Lungworm in dogs, but what about in reptiles?

Throughout the UK we are seeing a rise in the number of lungworm cases in dogs, which is a life threatening condition if left untreated, and is carried by slugs, snails and foxes. More information here:

http://www.richmondvets.co.uk/slugs-snails-and-puppy-dog-tales/

However, I’ve recently been asked about the risks of lungworm for pet reptiles on an exotic forum I contribute to. Some reptile keepers were discussing feeding snails to their lizards and wondered if this parasite could be passed on considering slugs and snails in the UK are the intermediate host for canine lungworm (Angiostrongylus vasorum). I have to admit my answer was I didn’t know for certain what the risk was if any, but I did know that amphibians such as frogs could act as an intermediate host when preying on infected slugs and snails. I also knew of certain other parasites of the lungs and circulatory system that specifically infect reptiles so thought I would write a short blog post to clear up any concerns.

The canine lungworm (A. vasorum) requires that the eggs shed in faeces of the primary mammalian host (dog or fox) are ingested in the environment by an intermediate mollusc host such as a slug or snail. The parasite then undergoes a further stage of development in the snail host before shedding infective cysts into the environment in the hope that these are ingested again by a canine such as a dog or fox. However, there is evidence that UK common frogs act as a host for the parasite also, either as an intermediate host like the snail or as a paratenic host depending which infective stage it becomes infected by (http://link.springer.com/article/10.1007%2FBF00931834?LI=true).

Lungworm cycle with frogThe term paratenic describes a host which is not essential for the development of the parasite, but can maintain the parasite and shed infective stages until the next part of the life cycle can resume. So in this example the snail and canine host can continue the cycle from ingestion of infective stages in frog faeces. Similarly, frogs can infect dogs directly if they are ingested. In most paratenic hosts there are no discernible ill effects of infection, as they merely act as a vector of infective stages to the required hosts by environmental transmission. However, it is well recognised in the field of parasitology that intermediate and paratenic hosts can undergo subtle changes in behaviour and physiology engineered by the parasite itself, that ultimately lead to an increased likelihood of ingestion by the definitive or primary host. So for example, it has been shown that mice (intermediate host) infected with certain nematodes show increased diurnal activity and diminished predator avoidance behaviours leading to increased death by predation in infected individuals, thus aiding transmission to the mammalian or avian predator (definitive host). For these reasons, if we can avoid infecting our captive reptile pets with potentially harmful parasites we should make a substantial effort to do so. As an aside, this was the topic for my undergraduate dissertation, so parasitology and parasite behaviour is a fascinating area for me. Here’s some amazing evolutionary adaptations of parasites and their hosts if you are interested:

http://essaybank.degree-essays.com/biology/host-behaviour-manipulation-by-helminths.php

Anyway, back to canine lungworm and feeding snails to pet reptiles, or amphibians for that matter. There have not been many studies into the effects of this parasite on reptiles mainly because there are no apparent economic reasons to undertake such studies, although it has been recognised that they can act as paratenic hosts. Because the common frog has been proven to act as both paratenic and intermediate host, presumably with the subsequent changes associated with infection above, I would warn against feeding native wild caught slugs and snails to captive reptiles and amphibians as a result. If the frog can act as both intermediate and paratenic host then it is likely that native reptiles can, and by default I would suggest that non-native amphibians and reptiles could also be at risk. The likelihood is that even if captive reptiles do not have any ill effects, over time the parasite burden may become heavy resulting in debilitation or complicating other health issues, and could even act as a reservoir of infection for dogs in the household. Equally, as the effects of infection are not known it is better to be safe than sorry, and so finding alternatives to using wild snails and slugs is probably the safest option. One method would be culturing your own mollusc supply, using either Giant African Land Snails which are readily available and easy to culture, or obtaining a supply of edible snails from the restaurant supply trade and culturing these at home as a food source for your reptile pets, many of which specialise or at least are adapted to consuming such prey in the wild. Caiman Lizards, skinks, certain Chameleons, salamanders and frogs all relish snails and slugs in their diet. If you are considering feeding such items a captive bred clean supply is probably the best source. It is also important to beware feeding wild snails and slugs due to the risk of slug bait poisons and insecticide or herbicide residues, even if you don’t use them in your own garden. You would be surprised how far a hungry slug can travel, and can’t always be sure your neighbours are as environmentally-minded or pet-conscious with their use of chemicals.
Apart from the possible risk of infection with canine lungworm, reptiles and amhibians can become infected with specialised lungworm parasites of their own leading to ill health and even death in some cases. It is important to be aware of the risk of parasites in general in captive reptiles, and routine parasite screens should be carried out on any new additions to a collection as well as annual or biannual screening tests in large collections. Protozoan infections, roundworms, tapeworms and pinworms are the most common offenders, but lungworm infections are also being diagnosed more and more frequently in the reptile trade. Reptile lungworms include Rhabdias spp. in snakes and Entamelas spp. in lizards. They are spread by direct transmission, differing from the canine lungworm in that they have no intermediate host. Eggs shed in faeces are directly infectious to the host reptile and other uninfected individuals that come in contact with this environmental contamination. Infection occurs through ingestion of faecal contaminated material or direct penetration by the larvae through the skin of the host. This mode of transmission means it is extremely easy to unwittingly spread the parasite widely through a large reptile collection. The most common findings in infected individuals are respiratory signs such as gaping, wheezing, foamy secretions from the airway and respiratory distress resulting from pneumonia. It is important to consider this parasite as a potential factor in respiratory infections that are longstanding or do not respond to standard effective treatments. As with most parasites, the eggs of the parasite are easily found on routine faecal examination or sometimes by examining saliva and respiratory secretions under the microscope. Reptiles that show these symptoms should always be isolated from healthy animals. Quarantining wild-caught or new additions to a collection is always recommended. If any of the above symptoms are noticed or if your reptile is generally unwell and fails to thrive a faecal parasite screen and examination by a competent, experienced vet is recommended.

I hope this topic was of interest and if you have any other suggestions for blog topics please leave them in the comments or on our Facebook or Twitter pages at Sean McCormack Mvb and @ExoticPetVet.

All the best,

Sean.

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2 thoughts on “Lungworm in dogs, but what about in reptiles?

  1. Hello,
    excellent blog with many informative articles about reptile medicine. Unfortunately so detailed descriptions are lacking from most internet sources, so that blog is very helpful. Hope you would write more often here, though.
    I have a question about this parasite after reading the article. Why should we blancket-cover all amphibians and reptiles as its potential host range? There is no evidence that it can affect other amphibians, let aloan reptiles, which are a completely different class of amniotes more close to birds than mammals. Do parasites jump more easily between amphibians and reptiles than between reptiles and amphibians or mammals for example?
    Keep up the good work, and don’t forget to uptade the blog more often!

    • The answer is I don’t know as there haven’t been studies done as far as I am aware. That doesn’t mean it is impossible to happen. Many parasites can enter aberrant or dead end hosts and cause damage. As for asking do parasites jump more easily between reptiles and amphibians, or from those groups to mammals, that would have to be answered in relation to each individual parasite species as all have unique life cycles and host preferences. Some can, some can’t.

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