Human myiasis caused by the reindeer warble fly, Hypoderma tarandi, case series from Norway, 2011 to 2016

Hypoderma tarandi causes myiasis in reindeer and caribou (Rangifer tarandus spp.) in most northern hemisphere regions where these animals live. We report a series of 39 human myiasis cases caused by H. tarandi in Norway from 2011 to 2016. Thirty-two were residents of Finnmark, the northernmost county of Norway, one a visitor to Finnmark, and six lived in other counties of Norway where reindeer live. Clinical manifestations involved migratory dermal swellings of the face and head, enlargement of regional lymph nodes, and periorbital oedema, with or without eosinophilia. Most cases of human myiasis are seen in tropical and subtropical countries, and in tourists returning from such areas. Our findings demonstrate that myiasis caused by H. tarandi is more common than previously thought. Healthcare professionals in regions where there is a likelihood of human infestation with H. tarandi (regions populated by reindeer), or treating returning travellers, should be aware of the condition. All clinicians are advised to obtain a detailed travel history when assessing patients with migratory dermal swellings. On clinical suspicion, ivermectin should be given to prevent larval invasion of the eye (ophthalmomyiasis). Since H. tarandi oviposits on hair, we suggest wearing a hat as a prevention measure.

Variation in the intensity and prevalence of macroparasites in migratory caribou: a quasi-circumpolar study

Comparative studies across time and geographical regions are useful to improve our understanding of the health of wildlife populations. Our goal was to study parasitism in migratory caribou (Rangifer tarandus (L., 1758)) of North America and Greenland. A total of 1507 caribou were sampled across 12 herds to assess seven of their main helminth and arthropod macroparasites between 1978 and 2010. We sought to determine which factors such as sex, age class, herd size, and season best explained the prevalence and intensity of those parasites. Intensity of warble fly (Hypoderma tarandi (L., 1758)) larvae increased with age for males, whereas the opposite was observed in females. Prevalence of giant liver flukes (Fascioloides magna (Bassi, 1875) Ward, 1917), tapeworm Taenia hydatigena Pallas, 1766, and nose bot fly (Cephenemyia trompe (Modeer, 1786)) larvae was higher in adults than in calves. Prevalence of F. magna and T. hydatigena was higher at high herd size than at lower herd size. Greenland herds had the lowest prevalence of T. hydatigena and of the tapeworm Taenia krabbei Moniez, 1879, a higher intensity of H. tarandi, and a higher prevalence of C. trompe than the other herds. Of the herds from Quebec and Labrador, the Rivière-George herd had a higher prevalence of F. magna than the Rivière-aux-Feuilles herd. Our research provides the first comparative survey of these parasites of caribou across a broad spatial–temporal range.

Confirming Hypoderma tarandi (Diptera: Oestridae) human ophthalmomyiasis by larval DNA barcoding

DNA barcoding is a practical tool for species identification, when morphological classification of an organism is difficult. Herein we describe the utilisation of this technique in a case of ophthalmomyiasis interna. A 12-year-old boy was infested during a summer holiday in northern Norway, while visiting an area populated with reindeer. Following medical examination, a Diptera larva was surgically removed from the boy’s eye and tentatively identified from its morphological traits as Hypoderma tarandi (L.) (Diptera: Oestridae). Ultimately, DNA barcoding confirmed this impression. The larval cytochrome c oxidase subunit 1 (COI) DNA sequence was matched with both profiles of five adult H. tarandi from the same region where the boy was infested, and other established profiles of H. tarandi in the Barcode of Life Data Systems (BOLD) identification engine.

Spring-loaded reproduction: effects of body condition and population size on fertility in migratory caribou (Rangifer tarandus)

In many ungulates, female fecundity is affected by body condition and has important effects on population dynamics. In some species, females adopt a conservative strategy, reducing reproductive effort when population density is high. We investigated what factors affect the probability of gestation in adult female caribou (Rangifer tarandus (L., 1758)) from the Rivière-George herd in northern Quebec and Labrador over 5 years that spanned various population sizes and trends. Similar to other populations of migratory caribou, the probability that a female was pregnant in spring increased with body mass and percent body fat. The probability of gestation appeared to be reduced by high infestation of warbles (Hypoderma tarandi (L., 1758)). The proportion of females pregnant varied between years and was lower at high population size. Females of similar mass, however, were pregnant regardless of whether the population was increasing at low density, had reached a peak, or was declining. Compared with other ungulates that reduce maternal expenditure at high density, female caribou of the Rivière-George herd may have a risk-prone reproductive strategy.

Failure of two consecutive annual treatments with ivermectin to eradicate the reindeer parasites (Hypoderma tarandi, Cephenemyia trompe and Linguatula arctica) from an island in northern Norway

The highly efficient endectocide ivermectin is used to reduce the burden of parasites in many semidomestic reindeer herds in northern Fennoscandia. In the autumn of 1995 and 1996 all reindeer on the island of Silda (42 km2) were treated with ivermectin in an attempt to eradicate the warble fly (Hypoderma (=Oedemagena) tarandi (L.)), the nose bot fly (Cephenemyia trompe (Modeer)) (Diptera: Oestridae) and the sinus worm (Linguatula arctica Riley, Haugerud and Nilssen) (Pentastomida: Linguatulidae). Silda is situated 2-3 km off the mainland of Finnmark, northern Norway, and supports about 475 reindeer in summer. A year after the first treatment, the mean abundance of H. tarandi was reduced from 3.5 to 0.6, but a year after the second treatment the mean abundance unexpectedly had increased to 4.5. After one year without treatment, the mean abundance and prevalence of the three target parasites were at the same level, or higher, than pre-treatment levels. The main hypothesis for the failure to eliminate the parasites is that gravid H. tarandi and C. trompe females originating from untreated reindeer in adjacent mainland areas dispersed to the island during the warm summer of 1997 (possibly also in 1998). As these oestrids are strong flyers, it may not be too difficult for them to cross >2-3 km of oceanic waters. There are no good explanations for the failure to eradicate L. arctica, but the results indicate that there may be elements in its life cycle that are unknown. The conclusion of the study is that it may be difficult or impossible to eradicate these parasites permanently, even locally such as on islands unless adjacent areas on the mainland are also cleared.