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Abstract Objectives Indications for cholecystectomy have changed dramatically over the past three decades. Cystoisospora belli has been reported in cholecystectomy specimens of immunocompetent patients. The present study was designed to determine the prevalence and clinical association of C belli in the gallbladder. Methods The study included retrospective review of cholecystectomy specimens (n = 401) removed for various indications, and a prospective cohort of cholecystectomy specimens (n = 22) entirely submitted for histologic evaluation. Correlations of presence of C belli with age, sex, clinical indication, and abnormalities of preoperative laboratory values were assessed by Fisher exact test. Results C belli was identified in 39/401 (9.7%) of the retrospective cohort, and 6/22 (27.3%) of the entirely submitted specimens. The presence of C belli showed no correlation with age, sex, clinical indication, or laboratory abnormalities. Conclusions C belli resides in a latent state in the gallbladder and may be best considered a commensal organism.

During a parasitological survey of naked gobies (Gobiosoma bosc) in Lake Pontchartrain, Louisiana, U.S.A., 2 myxozoan parasites were found infecting the gall bladders of 84 of 90 fish. Parasite plasmodia of each were morphologically distinct; plasmodia bearing Ellipsomyxa-like spores were elongate and fusiform (1,126 by 403 μm), and those bearing Sphaeromyxa-like spores were large and discoid (1,400 μm diameter). Neither parasite conformed to any described species of myxozoan, and both are described here. Sphaeromyxa kenti n. sp. bears boomerang-shaped spores ranging 17.5–19.8 μm long by 3.8–5.2 μm wide. Two unequal sized polar capsules contain ribbon-like polar filaments characteristic of this genus. Ellipsomyxa adlardi n. sp. bears ovoid spores 11.3–14.4 by 7.1–8.8 μm, with 2 rounded polar capsules oriented in opposite directions relative to the longitudinal plane of the spore. Phylogenetically both species cluster with sequenced members of their respective genera. Plasmodia of E. adlardi n. sp. were encountered in 72.2% of gobies examined, and S. kenti n. sp. in 25.6%. Overall, 6.7% of animals were uninfected, and only 4.4% of the 90 fish examined were infected with both species. The observed co-occurrence was lower than expected by chance, strongly suggestive of an interaction between these species.

Choleoeimeria mitranusensis n. sp. is described from the gall bladder of the lizard Scincus mitranus in Saudi Arabia. The prevalence of the infection was 20% (6/30). Oocysts were ellipsoidal and measured 29 µm × 20 µm. Sporocysts were dizoic and elliptical in shape. The endogenous development was confined to the gall bladder epithelium. Meronts, gamonts, and young oocysts were detected.

Chloromyxum leydigi Mingazzini, 1890, the type species of Chloromyxum Mingazzini, 1890, is redescribed based on material found in the gall bladder of the cartilaginous fish Torpedo marmorata Risso collected from the Portuguese Atlantic coast and its sporogonic development is described. Plasmodia and mature spores were floating free in the bile. Plasmodia are polysporic and highly polymorphic in shape and organization. Mature spores are spherical to subspherical with a pointed anterior end, measuring 12.3 +/- 0.5 microm in length and 9.0 +/- 0.5 microm in width. The spore wall is composed of two asymmetric shell valves, each bearing 4-5 elevated surface ridges. A bundle of 40-50 tapering caudal filaments extends from the basal portion of the shell valves. Four pyriform equal-sized polar capsules, measuring about 5.3 x 3.2 microm, are observed at the same level in the anterior pole of the spores, each containing a polar filament coiled in 8-9 (rarely 10) turns. Spore morphology, tissue tropism, host species and sequences of the SSU rRNA gene supported species identification. Since its discovery, this species has been dubiously reported from several cartilaginous hosts, namely due to the poor description of its features.

Opisthioglyphe sharmai n. sp. is described from the gall bladder of the Malayan box turtle, Cuora amboinensis, and the black marsh turtle, Siebenrockiella crassicollis, in Malaysia. The new species is morphologically similar to Opisthioglyphe ranae and some other members of the genus parasitic in amphibians and reptiles. Opisthioglyphe sharmai n. sp. is easily differentiated from all other members of the genus by the cirrus sac extending posterior to the ventral sucker, while in all previously known species the cirrus sac is entirely or mostly preacetabular with the base of the structure not reaching beyond mid-line of the ventral sucker. Despite the overall stable morphology, O. sharmai n. sp. is characterized by highly variable arrangement of testes, from tandem to opposite. It is only the second representative of the genus described from turtles and the first species of Opisthioglyphe parasitic in gall bladder, while all previously described members of the genus are parasitic in the intestine of their hosts.

In February 2004, a mass die-off of common goldfish Carassius auratus L., presumptively caused by bacterial coldwater disease (Flavobacterium psychrophilum), occurred at Fern Ridge Reservoir, Oregon. A range of size classes was affected, but all mature fish were female and all fish were infected with a single myxozoan, Chloromyxum auratum n. sp. No histological changes were observed associated with the parasite. Infection was represented by mictosporic plasmodia and free-floating spores in the gall bladder. Parasite spores were nearly spherical, 13.6 μm long × 12.6 μm wide × 13.1 μm thick, and possessed 4 equal-sized polar capsules. Spores had a coglike appearance in apical view because of distinct ridges 2.1 μm high protruding from the valve cells. There were 6–9 extrasutural ridges per valve (15–20 ridges per spore), aligned along the longitudinal axis, with some branching, and convergence at both poles. Morphologically, spores identified most closely with Chloromyxum cristatumLéger, 1906; however, 18S rDNA sequence data indicated only 97.5% similarity over 2,076 bp with Chloromyxum cyprini, the only synonym of C. cristatum for which DNA data are available; additional sequence data may reveal the other synonyms to be distinct species. This is the first record of a species of Chloromyxum from goldfish.

Blood investigations were within the normal limits apart from an erythrocyte sedimentation rate of 50 mm (normal, up to 12), total bilirubin 24.3 μmol/l (normal range, 5-22), serum alkaline phosphatase 183 U/l (normal range, 38-126), and gamma glutamyl transferase 300 U/l (normal range, 8-78).

Ceratomyxa seriolae n. sp. and C. buri n. sp. (Myxozoa: Myxosporea) were found in the gall-bladder of cultured yellowtail Seriola quinqueradiata Temminck & Schlegel (Carangidae) in Japan. Mature spores of C. seriolae n. sp. were elongate and 6.5 (6.0-7.5) microm long and 33.7 (28.0-41.5) microm thick. Disporous plasmodia of C. seriolae n. sp., 40-100 microm in size, were amoeboid to spherical. C. buri n. sp. were elliptical with a flattened posterior end. 6.5 (5.5-7.5) microm long and 14.3 (11.0-16.5) microm thick. Spherical plasmodia of C. buri n. sp., 15-20 microm in diameter, were disporous. In periodical sampling of yellowtail bile from August, 1999 to February, 2000, the two new species of Ceratomyxa, as well as Myxobolus spirosulcatus Maeno, Sorimachi, Ogawa & Kearn 1995, first appeared in October, and the prevalences were very variable (20-100%) during the study period.