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Occurrence, prevalence, and explanatory environmental variables of Spirocerca vulpis infestation in the foxes of western Spain. Parasitol Res 2020; 119:973-983. [PMID: 31932914 DOI: 10.1007/s00436-019-06590-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Accepted: 12/22/2019] [Indexed: 10/25/2022]
Abstract
The main aim of this study was to not only establish the prevalence of the recently described Spirocerca vulpis parasite in the wild-life cycle of carnivores in western Spain but to also elaborate a model to explain the risk of infestation based on 16 topo-climatic and habitat variables. During the period from June 2016 to November 2017, 1644 carcasses of red foxes (Vulpes vulpes) and another 105 wild mammals, legally hunted or killed in car accidents, were analyzed. Parasitic nodules of Spirocerca were found in 6% of the foxes, and the molecular analyses established a homology of our samples with the species S. vulpis. There were no differences in the occurrence of the infestation between sexes, but there were differences in terms of age, such that infestation was proportionally more frequent among young individuals. In terms of temporality, a higher percentage of positive cases was observed during the late-autumn and winter months, especially between December and February. This study provides new data on the factors that predispose S. vulpis infection in the red fox. Model results indicate that a spatial pattern exists in the occurrence and prevalence of this species in the studied area (higher probabilities to the west), and that this pattern seems to mainly be associated with topo-climatic variables.
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McKenna M, Bristow PC, Suarez‐Bonnet A, Fox MT, Glanemann B. Clinical spirocercosis in a dog in the UK. VETERINARY RECORD CASE REPORTS 2019. [DOI: 10.1136/vetreccr-2019-000828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Myles McKenna
- Clinical Services DivisionRoyal Veterinary CollegeHatfieldUK
| | | | | | - Mark T Fox
- Department of Pathology and Pathogen BiologyRoyal Veterinary CollegeHatfieldUK
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Spirocercosis in Dogs in Israel. FOLIA VETERINARIA 2019. [DOI: 10.2478/fv-2019-0012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
Spirocerca lupi is a nematode causing spirocercosis disease that affects mostly carnivores and especially canidae. The life cycle of S. lupi includes a coprophagous beetle as an obligatory intermediate host and a variety of facultative paratenic hosts. In Israel, spirocercosis is considered to be a serious condition with a variety of clinical signs comprising a great risk to canine populations. The diagnosis at an early infective stage is unreliable and the vast majority of infected dogs are diagnosed only when the disease has advanced. In advanced stages of the disease, treatment is difficult and there is a high risk for complications. A study was carried out to compare the prevalence of S. lupi in the central region of Israel with a previous investigation and by that consequently try to estimate the efficacy of preventative treatment used nowadays in Israel. The study was done by the use of two different methods: looking for the infective larvae (L3) in the main intermediate host in Israel, Ontophagus sellatus, and searching for the eggs of S. lupi by performing flotation methods on faecal samples. Beetles and faecal samples were collected from four different locations in the winter and summer of 2017, 2018, and 2019. According to the literature review and collection of data from case studies, the prevalence of spirocercosis is increasing in Israel, despite the negative results from the dissections of beetles and faecal samples.
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Pazzi P, Kavkovsky A, Shipov A, Segev G, Dvir E. Spirocerca lupi induced oesophageal neoplasia: Predictors of surgical outcome. Vet Parasitol 2017; 250:71-77. [PMID: 29329628 DOI: 10.1016/j.vetpar.2017.11.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Revised: 11/27/2017] [Accepted: 11/28/2017] [Indexed: 01/30/2023]
Abstract
Canine spirocercosis is caused by the nematode Spirocerca lupi. Migration results in oesophageal fibro-inflammatory nodules that may undergo neoplastic transformation. No studies have assessed pre- or post-surgical prognostic indicators in dogs that undergo intervention for S. lupi induced oesophageal neoplasia. This observational, multi-center study aimed to assess the outcome of dogs with Spirocerca induced sarcoma undergoing endoscopic-guided ablation (n = 12) or surgery (n = 18), and identify prognostic indicators. Parameters evaluated included: age, weight, gender, presenting complaints, duration of clinical signs, complete blood count, serum biochemistry, neoplasia size, placement of percutaneous endoscopically-placed gastrostomy tube, histopathological mitotic indices, days to discharge and chemotherapy administration. Kaplan-Meier survival curves showed no difference in survival between ablation and surgery {(median: 73.5 days (range: 0-1511) vs. 108 days (range: 0-1550), respectively (p = 0.982)}. Reduced survival was documented in patients presenting with weight loss (P = 0.027), hypochromasia (MCHC <33 g/dL, P = 0.023) or leucocytosis (>15 × 109/L, P = 0.017) with a hazard ratio of 2.51 (CI95% = 1.071-6.018, P = 0.034), 2.71 (CI95% = 1.10-6.65, P = 0.03) and 4.39 (CI95%: 1.21-15.97, P = 0.025) respectively. In the dogs surviving more than 21 days, Ht <36% and leucocytosis >15.0 × 109/L at presentation were associated with reduced survival (p = 0.016, p = 0.021 respectively) and hazard ratio of 3.29 (CI95% = 1.18-9.2, P = 0.023) and 3.81 (CI95% = 1.15-12.55, P = 0.028) respectively. Intra-intervention-group survival analysis identified increased survival time in dogs receiving chemotherapy, but only within the surgical group (P = 0.02).The hospitalisation time of dogs undergoing ablation (median: 0 days, range: 0-4) was significantly shorter than dogs undergoing surgery (9 days, 1-21) (P < 0.001). In this study, no clear benefit was identified for surgery, thus when ablation is technically possible it should be considered advantageous, as hospitalisation time is significantly shorter. Weight loss, hypochromasia and leucocytosis were identified as long-term prognostic indicators at presentation.
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Affiliation(s)
- Paolo Pazzi
- Department of Companion Animal Clinical Studies, Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa.
| | - Anastasia Kavkovsky
- Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel
| | - Anna Shipov
- Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel
| | - Gilad Segev
- Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel
| | - Eran Dvir
- Tel Hai Academic College, Upper Galilee, Israel
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Aroch I, Rojas A, Slon P, Lavy E, Segev G, Baneth G. Serological cross-reactivity of three commercial in-house immunoassays for detection of Dirofilaria immitis antigens with Spirocerca lupi in dogs with benign esophageal spirocercosis. Vet Parasitol 2015; 211:303-5. [DOI: 10.1016/j.vetpar.2015.06.010] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Revised: 06/05/2015] [Accepted: 06/08/2015] [Indexed: 11/15/2022]
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6
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Aroch I, Markovics A, Mazaki-Tovi M, Kuzi S, Harrus S, Yas E, Baneth G, Bar-El M, Bdolah-Abram T, Segev G, Lavy E. Spirocercosis in dogs in Israel: A retrospective case-control study (2004-2009). Vet Parasitol 2015; 211:234-40. [PMID: 26012861 DOI: 10.1016/j.vetpar.2015.05.011] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 05/03/2015] [Accepted: 05/09/2015] [Indexed: 10/23/2022]
Abstract
This case-control retrospective study (years 2004-2009) investigated the epidemiological, clinical, and diagnostic test findings of dogs with esophageal spirocercosis (ES) presented to the Hebrew University Veterinary Teaching Hospital (HUVTH) and coproscopy-positive dogs at the Kimron Veterinary Institute (KVI), Israel. It included 133 dogs with ES and 133 negative controls diagnosed at the hospital, and 343 dogs diagnosed at the KVI. The average incidence of ES at the HUVTH was 22.5/year, and the percentage of spirocercosis cases was stable at both institutions (HUVTH, 0.67-1.23%; KVI, 5-8%). Dogs aged > 5 years old had 100-fold likelihood to be infected compared to dogs aged ≤ 1 year of age (P < 0.001). Mean body weight (P = 0.0004), proportion of Retrievers (P = 0.002) and sporting breed dogs (P = 0.006) were higher, while proportion of toy breeds (P = 0.004) was lower in the ES group compared to the control group. The proportion of cases from Greater Tel-Aviv decreased (P = 0.002), while that of those from Judea and Jerusalem increased (P = 0.01) compared to the 1990 s. Spirocercosis occurred in 22 dogs despite past prophylactic avermectin treatment. Vomiting and regurgitation were the most common clinical signs of ES. Coproscopy was S. lupi-positive in 33/60 dogs (55.0%). The median number of esophageal nodules was two (range 1-8), with a median diameter of 3.5 cm (range 1.0-11.0). Malignant esophageal lesion transformation was confirmed in 29 dogs (22%). Despite preventive attempts, spirocercosis has spread in Israel over time, compared to previous findings, raising questions about the efficacy of the currently accepted prophylactic protocol is incompletely effective.
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Affiliation(s)
- Itamar Aroch
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel.
| | - Alexander Markovics
- Department of Parasitology, Kimron Veterinary Institute, P.O. Box 12, Bet Dagan, 5020000, Israel
| | - Michal Mazaki-Tovi
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
| | - Sharon Kuzi
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
| | - Shimon Harrus
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
| | - Einat Yas
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
| | - Gad Baneth
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
| | - Maya Bar-El
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
| | - Tali Bdolah-Abram
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
| | - Gilad Segev
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
| | - Eran Lavy
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, Rehovot 761001, Israel
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Serum acute phase protein concentrations in dogs with spirocercosis and their association with esophageal neoplasia – A prospective cohort study. Vet Parasitol 2014; 203:153-9. [DOI: 10.1016/j.vetpar.2014.02.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2013] [Revised: 02/01/2014] [Accepted: 02/04/2014] [Indexed: 10/25/2022]
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8
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Koutinas AF, Koutinas CK. Pathologic mechanisms underlying the clinical findings in canine leishmaniasis due to Leishmania infantum/chagasi. Vet Pathol 2014; 51:527-38. [PMID: 24510947 DOI: 10.1177/0300985814521248] [Citation(s) in RCA: 87] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In dogs with symptomatic or asymptomatic leishmaniasis, Leishmania infantum appears to induce a mixed Th1/Th2 immune response that in the sick dog may eventually result in tissue damage via different pathomechanisms, notably granulomatous inflammation (eg, nodular dermatitis, osteomyelitis), immune complex deposition (eg, glomerulonephritis), and/or autoantibody production (eg, polymyositis). This is a compensatory but detrimental mechanism generated mainly because of the insufficient killing capacity of macrophages against the parasite in the susceptible dog. Clinical disease is typically exemplified as exfoliative and/or ulcerative dermatitis, with or without nasodigital hyperkeratosis and onychogryphosis, glomerulonephritis, atrophic myositis of masticatory muscles, anterior uveitis, keratoconjunctivitis sicca, epistaxis, and/or polyarthritis, appearing alone or in various combinations. The pathogenesis of these clinical conditions has recently been highlighted, to a greater or lesser extent. The usually subclinical conditions expressed as chronic colitis, chronic hepatitis, vasculitis, myocarditis, osteomyelitis, orchiepididymitis, and meningoencephalomyelitis, though uncommon, are of pathologic importance from a differential point of view. The leading cause of death among canine leishmaniasis patients is chronic proteinuric nephritis that may progress to end-stage kidney disease, nephrotic syndrome, and/or systemic hypertension. However, even the asymptomatic proteinuria, when profuse, may be a serious problem because it predisposes to arterial thromboembolism and eventually contributes to the deterioration of the body condition.
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Affiliation(s)
- A F Koutinas
- Private Practice, Volos' Quality Veterinary Practice, Kapodistriou 90, 38333, Volos, Greece.
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Sasani F, Javanbakht J, Javaheri A, Hassan MAM, Bashiri S. The evaluation of retrospective pathological lesions on spirocercosis (Spirocerca lupi) in dogs. J Parasit Dis 2012; 38:170-3. [PMID: 24808646 DOI: 10.1007/s12639-012-0216-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2012] [Accepted: 11/26/2012] [Indexed: 12/01/2022] Open
Abstract
From 1998 to 2012, 42 dogs with spirocercosis referred to pathology Department of Veterinary Faculty, Tehran University. Frequency of spirocercosis was higher in October, November, December, January, February, March months. Averagely, the cases were 4.73 years old of age, so that 59.3 % of them were male. The major pathological findings were located in distal part of esophagus (57 %, n = 24), stomach (24 %, n = 10), and aorta (9.5 %, n = 4), respectively. In addition, 7 % (n = 3) were in esophagus and stomach, 2 % (n = 1) in esophagus and aorta, 42 % (n = 18) indicated pulmonary lesions with hyperemia, atelectasis, edema and pneumonia. In 35 % (n = 15) of cases were with hepatic lesions hyperemia and fatty change. However, 26 % (n = 11) cases demonstrated renal lesions with hyperemia, interstitial nephritis, and 24 % (n = 10) encompassed urinary bladder lesions with hyperemia and adhesive cystitis. Furthermore, sudden death occurred in 7 % (n = 3) as well as cachexia in 7 % (n = 3) cases. Some spirocercosis cases (12 %, n = 5) were accompanied by distemper disease, mixed mammary gland tumor (2 %, n = 1) and parasitic dermatitis due to demodicosis (9.5 %, n = 4). Presumably some of pathological findings were related or emerged by other sort of diseases such as distemper.
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Affiliation(s)
- F Sasani
- Department of Pathology, Faculty of Veterinary Medicine, Tehran University, Tehran, Iran
| | - J Javanbakht
- Department of Pathology, Faculty of Veterinary Medicine, Tehran University, Tehran, Iran
| | - A Javaheri
- Department of Pathology, Faculty of Veterinary Medicine, Semnan University, Semnan, Iran
| | - M A Mohammad Hassan
- Department of Clinical Science, Faculty of Veterinary Medicine, Tehran University, Tehran, Iran
| | - S Bashiri
- Faculty of Veterinary Medicine, Tehran University, Tehran, Iran
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10
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Serum acute phase proteins in dogs with symptomatic esophageal spirocercosis. Vet Parasitol 2012; 190:191-5. [DOI: 10.1016/j.vetpar.2012.05.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2012] [Revised: 05/09/2012] [Accepted: 05/15/2012] [Indexed: 11/20/2022]
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11
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Pollard RE. Imaging evaluation of dogs and cats with Dysphagia. ISRN VETERINARY SCIENCE 2012; 2012:238505. [PMID: 23762579 PMCID: PMC3671744 DOI: 10.5402/2012/238505] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2012] [Accepted: 09/19/2012] [Indexed: 01/20/2023]
Abstract
The current literature is reviewed in this paper regarding the application of diagnostic imaging in the evaluation of swallowing disorders of the dog. The applications of radiography, contrast radiography, and contrast videofluoroscopy are discussed with pertinent case examples provided for emphasis. The indications for image-guided interventions are also described.
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Affiliation(s)
- Rachel E Pollard
- Department of Surgical and Radiological Sciences, Davis School of Veterinary Medicine, The University of California, Davis, CA 95616, USA
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12
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Gottlieb Y, Lavy E, Kaufman M, Markovics A, Ghanim M, Aroch I. A novel bacterial symbiont in the nematode Spirocerca lupi. BMC Microbiol 2012; 12:133. [PMID: 22762265 PMCID: PMC3489840 DOI: 10.1186/1471-2180-12-133] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2012] [Accepted: 06/25/2012] [Indexed: 01/27/2023] Open
Abstract
Background The parasitic nematode Spirocerca lupi (Spirurida: Thelaziidae), the canine esophageal worm, is the causative agent of spirocercosis, a disease causing morbidity and mortality in dogs. Spirocerca lupi has a complex life cycle, involving an obligatory coleopteran intermediate host (vector), an optional paratenic host, and a definitive canid host. The diagnosis of spirocercosis is challenging, especially in the early disease stages, when adult worms and clinical signs are absent. Thus, alternative approaches are needed to promote early diagnosis. The interaction between nematodes and their bacterial symbionts has recently become a focus of novel treatment regimens for other helminthic diseases. Results Using 16S rDNA-based molecular methods, here we found a novel bacterial symbiont in S. lupi that is closely related to Comamonas species (Brukholderiales: Comamonadaceae) of the beta-proteobacteria. Its DNA was detected in eggs, larvae and adult stages of S. lupi. Using fluorescent in situ hybridization technique, we localized Comamonas sp. to the gut epithelial cells of the nematode larvae. Specific PCR enabled the detection of this symbiont's DNA in blood obtained from dogs diagnosed with spirocercosis. Conclusions The discovery of a new Comamonas sp. in S. lupi increase the complexity of the interactions among the organisms involved in this system, and may open innovative approaches for diagnosis and control of spirocercosis in dogs.
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Affiliation(s)
- Yuval Gottlieb
- Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel.
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Dvir E, Clift S, Williams M. Proposed histological progression of the Spirocerca lupi-induced oesophageal lesion in dogs. Vet Parasitol 2010; 168:71-7. [DOI: 10.1016/j.vetpar.2009.10.023] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2009] [Revised: 10/20/2009] [Accepted: 10/26/2009] [Indexed: 01/15/2023]
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14
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Saridomichelakis MN. Advances in the pathogenesis of canine leishmaniosis: epidemiologic and diagnostic implications. Vet Dermatol 2009; 20:471-89. [DOI: 10.1111/j.1365-3164.2009.00823.x] [Citation(s) in RCA: 63] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Traversa D, Costanzo F, Iorio R, Aroch I, Lavy E. Mitochondrial cytochrome c oxidase subunit 1 (cox1) gene sequence of Spirocerca lupi (Nematoda, Spirurida): avenues for potential implications. Vet Parasitol 2007; 146:263-70. [PMID: 17428608 DOI: 10.1016/j.vetpar.2007.03.015] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2007] [Revised: 03/13/2007] [Accepted: 03/15/2007] [Indexed: 11/17/2022]
Abstract
Canine spirocercosis is a life-threatening parasitosis caused by Spirocerca lupi (Nematoda, Spirurida) that is presently emerging in several countries. This study characterised an informative region within the mitochondrial (mtDNA) gene encoding for the cytochrome c oxidase subunit 1 (cox1) of S. lupi by Polymerase Chain Reaction (PCR)-coupled sequencing. Specimens from five different countries in Europe, Asia and Africa were examined and two different sequence variants of cox1 (i.e. haplotypes) were determined, displaying nucleotidic variation at 6 of 689 positions. All of these positions were invariable among all the parasite individuals from Europe (haplotype 1) and among the African and Asian individuals (haplotype 2), but differed between Europe and Asia/Africa. The S. lupi cox1 sequences were consistent with those of other common Spirurida previously reported at both nucleotidic and phylogenetic levels. This study provides molecular information essential for identification of the nematode, irrespective of its life cycle stage. Crucial implications for the specific molecular diagnosis of clinical spirocercosis and investigation of the evolution, population genetics, ecology and epidemiology of S. lupi are discussed.
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Affiliation(s)
- Donato Traversa
- Department of Comparative Biomedical Sciences, Faculty of Veterinary Medicine, University of Teramo, Piazza Aldo Moro 45, 64100 Teramo, Italy.
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Avery AC, Avery PR. Determining the Significance of Persistent Lymphocytosis. Vet Clin North Am Small Anim Pract 2007; 37:267-82, vi. [PMID: 17336675 DOI: 10.1016/j.cvsm.2006.11.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The authors provide a review of current knowledge of lymphocytosis in nonneoplastic conditions. They conclude that the list of major differentials for persistent nonneoplastic lymphocyte expansion in dogs and cats is short and that most of these conditions are relatively uncommon. Persistent lymphocytosis of small, mature, or reactive lymphocytes is most commonly the result of chronic lymphocytic leukemia or lymphoma. The first step in distinguishing nonneoplastic from neoplastic lymphocytosis is immunophenotyping by flow cytometry to determine the phenotypic diversity of the circulating cells. Clonality testing using the polymerase chain reaction for antigen receptor rearrangements assay is a useful second step in cases in which the phenotype data are equivocal. Once the diagnosis of malignancy has been established, the immunophenotype also provides prognostic information in dogs.
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Affiliation(s)
- Anne C Avery
- Clinical Immunopathology Service, 300 West Drake Street, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523, USA.
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