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|pagetitle =Rickettsiales
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|contenttitle =Content
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|contentbody =<big><b>
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<categorytree mode=pages>Rickettsiales</categorytree>
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===Overview===
 
===Overview===
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*Host and cell type specificity
 
*Host and cell type specificity
 
*Q fever and Rocky Mountain spotted fever are zoonoses
 
*Q fever and Rocky Mountain spotted fever are zoonoses
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===Characteristics===
 
===Characteristics===
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*''Rickettsiaceae'' have cell walls that contain peptidoglycan; they target endothelial cells and leukocytes
 
*''Rickettsiaceae'' have cell walls that contain peptidoglycan; they target endothelial cells and leukocytes
 
*''Anaplasmataceae'' lack cell walls; they target erythrocytes
 
*''Anaplasmataceae'' lack cell walls; they target erythrocytes
      
===Epidemiology===
 
===Epidemiology===
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*Transovarial or trans-stadial transmission occurs in the arthropod vectors
 
*Transovarial or trans-stadial transmission occurs in the arthropod vectors
 
*Most ricketsiae have limited survival in the environment, apart from ''Coxiella burnetii'', which undergoes aerosol transmission
 
*Most ricketsiae have limited survival in the environment, apart from ''Coxiella burnetii'', which undergoes aerosol transmission
      
===Pathogenesis and pathogenicity===
 
===Pathogenesis and pathogenicity===
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*''Ehrlichia'' target leukocytes or platelets, and inhibit phagosome/lysosome fusion
 
*''Ehrlichia'' target leukocytes or platelets, and inhibit phagosome/lysosome fusion
 
*''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
 
*''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
      
===Identification===
 
===Identification===
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*Inoculation of susceptible animals
 
*Inoculation of susceptible animals
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[[Rickettsia rickettsii]]
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[[Category:Bacterial Organisms]]
 
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[[Category:To_Do_-_Bacteria]]
 
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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 - WikiBlood]], 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 - WikiBlood|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 - WikiBlood|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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*Carrier status can occur for up to 8 months in adult cattle and wildebeest
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*Clinical disease in calves and lambs
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*Clinical signs
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**Incubation period 4 weeks
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**Acute fever
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**Neurological signs including chewing, twitching of eyelids, circling, high-stepping gait, convulsions and recumbency; can be fatal
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**Subacute cases suffer from hydropericardium, hydrothorax and pulmonary oedema and congestion; splenomegaly and haemorrhages may occur
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*Diagnosis
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**Clinical and post mortem findings in endemic areas suggestive
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**Orgnisms present in nuclei of endothelial cells in Giemsa-stained brain tissue
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**PCR, indirect immunofluorescence, ELISA and western blot
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*Treatment and control
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**Tetracyclines during early disease
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**Immunisation using infected blood
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===Bovine anaplasmosis===
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*Disease of cattle in tropical and sub-tropical regions caused by ''Anaplasma marginale''
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*Carrier status in endemic regions with clinical disease occuring in times of stress
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*High mortality rate in naive adult cattle
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*Morulae localise inside red blood cells close to the cell membrane
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*Transmitted via the ''Boophilus'' tick as well as flies and contaminated instruments
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*Clinical signs
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**Inculbation period 2-12 weeks
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**Anorexia, fever, depression, reduced milk yield, weight loss
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**Anaemia and icterus
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**Sudden death from hypoxia can occur
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*Diagnosis
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**Clinical signs and haematology suggestive
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**Organisms present in erythrocytes of Giemsa-stained blood smears
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**Immunofluorescence of blood smears, PCR, serology
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*Treatment and control
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**Long-acting oxytetracycline or imidocarb early in the disease
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**Supportive therapy
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**Vaccination of animals being introduced into an endemic region
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===Feline infectious anaemia===
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*Caused by ''Mycoplasma haemofelis ( ''until recently, known as'' Haemobartonella felis)
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*Organism found on surface of erythrocytes
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*Common in roaming tom-cats of 1-3 years old
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*Possibly transmitted via bite wounds or arthropods
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*Recoverd cats become carriers
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*Clinical signs
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**Peracute disease is associated with severe anaemia and immunosuppression, and can be rapidly fatal
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**Fever, anaemia, depression, weakness and jaundice occur in the acute form
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**Anaemia, lethargy and weight loss occur in the chronic form
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**Recovery can occur with a regenerative bone marrow response
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**Severe feline infectious anaemia may occur in the presence of feline leukaemia virus
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*Diagnosis
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**Organism intermittently seen on the surface of red blood cells in Giemsa-stained blood smears
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**Immunofluorescence of blood smears
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**Reduced packed cell volume; regenerative anaemia
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*Treatment
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**Doxycycline for 3 weeks early in the course of the disease
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**Blood transfusion
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**Flea control
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===Canine haemobartonellosis===
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*Dogs infected with ''Haemobartonella canis'' usually asymptomatic
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*Acute haemolytic anaemia may occur in dogs after splenectomy, immunosuppressive drug therapy or immunosuppressive infections
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===Q fever===
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*Caused by ''Coxiella burnetti''
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*Influenza-like disease of humans in contact with farm animals
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*Transmitted to humans by inhalation from parturient sheep, goats and cattle
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*Organisms replicate in female genital tract and mammary glands of ruminants
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*Shedding occurs in uterine discharges, foetal fluid and milk
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*Infections in animals usually subclinical
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*Sporadic abortions occur in sheep, goats, cattle, cats
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*Infertility may result in ruminants, as well as placentitis or endometritis
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*Hepatitis, myocarditis and interstitial pneumonia may occur in affected foetuses
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*Diagnosis: MZN-stained smears of placental tissue and uterine discharges; immunofluorescence; PCR; culture; serology
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*Control: disposal of infected placenta and separation of pregnant ruminants; inactivated vaccines
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[[Category:Infectious_Agents]]
 
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