Difference between revisions of "Tick-Borne Fever"

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Also Known As '''''Pasture Fever''''' '''''Tickborne Fever''''' '''''Ruminant Anaplasmosis''''' '''''TBF'''''
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{{OpenPagesTop}}
[[File:Anaplasmosis.jpg|thumb|200px|right|Rickettsia spp inside tick haemolymph cells. Wikimedia Commons]]
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Also Known As: '''''Pasture Fever''''' '''''Tickborne Fever''''' '''''Ruminant Anaplasmosis''''' '''''TBF'''''
Caused By ''[[Anaplasma phagocytophilum]]'', previously known as ''Ehrlichia phagocytophila''
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Caused By: '''''Anaplasma phagocytophilum''''', previously known as '''''Ehrlichia phagocytophila'''''
 +
 
 
==Introduction==
 
==Introduction==
[[File:Ixodes.jpg|thumb|200px|right|Ixodes tick. Wikimedia commons]]
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[[File:Anaplasmosis.jpg|thumb|200px|right|''Rickettsia'' spp. inside tick haemolymph cells. Sourced from Wikimedia Commons]]
Tick Borne Fever is a '''[[Rickettsiales | rickettsial]]'' disease affecting the '''[[Leucocytes | white blood cells]]''' of sheep and cattle, causing '''anaemia''' and seasonal “pasture fever”.
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[[File:Swollen tick-SteveFE.jpg|thumb|200px|right|''Ixodes'' tick. Sourced from Wikimedia commons]]
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Tick Borne Fever is a '''[[Rickettsiales |rickettsial]]''' disease affecting the '''[[Leucocytes |white blood cells]]''' of sheep and cattle, causing '''anaemia''' and seasonal “pasture fever”.
  
 
Seasonal pasture fever occurs in cattle that are returned to tick infected pasture in the Spring.
 
Seasonal pasture fever occurs in cattle that are returned to tick infected pasture in the Spring.
  
 
Human granulocytic ehrlichiosis, the '''zoonotic''' form of TBF is a potentially '''fatal''' disease reported in the UK, Europe and USA.
 
Human granulocytic ehrlichiosis, the '''zoonotic''' form of TBF is a potentially '''fatal''' disease reported in the UK, Europe and USA.
 +
 
==Signalment==
 
==Signalment==
 
TBF naturally affects primarily sheep and cattle, and less commonly, deer, horses and dogs.
 
TBF naturally affects primarily sheep and cattle, and less commonly, deer, horses and dogs.
  
 
==Distribution==
 
==Distribution==
TBF has worldwide distribution including the UK.
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TBF has worldwide distribution including the UK. It is transmitted by '''''[[Ixodes spp. |Ixodes]]''''' ticks. Both adults and nymphs can transmit the disease. Transmission is '''[[Tick Disease Transmission |trans-stadial]].'''
  
TBF is transmitted by '''[[Ixodes spp. | ixodes]]''' ticks. Both adults and nymphs can transmit disease.
 
Transmission is '''[[Tick Disease Transmission | trans-stadial]].'''
 
 
==Clinical Signs==
 
==Clinical Signs==
 
TBF causes '''multisystemic''' disease, causing cardiovascular, gastrointestinal, respiratory, reproductive and neurological signs, and also lymphadenopathy and wasting disease.
 
TBF causes '''multisystemic''' disease, causing cardiovascular, gastrointestinal, respiratory, reproductive and neurological signs, and also lymphadenopathy and wasting disease.
  
'''Severe haematological changes''' including profound '''anaemia''' and '''leucopaenia''' cause significant clinical signs.
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'''Severe haematological changes''' including profound [[:Category:Anaemia|'''anaemia''']] and '''leucopaenia''' cause significant clinical signs.
  
Initial lymphocytopaenia and '''prolonged neutropaenia''' are also features of TBF.
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Initial [[lymphocytopaenia]] and '''prolonged [[neutropaenia]]''' are also features of TBF.
  
A profound '''eosinophilia''' will occur for 17-20 days post-infection. <ref>Miert, A. S. J. P. A. Mvan., Duin, C. T. Mvan., Schotman, A. J. H., Franssen, F. F.(1984). Clinical, haematological and blood biochemical changes in goats after experimental infection with tick-borne fever. Vet Parasitology, 16(3/4):225-233; 29 </ref>
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A profound '''[[eosinophilia]]''' will occur for 17-20 days post-infection. <ref>Miert, A. S. J. P. A. Mvan., Duin, C. T. Mvan., Schotman, A. J. H., Franssen, F. F. (1984) '''Clinical, haematological and blood biochemical changes in goats after experimental infection with tick-borne fever. '''''Vet Parasitology, ''16(3/4):225-233; 29 </ref>
  
Low serum Alkaline Phosphatase (ALP) and decreased zinc, iron and albumin are also common biochemical findings, along with high urea, creatinine and bilirubin.
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Low serum Alkaline Phosphatase (ALP) and decreased zinc, iron and albumin are also common biochemical findings, along with high [[urea]], [[creatinine]] and [[bilirubin]].
  
 
Recovered animals develop immunity but it is unknown how long this is effective for.
 
Recovered animals develop immunity but it is unknown how long this is effective for.
 +
 
==Diagnosis==
 
==Diagnosis==
 
Haematological and Biochemical changes as listed above along with '''marked pyrexia''' are highly suggestive, especially if historical findings are conducive.  
 
Haematological and Biochemical changes as listed above along with '''marked pyrexia''' are highly suggestive, especially if historical findings are conducive.  
  
Demonstration of the '''organism''' in the '''[[Leucocytes | leucocytes]]''' in peripheral blood is confirmative.
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Demonstration of the '''organism''' in the '''[[Leucocytes |leucocytes]]''' in peripheral blood is confirmative.
  
On '''post-mortem''' examination, the '''[[Spleen | spleen]]''' is enlarged and mild liver damage is common.  
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On '''post-mortem''' examination, the '''[[Spleen - Anatomy & Physiology|spleen]]''' is enlarged and mild liver damage is common. Lesions within the [[Lungs - Anatomy & Physiology|'''lung''']] are present and contain mononuclear infiltrate on histopathology. Thickening, ulceration and haemorrhage of the gastrointestinal tract become worse distally.
Lesions within the '''lung''' are present and contain mononuclear infiltrate on histopathology.
 
Thickening, ulceration and haemorrhage of the gastrointestinal tract become worse distally.
 
  
 
The parasites may be visible within the neutrophils in sections of liver and lung.
 
The parasites may be visible within the neutrophils in sections of liver and lung.
  
Antibodies can be detected using '''Indirect Immunofluorescence''' (IFAT), '''Complement Fixation''' and Immunoelectrophoresis (CIEP).
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Antibodies can be detected using [[FAT|'''Indirect Immunofluorescence''' (IFAT)]], '''[[Complement Fixation]]''' and Immunoelectrophoresis (CIEP).
 +
 
 
==Treatment==
 
==Treatment==
''E. phagocytophila'' is susceptible to '''oxytetracycline, sulphamethazine, sulphadimidine, doxycycline''' and '''trimethoprim-sulphonamides'''.
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''A. phagocytophilum'' is susceptible to '''oxytetracycline, sulphamethazine, sulphadimidine, doxycycline''' and '''trimethoprim-sulphonamides'''.
 +
 
 
==Control==
 
==Control==
Control of the [[Ticks | tick]] vector is expensive but effective.  
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[[Tick Control|Control of the tick vector ]]is expensive but effective.  
Use of [[Ectoparasiticides | ectoparasiticides]] and tick resistant breeds is also valuable.
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Use of [[Ectoparasiticides |ectoparasiticides]] and tick resistant breeds is also valuable.
 +
 
 
==Human Granulocytic Ehrlichiosis==
 
==Human Granulocytic Ehrlichiosis==
Causes fever, malaise, headaches, sweats, nausea, confusion, anorexia, vomiting, weakness, diarrhoea, pneumonia, vertigo, seizures, GI bleeding and a skin rash.<ref>Bakken, J. S., Krueth, J., Tilden, R. L., Dumler, J. S., Kristiansen, B. E.(1996). Serological evidence of human granulocytic ehrlichiosis in Norway. Eur J Clin Microbiol Inf Dis, 15(10):829-832; 12</ref>
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Causes fever, malaise, headaches, sweats, nausea, confusion, anorexia, vomiting, weakness, diarrhoea, pneumonia, vertigo, seizures, GI bleeding and a skin rash.<ref>Bakken, J. S., Krueth, J., Tilden, R. L., Dumler, J. S., Kristiansen, B. E. (1996). '''Serological evidence of human granulocytic ehrlichiosis in Norway. '''''Eur J Clin Microbiol Inf Dis,'' 15(10):829-832; 12</ref>
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{{Learning
 
{{Learning
 
|flashcards = [[Tick-Borne Fever Flashcards]]
 
|flashcards = [[Tick-Borne Fever Flashcards]]
 
}}
 
}}
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==References==
 
==References==
 
<references/>
 
<references/>
Animal Health & ProductIon Compendium, '''Tick Borne Fever datasheet''', accessed 06/06/2011 @ http://www.cabi.org/ahpc/
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{{CABI source
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|datasheet = [http://www.cabi.org/ahpc/?compid=3&dsid=61126&loadmodule=datasheet&page=2144&site=160 tick-borne fever]
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|date = 6 June 2011
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}}
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<br><br><br>
  
  
==Literature Search==
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{{review}}
[[File:CABI logo.jpg|left|90px]]
 
 
 
 
 
Use these links to find recent scientific publications via CAB Abstracts (log in required unless accessing from a subscribing organisation except for full text articles).
 
<br><br><br>
 
[http://www.cabi.org/cabdirect/FullTextPDF/2009/20093115234.pdf ''' Tick-borne disease testing: canine erhlichiosis and anaplasmosis.''' Alleman, R.; The North American Veterinary Conference, Gainesville, USA, Small animal and exotics. Proceedings of the North American Veterinary Conference, Orlando, Florida, USA, 17-21 January, 2009, 2009, pp 629-631 - '''Full Text Article''']
 
  
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{{OpenPages}}
  
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[[Category:Rickettsiales]][[Category:Cattle Bacteria]][[Category:Sheep Bacteria]][[Category:Goat Bacteria]]
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[[Category:Zoonoses]]
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[[Category:Cardiovascular Diseases - Cattle]][[Category:Respiratory Diseases - Cattle]][[Category:Alimentary Diseases - Cattle]][[Category:Reproductive Diseases - Cattle]][[Category:Neurological Diseases - Cattle]][[Category:Lymphoreticular and Haematopoietic Diseases - Cattle]]
  
[[Category:Rickettsiales]][[Category:Cattle Bacteria]][[Category:Sheep Bacteria]][[Category:Goat Bacteria]]
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[[Category:Cardiovascular Diseases - Sheep]]
[[Category:To Do - CABI review]]
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[[Category:Respiratory Diseases - Sheep]]
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[[Category:Alimentary Diseases - Sheep]][[Category:Reproductive Diseases - Sheep]][[Category:Neurological Diseases - Sheep]]
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[[Category:Lymphoreticular and Haematopoietic Diseases - Sheep]]
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[[Category:CABI Expert Review]][[Category:CABI AHPC Pages]]
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[[Category:Nick L]]
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[[Category:Cardiology Section]]

Latest revision as of 17:30, 17 October 2013


Also Known As: Pasture FeverTickborne FeverRuminant AnaplasmosisTBF

Caused By: Anaplasma phagocytophilum, previously known as Ehrlichia phagocytophila

Introduction

Rickettsia spp. inside tick haemolymph cells. Sourced from Wikimedia Commons
Ixodes tick. Sourced from Wikimedia commons

Tick Borne Fever is a rickettsial disease affecting the white blood cells of sheep and cattle, causing anaemia and seasonal “pasture fever”.

Seasonal pasture fever occurs in cattle that are returned to tick infected pasture in the Spring.

Human granulocytic ehrlichiosis, the zoonotic form of TBF is a potentially fatal disease reported in the UK, Europe and USA.

Signalment

TBF naturally affects primarily sheep and cattle, and less commonly, deer, horses and dogs.

Distribution

TBF has worldwide distribution including the UK. It is transmitted by Ixodes ticks. Both adults and nymphs can transmit the disease. Transmission is trans-stadial.

Clinical Signs

TBF causes multisystemic disease, causing cardiovascular, gastrointestinal, respiratory, reproductive and neurological signs, and also lymphadenopathy and wasting disease.

Severe haematological changes including profound anaemia and leucopaenia cause significant clinical signs.

Initial lymphocytopaenia and prolonged neutropaenia are also features of TBF.

A profound eosinophilia will occur for 17-20 days post-infection. [1]

Low serum Alkaline Phosphatase (ALP) and decreased zinc, iron and albumin are also common biochemical findings, along with high urea, creatinine and bilirubin.

Recovered animals develop immunity but it is unknown how long this is effective for.

Diagnosis

Haematological and Biochemical changes as listed above along with marked pyrexia are highly suggestive, especially if historical findings are conducive.

Demonstration of the organism in the leucocytes in peripheral blood is confirmative.

On post-mortem examination, the spleen is enlarged and mild liver damage is common. Lesions within the lung are present and contain mononuclear infiltrate on histopathology. Thickening, ulceration and haemorrhage of the gastrointestinal tract become worse distally.

The parasites may be visible within the neutrophils in sections of liver and lung.

Antibodies can be detected using Indirect Immunofluorescence (IFAT), Complement Fixation and Immunoelectrophoresis (CIEP).

Treatment

A. phagocytophilum is susceptible to oxytetracycline, sulphamethazine, sulphadimidine, doxycycline and trimethoprim-sulphonamides.

Control

Control of the tick vector is expensive but effective. Use of ectoparasiticides and tick resistant breeds is also valuable.

Human Granulocytic Ehrlichiosis

Causes fever, malaise, headaches, sweats, nausea, confusion, anorexia, vomiting, weakness, diarrhoea, pneumonia, vertigo, seizures, GI bleeding and a skin rash.[2]



Tick-Borne Fever Learning Resources
FlashcardsFlashcards logo.png
Flashcards
Test your knowledge using flashcard type questions
Tick-Borne Fever Flashcards



References

  1. Miert, A. S. J. P. A. Mvan., Duin, C. T. Mvan., Schotman, A. J. H., Franssen, F. F. (1984) Clinical, haematological and blood biochemical changes in goats after experimental infection with tick-borne fever. Vet Parasitology, 16(3/4):225-233; 29
  2. Bakken, J. S., Krueth, J., Tilden, R. L., Dumler, J. S., Kristiansen, B. E. (1996). Serological evidence of human granulocytic ehrlichiosis in Norway. Eur J Clin Microbiol Inf Dis, 15(10):829-832; 12


CABIlogo

This article was originally sourced from The Animal Health & Production Compendium (AHPC) published online by CABI during the OVAL Project.

The datasheet was accessed on 6 June 2011.











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