References

Annoscia G, Latrofa MS, Campbell BE Simultaneous detection of the feline lungworms Troglostrongylus brevior and Aelurostrongylus abstrusus by a newly developed duplex-PCR. Vet Parasitol. 2014; 199:(3–4)172-178 https://doi.org/10.1016/j.vetpar.2013.10.015

Böhm C, Wolken S, Schnyder M Efficacy of emodepside/praziquantel spot-on (Profender®) against adult Aelurostrongylus abstrusus nematodes in experimentally infected cats. Parasitol Res. 2015; 114:(S1)155-164 https://doi.org/10.1007/s00436-015-4521-0

Conboy G. Helminth parasites of the canine and feline respiratory tract. Vet Clin North Am Small Anim Pract. 2009; 39:(6)1109-1126 https://doi.org/10.1016/j.cvsm.2009.06.006

Crisi PE, Traversa D, Di Cesare A Irreversible pulmonary hypertension associated with Troglostrongylus brevior infection in a kitten. Res Vet Sci. 2015; 102:223-227 https://doi.org/10.1016/j.rvsc.2015.08.019

Crisi PE, Aste G, Traversa D Single and mixed feline lungworm infections: clinical, radiographic and therapeutic features of 26 cases (2013-2015). J Feline Med Surg. 2017; 19:(10)1017-1029 https://doi.org/10.1177/1098612X16670563

Crisi PE, Di Cesare A, Boari A. Feline troglostrongylosis: current epizootiology, clinical features, and therapeutic options. Front Vet Sci. 2018; 5 https://doi.org/10.3389/fvets.2018.00126

Crisi PE, Di Cesare A, Traversa D Controlled field study evaluating the clinical efficacy of a topical formulation containing emodepside and praziquantel in the treatment of natural cat aelurostrongylosis. Vet Rec. 2020; 187:(5) https://doi.org/10.1136/vr.105528

Dennler M, Bass DA, Gutierrez-Crespo B Thoracic computed tomography, angiographic computed tomography, and pathology findings in six cats experimentally infected with Aelurostrongylus abstrusus. Vet Radiol Ultrasound. 2013; 54:(5)459-469 https://doi.org/10.1111/vru.12044

Diakou A, Morelli S, Dimzas D Efficacy of a moxidectin/imidacloprid spot-on formulation (Advocate®) for the treatment of Troglostrongylus brevior in naturally infected cats in a field study in Greece. Parasit Vect. 2019; 12:(519) https://doi.org/10.1186/s13071-019-3760-9

Di Cesare A, Otranto D, Latrofa MS Genetic variability of Eucoleus aerophilus from domestic and wild hosts. Res Vet Sci. 2014; 96:(3)512-515 https://doi.org/10.1016/j.rvsc.2014.03.018

Di Cesare A, Veronesi F, di Regalbono AF, Iorio R, Traversa D. Novel molecular assay for simultaneous identification of neglected lungworms and heartworms affecting cats. J Clin Microbiol. 2015a; 53:(9)3009-3013 https://doi.org/10.1128/JCM.00901-15

Di Cesare A, Di Francesco G, di Regalbono AF Retrospective study on the occurrence of the feline lungworms Aelurostrongylus abstrusus and Troglostrongylus spp. in endemic areas of Italy. Vet J. 2015b; 203:(2)233-238 https://doi.org/10.1016/j.tvjl.2014.12.010

Di Cesare A, Veronesi F, Capelli G Evaluation of the efficacy and safety of aniImidacloprid 10%/moxidectin 1% spot-on formulation (Advocate, Advantage Multi) in cats naturally infected with Capillaria aerophila. Parasitol Res. 2017; 116:(S1)55-64 https://doi.org/10.1007/s00436-017-5491-1

Dirven M, Szatmári V, van den Ingh T, Nijsse R. Reversible pulmonary hypertension associated with lungworm infection in a young cat. J Vet Cardiol. 2012; 14:(3)465-474 https://doi.org/10.1016/j.jvc.2012.04.005

Elhamiani Khatat S, Rosenberg D, Benchekroun G, Polack B. Lungworm Eucoleus aerophilus (Capillaria aerophila) infection in a feline immunodeficiency virus-positive cat in France. J Feline Med Surg Open Rep. 2016; 2:(1) https://doi.org/10.1177/2055116916651649

Elsheikha HM, Schnyder M, Traversa D Updates on feline aelurostrongylosis and research priorities for the next decade. Parasit Vector. 2016; 9:(1) https://doi.org/10.1186/s13071-016-1671-6

Febo E, Crisi PE, Traversa D Comparison of clinical and imaging findings in cats with single and mixed lungworm infection. J Feline Med Surg. 2019; 21:(6)581-589 https://doi.org/10.1177/1098612X18793445

Gerdin JA, Slater MR, Makolinski KV Post-mortem findings in 54 cases of anesthetic associated death in cats from two spay-neuter programs in New York State. J Feline Med Surg. 2011; 13:(12)959-966 https://doi.org/10.1016/j.jfms.2011.07.021

Giannelli A, Passantino G, Ramos RAN Pathological and histological findings associated with the feline lungworm Troglostrongylus brevior. Vet Parasitol. 2014; 204:(3-4)416-419 https://doi.org/10.1016/j.vetpar.2014.05.020

Giannelli A, Brianti E, Varcasia A Efficacy of Broadline® spot-on against Aelurostrongylus abstrusus and Troglostrongylus brevior lungworms in naturally infected cats from Italy. Vet Parasitol. 2015; 209:(3–4)273-277 https://doi.org/10.1016/j.vetpar.2015.02.037

Giannelli A, Capelli G, Joachim A Lungworms and gastrointestinal parasites of domestic cats: a European perspective. Int J Parasitol. 2017; 47:(9)517-528 https://doi.org/10.1016/j.ijpara.2017.02.003

Gueldner EK, Gilli U, Strube C, Schnyder M. Seroprevalence, biogeographic distribution and risk factors for Aelurostrongylus abstrusus infections in Swiss cats. Vet Parasitol. 2019; 266:27-33 https://doi.org/10.1016/j.vetpar.2018.12.013

Heuer L, Petry G, Pollmeier M Efficacy of imidacloprid 10%/moxidectin 1% spot-on formulation (Advocate®) in the prevention and treatment of feline aelurostrongylosis. Parasit Vector. 2020; 13:(65) https://doi.org/10.1186/s13071-020-3937-2

Iannino F, Iannetti L, Paganico D, Vulpiani MP. Evaluation of the efficacy of selamectin spot-on in cats infested with Aelurostrongylus abstrusus (Strongylida, Filariodidae) in a Central Italy cat shelter. Vet Parasitol. 2013; 197:(1-2)258-262 https://doi.org/10.1016/j.vetpar.2013.04.042

Knaus M, Chester ST, Rosentel J, Kühnert A, Rehbein S. Efficacy of a novel topical combination of fipronil, (S)-methoprene, eprinomectin and praziquantel against larval and adult stages of the cat lungworm, Aelurostrongylus abstrusus. Vet Parasitol. 2014; 202:(1–2)64-68 https://doi.org/10.1016/j.vetpar.2014.02.042

Knaus M, Shukullari E, Rapti D, Rehbein S. Efficacy of broadline against Capillaria aerophila lungworm infection in cats. Parasitol Res. 2015; 114:(5)1971-1975 https://doi.org/10.1007/s00436-015-4386-2

Knaus M, Visser M, Mayr S, Rehbein S. Efficacy of a topical combination of eprinomectin, praziquantel, fiproniland(S)-methoprene against developing and adult Troglostrongylus brevior lungworms (Nematoda, Crenosomatidae) in cats. Vet Parasitol. 2020; 277 https://doi.org/10.1016/j.vpoa.2020.100032

Lacava G, Zini E, Marchesotti F Computed tomography, radiology and echocardiography in cats naturally infected with Aelurostrongylus abstrusus. J Feline Med Surg. 2017; 19:(4)446-453 https://doi.org/10.1177/1098612X1663641z9

Lacorcia L, Gasser RB, Anderson GA, Beveridge I. Comparison of bronchoalveolar lavage fluid examination and other diagnostic techniques with the Baermann technique for detection of naturally occurring Aelurostrongylus abstrusus infection in cats. J Am Vet Med Assoc. 2009; 235:(1)43-49 https://doi.org/10.2460/javma.235.1.43

Morelli S, Diakou A, Di Cesare A Feline lungworms in Greece: copromicroscopic, molecular and serological study. Parasitol Res. 2020; 119:(9)2877-2883 https://doi.org/10.1007/s00436-020-06839-5

Morelli S, Diakou A, Colombo M Cat respiratory nematodes: current knowledge, novel data and warranted studies on clinical features, treatment and control. Pathogens. 2021; 10:(4) https://doi.org/10.3390/pathogens10040454

Murad B, Yankova S, Shiron M Clinical cases of Aelurostrongylus abstrusus and feline immunodeficiency virus co-infection in cats. Tradition Modern Vet Med. 2019; 4:46-50 https://doi.org/10.5281/zenodo.2596717

Payo-Puente P, Diez A, Gonzalo-Orden JM Computed tomography in cats infected by Aelurostrongylus abstrusus: 2 clinic cases. Int J Appl Res Vet Med. 2005; 3:339-343

Rehbein S, Capári B, Duscher G Efficacy against nematode and cestode infections and safety of a novel topical fipronil, (S)-methoprene, eprinomectin and praziquantel combination product in domestic cats under field conditions in Europe. Vet Parasitol. 2014; 202:(1–2)10-17 https://doi.org/10.1016/j.vetpar.2014.02.032

Rohdich N, Zschiesche E, Wolf O Field effectiveness and safety of fluralaner plus moxidectin (Bravecto® Plus) against ticks and fleas: A European randomized, blinded, multicenter field study in naturally-infested client-owned cats. Parasit Vect. 2018; 11:(1) https://doi.org/10.1186/s13071-018-3175-z

Schnyder M, Di Cesare A, Basso W Clinical, laboratory and pathological findings in cats experimentally infected with Aelurostrongylus abstrusus. Parasitol Res. 2014; 113:(4)1425-1433 https://doi.org/10.1007/s00436-014-3783-2

Stepanović P, Despotović D, Dimitrijević S, Ilić T. Clinical-parasitological screening for respiratory capillariosis in cats in urban environments. Helminthologia. 2020; 57:(4)322-334 https://doi.org/10.2478/helm-2020-0046

Traversa D, Di Cesare A. Feline lungworms: what a dilemma. Trends Parasitol. 2013; 29:(9)423-430 https://doi.org/10.1016/j.pt.2013.07.004

Traversa D, Di Cesare A. Diagnosis and management of lungworm infections in cats: cornerstones, dilemmas and new avenues. J Feline Med Surg. 2016; 18:(1)7-20 https://doi.org/10.1177/1098612X15623113

Traversa D, Di Cesare A, Milillo P, Iorio R, Otranto D. Aelurostrongylus abstrusus in a feline colony from central Italy: clinical features, diagnostic procedures and molecular characterization. Parasitol Res. 2008; 103:(5)1191-1196 https://doi.org/10.1007/s00436-008-1115-0

Traversa D, Di Cesare A, Milillo P, Iorio R, Otranto D. Infection by Eucoleus aerophilus in dogs and cats: is another extra-intestinal parasitic nematode of pets emerging in Italy?. Res Vet Sci. 2009a; 87:(2)270-272 https://doi.org/10.1016/j.rvsc.2009.02.006

Traversa D, Di Cesare A, Milillo P Efficacy and safety of imidacloprid 10%/moxidectin 1% spot-on formulation in the treatment of feline aelurostrongylosis. Parasitol Res. 2009b; 105:(S1)55-62 https://doi.org/10.1007/s00436-009-1496-8

Traversa D, Milillo P, Di Cesare A, Lohr B Efficacy and safety of emodepside 2.1%/praziquantel 8.6% spot-on formulation in the treatment of feline aelurostrongylosis. Parasitol Res. 2009c; 105:(S1)83-89 https://doi.org/10.1007/s00436-009-1499-5

Traversa D, Di Cesare A, Lia RP New insights into morphological and biological features of Capillaria aerophila (Trichocephalida, Trichuridae). Parasitol Res. 2011; 109:(S1)97-104 https://doi.org/10.1007/s00436-011-2406-4

Traversa D, Della Salda L, Diakou A Fatal patent troglostrongylosis in a litter of kittens. J Parasitol. 2018; 104:(4)418-423 https://doi.org/10.1645/17-172

Traversa D, Morelli S, Cassini R Frangipane di Regalbono A. Occurrence of canine and feline extra-intestinal nematodes in key endemic regions of Italy. Acta Tropica. 2019a; 193:227-235 https://doi.org/10.1016/j.actatropica.2019.03.009

Traversa D, Veronesi F, Danesi P Pilot study evaluating the efficacy of a topical formulation containing emodepside and praziquantel in the treatment of natural feline troglostrongylosis. Parasit Vectors. 2019b; 12:(1) https://doi.org/10.1186/s13071-019-3361-7

Traversa D, Morelli S, Di Cesare A, Diakou A. Felid cardiopulmonary nematodes: dilemmas solved and new questions posed. Pathogens. 2021; 10:(1)30-30 https://doi.org/10.3390/pathogens10010030

Vezzosi T, Perrucci S, Parisi F Fatal pulmonary hypertension and right-sided congestive heart failure in a kitten infected with Aelurostrongylus abstrusus. Animals. 2020; 10:(12) https://doi.org/10.3390/ani10122263

Zottler EM, Strube C, Schnyder M. Detection of specific antibodies in cats infected with the lung nematode Aelurostrongylus abstrusus. Vet Parasitol. 2017; 235:75-82 https://doi.org/10.1016/j.vetpar.2017.01.015

CPD article: Felid lungworms: from complete strangers to major parasites

02 December 2021
12 mins read
Volume 26 · Issue 11
Figure 2. Egg of Capillaria aerophile.
Figure 2. Egg of Capillaria aerophile.

Abstract

The parasitic nematodes Aelurostrongylus abstrusus, Troglostrongylus brevior and Capillaria aerophila affect the respiratory system of cats and are a primary cause of respiratory disease in cats in many countries. While they have been underestimated for a long time, in recent years academics and veterinarians have become more aware of their importance, and now felid lungworms are recognised as primary agents of respiratory disease. Therefore, timely diagnosis and treatment, and efficacious prevention methods are a priority in feline clinical practice. Recent data have unveiled many features of diseases caused by these nematodes, and this article reviews and discusses practical and clinical knowledge, as well as recent updates on clinical management of aelurostrongylosis, troglostrongylosis and capillariosis in cats.

Aelurostrongylus abstrusus (the ‘cat lungworm’), Troglostrongylus brevior and Capillaria aerophila are the three most important nematodes inhabiting the airways of cats. In the last decade they have attracted the attention from academics, veterinary practitioners and nurses from many countries in Europe and overseas (Traversa et al, 2021).

The adult life stages of A. abstrusus take place in the bronchioles, alveolar ducts and alveoli of domestic cats and, seldom, some wild felids. Adults of T. brevior usually affect the bronchi and bronchioles of the European wildcat but in some regions, it has spread to populations of domestic cats as well. Their life cycles are indirect and involve terrestrial gastropods (slugs and snails) as intermediate hosts. While A. abstrusus is endemic throughout Europe, including the UK, T. brevior is prevalent in countries of the Mediterranean basin and eastern Europe (Traversa et al, 2021).

First-stage larvae (L1), passed from the respiratory system to the intestinal tract, are shed in the environment via the faeces. In the intermediate host, L1 develop to second (L2) and third-stage larvae (L3), also known as the infective stage. Cats become infected by preying and ingesting paratenic hosts, including rodents, birds, small reptiles, and less oft en by ingesting slugs and snails (Traversa and Di Cesare, 2013; 2016). Moreover, T. brevior can be transmitted from infected cats to kittens, probably via lactation (Traversa et al, 2018).

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