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Geographical distribution of cercarial dermatitis in Norway

Published online by Cambridge University Press:  12 November 2010

A. Soleng*
Affiliation:
Norwegian Institute of Public Health, Department of Pest Control, PO-Box 4404 Nydalen, NO-0403Oslo, Norway
R. Mehl
Affiliation:
Armed Forces Medical Services, Institute of Microbiology, PO-Box 4302 Nydalen, NO-0402Oslo, Norway
*
*Fax: +47 21 07 65 31 E-mail: arnulf.soleng@fhi.no

Abstract

Bird schistosomes can cause a disease called cercarial dermatitis, or swimmer's itch, in humans. The disease occurs when people have direct contact with fresh water or sea water containing the free-swimming cercariae of the flukes. The symptoms are well known, and include intense itching, maculae, papulae, urticariae and, in some cases, local oedema with enlarged lymph nodes and fever. In this study, we present the geographical distribution of freshwater cercarial dermatitis in Norway. The study is based on random reports obtained from both individuals and physicians treating patients with itching skin rash after freshwater bathing. The first case of cercarial dermatitis in Norway was reported in 1980 and was traced to a lake near Trondheim in the central part of Norway. In the following years, an increasing number of cases were reported, especially in southern Norway. However, case reports are distributed almost all over the country, even from lakes in northern Norway. As far as we know, these are the northernmost case reports in Europe. So far, only one fluke species (Trichobilharzia franki) from a single infected snail (Radixauricularia) has been identified in Norway. However, unidentified schistosomatid ocellate cercariae have been found on several occasions in snails collected from six lakes where swimmer's itch is frequently reported. Future studies should be performed to identify the fluke species, as well as the most important snail and bird hosts, in Norwegian lakes.

Type
Research Papers
Copyright
Copyright © Cambridge University Press 2010

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References

Aldhoun, J.A., Faltýnková, A., Karvonen, A. & Horák, P. (2009) Schistosomes in the North: A unique finding from a prosobranch snail using molecular tools. Parasitology International 58, 314317.CrossRefGoogle Scholar
Appleton, C.C. & Lethbridge, R.C. (1979) Schistosome dermatitis in the swan estuary, western Australia. Medical Journal of Australia 131, 141144.CrossRefGoogle Scholar
Berg, K. & Reiter, H.F.H. (1960) Observations on schistosome dermatitis in Denmark. Acta Dermato-Venerologica 5, 369380.Google Scholar
Burrows, W.D. (1977) Aquatic aluminium: chemistry, toxicology, and environmental prevalence. CRC Critical Reviews in Environmental Control 7, 167216.CrossRefGoogle Scholar
Chamot, E., Toscani, L. & Rougemont, A. (1998) Public health importance and risk factors for cercarial dermatitis associated with swimming in Lake Leman at Geneva, Switzerland. Epidemiology and Infection 120, 305314.CrossRefGoogle ScholarPubMed
Dahl, K. (1921) Undersøkelse over ørretens utdøen I det sydvestlige Norges Fjeldvand. Norsk Jæger og Fiskerforenings Tidsskrift 50, 249267(in Norwegian).Google Scholar
de Gentile, L., Picot, H., Bourdeau, P., Bardet, R., Kerjan, A., Piriou, M., Le Guennic, A., Bayssade-Dufour, C., Chabasse, D. & Mott, K.E. (1996) La dermatite cercarienne en Europe: un problème de santé publique nouveau? Bulletin of the World Health Organization 74, 159163(in French with English summary).Google Scholar
Frick, K.G. & Herrmann, J. (1990) Aluminium and pH effects on sodium-ion regulation in mayflies. pp. 409412in Mason, B.J. (Ed.) The surface waters acidification programme. Cambridge, Cambridge University Press.Google Scholar
Gensemer, R.W. & Playle, R.C. (1999) The bioavailability and toxicity of aluminium in aquatic environments. CRC Critical Reviews in Environmental Control 29, 315450.CrossRefGoogle Scholar
Haas, W. & Van de Roemer, A. (1998) Invasion of the vertebrate skin by cercariae of Trichobilharzia ocellata: penetration process and stimulating host signals. Parasitology Research 84, 787795.CrossRefGoogle ScholarPubMed
Harkema, R. (1953) Study of Alaskan schistosomes. 25 pp. USAF School of Medicine, distrib. No. 1935, Government Printing Office.Google Scholar
Havas, M. (1985) Aluminium bioaccumulation and toxicity to Daphnia magna in soft water at low pH. Canadian Journal of Fisheries and Aquatic Sciences 42, 17411748.CrossRefGoogle Scholar
Henriksen, A. & Hesthagen, T. (1993) Critical load exceedance and damage to fish populations. 12 pp. Norwegian Institute for Water Research, Report 2900, Oslo, Norway.Google Scholar
Hesthagen, T. & Hansen, L.P. (1991) Estimates of the annual loss of Atlantic salmon, Salmo salar L., in Norway due to acidification. Aquaculture and Fisheries Management 22, 8591.Google Scholar
Hoeffler, D.F. (1977) Swimmers' itch (cercarial dermatitis). Cutis 19, 461466.Google ScholarPubMed
Horák, P., Kolárová, L. & Adema, C.M. (2002) Biology of the schistosome genus Trichobilharzia. Advances in Parasitology 52, 155233.CrossRefGoogle ScholarPubMed
Jarcho, S. & van Burkalow, A. (1952) A geographical study of swimmer's itch in the United States and Canada. Geographical Review 42, 212226.CrossRefGoogle Scholar
Jensen, K.W. & Snekvik, E. (1972) Low pH levels wipe out salmon and trout populations in southernmost Norway. Ambio 1, 223225.Google Scholar
Kolářová, L. (2007) Schistosomes causing cercarial dermatitis: a mini-review of current trends in systematics and of host specificity and pathogenicity. Folia Parasitologica 54, 8187.CrossRefGoogle ScholarPubMed
Kolářová, L., Horák, P. & Sitko, J. (1997) Cercarial dermatitis in focus: schistosomes in the Czech Republic. Helminthologia 34, 127139.Google Scholar
Kolářová, L., Skirnisson, K. & Horák, P. (1999) Schistosome cercariae as the causative agent of swimmer's itch in Iceland. Journal of Helminthology 73, 215220.CrossRefGoogle ScholarPubMed
Leighton, B.J., Zervos, S. & Webster, J.M. (2000) Ecological factors in schistosome transmission, and an environmentally benign method for controlling snails in a recreational lake with a record of schistosome dermatitis. Parasitology International 49, 917.CrossRefGoogle Scholar
Lévesque, B., Giovenazzo, P., Guerrier, P., Laverdiére, D. & Prud'homme, H. (2002) Investigation of an outbreak of cercarial dermatitis. Epidemiology and Infection 129, 379386.CrossRefGoogle ScholarPubMed
McCarthy, A.M. (1989) The biology and transmission dynamics of Echinoparyphium recurvatum (Digenea: Echinostomatidae). PhD thesis, King's College London, University of London.Google Scholar
Mehl, R. (1982) Swimmer's itch. MSIS – ukerapport nr 32/1982 (in Norwegian).Google Scholar
Mehl, R. (1985) Cercarie-dermatitt. MSIS – ukerapport nr 26/1985 (in Norwegian).Google Scholar
Mehl, R. (1988) Cercarie-dermatitt. MSIS – ukerapport nr 25/1988 (in Norwegian).CrossRefGoogle Scholar
Mulvihill, C.A. & Burnett, J.W. (1990) Swimmer's itch: a cercarial dermatitis. Cutis 46, 211213.Google ScholarPubMed
Muniz, I.P. (1984) The effects of acidification on Scandinavian freshwater fish fauna. Philosophical Transactions of the Royal Society of London Series B 305, 517528.Google Scholar
Økland, J. (1990) Lakes and snails: Environment and gastropoda in 1500 Norwegian lakes, ponds and rivers. 516 pp. Oegstgeest, Netherlands, Universal book services/Dr W. Backhuys.Google Scholar
Økland, J. & Økland, K.A. (1981) Acidification threatens trout diet. Studies of 1000 lakes in Norway. Research in Norway 1980, 21–26, 56.Google Scholar
Olivier, L. (1949) Schistosome dermatitis, a sensitization phenomenon. American Journal of Hygiene 49, 290302.Google ScholarPubMed
Pirilä, V. & Wikgren, B.J. (1957) Cases of swimmer's itch in Finland. Acta Dermato-Venerologica 37, 140148.Google Scholar
Rosseland, B.O., Skogheim, O.K. & Sevalrud, I.H. (1986) Acid deposition and effects in Nordic Europe. Damage to fish populations in Scandinavia continues apace. Water Air and Soil Pollution 30, 6574.CrossRefGoogle Scholar
Schets, F.M., Lodder, W.J., Van Duynhoven, Y.T.H.P. & de Roda Husman, A.M. (2008) Cercarial dermatitis in the Netherlands caused by Trichobilharzia spp. Journal of Water and Health 6, 187195.CrossRefGoogle ScholarPubMed
Skirnisson, K., Aldhoun, J.A. & Kolářová, L. (2009) A review on swimmer's itch and the occurrence of bird schistosomes in Iceland. Journal of Helminthology 83, 165171.CrossRefGoogle ScholarPubMed
Soleng, A., Poléo, A.B.S., Alstad, N.E.W. & Bakke, T.A. (1999) Aqueous aluminium eliminates Gyrodactylus salaris (Platyhelinthes, Monogenea) infections in Atlantic salmon. Parasitology 119, 1925.CrossRefGoogle ScholarPubMed
Thors, E. & Linder, E. (2001) Swimmers' itch in Sweden. Helminthologia 38, 244.Google Scholar
Thune, P. (1994) Cercariedermatitt eller svømmekløe – et lite kjent, men hyppig forekommende sykdomsbilde I Norge. Tidsskrift for den Norske Lægeforening 114, 16941695(in Norwegian).Google Scholar
Verbrugge, L.M., Rainey, J.J., Reimink, R.L. & Blankespoor, H.D. (2004) Prospective study of swimmer's itch incidence and severity. Journal of Parasitology 90, 697704.CrossRefGoogle ScholarPubMed
Voronin, M.V., Beer, S.A. & Dobrovolskiy, A.A. (2002) Schistosomatidnye cerkarii gruppy Trichobilharzia cf. ocellata iz populyatsiy megapolisov Moskvy i Sankt-Peterburga. Teoreticheskiye i prikladnye problemy parazitologii. Rossiyskaja akademiya nauk, Institut parazitologii, Nauka, Moscow (in Russian).Google Scholar
Wulff, C., Haeberlein, S. & Haas, W. (2007) Cream formulations protecting against cercarial dermatitis by Trichobilharzia. Parasitology Research 101, 9197.CrossRefGoogle ScholarPubMed