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Bernardes JC, Pinto-Ferreira F, Ladeia WA, Caldart ET, Paschoal ATP, Martins TA, Barreto JVP, Crespi ME, de Barros LD, Nino BDSL, Gonzalez SG, Garcia JL. Seroprevalence and risk factors for Neospora caninum and Toxoplasma gondii in dairy cattle from São Paulo State, Brazil. REVISTA BRASILEIRA DE PARASITOLOGIA VETERINARIA = BRAZILIAN JOURNAL OF VETERINARY PARASITOLOGY : ORGAO OFICIAL DO COLEGIO BRASILEIRO DE PARASITOLOGIA VETERINARIA 2024; 33:e006024. [PMID: 38985053 PMCID: PMC11253822 DOI: 10.1590/s1984-29612024034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Accepted: 04/16/2024] [Indexed: 07/11/2024]
Abstract
Neospora caninum is a major cause of reproductive loss in cattle worldwide as it leads to abortion and animal repositioning. Although Toxoplasma gondii does not cause a reproductive problem in cattle, consuming raw or uncooked beef poses the risk of transmission. This study aimed to evaluate the occurrence of anti-N. caninum and anti-T. gondii antibodies in dairy cattle in the West and Northwest regions of São Paulo State, Brazil. A total of 653 serum samples from dairy cows were analyzed using an indirect immunofluorescence assay (IFA). Epidemiological data from the farms were associated with the serological results of the animals by logistic regression based on the presence of antibodies. The frequencies of the antibodies against N. caninum and T. gondii were 41.6% (272/653) and 11.5% (75/653), respectively. A statistically significant association was observed between: the serum anti-N. caninum antibodies and breed, history of food supplementation for calves, introduction of outside animals that later presented reproductive problems, and history of reproductive problems by the trimester of gestation. The present study highlights the importance of neosporosis in dairy cattle in the study regions and that the inclusion of this parasite in the investigation of animals with reproductive disorders is important.
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Pandolfi IA, de Oliveira WA, Martins-Filho OA, de Araújo FF, da Costa Rocha IA, Bittar ER, Araújo MSS, Bittar JFF. The seasonality as a relevant aspect to be considered for differential diagnosis of Trypanosoma vivax infection and co-infections in female cattle. Comp Immunol Microbiol Infect Dis 2024; 109:102180. [PMID: 38653007 DOI: 10.1016/j.cimid.2024.102180] [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: 01/22/2024] [Revised: 04/04/2024] [Accepted: 04/14/2024] [Indexed: 04/25/2024]
Abstract
Bovine Trypanosomiasis and other infectious diseases cause relevant loss for the livestock industry impacting productive/reproductive indices. This study intended to better understand the frequency, seasonality, and profile of infections associated with Bovine Trypanosomiasis. A total of 1443 serum samples were screened for T. vivax infection and other infectious diseases: Neosporosis, Leptospirosis, Bovine Leukosis Virus infection/(BLV), Infectious Bovine Rhinotracheitis/(IBR) or Bovine Viral Diarrhea/(BVD). Distinct methods were used for screening and diagnosis: immunofluorescence assay (Trypanosomiasis), ELISA (Neosporosis,BLV,IBR,BVD) and microscopic agglutination test (Leptospirosis). Our findings demonstrated that the seropositivity for Trypanosomiasis=57% was similar to Neosporosis=55%, higher than Leptospirosis=39% and BVL=34%, but lower than IBR=88% and BVD=71%. The seropositivity for Trypanosomiasis was higher in the autumn and lower in the winter. Regardless the season, the IBR seropositivity (min=73%;max=95%) was higher than Trypanosomiasis (min=48%;max=68%). Moreover, Neosporosis (min=71%;max=100%) and BVD (min=65%;max=76%) were more frequent than Trypanosomiasis in the summer, winter and spring. The diagnosis outcome revealed that Trypanosomiasis&IBR=43% and Trypanosomiasis&Neosporosis=35% were the most frequent co-infections with higher seropositivity in the autumn (58%) and summer (80%), respectively. Noteworthy, high seropositivity to Trypanosomiasis&BVD was registered in the autumn (46%). Together, our data re-enforce the relevance of differential diagnosis between Trypanosomiasis with other bovine infectious diseases and that differences in the seasonality profile is a relevant aspect to be considered while selecting the differential diagnosis to be applied.
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Affiliation(s)
- Izabela Andrade Pandolfi
- Universidade de Uberaba (UNIUBE), Medicina Veterinária, Mestrado em Sanidade e Produção Animal nos Trópicos, Uberaba, Minas Gerais, Brazil
| | - Wallacy Augusto de Oliveira
- Universidade de Uberaba (UNIUBE), Medicina Veterinária, Mestrado em Sanidade e Produção Animal nos Trópicos, Uberaba, Minas Gerais, Brazil
| | - Olindo Assis Martins-Filho
- Grupo Integrado de Pesquisa em Biomarcadores, Instituto René Rachou - Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil
| | - Fernanda Fortes de Araújo
- Grupo Integrado de Pesquisa em Biomarcadores, Instituto René Rachou - Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil
| | - Ismael Artur da Costa Rocha
- Grupo Integrado de Pesquisa em Biomarcadores, Instituto René Rachou - Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil
| | - Eustáquio Resende Bittar
- Universidade de Uberaba (UNIUBE), Medicina Veterinária, Mestrado em Sanidade e Produção Animal nos Trópicos, Uberaba, Minas Gerais, Brazil
| | - Marcio Sobreira Silva Araújo
- Grupo Integrado de Pesquisa em Biomarcadores, Instituto René Rachou - Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.
| | - Joely Ferreira Figueiredo Bittar
- Universidade de Uberaba (UNIUBE), Medicina Veterinária, Mestrado em Sanidade e Produção Animal nos Trópicos, Uberaba, Minas Gerais, Brazil
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Duarte PO, Csordas BG, Oshiro LM, Higa LDOS, Zimmermann NP, Martins KR, Barros JC, Andreotti R. Serological evaluation of Neospora caninum in pregnant women treated at referral center for prenatal screening in Mato Grosso do Sul, Brazil. ACTA ACUST UNITED AC 2020; 29:e010820. [PMID: 33237190 DOI: 10.1590/s1984-29612020097] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 09/25/2020] [Indexed: 11/22/2022]
Abstract
Neospora caninum is an obligate intracellular protozoan with canids (Canis domesticus, Canis lupus dingo, Canis latrans, Canis lupus) as its definitive hosts. The objective of this study was to detect anti-N. caninum antibodies in pregnant women seen at referral center for prenatal screening in the state of state Mato Grosso do Sul, Brazil. A total of 188 serum samples from pregnant women provided by the Instituto de Pesquisa, Ensino e Diagnósticos da APAE de Campo Grande (IPED/ APAE) were subjected to IFA test and western blot analysis. The samples were divided into three groups: 23/99 samples from the seropositive group for toxoplasmosis were positive for anti-N. caninum IgG antibodies, and 9/99 positive for IgM; in the HIV group, 7/33 were positive for IgG; and in the HIV+toxoplasmosis group, 13/56 were positive for IgG and two positive for IgM. The seropositivity for IgG was assessed by western blot by testing 43 IFA test positive samples using rNcSRS2 (Nc-p43) as antigen. The serological results of the present study suggest that exposure of these pregnant women to the parasite N. caninum and presence of IgM antibodies are indicative of recent infection. Further studies are needed to establish the possibility of active infection.
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Affiliation(s)
- Pâmella Oliveira Duarte
- Programa de Pós-graduação em Doenças Infecciosas e Parasitárias, Universidade Federal de Mato Grosso do Sul - UFMS, Campo Grande, MS, Brasil
| | - Bárbara Guimarães Csordas
- Laboratório de Biologia Molecular do Carrapato, Departamento de Sanidade Animal, Empresa Brasileira de Pesquisa Agropecuária - Embrapa Gado de Corte, Campo Grande, MS, Brasil
| | - Leandra Marla Oshiro
- Laboratório de Biologia Molecular do Carrapato, Departamento de Sanidade Animal, Empresa Brasileira de Pesquisa Agropecuária - Embrapa Gado de Corte, Campo Grande, MS, Brasil
| | - Leandro de Oliveira Souza Higa
- Programa de Pós-graduação em Doenças Infecciosas e Parasitárias, Universidade Federal de Mato Grosso do Sul - UFMS, Campo Grande, MS, Brasil
| | - Namor Pinheiro Zimmermann
- Laboratório de Biologia Molecular do Carrapato, Departamento de Sanidade Animal, Empresa Brasileira de Pesquisa Agropecuária - Embrapa Gado de Corte, Campo Grande, MS, Brasil
| | - Kauê Rodriguez Martins
- Programa de Pós-graduação em Ciências Veterinárias, Universidade Federal de Mato Grosso do Sul - UFMS, Campo Grande, MS, Brasil
| | - Jacqueline Cavalcante Barros
- Departamento de Sanidade Animal, Empresa Brasileira de Pesquisa Agropecuária - Embrapa Gado de Corte, Campo Grande, MS, Brasil
| | - Renato Andreotti
- Departamento de Sanidade Animal, Empresa Brasileira de Pesquisa Agropecuária - Embrapa Gado de Corte, Campo Grande, MS, Brasil
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Ribeiro CM, Soares IR, Mendes RG, de Santis Bastos PA, Katagiri S, Zavilenski RB, de Abreu HFP, Afreixo V. Meta-analysis of the prevalence and risk factors associated with bovine neosporosis. Trop Anim Health Prod 2019; 51:1783-1800. [PMID: 31228088 DOI: 10.1007/s11250-019-01929-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 05/15/2019] [Indexed: 12/22/2022]
Abstract
Neospora caninum is one of the main infectious agents that cause reproductive disorders in cattle. However, knowledge about the prevalence and causal factors of bovine neosporosis is needed in order to establish control measures. The purpose of this study was to estimate the pooled prevalence and determine the risk factors of bovine neosporosis using meta-analytic methods. Searches for data on N. caninum seroprevalence and potential risk factors were conducted in the PubMed, LILACS, and SciElo databases. The random effects model was used for the meta-analysis of the included studies. The pooled prevalence of N. caninum in cattle was 24% (95% confidence interval (CI), 19-29) in North and Central America, 24% (95% CI, 20-28) in South America, 18% (95% CI, 14-21) in Asia, 15% (95% CI, 12-18) in Europe, 13% (95% CI, 11-16) in Africa, and 8% (95% CI, 4-14) in Oceania. A significant correlation was found between N. caninum infection and abortion in cows (odds ratio (OR) = 2.66, 95% CI, 1.97-3.59). The following risk factors were signicantly associated with N. caninum seroprevalence: presence of dogs on the farm (OR = 2.84; 95% CI, 1.40-5.80) and the type of cattle production system, with dairy cattle being more susceptible to bovine neosporosis (OR = 1.60; 95% CI, 1.16-2.19) than beef cattle. The adoption of measures to prevent the dissemination of N. caninum in cattle herds is suggested, aiming to reduce the economic losses incurred to the dairy and beef industry.
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Affiliation(s)
| | | | | | - Paula Andrea de Santis Bastos
- Centro Universitário das Faculdades Metropolitanas Unidas, São Paulo, São Paulo, Brazil.,Universidade Metropolitana de Santos, Santos, São Paulo, Brazil
| | - Satie Katagiri
- Universidade Federal de Mato Grosso, Barra do Garças, Mato Grosso, Brazil
| | | | | | - Vera Afreixo
- Department of Mathematics, Universidade de Aveiro, District of Aveiro, Portugal
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Schmidt AC, Pacheco TDA, Barddal JEI, Oliveira ACSD, Aguiar DMD, Negreiros RL, Pacheco RDC. Seroprevalence, spatial analysis and risk factors of infection with Neospora caninum in cattle in Brazil's northern Pantanal wetland. REVISTA BRASILEIRA DE PARASITOLOGIA VETERINARIA 2018; 27:455-463. [PMID: 30184003 DOI: 10.1590/s1984-296120180058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Accepted: 07/10/2018] [Indexed: 11/22/2022]
Abstract
Neosporosis is caused by an obligate intracellular protozoan, Neospora caninum . It is considered one of the most widespread and frequent causes of abortion in cattle worldwide. To evaluate the prevalence of anti-N. caninum antibodies and associated risk factors, serum samples were collected from 2,452 bovines at 262 farms in the northern Pantanal, state of Mato Grosso, Brazil. Each farmer was asked to fill out a questionnaire for subsequent epidemiological data analysis. Anti-N. caninum antibodies were detected by means of the indirect immunofluorescent assay (IFA), using a cut-off dilution of 1:100. The overall anti-N. caninum antibodies prevalence was 25.44% (Confidence Interval - CI 95%; 20.10%; 30.78%), and the anti-N. caninum antibodies prevalence per herd was 76.72% (CI 95%; 71.60%; 81.84%). The presence of dogs, occurrence of abortion in cows, and sale of cattle for breeding were statistically associated with seropositivity in herds, while the risk of females being seropositive for N. caninum was higher in animals ≤ 6-years-old and in the presence of dogs. A spatial analysis indicated that the relative risk of the disease is spatially constant and that the farms with the highest prevalence of anti-N. caninum antibodies are located south of the region under study.
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Affiliation(s)
- Ana Carolina Schmidt
- Programa de Pós-graduação em Ciências Veterinárias - PPGVET, Faculdade de Medicina Veterinária - FAVET, Universidade Federal de Mato Grosso - UFMT, Cuiabá, MT, Brasil.,Instituto de Defesa Agropecuária do Estado de Mato Grosso - INDEA-MT, Cuiabá, MT, Brasil
| | - Thábata Dos Anjos Pacheco
- Programa de Pós-graduação em Ciências Veterinárias - PPGVET, Faculdade de Medicina Veterinária - FAVET, Universidade Federal de Mato Grosso - UFMT, Cuiabá, MT, Brasil.,Instituto Federal de Rondônia - IFRO, Cacoal, RO, Brasil
| | - Janice Elena Ioris Barddal
- Programa de Pós-graduação em Ciências Veterinárias - PPGVET, Faculdade de Medicina Veterinária - FAVET, Universidade Federal de Mato Grosso - UFMT, Cuiabá, MT, Brasil.,Ministério da Agricultura, Pecuária e Abastecimento - MAPA, Cuiabá, MT, Brasil
| | - Anderson Castro Soares de Oliveira
- Programa de Pós-graduação em Ciências Veterinárias - PPGVET, Faculdade de Medicina Veterinária - FAVET, Universidade Federal de Mato Grosso - UFMT, Cuiabá, MT, Brasil
| | - Daniel Moura de Aguiar
- Programa de Pós-graduação em Ciências Veterinárias - PPGVET, Faculdade de Medicina Veterinária - FAVET, Universidade Federal de Mato Grosso - UFMT, Cuiabá, MT, Brasil
| | - Rísia Lopes Negreiros
- Instituto de Defesa Agropecuária do Estado de Mato Grosso - INDEA-MT, Cuiabá, MT, Brasil
| | - Richard de Campos Pacheco
- Programa de Pós-graduação em Ciências Veterinárias - PPGVET, Faculdade de Medicina Veterinária - FAVET, Universidade Federal de Mato Grosso - UFMT, Cuiabá, MT, Brasil
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Cerqueira-Cézar CK, Calero-Bernal R, Dubey JP, Gennari SM. All about neosporosis in Brazil. ACTA ACUST UNITED AC 2017; 26:253-279. [PMID: 28876360 DOI: 10.1590/s1984-29612017045] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2017] [Accepted: 06/28/2017] [Indexed: 11/22/2022]
Abstract
Neospora caninum is protozoan parasite with domestic and wild dogs, coyotes and grey wolves as the definitive hosts and many warm-blooded animals as intermediate hosts. It was cultivated and named in 1988. Neosporosis is a major disease of cattle and has no public health significance. Since 1990's N. caninum has emerged as a major cause of abortion in cattle worldwide, including in Brazil. N. caninum also causes clinical infections in several other animal species. Considerable progress has been made in understanding the biology of N. caninum and there are more than 200 papers on this subject from Brazil. However, most of the reports on neosporosis from Brazil are serological surveys. Overall, little is known of clinical neosporosis in Brazil, particularly cattle. The few reports pertain to sporadic cases of abortion with no information on epidemics or storms of abortion. The objective of the present review is to summarize all reports from Brazil and suggest topic for further research, including prevalence of N. caninum oocysts in soil or in canine feces, and determining if there are additional definitive hosts, other than the domestic dog. There is need for a national survey in cattle using defined parameters. Future researches should focus on molecular characterization of N. caninum strains, possibility of vaccine production and relationship between wildlife and livestock epidemiology.
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Affiliation(s)
- Camila Koutsodontis Cerqueira-Cézar
- Animal Parasitic Diseases Laboratory, Beltsville Agricultural Research Center, United States Department of Agriculture, Agricultural Research Service, Beltsville, MD, United States of America
| | - Rafael Calero-Bernal
- Animal Parasitic Diseases Laboratory, Beltsville Agricultural Research Center, United States Department of Agriculture, Agricultural Research Service, Beltsville, MD, United States of America
| | - Jitender Prakash Dubey
- Animal Parasitic Diseases Laboratory, Beltsville Agricultural Research Center, United States Department of Agriculture, Agricultural Research Service, Beltsville, MD, United States of America
| | - Solange Maria Gennari
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo - USP, São Paulo, SP, Brasil
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Fávero JF, Da Silva AS, Campigotto G, Machado G, Daniel de Barros L, Garcia JL, Vogel FF, Mendes RE, Stefani LM. Risk factors for Neospora caninum infection in dairy cattle and their possible cause-effect relation for disease. Microb Pathog 2017; 110:202-207. [PMID: 28666842 DOI: 10.1016/j.micpath.2017.06.042] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2017] [Revised: 06/26/2017] [Accepted: 06/26/2017] [Indexed: 11/16/2022]
Abstract
Neospora caninum causes reproductive problems in cattle such as abortion, premature birth, retention of fetal membranes, and metritis. Therefore, this study aimed to verify possible risk factors for N. caninum infection in dairy cattle and their cause-effect relation to neosporosis. Serum samples of 1518 dairy cows from the West of Santa Catarina State, Southern Brazil were analyzed by indirect immunofluorescence assay (IFA) for N. caninum, where 466 were found to be positives (30.69%-CI95%; 28.3-33.0). In addition, an epidemiological survey was conducted in order to verify possible risk factors for neosporosis and their relation to the disease. The presence of dogs in the farm was strongly associated with IFA positive results for N. caninum, and lack of history for neosporosis in the farm increased the chances of positivity in 66%. It was found a significant cause-effect relation between the occurrence of reproductive problems and the presence of antibodies against N. caninum (p = 0.05). It is possible to conclude that N. caninum is widely distributed in dairy farms of the Western part of Santa Catarina state, Brazil, and that the occurrence of reproductive problems is directly related to the disease with the presence of dogs as a risk factor for N. caninum infection.
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Affiliation(s)
- Juscivete F Fávero
- Graduate Program in Animal Science, Universidade do Estado de Santa Catarina (UDESC), Chapecó, Santa Catarina (SC), Brazil
| | - Aleksandro S Da Silva
- Graduate Program in Animal Science, Universidade do Estado de Santa Catarina (UDESC), Chapecó, Santa Catarina (SC), Brazil; Department of Animal Science, Universidade do Estado de Santa Catarina (UDESC), Chapecó, Santa Catarina (SC), Brazil.
| | - Gabriela Campigotto
- Graduate Program in Animal Science, Universidade do Estado de Santa Catarina (UDESC), Chapecó, Santa Catarina (SC), Brazil
| | - Gustavo Machado
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, USA
| | - Luiz Daniel de Barros
- Department of Preventive Veterinary Medicine, Universidade Estadual de Londrina (UEL), Londrina, Paraná (PR), Brazil
| | - João Luis Garcia
- Department of Preventive Veterinary Medicine, Universidade Estadual de Londrina (UEL), Londrina, Paraná (PR), Brazil
| | - Fernanda F Vogel
- Department of Preventive Veterinary Medicine, Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul (RS), Brazil
| | - Ricardo E Mendes
- Laboratory of Pathology, Instituto Federal Catarinense (IFC), Concórdia, Santa Catarina (SC), Brazil
| | - Lenita M Stefani
- Graduate Program in Animal Science, Universidade do Estado de Santa Catarina (UDESC), Chapecó, Santa Catarina (SC), Brazil; Department of Animal Science, Universidade do Estado de Santa Catarina (UDESC), Chapecó, Santa Catarina (SC), Brazil
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9
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Aguiar D, Lacerda D, Orlandelli R, Medina A, Azevedo S, Okuda L, Castro V, Genovez M, Pituco E. SEROPREVALENCE AND RISK FACTORS ASSOCIATED TO NEOSPORA CANINUM IN FEMALE BOVINES FROM THE WESTERN SÃO PAULO STATE, BRAZIL. ARQUIVOS DO INSTITUTO BIOLÓGICO 2011. [DOI: 10.1590/1808-1657v78p1832011] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT The prevalence of anti-Neospora caninum antibodies was evaluated in 1104 cows from 118 farms in the Western region of São Paulo State, Brazil, using indirect immunofluorescence antibody assay. Sixty-five (55.0%; CI 95%: 46.0-63.8%) farms showed at least one seropositive animal. Prevalence over 10% was observed in 33 farms (28.0%; CI 95%: 20.4-36.5%), and over 20% in 18 farms (15.2%; CI 95%: 9.5-22.6%). Prevalence of animals showed 120 (10.9%) positive females (IFAT ? 1:100). The positivity in the farms showed significant association with farms producing more than 50 liters per day. Infection caused by the protozoan N. caninum occurs in the Western region of the state of São Paulo, and although no differences were observed either in relation to the production type or management practices, greater milk yield was related to greater prevalence of infection.
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Affiliation(s)
| | | | | | - A.O. Medina
- Universidade Federal de Campina Grande, Brasil
| | - S.S Azevedo
- Universidade Federal de Campina Grande, Brasil
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Borsuk S, Andreotti R, Leite FPL, da Silva Pinto L, Simionatto S, Hartleben CP, Goetze M, Oshiro LM, Matos MDFC, Berne MEA. Development of an indirect ELISA-NcSRS2 for detection of Neospora caninum antibodies in cattle. Vet Parasitol 2011; 177:33-8. [DOI: 10.1016/j.vetpar.2010.11.026] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2009] [Revised: 11/11/2010] [Accepted: 11/15/2010] [Indexed: 11/24/2022]
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