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Common Pet Parasites: Whipworms

This worm is one of the "big four" intestinal parasites with which our canine friends must contend: roundworms, tapeworms, hookworms, and whipworms. The whipworm of dogs (Trichuris vulpis) is substantially smaller than the other worms (about a half inch maximum) and Is rarely seen as it lives in the cecum (the part of the large intestine where the small and large intestine meet).

In the digestive tract, food passes from mouth to esophagus to stomach to small intestine to large intestine to rectum and then to the outside world. This means the large intestine is one of the last stops for nutrients, and by this point in the journey, nutrients have largely been broken down and absorbed. The large Intestine (also called the "colon") serves to absorb water, to store fecal material and to provide a home for a spectacular number of bacteria who are able to digest the leftover food that we cannot.

The large intestine is the home of the whipworm. The adult worms bite the tissue of the intestine, actually embedding their "heads" inside, and suck blood there. Eggs are laid inside the large intestine and pass with the stool.

Once in the outside world, the eggs require about 2 to 4 weeks to form embryos and become capable of infecting a new host. (This means that contaminated soil is the source of infection, not fresh feces.) The new host is infected from consuming the egg. The egg hatches in the small intestine, releasing a larva. The larva dives into the glandular tissue of the small intestine and after about a week, emerges into the small Intestine and is carried into the large intestine with the intestinal contents. Once in the cecum, its permanent home, it embeds in the tissue there, and after a total 74 to 87 days from the time the egg was swallowed, the young whipworm is ready to mate.

A few whipworms generally do not pose a problem for the host, but if large numbers of worms are present embedding themselves in the large intestine tissue, tremendous inflammation can result leading to a bloody, gooey diarrhea. Usually there is not enough blood loss to be dangerous but the diarrhea readily becomes chronic and hard to control.

A second syndrome of infection has emerged but is not well understood, this being symptoms mimicking those of Addison's disease (hypoadrenocorticism). Here, a waxing and waning weakness with inability to conserve salt ultimately creates a dehydration crisis. The syndrome mimics Addison's disease in every way except that testing for Addison's disease will be negative and deworming yields a complete recovery.

Because female whipworms only periodically lay eggs (whereas other worm females lay eggs continuously), a fecal sample tested may easily be negative for eggs. This makes the confirmation of a whipworm infection a challenge. It is common to deworm for whipworms if the symptoms are suggestive of the whipworm presence even If the fecal test is negative.

Most deworming agents do not work on whipworms and something special must be selected. The most common products are fenbendazole (Panacur®), and febantel (Drontal Plus®).

Because of the long maturation cycle of young worms, a second deworming some 75 days or so after the first deworming is needed to fully clear the infection (easy to forget). Often another deworming in between these doses is recommended to further control the whipworm numbers.

More recently, regular heartworm prevention products have been developed to remove and control whipworms: Sentinel and Interceptor both will cover whipworms and their regular use covers the second deworming as well. Heartgard products do not carry a high enough dose of ivermectin to kill whipworms, though at other doses ivermectin could be used (with appropriate cautions).

Soil contaminated by whipworm eggs is contaminated for years. It is virtually impossible to remove the eggs from the soil or kill them. Happily, however, this is one pet intestinal parasite that is not readily transmissible to humans.

Feline Whipworms

There are species of whipworms that can infect cats: Trichuris serrata in North America and Trichuris campanula in Europe. Because cats are very clean animals and very fastidious around feces, they rarely get infected and when they do, worm numbers are so small that symptoms hardly ever occur. Whipworms are more of an interesting incidental finding in the cat when whipworm eggs happen to come up on a routine fecal check, but feline whipworm infection is generally not considered to be much of a problem.

Date Published: 5/8/2004 2:33:00 PM

Date Revised: 04/17/2006

Copyright 1991 - 2006, Veterinary Information Network, Inc.

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