BLOOD FLUKE PARASITIC DISEASE (SANGUINICOLOSIS) AFFECTING CLARIAS GARIEPINUS WITH SPECIAL REFERENCES TO THE ASSOCIATED PATHOLOGICAL AND CLINICOPATHOLOGICAL CHANGES

Document Type : Research article

Authors

1 Dep. of Fish Diseases, Animal Health Research Institute, Mansoura Vet. Lab.

2 Dept. of Pathology and Clinical Pathology

Abstract

Sanguinicola species become very important dangerous blood parasites, infested culture wild fishes and caused damge for or yours of infested fish species specially CLarias gariepinus. The examination of gills, heart, kidney, liver and spleen revealed that present live blood fluke in some organs e.g. heart. The parasitological examination for Clarias gariepinus revealed that the prevelance of Sanguinicola species infestation was (63.33%). The clinical signs of examined infested fish showed that fish swim slowly and listlessly, anaemic and gills of infested fish were pale in colour. The histopathological changes in gills of infested Clarias gariepinus with Sanguinicola sp < /em>. showed unilateral sloughing of secondary lamellae and congested branchial blood vessels with presence of edema and intense leukocytic aggregation in gill arch. In heart present intermuscular edema, leukocytic infiltration among degenerated muscle fibers and intense hyaline degeneration or myolsis among muscle fiber. In liver showed edematous vascular wall, lymphocytic infiltration and degeneration in hepatic cells. In hepatopancreas present degranulation, hemorrhages and melanomacrophage aggregations with diffuse necrosis of hepatic parenchyma. In spleen showed depleted haemopiotic and lymphoid elements. In posterior kidney revealed focal hemorrhagic areas, hyaline degeneration in tubular nephrosis and contracted glomerular tufts. Effect Sanguinicola sp < /em>. infection on Clarias gariepinus was evaluated blood haemogram including total RBCs count, total leucocytic count, packed cell volume (PCV) and hemoglobin concentration. Also serum analysis of biochemical parameters including total protein and liver and kidney functions. The total RBCs count, hemoglobin concentration and PCV value were significantly decreased but total leucocytic count were very highly significantly increased due to increase  in antibodies levels. The total proteins were very highly significantly decreased. Serum AST and S.ALT showed high significant and significant increase respectively and serum creatinine were highly increased significantly. The treatment trial was held by using (Praziquantel - Bayer) Droncit in 10 mg/L for 1 hour for 4 days. Blood analysis of fish free from blood fluke       (Sanguinicola sp < /em>.) revealed increase highly significantly in total RBCs count, hemoglobin concentration and packed cell volume. Total protein and total WBCs count were very highly decreased in compared with infested fish.

Keywords


Dep. of Fish Diseases,

Animal Health Research Institute, Mansoura Vet. Lab.

 

BLOOD FLUKE PARASITIC DISEASE (SANGUINICOLOSIS) AFFECTING CLARIAS GARIEPINUS WITH SPECIAL REFERENCES

TO THE ASSOCIATED PATHOLOGICAL

 AND CLINICOPATHOLOGICAL CHANGES

(With 2 Tables and 12 Figures)

 

By

Rawia S.M. Adawy and K.A. Deeb*

*Dept. of Pathology and Clinical Pathology

(Received at 17/6/2007)

 

تأثير الإصابة بديدان الدم الطفيلية (مرض السانجو ينيکولا) على أسماک القرموط الأفريقي مع الإشارة إلى التغيرات الباثولوجية

والباثولوجية الإکلينيکية الناتجة عن هذه الإصابة

 

راوية سعد محمد عدوى ، خالد عبد الرحمن الغريب ديب

 

ديدان السانجوينيکولا التي تصيب الأسماک المستزرعة والأسماک التي تعيش في مياه النيل والترع والمصارف أصبحت أهم وأخطر ديدان الدم الطفيلية کالتي تسبب تحطيم لکل الأعضاء الداخلية للأسماک المصابة مثل أسماک القرموط الإفريقي حيث تم عمل فحص للخياشيم والقلب والکلي والکبد والطحال فوجدت ديدان السانجوينيکولا في القلب. وبالفحص الطفيلي لأسماک القرموط الأفريقي کانت نسبة الإصابة 63.33% بديدان السانجوينيکولا. وبعد الفحص المعملي لأسماک القرموط الأفريقي تبين الأسماک المصابة تسبح ببطيء وغير منتظمة في حرکاتها بالإضافة لوجود أنيميا وتغير لون الخياشيم إلي اللون الباهت ولذلک فقد وجدت تغيرات باثولوجية لأنسجة الأسماک المصابة بديدان السانجوينيکولا فبالنسبة للتغيرات في الخياشيم لوحظ موت خلايا نسيج رقائق الخياشيم مع احتقان في الأوعية الدموية الخيشومية مع وجود تورم وإرتشاح وتجمعات کثيرة لخلايا الدم البيضاء وذلک في جانب واحد من القوس الخيشومي أما القلب فقد أصيب بتضخم وإرتشاح مع تجمع لخلايا الدم البيضاء بين أنسجة القلب مع وجود التهاب في عضلة القلب. التغيرات الباثولوجية في الکبد ترى تضخم مع إرتشاح في الأوعية الدموي لجدار الکبد مع تجمع للخلايا الليمفاوية مع تحلل وتکسير في خلايا الکبد ولوحظ تجمع دموي في خلايا الکبد والبنکرياس وتجمع خلايا الميکروفاج مع وجود تنکرز في خلايا الکبد. والتغيرات الباثولوجية التي حدثت للطحال تکمن في انعدام الخلايا المصنعة لخلايا الدم والخلايا الليمفاوية. کما لوحظ تغيرات في أنسجة الکلية الخلفية وتشمل بقع من الأنزفة مع تآکل في العناصر الأساسية التي تترکب منها الکلي من الخلايا المجمعة والمرشحة للدم وکذلک الخلايا الإخراجية. تم تقييم تأثير السانجوينيکولا على أسماک القرموط الإفريقي المصابة والسليمة من خلال صورة الدم وتشمل نسبة الهيموجلوبين وعدد خلايا الدم الحمراء والبيضاء. هذا بالإضافة للتحاليل البيوکيميائية لسيرم الدم وتشمل قياس نسبة البروتين الکلي ووظائف الکبد والکلي. وأثبتت التحاليل وجود نقص معنوي في ترکيز الهيموجلوبين وخلايا الدم الحمراء وحجم الخلايا المضغوطة ووجود زيادة معنوية في کرات الدم البيضاء. وکذلک وجود نقص معنوي في البروتين الکلي لسيرم الدم مع زيادة ملحوظة في وظائف الکلي والکبد لسيرم الدم في المجموعة المصابة عن المجموعة السليمة. وأوضحت النتائج أيضا ارتفاع نسبة خلايا الدم البيضاء ارتفاعا ملحوظا في الأسماک المصابة نظراً لزيادة الأجسام المضادة. أثبتت النتائج أن علاج أسماک القرموط الإفريقي المصابة السانجوينيکولا بدواء (بارازکونتال) درونسيت تحسنت حالة الأسماک فقد تحسنت صورة الدم فزادت نسبة الهيموجلوبين وعدد کرات الدم الحمراء وحجم الخلايا المضغوطة وانخفض العدد الکلي لکرات الدم البيضاء لمستوى المجموعة السليمة وأيضا تحسنت القياسات البيوکيميائية لکل من البروتين الکلي ووظائف الکبد والکلي وعادت إلى ما يقرب من مستواها الطبيعي.

SUMMARY

 

Sanguinicola species become very important dangerous blood parasites, infested culture wild fishes and caused damge for or yours of infested fish species specially CLarias gariepinus. The examination of gills, heart, kidney, liver and spleen revealed that present live blood fluke in some organs e.g. heart. The parasitological examination for Clarias gariepinus revealed that the prevelance of Sanguinicola species infestation was (63.33%). The clinical signs of examined infested fish showed that fish swim slowly and listlessly, anaemic and gills of infested fish were pale in colour. The histopathological changes in gills of infested Clarias gariepinus with Sanguinicola sp. showed unilateral sloughing of secondary lamellae and congested branchial blood vessels with presence of edema and intense leukocytic aggregation in gill arch. In heart present intermuscular edema, leukocytic infiltration among degenerated muscle fibers and intense hyaline degeneration or myolsis among muscle fiber. In liver showed edematous vascular wall, lymphocytic infiltration and degeneration in hepatic cells. In hepatopancreas present degranulation, hemorrhages and melanomacrophage aggregations with diffuse necrosis of hepatic parenchyma. In spleen showed depleted haemopiotic and lymphoid elements. In posterior kidney revealed focal hemorrhagic areas, hyaline degeneration in tubular nephrosis and contracted glomerular tufts. Effect Sanguinicola sp. infection on Clarias gariepinus was evaluated blood haemogram including total RBCs count, total leucocytic count, packed cell volume (PCV) and hemoglobin concentration. Also serum analysis of biochemical parameters including total protein and liver and kidney functions. The total RBCs count, hemoglobin concentration and PCV value were significantly decreased but total leucocytic count were very highly significantly increased due to increase  in antibodies levels. The total proteins were very highly significantly decreased. Serum AST and S.ALT showed high significant and significant increase respectively and serum creatinine were highly increased significantly. The treatment trial was held by using (Praziquantel - Bayer) Droncit in 10 mg/L for 1 hour for 4 days. Blood analysis of fish free from blood fluke       (Sanguinicola sp.) revealed increase highly significantly in total RBCs count, hemoglobin concentration and packed cell volume. Total protein and total WBCs count were very highly decreased in compared with infested fish.

 

Key words: Fish, Clarias gariepinus, blood fluke, sanguinicolosis.

 

INTRODUCTION

 

Parasites that belong to the trematoda (sucking worms) are often to be found in fish. The flattened sucking worms that are parasitic in internal organs of fish have one or two sucking discs. In the blood of fishes several species of the real blood worm Sanguinicola may be found as parasites. Sanguinicola sp. is most important fish parasite among the expanding aquaculture industry especially in tuna fish, (Colquitt et al., 2001). The adult worms as living in the fish do not possess suckers. Instead they swim actively through the blood by waving movements of their body. They occur most abundantly in the heart and in the larger blood vessels of the gills. The eggs of the worm are transported by blood stream to capillaries of gills, kidneys, heart, liver and other organs. Also larva (miracidia) hatch from the eggs and bore through the wall of capillary of gills to enter lamnaied snails as intermediate host in water then develop into forked cercariae, where they penetrate the final host of fish through gill sheets and weaker parts of the skin. The few adult worms don't harm the fish, but the large number of cercaria in blood may kill fish (Kirk and Lewis, 1992). Blood flukes are known to cause significant pathology in several other marinculture species, such as cultured sea bass, Lates calcarifer (Bloch), in Malaysia (Herbert et al., 1995)and have caused mass mortality in Japanese amberjack, Seriola dmerili (Risso), juveniles as reported by Ogawa & Fukndom (1993). Eggs lodging in the viscera or connective tissue are encapsulated by the inflammatory granulomatous response of the fish host. Pathological changes caused by flukes can severely damage fish (Kirk and Lewis, 1992).

The separation and characterization of serum protein components of infected and non infected fish can help us to evaluate the host parasites relationship (Woo, 1992).

For prevention of blood fluke infection in farmed fish is the destruction of intermediate host snail and elimination of adult flukes from infected fish (Paperna, 1955).

The aim of study included, prevalence of sanguinicola species in clarias gariepinus, clinical signs of infestation with parasites and evaluate the haematological, biochemical and histopathological changes from natural infection with Sanguinicola sp. and treatment.

 

MATERIALS and METHODS

 

1- Examined fish:

Sixty fishes (Clarias gariepinus) were collected from River Nile in Dakahlia governorate. Fish were transported alive put in glass aquarium and clinical then were detected.

2- Collected blood samples:

Fresh blood samples were collected from caudal artery of both infected and non infected fish in tubes contain EDTA and tubes without EDTA.

a- Haematological examination:

Blood samples used for determination of total erythrocytic count (RBCs), hemoglobin concentration (Hb), total leucoytic count (WBCS), packed cell volume (PCV) according to Stoskopf, (1993).

b- Biochemical examination:

Serum samples were obtained from infected and non infected fish by centrifugation of blood samples and kept in refrigerator at -20oC until used. Total protein, aseparate aminotransferase (A.AST), alanine aminotransferase (S.ALT) and creatinine were determined by using commercial diagnostic kits from Merieux Laboratory Reagents and Products, France.

3- Parasitological examination:

The parasitological examination for heart and its blood vessels after flushed with PBS and the washing examined under dissecting microscope. Also gills and kidney were examined. The isolated blood parasites trematodes were preserved in formalin (10%) and stained with aceto acid carmine stain then identified according to Schmidt (1993).

4- Histopathological studies:

            The gills, heart, liver, spleen and kidney of infested fish were taken, preserved in 10% buffered natural formalin and prepared for histopathological examination according to Roberts (1989).

5- Treatment trial:

Seven (7) of alive C. gariepinus which proved to be heavily infested with Sanguinicola sp. after parasitological examination and other group was healthy and free from Sanguinicola sp. infestation were used control group. Fish can be kept in glass aquaria with dechlorinated water at 22oC ± 0.5. Droncit (praziquantel- Bayer) was used for treatment of infested fish in dose 10mg/liter for 1 hour for 3 days by bath method (Paperra, 1995; El-Khatib and Elias 2000). Blood samples were taken after 3 weeks from treatment for parasitological, haematological and biochemical examination.

6- Statistical analysis:

The t-student test was used for statistical analysis for obtained data according to Petrie and Watson (1999).

 

RESULTS

 

The prevalence of infestation with Sanguincola sp.was 38 from 60 examined fish (63.33%). The clinical signs of infested fish showed that fish swim slowly and listlessly, anaemic and gills pale in colour. The examined heart contains live adult flukes (Figs. 1 & 2).

Histopathological examination revealed that congested branchial blood vessels accompanied with unilateral sloughing of secondary lamellae and hypertrophy and fusion of secondary lamellar epithelium in the opposite side cloud be seen (Fig. 3). The gill arch showed edema, intense leukocytic aggregations and hemorrhages (Fig. 4). Surface epithelium of the gill rocker showed metaplsia to goblet cells. Some parasitic elements could be seen within gill arches. The histopathological changes in the heart revealed intermuscular edema and few leukocytic infiltration among degenerated muscle fibers were seen (Fig. 5). Some muscle bundles suffered from intense hyaline degeneration or myolysis (Fig. 6).

Also the pathological changes in liver showed edematous vascular wall with wild perivascular lymphocytic infiltration and degeneration changes in the hepatic cells were seen (Fig. 7). Hepatopancreas showed inactivation or degranulation and necrotic changes in the surrounding hepatic cells beside presence of melano macrophage aggregations (Fig. 8). Periductula fibrosis and congested blood vessels were encountered. Diffuse necrosis of the hepatic parenchyma which usually infiltrated with lymphocytes could be seen (Fig. 9). Also spleen showed depleted haemopiotic and lymphoid elements and congested elpsoides with presence of humerous melanomacrophage centers were the common splenic lesions (Fig. 10). The pathologic changes of posterior kidney revealed that focal hemorrhagic areas with active hemopoietic elements were the predominant changes (Fig. 11), tubular nephrosis mainly hyaline degenerations and contracted glomerular tufts were the predominants tubular change (Fig. 12).

Haemogram picture of infected group of Clarias gariepinus revealed that TRBCS, Hb and PCV values decreased highly significantly (P<0.01) on contrary TWBCS showed very highly significantly (P<0.01) increase were shown in Table (1). The biochemical parameters of blood serum evaluation showed that the total protein value decreased very highly significant (P<0.001), serum aseparate aminotransferase (A.AST) increased significantly (P<0.05), serum alanine aminotransferase (S.ALT) and creatinine also showed high significant increase at (P<0.01) over the level of control group as in Table (2).

Treatment trial:

After treatment of infected Clarias gariepinus group and free from Sanguinicola sp. infestation. All haematological and serum biochemical parameters showed marked improvement towards the normal levels as illustrated in Tables (1 & 2).                

 

Table 1: Mean values of some haematological parameters of the control group and infected group of Clarias gariepinus with Sanguinicola sp.

 

Item

 

Parameters

Control group

Infected group

Before treatment

After treatment

TRBCs (x 106/mm3)

3.05 ± 0.13

2.20 ± 0.15**

3.21 ± 0.21

Hb (G/dl)

9.10 ± 0.37

6.65 ± 51**

8.98 ± 0.56

PCV (%)

23.20 ± 0.79

18.09 ± 1.01**

22.77 ± 0.80

TWBCs (x 103/mm3)

26.34 ± 1.01

32.59 ± 0.96***

27.11 ± 0.88

 

** Highly significant at P < 0.01

*** Very highly significant at P < 0.001

 

Table 2: Mean values of total protein, liver and kidney functions of the control group and infected group of Clarias gariepinus with Sanguinicola sp.

 

Item

 

Parameters

Control group

Infected group

Before treatment

After treatment

Total protein (G/dl)

4.75 ± 0.22

2.69 ± 0.19***

4.59 ± 0.29

S.AST (Iµ/I)

265.23 ± 2.02

272.15 ± 2.24**

266.99 ± 1.72NS

S.ALT (Iµ/I)

6.78 ± 0.14

7.88 ± 0.23**

6.81 ± 0.17NS

S. creatinine (mg/dl)

1.68 ± 0.10

2.28 ± 0.11**

1.74 ± 0.13NS

 

* Significant at (P < 0.05)

** Highly significant at (P < 0.01)

*** Very highly significant at (P < 0.001)

NS: Non significant.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 1: Clarias gariepinus infected with Sanguinicola sp. showing gills was pale in colour

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 2: Sanguinicola sp. x 40

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 3: Gills of Clarias gariepinus infested with Sanguinicola sp. showing unilateral sloughing of secondary lamellae and congested branchial blood vessels (H & E x 150).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 4: Gills of Clarias gariepinus infested with Sanguinicola sp. showing edema and intenes leukocytic aggregations in gill arch (H & E x 300)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 5:Heart of Clarias gariepinus infested with Sanguinicola sp. showing edematous myocardial muscles (H & E x 150)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 6: Heart of Clarias gariepinus infested with Sanguinicola sp. showing intense Zenkers degeneration or myolysis of muscle fibers (H & E x 300)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 7: Liver of Clarias gariepinus infested with Sanguinicola sp. showing adematous vascular wall and degenerated hepatic cells (H & E x 150)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 8: Hepatopancreas of Clarias gariepinus infested with  Sanguinicola sp. showing degeneration and inactivation            (H & E x 300)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 9: Liver of Clarias gariepinus infested with Sanguinicola sp. showing diffuse hepatic necrosis infiltrated with lymphocytes (H & E x 300)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 10: Spleen of Clarias gariepinus infested with Sanguinicol sp. showing depleted hemopoietic and lymphoid elements        (H & E x 150)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 11: Posterior kidney of Clarias gariepinus infested with Sanguinicola sp. showing focal hemorrhages and active haemopiotic elements (H & E x 150)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 12:Posterior kidney of Clarias gariepinus infested with Sanguinicola sp. showing tubular nephrosis and contracted glamerular tufts (H & E x 300)

DISCUSSION

 

Blood flukes are becoming recognized as important fish parasites in the aquaculture industry. The recorded number of blood fluke species and fish hosts is increasing, as recorded by Smith (1997).

In the present study, the prevalence of infestation with Sangunicola species in Clarias gariepinus was 36.33% and clinical signs of infested fish included gills pale in colour and fish anaemic. This result was agreed with El Khatib and Elias (2003).

The histopathological study in gills revealed that congestion branchial blood vessels, unilateral sloughing of secondary lamellae, hypertrophy and fusion of secondary lamellar epithelium in opposite side and edema in gill arch with leukocytic aggregation and hemorrhages. Surface epithelium of gill rocker showed metaplasia to goblet cells and some parasitic elements could be seen within gill arches which may be due to damage of gills tissues and obstruction of blood vessels caused reducing in blood circulation, hemorrhage and inflammatory responses lead to respiratory manifestation during invasion and migration of blood flukes and miracidia through gills of fish. These results agree with Kirk and Lewis, (1998) and Colquitt et al. (2001).

The pathological changes in heart of infected fish were  intermuscular edema and few leukocytic infiltration among degenerated muscle fibers and some muscle bundles suffered from intense hyaline degeneration or myolysis. These results were go parallel with the findings of Colquitt et al. (2001) were reported that fibrotic tissue and myocardial hypertrophy could stroke volume, thus requiring an increase in heart rate cause stress in fish especially during times of anoxia/hypoxia and increase metabolic oxygen demand.

Also the pathological changes in liver showed edematous vascular wall with mild perivasculor lymphocytic infiltration and degenerative changes in hepatic cells, also hepatopancreas showed inactivation or degranulation hemorrhages and necrotic changes in the surrounding hepatic cells beside presence of melanomacrophage aggregation. The periductula fibrosis and congested blood vessels were encountered. Diffuse necrosis of hepatic parenchyma which usually infiltrated with lymphocytes. These changes due to parasitic invasion were hepatic cells necrosis and lymphocytes presence due to reactive hepatitis in response to systemic infection and toxic material released from invasive parasites lead to serious damage hepatic parenchyma effect on metabolism of protein, carbohydrate and lipid. The hemorrhages and melanomacrophage due to haemolytic anaemia and ferrous iron stored in melanomacrophages of haemopoietic tissue of liver. These results agreed with Roberts, (1989).

The histopathological changes in spleen showed depleted haemopioetic and lymphoid elements and congested elpsoides with presence of numerous melanomacrophage centers were the common splenic lesion, these results agreed with Richards et al. (1994) were recorded that ultrastructural changes cells of cyprinus carpio spleen, parasitism induced significant reductions of erythrocytes, neutrophils and eosinophils and significant increases of thrombocytes and macrophages.

In other hands, the histopathological changes in kidney showed that the posterior kidney containing focal hemorrhagic areas with active haemopiotic elements were the predominant changes, tubular nephrosis mainly hyaline degeneration and contracted glomerular tufts were the predominants tubular changes beside melanomacrophage, these results agreed with Richards et al. (1994) and Kirk and Lewis (1998).

The haemogram picture of infested fish with Sanhuinicola sp. were present anaemia due to loss of blood during miracidia liberate from gill tissue to swim in water and blood flukes excreted toxic materials in blood of infested fish were caused changes in blood contents including decreased in RBCS count and hemoglobin level and increase WBCS count these results were agreement with Williams (1967) and Gomez-Bautista and Simon-Martin, (1987) were recorded that haematocrite and hemoglobin levels had dropped in Rutilus arcasi (Cypyindidae) infected with Sanguinicola sp. Serum total protein value were very highly decreased due to liver damage of infected fish, these results agreed with Ezz- Edin & Mousa (1998) and El-Khatib and Elias, (2002) but after treatment, total protein value were increased sera analysis of liver enzymes level of infected group regarded significant increase in S.AST and highly significant increase in S.ALT, also serum creatinine of infected group showed highly significant increase due to liver and kidney dysfunction during Sanguinicola sp. infection (Stoskopf, 1993).

The haematological and biochemical parameters were returned to normal levels after treatment of infested Clarias gariepinus with Droncit and become free blood parasite (Sanguincola sp.).

Finally, from this study it was concluded that, blood parasites (Sanguinicola sp.) have dangerous effect on health of Clarias gariepinus includes haematological, biochemical parameters and histopathological changes.

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Robert, R.J. (1989): Fish Pathologica (2nd ed) pp. 89-109 Bailliere Tinall, London, Philadelphia, Sydney. Tokyo, Toronto.

Schmidt, G.D. (1993): Essentials of Parasitology. 4th Ed, Universal Book stall, New Delhi.

Smith, J.W. (1997): The blood flukes (Digenea: Sanguinicolidae and Spirorchidae) of cold blooded vertebrates. Part I.A review of the literature published since 1971 and bibliography. Helmintbological Abstracts 66: 254-294.

Stoskopf, M.K. (1993): Fish medicine. W.B Sanders Comp. Philadelphia, pp. 131.

Williams, H.H. (1967): Helminth diseases of fish. Helminth. Abstr., 36 (3): 261-295.

Woo, P.T.K. (1992): Immunological responses of fish to parasitic organisms. Annual Review of Fish Diseases, pp. 339-366.

 

 

 
Colquitt, S.E.; Munday, B.L. and Daintith, M. (2001): Pathological findings in southern blue fin tuna, Thunnas maccoyii (Castelnau), infected with Cardiocal forsteri (Cribb, Daintith of Munday, 2000) (Digenea: Sanguinicolidae), a blood fluke. J. Fish Dis., 24: 225-229.
EL-Khatib, N.H. and Elias, N.S. (2003): Sanguinicolosis specificity factors in some freshwater fishes with special reference to fish species haemogram and serum electrophoresis. Vet. Med. J. Assiut. 49 (96): 167-178.
Ezz EL-Dien, N.M. and Mousa, W.M. (1998): Blood protozoa infecting Clarias lazera in Lake Manzala with electrophoretic haematological and biochemical studies on Trypanosome muskasai (Hoare, 1932). Vet. Med. J. Giza, 46 (4A): 543-563.
Gomez-Bautista, M. and Simon-Martin, F. (1987): Haematological changes in Rutilus carcasi (Cyprinidae) experimentally infected with Sanguinicola sp. (Digenea: Sanguinicolidae). Revista – Iberica–de–Parasitologia. Vol extraordinario (Enero): 189-193.
Herbert, B.W.; Shaharom, F.M. and Anderson, I.G. (1995): Histopathology of cultured sea bass (Lates calcarifer) (Centropomidae) infected with Cruoricola lates (Trematodo: Sanguinicolidae) from pulay ketam, Maloysia. International Journal for Parasitology, 25: 3-13.
Imam, E.A.; Marzouk, M.S.; Hassan, A.A. and Itman, B.H. (1984): Studies on Sanguinicola sp. (Trematoda) of Nile fishes. Vet. Med. J., 32: 1-13.
Kirk, R.S. and Lewis, J.W. (1992): The laboratory maintenance of Sanguinicola inermis plehn (1905). Digenea Sanguinicolide Parasitology, 104:121-127.
Kirk, R.S. and Lewis, J.W. (1998): Histopathology of Sanguinicola inermis infection in carp, Cyprinus carpio. J. of Helminthology, 72 (1): 33-38.
Ogawa, k. and Fukudome, M. (1993): Mass mortality caused by blood fluke (Paradeontacy clix) among amberjack (Seriola dumerili) imported to Japan. Fish Pathology, 29: 265-269.
Paperna, I. (1995): Digenea (phylum platyhelninthes) In: Fish Diseases and Disorders, Vol. I protozoan and metazoan infections (Ed. by P.T.K. Woo) pp. 329-389. CAB Internationa, London.
Petrie, A. and Watson, P. (1999): Statistics for Veterinary and Animal Science 1st ed. Pp. 90-99. The Blackwell Science 1td. United Kingdom.
Richards, D.T.; Hoole, D.; Lewis, J.W.; Ewens, E. and Arme, C. (1994): Ultrastructural observations on the cellular response of carp (Cyprinus carpio L.) to eggs of the blood fluke Sanguinicola inermis plehn, 1905 (Trematoda, sanguinicola). J. of Fish Diseases, 17: 439-446.
Robert, R.J. (1989): Fish Pathologica (2nd ed) pp. 89-109 Bailliere Tinall, London, Philadelphia, Sydney. Tokyo, Toronto.
Schmidt, G.D. (1993): Essentials of Parasitology. 4th Ed, Universal Book stall, New Delhi.
Smith, J.W. (1997): The blood flukes (Digenea: Sanguinicolidae and Spirorchidae) of cold blooded vertebrates. Part I.A review of the literature published since 1971 and bibliography. Helmintbological Abstracts 66: 254-294.
Stoskopf, M.K. (1993): Fish medicine. W.B Sanders Comp. Philadelphia, pp. 131.
Williams, H.H. (1967): Helminth diseases of fish. Helminth. Abstr., 36 (3): 261-295.
Woo, P.T.K. (1992): Immunological responses of fish to parasitic organisms. Annual Review of Fish Diseases, pp. 339-366.