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144 Cards in this Set

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Humans: Chronic keratitis; Granulomatous amoebic encephaltitis
Dogs: Epizootic in greyhounds - Pneumonia & Meningioencephalitis

Dogs < 1 yr.

Trsm: Resp, breaks in skin +/- hematogenous

"bulls eye" apparance of trophozoites in tissues
Acanthomoeba
Ulcers in GIT, +/- peritonitis, abscesses

Clinical
1. Lumenal
2. Invasive Intestinal ameobiasis
3. Invasive extratestinal amoebiasis"

Infective: CYST

Primary trsm from HUMAN-->PETS
Dx: Trophozoite in fresh feces; Ulcers
Entamoeba histiolytica

cartwheel nucleus
Retpilian Amebiasis

Duodenual & Hepatic Necrosis
Entamoeba invadens
Humans: Primary amoebic meningioencephalitits (PAM);
*Rapdily fatal infection --> Hemorrhagic necrotizing (purulent) ME

Trsm: NASAL Cavity
(migrarate to CNS via olfactory n.)

Dx: *CSF, tissues (brain)
Naegleria foleri
Phylum Sarcomastigophora
Subphylum Sarcodina
entamoeba, Acanthamoeba, Naegleria
Phylum CIliophora (Ciliates)
Balantidium suis (B. coli), Icthyophthirius multifiliis
Phylum Euglenozoa
Class Kinetoplasta
Trypanosoma, Lesihmania
Mucosoflagellates
Class: Zoomastigophorea
Order: Diplomonadida, Trichomonadida

Sprinucleus, Giardia
Trichomoas, Tritrichomonas, Histomonas
Hemoflagellates
Class: Kinetoplasta
Order: Kinetoplastida (Trypnaosomatids)
Diplomonadida
Giardia, Sipronucleus
Trcihomonadid
Trichomonasa, Tritrichomoas, Histomoans
Subphylum: Sarcodina (Amoeboids)
Entamoeba histolytica, invadens; Acanthamoeba, Naegleria
Phylum Euglenozoa (Sarcomastigophora)
sarcodina (ameoboids); mastigophra (flagellates)
Trypomastigotes, amastigotes

(NO CYST)
Trypanosomatida
Trypanosoma
____ trypanosoma has only trpomastigotesin vert host
___ has both trypomastigotes & amastigotes
____ has only amastigotes
African Trypanosoma
American Trypanoamoa (T. cruzi)
Leismainia
Trypanosoma exceptions of vector (hematogenous) trsm
T. equiperdum - coitus
T evansi, vivax - mechanical
Groupings: stercoraria, salivaria
Trypanosoma
Vectors:
T. theileria - ____
T. melophagium -_____
T. cuzi - ______
Biting flies
Sheep keds
Reduviidbugs
Most stercocaria are not pathogens, except _______-
T. cruzi
"Chagas"

cycles in wildlife

nocturnal feeder (reduviid)

Infective: METACYCLIC
others: Blood trsfusion, ingestion, *Trsplacental/Trsmammary

Trypomastigotes (blood) penetrate host cells--> amastigotes (tissues), repeat cycle

Acute
< 2 yrs
- ACUTE MYOCARDITIS

Chronic
persistent intracellular amastigotes in tissues
-DILATED CARDIOMYOPATHY (w/in 5 yrs)

Fatal: 9 mos to 5 yrs PI

dx: serology (indicates exposure vs. active inection)

Tx: only affective agst TRYPOMASTIGOTES
T. cruzi

"C" or "S" shaped, terminal kinetoplast
Trsm: Contaminative to vert; Discontinuous multiplication
Stercocaria (T. cruzi)
Trsm: Innoculative, Continuous multiplicaiton
Salivaria (African trypanosoma)
Variable surface glycoproteins (VSG); Antigenic variation
salivaria - pahogenicity
"Surra"

Hosts: Camels, Horses
Trsm: Mechanical
T. evansi
"Dourine"

Hosts: Equidae (Horses, Donkeys)

Trsm:
1. Veneral
2. Mare to foal (rare)-milk, discharge
3. Iatrogenic

Cycle- multiplies at site of entry = ReproT --> peripheral blood

Clinical stages:
1. Localizes in ReproT (1-4 wks PI)
2. URTICARIAL CUTANEOUS PLAQUES ("Silver dollar plaques" (1-2 mos PI) <--PATHOGNOMONIC
3. Anemia, Nervous System (lameness, paralysis)

Dx- Plaques; CF Test = successful eradication
T. equiperda

Urticarial plques: on Chest, flank, rump due to multiplicaiton in tissues & host rxn
Rodents (+ cats) = Cutaneous
Dogs = Visceral

Foxhounds - amastigotes in joint fluid

Vector = Sandflies; bite ears

IH Cycle: Ingests mo w/ amastigotes when feeding; parasite multiplies in gut; PROMASTIGOTES inoculated during feeding

Vert host Cycle: Promastigotes invade local mos; multiply as intracellular amastigotes; cell dies, rptures, --> release amastigotes; amastigotes taken up by new host cells of MONOCYTE lineage

Trsm: Vertical, Can also be DIRECT CONTACT

VL
Path- Incr IgM, IgG --> CIRCULATING IMMUNE COMPLEXES; T cell dysfunction; Mo proliferation

Definitive Dx: Amastigotes in tissues: Bone marrow, liver, spleen, lnn, skin lesions
Dx- ELISA - highly sensitive for VL
Tx-Antimonial, Allopurinol

TX FAILURE & RELAPSES COMMON
Tx is NOT CURATIVE: Not all parasites eliminated; relapses; zoonotic
Euthanasia
Px- Tick collars; Leishmune


CL
Primarily *Nose, Ears
slow progressive growth - Lesion-alopecia, nodular w/ central ulceraions & secondary bacterial; onchygryposis
parasitized mos at edges of lesion
Lieshmania

Monocyte lineage: VL: Bone marrow, spleen, lnn; CL: Skin, mm

Immune complexes --> GN, vasculitis, polyarthritis

all but spleen acessible AM for Definitive Dx
Swine

PIG FECES

Trophozoite in COLON LUMEN

CYSTS in feces
Balantidium suis (B. coli)

Large macronucleus, tiny micronucleus
"Ich" or "White spot dz"

Cycle- Large cilate leaveshost --> forms repro CYST & produces large nos of free swimming young (TOMITES) that must find host w/in 48 hrs.
Tx - Only TOMTES --> repeated txs
Ichthyophthirius miltifiliis
"Hexamitosis" or "Infections Catarrhal Enteritis"

Poultry, esp. TURKEYS (POULTS)

Cycle-Trophozoite ingested w/ food/water RECENTLY contaminated; localized in DUODENUM; multiplies asexually; trophozoites shed in feces

Lesions: SI nodular ballooning & Excess fluid

Definitive Dx- Examine mucosal scraping or fluid from upper SI (or fresh feces) for trophozoites

Tx- None
Spironucleus meleagridis

"rapid darting motion"

Smaller, more slender, 8 flagella, lacks ventral adhesive disk of Giardia
"Purple burps", "Bever Fever"

MOST COMMON HUMAN IT PARASITE
- young kennels/catteries

Cycle- Cysts ingested w/ contaminated food/water; cysts excyst in SI; multiply asexually in SI; trophozoites attach to gut epithelial cells; CYSTS passed in feces & IMMEDIATELY INFECTIVE

Path-Usually only symptomatic in immunosuppressed hosts
Infection --> VILLOUS ATROPHY, DIFFUSE LOSS OF MIROVILLUS BRUSH BORDER

Humans
Acute
Chronic - Recurrent acute symptoms; Malabsorption & debilitaiton

Animals
-persistent diarrhea
CHARACTEISTIC FECES:
- usually Afebrile, Bright & Alert, NOT ANOREXIC --> may not be the sole cause of diarrhea

Definitive Dx - TROPHOZOITES more likely in LOOSE STOOLS
CYSTS (fecal float) more likely in SEMI-FORMED STOOLS

Cysts shed intermittently --> Fecal exam every other day x3

Dx- IFA & ELISA both sensitive & more specific than fecal float

Tx- X-LABEL: *Refractory Cases
Vacc- GiardiaVax
Giardia

Trophozoite: flagella w/ TWO nuclei
mature cysts = FOUR nuclei

"falling leaf motion"

Trophozoites = VENTRAL ADHESIVE SUCKING DISK --> attach to gut epi cells

cysts survive wks to mos in cool, moist conditions
contaminated water = important source of infeciton

dissacharidase insufficiencty, impaired absorption

Feces: Liquid to Semi-formed, pale, malodorous, incr mucus, steatorrhea

Dx-can also do endoscopy, laparotomy for trophozoites

Cysts distored in sugar sol--> 'Crescent' shape
Cysts have axonemes = take up Iodine

NOTE: Cysts temporarily dissapear after barium enema, laxatives, kaopectate...
Assemblages
A,B zoonotic
C,D- canid
E- bovid
F - felid
Giardia duodenalis
(G. lamblia, G. intestinalis)
ssemblage = genotype group
Birds

Vector = Biting midges

Low path

Merogony in ENDOTHELIAL CELLS of BLOOD VESSELS

GAMETOCYTES develop in RBCs
Haemoproteus
Wild ducks, geese...

Vector = Black flies

Cycle-
MEGALOCHIZONTS in PARENCHYMA & RE cells of all major organs
GAMETOVYTES develop in & distort WBCs

anorexia, dyspnea, hepatosplenomegaly, anemia, death
Leucocytozoon
Primates, rodents, reptiles, birds

Vector: Culicine mosquitoes

Cycle- Enters cells like hepatocytes; undergoes PRE-ERYTHROCYTE MEROGONY; release of MEROZOITES that infect RBCs; ERYTRHOCYTIC MERGONY IN RBCS; release merozoites invade RBCS OR some become Micro & Macro-Gametocytes that infect the blood-feeding mosquito --> in mosquito forms ZYGOTE --> OOKINETE (motile); invades the Midgut wall & forms OOCYST; oocyst ruptures --> release 1000s of SPOROZOITES in HEMOCOEL; migrate to/invade Salivary gl.

GAMETOCYTES also in RBCs

Birds
hepatosplenomegaly, chills, fecer, anemia...
Dx- blood smear
Plasmodium
Class Sporozoasidea (Conoidasida)
Suborder Eimeriorina
Family Eimeriidae, Cryptosporididae, Sarcocystidae
Apicomplexa
Family Eimeriidae
Eimeria, Isospora
Family Cryptosporididae
Cryptosporidium
Family Sarcocystidae
Toxoplasma, Neospora, Sarcocystis
Eimeriorina: Enteric
Eimeria, Isospora + Cryptosporidiae
Eimeriorina: Enteric &/or Tissue
Family Sarcocystidae

(Sarcocystis, Neospora, Toxoplasma)
Order Eucoccidiorida
Suborder Adeleorina
Family Hepatozoidae
Hepatoozoon
Eucoccidiorida: Tissues & Bloodstream Leukocytes
Hepatozoon
Order Eucoccidiorida
Suborder Haemosporonia (haemosporidia)
Plasmodium, Haemproteus, Leucocytozoon
Eucoccidiorida: Endothelial cells & RBCs, +/- liver, spleen, +/- monocytes
Haemosporonia
Apicomplexa
Class Sporozoasida (Conoidasida)
Subclass Piroplsmasina (prioplasmids)
Theileria, Cytauxzoon, Babesia
Subclass Piroplsmasina: Lymphocytes/RBCs
Theileria
Subclass Piroplasmasina:
Macrophages/RBCs
Cytauxzoon
Subclass Piroplsmasina:
RBCs
Babesia
Vector = Blood-sucking arthropod

Merogony = VERT
Gematogony = Begins in Vert, Completed in Vector
Sporogony = VECTOR (*OOKINETES vs. OOCYSTS

SPOROZOITE = infective
Haeosporirida (Piroplasmodium, Haemoproteus, Leucocytozoon)
Vector= Ixodid tick
Sporozoite injected w/ tick bite

Primary ASEXUAL STAGES in ERYTROCYTE (+/- leukocyte

Remainder of cycle in vector
Piroplasma
Family Theileriidae
Cytauxzoon, Theileria
"Babesiosis" "Piroplasmosis"
Cycle- Tick innoculates sporozoites w/ bite; DIRECTLY INFECT HOST RBCSs; Develop into PIROPLASMA, replicate into MEROZOTES (binary fission) --> 2 or 4 daughter cells) (NO SCHZOGONY); some merozoites trsform --> Gametocytes....

Kinete invades many tissus of tick: salivary gl, + *OVARIES --> TRSOVARIAL TRSM to OFFSPRING

SPOROGONY in Salivary glands --> trsm to next tick stage (nymph, adult) or next generation (trsovarial)
Babesia
Vector = Ixodid tick

Trms - IATROGENIC via blood or fighting +/- TRSPLACENTAL

PASSIVELY ACQUIRED MATERNAL IMMUNITY

Carrier State = PREMUNITION

Clinical- fever, letargy, anemia, pallor, +/- icterus, +/- hemoglobinura, hepatosplenomegaly...
+/- *diarrhea, constipation
Babesia
Canine Babesiosis

Sporadic in US ~ kennels/S-SE US/Immigratory dogs

Clinical - PUPS
Host age & IMR in determining severity
INTRA- & EXTRA-VASCULAR RBC HEMOLYSIS
- Regenerative anemia, hemoglobinemia; Hemoglobinuria +/- icterus, bilirubinemia; ***DIC if microvascular damage**

Dx- blood smears, serology (*note: may be + but NOT assoc w/ clinical dz*)

Tx- Imidocarb; supportive tx
---Can recover from acute stage w/ or w/o tx (asymptomatic carriers, premuition)
B> canis, B. gibsoni
Bovine Babesiosis

ERADICATED (cattle dipping)

One-host tick: all host stages occur on same animal

Mexico --> re-introduction (would need tick vector)
B. bigemina
Equine Babesiosis "Equine Piriplasmosis"
"BILIARY FEVER"

ERADICATED (previously endemic in FL)

Clinical - Peracute dz is FATAL (Rare)
Dx - esposure, parasites in RBCs (smear), ELISA - more sensitive
Tx- Early detection; Imidocarb; supprotive tx
B. caballi, B. equi
Theileriosis, East Coast Fever

PRODUCTION ANIMALS

NOT US (Af, Asia, S EU)

Breed differences in susceptibiltiy
Theileria
"East Coast Fever"
tick inoculated salivary sprozoites enter T & B LYMOHOCYTES

HIGH PATHOGENICITY

***Calves MORE Rx than Adults**

fvere, nasal & ocular discharge, swollen lnn,
*BLOODY DIARRHEA, FECES COMMON
Theileria parva
Cats = Abberant/ DEAD-END Host
RAPID ONSET, HIGH FATALITY

Bobcats = Reservoir host
Vector = Ixodid ticks

TIck Season (May-Sept)

Cycle - sporozoites inoculated via tick bite --> Schizogony in MACROPHAGES throughout the body (lumen r subendothelial) -
Readily found lin lungs, spleen, liver (all major organs); merozoites enter & develop in RBCs (prioplasm); tick takes up parasitized RBC w/ blood meal; differentiate into gametes, fuse to from zygote, ookinete
Cytauxzoon felis
Cytauxzoonosis - Domestic cats

acute lethargy, anorexia, deprssion; icterus, dehydration, high fever, decr CRT, dyspnea, usually progresses to rapdi death

HEMATOLOGY:
NOMOCYTIC, NORMOCHRONIC ANEMIA;
LEUKOPENIA, LYMPHOPENIA, THROMBOCYTOPENIA (~monocytopenia + thrombocytes)

**Lesions- Hepatosplenomegaly, enlarged lnn; Renal edema; Edema, congestion, petecchial hemorrhaging of Lungs; Venous dystention; Hydropericardium w/ epipericardial petechal hemorrhaging

Tx - None
Px- Keep cats out of wooded areas
Cytauxzoon felis

venous dystention (mesenteric, renal, hepatic portal vv.)
Order Trichomonadida
Histomonas meleagridis, gallinae; Tritrichomonas foetus
"Histomoniasis", "Infectious Enterohepatitis"

Gallifrom hosts - TURKEY POULTS
CHICKENS = ASYMPTOMATIC RESERVOIRES

Breeder, Layer flocks

Cycle- Exits in TROPHOZOITE STAGE

Trsm: Contaminated food/water;
PH (CECAL WORM, Heterakis)

1. Trophozoite localizes int he lumen of the CECA; invades cecal wall; extend to LIVER via venous blood; multiply asexually; incasive form destroys tissues

Cllinical - "sick bird" - sulfur-yellow droppings; +/- "Cecal Core"

Poults- HIGH MORTALITY, SUDDEN DEATHS

Lesions - CECA: Enlarged, thickened wall; Caseous exudate or Cheesy core
LIVER: Circular, concave (necrotic) foci; Various colors, sizes
<--PATHOGNOMONIC LESIONS

Dx- Liver & Cecal lesions
Definitive Dx: Organisms in Cecal wall, Liver

Control - SEPERATE CHICKENS & TURKEYS; Anthelmentics to rid of Hetarakis;
Px-Arsenical in feed = prophylaxis
Histomonas meleagridis

PH- protozoan survives for yrs in larvated eggs of CECAL WORM (HETERAKIS); EARTHWORMS = Hosts for Heterakis

Lumen of CECA = Extracellular amoeboid w/ FLAGELLUM
INTRACELLULAR (cell wall) = amoeboid W/O FLAGELLUM in Tissues


Dx- "lattice curtain" effect of organisms in cecal wall, liver
"Trichomoniasis",
"Canker" - Pigeons, doves

*NESTLINGS,
OLDER BIRDS often ASYMPTOMATIC CARRIERS
"Frounce" birds of prey, poultry
1. feed on infected pigeon
2.contaminated feed/water by infected pigeon

Cycle: ORAL-ORAL Trsm of TROPHOZOITE
Trsm:
1. adult--> young: crop milk
2. adult<-->adult: coutrship
3. Contaminated water

Habitat- Epithelial surface from oral cavity to crop; sinuses; viscera

Clinical- anorexic, dysphagia, dyspnea, death

Lesions - Raised accumulations of caseous yellow to white exudate (PLAQUES)
- Pseudomembrane in oral cavity

Definitive Dx - ID TROPHOZOITES in *CROP FFLUID or LESIONS
; PCR
Tx- Metronidazole (Flagyl) in water
Trichomonas gallinae

Pleomorphic; 4 anterior flagella; 1 recurrent fagellum (undulating memrabe)

virulent strains affecting viscera
"Bovine Trichomoniais"
Venereal dz of cattle

Higher prevalence in OLDER BULLS
- preputial epithelium


***SHELTER CATS***

Trsm:
TROPHOZOITE;
1. MECHANICAL VIA COITUS
2. IATROGENIC: AI
3. BULL:BULL: AV

Definitive Dx- secretions

Culture: Keep @ LEAST 1 wk before dx "Neg"

SAMPLE HANDLING CRITICAL: TRITRICHOMONADS SURVIVE ~48 HRS IF KEPT COOL, DARK
- InPouch, TF Test

CONTAMINATED samples - other BOVINE GIT TRICHOMONADS --> Avoid contamination of samples w/ feces!!

Dx- ABI Trich

Tx- NONE

Control - Management - Herd clean-up; Px re-introduciton; Vacc (Trich Gaurd)

Clean-up:
Cows: Open, <5 mos preg & return to estrus;
VACC: Helps CLEAR INFECTION but does NOT PX INFECTION --> Can Incr conception rates;
Bulls: - replace
VACC: DOES NOT CLEAR *OR* PX INFECTION

Px - Use AI; Maintain Closed-herd; Test bulls prior to used; Seperate breeding groups; Vacc
Tritrichomonas foetus

Pelomorphic (~oval)
3 anterior flagella; Undulating membrane w/ Posterio flagellum
may have pointed posterior due to axostyle

"Jerky, rolling motion"


ABI Trih test: DNA probe detaches parasit (dead, alive) -- *Sensitive
Feline Trichomoniasis
**LARGE BOWL DIARRHEA** (COLITIS)

CATS < 1 YR
CAT:CAT SPREAD = DIRECT CONTACT

Clincial- Colitis: Incr frequency of defecation; 'Cow-pie like stools' (+/- fresh blood, mucus); Inflammed, painful anus --> FECAL INCONTINENCE COMMON

Dx - Wet mount; InPoch; PCR

*NOTE: CATS EVENTUALLY RECOVER W/O TX!**
Tritrichomonas feotus

Persstent diarrhea: 2d-3 yrs

Recovery: (~9 mos, upto 2 yrs)
Order Eucoccidida
Eimeria, Isospora, Cryptosporidium, Toxoplasma, Neospora, Sarcocystis
Apical complex
- organells at anterior end--> penetration of host
(may not be present during all stages of life)
Phylum Apicomplexa
Coccidiosis
"Childhood dz"

Ruminants, Camelids, Rabbits, Poultry

Cycle-DIRECT
SPORULATED OOCYST shed in feces - single SPORONT in environment
sporozoite
Eimerisa spp

*Micropyle cap

4 sporocysts w/ 2 sprozoites

Obligate parasites
Gut epithelium + + lacteal endothelium, kidneys, bile duct
Sporont --> divides x2--> 4 sporoblasts --> divides --> sporont w/ 2 sporozoites (=8 infective sporozoites)
sporogony: sporulation
(sporozoites invades intetinal cell) --> Schizont (moront) --> (multiple fission) --> 1st generation merozoites; Repeats
Merogony: Asexual repro
(merozoites enter new host cell) --> female gamete --> merozoite-macrogameteocyte-macrogamete
-->male gamete --> merozoite-microgamete
Microgametes fertilize macrogamete --> zygote --> sporont w/in oocyst
Gametogony: Sexual repro
Host-sepcific species
Infection species-specific
REINFECTION -Immunity NOT completely protective; subsequent infections less severe
Clinical - Enteritis
Eimeria
Bovine Coccidiosis

1. Enteric
2. Winter
3. Nervous

Clinical: Calves <6 mos, Weaning, Feedlots
*Note: NOT FOUND IN CALVES < 3 mos

Acute Enteric -
Diarrhea: mucoid +/- blood; susceptibility
Distal Ileum = Asexual Cecum/Colon = Sexual
Mild Catarrhal to Hemorrhagic Enteritis; Necrotic, hemorrhagic,
FIBRINONECROTIC MEMBRANE

Winter
Jan-March
Path- during enteric coccidiosis some parasites enter extra-intestina cells (ie. local lnn); inquescent; winter: decr nutritional demands of host --> allows parasite to return to gut & reproduce

Nervous- Complicatino of enteric cases; calves/weanlings in winter
CNS signs in addition to GI SIGNS, MUSCLE TREMORS

Tx- Sulfas; Supportive vare
Poor prognosis
HIGH MORTALITY W/ OR W/O TX

Chronic - diarrhea w/ little/no blood; "parasitemic appearance"; susceptibillity

Px: Prophylactic; Minimize stress; sanitation


**NOTE:Eimeria SPORONT READILY ERADICATED --> Allow limited EXPOSURE to stimulate immunity w/o developing dz!!!*
Eimeria

CNS: staggars, nystagmus, convulsions, opisthotonus, +/-bliness
Coccidiosis - Sm Ruminant

***DECR. WT. GAIN = Major impact
Can be severe in kids, lambs, angoras; poss death
Eimeria
E. necatrix, E. tenella
Cocciosis - Chickens
Coccidiosis-Chickens

Bloody diarrhea,
Affects Lower SI
Lesions- Sm White Foci @ Necropsy

Bloody diarrhea,
Infects: Ceca
Lesions - Cecal Core; anemia
*Chicks 2-6 wks
Eimeria necatrix

E. tenella
Hepatic Coccidiosis

Rabbits

Lesions - Affects BILE DUCT Epi (Hyperplasia)

anorexia, wt. loss, +/icterus
Eimeria stiedae
Coccidiosis - Geese

Lesions: RENAL TUBULAR Epi

weak, emaciated goslings, poss deah
enlarged kidneys w/ light yellowish streaks/nodules
Renal tubules packe w/ urates, oocysts
Eimeria truncata
Dx- Coccidiosis

GI: Fecal float

PM Dx -wet mount, impression smears, histo

Gross - ie. cecal in chicks
Eimeria
Hosts
DH: carnivore - wide range
IH: Herbivore - narrow range

Cycle - Indirect
Ingests SPORULATED OOCYSTS or SPOROCYSTS
Merogony:
1. Vascular Phase - SPOROZOITES --> endothelial cells of bv; Merogony
2. Muscular Phase - MEROZOITES --> penetrate sk, cardiac, mm +/ neural tissue

CAN PERSIT FOR LIFE OF HOST

Clinical-IH
~asymptomatic; Multisystemic dz following location of merogony
Vascular - Fever --> release of merozoites into blood: anemia; serosal hemorrhages
Muscular- Myositis/carditis, loss of hair/wool/tail swtich +/- CNS, pss death

Cycle-DH
Ingestion of BRADYZOITES --> infect ENEROCYTES; undergo Gametogomy & produce oocyts --> SPOROCYSTS/SPORULATED OOCYSTS passed in feces

*IMMEDIATELY INFECTIVE TO HOST!!!!

Clinical - DH
asymptomatic

Dx- IH:
PM Dx - SCHIZONTS in Vasculature of major vv.; CYSTS in Muscle +/- CNS
-often incidental

Dx- DH
Fecal float

Tx - IH
Amprolium

Px- px dogs, cats from eating raw meat, esp. carcasses
px contamination of IH feed/water w/ dog,cat feces
Sarcocystis

More pathogenic in dogs>cats
Isosporosis, Coccidiosis
"Cystoisospora"

DOG, CAT

Trsm: Fecal-oral from of SPORULATED OOCYST
+/- PH

PH - Rodent ingests Sporulated oocyst --> SPOROZOITES released in GIT: penetrate gut wall enter extra-intestinal cells, forms MONOZOIC CYST, sporozoite remains visible but does not develop); DH ingests rodent- SPOROZOITES released from Monozoic cyst & Initiates Merogony in IT

Location:
*UNSPORULATED CYSTS Shed in feces
Sporogony in *Environment
Merogony, Gameotogony: SI

Dz - Non-to Mild pathogenicity
-SEVERE ENTERITIS in Pups, Kittens
mucoid to bloody diarrhea....etc

**Kennels & Catteries*

Dx-
AM Dx: NONSPORUALTED OOCYSTS in feces
PM Dx: Asexual, Sexual stages in SI - mucosal scrapings, impression smears, histo

Tx- Sulfas; supportive

Control- Sanitation, *Postpartum tx of queen, bitch, *Prophylatic tx of ofspring
Isospora

2 sporocysts w/ 4 sporozoites
Two groups based on location:
1. Stomach
2. Intestine
Crytosprodidium
Neonatal Porcine Coccidiosis (NPC)

Trsm:
1. Sows- unlikely
2. Weanliings - poss
3 *Other Neonates
--> problem of farrowing/early nursery facilities

More prevalent during hot, humid summer

Pigs 7-10 d age!!!
Rarely affects pigs < 5 d

Path- Parasites multiply in SI epithelial cells; Cells destroyed; VILLOUS ATROPHY --> MALABSORPTIVE DIARRHEA

Clinical:
Diarrhea: Sudden onset @ 6-10 d; Variable (rarely bloody): steatorrhea, dehyrdation -> PD

Compenatory gain after recovery

NOTE: Not all pigs in litter affected at asme time

Dx: signalment; Non-responsive to antibiotics
AM Dx: Fecal float (useful onlny during PP); *Composite sample
PM Dx: Jejunum, Ileum: FIBRINONECROTIC MEMBRANE: Impression smear, wet mount, histo

Tx - None
Px- Sanitaiton

Coccidiosis always present waiting for slip-up in management so an outbreak of NPC can occur
Isospora suis
Intestinal Cryptosporidia

Cattle

Primarily YOUNG Calves
(Older likely C. bovis)

**Probably the MAIN ZOONITIC sp/subsp affecting PEOPLE!
(others: species-specific)
Cryptosporidium parvum genotype II
Develop in Enterrocyte Microvillous border

Merogony, Gametogony, Sporogony all occur w/in a single host! -> Eventually eliminated by the IMS if immunocompetant host

Sporogony w/in hosts: OOCYSTS IMMEDIATELY INFECTIVE to new host

Clinical - Calves
Diarrhea: watery to pasty; can develop Metabolic Acidosis; susceptibility

Enterc Cryptosporidium - Calves
signs can persist for several weeks: Auto- or re-infecitons
Uncomplicated crypto usually self-limiting: Recover as local immunity develops

Other animals:
Horse, Sm Rum- NEONATAL DIARRHEA; Older animal asyptomatic
Swine: Occas Mild Enteritis, *Weanlings
Cats, Dogs- UNCOMMON cause of Enteritis
Humans- GI flulike symptoms in host if immunocompetent; Protracted, poss death if not immunocompetent

AM Dx: Fecal float; stained fecal smear (not as sensitive - tend to collapse) Acid Fast, Carbol fuschin, Giemsa/Wright stain; IFA, ELISA
PM Dx: SI: Impression smears, histo
NOTE: Orgaisms rapidly sloughed along w/ IT mucosa --> promplty collect & preserve tissues

Tx- None; supportive
Px, control- Sanitation; Prophylatic drugs; Autogenous vacc;
Oocysts survival in environment destroyed by RAPID FREEZE-THAW; or EXPOSUREto >65oC FOR > 30 MIN
Can surive in 4oC fluid for several mos --> recreational wter outbreaks
Water purification systems often dont remove Cryptosporidium oocysts
C. parvum

Sporulated oocyst has 4 naked sporozoites

Tichk-sheled oocyts passed in feces
Thin-shelled = *Autoinfective
Equine Protozoal Myoencephalitis

DH: - narrow highly virulent
Horses: Aberrant, DEAD-END Hosts

Risk Factors:
Opossums, Woods, Health Stressors, Season (Fall), Horse pop, Rodents, Human pop

Clinical
-usually only CNS signs
Asymmetric spinal cord .esions/gisngs --> ataxia, weakness, spasticity, dysmetria, muscle atrophy, proprioceptive defects
Most often: Progressive asseymetric ataxia & focal muscle atrophy
Variability of signs due to spread of parasite via blood
EPM should

Lesions
- usually no gross or focal spoft discoloration areas of spinal cord; mutlifocal
Histo: may find parasite in various cell types of CNS & Inflammation

Dx- W blot of CSF for Abs; Immunoblot assay on CSF
False - occur early in course
False + (contamination CSF w/ blood, cross-rxn with other sarcocystis spp, Ab response of EPM vacc)

Tx- anti-protozoals
Prognosis-Tx success rate >60-75%, <30% return to original fxn

RELAPSES can occur mos after tx if drug is stopped

Px, control- keep out opossums, remove carcasses of IH, prophylaxis f antiprotozoals, monitor for early signs of EPM
Px, control
Sarcocystis neurona

Signs due to asexual multiplication in CNS & inflammatory response; variy w/ locaiton & severity; mimic other CNS sings
Neosporosis

DH: Canids
IH: Cattle + canids, goats, sheep, horses, deer, others

Trsm:
1. Horizontal - ingestion of SPORULATED OOCYSTS
Ingetions of tissues cysts w/ BRADYZOITES
2. Vertical (CONGENTIAL)- TRANSPLACENTAL transfer of TACHYZOITE from dam --> offspring: *Cattle, dogs

Cycle- Dog
-Intesinal merogony, gamteogony - enteric cycle ~ Toxo in cats
NONSPORULATED OOCYSTS shed in feces; Extra-intestinal asexual repro via TACHYZOITES; TRANSPLACENTAL

Cycle-IH
Extra-intestinal occurs in all hosts
SPOROZOITES or BRADYZOITES transform to TACHYZOITES & multiply rapidly; Infect cell types; SKIN liver, cns, MUSCLE, kidneys; Tachyzoites cause clinical signs; spread infection: tachyzoite --> bradyzoite - occurs as a result of host IMR;
Neospora caninum

thicker cyst compared to toxo
Bovine Neosporosis

Cattle

Major cause of ABORTION WW
Variable outcome: depends on time of gestation that infection occurs - fetal death & mummificaiton
Abortions ~ 5-6 mos; Stillbirths
*Birth of live calf: normal calf w/ congenital infection: CNS or muscular problems, calf often dies shortlly after birth

Clinical
Cow- asymptomatic but sero+: vertical trsm related to "reactivation" of parasite cysts during pregnancy; Conversion of BRADYZOITES --> TACHYZOITES; Transplcentral trsm of tachyzoits
***SUBSEQUNT PREGNANCIES OFEN AFFECTED!!!*** - typically endemic

Dx - clinical; non-suppurative necrosis in fetal brain, muscle, or placenta; Immunohistochem; Serology: many cows sero+ w/o infection

Other hosts-
88% Deer in IA Ab+
Goats, horses: aboritons ~ cattle
Camelids: serologic evidence of infection

Px, control - Bovine
Endemic problem - dont re-breed bitch of cow that has congenitally infected offspring; don't use female offspring of cows that have affected calves as replacements
ABORTION OUTBREAK: More likely due to trsm via contamination of FEED w/ OOCYSTS from CANID FECES
Nospora caninum
Canine Neosporosis

*Pups
Result of Congenitl infection - affects multiple pups/litter
Birtch asymptomactic

***SUCCESSIVE LITTERS FROM SAME BITCH CAN BE INFECTED***<--DDx Toxo

Clinical- begin as leg weakness, ataxia; progress to paralysis; hind legs affected often & most severely: develop rigid hyperextension; UMN paralysis & myositis --> contracture of leg (firbous CT) & joint fixation
OLDER DOGS: Related to parasite prsence in muscle: mysoitis, myocarditis, skin, cns; clinical dz less common in adults & more variable --- More likely to present w/ SKIN LESIONS

Dx- Hx, Clinical, Serology: IFA; Demonstrate parasite in tissues; Oocytes in feces
**NOTE: Dogs w/ CLINICAL Neosporosis ARE NOT SHEDDING OOCYSTS

Tx- Clinicaldamycin, Puyremethamine + slfadizine

TX STOPS PROGESSION BUT WONT REVERE HYPEREXT!
Neospora caninum
Vector, DH: Hematophagous invertebrates
May infecte RBCs
most spp that mammals infect LEUKOCYTES
Vertebrates become infected by ingesting an infected invertebrate
Hepatozoon spp
American Canine Hepatozoonosis (ACH)

Vector: Gulf Coast Tick
IH can be Canid
Geographic dist parallels aht of tick

Cycle-
Vector, DH: Zygote, Sprogony
IH: Merogony (in tissues) & Early gametogony in monocytes/mos

NATURALLY INFECT CYOTES IN TX, OK

Cycle- Vector
Tick takes up GAMONTS in monocytes/mos w/ blood SPORULATED OOCYSTS occur in HEMOCOEL

Cycle- IH
Infected by ingestion of tick containing oocysts; SPOROZOITE infects mos that may reside in any tissue: muscle, cardac; develop ONION SKIN CYSTS; MEROGONY w/in the CYST btw Muscles; GAMONTS develop in Monocytes

Clinical- Fever: due to result of MEROZOITE release--> intense local inflammatory systemic reaction; Myalgia; Myasthenia; Painful due to: Mysotiis & **Periostial bone proliferation; Wasting

Dx- Hx, clinical
RADIOGRAPHS: PERIOSTEAL EXTOSIS OF BONES
muscle biops: meronis & myositis; smear to detect gamonts; PCR/ELISA/IFA

Tx- Combo + NSAIDS for fever, pain; Remission of signs w/in 2 wks of tx: Relapsed in 6 mos meronts not clering from muscle --> + Decoquinate prolonged survival but meronts till present
***TX MAY RESOLVE OVERT DZ BUT NOT CURATIVE!!!**
Hepatozoon americanum

ONION SKIN CYSTSparasite in host cell surrounded by layers of mucopolysacch
Toxoplasmosis

DH: Felid
IH: Several mammals, birds
~30% humans have T. gondii infection

Cycle
1. Ingestion of SPORUALTED OOCYSTS from cat feces
2. Infection of BRADYZOITES from tissues cysts or TACHYZOITES
3. TRANSPLACENTALLY by TACHYZOITES

Cycle- DH
Merogony occurs in GI epithelium; *Gametogony occurs ONLY in FELINE GIT--> Only cat shed oocysts in their feces --> UNSPORULATED; sporulate over 15 d
Extraintestinal replication as TACHYZOITE in almost any body cell

Cycle- IH
ONLY EXTRA-INTESTINAL REPLICAITON as TACHYZOITES; Congenital infciton varies w/ spp

Tachyzoites --> Bradyzoites:
Inflenced by host IMR
Bradyzoites in cysts continue to multiply slowly: CYSTS PERSIST FOR LIFE of host; cyst wall can breadkdown & realease bradyzoites; TACHYZOITES usually ELIMINATED by host IMR; cancontinue to multiple & cause clinical signs in immunocompromised host

Clinical: varies w/ host species
Felids: asymptomatic; Kittens infected postweaning: maternal Ab levels decline, Bgin hunting --> ingest IH; cats usually shed oocysts only once in a lifetime following primary infection; tchyzoites cause necrosis & inflammation of multiple organ systems; EYES,lung, liver, git, heart, cns; Congenital infection: Can be fatal in kittens, Queen asymptomatic, uuncommon

Clinical- Dogs- UNCOMMON
- Young, immunocompromised

Clinical- Sm Ruminans
CONGENITAL INFECTIONS can result if infeciton during gestation; *Most common in ewes during first gestation
Adults generally asymptomatic - slight fecer; ooutcome varies w/ stage of gestation & severity of infection: early embryonic deat, fetal death & abortion: placental necrosis confined to COTYLEDONS =Sm WHITE MINERALIZED PLAQUES, CHALKY WHITE NODULES; still birth; birth of weak offspring; birh of congenitally infected normal offspring

Clinica; - Swine
NEONATAL INFECTION acquired AFTE BIRTH vs congenital: generalized weakness, anorexia, depresison, fever, resp

Clinical- Cattle, Horses, Camelids - Rx
Clinical dz RARE

Clinical - Humans
Immunocompetant adults: flu-like syndrome; fever, hadache, weakness, muscle aches, lymphadenopathy
CONGENITAL INFECTIONS <-ZOONOSIS
Immunocompromised- *Encephaltiis (brain cysts!??)


Takes at least 24 hrs for oocysts to become infective --> change litter box every 48 hrs

Dx-
Felids: Fecal float
Detect extra-intestinal tachyzoites or cysts w/ bradyzoites: Serology? = IgM response &/or rising titer

Sm Ruminants- Reproductive loss, gross lesions, *Anti-toxoplasma ABS n FETAL FLUIDS: False - = poss early infection; detectin Ab in dam serum = little value; Histopat of FETAL BRAIN +/ Placenta

Tx- Expensive! --> SA only
Pyremethamine Clindamycin: Active agst TACHYZOITES; supportive

Px, control- gloves w/ raw meat (lamb, chevron, pork); avoid unpasteurized goat milk

Px- Humans- litter boxes, boil oocysts wash hands, gloves when gardening

Px- cats - px hunting - keep indoores; feed commercial cat food - now raw meat; litter box

Px Sm Rum- decr exposure of gestating ewes to oocysts --> keep cats out of feed sources; keep neutered cats; minimize hunting --> commercial diet; expose ewe lambs to oocyts prior to pregnancy; keep older ewes; FEED MONENSIN during GESTATION
Toxoplasma gondii
Sarcodina
Amoeboids
Mastigophora
Flagellates
ookinete
Order Haemosporidia, Piroplasma
hemocoel (tick)
Order Hepatozoidae, Plasmodium
Sporocysts/Sproualted oocysts IMMEDIATELY INFECTIVE
Giardia

Cryptosporidia (parvum)
Sarcocystis
sporogony within host
C. parvum
Environmental sporulation
Eimeria, Isospora
Lack Cyst stage (only trophozoites)
Kinetoplasta, Trichomonadidia
***Spironucleus

also Adeleorina (Hepatozoidae), Hemosporoida, Prioplasmids
"Assemblages"
Giardia
Monozoic cyst
(formed by sporozoite in PH)
Isospora
Megaloshizonts
Leucocytozoon
Premunition; Passive immunity
Babesia
Intra- & Extra-vascular hemolysis
Babesia
LACKS SCHIZOGONY;

sprozoites innoculated; infect RBCs; develop into piroplasma, replicate into merzoites
Babesia
can be salivary oor *trans-ovarial in tick
Babesia
Periosteal extosis of bones;
Onion skin cysts
Hepatozoon ameicanum
Infect primarily: Skin, Muscle
Form cysts primarily in: CNS, Retina
Neospora caninum
Vascular Phase & Muscular Phase
Sarcocystis
Micropyle
Eimeria
Pig: Fibrinonecrotic membrane
Isospora suis
Chicks: 2-6 wks; Cecal core
Eimeria tenella
Chickens: Lower SI: Small white foci
Eimeria necatrix
"Childhood dz"
Coccidiosis
Cats: Large Bowel Diarrhea
Tritrichomonas foetus
Turkey poults (3-12 wks): "Infectious Enterohepatitis"

= Liver & Cecal lesions
Histomonas meleagridis
Turkey poults: "Infectious Cararrhal Enteritis

SI nodular ballooning, Excess fluid
*Duodenum
Spironucleus meleagridis
"Purple Burps", "Beaver Fever"
Giardia
Most common *Human intestinal parasite
Giardia
ventral sucking disk on trophozoites
Giardia
Urticarial Cutaneous Plaques
Trypanosoma equiperdum
"Surra"
Trypanosoma evansi
VSG
Trypanosoma salivaria (pathogens)
Dilated Cardiomyopathy
Trypanosoma cruzi
"Chagas Dz"
Trypanosoma cruzi
Primary Amoebic Memingioencephalitis (PAM)

Hemorrahgic Necrotizing ME

FATAL
Naegleri fowleri
Trophozoites enter NASAL CAVITY
Naegleri fowler
Swine: Trophozoites in COLON Lumen
Balantidium coli (suis)
Tomites
Ichthyophthirius multifiliis
"bulls eye"
Acanthamoeba
Dogs: Pneumonia & ME

Chronic Granulomatous Inflammation
Acanthamoeba

(Respiratory & CNS)

Epizootic in Greyhounds
Humans: Chronic Keratits & Granulomatous Amoebic Encephaltiits (GAE)
Acanthamoeba
Reptilian Amoebiasis
Entamoeba invades
Ulcerations in GIT

Possible peritonitis Amoebic abscesssis
Entamoeba histolytica
"cartwheel"
Entamoeba histolytica
Primarily transmitted from humans to pets
Entamoeba histiolytica
Increased IgM, IgG --> Circulating Immune Complexes contributing to:
GN, vascultiis, polyarthritis

nodular, ulcerated lesions w/ secondary infecton
Lishmainia

Foxhounds
VH, DH: Zygote Sporogony

IH: Merogony, Gametogony
Hepatozoon americanum
Normochornic, Noromcytic anemia
+ Leukopenia, Lymphocytopenia, Thrombocytopenia
Cytauxzoon
Chickens asymptomatic carriers
Histomonas meleagridis
Kennels, Catteries
Giarida, Isospora
Severe Enteritis in Pups, Kittens
Isospora


Prophyxlaxisl; Post-partum tx of dam
Metacyclics
Trypanosoma cruzi