Biological Park, Bannerghatta-560 083, Bengaluru, Karnataka, India.
2ICAR-Directorate of Foot and Mouth Disease, IVRI Campus, Mukteswar-263 138, Nainital, Uttarakhand, India.
3Institute of Animal Health and Veterinary Biologicals, Hebbal-560 024, Bengaluru, Karnataka, India.
4Wild Animals Rescue and Rehabilitation Centre, Bannergahtta-560 068, Bengaluru, Karnataka, India.
5Institute of Animal Health and Veterinary Biologicals, Hebbal-560 024, Bengaluru, Karnataka, India.
Cite article:- Manjunatha V., Rout M., Muniyellappa H.K., Roopa S., Shivashankar B.P., Byregowda S.M. (2020). Pathological Conditions Associated with Physaloptera Stomach Worm Infestation in Bengal Monitor Lizard (Varanus bengalensis) . Indian Journal of Animal Research. 54(4): 473-477. doi: 10.18805/ijar.B-3789.
The present study reports pathological conditions associated with Physaloptera sp. stomach worm infestation in Bengal monitor lizard (Varanus bengalensis). Four adult Bengal monitor lizards were rescued from the poachers and kept at Wild Animal Rescue and Rehabilitation Centre, Bannerghatta Biological Park, Bengaluru. Faecal samples from all were collected and examined. Physaloptera sp. ova were found in all faecal samples examined by sedimentation technique. One Bengal monitor lizard died during the period and systematically examined at necropsy for gross pathological lesions. Adult Physaloptera sp. nematodes were found to be firmly attached to the gastric mucosa causing erosive inflammatory foci. Histopathological examination of stomach revealed the presence of many immature and mature worms encapsulated within fibrous connective tissue. The intestinal villi were stunted and many cross sections of the worms could be demonstrated in the lumen. The worms also migrated to liver parenchyma and got encapsulated with fibrous connective tissue with infiltration of eosinophils in the sinusoids and the vascular tissue spaces. This seems to be the first report of Physaloptera sp. nematodiasis in Bengal monitor lizard kept under captivity for a period of 1.5 months. 
Survey seems to be one of the most suitable means to expand the present knowledge on biodiversity and understand how the species and what species, are parts of an ecosystem. Similarly, parasitological surveys are helpful for understanding host-parasite relationships, as well as ecological aspects and estimations on local biodiversity (Rocha et al., 2003; Marcogliese, 2005; Campiao et al., 2015). Many biotic and abiotic factors regulate the population of wild animals, and parasites are biotic factors influencing the dynamic and density of host populations (Anderson and May, 1979). Physalopteriasis is caused by infection by members of nematode in the genus Physaloptera, in the order Spirurida and family Physalopteridae that lives in the stomach or intestine of all classes of vertebrates (Goldberg and Bursey, 1989). Adult Physaloptera sp. occurs in the stomach of mammals, snakes and a few species of lizards and amphibians. The hosts acquire the infection through the ingestion of insects containing infective larvae. Larvae are common in amphibians and some lizards, which are considered as paratenic hosts (Anderson, 2000). Mature Physaloptera (stomach worms) are small (13-48 mm) worms that feed and suck blood through attachment to the gastric mucosa of the primary hosts causing gastritis and enteritis (Levine, 1980). They occasionally change their attachment site resulting in multiple small bleeding wounds that become inflamed. Larvated eggs of the worms are voided in the faeces. These Physaloptera species of stomach worms are known to be present in a variety of wildlife species including cat, badger, bobcat, raccoon, fox, lizard, toad, skunk and coyote (Clark, 1990).
        
Over 150 species of Physaloptera have been described (Schmidt and Roberts, 1985). However, within the United States, reptiles have been reported as definitive hosts for only four species of Physaloptera e.g., P. abjecta, P. obtusissima, P.retusa and P. squamatae. In India, there are no reports of Physaloptera sp. infestation in Bengal monitor lizards. In this paper, we present Physaloptera infestation in Bengal monitor lizards at Bannerghatta Biological Park, Bengaluru (BBP), Karnataka with an intention to alert the wildlife veterinarians to the possibility of such stomach worms as a cause of gastritis and other pathological conditions in reptiles.
Four adult Bengal monitor lizards (Varanus bengalensis) were rescued from poachers and kept at Wild Animal Rescue and Rehabilitation Centre at Bannerghatta Biological Park, Bengaluru for a period of 1.5 months. Faecal samples were collected from the lizards and examined by sedimentation method. Systematic necropsy of one dead female Bengal monitor lizard was performed and gross lesions were noted and photographed. The endoparasites were collected in 0.6% saline solution (Goswami et al., 2016) and photographed. Representative pieces of stomach, intestine and liver were collected in 10% buffered neutral formalin, later embedded in paraffin, sectioned at 6µm and stained with hematoxylin and eosin (H&E) for histopathological examination.
The clinical symptoms observed in the Bengal monitor lizards included anorexia, dullness, diarrhoea and weakness. One lizard died and was brought for necropsy and the visceral organs were examined (Fig 1). The stomach was found to be filled with the lizard’s own eggs that might have been eaten by it (Fig 2A) along with Physaloptera sp. of nematodes (Fig 2B). The worms were firmly attached to the gastric mucosa causing erosive inflammatory foci and thickening (Fig 3). Diagnosis physalopteriasis depends upon identification of eggs in the faeces or on the presence of adult worms attached to the mucosa of the upper digestive tract. Species of the genus Physaloptera occur in the stomach of many terrestrial vertebrates and the life cycles of several related species have been studied (Hobmaier, 1941; Schell, 1952; Lincoln and Anderson, 1975). The lizards usually feed on crickets, grasshoppers, small snakes and ground beetles etc. The Bengal monitor lizards are also known to eat spiders, mites, scorpions and ticks (Stebbins, 1985). It is not known which of these might serve as intermediate hosts for Physaloptera sp. Many intermediate hosts scavenge on faecal materials of Bengal monitor lizards and ingest eggs present in the faecal matter, which hatch in their gut and migrate into body tissues for subsequent development to third stage larvae, which are infective to both definitive and paratenic hosts. Some findings report the recovery of the third stage larvae from invertebrate and vertebrate hosts including earwigs (Schell, 1952); camel crickets (Ceuthophilus sp.); grasshoppers (Orphulella punctata, Eutryxalisfilata and Dzchroplus punctulatus); German cockroaches (Blatella germanica) (Petri, 1950); ground beetles (Harpalus sp.) (Schell, 1952) and prairie rattlesnakes (Crotalus viridis) (Widmer, 1970). 
 

Fig 1: Carcass of the dead monitor lizard brought for necropsy showing the visceral organs.


 

Fig 2(A): Stomach filled with monitor lizard’s own eggs eaten by it (B): Physaloptera sp. of nematodes.


 

Fig 3: Physaloptera nemaodes firmly attached to the gastric mucosa causing erosive inflammatory foci and thickening.


        
The microscopic examination of faecal samples revealed the presence of thick shelled larvated eggs. The gravid eggs contained pouch like organ in the female worms. The gravid egg pouches contained numerous closely packed eggs (Fig 4) that were thick walled (Fig 5). As the eggs of Physaloptera sp. do not usually float on a standard faecal flotation (with a specific gravity >1.2), faecal sedimentation method is usually preferred.
 

Fig 4: Gravid egg pouch of the Physaloptera nematode containing numerous closely packed eggs.


 

Fig 5: Thick walled eggs of Physaloptera nematode in the egg pouch as observed under microscope.


        
The adult males of Physaloptera sp. worm measure around 8-10mm long and 0.5mm in diameter with single lobed pseudolabium. Females are 12-24 mm long and 0.6 mm in diameter with two uteri, eggs are 52x34 µm in size and contained capsules (Soulsby, 1982). In the study, both adult male worms and female Physaloptera worms with gravid egg pouches (Fig 6) could be recovered. Histopathology revealed the presence of many immature and mature worms within a fibrous connective tissue capsule in the gastric sub-mucosa (Fig 7A and B). Profuse proliferation of fibrous tissue around the worms was observed in the gastric lamina propria (Fig 8A, B and C).  Villous atrophy of intestine was seen along with demonstration of parasitic cross sections in the lumen (Fig 9). Well encapsulated parasitic sections were also seen in the liver and possibly were erratic migrations of Physaloptera sp. worms through the hepatic tissue. Infiltration of eosinophils in the congested sinusoids was also seen (Fig 10).
 

Fig 6: Recovery of adult Physaloptera round worms both male and female.


 

Fig 7A and B: Stomach section showing Physaloptera sp. nematode encapsulation in the sub-mucosa (10X and 40X H&E).


 

Fig 8A, B and C: Massive proliferation of fibrous tissue in the lamina propria of stomach with around Physaloptera sp. worms (10X, 40X and 40X H&E).


 

Fig 9: The section of intestine showing stunted villi and cross-sections of many Physaloptera sp. worms in the lumen (10X H&E).


 

Fig 10 A, B and C: Liver section showing cross sections of migrated worms with diffuse sinusoidal congestion in the sinusoids with infiltration of eosinophils pointed by arrow marks (10X, 40X and 100X H&E).


        
In conclusion, the clinical signs observed, coprological analysis, gross and histopathological lesions are suggestive of Physaloptera sp. nematodiasis in Bengal monitor lizards. Owing to the control measures, appropriate anthelmintic like pyrantel pamoate was given for other lizards. It should also include sanitation and extermination of the possible arthropod or paratenic hosts from the animal colony, coupled with diagnosis and treatment of the infection. It is hoped that this report will alert the wildlife veterinarians to the possibility of pathological conditions associated with Physaloptera sp. infestation in reptiles.
We sincerely thank Mr. Range Gowda, Executive Director and all the veterinarians at Bannerghatta Biological Park for extending their support to carry out the study.

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