The body of M. conjunctus is pear-shaped and flat.[6] The body length is 1⁄4–3⁄8 inch (6.4–9.5 mm).[6] It has a weakly muscular terminal oral sucker.[2] No prepharynx is present.[2] The pharynx is strongly muscular.[2] The esophagus is very short.[2] The intestinal ceca vary from almost straight to sinuous.[2] The acetabulum is slightly oval and weakly muscular.[2] The male has an anterior testis and a posterior testis.[2] The testes vary from almost round to oval, and may be deeply lobed or slightly indented.[2] No cirrus pouch is found.[2] The seminal vesicle is slender.[2] The ovary is trilobed.[2] The receptaculum seminis is elongated or pyriform, and slightly twisted, and situated to the right and behind the ovary.[2]
M. conjunctus causes a disease called metorchiasis.[11] It has been known to infect humans since 1946.[4] Humans had eggs of M. conjunctus in their stools, but they were asymptomatic.[8]Sashimi from raw Catostomus commersoni was identified as a source for an outbreak in Montreal in 1993.[7] It was the first symptomatic disease in humans caused by M. conjunctus.[8]
Symptoms
After ingestion of fish infected with M. conjunctus, about 1–15 days are needed for symptoms to occur, namely for eggs to be detected in the stool (incubation period).[12]
The acute phase consists of upper abdominal pain and low-grade fever.[7] High concentrations of eosinophil granulocytes are in blood.[7] Also, higher concentrations of liver enzymes are seen.[7] When untreated, symptoms may last from 3 days to 4 weeks.[7] Symptoms of chronic infection were not reported.[12]
Diagnosis and treatment
Eggs of M. conjunctus can be found by stool analysis.[8]Serologic analysis can be also used - ELISA test for IgG antibodies against antigens of M. conjunctus.[8]
Drugs used to treat infestation include praziquantel:[7] 75 mg/kg in three doses per day (the same dosage applies for adults and for children).[8][13]
Effects on animal health
Watson and Croll (1981)[14] studied symptoms of cats. Prevention includes feeding with cooked fish (not raw fish).[6]
M. conjunctus was found to be a common infection of domestic dogs in First Nations settlements in 1973.[15] It has been in found in other animals including raccoons, minks, and gray foxes. [3]
^ abcdefghWobeser G., Runge W. & Stewart R. R. (1983). "Metorchis conjunctus (Cobbold, 1860) infection in wolves (Canis lupus), with pancreatic involvement in two animals". Journal of Wildlife Diseases19(4): 353–356. PMID6644936.
^ abcdefghMacLean J. D., Arthur J. R., Ward B. J., Gyorkos T. W., Curtis M. A. & Kokoskin E. (1996). "Common-source outbreak of acute infection due to the North American liver fluke Metorchis conjunctus". The Lancet347(8995): 154–158. doi:10.1016/S0140-6736(96)90342-6
^ abcdefgBehr M. A., Gyorkos T. W., Kokoskin E., Ward B. J., MacLean J. D. (1998). "North American liver fluke (Metorchis conjunctus) in a Canadian aboriginal population: a submerging human pathogen?" Canadian Journal of Public Health89: 258–259. PMID9735521. PDF.
^Dick T. A & Leonard R. D. (1979). "Helminth parasites of fisher Martes pennanti (Erxleben) from Manitoba, Canada". Journal of Wildlife Diseases15(3): 409–412. PMID574167.
^Unruh D. H., King J. E., Eaton R. D. & Allen J. R. (1973). "Parasites of dogs from Indian settlements in northwestern Canada: a survey with public health implications". Canadian Journal of Comparative Medicine37(1): 25–32. PMID4265550.