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Esteban-Sánchez L, Panayotova-Pencheva M, Qablan M, Modrý D, Hofmannová L, Ponce-Gordo F. Question of agent of camel balantidiosis solved: Molecular identity, taxonomic solution and epidemiological considerations. Vet Parasitol 2023; 321:109984. [PMID: 37494847 DOI: 10.1016/j.vetpar.2023.109984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 07/09/2023] [Accepted: 07/11/2023] [Indexed: 07/28/2023]
Abstract
Domestic camels (Camelus bactrianus, the Bactrian camel; and Camelus dromedarius, the dromedary) are pseudo-ruminant herbivores kept as livestock in rural, inhospitable regions (cold deserts and dry steppes of Asia, arid to semi-arid regions of Africa, western and central Asia). Their close contact with humans makes them a potential reservoir for zoonotic parasite infections, as has been suggested for human balantidiasis. However, there is confusion about the ciliate species that infects camels: Infundibulorium cameli was originally described in dromedaries, but this name has almost never been used and most authors identified their findings as Balantioides coli and, to a lesser extent, Buxtonella sulcata, a cattle ciliate. To clarify the taxonomic status of the parasite and the corresponding zoonotic significance for camels, we performed morphological characterization of cysts and genetic analysis (SSU-rDNA and ITS markers) of B. coli-like isolates from Bactrian camels from Bulgaria and from dromedaries from Spain and the United Arab Emirates. Our results indicate that the camel ciliate is not B. coli, nor is it B. sulcata, but is a different species that should be placed in the same genus as the latter. Thus, camels are not a reservoir for human balantidiasis. Although the correct genus name would be Infundibulorium according to the principle of priority, this would lead to confusion since this name has almost fallen into disuse since its initial description, but Buxtonella is almost universally used by researchers and veterinarians for the cattle ciliate. We therefore propose to apply the reversal of precedence and use Buxtonella as the valid genus name. Consequently, we propose Buxtonella cameli n.comb. as the name for the camel ciliate.
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Affiliation(s)
- Lorena Esteban-Sánchez
- Department of Microbiology and Parasitology, Faculty of Pharmacy, Complutense University, Plaza Ramón y Cajal s/n, 28040 Madrid, Spain
| | - Mariana Panayotova-Pencheva
- Department of Experimental Parasitology, Institute of Experimental Morphology, Pathology and Anthropology with Museum, Bulgarian Academy of Sciences, Acad. Georgi Bonchev Str., BI. 25, 1113 Sofia, Bulgaria
| | - Moneeb Qablan
- Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, United Arab Emirates University, P.O. Box 15551, Al Ain, United Arab Emirates; ASPIRE Research Institute for Food Security in the Drylands (ARIFSID), United Arab Emirates University, P.O. Box 15551, Al Ain, United Arab Emirates
| | - David Modrý
- Department of Veterinary Sciences, Faculty of Agrobiology, Food and Natural Resources/CINeZ, Czech University of Life Sciences Prague, 16500 Praha-Suchdol, Czech Republic; Department of Botany and Zoology, Faculty of Science, Masaryk University, 61137 Brno, Czech Republic
| | - Lada Hofmannová
- State Veterinary Institute Prague, Sídlištní 136/24, Praha 6 165 03, Lysolaje, Czech Republic
| | - F Ponce-Gordo
- Department of Microbiology and Parasitology, Faculty of Pharmacy, Complutense University, Plaza Ramón y Cajal s/n, 28040 Madrid, Spain.
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2
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Mdachi RE, Ogolla KO, Auma JE, Wamwiri FN, Kurgat RK, Wanjala KB, Mugunieri LG, Alusi PM, Chemuliti JK, Mukiria PW, Okoth SO. Variation of sensitivity of Trypanosoma evansi isolates from Isiolo and Marsabit counties of Kenya to locally available trypanocidal drugs. PLoS One 2023; 18:e0281180. [PMID: 36730273 PMCID: PMC9894490 DOI: 10.1371/journal.pone.0281180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 01/17/2023] [Indexed: 02/03/2023] Open
Abstract
Trypanocidal resistance is a major cause of treatment failure. This study evaluated the sensitivity of Trypanosoma evansi field isolates collected from Marsabit and Isiolo counties, Kenya. A total of 2,750 camels were screened using parasitological tests for trypanosomes. Of the screened camels, 113 tested positive from which 40 T. evansi isolates were tested using the single dose mice sensitivity test. Five treatment groups each comprising of 6 mice were inoculated intraperitoneally with 1x105 trypanosomes of each isolate and treated 24 hours later with isometamidium chloride at 1 mg/kg, homidium chloride at 1mg/kg, diminazene aceturate at 20 mg/kg and quinapyramine sulphate & chloride at 1 mg/kg. The fifth group was left untreated (positive control). The mice were monitored daily for 60 days. A survey on camel owners' practices that influence development of resistance to trypanocidal drugs was then conducted. Results indicated presence of drug resistance in all the 7 study sites that had infected camels. Seven of the isolates tested were resistant to diminazene aceturate whereas, 28, 33 and 34 were resistant to isometamidium chloride, quinapyramine sulphate & chloride and homidium chloride, respectively. Seven (17.5%) isolates of the 40 tested were sensitive to all 4 drugs, whereas, 7.5%, 10%,55% and 10% were resistant to 1,2,3 and 4 drugs, respectively. The prevalence of multiple drug resistance was 75%. Survey data indicated that camel management practices influenced the prevalence and degree of drug resistance. In conclusion, the multiple drug resistance observed in the two counties may not be an indication of total trypanocidal drug failure. Judicious treatment of confirmed trypanosomiasis cases with correct dosage would still be effective in controlling the disease since the observed resistance was at the population and not clonal level. However, integrated control of the disease and the vectors using available alternative methods is recommended to reduce drug use.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | - Sylvance O. Okoth
- East African Science and Technology Commission (EASTECO)\East African Community, Kigali, Rwanda
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3
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Romero-Salas D, Sánchez-Montes S, Bravo-Ramos JL, Sánchez-Otero MG, Diaz-Lopez CG, Salguero-Romero JL, Cruz-Romero A. First report of Babesia bigemina in Lama glama in a zoological garden of Veracruz, Mexico. Vet Parasitol Reg Stud Reports 2022; 33:100756. [PMID: 35820724 DOI: 10.1016/j.vprsr.2022.100756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 06/13/2022] [Accepted: 06/15/2022] [Indexed: 06/15/2023]
Abstract
Zoological gardens represent specialised centres for the preservation of biological inventories and genetic diversity, allowing the recognition of multiple species in critical conservation categories. However, the close coexistence of multiple species of vertebrates that may be associated with various species of ectoparasites may be the cause of the transmission of multiple infectious agents, among which tick-borne pathogens stand out. In these areas, several animal species usually live in a small space and proximity to other wildlife, visitors and keepers. In Mexico, little is known about the disease agents transmitted by arthropods in zoological gardens. For this reason, the aim of this study was to identify the presence of Babesia/Theileria in animals maintained in captivity. As a part of a project identifying vector-borne pathogens in wildlife, 24 animals were sampled in the Miguel Angel de Quevedo zoo. Molecular identification of Babesia/Theileria was realised through amplification of a fragment of the mitochondrial cytB gene and the ribosomal 18S-rDNA. Two neotropical camelids (Lama glama) tested positive (2/3 = 66.6%) to Babesia bigemina. Our results represent the first record of B. bigemina in animals in captivity in a zoological garden in Mexico and the first finding of this haemoparasite in neotropical camelids in Mexico.
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Affiliation(s)
- Dora Romero-Salas
- Laboratorio de Parasitología, Posta Zootécnica Torreón del Molino, Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Veracruz, Mexico
| | - Sokani Sánchez-Montes
- Centro de Medicina Tropical, Unidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, México City, Mexico; Facultad de Ciencias Biológicas y Agropecuarias región Tuxpan, Universidad Veracruzana, Veracruz, Mexico
| | - José L Bravo-Ramos
- Laboratorio de Parasitología, Posta Zootécnica Torreón del Molino, Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Veracruz, Mexico.
| | | | - Cinthya G Diaz-Lopez
- Laboratorio de Parasitología, Posta Zootécnica Torreón del Molino, Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Veracruz, Mexico
| | - José L Salguero-Romero
- Laboratorio de Parasitología, Posta Zootécnica Torreón del Molino, Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Veracruz, Mexico
| | - Anabel Cruz-Romero
- Laboratorio de Parasitología, Posta Zootécnica Torreón del Molino, Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Veracruz, Mexico
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A'aiz NN, Ayyez HN, Neamah AJ. Molecular Assay Proves the Presence of Theileria annulata Infection in Camels in Al-Diwaniyah Province, Iraq. IRANIAN JOURNAL OF PARASITOLOGY 2021; 16:289-294. [PMID: 34557244 PMCID: PMC8418665 DOI: 10.18502/ijpa.v16i2.6317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 10/20/2020] [Indexed: 11/24/2022]
Abstract
Background: Theileria camelensis and T. dromedarii are parasitic protozoans reported by several studies as specific species that infect the one-humped camel (Camelus dromedarius). However, other findings casted significant doubts on the true identity of the causative species of theileriosis in camels. Therefore, the present study was conducted to investigate of T. camelensis and T. dromedarii in one humped camels in Iraq during Apr-Oct 2017. Methods: Blood samples for DNA extraction were obtained from 181 slaughtered camels. Molecular investigation was performed following the amplification of 18S rRNA gene by conventional PCR technique. DNA sequencing was then utilized only for the positive samples to confirm the infection with the Theileria species. Results: Nine (4.97%) out of 181 examined samples showed a positive result to infection with Theileria spp., and all these appeared as a T. annulata when subjected to DNA amplification and sequencing techniques. There was a complete absence of any new sequence outside the known species. Conclusion: Most of Theileria infection in camels in the study area is caused by T. annulata and no other causative agents like T. camelensis or T. dromedarii.
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Affiliation(s)
- Noaman N A'aiz
- Department of Microbiology and Parasitology, College of Veterinary Medicine, University of Al-Qadisiyah, Al-Qadisiyah, Iraq
| | - Hayder N Ayyez
- Department of Zoonotic Diseases, College of Veterinary Medicine, University of Al-Qadisiyah, Al-Qadisiyah, Iraq
| | - Ahmed J Neamah
- Department of Zoonotic Diseases, College of Veterinary Medicine, University of Al-Qadisiyah, Al-Qadisiyah, Iraq
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Gareh A, Soliman M, Saleh AA, El-Gohary FA, El-Sherbiny HMM, Mohamed RH, Elmahallawy EK. Epidemiological and Histopathological Investigation of Sarcocystis spp. in Slaughtered Dromedary Camels ( Camelus dromedarius) in Egypt. Vet Sci 2020; 7:vetsci7040162. [PMID: 33120870 PMCID: PMC7711966 DOI: 10.3390/vetsci7040162] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Revised: 10/22/2020] [Accepted: 10/23/2020] [Indexed: 11/16/2022] Open
Abstract
Sarcocystosis is considered one of the major parasitic diseases with a worldwide distribution. It is caused by the obligatory intracellular protozoan parasites of the genus Sarcocystis. Besides its public health issues, sarcocystosis results in significant economic losses due to its impact on productivity and milk yield. A wide range of final and intermediate hosts have been identified, including mammals, birds, and reptiles; however, few studies have investigated the contribution of camels to maintaining the epidemiological foci of the disease in countries such as Egypt. The present study was conducted to grossly and histopathologically identify the prevalence rate of Sarcocystis spp. in camels (N = 100) from the Aswan Governorate, Egypt. Furthermore, the major risk factors related to the development of sarcocystosis in camels were investigated. Samples from the diaphragm, cardiac muscle, esophagus, and testes of the slaughtered camels were collected. Interestingly, Sarcocystis was detected in 75% of the examined camels. Following the studied variable factors, camels aged 5 years or more were found to be at higher risk, with an infection rate of 87.7% (57 of 65) than those younger than 5 years. The infection rate was 81.4% (57 of 70) in males and 60% (18 of 30) in females. The esophagus was the most affected organ (49%), followed by the diaphragm (26%) and cardiac muscle (17%), whereas none of the testes samples were affected. Taken together, the present study demonstrates the high prevalence of Sarcocystis in the examined camels and suggests the importance of these animals in preserving the epidemiological foci of sarcocystosis in Egypt. Future research should map the circulating strains in Egypt and aim to raise public health awareness about the importance of sarcocystosis and other related zoonotic diseases.
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Affiliation(s)
- Ahmed Gareh
- Department of Parasitology, Faculty of Veterinary Medicine, Aswan University, Aswan 24101, Egypt;
| | - Mahmoud Soliman
- Department of Pathology and Clinical Pathology, Faculty of Veterinary Medicine, Assiut University, Assiut 71515, Egypt;
| | - Amira A. Saleh
- Department of Medical Parasitology, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt;
| | - Fatma A. El-Gohary
- Department of Hygiene and Zoonoses, Faculty of Veterinary Medicine, Mansoura University, Mansoura 35516, Egypt;
| | - Heba M. M. El-Sherbiny
- Educational Veterinary Hospital, Faculty of Veterinary Medicine, Mansoura University, Mansoura 35516, Egypt;
| | - Ragab H. Mohamed
- Department of Theriogenology, Faculty of Veterinary Medicine, Aswan University, Aswan 24101, Egypt;
| | - Ehab Kotb Elmahallawy
- Department of Biomedical Sciences, University of León (ULE), 24071 León, Spain
- Department of Zoonoses, Faculty of Veterinary Medicine, Sohag University, Sohag 82524, Egypt
- Correspondence:
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El-Khabaz KAS, Abdel-Hakeem SS, Arfa MI. Protozoan and helminthes parasites endorsed by imported camels ( Camel dromedaries) to Egypt. J Parasit Dis 2019; 43:607-615. [PMID: 31749532 PMCID: PMC6841872 DOI: 10.1007/s12639-019-01138-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Accepted: 06/21/2019] [Indexed: 10/26/2022] Open
Abstract
The prevalence and species spectrum of some blood and intestinal parasites affecting imported camels was studied on a total of 120 clinically suspected camels (males) imported to Egypt from Sudan during the period from January till July 2016 in Abu-Simbel quarantine station, Aswan governorate. Blood and fecal samples were collected from all camels under the study. The fecal samples were collected and examined by sedimentation-floatation techniques for detection of parasitic eggs/oocysts. Coprological examination revealed that the prevalence rate of the parasitic infection was 60% (72 out of 120). Eighteen species of helminthes/protozoan parasites eggs/oocysts were encountered stongyles species were the hightest prevalent of nematodes 12.5%. Four genera of flat worms were identified in the present study including Paramphistomum sp. 0.8%, Fasciola sp. 3.3%, Moniezia sp. 7.5% and Dicrocoelim sp. 0.8%. Four species of Eimeria were identified (E. cameli, E. dromedarii, E. rajasthaniand E. pellerdyi) in infected camels the commenst one is E. cameli 15.8%, Cryptospridium sp. and Balatidium coli were recorded with a prevalence rate about 15.8%, 8.3% and 6.7% respectively. Blood smears from jugular vein revealed that 2.5% of camels were infected with Dipetalonema evansi. Wide spectrum and high prevalence of internal parasites were observed in the present study which may be lead to severe economic losses, so the application of control measures and treatment of infected camels with specific and effective drugs during the quarantine period are most important to prevent spreading of parasitic infestation and/or introduction of parasites previously not exist in our country.
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Affiliation(s)
- Khaled A. S. El-Khabaz
- Department of Animal Medicine (Infectious Diseases), Faculty of Veterinary Medicine, Assiut University, Asyut, 71526 Egypt
| | - Sara S. Abdel-Hakeem
- Parasitology Lab, Zoology Department, Faculty of Science, Assiut University, Asyut, 71526 Egypt
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PREVALENCE AND MOLECULAR IDENTIFICATION OF PIROPLASMIDS IN IRANIAN DROMEDARIES ( CAMELUS DROMEDARIUS). J Zoo Wildl Med 2019; 48:1026-1030. [PMID: 29297802 DOI: 10.1638/2016-0233.1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Camels ( Camelus dromedarius) are important, multipurpose local animals in Iran. Despite their importance, camelid parasitic diseases have not received adequate attention in the veterinary literature. The present study investigated the prevalence of, and molecularly identified, camel piroplasms in Iran. Blood samples from 248 camels from five different regions of Iran were screened for the presence of piroplasmid infection using an 18SrRNA polymerase chain reaction (PCR) sequencing method. Of the 248 samples, 16 were positive for piroplasms via PCR (6.45%). Ten PCR amplicons with expected sizes were sequenced for molecular characterization. Three camels were infected with Babesia caballi and seven with Theileria equi. Statistical analysis showed that age, sex, and location were not risk factors for infection with piroplasmids in camels.
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Sazmand A, Joachim A. Parasitic diseases of camels in Iran (1931-2017) - a literature review. Parasite 2017; 24:21. [PMID: 28617666 PMCID: PMC5479402 DOI: 10.1051/parasite/2017024] [Citation(s) in RCA: 60] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Accepted: 05/28/2017] [Indexed: 12/19/2022] Open
Abstract
Parasitic diseases of camels are major causes of impaired milk and meat production, decreases in performance or even death. Some camel parasites also represent a threat to human health. About 171,500 one-humped camels (Camelus dromedarius) and 100-300 two-humped camels (Camelus bactrianus) live in Iran. Knowledge of the biodiversity of their parasites is still limited. The present review covers all information about camel parasitic diseases in Iran published as dissertations and in both Iranian and international journals from 1931 to February 2017. Ten genera of Protozoa (Trypanosoma, Eimeria, Cryptosporidium, Toxoplasma, Neospora, Sarcocystis, Besnoitia, Theileria, Babesia and Balantidium), 48 helminth species detected in the digestive system, including three species of Trematoda, four species of Cestoda, and 41 species of Nematoda, as well as helminths from other organs - Echinococcus spp., Dictyocaulus filaria, Thelazia leesei, Dipetalonema evansi and Onchocerca fasciata - have so far been described in Iranian camels. Furthermore, 13 species of hard ticks, mange mites, the myiasis flies Cephalopina titillator and Wohlfahrtia magnifica, and immature stages of the Pentastomida Linguatula serrata have also been reported from camels of Iran. Camel parasitic diseases are a major issue in Iran in terms of economics and public health. The present review offers information for an integrated control programme against economically relevant parasites of camels.
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Affiliation(s)
- Alireza Sazmand
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Zoonotic Diseases Research Center, School of Health, Shahid Sadoughi University of Medical Sciences Postal Code 8915173160
Yazd Iran
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Institute of Parasitology, Department of Pathobiology, University of Veterinary Medicine Vienna Veterinaerplatz 1 1210
Vienna Austria
| | - Anja Joachim
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Institute of Parasitology, Department of Pathobiology, University of Veterinary Medicine Vienna Veterinaerplatz 1 1210
Vienna Austria
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Estimating the economic impact of Trypanosoma evansi infection on production of camel herds in Somaliland. Trop Anim Health Prod 2015; 47:707-14. [PMID: 25724924 DOI: 10.1007/s11250-015-0780-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2014] [Accepted: 02/11/2015] [Indexed: 10/23/2022]
Abstract
The traditional livestock sector in Somalia is based on nomadic pastoralism where sheep, goats and camels are herded in large numbers. Data from 1609 females (27 % lactating) and 550 males (26 % exported) belonging to 40 pastoralists were analysed in this study. The expected amount of revenue the herders could lose per year in the studied area was estimated at US$404,630 being made up of US$314,630 from decreased milk yield and US$90,000 from reduced market value of exported animals. However, all the camels in Somaliland are at risk of acquiring surra infection, and therefore extrapolating the current findings to the total population could potentially lose US$223,164,000. This highlights the loss in the magnitude of US$164,253,600 from decreased milk yield and US$58,910,400 from body condition loss. Overall, the benefit in controlling Trypanosoma evansi infection in the study area was US$398,880 (n = 2159). On average, US$720 was saved per head per year from improved milk production in treated animals and US$615 from the increased value of exported camels. It is concluded that all three-treatment options evaluated were economically beneficial strategies; however, the biannual treatment of seropositive camels in the herds was the best financial option.
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Al-Khalifa MS, Hussein HS, Diab FM, Khalil GM. Blood parasites of livestock in certain Regions in Saudi Arabia. Saudi J Biol Sci 2013; 16:63-7. [PMID: 23961044 DOI: 10.1016/j.sjbs.2009.10.002] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Blood samples from camels, sheep, goats and cattle from six Regions in Saudi Arabia were examined for blood parasites. Asir Region camels were disinfected while those of the Eastern, Jazan, Northern Frontiers, Riyadh and Tabouk Regions were infected with Trypanosoma evansi (5-40%), those of Riyadh and the Eastern Regions were infected with Dipetalonema evansi (1-6%) and those of the Eastern, Jazan and Riyadh Regions were infected with Eperythrozoon species (8-20%). Sheep and goats of all tested regions were infected with Theilaria hirci (4-20% and 6-14%, respectively), Theilaria ovis (5-19% and 6-24%, respectively) and Eperthrozoon ovis (2-9% and 2-8%, respectively). Sheep of the Eastern and Northern Frontiers Regions were also infected with Anaplasma ovis (2%) and also those of the Eastern Region were infected with Babesia motasi (4%) as well. Cattle of Asir and Eastern Regions were infected with Anaplasma marginale (1-3.4%) and those of the Eastern, Jazan and Riyadh Regions were infected with Theileria annulata (11.3-25%) and Eperthrozoon wenyoni (1-4%). Moreover, Jazan cattle were infected with Babesia bigemina (6%) and a benign Theileria species (27%). Some of these parasites are recorded in new localities indicating that they are spreading in the country. Also, this is the first report in Saudi Arabia of D. evansi in camels, A. ovis and B. motasi in sheep and A. marginale and B. bigemina in cattle. These parasites may be introduced into the country with infected livestock infested with the vectors of these parasites. The suspected vectors of the detected parasites in Saudi Arabia is discussed. Follow up surveys of blood parasites are recommended to assess their distribution and infection rates in the livestock of all Regions of Saudi Arabia, to make plans for control measures against their vectors.
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Affiliation(s)
- M S Al-Khalifa
- Zoology Department, College of Science, P.O. Box 2455, King Saud University, Riyadh, Saudi Arabia
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11
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Megahed GA, Abd Ellah MR, Abdel-Rady A. Comparative biochemical studies on natural Trypanosoma evansi infection in she-camels. COMPARATIVE CLINICAL PATHOLOGY 2012; 21:1121-1124. [DOI: 10.1007/s00580-011-1243-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
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12
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Qablan MA, Sloboda M, Jirků M, Oborník M, Dwairi S, Amr ZS, Hořín P, Lukeš J, Modrý D. Quest for the piroplasms in camels: identification of Theileria equi and Babesia caballi in Jordanian dromedaries by PCR. Vet Parasitol 2011; 186:456-60. [PMID: 22186193 DOI: 10.1016/j.vetpar.2011.11.070] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2011] [Revised: 11/22/2011] [Accepted: 11/23/2011] [Indexed: 11/30/2022]
Abstract
DNA of two species of piroplasmids was detected in dromedaries during a survey of blood protozoans in Jordan between 2007 and 2009. Ten clinically healthy camels (10%) originating from three Jordanian districts were found, using a PCR assay, to harbor Theileria or Babesia species in their blood and no mix infection was determined. Analysis of the partial 18S rRNA gene sequences of these parasites allowed their unambiguous identification as equine piroplasmids Babesia caballi (n=6) and Theileria equi (n=4). In case of latter species, a novel genotype was found in horses. This first molecular-based species determination of piroplasmids from camels further contributes to the growing evidence of low host specificity of piroplasmids.
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Affiliation(s)
- Moneeb Ahmad Qablan
- Department of Parasitology, University of Veterinary and Pharmaceutical Sciences, Brno, Czech Republic.
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Olias P, Schade B, Mehlhorn H. Molecular pathology, taxonomy and epidemiology of Besnoitia species (Protozoa: Sarcocystidae). INFECTION GENETICS AND EVOLUTION 2011; 11:1564-76. [PMID: 21906696 DOI: 10.1016/j.meegid.2011.08.006] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2011] [Revised: 08/04/2011] [Accepted: 08/07/2011] [Indexed: 10/17/2022]
Abstract
Until recently, besnoitiosis has been a neglected disease of domestic animals. Now, a geographic expansion of the causing protozoan parasite Besnoitia besnoiti in livestock has been recognized and the disease in cattle is considered emerging in Europe. Bovine besnoitiosis leads to significant economic losses by a decline in milk production, sterility, transient or permanent infertility of bulls, skin lesions and increase of mortality in affected cattle population. Phylogenetically, the Besnoitia genus is closest related to the well studied and medically important protozoans, Toxoplasma gondii and Neospora caninum. In contrast, discriminative molecular markers to type and subtype large mammalian Besnoitia species (B. besnoiti, B. caprae, B. tarandi, B. bennetti) on a relevant level of species and strains are lacking. Similarly, these cyst-forming parasites may use two hosts to fulfill their life cycle, but this has not been proven for all large mammalian Besnoitia species yet. Most important though, the final hosts and transmission routes of these Besnoitia species remain mysterious. Here, we review aspects of parasite's pathology, speciation, phylogeny, epidemiology and transmission with a special focus on recent molecular studies of all to date known Besnoitia species. Using an integrated approach, we have tried to highlight some promising directions for future research.
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Affiliation(s)
- Philipp Olias
- Department of Veterinary Pathology, Freie Universität Berlin, Berlin, Germany.
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14
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Sloboda M, Jirků M, Lukešová D, Qablan M, Batsukh Z, Fiala I, Hořín P, Modrý D, Lukeš J. A survey for piroplasmids in horses and Bactrian camels in North-Eastern Mongolia. Vet Parasitol 2011; 179:246-9. [PMID: 21402446 DOI: 10.1016/j.vetpar.2011.01.064] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2010] [Revised: 01/24/2011] [Accepted: 01/31/2011] [Indexed: 10/18/2022]
Abstract
Equine piroplasmosis caused by Babesia caballi and Theileria equi is widespread in Asia. The presence of these haemozoans in Mongolia was previously confirmed in domestic as well as in reintroduced Przewalski horses in which they cause significant pathology. The data on occurrence of piroplasms from Bactrian camels in Asia is lacking. A total of 192 horses, 70 Bactrian camels, and additional 16 shepherd dogs from the Hentiy province were included in our study. No clinical signs typical for piroplasmid infection were observed during the field survey. Microscopic examination revealed the presence of T. equi in blood smears from 67% of examined horses, with camels and dogs being negative. A two step PCR approach was used to detect piroplasms in peripheral blood. In the first "catch all" PCR reaction, amplification of the 496 bp-long fragment of the SSU rRNA gene enabled the detection of Babesia and Theileria spp. Second round multiplex PCR reaction used for species discrimination allowed the amplification of T. equi- and B. caballi-specific 340 bp and 650 bp-long regions of the SSU rRNA, respectively. This assay detected T. equi in 92.7% of horses, while the infections with B. caballi and dual infections were rare. In both PCR setups, camels and dogs were negative indicating that in the studied region, these hosts do not share piroplasms with horses.
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Affiliation(s)
- Michal Sloboda
- Department of Parasitology, University of Veterinary and Pharmaceutical Sciences Brno, Palackého 1-3, 612 42 Brno, Czech Republic.
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15
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Abdel-Ghaffar F, Mehlhorn H, Bashtar AR, Al-Rasheid K, Sakran T, El-Fayoumi H. Life cycle of Sarcocystis camelicanis infecting the camel (Camelus dromedarius) and the dog (Canis familiaris), light and electron microscopic study. Parasitol Res 2009; 106:189-95. [PMID: 19838733 DOI: 10.1007/s00436-009-1648-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2009] [Accepted: 09/24/2009] [Indexed: 11/24/2022]
Abstract
In the present study, the heteroxeneous life cycle of Sarcocystis sp. infecting camels were studied. A total of 180 slaughtered camels collected from different localities in Egypt were investigated for sarcocysts. Only 116 animals were found to be infected (the infection rate was 64%). Muscle samples of esophagus, diaphragm, tongue, skeletal, and heart muscles were examined. Exclusively, microscopic sarcocysts were detected in all examined organs. The infection rates of the esophagus, diaphragm, tongue, skeletal, and heart muscles were 60%, 50%, 40%, 40%, and 10%, respectively. By means of transmission electron microscopy, details of the ultrastructure of the sarcocysts were studied. The specific architecture and ornaments of the cyst wall, its protrusions, and the cyst interior were recorded. Unique features of protrusions of the primary cyst wall, the knob-like structures, arise around each protrusion. Experimental infection of carnivores by feeding heavily infected camel muscles revealed that the dog, Canis familiaris, is the only final host of the present Sarcocystis species. Gamogony, sporogonic stages, and characteristics of sporulated oocysts were also investigated.
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16
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Valinezhad A, Oryan A, Ahmadi N. Sarcocystis and its complications in camels (Camelus dromedarius) of eastern provinces of Iran. THE KOREAN JOURNAL OF PARASITOLOGY 2008; 46:229-34. [PMID: 19127328 DOI: 10.3347/kjp.2008.46.4.229] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2008] [Accepted: 10/09/2008] [Indexed: 11/23/2022]
Abstract
The prevalence of Sarcocystis spp. was investigated by gross and histopathological examinations in 250 camels (Camelus dromedarius) slaughtered from 2002 to 2005 in the Mashhad Slaughterhouse, eastern Iran. Samples were taken from the diaphragm, heart, tongue, esophagus and masseter muscles for histopathological studies. No macroscopic sarcocysts were found in the samples at gross inspection. Sarcocysts were detected in 209 of 250 (83.6%) examined camels at histopathological level. The infection rate of the esophagus, heart, masseter muscles, diaphragm, and tongue was 58.8%, 48.0%, 46.8%, 41.6%, and 28.0%, respectively. There was no significant difference in the rate of infection between male (85.8%) and female (81.0%) camels. The tissue response to vital cysts was minimal; however, reaction to the degenerating cysts was severe and caused tissue damages resulting in hyperemia, hemorrhages, mononuclear cell infiltration, necrotic changes, and fibrosis. The wild and domestic carnivores especially dogs may be the final hosts of Sarcocystis spp. in this area.
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Affiliation(s)
- Akbar Valinezhad
- Razi Serum and Vaccine Research Institute, Mashhad, Khorasan Razavi, Eastern Iran
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17
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Shekarforoush SS, Shakerian A, Hasanpoor MM. Prevalence of Sarcocystis in slaughtered one-humped camels (Camelus dromedarius) in Iran. Trop Anim Health Prod 2006; 38:301-3. [PMID: 17137132 DOI: 10.1007/s11250-006-4362-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- S S Shekarforoush
- Department of Food Hygiene, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.
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18
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Tefera M, Gebreah F. A study on the productivity and diseases of camels in eastern Ethiopia. Trop Anim Health Prod 2001; 33:265-74. [PMID: 11474860 DOI: 10.1023/a:1010580416485] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
A study concerning performance traits of the Ethiopian camel indicated that, in the camel herds examined, there was one active bull camel for 25 females. The bull camel was 5 years old at puberty; it reached rutting vigour at the age of 9 years, the number of mountings per day was 8 during the breeding season, and the reproduction span was 10 years. The female camel reached puberty at 4 years of age; the age at first calving was 5 years, and the lactation period was one year; the calving interval was 2 years, the calving rate was 50%, and the reproduction span was 10-15 years. The survival rate of the newborn calves was 50%. The average milk yield was 2.5 L per day; the price of camel's milk was higher than that of cow's milk at US$0.5. Adult camels weighed around 500 kg; the dressing-out percentage was 52%. Mutton was preferred to camel meat, which came second in popularity, costing US$2/kg. Owing to their poor reproductive performance, camels are not efficient for producing meat. The camels worked for 16 h per day, covering 60 km. Animal health problems encountered were trypanosomosis, camel pox, camel pustular dermatitis, camel cephalopsis, dermatomycosis, mange mite, tick infestation and balantidiosis, most of which mainly affected the young animals.
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Affiliation(s)
- M Tefera
- Department of Animal and Range Science, Faculty of Dryland Agriculture, Mekelle University, PO Box 231, Mekelle, Ethiopia
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19
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Woldemeskel M, Gumi B. Prevalence of sarcocysts in one-humped camel (Camelus dromedarius) from southern Ethiopia. JOURNAL OF VETERINARY MEDICINE. B, INFECTIOUS DISEASES AND VETERINARY PUBLIC HEALTH 2001; 48:223-6. [PMID: 11393818 DOI: 10.1046/j.1439-0450.2001.00446.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
A survey of sarcocystis was made in camels from southern Ethiopia during a part of 1998-99. A total of 605 haematoxylin and eosin-stained tissue samples from cardiac, diaphragm, shoulder, masseter and oesophagus muscles of 121 adult camels and 20 tissue samples from four foetuses were examined for sarcocysts. Sarcocysts were detected in 55 of 121 (45.45%) camels examined. The infestation rate of oesophagus, diaphragm, shoulder, masseter and cardiac musculatures were 19.83, 11.57, 12.4, 8.26 and 9.17%, respectively. There was no significant (P > 0.05) variation between males (48.6%) and females (40.82%), nor between the two sites studied (Dollo Addo, 40.00% versus Neghelle Borana 47.25%). None of the 20 tissue samples from the four foetuses examined harboured sarcocysts. The possible impact of sarcocysts on camel production is indicated. This is the first report of the presence of sarcocysts in camels from Ethiopia.
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Affiliation(s)
- M Woldemeskel
- Addis Ababa University, Faculty of Veterinary Medicine, Debre-Zeit, Ethiopia
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20
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Chaudhary ZI, Iqbal J. Incidence, biochemical and haematological alterations induced by natural trypanosomosis in racing dromedary camels. Acta Trop 2000; 77:209-13. [PMID: 11080512 DOI: 10.1016/s0001-706x(00)00142-x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
In this study 10.67% incidence of trypanosomosis was observed in 150 racing camels by Suratex (latex agglutination). A significant decrease (P<0.05) in RBC, Hb, PCV and lymphocyte was observed, while a significant (P<0.05) increase in WBC and neutrophils was noted in trypanosomosis positive samples. The blood chemistry parameters indicated that there was significant (P<0.05) decrease in iron and albumin, but no significant alteration was observed in alkaline phosphatase (ALP), alanine aminotransferase (ALT), asparate aminotransferase (AST), gamma glutamyltransferase (GGT), lactic dehydrogenase (LDH), urea, total protein, calcium, creatinine, phosphorous and magnesium.
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Affiliation(s)
- Z I Chaudhary
- Veterinary Laboratories, Agriculture Guidance Section, Abu Dhabi Municipality, PO Box 10829, Bani Yas, Abu Dhabi, United Arab Emirates
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Pathak KM, Singh Y, Meirvenne NV, Kapoor M. Evaluation of various diagnostic techniques for Trypanosoma evansi infections in naturally infected camels. Vet Parasitol 1997; 69:49-54. [PMID: 9187029 DOI: 10.1016/s0304-4017(96)01091-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
One hundred and eight camels (Camelus dromedarius) from Trypanosoma evansi endemic areas of the Thar Desert of Rajasthan State, India, were evaluated by various diagnostic tests including parasitological tests (wet blood film-WBF, stained thick blood film), chemical test (mercuric chloride), biological test (mouse subinoculation-MSI), and immunodiagnostic tests based on antibody detection (double immunodiffusion test-DID, card agglutination test-CATT), antigen detection (double antibody sandwich enzyme linked immunosorbent assay-Ag-ELISA). Of the tested camels 49 were found infected using the WBF of which nine gave false negative results with the mercuric chloride test. The efficacy of MSI was 87.03 percent, while the mercuric chloride test was 60.18 percent efficient. The diagnostic efficacy of CATT (72.22 percent) was found to be much better than DID (28.70 percent). Ag-ELISA was 86.11 percent efficient in detecting trypanosomal antigens. A good correlation was found between the positive results obtained by wet blood film, CATT and Ag-ELISA. It was inferred that CATT can be used to study the seroprevalence of T. evansi with great ease, however, trypanosome antigen detection may give a more accurate idea of the prevalence of T. evansi in an endemic area.
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Affiliation(s)
- K M Pathak
- Department of Veterinary Parasitology, College of Veterinary and Animal Science, Rajasthan, India
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22
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Mutugi MW, Boid R, Luckins AG. Differences in cloning and sub-cloning success rates in four stocks of Trypanosoma evansi and variation in suramin resistance of the clones. Vet Parasitol 1995; 60:213-20. [PMID: 8747904 DOI: 10.1016/0304-4017(95)00787-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Four Trypanosoma evansi stocks with sensitivity to suramin in mice ranging from 0.05 to 160 mg kg-1 were cloned and sub-cloned and the sensitivity of the clones determined. The results suggest that it is easier to clone and sub-clone trypanosome stocks which are sensitive to suramin than those that are resistant to the action of the drug. The clones obtained from the four stocks had sensitivities to suramin which were similar to or different from the parent stocks. These results are important in view of the development of resistance for, in the presence of suramin, these resistant yet heterogeneous populations would provide the material from which selective processes could operate. These observations also suggest that the maintenance and spread of suramin-resistant trypanosomes might be curtailed by their comparative inability to establish themselves in a new host.
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Affiliation(s)
- M W Mutugi
- Kenya Trypanosomiasis Research Institute (KETRI), Kikuyu, Kenya
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23
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Affiliation(s)
- A M Nassar
- Department of Parasitology, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt
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24
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Payne R, Waltner-Toews D, Djauhari D, Jones T. Trypanosoma evansi infection in swamp buffalo imported into Central Java. Prev Vet Med 1991. [DOI: 10.1016/s0167-5877(05)80032-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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25
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Payne RC, Sukanto IP, Djauhari D, Partoutomo S, Wilson AJ, Jones TW, Boid R, Luckins AG. Trypanosoma evansi infection in cattle, buffaloes and horses in Indonesia. Vet Parasitol 1991; 38:109-19. [PMID: 1858281 DOI: 10.1016/0304-4017(91)90121-b] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Cattle, buffaloes and horses in several areas of Indonesia were examined for evidence of infection with Trypanosoma evansi by the microhaematocrit centrifugation technique (MHCT) and an enzyme-linked immunosorbent assay (ELISA) for detection of antibodies to T. evansi. Evidence of infection was found in animals at each sampling site although differences were seen in prevalence rates between sites. Prevalence rates in buffalo were usually higher than in cattle in the same area while in horses they were much lower than in cattle or buffalo. An age-dependent prevalence rate was seen in buffalo and cattle with the highest rates seen in animals older than 2 years. These results concur with the view that T. evansi infection is widespread throughout most of the livestock-producing areas of Indonesia. The apparent lack of any obvious disease owing to T. evansi infection in the sampled animals suggests that a form of stability exists in most endemic areas which serves to ameliorate the effect of T. evansi infection and has an immunological basis linked to the parasite's limited antigenic diversity.
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Affiliation(s)
- R C Payne
- Research Institute for Veterinary Science, Bogor, West Java, Indonesia
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26
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Boid R, Jones TW, Payne RC. Malic enzyme type VII isoenzyme as an indicator of suramin resistance in Trypanosoma evansi. Exp Parasitol 1989; 69:317-23. [PMID: 2806458 DOI: 10.1016/0014-4894(89)90080-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
This study analysed the suramin sensitivity of 29 stocks of Trypanosoma evansi isolated from Egypt, Sudan, and Indonesia and compared the results with the isoenzyme banding patterns of 20 soluble enzymes in these stocks of T. evansi. The results showed that the type VII banding pattern of malic enzyme was found only in T. evansi stocks which were highly resistant to suramin.
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Affiliation(s)
- R Boid
- Centre for Tropical Veterinary Medicine, Midlothian, Scotland
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27
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Yagoub IA. Coccidiosis in Sudanese camels (Camelus dromedarius): 1--First record and description of Eimeria spp. harboured by camels in the eastern region of Sudan. THE JOURNAL OF PROTOZOOLOGY 1989; 36:422-3. [PMID: 2769604 DOI: 10.1111/j.1550-7408.1989.tb05539.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Coccidial oocysts were detected in 40 (17.4%) out of 230 faecal samples obtained from camels in the Eastern Region of Sudan during June 1985-June 1986. These oocysts were identified as Eimeria rajasthani, Eimeria dromedarii and Eimeria cameli. A detailed description of sporulated oocysts is given in this study and variations from previous authors' findings are discussed.
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Affiliation(s)
- I A Yagoub
- Regional Veterinary Research Laboratory, Kassala, Sudan
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Bornstein S, Musa BE. Prevalence of antibodies to some viral pathogens, Brucella abortus and Toxoplasma gondii in serum from camels (Camelus dromedarius) in Sudan. ZENTRALBLATT FUR VETERINARMEDIZIN. REIHE B. JOURNAL OF VETERINARY MEDICINE. SERIES B 1987; 34:364-70. [PMID: 2825450 DOI: 10.1111/j.1439-0450.1987.tb00409.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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29
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McCartan BM, Hunter AG, Pegram RG, Bourne AS. Tick infestations on livestock in the Yemen Arab Republic and their potential as vectors of livestock diseases. Trop Anim Health Prod 1987; 19:21-31. [PMID: 3603710 DOI: 10.1007/bf02250841] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
A survey of ticks on cattle, camels, sheep, goats and donkeys in four different geographical locations of the Yemen Arab Republic (YAR) was carried out to provide more information on the possible risk of tick-borne diseases to imported exotic cattle included in the YAR's plans for livestock development. The most abundant ticks were Hyalomma spp. particularly on camels. Ticks found on cattle included Hyalomma spp., Amblyomma variegatum, Boophilus annulatus and Rhipicephalus spp. In general with the exception of camels tick burdens on all species of domestic livestock were very low. Two hundred and ninety eight serum samples from miscellaneous adult cattle throughout the country were negative to a test for Anaplasma marginale antibodies. It is speculated that tick burdens in the YAR are too low for significant disease transmission and the implications of the findings are discussed.
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Hunter AG. Urine odour in a camel suffering from surra (T. evansi infection). Trop Anim Health Prod 1986; 18:146-8. [PMID: 3765114 DOI: 10.1007/bf02359524] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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