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Paramphistomum is a of belonging to the . It includes flukes which are mostly parasitising , as well as some wild . They are responsible for the serious disease called , also known as amphistomosis, especially in and . Its include profuse , , , and often result in death if untreated.

(1971). 9780120317097
(1974). 9780486651262, Dover Publications, Inc., New York/University Park Press, Baltimore, US. .
They are found throughout the world, and most abundantly in regions such as , , , , and .

The name was introduced by F. Fischoeder in 1901 for the replacement of the then existing genus Amphistoma (Rudolphi, 1809). Under the new genus he redescribed both Paramphistomum cervi and P. bothriophoron and designated the former as the .


Species
Due to striking resemblance with each other and with other amphistomes, a number of described species are known to be synonymous. Some important species are:

  • Paramphistomum cervi
  • Paramphistomum cotylophorum
  • Paramphistomum cracile
  • Paramphistomum gotoi
  • Paramphistomum grande
  • Paramphistomum hiberniae
  • Paramphistomum ichikawai
  • Paramphistomum epiclitum
  • Paramphistomum explanatum
  • Paramphistomum leydeni
  • Paramphistomum liorchis
  • Paramphistomum microbothrioides
  • Paramphistomum phillerouxi


Description
The generic name (Greek: para meaning "similar" to, amphi meaning "on both sides", and stoma for "mouth") is given due to the presence of an anterior oral sucker and a posterior larger ventral sucker in adult worms. The body is minute, measuring less than a . The body is covered with a highly folded tegument, which in turn is provided with sensory papillae. Paramphistomum are all , having both male and female reproductive systems in the posterior region of the body.


Life cycle
Their life cycle is indirect, requiring a such as , an intermediate host such as , and a free-living of external phases in water and plants. The sexually mature self-fertilises in the mammalian , and release the eggs along with . Eggs hatch in water into ciliated . The miracidia then enters the body of an intermediate host, which are snails belonging to the , , Stagnicola and .
(2025). 9781416044123, W.B. Saunders Company. .
Then the miracidia lost their cilia to become sporocysts. After a few days they develop up to 8 rediae, which are rapidly liberated. Each redia contains about 15-30 . Mature cercariae are possess by two eyespots and a long slender tail, by which they find aquatic plants or other suitable substrata, to which they get attached and to become . The mammalian hosts ingest the infective larvae. Once inside the and , their are removed. They penetrate the intestinal wall by actively destroying the , and then migrate to the rumen, where they grow into adults.


Pathogenicity and pathology
Paramphistomiasis causes enteritis and anaemia in livestock mammals and result in substantial production and economic losses. Pathological symptoms are produced by immature flukes. When the young flukes start to gather in the intestine, there is a watery and fetid diarrhoea which is often associated with high mortality (even up to 80-90%) in ruminants. At a given time, as many as 30,000 flukes may accumulate, fervently attacking the duodenal mucosa to induce acute enteritis. Adult flukes are relatively harmless. Liver tissue are generally damaged extensively, indicated by swelling, , discolouration, , bile duct , and .
(2025). 9783639325546, VDM Verlag. .


Diagnosis and treatment
Symptoms are easily indicated by infected sheep and cattle as they become severely anorexic or inefficiently digest food, and become unthrifty. Fetid diarrhoea is an obvious indication so that fluid faeces are examined for immature flukes.

Paramphistomiasis is considered a neglected , with no prescription drug for treatment and control. Thus management of infection is based mainly on control of the snail population. Drugs shown to be effective are resorantel, , clorsulon, , , bithional and . An in vitro demonstration shows that exhibits high efficacy on adult flukes.


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