Theileria Annulata
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Tropical theileriosis or Mediterranean theileriosis is a theileriosis of
cattle Cattle (''Bos taurus'') are large, domesticated, bovid ungulates widely kept as livestock. They are prominent modern members of the subfamily Bovinae and the most widespread species of the genus '' Bos''. Mature female cattle are calle ...
from the
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and
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area, from
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to Western parts of
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and
China China, officially the People's Republic of China (PRC), is a country in East Asia. With population of China, a population exceeding 1.4 billion, it is the list of countries by population (United Nations), second-most populous country after ...
. It is a
tick-borne disease Tick-borne diseases, which afflict humans and other animals, are caused by infectious agents transmitted by tick bites. They are caused by infection with a variety of pathogens, including rickettsia and other types of bacteria, viruses, and proto ...
, caused by ''
Theileria ''Theileria'' is a genus of parasites that belongs to the phylum Apicomplexa, and is closely related to ''Plasmodium''. Two ''Theileria'' species, ''T. annulata'' and ''T. parva'', are important cattle parasites. ''T. annulata'' causes tropical ...
annulata''. The
vector Vector most often refers to: * Euclidean vector, a quantity with a magnitude and a direction * Disease vector, an agent that carries and transmits an infectious pathogen into another living organism Vector may also refer to: Mathematics a ...
s are
tick Ticks are parasitic arachnids of the order Ixodida. They are part of the mite superorder Parasitiformes. Adult ticks are approximately 3 to 5 mm in length depending on age, sex, and species, but can become larger when engorged. Ticks a ...
s of the genera ''
Hyalomma ''Hyalomma'' is a genus of hard-bodied ticks common in Asia, Europe, and North Africa. They are also found in Southern Africa. The name is derived from Greek: Hyalos (ὕαλος) crystal, glass; and omma (oμμα) eye. The genus is believed t ...
'' and '' Rhipicephalus''. The most prominent symptoms are
fever Fever or pyrexia in humans is a symptom of an anti-infection defense mechanism that appears with Human body temperature, body temperature exceeding the normal range caused by an increase in the body's temperature Human body temperature#Fever, s ...
and
lymph node enlargement Lymphadenopathy or adenopathy is a disease of the lymph nodes, in which they are abnormal in size or consistency. Lymphadenopathy of an inflammatory type (the most common type) is lymphadenitis, producing swollen or enlarged lymph nodes. In cl ...
. But there is a wide range of clinical manifestations, especially in
enzootic Enzootic describes the situation where a disease or pathogen is continuously present in at least one species of non-human animal in a particular region. It is the non-human equivalent of endemic. In epizoology, an infection is said to be "''enzo ...
areas. Among them, the
Doukkala Doukkala (, ) is a natural region of Morocco made of fertile plains and forests. Nowadays it is part of the Casablanca-Settat administrative region. It is a plain stretching from the Atlantic Ocean south of Sidi Rahal Chatai up to some 50  ...
area of
Morocco Morocco, officially the Kingdom of Morocco, is a country in the Maghreb region of North Africa. It has coastlines on the Mediterranean Sea to the north and the Atlantic Ocean to the west, and has land borders with Algeria to Algeria–Morocc ...
, where the epidemiology and symptomatology of the disease were minutely studied.
AGRIS AGRIS is the Food and Agriculture Organization, Food and Agriculture Organization of the United Nations' (FAO) International System for Agricultural Science and Technology, a global public domain database with structured bibliographical records on ...
i
FR2002001447
The disease was once considered as "benign" in the literature, in comparison to
East Coast fever East Coast fever, also known as theileriosis, is a disease of cattle which occurs in Africa and is caused by the protozoan parasite ''Theileria parva''. The primary Vector (epidemiology), vector which spreads ''T. parva'' between cattle is a tic ...
. With the introduction of European breeds into the region, however, it could become of major economic incidence.With mortalities up to 50 to 80 percent in the 1980s
L. Mahin
.
An efficient treatment with parvaquone, then buparvaquone became available in many countries from the mid-1990s. Animals native to endemic areas appear more tolerant to the disease, buffalos especially, appear less susceptible.Theileriosis - Cattle
reviewed and published by
WikiVet WikiVet is a wiki of veterinary content based on the MediaWiki platform. The website is a collaborative initiative between various veterinary schools, and its content covers the entire veterinary curriculum. WikiVet is part of the WikiVet Educatio ...
, accessed 11 October 2011.


Clinical signs

Body temperature is regularly higher than in any other cattle disease. Fever from is common in acute stages. Later on (day 5 to day 10 from the clinical onset), temperature will lower to a normal range (), but the disease will continue to progress, despite a possible apparent clinical improvement (appetite comes back). Afterwards, from D10 to D15, there is a downfall stage, with
hypothermia Hypothermia is defined as a body core temperature below in humans. Symptoms depend on the temperature. In mild hypothermia, there is shivering and mental confusion. In moderate hypothermia, shivering stops and confusion increases. In severe ...
(),
anemia Anemia (also spelt anaemia in British English) is a blood disorder in which the blood has a reduced ability to carry oxygen. This can be due to a lower than normal number of red blood cells, a reduction in the amount of hemoglobin availabl ...
,
jaundice Jaundice, also known as icterus, is a yellowish or, less frequently, greenish pigmentation of the skin and sclera due to high bilirubin levels. Jaundice in adults is typically a sign indicating the presence of underlying diseases involving ...
, and
heart failure Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome caused by an impairment in the heart's ability to Cardiac cycle, fill with and pump blood. Although symptoms vary based on which side of the heart is affected, HF ...
. Such animals rarely recover, even with intensive treatment. Lymph nodes are commonly enlarged and there may be episodes of blood from the nose, difficulty breathing and weight loss. Other signs, but not present in all cases are : * Blood-tinged
diarrhea Diarrhea (American English), also spelled diarrhoea or diarrhœa (British English), is the condition of having at least three loose, liquid, or watery bowel movements in a day. It often lasts for a few days and can result in dehydration d ...
, or with obvious blood clots. *
Bruxism Bruxism is excessive teeth grinding or jaw clenching. It is an oral Parafunctional habit, parafunctional activity; i.e., it is unrelated to normal function such as eating or talking. Bruxism is a common behavior; the global prevalence of brux ...
(grinding of teeth) can be seen * Circular raised patches of hair all over the body * Haemorrhages in the ocular and vaginal mucous membranes * A degree of anaemia


Diagnosis

Lymph node enlargement and even hyperthermia can occur asymptomatically in enzootic area, during the disease season. Clinical signs, including lymph node enlargement, anaemia, hyperthermia and history of tick infestation can lead to a suspicion of theileriosis Definitive diagnosis relies on the observation of the pirolplasm stages of the organism in the erythrocytes in
blood smear A blood smear, peripheral blood smear or blood film is a thin layer of blood smeared on a glass microscope slide and then stained in such a way as to allow the various blood cells to be examined microscopically. Blood smears are examined in the i ...
s stained with
Romanowsky stain Romanowsky staining is a prototypical staining technique that was the forerunner of several distinct but similar stains widely used in hematology (the study of blood) and cytopathology (the study of diseased cells). Romanowsky-type stains are use ...
s. Lymph node aspirates can also be examined for the presence of 'Kock's Blue Bodies' which are schizont stages in lymphocytes. Necropsy reveals 'punched out ulcers' in the abomasum and greyish raised 'infarcts' on the kidneys. Numerous serological tests like
ELISA The enzyme-linked immunosorbent assay (ELISA) (, ) is a commonly used analytical biochemistry assay, first described by Eva Engvall and Peter Perlmann in 1971. The assay is a solid-phase type of enzyme immunoassay (EIA) to detect the presence of ...
, and indirect
immunofluorescence Immunofluorescence (IF) is a light microscopy-based technique that allows detection and localization of a wide variety of target biomolecules within a cell or tissue at a quantitative level. The technique utilizes the binding specificity of anti ...
test and PCR can also help diagnosis.


Treatment and control

Buparvaquone, halofuginone and
tetracycline Tetracycline, sold under various brand names, is an antibiotic in the tetracyclines family of medications, used to treat a number of infections, including acne, cholera, brucellosis, plague, malaria, and syphilis. It is available in oral an ...
and butalex and
oxytetracycline Oxytetracycline is a broad-spectrum tetracycline antibiotic, the second of the group to be discovered. Oxytetracycline works by interfering with the ability of bacteria to produce essential proteins. Without these proteins, the bacteria cannot ...
have all shown to be effective. Tick control should be considered, but resistance to parasiticide products may be increasing. There are various options for controlling
ticks of domestic animals Ticks are parasitic arachnids of the order Ixodida. They are part of the mite superorder Parasitiformes. Adult ticks are approximately 3 to 5 mm in length depending on age, sex, and species, but can become larger when engorged. Ticks ar ...
, including: topical application of parasiticidal chemicals in dip baths or spray races or pour-on formulations, spraying parasiticides on walls of cattle pens, and rendering the walls of cattle pens smooth with mortar to stop ticks molting there. Selection of cattle for good ability to acquire immune resistance to ticks is potentially effective. Endemic stability is a state where animals are affected at a low levels or not as susceptible to the disease, and this may be encouraged in endemic areas. Vaccination is available and should be performed in breeds that are susceptible to infection. Live attenuated vaccine are being used in many countries like India, Iran, Turkey etc. Which is a basically a Lymphocyte infected with ''T. annulata'' schizont stage and passaged for attenuation.


Vectors

'' Hyalomma marginatum marginatum'' is by far the most common
vector Vector most often refers to: * Euclidean vector, a quantity with a magnitude and a direction * Disease vector, an agent that carries and transmits an infectious pathogen into another living organism Vector may also refer to: Mathematics a ...
in the
Extremadura Extremadura ( ; ; ; ; Fala language, Fala: ''Extremaúra'') is a landlocked autonomous communities in Spain, autonomous community of Spain. Its capital city is Mérida, Spain, Mérida, and its largest city is Badajoz. Located in the central- ...
region of Spain. The Habela team investigated several locations across the 1990s and collected their analysis in Habela et al 1999. They found ''Hmm'' very prevalently but also commonly found ''
Rhipicephalus bursa ''Rhipicephalus'' is a genus of ticks in the family Ixodidae, the hard ticks, consisting of about 74 or 75 species. Most are native to tropical Africa.Olwoch, J. M., et al. (2007)Climate change and the genus ''Rhipicephalus'' (Acari: Ixodidae) i ...
'', and ''Rb'' is most common in cattle and cattle suffer the worst. '' H. lusitanicum'' and '' R. sanguineus'' are rare.


Range

This is the most impactful
tick-borne disease Tick-borne diseases, which afflict humans and other animals, are caused by infectious agents transmitted by tick bites. They are caused by infection with a variety of pathogens, including rickettsia and other types of bacteria, viruses, and proto ...
in the
Extremadura Extremadura ( ; ; ; ; Fala language, Fala: ''Extremaúra'') is a landlocked autonomous communities in Spain, autonomous community of Spain. Its capital city is Mérida, Spain, Mérida, and its largest city is Badajoz. Located in the central- ...
Region of Spain. The Habela team found Mediterranean theileriosis consistently in several studies throughout the 1990s, collected in their Habela et al 1999.


References

*


External links


The disease in the Merck Veterinary Manual


* {{Taxonbar, from=Q9358364 Bovine diseases