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#REDIRECT [[Ehrlichia phagocytophila]]
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Also Known As: '''''Pasture Fever''''' — '''''Tickborne Fever''''' — '''''Ruminant Anaplasmosis''''' — '''''TBF'''''
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Caused By: '''''Anaplasma phagocytophilum''''', previously known as '''''Ehrlichia phagocytophila'''''
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==Introduction==
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[[File:Anaplasmosis.jpg|thumb|200px|right|''Rickettsia'' spp. inside tick haemolymph cells. Sourced from Wikimedia Commons]]
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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”.
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Seasonal pasture fever occurs in cattle that are returned to tick infected pasture in the Spring.
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Human granulocytic ehrlichiosis, the '''zoonotic''' form of TBF is a potentially '''fatal''' disease reported in the UK, Europe and USA.
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==Signalment==
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TBF naturally affects primarily sheep and cattle, and less commonly, deer, horses and dogs.
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==Distribution==
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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]].'''
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==Clinical Signs==
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TBF causes '''multisystemic''' disease, causing cardiovascular, gastrointestinal, respiratory, reproductive and neurological signs, and also lymphadenopathy and wasting disease.
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'''Severe haematological changes''' including profound [[:Category:Anaemia|'''anaemia''']] and '''leucopaenia''' cause significant clinical signs.
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Initial [[lymphocytopaenia]] and '''prolonged [[neutropaenia]]''' are also features of TBF.
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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>
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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]].
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Recovered animals develop immunity but it is unknown how long this is effective for.
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==Diagnosis==
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Haematological and Biochemical changes as listed above along with '''marked pyrexia''' are highly suggestive, especially if historical findings are conducive.
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Demonstration of the '''organism''' in the '''[[Leucocytes |leucocytes]]''' in peripheral blood is confirmative.
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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.
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The parasites may be visible within the neutrophils in sections of liver and lung.
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Antibodies can be detected using [[FAT|'''Indirect Immunofluorescence''' (IFAT)]], '''[[Complement Fixation]]''' and Immunoelectrophoresis (CIEP).
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==Treatment==
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''A. phagocytophilum'' is susceptible to '''oxytetracycline, sulphamethazine, sulphadimidine, doxycycline''' and '''trimethoprim-sulphonamides'''.
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==Control==
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[[Tick Control|Control of the tick vector ]]is expensive but effective.
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Use of [[Ectoparasiticides |ectoparasiticides]] and tick resistant breeds is also valuable.
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==Human Granulocytic Ehrlichiosis==
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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
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|flashcards = [[Tick-Borne Fever Flashcards]]
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}}
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==References==
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<references/>
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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>
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{{review}}
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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]]
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[[Category:Cardiovascular Diseases - Sheep]]
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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]]
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