Canine Babesiosis (Pyroplasms) Flashcards

1
Q

What are the 3 morphologies of babesiosis?

A
  1. Theileria (extraerythrocyte phase)
  2. Cytauxzoon in cats (extraerythrocyte phase)
  3. Babesia (transovarial transmission)
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2
Q

T or F. Babesia needs a canine reservoir to maintain disease.

A

False, doesn’t really need a dog reservoir because the tick wil pass it down a generation

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3
Q

What are the 3 large canine pyroplasms?

A
  • Babesia canis canis (Europe, milder)
  • Babesia canis rossi (south Africa, most virulent)
  • Babesia canis vogeli (worldwide, most common in US)
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4
Q

What are the 3 small canine pyroplasms?

A
  • Babesia gibsoni (worldwide)
  • Babesia conradae (southern California)
  • Babesia vulpes (US and Europe, used to be Theileria annae)
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5
Q

Which is easier to treat, large or small pyroplasms?

A

Large

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6
Q

What is the vector for Babesia canis canis (Europe)?

A
  • Dermacentor reticulatus*/ Ornate cow tick
  • This affects cats too!*
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7
Q

What is the vector for Babesia canis rossi (south Africa)?

A

Haemaphysalis elliptica

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8
Q

What is the most virulent canine pyroplasms?

A

Babesia canis rossi (south Africa)

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9
Q

What is the vector for Babesia canis vogeli (worldwide)?

A

Rhipicephalus sanguineus/ Brown Dog Tick

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10
Q

Which breed is most susceptible to Babesia canis vogeli?

A

Greyhounds (more prevalent and more severe)

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11
Q

What are the clinical signs of babesiosis (Babesia canis vogeli)?

A
  • Most asymptomatic
  • Per-acute in puppies
    • Severe anemia and fever
    • Jaundice
    • Tachycardia, dyspnea
    • DIC, shock
  • Acute form
    • Similar to per-acute, but less severe
    • Hepatomegaly, splenomegaly
  • Chronic form
    • Weight loss and anorexia
    • Atypical locations (CNS, cardiopulmonary, renal failure in rossi)
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12
Q

What are the lab work changes in a dog with babesiosis (Babesia canis vogeli)?

A
  • Regenerative anemia (moderate to severe)
  • Thrombocytopenia
  • Leukocytosis
  • Hyperglobulinemia
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13
Q

How do you diagnose a dog with suspected babesiosis (large)?

A
  • Smear
    • Low sensitivity (will not see many, depends on operator)
      • Exception: per-acute puppies will have a lot (50%)
  • IFA
    • No cross reaction between B. vogeli and B. gibsoni
    • Exposure X Disease (as you move south, more ticks)
    • 4-fold increase
  • PCR
    • Ideal for when you aren’t 100% sure
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14
Q

How do you treat a dog with babesiosis?

A
  • Support therapy
  • Antiprotozoal therapy
    • Imidocarb IM
      • Efffective for large Babesia
      • Parasympathetic, bradycardia, even death (give Atropine first)
    • Improves in 24 hours
  • Asymptomatic carriers? Are we really clearing them or just killing the ones we see, no right answer
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15
Q

How is babesiosis (large) prevented?

A
  • Tick control (Advantix, Frontline, Seresto)
  • Vaccine in Europe
    • Babesia canis canis, not B. canis vogeli (no cross protection)
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16
Q

Is babesiosis (large) zoonotic?

A

Probably NOT

  • 1 case (immunocompromised, splenectomized, diagnosed by serology)
17
Q

Are all of the large babesias the same organism?

A

No, they have different geography, different vector, and different immunogenic activity

18
Q

What is the vector for Babesia gibsoni?

A

Rhipicephalus sanguineus?

Emerging disease in the US*

19
Q

Besides ticks, how is Babesia gibsoni transmitted?

A

Direct transmission

  • History of recent dog bite wound (Pit bulls > fight > direct blood transfer)
  • Dogs likely act as reservoirs
20
Q

What are the clinical signs of babesiosis (Babesia gibsoni)?

A
  • Vast majority asymptomatic
  • Chronic: mild anemia
  • Crisis:
    • Severe anemia and fever
    • Thrombocytopenia
    • Icterus (not very common)
    • Dyspnea
    • Tachycardia
21
Q

How do you diagnose a dog with suspected babesiosis (Babesia gibsoni)?

A
  • Smear
    • Low sensitivity (so small, may not be able to see)- parasitemia < 10%
  • IFA
  • PCR
22
Q

How is babesiosis (Babesia gibonsi) prevented?

A
  • Tick control
  • Prevent dog fights
23
Q

Is babesiosis (Babesia gibsoni) zoonotic?

A

No, people have their own small Babesia (Babesia microti) with vector Ixodes scapularis/ Blacklegged Tick/ Deer Tick (same as lyme disease)

24
Q

How do you treat a dog positive for babesiosis (Babesia gibsoni)?

A
  • Support
  • Antiprotozoal therapy
    • Azithromycin + atovaquone PO for 10 days $$$
  • Pentamidine IM (reduces morbidity and mortality)
25
Q

What are the clinical signs of babesiosis (Babesia conradae- s. California)?

A
  • Hemolytic anemia
  • Vomiting
26
Q

What are the clinical signs in babesiosis (Babesia vulpes- US and Europe)?

A
  • Subclinical in red fox (Vulpes vulpes)
  • Anemia
  • Thrombocytopenia
  • Renal failure
  • Associated with dog fights like B. gibonsi?
27
Q

What is the pathology of babesiosis?

A

Replicates in RBCs > hemolysis (direct or immune-mediated)

28
Q

How is babesiosis in general transmitted?

A
  • Ticks
    • Ticks are TRUE reservoirs
    • Transtadial and transovrial transmission
  • Direct transmission
    • Blood transfer/ transfusion
29
Q

What type of agent is Babesia?

A

Intraerythrocyte protozoa