Giant Liver Flukes

Todayโ€™s path rounds are on ๐ ๐ข๐š๐ง๐ญ ๐ฅ๐ข๐ฏ๐ž๐ซ ๐Ÿ๐ฅ๐ฎ๐ค๐ž๐ฌ!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐†๐ข๐š๐ง๐ญ ๐ฅ๐ข๐ฏ๐ž๐ซ ๐Ÿ๐ฅ๐ฎ๐ค๐ž๐ฌ are a ๐ญ๐ซ๐ž๐ฆ๐š๐ญ๐จ๐๐ž (fluke) found in ๐œ๐ž๐ซ๐ฏ๐ข๐๐ฌ (deer, moose, elk) in North America. These parasites are typically found in the liver of affected animals, hence the name.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
While this fluke typically affects cervids, it is more problematic in our ruminant species.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
The giant liver flukeโ€™s more scientific name is ๐…๐š๐ฌ๐œ๐ข๐จ๐ฅ๐จ๐ข๐๐ž๐ฌ ๐ฆ๐š๐ ๐ง๐š, magna meaning big! These flukes can be up to 10cm in length, so this name is certainly appropriate for these guys. These flukes produce eggs that are excreted in the bile, and thus end up in the animalโ€™s feces. The eggs then hatch into larvae who attach themselves to a ๐Ÿ๐ซ๐ž๐ฌ๐ก๐ฐ๐š๐ญ๐ž๐ซ ๐ฌ๐ง๐š๐ข๐ฅ. The larvae develop further in the snail, and eventually leave to attach themselves to plants, which get eaten by ruminants.

The young flukes penetrate the wall of the intestine and enter into the liver. Once in their hepatic home, the flukes wander around, looking for another fluke to make eggs with. Once they find their mate, they stop wandering and a ๐œ๐ฒ๐ฌ๐ญ forms around them, protecting them from the immune system, and allowing them to lay eggs in peace!

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
The major issue with these flukes is all that wandering they do in the liver, while they are looking for a mate. This wandering produces large, winding migration tracts through the liver that can be up to 2cm in diameter. As you can imagine, this causes extensive damage to the liver, and can even lead to liver failure. In small ruminants, even just 2 or 3 flukes can cause enough damage to kill the animal.

The flukes also arenโ€™t very good at finding the liver, and in some cases can even end up wandering through the lungs or kidneys. This has a similar destructive effect, and can lead to compromise of those organs.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Unfortunately, the flukes are often unable to actually shed eggs from a ruminant host, since that isnโ€™t the species that theyโ€™re meant to be in. So diagnosis based on a fecal sample is very difficult. The best method of diagnosis is finding the flukes at necropsy. If you canโ€™t find a fluke, their jet black migration tracts will give you a pretty good clue!

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐? ๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ฉ๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ž๐?
Typical antiparasitics have been shown to be effective against this fluke, however prevention is always best! Keeping animals separate from cervids, and out of moist areas where snails might live, is the best method of prevention for our ruminant species.

๐๐ก๐จ๐ญ๐จ๐ฌ
1) What the flukes look like!
2-5) Examples of the jet black migration tracts through the liver. The flukes produce ๐ฉ๐จ๐ซ๐ฉ๐ก๐ฒ๐ซ๐ข๐ง as they wander around, which produces the dark colour we see at necropsy!
6) An example of migration tracts through the lung of a sheep!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 2. Sixth Edition.

Photos 1-6 ยฉ Noahโ€™s Arkive contributors King, Acland, Wright, Harmon, Wolpert, Daoust licensed under CC BY-SA 4.0.

Leave a Reply