
Surra (from the
Marathi
Marathi may refer to:
*Marathi people, an Indo-Aryan ethnolinguistic group of Maharashtra, India
*Marathi language, the Indo-Aryan language spoken by the Marathi people
*Palaiosouda, also known as Marathi, a small island in Greece
See also
*
* ...
''sūra'', meaning the sound of heavy breathing through nostrils, of imitative origin) is a disease of vertebrate animals. The disease is caused by
protozoa
Protozoa (singular: protozoan or protozoon; alternative plural: protozoans) are a group of single-celled eukaryotes, either free-living or parasitic, that feed on organic matter such as other microorganisms or organic tissues and debris. Histor ...
n
trypanosomes
Trypanosomatida is a group of kinetoplastid excavates distinguished by having only a single flagellum. The name is derived from the Greek ''trypano'' (borer) and ''soma'' (body) because of the corkscrew-like motion of some trypanosomatid species ...
, specifically ''
Trypanosoma evansi'', of several species which infect the blood of the vertebrate host, causing
fever
Fever, also referred to as pyrexia, is defined as having a temperature above the normal range due to an increase in the body's temperature set point. There is not a single agreed-upon upper limit for normal temperature with sources using val ...
, weakness, and lethargy which lead to weight loss and
anemia
Anemia or anaemia (British English) is a blood disorder in which the blood has a reduced ability to carry oxygen due to a lower than normal number of red blood cells, or a reduction in the amount of hemoglobin. When anemia comes on slowly, ...
. In some animals the disease is fatal unless treated.
Overview
An
acute form of the disease, which is generally fatal unless treated, occurs in horses, donkeys, mules, cattle, buffalo, deer, camels,
[ Article Number 21. p.2] llamas, dogs,
[ ] and cats. This form is caused by ''Trypanosoma evansi'' (Steel 1885) (Balbiani 1888), and is transmitted by
horse-flies
Horse-flies or horseflies are true flies in the family Tabanidae in the insect order Diptera. They are often large and agile in flight, and only the female horseflies bite animals, including humans, to obtain blood. They prefer to fly in su ...
, and also by the vampire bat, ''
Desmodus rotundus
The common vampire bat (''Desmodus rotundus'') is a small, leaf-nosed bat native to Latin America. It is one of three extant species of vampire bat, the other two being the hairy-legged and the white-winged vampire bats. The common vampire bat ...
'', in
South-America
South America is a continent entirely in the Western Hemisphere and mostly in the Southern Hemisphere, with a relatively small portion in the Northern Hemisphere at the northern tip of the continent. It can also be described as the sout ...
. This form occurs in South America, Northern Africa, and the Middle East. This was the first form of pathogenic trypanosome discovered and was first described by
Griffith Evans in 1880 while he was working in
India
India, officially the Republic of India ( Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the ...
.
A chronic form of the disease, which is milder but persistent, occurs in pigs, sheep, and goats. This form is caused by ''
Trypanosoma suis'' and is transmitted by
tsetse
Tsetse ( , or ) (sometimes spelled tzetze; also known as tik-tik flies), are large, biting flies that inhabit much of tropical Africa. Tsetse flies include all the species in the genus ''Glossina'', which are placed in their own family, Glos ...
. This form occurs in Africa.
Surra is also known from other countries; an unspecified form is locally common in
Mindanao
Mindanao ( ) ( Jawi: مينداناو) is the second-largest island in the Philippines, after Luzon, and seventh-most populous island in the world. Located in the southern region of the archipelago, the island is part of an island group of t ...
, in the Philippines.
Morphology
''Trypanosoma evansi'', although monomorphic in most cases, can be pleomorphic in some strains. They are characterized by a long free flagellum with a narrow drawn out posterior. Kinetoplast and dyskinetoplastic forms appear. Kinetoplast is either terminal or subterminal.
Transmission

Transferred by species of ''
Tabanus''
flies
Flies are insects of the Order (biology), order Diptera, the name being derived from the Ancient Greek, Greek δι- ''di-'' "two", and πτερόν ''pteron'' "wing". Insects of this order use only a single pair of wings to fly, the hindwing ...
, ''
Trypanosoma evansi'' development does not take place in the actual vector. In order for the transmission to be successful,
trypanosomes
Trypanosomatida is a group of kinetoplastid excavates distinguished by having only a single flagellum. The name is derived from the Greek ''trypano'' (borer) and ''soma'' (body) because of the corkscrew-like motion of some trypanosomatid species ...
need to survive in the gut of the flies and be regurgitated during subsequent feeding. Since
Tabanidae
Horse-flies or horseflies are true flies in the family Tabanidae in the insect order Diptera. They are often large and agile in flight, and only the female horseflies bite animals, including humans, to obtain blood. They prefer to fly in su ...
are most abundant during rainy and post rainy seasons, that is when most outbreaks of Surra occur.
In order for the transfer of the disease from the flies to the animals, interruption of feeding habits needs to occur. This direct transmission technique involves them cutting the skin with their mouths, then lapping up the blood along with connective tissue fluid. This means a good indicator of disease would be looking at trypanosome density in capillary blood and connective tissue. After transferring the infectious organisms to the host species, the flies leave to rest and during that time transmission was successful only in some cases. Because the
trypanosomes
Trypanosomatida is a group of kinetoplastid excavates distinguished by having only a single flagellum. The name is derived from the Greek ''trypano'' (borer) and ''soma'' (body) because of the corkscrew-like motion of some trypanosomatid species ...
remain in the food canal of the flies for 4–8 hours depending on the species, the flies can feed off of one animal's blood more than one time, thus increasing the chance of successful transmission.
Although the most common method of transferring
trypanosomes
Trypanosomatida is a group of kinetoplastid excavates distinguished by having only a single flagellum. The name is derived from the Greek ''trypano'' (borer) and ''soma'' (body) because of the corkscrew-like motion of some trypanosomatid species ...
to other species is through
tabanus flies, there are other insects that can also transmit this disease to livestock. These blood sucking insects are
Stomoxys,
Haematobia (also known as Lyperosia),
Haematopota
''Haematopota'' is a genus of flies in the horse-fly family, Tabanidae. Among the horse-flies, they are most commonly known as clegs. Many species have colorful, sinuously patterned eyes in life, a character that fades after death. The wings are ...
, and
Ornithordorus.
Other methods of transmission still being studied are looking at passing T.evansi thorough iatrogenic transmission. Evidence has been seen of transmission through eating infected meat and also through vampire bats in geographical areas where they are found.
Vectors
Pathogenesis
The degree of
pathogenicity
In biology, a pathogen ( el, πάθος, "suffering", "passion" and , "producer of") in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a ger ...
depends on what species the host is, the virulence of the ''Trypanosoma evansi'' strain, and the dose received by the host. Many species such as dogs, horses and rats, have been shown to have immunological reactions to the infection, such as anemia due to decrease in
erythrocytes
Red blood cells (RBCs), also referred to as red cells, red blood corpuscles (in humans or other animals not having nucleus in red blood cells), haematids, erythroid cells or erythrocytes (from Greek ''erythros'' for "red" and ''kytos'' for "holl ...
and
hemoglobin
Hemoglobin (haemoglobin BrE) (from the Greek word αἷμα, ''haîma'' 'blood' + Latin ''globus'' 'ball, sphere' + ''-in'') (), abbreviated Hb or Hgb, is the iron-containing oxygen-transport metalloprotein present in red blood cells (erythrocyte ...
. Although not fully understood at this point in time, some theories believe that the erythrocytes could acquire trypaonosomal antigen, resulting in a negative immunological reaction.
Animals that have been infected show loss of appetite, weight loss,
anaemia
Anemia or anaemia (British English) is a blood disorder in which the blood has a reduced ability to carry oxygen due to a lower than normal number of red blood cells, or a reduction in the amount of hemoglobin. When anemia comes on slowly, t ...
, odema, fever, salivations,
lacrimation
Tears are a clear liquid secreted by the lacrimal glands (tear gland) found in the eyes of all land mammals. Tears are made up of water, electrolytes, proteins, lipids, and mucins that form layers on the surface of eyes. The different types of ...
, and
abortion
Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of pregn ...
. The
proteases
A protease (also called a peptidase, proteinase, or proteolytic enzyme) is an enzyme that catalyzes (increases reaction rate or "speeds up") proteolysis, breaking down proteins into smaller polypeptides or single amino acids, and spurring the ...
that are released during infection of T.evansi might degrade the host tissue proteins and are a huge force in the pathogenesis. That is why scientists are looking at immune targeting of these proteases to protect the infected host.
Diagnosis
Some conventional parasitological techniques (CPT) such as wet blood film, and stained blood smears are used because so far, the best identifier is looking at the blood of the potentially infected host. Other tissues can be looked at, but the gold standard is identifying
trypanosomes
Trypanosomatida is a group of kinetoplastid excavates distinguished by having only a single flagellum. The name is derived from the Greek ''trypano'' (borer) and ''soma'' (body) because of the corkscrew-like motion of some trypanosomatid species ...
in the blood. Before the infection becomes severe, it is difficult to catch as many times these
cryptic infection
Fever of unknown origin (FUO) refers to a condition in which the patient has an elevated temperature (fever) but, despite investigations by a physician, no explanation has been found. s are undetectable by direct microscopy. Since CPT is not very sensitive, it cannot be used as a sole method of diagnosis.
The Haematocrit Centrifugation Technique (HCT) is a much better alternative. Using HCT
trypanosomes
Trypanosomatida is a group of kinetoplastid excavates distinguished by having only a single flagellum. The name is derived from the Greek ''trypano'' (borer) and ''soma'' (body) because of the corkscrew-like motion of some trypanosomatid species ...
can be detected in the blood even in field conditions.
Buffy coat
The buffy coat is the fraction of an anticoagulated blood sample that contains most of the white blood cells and platelets following centrifugation. It is rich in a number of immune cells including leukocytes, granulocytes.
Description
Aft ...
can be used to increase detection. Detection with this method is approx 85 trypanosomes per millilitre.
Rather than using live animals as test subjects, Canada used serological tests such as complement fixation tests to detect trypanosomes, and have been very successful. Other tests used look at detecting antibodies generated by the host species against T.evansi antigens. This is done using the enzyme-linked immunosorbent assays (ELISA) method. Now
polymerase chain reaction
The polymerase chain reaction (PCR) is a method widely used to rapidly make millions to billions of copies (complete or partial) of a specific DNA sample, allowing scientists to take a very small sample of DNA and amplify it (or a part of it) ...
(PCR) and DNA probes are being used to detect Surra in animals.
Treatment
The main methods of controlling surra has been drug chemotherapy, and
chemoprophylaxis
Chemoprevention (also chemoprophylaxis) refers to the administration of a medication for the purpose of preventing disease or infection. Antibiotics, for example, may be administered to patients with disorders of immune system function to prevent b ...
in animals.
History
In South America, surra was known by the names ''mal de caderas'' (hip illness), ''murrina,'' ''peste boba,'' ''derrengadera,'' and Panama horse disease. ''Mal de caderas'' was sometimes used for rabies as well, but most commonly refers to surra. ''Mal de caderas'' spread from Brazil to eastern Bolivia in the 1840s. Because so many horses sickened and died from surra, people in eastern Bolivia from this point on were occasionally known to ride oxen, which became known as ''bueyes caballos'' (horse oxen) or ''bueyes de cabalgadura'' (riding oxen).
[Gary Van Valen, "The Ventriloquist Messiah and his Followers: Mojo Indian Responses to the Rubber Boom in Eastern Bolivia, 1860-1930," (PhD dissertation, University of New Mexico, 2003), 41.]
References
External links
* {{cite web , website=Equine Centre,
Werribee
Werribee is a suburb in Melbourne, Victoria, Australia, south-west of Melbourne's Central Business District, located within the City of Wyndham local government area. Werribee recorded a population of 50,027 at the 2021 census.
Werribee i ...
, Australia , url=http://www.equinecentre.com.au/dw_infectious_surra.shtml , title=Disease Watch – Infectious Diseases – Surra , access-date=29 August 2005 , archive-url=https://web.archive.org/web/20060514120204/http://www.equinecentre.com.au/dw_infectious_surra.shtml , archive-date=2006-05-14 , url-status=dead
Animal diseases
Protozoal diseases
Veterinary protozoology