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Alizadeh A, Sadr S, Azizzadeh M, Khoshnegah J. Feline dermatoses at Ferdowsi University of Mashhad (Iran): 154 cases (2009-2020). Vet Dermatol 2024; 35:450-452. [PMID: 38375566 DOI: 10.1111/vde.13244] [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: 02/13/2023] [Revised: 09/05/2023] [Accepted: 02/02/2024] [Indexed: 02/21/2024]
Abstract
BACKGROUND Studies indicate that 6% to 20% of feline patients have at least one dermatopathy. HYPOTHESIS/OBJECTIVE This retrospective study aimed to provide comprehensive information about the types of skin diseases, diagnosis methods, treatments and follow-up data in a hospital population of domestic cats in Iran. ANIMALS/MATERIALS AND METHODS The present survey of clinical observations was conducted on the medical records of 1825 individual cats brought to the Faculty of Veterinary Medicine, Ferdowsi University of Mashhad (Iran) over a 12-year period (2009-2020). RESULTS Feline dermatoses accounted for 154 (8.43%) of the 1,825 cats examined during the study period. The most prevalent dermatological manifestations in the studied population of 154 were erythema, macules, papules and/or pustules (36; 23.37%), alopecia (18; 11.68%) and erosive/ulcerative lesions (17; 11.03%). Specific dermatological diagnoses made were the following (in descending order, of 154): dermatophytosis (34; 22.07%), subcutaneous abscesses (16; 10.38%), atopic skin syndrome/environmental allergies (20; 10.38%), external parasites (15; 9.74%), otitis (10; 6.49%), flea infestation (6; 3.89%), food allergy (4; 2.59%) and primary pyoderma (2; 1.29%). Most lesions were observed in the head/face of cats (41 of 154; 26.62%) and their ears (39; 25.32%). Following treatment, 86 of 154 cats (69.35%) had complete remissions, 17 cats faced recurrent dermatoses and the owners of 21 cats were not satisfied. CONCLUSIONS AND CLINICAL RELEVANCE The prevalence of dermatoses among this cohort of Iranian cats is similar to that in other parts of the world. However, a noticeable difference was detected in the most prevalent dermatoses. To the best of our knowledge, this is the first study to assess the characteristics and outcomes of feline dermatological conditions in Iran.
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Affiliation(s)
- Alireza Alizadeh
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
| | - Soheil Sadr
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
| | - Mohammad Azizzadeh
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
| | - Javad Khoshnegah
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
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2
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Kelly PA, McHugo GP, Scaife C, Peters S, Stevenson ML, McKay JS, MacHugh DE, Saez IL, Breathnach R. Unveiling the Role of Endoplasmic Reticulum Stress Pathways in Canine Demodicosis. Parasite Immunol 2024; 46:e13033. [PMID: 38607285 DOI: 10.1111/pim.13033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 02/29/2024] [Accepted: 03/08/2024] [Indexed: 04/13/2024]
Abstract
Canine demodicosis is a prevalent skin disease caused by overpopulation of a commensal species of Demodex mite, yet its precise cause remains unknown. Research suggests that T-cell exhaustion, increased immunosuppressive cytokines, induction of regulatory T cells and increased expression of immune checkpoint inhibitors may contribute to its pathogenesis. This study aimed to gain a deeper understanding of the molecular changes occurring in canine demodicosis using mass spectrometry and pathway enrichment analysis. The results indicate that endoplasmic reticulum stress promotes canine demodicosis through regulation of three linked signalling pathways: eIF2, mTOR, and eIF4 and p70S6K. These pathways are involved in the modulation of Toll-like receptors, most notably TLR2, and have been shown to play a role in the pathogenesis of skin diseases in both dogs and humans. Moreover, these pathways are also implicated in the promotion of immunosuppressive M2 phenotype macrophages. Immunohistochemical analysis, utilising common markers of dendritic cells and macrophages, verified the presence of M2 macrophages in canine demodicosis. The proteomic analysis also identified immunological disease, organismal injury and abnormalities and inflammatory response as the most significant underlying diseases and disorders associated with canine demodicosis. This study demonstrates that Demodex mites, through ER stress, unfolded protein response and M2 macrophages contribute to an immunosuppressive microenvironment, thereby assisting in their proliferation.
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Affiliation(s)
- Pamela A Kelly
- UCD School of Veterinary Medicine, University College Dublin, Dublin, 4, Ireland
| | - Gillian P McHugo
- UCD School of Agriculture and Food Science, University College Dublin, Dublin, 4, Ireland
| | - Caitriona Scaife
- Proteomics Core, Mass Spectrometry Resource, UCD Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, 4, Ireland
| | - Susan Peters
- UCD School of Veterinary Medicine, University College Dublin, Dublin, 4, Ireland
| | - M Lynn Stevenson
- School of Biodiversity, One Health and Veterinary Medicine, Bearsden, University of Glasgow, Glasgow, UK
| | | | - David E MacHugh
- UCD School of Agriculture and Food Science, University College Dublin, Dublin, 4, Ireland
- UCD Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, 4, Ireland
| | - Irene Lara Saez
- UCD Charles Institute of Dermatology, University College Dublin, Dublin, 4, Ireland
| | - Rory Breathnach
- UCD School of Veterinary Medicine, University College Dublin, Dublin, 4, Ireland
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3
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Chuenngam T, Chermprapai S. Successful treatment of non-pruritus, excessive hair shedding and scales in a cat due to Demodex gatoi with fluralaner topical spot-on. JFMS Open Rep 2024; 10:20551169241246866. [PMID: 38751448 PMCID: PMC11095189 DOI: 10.1177/20551169241246866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2024] Open
Abstract
Case summary A 1-year-old female intact Scottish Fold cat was presented with a 1-month history of excessive hair shedding with white scales on the coat without pruritus. The cat lived mostly indoors and had no history of any systemic disease. Dermatological examinations were performed step by step. Several Demodex gatoi were identified from cellophane tape impressions from the scales and examined under a low-power objective (10×) microscope. Skin cytology showed keratinocytes without any microorganisms. Based on the findings, fluralaner (Bravecto for cats; MSD) spot-on was used once every 12 weeks for ectoparasiticidal control. An essential fatty acid supplement was recommended to repair and restore the coat and skin barrier. After 4 weeks of treatment, the cat showed substantial improvement, with a normal coat and no scales. Re-examination using a cellophane tape impression for mites was negative. Ectoparasitic control is highly recommended regularly for the treatment and prevention of ectoparasites. Relevance and novel information Feline demodicosis is an uncommon parasitic dermatosis with primary clinical signs that may cause generalised or localised dermatitis with frequent pruritus, erythema and alopecia. The aims of this study were to report on dermatological lesions with excessive hair shedding and scales in a cat that were caused by demodicosis, without presenting the main clinical sign of pruritus or overgrooming. In addition, to the authors' knowledge, this is the first report of the successful treatment of demodicosis due to D gatoi infestation with fluralaner single spot-on in an off-label use that was safe and easy to apply clinically.
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Affiliation(s)
- Thapanee Chuenngam
- Dermatology Center, Kasetsart University Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Kasetsart University, Bangkok, Thailand
| | - Suttiwee Chermprapai
- Department of Companion Animal Clinical Sciences, Faculty of Veterinary Medicine, Kasetsart University, Bangkok, Thailand
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4
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Hobi S, Barrs VR, Bęczkowski PM. Dermatological Problems of Brachycephalic Dogs. Animals (Basel) 2023; 13:2016. [PMID: 37370526 DOI: 10.3390/ani13122016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 06/01/2023] [Accepted: 06/13/2023] [Indexed: 06/29/2023] Open
Abstract
Brachycephalic dogs are not only affected by brachycephalic obstructive airway syndrome (BOAS), but are also frequently referred to veterinary dermatologists for skin conditions, with English bulldogs and pugs particularly over-represented. Some skin diseases, such as skin fold dermatitis, are directly associated with the abnormal anatomic conformation of brachycephalic dogs, while for others, such as atopic dermatitis and viral pigmented plaques, there is an underlying genetic basis or a general predisposition. Anatomic alterations associated with brachycephaly, leading to fold formation of the skin and stenosis of the ear canal, together with primary immunodeficiencies described in some breeds, favor the development of pyoderma, Malassezia dermatitis, and otitis externa/media. In addition, the frequently neglected but often lifelong dermatological problems of brachycephalic dogs are an important consideration when discussing genetic and medical conditions affecting the welfare of those dogs. Here we review the current state of knowledge concerning dermatological problems in brachycephalic dogs and combine it with clinical experience in the management of these challenging disorders.
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Affiliation(s)
- Stefan Hobi
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China
| | - Vanessa R Barrs
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China
- Centre for Animal Health and Welfare, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China
| | - Paweł M Bęczkowski
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China
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5
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Izdebska JN, Rolbiecki L, Fryderyk S. Demodex murilegi and Demodex obliquus, two new specific skin mites from domestic cat Felis catus, with notes on parasitism. MEDICAL AND VETERINARY ENTOMOLOGY 2023; 37:263-274. [PMID: 36461721 DOI: 10.1111/mve.12628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 11/16/2022] [Indexed: 05/18/2023]
Abstract
The Demodecidae are skin and tissue parasites of mammals with high host, topical, and topographic specificity. They may cause a demodecosis, typically observed in pets and humans. Numerous mammal species have been found to have several, specific demodecids, which inhabit different microhabitats. Thus far, two species have been known from the domestic cat, namely Demodex cati Megnin, 1877 (Acariformes: Demodecidae) and D. gatoi Desch and Stewart, 1999; however, there have been indications for the presence of other demodecid mites in this host. Presently, two other species are described, D. murilegi sp. nov. associated primarily with the skin from the area of lips and nose, and D. obliquus sp. nov. associated with the skin of the lower part of the limb. They exhibit morphological discreteness in terms of qualitative traits significant for Demodecidae taxonomy. Demodex murilegi sp. nov. is larger than both known species, and D. obliquus sp. nov. is intermediate in length between them. It is likely that infection with different Demodex species may result in variable symptoms and courses of demodecosis; however, a correct identification of the species causing the parasitosis is needed to confirm this. Thus, the present study compares the taxonomic traits of four cat demodecid mites.
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Affiliation(s)
- Joanna N Izdebska
- Department of Invertebrate Zoology and Parasitology, Faculty of Biology, University of Gdańsk, Gdańsk, Poland
| | - Leszek Rolbiecki
- Department of Invertebrate Zoology and Parasitology, Faculty of Biology, University of Gdańsk, Gdańsk, Poland
| | - Sławomira Fryderyk
- Department of Invertebrate Zoology and Parasitology, Faculty of Biology, University of Gdańsk, Gdańsk, Poland
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6
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Kelly PA, Browne J, Peters S, Bell F, McKay JS, Lara-Saez I, Breathnach R. Gene expression analysis of Canine Demodicosis; A milieu promoting immune tolerance. Vet Parasitol 2023; 319:109954. [PMID: 37163871 DOI: 10.1016/j.vetpar.2023.109954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 05/03/2023] [Accepted: 05/04/2023] [Indexed: 05/12/2023]
Abstract
Canine demodicosis is a common skin disease seen in companion animal practice that results from an overpopulation of the commensal Demodex mite species. Common predisposing factors to the development of canine demodicosis include immunosuppressive diseases, such as neoplasia and hypothyroidism, and administration of immunosuppressive therapies, such as corticosteroids. Despite this, the pathogenesis of development of canine demodicosis remains unclear. Previous studies have implicated a role for increased expression of toll like receptor 2 (TLR2), increased production of interleukin (IL)-10) and T cell exhaustion. Here, we investigate gene expression of formalin fixed paraffin embedded skin samples from twelve cases of canine demodicosis in comparison to twelve healthy controls, using a 770 gene panel (NanoString Canine IO Panel). Results show an increase in the T cell population, specifically Th1 and Treg cells in dogs with demodicosis. In addition, while there is an upregulation of immunosuppressive cytokines such as IL-10 and IL-13, there is also an upregulation of immune check point molecules including PD-1/PD-L1 and CTLA-4. These findings suggest that Demodex spp. mites are modulating the host immune system to their advantage through upregulation of several immune tolerance promoting pathways.
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Affiliation(s)
- Pamela A Kelly
- University College Dublin, School of Veterinary Medicine, Belfield, Dublin 4, Ireland.
| | - John Browne
- University College Dublin, School of Agriculture and Food Science, Belfield, Dublin 4, Ireland
| | - Susan Peters
- University College Dublin, School of Veterinary Medicine, Belfield, Dublin 4, Ireland
| | - Frazer Bell
- University of Glasgow, School of Biodiversity, One Health and Veterinary Medicine, Bearsden, Glasgow G61 1QH, United Kingdom
| | - Jennifer S McKay
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom
| | - Irene Lara-Saez
- Charles Institute of Dermatology, University College Dublin, Belfield, Dublin 4, Ireland
| | - Rory Breathnach
- University College Dublin, School of Veterinary Medicine, Belfield, Dublin 4, Ireland
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7
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Kelly PA, McKay JS, Maguire D, Jones M, Roberts L, Powell F, Breathnach R. A retrospective study of cases of canine demodicosis submitted to a commercial diagnostic laboratory servicing the United Kingdom and Ireland (2017-2018) part 2; Aerobic culture and antimicrobial susceptibility results. Res Vet Sci 2022; 153:92-98. [PMID: 36334407 DOI: 10.1016/j.rvsc.2022.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 10/25/2022] [Accepted: 10/26/2022] [Indexed: 11/06/2022]
Abstract
Clinical diagnostic reports from 508 cases of canine demodicosis diagnosed either by histological or skin scraping analysis from a United Kingdom Accreditation Service (UKAS) accredited veterinary diagnostic laboratory servicing the United Kingdom (UK) and Ireland were evaluated. Of the 508 cases, 284 had skin swabs submitted for culture on the same day the skin biopsy and/or skin scraping were obtained. Dogs with juvenile-onset (JO) demodicosis represented 57.4% of these cases, whilst adult-onset (AO) cases comprised 42.6%. The data revealed that overgrowth of pathogenic bacteria was more common in AO demodicosis cases (75.2%) in comparison to the JO cases (57%). Adult-onset cases also had increased involvement of bacteria belonging to multiple genera and/or yeast (28.9%) in comparison to JO cases (18.4%). Pruritus was significantly associated with an overgrowth of Staphylococcus pseudintermedius (p < 0.001). Resistance to one or more antimicrobial classes was noted in S. pseudintermedius isolates from 56.3% of JO cases with 10.3% of these cases being classified as Multi-Drug Resistant (MDR). Similarly, 51.9% of S. pseudintermedius isolates from the AO cases were noted to be resistant to one or more antimicrobial class with 8.6% of these cases being considered MDR. Cephalosporins were the most frequently administered antimicrobial class noted in submission histories, followed by the penicillin and fluoroquinolone classes. Whilst our findings reveal a high prevalence of concurrent overgrowth of pathogenic bacteria warranting therapeutic intervention in canine demodicosis, the presence of resistance within isolates highlights the need for prudent selection and targeted use of antimicrobial therapy that encompass the key principles of antimicrobial stewardship.
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Affiliation(s)
- Pamela A Kelly
- University College Dublin Veterinary Hospital, School of Veterinary Medicine, Belfield, Dublin 4, Ireland.
| | - Jennifer S McKay
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.
| | - David Maguire
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.
| | - Matthew Jones
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.
| | - Larry Roberts
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.
| | - Frank Powell
- The Charles Institute of Dermatology, University College Dublin, Belfield, Dublin 4, Ireland; The Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
| | - Rory Breathnach
- University College Dublin Veterinary Hospital, School of Veterinary Medicine, Belfield, Dublin 4, Ireland.
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8
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Kelly PA, McKay JS, Maguire D, Jones M, Roberts L, Powell F, Breathnach R. A retrospective study of cases of canine demodicosis submitted to a commercial diagnostic laboratory servicing the United Kingdom and Ireland (2017-2018): Part 1 - Signalment, lesion distribution, treatments, and concurrent diseases. Res Vet Sci 2022; 153:99-104. [PMID: 36334408 DOI: 10.1016/j.rvsc.2022.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 10/25/2022] [Accepted: 10/26/2022] [Indexed: 11/06/2022]
Abstract
Canine demodicosis, due to an overpopulation of Demodex spp. mites, remains one of the most common dermatological diseases encountered in small animal practice. The aims of this study were to interrogate submitted histories and diagnostic report results from a large cohort of dogs (n = 508) diagnosed with demodicosis either through histological analysis or the finding of Demodex spp. mites on skin scrapings by a UKAS accredited commercial laboratory servicing the United Kingdom (UK) and Ireland in the years 2017 and 2018. The main findings revealed that short-coated breeds were more likely to develop juvenile-onset (JO) demodicosis, whereas medium- and long-coated breeds were more likely to develop adult-onset (AO) disease. Pododemodicosis was reported more commonly in adult, long-coated breeds. Skin scrapings were positive in only 83.3% of samples that had a corresponding positive biopsy result; this finding highlights the necessity to perform further diagnostic tests if demodicosis remains clinically suspected despite a negative skin scraping result. Concurrent underlying diseases, potentially associated with immunosuppression, were reported in 42/221 (19%) of dogs with AO demodicosis. Serum allergy and Sarcoptes ELISA assays were positive in individual animals in both the JO and AO groups; the clinical significance of these latter findings requires careful interpretation in dogs with confirmed demodicosis.
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Affiliation(s)
- Pamela A Kelly
- University College Dublin Veterinary Hospital, School of Veterinary Medicine, Belfield, Dublin 4, Ireland; The Charles Institute of Dermatology, University College Dublin, Belfield, Dublin 4, Ireland.
| | - Jennifer S McKay
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.
| | - David Maguire
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.
| | - Matthew Jones
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.
| | - Larry Roberts
- IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.
| | - Frank Powell
- The Charles Institute of Dermatology, University College Dublin, Belfield, Dublin 4, Ireland; The Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
| | - Rory Breathnach
- University College Dublin Veterinary Hospital, School of Veterinary Medicine, Belfield, Dublin 4, Ireland.
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Colombo M, Morelli S, Sacra M, Trezza G, Paoletti B, Traversa D, Di Cesare A. An Uncommon and Severe Clinical Case of Sarcoptes scabiei Infestation in a Cat. Pathogens 2022; 12:pathogens12010062. [PMID: 36678410 PMCID: PMC9864773 DOI: 10.3390/pathogens12010062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 12/09/2022] [Accepted: 12/26/2022] [Indexed: 01/03/2023] Open
Abstract
The burrowing mite Sarcoptes scabiei causes sarcoptic mange in dogs and other mammals, including humans. Despite S. scabiei infests several animals, little is known about the epidemiology, clinical features, and treatment of sarcoptic mange in cats. A few reports have shown that clinical signs of S. scabiei infestation in cats may vary from non-pruritic crusted lesions to itchy and mild lesions, while severe signs are very infrequent. The present report describes a severe case of S. scabiei infestation in a stray cat from Italy, characterized by bilateral alopecia, diffuse and multifocal hyperpigmented, crusted, erythematous, scaled, and exfoliated lesions. The cat was FIV-positive and also infected by the cestode Dipylidium caninum. After treatment with a broad-spectrum parasiticide and an antibiotic, the cat showed an almost complete clinical recovery in 4 weeks. Unfortunately, no further clinical examinations were performed due to the lack of compliance of the owner and to the death of the cat for causes unrelated to sarcoptic mange. This clinical case indicates that under certain circumstances, S. scabiei can reproduce and cause severe clinical signs in cats which are usually considered non-permissive hosts for this mite, and in which the disease is usually self-limiting. Clinic-pathological, epidemiological, and zoonotic implications are discussed.
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Affiliation(s)
- Mariasole Colombo
- Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy
| | - Simone Morelli
- Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy
- Correspondence:
| | - Marzia Sacra
- Clinica Veterinaria Borghesiana, 00132 Rome, Italy
| | - Gaia Trezza
- Clinica Veterinaria Borghesiana, 00132 Rome, Italy
| | - Barbara Paoletti
- Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy
| | - Donato Traversa
- Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy
| | - Angela Di Cesare
- Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy
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The Acari Hypothesis, III: Atopic Dermatitis. Pathogens 2022; 11:pathogens11101083. [DOI: 10.3390/pathogens11101083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 09/12/2022] [Accepted: 09/20/2022] [Indexed: 11/17/2022] Open
Abstract
Atopic dermatitis is a chronic relapsing dermatopathology involving IgE against allergenic materials present on mammalian epithelial surfaces. Allergens are as diverse as pet danders, and polypeptides expressed by microbes of the mammalian microbiome, e.g., Malassezia spp. The Acari Hypothesis posits that the mammalian innate immune system utilizes pathogen-bound acarian immune effectors to protect against the vectorial threat posed by mites and ticks. Per The Hypothesis, IgE-mediated allergic disease is a specious consequence of the pairing of acarian gastrointestinal materials, e.g., allergenic foodstuffs, with acarian innate immune effectors that have interspecies operability. In keeping with The Hypothesis, the IgE profile of atopic patients should include both anti-acarian antibodies and specious antibodies responsible for specific allergy. Further, the profile should inform on the diet and/or environment of the acarian vector. In this regard, the prevalence of Demodex and Dermatophagoides on the skin of persons suffering from atopic dermatitis is increased. Importantly, the diets of these mites correspond well with the allergens of affected patients. In this report, roles for these specific acarians in the pathogenesis of atopic dermatitis are proposed and elaborated.
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11
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Beckers E, Casselman I, Soudant E, Daminet S, Paepe D, Peelman L, Broeckx BJG. The prevalence of the ABCB1-1Δ variant in a clinical veterinary setting: The risk of not genotyping. PLoS One 2022; 17:e0273706. [PMID: 36037240 PMCID: PMC9423603 DOI: 10.1371/journal.pone.0273706] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 08/11/2022] [Indexed: 11/29/2022] Open
Abstract
Multidrug sensitivity is an autosomal recessive disorder in dogs caused by a 4-bp deletion in the ABCB1 gene, often referred to as the ABCB1-1Δ variant. This disease has a high prevalence in some breeds and causes adverse reactions to certain drugs when given in normal doses. Though most dogs known to be at risk are of the collie lineage or were traced back to it, the variant has also been described in several seemingly unrelated breeds. It is generally advised to genotype dogs at risk before treating them. However, there seems to be a discrepancy between the advice and current veterinary practices, as a recent study in Belgium and the Netherlands showed that most veterinarians never order a DNA test. To assess the possible risk of not testing for multidrug sensitivity in a clinical setting, the ABCB1-1Δ variant allele frequency was established in a sample of 286 dogs from a veterinary clinic. This frequency was compared to the allelic frequency in 599 samples specifically sent for genetic testing. While the allelic frequency in the sample for genetic testing was high (21.6%) and in line with the general reports, the allelic frequency in the clinical setting was low (0.2%), demonstrating an enormous difference between laboratory and clinical frequencies. Because of the low frequency of the disease-causing variant in the general clinical population, the risk of encountering a dog displaying multidrug sensitivity despite not genotyping seems to be low. As the variant was only found in an at-risk breed, the current recommendation of routinely genotyping at-risk breeds before treatment seems justified.
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Affiliation(s)
- Evy Beckers
- Department of Veterinary and Biosciences, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Iris Casselman
- Department of Veterinary and Biosciences, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Emma Soudant
- Department of Veterinary and Biosciences, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Sylvie Daminet
- Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Dominique Paepe
- Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Luc Peelman
- Department of Veterinary and Biosciences, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Bart J. G. Broeckx
- Department of Veterinary and Biosciences, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
- * E-mail:
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12
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Bouza-Rapti P, Tachmazidou A, Farmaki R. Effectiveness of a fluralaner spot-on formulation in a case of feline demodicosis due to Demodex cati. JFMS Open Rep 2022; 8:20551169211069529. [PMID: 35111330 PMCID: PMC8801658 DOI: 10.1177/20551169211069529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Case summary A 7-year-old male domestic shorthair cat was presented with a non-pruritic erythematous crusted nasal hypotrichosis along with bilateral ceruminous otitis externa. The cat was diagnosed with diabetes mellitus and was positive for feline immunodeficiency virus (FIV). Deep skin scraping, trichograms from lesional skin and ear canal parasitological examination were positive for Demodex cati. A 250 mg (55.5 mg/kg) fluralaner spot-on for medium-sized cats (Bravecto; MSD) was applied to the base of the cat’s head. Re-examinations were carried out on the fourth, sixth and eighth weeks after therapy. On the fourth week, the ceruminous otitis had resolved completely and the nasal lesions were markedly improved. One dead adult D cati was found in deep skin scrapings while other tests from the skin and both ear canals were negative. On the second re-examination only a mild hypotrichosis persisted on the nasal region and all parasitological examinations were negative. Eight weeks after the initial examination, the skin lesions had almost clinically resolved. On the 12th week, fluralaner spot-on was repeated. No recurrence was noted at the 6-month follow-up. Relevance and novel information The use of isoxazolines has been reported for only a few demodectic cats but was described to be safe and effective. This is the first report to evaluate the efficacy of a single spot-on fluralaner for the treatment of localised dermatitis and otodemodicosis due to D cati, and suggests it as an effective, safe and practical treatment.
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Affiliation(s)
- Pavlina Bouza-Rapti
- Companion Animal Clinic, Medicine Unit, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Anatoli Tachmazidou
- Companion Animal Clinic, Medicine Unit, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Rania Farmaki
- Companion Animal Clinic, Medicine Unit, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Ilie MS, Imre M, Giubega S, Luca I, Florea T, Morariu S. Feline Demodicosis Case Report-First Molecular Characterization of Demodex Mites in Romania. Pathogens 2021; 10:pathogens10111474. [PMID: 34832631 PMCID: PMC8622192 DOI: 10.3390/pathogens10111474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Revised: 11/08/2021] [Accepted: 11/09/2021] [Indexed: 11/25/2022] Open
Abstract
Cat demodicosis is uncommon to rare, and is caused by Demodex cati, Demodex gatoi and another unnamed species. The investigated patient was a mix-breed, 10-year-old feline with no dermatological history. Alopecia, erythema, minor erosions and ulcerations and crusts, associated with pruritus and self-trauma, were observed on the head. Dark, agglutinated cerumen was also present in the external ear canal. The agent causing the skin condition in the feline patient was identified as being a Demodex genus mite, based on the specific, morphological characteristics noticed upon the microscopic examination of deep skin scrapes. Biological samples were collected from the patient with to perform a PCR assay for clear species-determination and morphological assessment. PCR amplification of DNA extracted from the Demodex mites produced a single band of ~330 bp, indicating the presence of the D. cati species. The acaricidal treatment consisted of topical treatment using a fluralaner and moxidectin-based spot-on. Upon follow-up appointments, scheduled three times at a monthly interval, the patient failed to provide a positive result upon deep skin scrapes. The negative scrapes were also accompanied by the complete resolution of the existing lesions. In conclusion, this is the first molecular study to highlight the presence of Demodex cati within the feline population of Romania, and the fluralaner-moxidectin spot-on therapy has led to a complete recovery of the feline patient affected by feline demodicosis.
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Vargo CL, Banovic F. Localized Demodicosis in a Dog After Fluticasone Propionate Treatment for Chronic Bronchitis. Top Companion Anim Med 2021; 45:100578. [PMID: 34400383 DOI: 10.1016/j.tcam.2021.100578] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 07/08/2021] [Accepted: 08/10/2021] [Indexed: 11/28/2022]
Abstract
An 11-year-old, castrated male Shetland Sheepdog presented for a 3-week history of localized nonpruritic alopecia and scaling affecting the peri-nasal region. The dog was being managed for several comorbidities, including chronic bronchitis successfully controlled with the chronic administration of inhaled fluticasone propionate. The physical examination was unremarkable aside from erythema, symmetrical alopecia, scaling and follicular casts affecting the peri-nasal region. Deep skin scrapings and histopathological examination from the lesional skin revealed several live demodex mites consistent with Demodex canis. Transcriptome analysis of lesional skin demonstrated significant downregulation of several cytokines involved in the T helper (Th) 2 and Th17 pathway with moderate upregulation of Th1 cytokine IFN-γ and T-cell recruitment chemokine CXCL10. The dog was immediately treated with oral fluralaner. Clinical signs of demodicosis resolved after 8 weeks and a trichogram was negative for live and/or dead demodex mites. The dog has remained on twice-daily administration of inhaled fluticasone and oral fluralaner every 3 months for 15 months without a demodicosis relapse, in addition to medication to manage the dog's comorbidities. To the author's knowledge, this is the first case of localized demodicosis caused by an inhaled glucocorticoid in a dog.
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Affiliation(s)
- Cheryl L Vargo
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA
| | - Frane Banovic
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
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Steventon C, Koehler AV, Dobson E, Wicker L, Legione AR, Devlin JM, Harley D, Gasser RB. Detection of Breinlia sp. (Nematoda) in the Leadbeater's possum ( Gymnobelideus leadbeateri). Int J Parasitol Parasites Wildl 2021; 15:249-254. [PMID: 34258219 PMCID: PMC8255185 DOI: 10.1016/j.ijppaw.2021.06.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Revised: 06/17/2021] [Accepted: 06/21/2021] [Indexed: 11/26/2022]
Abstract
The Leadbeater's possum (Gymnobelideus leadbeateri) is a critically endangered marsupial in south-eastern Australia. Among other conservation efforts, free-ranging animals in the two remaining geographically separate populations (highland and lowland) have been extensively studied; however, little is known about their health and mortality. Although some wild populations are frequently monitored, cadavers are rarely recovered for post mortem examination. In June 2019, a recently deceased, wild, adult male lowland Leadbeater's possum was collected from a nest box and a comprehensive post mortem examination was conducted. Microfilariae of a filarioid nematode were observed in testes, liver, lung and skin samples in tissue impression smears and upon histopathological examination. No gross or histological changes were seen associated with the parasites, except for a focal area of tissue damage in the skin, suggesting that the possum is a natural host. Using a PCR-coupled sequencing method the filarioid was identified as a species of Breinlia. Species of Breinlia occur in other Australian marsupials and rodents.
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Affiliation(s)
- Chloe Steventon
- Australian Wildlife Health Centre, Healesville Sanctuary, Glen Eadie Avenue, Healesville, VIC 3777, Australia
- Department of Veterinary Biosciences, Melbourne Veterinary School, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Anson V. Koehler
- Department of Veterinary Biosciences, Melbourne Veterinary School, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Elizabeth Dobson
- Gribbles Veterinary Pathology, 1868 Dandenong Road, Clayton, VIC 3168, Australia
| | - Leanne Wicker
- Australian Wildlife Health Centre, Healesville Sanctuary, Glen Eadie Avenue, Healesville, VIC 3777, Australia
| | - Alistair R. Legione
- Department of Veterinary Biosciences, Melbourne Veterinary School, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Joanne M. Devlin
- Department of Veterinary Biosciences, Melbourne Veterinary School, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Dan Harley
- Wildlife Conservation & Science, Zoos Victoria, Healesville, VIC 3777, Australia
| | - Robin B. Gasser
- Department of Veterinary Biosciences, Melbourne Veterinary School, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville, VIC 3010, Australia
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Dengler B, Mendoza-Kuznetsova E, Nikolaeva L, Rieger A, Mueller RS. Evaluation of a clinical scoring system for canine demodicosis. Vet Dermatol 2021; 32:311-e84. [PMID: 34159687 DOI: 10.1111/vde.12980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/25/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Canine demodicosis is a common disease in small animal practice. Although a number of studies evaluating treatment efficacy for canine demodicosis have used clinical scoring systems, none have been validated. OBJECTIVES This study evaluated the validity, reliability, reproducibility and sensitivity to change of a clinical scoring system for canine demodicosis. METHODS AND MATERIALS Fifty-eight dogs with generalised demodicosis were evaluated using a clinical scoring system that assessed erythema, comedones/ papules/pustules, follicular casts/scales/crusts and alopecia, rated from none to mild, moderate and severe in 36 body locations. Two evaluators scored lesions at monthly consecutive visits during treatment. Mites were counted to a maximum of 50 in four deep skin scrapings. With >50 mites, the approximate mite number was calculated with the help of a grid drawn onto the slide before placing the scraped material onto it. RESULTS A Pearson correlation coefficient showed a high interobserver reliability (r = 0.97) between two different clinicians evaluating the same dog. The Wilcoxon signed rank test showed good sensitivity to change with a reduction of clinical scores with each of the first six evaluations (P < 0.0001). A linear mixed model also showed a clear reduction in mite counts (P < 0.001) and clinical scores (P < 0.0001) from the first evaluation with time. CONCLUSION AND CLINICAL RELEVANCE The clinical scoring system for canine demodicosis evaluated in this study showed a good sensitivity to change and interobserver reliability, and can be used in studies evaluating canine demodicosis.
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Affiliation(s)
- Berrett Dengler
- Centre for Clinical Veterinary Medicine, Faculty of Veterinary Medicine, Ludwig-Maximilians-Universitaet, Veterinaerstrasse 13, 80539 Munich, Germany
| | | | - Lyubov Nikolaeva
- Clinic of Veterinary Medicine "Beliy Klik", Krasnaya Presnya 6/2, Bld 2, Moscow, 123242, Russia
| | - Anna Rieger
- Centre for Clinical Veterinary Medicine, Faculty of Veterinary Medicine, Ludwig-Maximilians-Universitaet, Veterinaerstrasse 13, 80539 Munich, Germany
| | - Ralf S Mueller
- Centre for Clinical Veterinary Medicine, Faculty of Veterinary Medicine, Ludwig-Maximilians-Universitaet, Veterinaerstrasse 13, 80539 Munich, Germany
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Simpson AC. Successful treatment of otodemodicosis due to Demodex cati with sarolaner/selamectin topical solution in a cat. JFMS Open Rep 2021; 7:2055116920984386. [PMID: 33598306 PMCID: PMC7863163 DOI: 10.1177/2055116920984386] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Case summary A 10-year-old spayed female Russian Blue cat was presented with a 3-month history of excessive otic discharge and scratching, only involving the right ear. Other than a moderate amount of ceruminous exudate present within the right ear on video-otoscopic examination, there were no other cutaneous abnormalities. The cat was deemed to be otherwise in good health based on physical examination and several laboratory profiles. A diagnosis of otodemodicosis was determined due to the presence of a large number of Demodex cati mites retrieved from cerumen. Treatment consisted only of monthly topical application of sarolaner/selamectin to the nape of the neck with a marked reduction in mite counts and otic pruritus after a single dose. Complete resolution was achieved after a total of four doses. Relevance and novel information This is the first report to describe the resolution of mite infestation owing to D cati after treatment with a sarolaner-containing spot-on product. In addition, to the best of the author’s knowledge, this is the first report of any isoxazoline product used in the successful treatment of demodicosis affecting the ear canal. In general, there is a lack of reports describing safe and effective treatments for feline otodemodicosis. Topically applied sarolaner/selamectin resulted in resolution of mites while avoiding any potential ototoxic events from medications applied directly into the ear, and provided a treatment that was easier to apply than oral or injectable macrocyclic lactones.
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Affiliation(s)
- Andrew C Simpson
- Dermatology Department, VCA Aurora Animal Hospital, Aurora, IL, USA
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de Lorimier L, Campbell O. Canine T‐zone lymphoma: an apparent risk factor for adult‐onset demodicosis. J Small Anim Pract 2020; 61:323-324. [DOI: 10.1111/jsap.13128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 02/21/2020] [Indexed: 11/28/2022]
Affiliation(s)
- L.‐P. de Lorimier
- Department of Medical OncologyCentre Vétérinaire Rive‐Sud, 7415 Taschereau Brossard QC J4Y 1A2 Canada
| | - O. Campbell
- Department of Medical OncologyCentre Vétérinaire Rive‐Sud, 7415 Taschereau Brossard QC J4Y 1A2 Canada
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