Piroplasmida

Babesia

Cytauxzoon felis

• Cytauxzoon is classified in the order Piroplasmida and family Theileriidae
  • This family has both an erythrocytic and a tissue (leukocytic) phase

• The Babesiidae, a related family, is characterized by having a primarily erythrocytic phase in the mammalian host
  • Its morphological features are indistinguishable from the erythrocytic form of Cytauxzoon

• Cytauxzoon felis, B. equi, and B. rodhaini have been linked to both the babesias and theilerias by RNA gene sequence analysis
  • It has been suggested that these organisms be reclassified within a separate family

Life Cycle

• Large schizonts of C. felis develop in macrophages
  • In Theileria the exoerythrocytic stage occurs primarily within lymphocytes

• In C. felis, schizonts develop within mononuclear phagocytes, initially as indistinct vesicular structures and later as large, distinct nucleated schizonts that actively undergo division by true schizogony and binary fission

• Later in the course of the disease, schizonts develop buds (merozoites) that separate and eventually fill the entire host cell

• Each schizont may contain numerous merozoites
  • Ultrastructurally, schizonts lack a parasitophorous vacuole, and individual merozoites possess rhoptries

• The host cell ruptures, releasing merozoites into the tissue fluid and blood

• Merozoites are then believed to enter erythrocytes to form the intraerythrocytic stage

• Merozoites appear in macrophages one to three days before they are observed in erythrocytes

Pathogenicity

• Ticks are implicated as the natural vector for Cytauxzoon
  • Most cases of infection have been associated with the presence of these parasites on the hosts
  • Experimentally, Dermacentor variabilis can transmit the organism from bobcats to domestic cats. In a white tiger that developed a natural, fatal infection in Florida, two female Lone Star ticks (Amblyomma americanum) were present on the inguinal skin.

• Clinically, the disease in cats is characterized by fever, depression, dyspnoea, anorexia, lymphadenopathy, anaemia and icterus leading to death in three to six days

• Gross findings include pale or icteric mucous membranes, petechiae and ecchymoses in the lung, heart, lymph nodes and on mucous membranes, splenomegaly, lymphadenomegaly, and hydropericardium

• Microscopically, numerous large schizonts are present within the cytoplasm of endothelial-associated macrophages
  • Infected macrophages become markedly enlarged (up to 75μm) and may occlude the lumen of numerous vessels of many tissues, in particular the lungs
  • Minimal inflammatory reaction is present in tissues

Diagnosis

• Merozoites within erythrocytes, best seen on peripheral blood or tissue impressions, are variable in morphology and can occur as round, oval, or signet ring-shaped bodies
  • Are 1-5 micrometers in diameter
  • Small, peripherally placed basophilic nucleus

• Organisms that must be distinguished from the intraerythrocytic phase of C. felis include Babesia and Hemobartonella
  • The blood stage may appear similar to the ring forms of Hemobartonella and to the piriforms of Babesia
  • Unlike Cytauxzoon, babesiosis and hemobartonellosis do not have a tissue stage of infection

• Differential diagnosis for the tissue phase of cytauxzoonosis includes other small (less than 5 μm), intrahistiocytic organisms such as Toxoplasma, Leishmania and Histoplasma

Theileria

Theileria parva Life Cycle Diagram - Dennis Jacobs & Mark Fox RVC

File:Lymph node smear East Coast Fever.jpg

Lymph node smear of a cow with East Coast Fever - Drs. Elizabeth Howerth and Bruce LeRoy, Department of Pathology, UGA College of Veterinary Medicine

File:H and E stain brain East Coast Fever.jpg

H and E stain of brain and meningal vessels of a cow with East Coast Fever - Drs. Elizabeth Howerth and Bruce LeRoy, Department of Pathology, UGA College of Veterinary Medicine

Theileria cervi (deer) - Drs. Elizabeth Howerth and Bruce LeRoy, Department of Pathology, UGA College of Veterinary Medicine

• Main species of veterinary importance is Theileria parva
  • Causes East Coast Fever
    • Severe, proliferative lymphatic disease of cattle
    • Central and Eastern Africa
    • Transmitted by Rhipicephalus appendiculatus
    • Trans-stadial transmission

• Other Theileria species cause production losses in cattle and sheep in the Middle East, Mediterranean and in Northern Africa

Life Cycle

• Incubation phase lasts 1 week

• Lymphoblast proliferation
  • Local lymph node first infected then spreads through body
  • Occurs in week two

• Lymphoid depletion
  • Lymphocytes killed
  • Decreases lymphopoiesis
  • Occurs in week 3

• Total incubation period takes about 18 days

Diagnosis

• Clinical signs
  • Pyrexia
  • Enlarged local lymph node
    • Usually parotid lymph node as Rhipicephalus appendiculatus feeds in the ear
  • Loss of condition

• Examine Giemsa stained smears of:
  • Local lymph node aspirated for schizonts
  • Blood smears for piroplasms in red blood cells

• Post-mortem
  • Pulmonary oedema
  • Gut mucosal haemorrhages
  • Lymph node and splenic cellular atrophy

Control

• Integrated control of both the tick vector and disease
  • Vaccination and Ectoparasiticides

• Current vaccination is live unattentuated
  • Contains frozen stabilate of ground up tick gut containing infective sporozoites
  • Long lasting oxytetracycline administered at the same time to slow down schizogony giving the immune response time to develop

Piroplasmida Flashcards