pathogens
Brief Report
Invaders as Diluents of the Cercarial Dermatitis
Etiological Agent
Anna Stanicka
1,
* , Lukasz Migdalski
1
, Katarzyna Szopieray
1
, Anna Cichy
1
, Lukasz Jermacz
2
,
Paola Lombardo
3
and El ˙ zbieta
˙
Zbikowska
1
Citation: Stanicka, A.; Migdalski, L.;
Szopieray, K.; Cichy, A.; Jermacz, L.;
Lombardo, P.;
˙
Zbikowska, E. Invaders
as Diluents of the Cercarial Dermatitis
Etiological Agent. Pathogens 2021, 10,
740. https://doi.org/10.3390/
pathogens10060740
Academic Editor: Sara V. Brant
Received: 15 April 2021
Accepted: 8 June 2021
Published: 11 June 2021
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1
Department of Invertebrate Zoology and Parasitology, Faculty of Biological and Veterinary Sciences,
Nicolaus Copernicus University in Torun, 87-100 Torun, Poland; 293588@stud.umk.pl (L.M.);
285385@stud.umk.pl (K.S.); annacichy@umk.pl (A.C.); ezbikow@biol.umk.pl (E.
˙
Z.)
2
Department of Ecology and Biogeography, Faculty of Biological and Veterinary Sciences,
Nicolaus Copernicus University in Torun, 87-100 Torun, Poland; jermacz@umk.pl
3
Limno Consulting, I-00124 Rome, Italy; p.lombardo@limnoconsulting.com
* Correspondence: anna.marszewska@umk.pl
Abstract: Research on alien and invasive species focuses on the direct effects of invasion on native
ecosystems, and the possible positive effects of their presence are most often overlooked. Our aim
was to check the suitability of selected alien species (the snail Physa acuta, the bivalve Dreissena
polymorpha, and the gammarid Dikerogammarus villosus) as diluents for infectious bird schistosome
cercariae—the etiological factor of swimmer’s itch. It has been hypothesized that alien species with
different feeding habits (scrapers, filterers and predators) that cohabit the aquatic environment with
intermediate hosts of the schistosomatid trematodes are capable of feeding on their free-swimming
stages—cercariae. In the laboratory conditions used, all experimental animals diluted the cercariae
of bird schistosome. The most effective diluents were P. acuta and D. villosus. However, a wide
discrepancy in the dilution of the cercariae between replicates was found for gammarids. The
obtained results confirm the hypothesis that increased biodiversity, even when alien species are
involved, creates the dilution effect of the free-living stages of parasites. Determining the best
diluent for bird schistosome cercariae could greatly assist in the development of current bathing
areas protection measures against swimmer’s itch.
Keywords: dilution effect; Trichobilharzia; swimmer’s itch; alien species; feeding habits
1. Introduction
Widespread pulmonate gastropods are the first intermediate hosts of bird schistosomes
(Trematoda: Schistosomatidae) and release cercariae infective for vertebrates that actively
move in the water in search of the definitive host—waterfowl [1]. Moreover, cercariae can
also attack accidental hosts, including humans, causing cercarial dermatitis ("swimmer’s
itch") [2]. Swimmer’s itch is an emerging disease involving an intensely itchy rash but also
general symptoms such as catarrh, diarrhoea, fever, insomnia [3–5] and in extraordinary
cases disorders of the respiratory system and even anaphylactic shock [6]. Bird schistosome
larvae may overcome the barrier of the mammalian skin and reach the internal organs [7];
more specifically, schistosomulae have been found in the lungs, heart, liver, kidney or
intestine [7–9]. Some species of bird schistosomes can be extremely dangerous because
they show high affinity to the central nervous system [10].
Cercarial dermatitis has been reported from nearly all continents, including Eu-
rope [11]. There are currently plentiful reports of outbreaks of swimmer’s itch from
recreational water bodies [5,12–16]. Scientists are constantly looking for an effective method
of protecting bathing areas from rashes of aquatic origin [17–21]. Methods that require
human intervention related to the final host include (i.) reducing the population of bird
hosts in recreational water areas by translocating these final hosts to other places, scaring
Pathogens 2021, 10, 740. https://doi.org/10.3390/pathogens10060740 https://www.mdpi.com/journal/pathogens