Treatment of primate platynosomosis: A word of caution about the use of praziquantel in marmosets

J Med Primatol. 2021 Feb;50(1):60-66. doi: 10.1111/jmp.12503. Epub 2020 Nov 13.

Abstract

Background: The successive reports of Platynosomum illiciens in Neotropical captive primates have increased interest in platynosomosis; however, its treatment is little known.

Methods: Callithrix penicillata (n = 10) naturally and chronically infected with P. illiciens were treated with praziquantel (25 mg/kg BW, three s.c. doses at 24 hours intervals), and coproparasitological tests performed over 67 days. The proportions of primates with a reduction in fecal egg counts (FEC) or negative results progressively increased after treatment, and at the last fecal tests, marmosets were negative.

Results and conclusions: Although all primates tolerated the initial days of study well, 40% (4/10) of them died between the 8th and 16th days after the onset of treatment. Clinical signs and necropsies indicated the occurrence of hepatic involvement, biliary obstruction, and cholangitis. Marmosets with a higher previous FEC were more likely to die after treatment. Use of praziquantel should be considered carefully on a case-by-case basis.

Keywords: Callithrix penicillata; Platynosomum illiciens; Neotropical primates; platynosomiasis; praziquantel; treatment.

MeSH terms

  • Animals
  • Animals, Zoo
  • Antiplatyhelmintic Agents / adverse effects*
  • Brazil
  • Callithrix*
  • Dicrocoeliidae / drug effects*
  • Female
  • Male
  • Monkey Diseases / drug therapy*
  • Monkey Diseases / parasitology
  • Praziquantel / adverse effects*
  • Trematode Infections / drug therapy
  • Trematode Infections / parasitology
  • Trematode Infections / veterinary*

Substances

  • Antiplatyhelmintic Agents
  • Praziquantel