Immunity against Boophilus annulatus induced by the Bm86 (Tick-GARD) vaccine

Friesian cattle were immunized with two inoculations of anti-tick Bm86 (Tick-GARD) vaccine and were challenged 30 or 90 d later with Boophilus annulatus larvae derived from 1.2 g of eggs. No nymphs or adult ticks were found on the immunized cattle during four weeks after challenge. Repeated infestations (2 to 4) with larvae on three other calves during a period of 160 and 390 d after the immunization did not result in development of nymphal and adult stages. In control, non-immunized cattle infested with corresponding batches of larvae 1380 to 4653 replete adult female ticks were collected. Larvae issued from Babesia bovis-infected female ticks transmitted the infection to Bm86-immunized cattle, but the progeny of B. bigemina-infected females did not. Since B. bigemina is transmitted exclusively by nymphal stages of Bo. annulatus these results support the observation that immunity induced by Bm86 affects the larval stage of this tick.

[Babesosis--difficulty of diagnosis]

Human babesiosis is caused predominantly by B. microti and B. divergens, a protozooan parasites of red blood cells. Both are transmitted by Ixodes ricinus ticks, also the primary vector of Lyme disease. Clinical manifestation varied widely from asymptomatic infection to a serve rapidly fatal disease. The diagnosis of babesiosis include examination of stained blood smers, serological evaluation indirect antibody tests and PCR. With the evolution PCR--based techniques, the diagnosis and monitoring of babesial infections became more sensitive and reliable.

Transfusion-associated transmission of babesiosis in New York State

BACKGROUND

Babesiosis can be life-threatening in immunocompromised individuals. Although the disease is usually transmitted by tick bite, more than 20 cases have been reported of infection transmitted by transfusion of blood or blood components obtained from apparently healthy donors from endemic areas in the United States. This report describes several recent cases of transfusion-transmitted babesiosis in New York State.

STUDY DESIGN AND METHODS

Transfusion-associated incidents of babesiosis infection were identified and investigated. Seroprevalence of babesiosis in healthy blood donors in a highly endemic area was ascertained.

RESULTS

In three incidents, babesiosis was diagnosed in five of eight patients given infected blood: two premature infants, an elderly patient with gastrointestinal bleeding, and two patients with thalassemia. Seroprevalence in blood donors on Shelter Island (Suffolk County, eastern Long Island), a highly endemic area, was 4.3 percent in May 1998.

CONCLUSIONS

Infected donors lived in endemic areas and were asymptomatic with no history of tick bite. Blood collected in January 1997 from one donor was infectious. Those transfusion recipients who were infected were neonatal, elderly, or chronically transfused patients. Babesiosis should be included in the differential diagnosis of febrile illness in immunocompromised recipients of blood transfusion, particularly in the Northeastern United States.

Transmission of Babesia spp by the cattle tick (Boophilus microplus) to cattle treated with injectable or pour-on formulations of ivermectin and moxidectin

OBJECTIVE

To assess the efficacy of ivermectin and moxidectin to prevent transmission of Babesia bovis and Babesia bigemina by Boophilus microplus to cattle under conditions of relatively intense experimental challenge.

DESIGN

Naive Bos taurus calves were treated with either pour-on or injectable formulations of either ivermectin or moxidectin and then exposed to larvae of B microplus infected with B bovis or larvae or adults of B microplus infected with B bigemina. One calf was used for each combination of haemoparasite, B microplus life stage, drug and application route.

PROCEDURE

Groups of calves were treated with the test drugs in either pour-on or injectable formulation and then infested with B microplus larvae infected with B bovis or B bigemina. B bigemina infected adult male ticks grown on an untreated calf were later transferred to a fourth group of animals. Infections were monitored via peripheral blood smears to determine haemoparasite transmission.

RESULTS

Cattle treated with either pour-on or injectable formulations of ivermectin and moxidectin became infected with B bovis after infestation with infected larvae. Similarly, larvae infected with B bigemina survived to the nymphal stage to transmit the haemoparasite to animals treated with each drug preparation. Cattle treated with pour-on formulations of ivermectin and moxidectin then infested with adult male ticks infected with B bigemina did not become infected with B bigemina whereas those treated with the injectable formulations of ivermectin and moxidectin did show a parasitaemia.

CONCLUSIONS

Injectable or pour-on formulations of ivermectin and moxidectin do not prevent transmission of Babesia to cattle by B microplus. Use of these drugs can therefore not be recommended as a primary means of protecting susceptible cattle from the risk of Babesia infection.

The effect of short-interval deltamethrin applications to control tsetse on the seroprevalence of babesiosis in cattle

For the past decade, treatment of cattle with 0.00375% deltamethrin (Decatix, Coopers) at two-weekly intervals has been part of an integrated approach to counteract continuous invasion of Zimbabwe by tsetse from the Mozambique fly-belt. To determine the effect of these regular deltamethrin treatments on the epidemiology of babesiosis, a survey was conducted to estimate the prevalence of antibodies against Babesia bigemina in adult communal cattle. The seroprevalence of antibodies against B. bigemina in adjacent areas, where cattle are treated with short-residual acaricides, was also determined for comparison. The prevalence of antibodies to B. bigemina was much higher in areas where dipping with a non-pyrethroid acaricide was conducted. This was attributed to the successful control of Boophilus spp. and hence a very low level of B. bigemina transmission in the 'deltamethrin treatment zone'. This low level of disease transmission was confirmed by the low prevalence of antibodies against B. bigemina in sentinel cattle that were introduced to the 'deltamethrin treatment zone'. The potential adverse effects of severely reducing the tick population should be taken into consideration at the onset of tsetse control operations in which cattle are to be treated with deltamethrin at short treatment intervals.

[The interrelations of the causative agents of transmissible diseases in ixodid ticks (Ixodidae) with a mixed infection]

The data on interactions between pathogens of human diseases with natural focality in ixodid ticks (Ixodidae) with mixed infection are reviewed. Different variants of mixed infection revealed in nature and accompanied by predominantly extracellular, or both extra- and intracellular location of the agents in tick organism are considered. Natural mixed infection of ticks by different pathogens is a normal and commonly occurring phenomenon; moreover, there is no experimental evidence for the existence of any antagonistic relationships between spirochetes, rickettsiae, and piroplasms in such ticks. The absence of antagonism between different agents in vectors largely provides a relative autonomy of corresponding parasitic systems and creates conditions for coexistence of different parasitic systems in mixed natural foci.

Human babesiosis: a case study

Babesiosis is an intraerythrocytic parasitic infection caused by protozoa of the genus Babesia and transmitted by the Ixodes dammini tick, which also transmits Lyme disease. Babesiosis is emerging as an illness of public health significance in the United States. Occurrences of Babesiosis infections have been reported during spring, summer, and fall in coastal areas in the northeastern United States. Asymptomatic patients may need only supportive care, whereas asplenic, elderly, and immunocompromised patients are at greatest risk for severe disease. However, overall mortality rates for symptomatic cases are less than 10%. This article presents a case report on a white male in his 70s diagnosed with human Babesiosis and emphasizes the need for early detection and prompt interventions to minimize the sequelae related to this tick-borne disease.

Effect of breed of cattle on transmission rate and innate resistance to infection with Babesia bovis and B bigemina transmitted by Boophilus microplus

OBJECTIVE

To assess the effect of breed of cattle on the transmission rates of and innate resistance to Babesia bovis and B bigemina parasites transmitted by Boophilus microplus ticks.

DESIGN

Groups of 56 purebred B indicus and 52 B indicus cross B taurus (50%, F1 generation) steers were placed in a paddock seeded with and also naturally infested with B microplus which were the progeny of females ticks fed on B taurus cattle specifically infected with a virulent isolate of B bovis. The cattle were placed in the infested paddock 50 days after seeding had started.

PROCEDURE

Cattle were inspected from horseback daily for 50 days. Clinically ill cattle were brought to yards and assessed by monitoring fever, depression of packed-cell volume, parasitaemia and severity of clinical signs. Any animals that met preset criteria were treated for babesiosis. Blood samples were collected from all cattle on day 28, 35 and 42 after exposure and antibodies to Babesia spp and packed cell volume measured.

RESULTS

All steers, except for one crossbred, seroconverted to B bovis and B bigemina by day 35 and 75% of the crossbred steers showed a maximum depression in packed cell volume of more than 15% due to infection with Babesia spp compared with only 36% of the B indicus group. Ten of the 52 crossbreds and 1 of the 56 B indicus steers showed severe clinical signs. Two of the crossbreds required treatment of which one died 2 weeks after initial treatment.

CONCLUSIONS

Pure-bred B indicus cattle have a high degree of resistance to babesiosis, but crossbred cattle are sufficiently susceptible to warrant the use of preventive measures such as vaccination. Transmission rates of B bovis and B bigemina to B indicus and crossbred cattle previously unexposed to B microplus were the same.

Reproductive and safety assessment of vaccination with Gavac against the cattle tick (Boophilus microplus)

Recent developments in cattle tick control have incorporated the use of recombinant Bm86 vaccines against this ectoparasite. The vaccine developed by our group (Gavac) contains an antigen expressed in Pichia pastoris, and has been successfully employed for the control of tick infestations and transmission of tick-borne diseases. Here, we examined the safety and effect of the Gavac vaccine on reproductive parameters in cattle. Toxicity tests in mice and guinea pigs demonstrated the safety of Gavac. To study the adverse effects of vaccination on reproduction, a field trial involving 9,500 animals in Cuba was conducted. The cattle at 3 farms were vaccinated while those on a fourth farm were left unvaccinated and served as the control. Following vaccination, the control of tick infestation and the transmission of babesiosis were used to demonstrate the efficacy of the vaccine. No adverse effects were observed in any of the reproductive parameters studied when comparing the data before and after vaccination with Gavac and between the vaccinated farms and the control farm. These results demonstrate that under the conditions of our study vaccination with Gavac is safe for use on cattle.

Detection of enzootic babesiosis in baboons (Papio cynocephalus) and phylogenetic evidence supporting synonymy of the genera Entopolypoides and Babesia

Blood smear evaluation of two baboons (Papio cynocephalus) experiencing acute hemolytic crises following experimental stem cell transplantation revealed numerous intraerythrocytic organisms typical of the genus Babesia. Both animals had received whole-blood transfusions from two baboon donors, one of which was subsequently found to display rare trophozoites of Entopolypoides macaci. An investigation was then undertaken to determine the prevalence of hematozoa in baboons held in our primate colony and to determine the relationship, if any, between the involved species. Analysis of thick and thin blood films from 65 healthy baboons (23 originating from our breeding facility, 26 originating from an out-of-state breeding facility, and 16 imported from Africa) for hematozoa revealed rare E. macaci parasites in 31%, with respective prevalences of 39, 35, and 12%. Phylogenetic analysis of nuclear small-subunit rRNA gene sequences amplified from peripheral blood of a baboon chronically infected with E. macaci demonstrated this parasite to be most closely related to Babesia microti (97.9% sequence similarity); sera from infected animals did not react in indirect fluorescent-antibody tests with Babesia microti antigen, however, suggesting that they represent different species. These results support an emerging view that the genus Entopolypoides Mayer 1933 is synonymous with that of the genus Babesia Starcovici 1893 and that the morphological variation noted among intracellular forms is a function of alteration in host immune status. The presence of an underrecognized, but highly enzootic, Babesia sp. in baboons may result in substantial, unanticipated impact on research programs. The similarity of this parasite to the known human pathogen B. microti may also pose risks to humans undergoing xenotransplantation, mandating effective screening of donor animals.

A cluster of transfusion-associated babesiosis cases traced to a single asymptomatic donor

CONTEXT

The risk of acquiring babesiosis by blood transfusion is largely unknown since in areas where it is endemic it is often an asymptomatic infection.

OBJECTIVE

To investigate and treat a cluster of blood transfusion-associated babesiosis cases.

DESIGN

Case series and epidemiologic investigation.

SETTING

Urban inner-city hospital.

PATIENTS

Six persons who received Babesia microti-infected blood components from a donor.

MAIN OUTCOME MEASURE

Diagnosis and successful therapy of babesiosis following transfusion.

RESULTS

Six individuals (1 adult, 1 child, and 4 neonates) were exposed to products from a single blood donation by an asymptomatic Babesia-infected donor. Three of the 6 exposed patients became parasitemic. Polymerase chain reaction testing, animal inoculation studies, and indirect immunofluorescent antibody testing were used to confirm the presence of Babesia microti in the donor's blood and to establish the presence of infection in 3 of the 6 recipients. The 3 infected recipients and 1 additional recipient were treated without incident.

CONCLUSION

Physicians should consider babesiosis in the differential diagnosis of a febrile hemolytic disorder after blood transfusion. Prompt diagnosis is important since babesiosis is responsive to antibiotic therapy and, untreated, can be a fatal disease in certain risk groups.

Human exposure to a granulocytic Ehrlichia and other tick-borne agents in Connecticut

Indirect fluorescent-antibody (IFA) staining methods with Ehrlichia equi (MRK or BDS strains) and Western blot analyses containing a human granulocytic ehrlichiosis (HGE) agent (NCH-1 strain) were used to confirm probable human cases of infection in Connecticut during 1995 and 1996. Also included were other tests for Ehrlichia chaffeensis, the agent of human monocytic ehrlichiosis (HME), Babesia microti, and Borrelia burgdorferi. Thirty-three (8.8%) of 375 patients who had fever accompanied by marked leukopenia or thrombocytopenia were serologically confirmed as having HGE. Western blot analyses of a subset of positive sera confirmed the results of the IFA staining methods for 15 (78.9%) of 19 seropositive specimens obtained from different persons. There was frequent detection of antibodies to a 44-kDa protein of the HGE agent. Serologic testing also revealed possible cases of Lyme borreliosis (n = 142), babesiosis (n = 41), and HME (n = 21). Forty-seven (26.1%) of 180 patients had antibodies to two or more tick-borne agents. Therefore, when one of these diseases is clinically suspected or diagnosed, clinicians should consider the possibility of other current or past tick-borne infections.

Transmission of parasites by blood transfusion

A number of parasitic diseases are known, or suspected to be transmitted by blood transfusion. Of greatest concern are malaria and Chagas' disease, but babesia, leishmania and toxoplasmosis also offer risk in particular locations or circumstances. Some of these parasites may be imported into non-endemic areas as a result of population movements and in some cases, the natural range of the parasite is increasing as a result of environmental change. Recent research, particularly on Chagas disease and babesiosis will be discussed, along with measures to minimize transmission of these and other parasites via transfusion.

[Investigation of Babesia in farm workers and blood donors in the province of Ciego de Avila]

A descriptive study of cases was conducted in which 781 sera were investigated using the indirect immunofluorescent technique with antigens of Babesia bovis and Babesia bigemina at the National Center for Agricultural Health. Of them, 371 came from agricultural workers and 410 from donors in the province of Ciego de Avila. It was started from dilutions of 1/64. An epidemiological survey was done to each seropositive so as to know the risk factors. The test of difference of proportions was used to compare the percentages of positives. The geometrical means were calculated in both group and they were compared with the U test of Mann Whitney. Among the agricultural workers it was detected 7% with antibodies against 3.9% of the donors (p < 0.05). It was found a greater circulation of Babesia bovis than of Babesia bigemina.

Human babesiosis

The first demonstrated case of human babesiosis in the world was reported in Europe, in 1957. Since then, a further 28 babesial infections in man have been reported in Europe. Most (83%) of the infections were in asplenic individuals and most (76%) were with Babesia divergens, a cattle parasite. Parasitaemias varied from 1%-80% of red blood cells. The usual clinical manifestations of severe B. divergens infection were severe intravascular haemolysis with haemoglobinuria. The most efficient treatment consisted of a massive blood-exchange transfusion, followed immediately by chemotherapy with clindamycin. Hundreds of cases of human infection with Babesia spp. have been reported in the U.S.A. Most cases were infected by ticks carrying the rodent parasite B. microti, but other emerging. Babesia spp. (currently known as WA1, CA1, and MO1) are increasingly involved. Several cases were the result of blood transfusion. In terms of clinical manifestations, human infections with B. microti varied widely, from asymptomatic infection to a severe, rapidly fatal disease. Parasitaemia ranged between <1% and 85%. The splenectomized, the elderly, the immunocompromised and HIV-infected patients were predisposed to severe infection. Infection with B. microti often remained subclinical or asymptomatic and were only detected through serological surveys. The currently recommended treatment of symptomatic cases is quinine plus clindamycin. A few other cases of human babesial infection have been described in China, Egypt, Mexico, South Africa and Taiwan.

Sporogony and experimental transmission of Babesia equi by Boophilus microplus

The development of Babesia equi in salivary glands of adult female Boophilus microplus was observed under a light microscope using semithin sections stained with toluidine blue. Engorged nymphs were obtained from splenectomized foals experimentally infected with B. equi. As adults, they were then fed on rabbits for 5 days and the salivary glands of manually collected individuals were removed at intervals of 24 h. Sporozoites were found in type III granular acini cells between the 2nd and 5th days following feeding on the rabbits. Sporoblasts and sporozoites were observed in the same or adjacent acini cells in all the glands examined. The formation of the sporozoites occurred following the multiple division of the sporoblasts through a process of radial budding from the periphery of bodies resulting from multiple fission. Sporozoites were detected in smears of adult males stained with Giemsa, between the 2nd and 5th days following feeding by the ticks. Adults of B. microplus, fed during the nymphal phase on foals with patent parasitemia, transmitted sporozoites of B. equi to a splenectomized foal. The role of B. microplus in the transmission and epidemiology of B. equi is discussed.

[The fate of parasites of animal origin transmitted to humans]

The fate of a parasite transmitted from an animal to man depends on the ability of the contaminating agent to reach a place where it can thrive, to find necessary nutrients, and to resist host defense mechanisms. The purpose of this study was to evaluate the incidence of transmission of parasites from animals to man and to determine to what extent transmission is followed by development. Stenoxenic parasites whose life cycle requires transmission from animals to man obviously develop in man and then return to animals. These parasites cause holozoonoses of the cyclozoonosis type. Some euryxenic parasites can develop as well in man as in animals. These parasites can cause holozoonoses of the amphixenoses type. Other presumably euryxenic parasites can be transmitted from animals to man but not vice versa. These parasites are hemizoonoses agents. Non-transmission back from man to animals can be observed under several circumstances: incomplete development in man with failure to reach the stage at which transmission back to animals is possible; full development but with immaturity or sterility of the elements of dissemination necessary for transmission back to animals; full development but no way of evacuating elements of dissemination; full development and evacuation but with failure of elements of dissemination to survive. In these four cases man constitutes a dead-end for the parasite. A fifth possibility is that the parasite reaches full development but transmission back to animals cannot occur because man is not preyed upon by a carnivorous animal. In this case parasites are potential agents of holozoonoses and man is a cul-de-sac for the involved parasites.

Attempted transmission of Babesia major by Boophilus microplus

Two experiments was carried out to determine if Babesia major could be transmitted by Boophilus microplus. In experiment 1, a Babesia-free batch of laboratory reared Bo. microplus larvae were applied to an intact calf infected by inoculation with a B. major stabilate. The calf showed a B. major parasitaemia while the larvae, nymphs and adult ticks were engorging. The engorged females were cultured and batches were incubated at one of the three following temperatures: 24, 28 or 32 degrees C. Approximately 10,000 larvae derived from each of the females were used to infest each of three splenectomized calves. In experiment 2, Babesia-free Bo. microplus larvae were applied to a splenectomized calf; the calf was injected with B. major stabilate and showed a B. major parasitaemia during the adult stage of tick development. The engorged females were incubated at room temperature and the resulting larvae (approximately 10,000) were used to infest a splenectomized calf. Examination of blood films for the presence of B. major from the four calves infested by the second generation larvae in the two experiments were negative.

Studies on buffalo babesiosis in Hubei Province, China

The present paper summarises our recent studies on buffalo babesiosis in the Hubei province of China. It describes the pathogen and the epidemiology of the disease, the tick vector and its biology, control, immunological diagnosis, methods of in vitro cultivation of the pathogen and their practical applications. The identify of the pathogen is discussed in detail.