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01-12-2019 | Protozoa | Original Article

A survey of gastrointestinal parasites of goats in a goat market in Kathmandu, Nepal

Authors: Tirth Raj Ghimire, Namita Bhattarai

Published in: Journal of Parasitic Diseases | Issue 4/2019

Abstract

Gastrointestinal (GI) parasites in goats are predominant around the world. They may be the underlying cause of the pathological and immunological consequences leading to significant economic losses of the goat industry. The main aim of the current research was to reveal the prevalence of gastrointestinal parasites, including protozoa, trematodes, and nematodes in the fecal samples of goats in the goat market in Kathmandu, Nepal. A total of 400 goat fecal specimens were purposively collected from the goat market, and they were processed by direct wet mount, sedimentation, floatation techniques, and acid-fast staining, and were observed under the compound microscope. Out of a total 400 fecal samples, 349 (87.25%) were found to be infected with GI parasites among which Eimeria (80.75%), Strongyle (59.25%), Trichuris (29.75%), Strongyloides (28.75%), Moniezia (21.75%), Entamoeba (20%), Fasciola (10.25%), Balantidium (7.75%), Cryptosporidium (4%), Capillaria (1.75%), Trichomonas (1.25%), Ascaris (1.0%), Cyclospora (1%), Blastocystis (0.75%), Giardia (0.5%), and Paramphistomum (0.5%) were reported. GI parasites like protozoa and helminthes were widely distributed in the goats brought for the meat purposes in Kathmandu Valley, showing a high proportion of the goats were having higher risks of morbidity and mortality around the country.

Abo-Shehada MN, Abo-Farieha HA (2003) Prevalence of Eimeria species among goats in northern Jordan. Small Rumin Res 49(2):109–113

Agyei AD, Odonkor M, Osei-Somuah A (2004) Concurrence of Eimeria and helminth parasitic infections in West African Dwarf kids in Ghana. Small Rumin Res 51(1):29–35. https://doi.org/10.1016/S0921-4488(03)00184-6 CrossRef

Akinkuotu OA, Takeet MI, Otesile EB, Olufemi F, Greenwood SJ, McClure JT (2019) Multi-locus genotyping and phylogenetic analyses of Giardia intestinalis isolates from indigenous goats in Ogun State, Nigeria. Acta Trop 195:15–22. https://doi.org/10.1016/j.actatropica.2019.04.009 CrossRefPubMed

Al-Habsi K, Yang R, Ryan U, Jacobson C, Miller DW (2017) Morphological and molecular characterization of an uninucleated cyst-producing Entamoeba spp. in captured Rangeland goats in Western Australia. Vet Parasitol 235:41–46. https://doi.org/10.1016/j.vetpar.2017.01.013 CrossRefPubMed

Babják M, Königová A, Urda-Dolinská M, Várady M (2017) Gastrointestinal helminth infections of dairy goats in Slovakia. Helminthologia 54(3):211–217

Balicka-Ramisz A, Ramisz A, Vovk S, Snitynskyj V (2012) Prevalence of coccidia infection in goats in Western Pomerania (Poland) and West Ukraine region. Ann Parasitol 58(3):167–171PubMed

Basnett K, Nagarajan K, Soundararajan C, Vairamuthu S, Rao GVS (2018) Morphological and molecular identification of Cyclospora species in sheep and goat at Tamil Nadu, India. J Parasit Dis 42(4):604–607PubMedPubMedCentral

Bihaqi SJ, Allaie IM, Banday MAA, Wani ZA, Shahardar RA (2017) Prevalence of caprine GI helminths in temperate areas of Jammu & Kashmir. J Parasit Dis 41(3):843–849. https://doi.org/10.1007/s12639-017-0900-z CrossRefPubMedPubMedCentral

Bomfim TC, Huber F, Gomes RS, Alves LL (2005) Natural infection by Giardia sp. and Cryptosporidium sp. in dairy goats, associated with possible risk factors of the studied properties. Vet Parasitol 134(1–2):9–13. https://doi.org/10.1016/j.vetpar.2005.05.067 CrossRefPubMed

Chartier C, Paraud C (2012) Coccidiosis due to Eimeria in sheep and goats, a review. Small Rumin Res 103(1):84–92. https://doi.org/10.1016/j.smallrumres.2011.10.022 CrossRef

Chen D, Zou Y, Li Z, Wang S-S, Xie S-C, Shi L-Q, Zou F-C, Yang J-F, Zhao G-H, Zhu X-Q (2019) Occurrence and multilocus genotyping of Giardia duodenalis in black-boned sheep and goats in southwestern China. Parasit Vectors 12(1):102. https://doi.org/10.1186/s13071-019-3367-1 CrossRefPubMedPubMedCentral

Chikweto A, Tiwari K, Bhaiyat MI, Carloni J, Pashaian K, Pashaian A, De Allie C, Sharma RN (2018) Gastrointestinal parasites in small ruminants from Grenada, West Indies: a coprological survey and a review of necropsy cases. Vet Parasitol Reg Stud Rep 13:130–134. https://doi.org/10.1016/j.vprsr.2018.05.004 CrossRef

Choubisa SL, Jaroli VJ (2013) Gastrointestinal parasitic infection in diverse species of domestic ruminants inhabiting tribal rural areas of southern Rajasthan, India. J Parasit Dis 37(2):271–275. https://doi.org/10.1007/s12639-012-0178-0 CrossRefPubMed

Chu DM, Sherchand JB, Cross JH, Orlandi PA (2004) Detection of Cyclospora cayetanensis in animal fecal isolates from Nepal using an FTA filter-base polymerase chain reaction method. Am J Trop Med Hyg 71(4):373–379PubMed

Daniel A, Deneke Y, Ibrahim N (2014) Gastrointestinal parasites in sheep in Gemechis and Boke Districts, West Harerghe Zone, Ethiopia. Acta Parasitol Glob 5(2):120–124

Dappawar M, Khillare B, Narladkar B, Bhangale G (2018) Prevalence of gastrointestinal parasites in small ruminants in Udgir area of Marathwada. J Entomol Zool Stud 6(4):672–676

Das M, Laha R, Goswami A, Goswami A (2017) Gastrointestinal parasitism of goats in hilly region of Meghalaya, India. Vet World 10(1):81–85. https://doi.org/10.14202/vetworld.2017.81-85 CrossRefPubMedPubMedCentral

Dimasuay KG, Rivera WL (2013) Molecular characterization of trichomonads isolated from animal hosts in the Philippines. Vet Parasitol 196(3–4):289–295. https://doi.org/10.1016/j.vetpar.2013.03.019 CrossRefPubMed

Dixit AK, Das G, Baghel RPS (2017) Gastrointestinal helminthosis: prevalence and associated determinants in goats of Jabalpur, India. J Parasit Dis 41(2):414–416. https://doi.org/10.1007/s12639-016-0818-x CrossRefPubMed

Donkin E, Boyazoglu P (2004) Diseases and mortality of goat kids in a South African milk goat herd. S Afr J Anim Sci 34(Supplement 1):258–261

Dryden MW, Payne PA, Ridley R, Smith V (2005) Comparison of common fecal flotation techniques for the recovery of parasite eggs and oocysts. Vet Ther 6(1):15–28PubMed

Eberhard ML, da Silva AJ, Lilley BG, Pieniazek NJ (1999) Morphologic and molecular characterization of new Cyclospora species from Ethiopian monkeys: C. cercopitheci sp.n., C. colobi sp.n., and C. papionis sp.n. Emerg Infect Dis 5(5):651–658. https://doi.org/10.3201/eid0505.990506 CrossRefPubMedPubMedCentral

Elmadawy RS, Diab MS (2017) Prevalence of Balantidium coli and molecular analysis of Isospora oocysts found in goats in Qalyobia Governorate, Egypt. Ann Vet Anim Sci 4(1):8–17

Fakae BB (1990) The epidemiology of helminthosis in small ruminants under the traditional husbandry system in eastern Nigeria. Vet Res Commun 14(5):381–391PubMed

Ghimire T (2018) Investigating the contribution of parasites in the domestic animals researched at the Nepal Academy of Science and Technology (NAST). Int J Infect Dis 73:316. https://doi.org/10.1016/j.ijid.2018.04.4132 CrossRef

Ghimire TR, Ghimire LV, Shahu RK, Mishra PN (2010) Cryptosporidium and Cyclospora infection transmission by swimming. J Inst Med 32(1):43–45

Godara R, Katoch R, Yadav A, Rastogi A (2014) Epidemiology of paramphistomosis in sheep and goats in Jammu, India. J Parasit Dis 38(4):423–428. https://doi.org/10.1007/s12639-013-0264-y CrossRefPubMed

Gorski P, Niznikowski R, Strzelec E, Popielarczyk D, Gajewska A, Wedrychowicz H (2004) Prevalence of protozoan and helminth internal parasite infections in goat and sheep flocks in Poland. Arch Tierz 47(6):43–49

Gul N, Tak H (2016) Prevalence of Trichuris spp. in small ruminants slaughtered in Srinagar District (J&K). J Parasit Dis 40(3):741–744. https://doi.org/10.1007/s12639-014-0570-z CrossRefPubMed

Hashemnia M, Rezaei F, Nikousefat Z, Ghashghaii A (2015) Acute caprine fasciolosis: a case with unusual migration to lung. J Parasit Dis 39(3):514–517. https://doi.org/10.1007/s12639-013-0387-1 CrossRefPubMed

Hassan HF, Barzinji AKR (2018) Prevalence of ruminants gastro-intestinal parasites in Kirkuk province, Iraq. Kirkuk Univ J Sci Stud 13(3):96–108

Hassell JM, Blake DP, Cranfield MR, Ramer J, Hogan JN, Noheli JB, Waters M, Hermosilla C (2013) Occurrence and molecular analysis of Balantidium coli in mountain gorilla (Gorilla beringei beringei) in the Volcanoes National Park, Rwanda. J Wildl Dis 49(4):1063–1065. https://doi.org/10.7589/2013-02-041 CrossRefPubMed

Hoare CA (2009) On an Entamoeba occurring in English goats. Parasitology 32(2):226–237. https://doi.org/10.1017/S0031182000015717 CrossRef

Hooshyar H, Rostamkhani P, Rezaeian M (2015) An annotated checklist of the human and animal Entamoeba (Amoebida: Endamoebidae) species—a review article. Iran J Parasitol 10(2):146–156PubMedPubMedCentral

Jamil M, Ijaz M, Muddassir Ali M (2015) Prevalence, hematology and treatment of Balantidium coli among small ruminants in and around Lahore, Pakistan. Kafkas Univ Vet Fak Derg 21(1):123–126

Joshi BR, Mahato SN (2013) Gastrointestinal parasitic diseases of buffaloes and implications of climate change for these diseases in Nepal. Buffalo Bull 32(2):1082–1087

Kamaruddin M, Tokoro M, Rahman MM, Arayama S, Hidayati APN, Syafruddin D, Asih PBS, Yoshikawa H, Kawahara E (2014) Molecular characterization of various trichomonad species isolated from humans and related mammals in Indonesia. Korean J Parasitol 52(5):471–478. https://doi.org/10.3347/kjp.2014.52.5.471 CrossRefPubMedPubMedCentral

Kanyari P, Kagira J, Mhoma R (2009) Prevalence and intensity of endoparasites in small ruminants kept by farmers in Kisumu Municipality, Kenya. Livest Res Rural Dev 21(11):1–10

Kaupke A, Michalski MM, Rzeżutka A (2017) Diversity of Cryptosporidium species occurring in sheep and goat breeds reared in Poland. Parasitol Res 116(3):871–879. https://doi.org/10.1007/s00436-016-5360-3 CrossRefPubMedPubMedCentral

Kaur S, Singla L, Sandhu B, Bal M, Kaur P (2019) Coccidiosis in goats: pathological observations on intestinal developmental stages and anticoccidial efficacy of amprolim. Indian J Anim Res 53(2):245–249

Khakural GP (2003) Surveillance of goat diseases in the Western Hills of Nepal. Nepal J Sci Technol 5:37–40

Koudela B, Boková A (1998) Coccidiosis in goats in the Czech Republic. Vet Parasitol 76(4):261–267PubMed

Kumsa B, Tadesse T, Sori T, Dugum R, Hussen B (2011) Helminths of sheep and goats in Central Oromia (Ethiopia) during the dry season. J Anim Vet Adv 10(14):1845–1849

Lama ST, Lama RP, Regmi GR, Ghimire TR (2015) Prevalence of intestinal parasitic infections in free-ranging Red Panda Ailurus fulgens Cuvier, 1825 (Mammalia: Carnivora: Ailuridae) in Nepal. J Threat Taxa 7(8):7460–7464

Li G, Xiao S, Zhou R, Li W, Wadeh H (2007) Molecular characterization of Cyclospora-like organism from dairy cattle. Parasitol Res 100(5):955–961. https://doi.org/10.1007/s00436-006-0380-z CrossRefPubMed

Li N, Ye J, Arrowood MJ, Ma J, Wang L, Xu H, Feng Y, Xiao L (2015) Identification and morphologic and molecular characterization of Cyclospora macacae n. sp. from rhesus monkeys in China. Parasitol Res 114(5):1811–1816. https://doi.org/10.1007/s00436-015-4367-5 CrossRefPubMedPubMedCentral

Li WC, Wang K, Zhang W, Wu J, Gu YF, Zhang XC (2016) Prevalence and molecular characterization of intestinal trichomonads in Pet Dogs in East China. Korean J Parasitol 54(6):703–710. https://doi.org/10.3347/kjp.2016.54.6.703 CrossRefPubMedPubMedCentral

Li WC, Wang K, Gu Y (2018) Occurrence of Blastocystis sp. and Pentatrichomonas hominis in sheep and goats in China. Parasit Vectors 11(1):93. https://doi.org/10.1186/s13071-018-2671-5 CrossRefPubMedPubMedCentral

Maitra A, Yadav CL, Sanjukta RK (2014) Seasonal prevalence of paramphistomosis in domestic ruminants in different agro-climatic zones of Uttarakhand, India. Asian Pac J Trop Dis 4:S748–S753. https://doi.org/10.1016/S2222-1808(14)60720-9 CrossRef

Maity M, Vineetha S, Sahoo M, Nandi A, Sardana S (2018) Mixed intestinal parasitic infection in kid: a case report. Explor Anim Med Res 8(1):120–122

Marangi M, Koehler AV, Zanzani SA, Manfredi MT, Brianti E, Giangaspero A, Gasser RB (2015) Detection of Cyclospora in captive chimpanzees and macaques by a quantitative PCR-based mutation scanning approach. Parasit Vectors 8:274. https://doi.org/10.1186/s13071-015-0872-8 CrossRefPubMedPubMedCentral

Mark LE, Eva KN, Amanda RF (1999) Survey for Cyclospora cayetanensis in domestic animals in an endemic area in Haiti. J Parasitol 85(3):562–563. https://doi.org/10.2307/3285797 CrossRef

Martin HM (1926) Studies on the Ascaris lumbricoides. University of Nebraska, Lincoln

Mat Yusof A, Md Isa ML (2016) Prevalence of gastrointestinal nematodiasis and coccidiosis in goats from three selected farms in Terengganu, Malaysia. Asian Pac J Trop Biomed 6(9):735–739. https://doi.org/10.1016/j.apjtb.2016.07.001 CrossRef

Mhoma J, Kanyari P, Kagira J (2011) The prevalence of gastrointestinal parasites in goats in urban and peri-urban areas of Mwanza City, Tanzania. Sci Parasitol 12(4):191–196

Mi R, Wang X, Huang Y, Zhou P, Liu Y, Chen Y, Chen J, Zhu W, Chen Z (2014) Prevalence and molecular characterization of Cryptosporidium in goats across four provincial level areas in China. PLoS ONE 9(10):e111164. https://doi.org/10.1371/journal.pone.0111164 CrossRefPubMedPubMedCentral

MOAD (2014) Agriculture Development Strategy (ADS), 2014. Government of Nepal, Ministry of Agricultural Development (MOAD), Singhdurbar, Kathmandu

MOAD (2018) Statistical information on Nepalese Agriculture 2073/74 (2016/17). Government of Nepal, Ministry of Agriculture, Land Management and Cooperatives, Singhadurbar

Mohamaden WI, Sallam NH, Abouelhassan EM (2018) Prevalence of Eimeria species among sheep and goats in Suez Governorate, Egypt. Int J Vet Sci Med 6(1):65–72PubMedPubMedCentral

Noble GA, Noble ER (1952) Entamoebae in farm mammals. J Parasitol 38(6):571–595. https://doi.org/10.2307/3273985 CrossRefPubMed

Ntonifor H, Shei S, Ndaleh N, Mbunkur G (2013) Epidemiological studies of gastrointestinal parasitic infections in ruminants in Jakiri, Bui Division, North West Region of Cameroon. J Vet Med Anim Health 5(12):344–352

Odermatt P, Lv S, Sayasone S (2010) Chapter 13—Less common parasitic infections in Southeast Asia that can Produce Outbreaks. In: Zhou X-N, Bergquist R, Olveda R, Utzinger J (eds) Advances in parasitology, vol 72. Academic Press, Cambridge, pp 409–435. https://doi.org/10.1016/S0065-308X(10)72013-3 CrossRef

O’Handley RM, Olson ME (2006) Giardiasis and cryptosporidiosis in ruminants. Vet Clin North Am Food Anim Pract 22(3):623–643. https://doi.org/10.1016/j.cvfa.2006.07.002 CrossRefPubMed

Pathak A, Pal S (2008) Seasonal prevalence of gastrointestinal parasites in goats from Durg district of Chhattisgarh. Vet World 1(5):136

Radavelli WM, Pazinato R, Klauck V, Volpato A, Balzan A, Rossett J, Cazarotto CJ, Lopes LS, Kessler JD, Cucco DC, Tonin AA, Silva ASD (2014) Occurrence of gastrointestinal parasites in goats from the Western Santa Catarina, Brazil. Rev Bras Parasitol Vet 23:101–104PubMed

Rajamohan K, Kalyanasundaram R, Peter C (1970) A preliminary note on ascariasis in goats. Kerala J Vet Sci 1(1):33

Rehbein S, Haupt W (1994) Possibilities of contagion of gastrointestinal and lung nematode infections of fallow deer for cattle, sheep and goats raised in the same fenced area as fallow deer. Dtsch Tierarztl Wochenschr 101(12):456–460PubMed

Robertson LJ, Björkman C, Axén C, Fayer R (2014) Cryptosporidiosis in farmed animals. In: Caccio SM, Widmer G (eds) Cryptosporidium: parasite and disease. Springer, New York, pp 149–235

Shakya P, Jayraw AK, Jamra N, Agrawal V, Jatav GP (2017) Incidence of gastrointestinal nematodes in goats in and around Mhow, Madhya Pradesh. J Parasit Dis 41(4):963–967. https://doi.org/10.1007/s12639-017-0919-1 CrossRefPubMedPubMedCentral

Sharma DK, Agrawal N, Mandal A, Nigam P, Bhushan S (2009) Coccidia and gastrointestinal nematode infections in semi-intensively managed Jakhrana goats of semi-arid region of India. Trop Subtrop Agroecosyst 11(1):135–139

Shrestha SP (1996) Prevalence of Fasciolosis in farm animals in Far Western Development Region. In: Proceedings of the 1st national workshop on livestock and fisheries research in Nepal, Khumaltar, Lalitpur, Nepal, pp 223–226

Silva LMRd, Vila-Viçosa MJM, Nunes T, Taubert A, Hermosilla C, Cortes HCE (2014) Eimeria infections in goats in Southern Portugal. Rev Bras Parasitol Vet 23(2):280–286PubMed

Singh DK, Sah SK (1994) Relationship between snail population and Liver fluke incidence in ruminants at Rampur, Chitawan. Research Reports (1992–1993), Rampur, Chitawan, pp 137–142

Singh RP, Sahai BN, Jha GJ (1984) Histopathology of the duodenum and rumen of goats during experimental infections with Paramphistomum cervi. Vet Parasitol 15(1):39–46PubMed

Singh AK, Das G, Roy B, Nath S, Naresh R, Kumar S (2015) Prevalence of gastro-intestinal parasitic infections in goat of Madhya Pradesh, India. J Parasit Dis 39(4):716–719. https://doi.org/10.1007/s12639-014-0420-z CrossRefPubMed

Slifko TR, Smith HV, Rose JB (2000) Emerging parasite zoonoses associated with water and food. Int J Parasitol 30(12–13):1379–1393PubMed

Sorathiya L, Fulsoundar A, Rao T, Kumar N (2017) Prevalence and risk factors for gastrointestinal parasitism in traditionally maintained goat flocks of South Gujarat. J Parasit Dis 41(1):137–141PubMed

Sun P, Wronski T, Bariyanga JD, Apio A (2018) Gastro-intestinal parasite infections of Ankole cattle in an unhealthy landscape: an assessment of ecological predictors. Vet Parasitol 252:107–116. https://doi.org/10.1016/j.vetpar.2018.01.023 CrossRefPubMed

Tariq KA, Chishti MZ, Ahmad F (2010) Gastro-intestinal nematode infections in goats relative to season, host sex and age from the Kashmir valley, India. J Helminthol 84(1):93–97. https://doi.org/10.1017/s0022149x09990113 CrossRefPubMed

Taylor MA, Coop RL, Wall RL (2016) Parasites of sheep and goats. In: Taylor MA, Coop RL, Wall RL (eds) Veterinary parasitology, 4th edn. Wiley, New York, pp 436–523

Tzanidakis N, Sotiraki S, Claerebout E, Ehsan A, Voutzourakis N, Kostopoulou D, Stijn C, Vercruysse J, Geurden T (2014) Occurrence and molecular characterization of Giardia duodenalis and Cryptosporidium spp. in sheep and goats reared under dairy husbandry systems in Greece. Parasite (Paris, France) 21:45. https://doi.org/10.1051/parasite/2014048 CrossRef

Utaaker KS, Myhr N, Bajwa RS, Joshi H, Kumar A, Robertson LJ (2017) Goats in the city: prevalence of Giardia duodenalis and Cryptosporidium spp. in extensively reared goats in northern India. Acta Vet Scand 59(1):86. https://doi.org/10.1186/s13028-017-0354-4 CrossRefPubMedPubMedCentral

Verma R, Sharma DK, Paul S, Gururaj K, Dige M, Saxena VK, Rout PK, Bhusan S, Banerjee P (2018) Epidemiology of common gastrointestinal parasitic infections in goats reared in semi-arid region of India. J Anim Res 8(1):39–45

Wang R, Li G, Cui B, Huang J, Cui Z, Zhang S, Dong H, Yue D, Zhang L, Ning C, Wang M (2014) Prevalence, molecular characterization and zoonotic potential of Cryptosporidium spp. in goats in Henan and Chongqing, China. Exp Parasitol 142:11–16. https://doi.org/10.1016/j.exppara.2014.04.001 CrossRefPubMed

Zajac AM, Conboy GA, Greiner EC, Smith SA, Snowden KF (2012) Fecal examination for the diagnosis of parasitism. In: Zajac AM, Conboy GA (eds) Veterinary clinical parasitology, 8th edn. Wiley, West Sussex, pp 3–169

Title: A survey of gastrointestinal parasites of goats in a goat market in Kathmandu, Nepal
Authors: Tirth Raj Ghimire
Namita Bhattarai
Publication date: 01-12-2019
Publisher: Springer India
Keyword: Protozoa
Published in: Journal of Parasitic Diseases / Issue 4/2019
Print ISSN: 0971-7196
Electronic ISSN: 0975-0703
DOI: https://doi.org/10.1007/s12639-019-01148-w

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