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#REDIRECT[[:Category: Rickettsiales]]
 
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{{toplink
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|backcolour =
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|linkpage =Bacteria
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|linktext =BACTERIA
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|pagetype=Bugs
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}}
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<br>
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===Overview===
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*Cause systemic diseases in animals
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*Usually use arthropod vectors
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===Characteristics===
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*Non-motile, pleomorphic Gram-negative organisms
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*Obligate intracellular pathogens
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*Require live cells for culture such as tissue culture cells or embryonated eggs
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*Require Romanowsky stains
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*Host and cell type specificity
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*Include two families, ''Rickettsiaceae'' and ''Anaplasmataceae''
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*''Rickettsiaceae'' have cell walls that contain peptidoglycan; they target endothelial cells and leukocytes
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*''Anaplasmataceae'' lack cell walls; they target erythrocytes
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*Q fever and Rocky Mountain spotted fever are zoonoses
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===Epidemiology===
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*Rickettsiae replicate in gut epithelial cells of arthropod vectors and spread to other organs such as salivary glands and ovaries
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*Transmission occurs during feeding on the animal host
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*Transovarial or trans-stadial transmission occurs in the arthropod vectors
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*Most ricketsiae have limited survival in the environment, apart from ''Coxiella burnetii'', which undergoes aerosol transmission
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===Pathogenesis and pathogenicity===
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*Many rickettsiae target endothelial cells of small blood vessels; they produce phospholipase which damages phagosome membranes, escaping into the cytoplasm
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*''Ehrlichia'' target leukocytes or platelets, and inhibit phagosome/lysosome fusion
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*''Anaplasmataceae'' localise within vacuoles or on the surface of red blood cells; they may alter red cell antigens causing immune-mediated damage.  Anaemia may result from haemolysis or removal of red blood cells
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===Identification===
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*Giemsa-stained blood or tissue smears identify blue/purple organisms
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*Fluorescent antibody technique for specific identification
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*Isolation in embryonated eggs or tissue culture lines
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*Nucleic acid probes and PCR
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*Inoculation of susceptible animals
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===Rocky Mountain spotted fever===
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*Caused by ''Rickettsia rickettsii''
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*Affects humans and dogs
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*Various tick vectors, which acquire the organism from small mammals
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*Transovarial and trans-stadial transmission within the tick population
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*Organisms replicate in endothelial cells of infected dogs, cause vasculitis, increased vascular permeability and haemorrhage
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*Clinical signs
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**Incubation period 2-10 days; course less than 2 weeks
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*Fever, depression, conjunctivitis, retinal haemorrhage, muscle and joint pain, coughing, dyspnoea, oedema of extremities
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*Neurological signs in dogs include stupor, ataxia, neck rigidity, seizures and coma
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*Death from cardiovascular, neurological or renal damage in severely-affected animals
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*Gross pathology includes haemorrhage, splenomegaly and lymphadenopathy
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*Diagnosis
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**Rising antibody titre during an indirect fluorescent antibody test or ELISA
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**Thrombocytopenia and leukopenia during early phase
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*Treatment and control
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**Tetracycline therapy for two weeks
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**Tick removal from dogs
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===Canine monocytic ehrlichiosis===
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*Generalised disease of dogs in tropical and subtropical regions
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*Caused by ''Ehrlichia canis''
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*The brown tick, ''Rhipicephalus sanguineus'', is the main vector
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*Dogs may carry the organism for 2 years after resolution of clinical signs
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*Clinical signs
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**Incubation period of 3 weeks
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**Acute, subclinical or chronic phases
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**Acute phase: fever, thrombocytopenia, leukopenia and anaemia
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**Subclinical phase: low blood cell numbers but minimal clinical signs; can progress to a severe disease, tropical canine pancytopenia
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**Chronic phase: bone marrow depression, haemorrhages, neurological disease, peripheral oedema, emaciation and hypotensive shock
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*Diagnosis
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**''E. canis'' morulae present in mononuclear cells in Giemsa-stained blood smears
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**Rising antibody titre detected by indirect immunofluorescence
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**Culture in canine macrophages
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*Treatment and control
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**Doxycycline for 10 days
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**Fluid therapy or blood transfusion
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**Prophylactic tetracyclines
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===Canine cyclic thrombocytopenia===
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*Caused by ''Ehrlichia platys''
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*Affects platelets
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*Recurrent thrombocytopenia, but dogs usually asymptomatic
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*Seroconversion detected by indirect immunofluorescence
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===Potomac horse fever===
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*Caused by ''Ehrlichia risticii''
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*Occurs during the summer
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*Fluke vector
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*Infects epithelial cells of colon and monocytes, macrophages and mast cells
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*Clinical signs
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**Fever, anorexia, depression, diarrhoea, colic, leukopenia, laminitis
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*30% mortality
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*Can cause abortion
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*Hyperaemia of large intestine at post mortem
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*Diagnosis
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**Seroconversion detected by indirect immunofluorescence or ELISA
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*Treatment and control
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**Oxytetracycline for 1 week
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**Inactivated vaccines
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===Equine granulocytic ehrlichiosis===
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*Caused by ''E. equi''
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*Clinical signs: fever, depression, ataxia, limb oedema, icterus and petechial haemorrhages
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*Low mortality
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*Diagnosis: presence of morulae in neutrophils during early disease; seroconversion; leukopenia
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*Treatment: tetracyclines
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===Bovine petechial fever===
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*Caused by ''E. ondiri''
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*Disease of cattle in Kenya and other countries of East Africa
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*Tick vector
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*Clinical signs: intermittent fever, depressed milk yield, petechiation of mucous membranes and conjunctiva
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*Death from pulmonary oedema
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*Diagnosis: presence of organisms in Giemsa-stained blood smears
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*Treatment: tetracyclines
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===Tick-borne fever===
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*Caused by ''E. phagocytophila''
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*Affects ruminants in Europe
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*The tick ''Ixodes ricinis'' is the main vector
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*Animals remain carriers for up to 2 years, but are immune to reinfection
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*Clinical signs
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**Incubation period of 2 weeks; recovery in 2 weeks
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**Fever, anorexia, reduced growth rates in young animals
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**Reduced milk production, abortion, still birth
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**Leukopenia and thrombocytopenia
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**Causes immunosuppression in young lambs causing susceptibility to tick pyaemia and louping ill
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*Diagnosis
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**Intracytoplasmic morulae in neutrophils of Giemsa-stained blood smears during acute phase
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**Seroconversion detected by immunofluorescence
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*Treatment and control
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**Oxtetracycline
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**Tick control
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**Prophylactic tetracyclines for lambs during first few weeks of life
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===Heartwater===
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*Severe disease of ruminants in sub-Saharan Africa caused by ''Cowdria ruminantium''
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*Vectors include ''Amblyomma'' ticks
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