anaplasmosis poster

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Introduc)on Acknowledgements References T.B. Hairgrove, D.V.M. and P.D. Teel, Ph.D. Funding provided by Na<onal Center for Foreign Animal and Zoono<c Disease Defense Anaplasmosis: Zoono<c Disease of Regional Concern B. Flores and R. L. Stanko Department of Animal, Rangeland, and Wildlife Sciences Texas A&M UniversityKingsville Signs and Symptoms Diagnos)c Tests Treatment Anaplasmosis is a disease caused by several species of bacteria of the genus Anaplasma which in transferred from host to host via the bite of a <ck (ADLF, 2010 ). The focus of this study is on the bacteria Anaplasma phagocytophilum. Anaplasma phagocytophilum is a zoono<c pathogen that affects livestock, and both companion and wild animals such as caXle, deer, horses, llamas, and mice (Ogden et al., 1998). Furthermore, an emphasis is made on the presence of this pathogen in livestock species in the United States. Presence of this pathogen in U.S. livestock herds has been aXributed to the <ck vectors lxodes scapularis (Figure 1) as well as Ixodes pacificus (Maurin et al., 2003). Anaplasmosis diseases caused by A. phagocytophilum are Human Granulocy<c Ehrlichiosis Equine Granulocy<c Ehrlichiosis Tickborne Fever which affects ruminants such as sheep and caXle •ALDF. 2010. Other TickBorne Diseases. American Lyme Disease Founda<on, Inc. Available: hXp://www.aldf.com/Anaplasmosis.shtml. Accessed: March 9, 2011. •CFSPH. 2005. Ehrlichiosis. Center for Food Security and Public Health. Available: hXp://www.cfsph.iastate.edu/Factsheets/pdfs/ehrlichiosis.pdf. Accessed: February 8, 2011. •LOPHIDES. 2009. Ehrlichiosis/Anaplasmosis. Louisiana Office of Public HealthInfec<ous Disease Epidemiology Sec<on. Available: hXp:// www.dhh.louisiana.gov/offices/miscdocs/docs249/Manual/ EhrlichiosisManual.pdf. Accessed: March 9, 2011. •Maurin, M., J.S. Bakken and J.S. Dulmer. 2003. An<bio<c suscep<bili<r4es o Anaplasma (Ehrlichia) phagocytophilum strains from various geographic areas in the United States. An<microbial Agents and Chemotherapy. 47: 413415. •Ogden, N.H., Z. Woldehiwet and C.A. Hart. 1998. Granulocy<c ehrlichiosis: an emerging or rediscovered <ckborne disease? Journal of Medical Microbiology. 47: 475482. •Tate, C.M., D.G. Mead, M.P. LuXrell, E.W. Hawerth, V.G. Dugan. U.G. Munderloh and W.R. Davidson. 2005. Experimental infec<on of white tail deer with Anaplasma phagocytophilum e<ologic agent of Human Granulocy<c Anaplasmosis. Journal of Clinical Microbiology. 43:35953601. Human Granulocy)c Anaplasmosis (CFSPH, 2005). Common Severe symptoms include Headache Fever Malaise Chills, Muscle aches Nausea Equine Granulocy)c Anaplasmosis (CFSPH, 2005). Fever Decreased appe<te Ataxia Depression Icterus Petechia<on Tickborne Fever (CFSPH, 2005). CaBle Sheep Deer Depression, Anorexia, Decreased milk produc<on Respiratory dryness Abor<ons Reduced semen quality •The performance of an Indirect Fluorescent An<body (IFA) assay to detect an<bodies against A. phagocytophilum. •The use of a Polymerase Chain Reac<on (PCR) assay to detect A. phagocytophilum DNA. •The detec<on of A. phagocytophilum in blood leukocytes when stained and viewed under a microscope (Figure 2). (LOPHIDES, 2009) A. phagocytophilum infec<on may be treated with the an<bio<c doxycycline (LOPHIDES, 2009). Research has also shown that rifampin may be an effec<ve alterna<ve for pregnant women since doxycycline may cause bone toxicity for the unborn child (Maurin et al., 2003). Preven)on Prevent or Minimize Exposure to Ticks •Wear protec<ve clothing when hun<ng or when in habitats where <cks are prevalent •Use <ck preventa<ve products on livestock, companion animals, and around buildings/facili<es where these animals are kept Livestock and pets may be treated with Acaricides (Figure 4) (CFSPH, 2005) Conjunc<vi<s Joint pain Coughing Confusion Rash in some cases Vomi<ng Diarrhea Abdominal pain Anorexia Photophobia Kidney failure Respiratory distress Opportunis<c Infec<ons Hemorrhages Cardiomyopathy Mul<ple organ failure Meningoencephali<s Seizures Coma Reluctance to move distal limb Edema Transient ventricular arrhythmias Fever Weight loss Listlessness Coughing Increased respiratory rate Increased pulse rate Abor<on Reduced semen quality Decreased feed intake Depression Reluctance to move (Tate et al., 2005) Ixodes scapularis Adult Female Adult Male Nymph A. phagocytophilum morula ( cell grouping) Neutrophil (white blood cell) red blood cell Figure 3. Photograph of a <ck infested deer in Millburn Township, NJ Millburn Township Deer Management Task Force hXp://twp.millburn.nj.us/Viewdocument/65DeerTaskForce WrightGiemsa blood smear/stain 1000X magnifica<on Figure 4. An example of a commercially available acaricide for use in livestock and companion animals. Figure 5. Equine Doxycycline Oral Suspension Rood Riddle Veterinary Pharmacy http://www.rrvp.com Figure 1. Size and appearance of adult female and male, and nymph lxodes scapularis. (by Taina Litwak, CMI, CDC) Figure 2. Human blood cells stained with Wright Giemsa at 1000x magnifica<on. Normal red blood cells and a neutrophil carrying a A. phogocytophilum morula. Auburn University College of Veterinary Medicine. hBp://www.vetmed.auburn.edu/anaplasmosis_canine/feline (CFSH, 2005)

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Page 1: Anaplasmosis poster

Introduc)on    

Acknowledgements  

References  

T.B.  Hairgrove,  D.V.M.  and  P.D.  Teel,  Ph.D.  Funding  provided  by  Na<onal  Center  for  Foreign  Animal  and  Zoono<c  Disease  Defense  

Anaplasmosis:  Zoono<c  Disease  of  Regional  Concern  

B.  Flores  and  R.  L.  Stanko  Department  of  Animal,  Rangeland,  and  Wildlife  Sciences  

Texas  A&M  University-­‐Kingsville  

Signs  and  Symptoms  

Diagnos)c  Tests  

Treatment  

Anaplasmosis  is  a  disease  caused  by  several  species  of  bacteria  of    the  genus  Anaplasma  which  in  transferred  from  host  to  host  via  the  bite  of  a  <ck  (ADLF,  2010  ).    The  focus  of  this  study  is  on  the  bacteria  Anaplasma  phagocytophilum.    Anaplasma  phagocytophilum  is  a  zoono<c  pathogen  that  affects  livestock,    and  both  companion  and  wild  animals  such  as  caXle,  deer,  horses,  llamas,  and  mice  (Ogden  et  al.,  1998).    Furthermore,  an  emphasis  is  made  on  the  presence  of  this  pathogen  in  livestock  species  in  the  United  States.  Presence  of  this  pathogen  in  U.S.  livestock  herds  has  been  aXributed  to  the  <ck  vectors    lxodes  scapularis  (Figure  1)  as  well  as  Ixodes  pacificus  (Maurin  et  al.,  2003).    Anaplasmosis  diseases  caused  by  A.  phagocytophilum  are    

• Human  Granulocy<c  Ehrlichiosis  

• Equine  Granulocy<c  Ehrlichiosis    

• Tick-­‐borne  Fever  which  affects  ruminants  such  as  sheep  and  caXle

• ALDF.    2010.    Other  Tick-­‐Borne  Diseases.    American  Lyme  Disease  Founda<on,  Inc.    Available:    hXp://www.aldf.com/Anaplasmosis.shtml.    Accessed:    March  9,  2011.  

• CFSPH.  2005.    Ehrlichiosis.    Center  for  Food  Security  and  Public  Health.    Available:    hXp://www.cfsph.iastate.edu/Factsheets/pdfs/ehrlichiosis.pdf.    Accessed:    February  8,  2011.                  

• LOPH-­‐IDES.    2009.    Ehrlichiosis/Anaplasmosis.    Louisiana  Office  of  Public  Health-­‐Infec<ous  Disease  Epidemiology  Sec<on.    Available:    hXp://www.dhh.louisiana.gov/offices/miscdocs/docs-­‐249/Manual/EhrlichiosisManual.pdf.    Accessed:    March  9,  2011.  

• Maurin,  M.,  J.S.  Bakken  and  J.S.  Dulmer.    2003.    An<bio<c  suscep<bili<r4es  o  Anaplasma  (Ehrlichia)  phagocytophilum  strains  from  various  geographic  areas  in  the  United  States.    An<microbial  Agents  and  Chemotherapy.    47:    413-­‐415.  

• Ogden,  N.H.,  Z.  Woldehiwet  and  C.A.  Hart.    1998.    Granulocy<c  ehrlichiosis:    an  emerging  or  rediscovered  <ck-­‐borne  disease?    Journal  of  Medical  Microbiology.    47:    475-­‐482.  

• Tate,  C.M.,  D.G.  Mead,  M.P.  LuXrell,  E.W.  Hawerth,  V.G.  Dugan.  U.G.  Munderloh  and  W.R.  Davidson.    2005.    Experimental  infec<on  of  white  tail  deer  with  Anaplasma  phagocytophilum  e<ologic  agent  of  Human  Granulocy<c    Anaplasmosis.    Journal  of  Clinical  Microbiology.    43:3595-­‐3601.      

                                                                                                                                               Human  Granulocy)c  Anaplasmosis  (CFSPH,  2005).                                                                        Common                                                                                                                                                              Severe  symptoms  include    • Headache    • Fever  • Malaise  • Chills,  • Muscle  aches  • Nausea                  Equine  Granulocy)c  Anaplasmosis  (CFSPH,  2005).  • Fever  • Decreased  appe<te  •   Ataxia  •   Depression  •   Icterus  • Petechia<on                                                                                                                                                Tick-­‐borne  Fever  (CFSPH,  2005).                                        CaBle                                                                                                  Sheep                                                                                                                                                              Deer      • Depression,  • Anorexia,  • Decreased  milk  produc<on  • Respiratory  dryness  • Abor<ons  • Reduced  semen  quality    

• The  performance  of  an  Indirect  Fluorescent  An<body  (IFA)  assay  to  detect  an<bodies  against  A.  phagocytophilum.  

• The  use  of  a  Polymerase  Chain  Reac<on  (PCR)  assay  to  detect  A.  phagocytophilum  DNA.    

• The  detec<on  of  A.  phagocytophilum  in  blood  leukocytes  when  stained  and  viewed  under  a  microscope  (Figure  2).  

(LOPH-­‐IDES,  2009)  

A.  phagocytophilum  infec<on  may  be  treated  with  the  an<bio<c  doxycycline  (LOPH-­‐IDES,  2009).    

   

 

 

 

Research  has  also  shown  that  rifampin  may  be  an  effec<ve  alterna<ve  for  pregnant  women  since  doxycycline  may  cause  bone  toxicity  for  the  unborn  child  (Maurin  et  al.,  2003).  

Preven)on  

Prevent or Minimize Exposure to Ticks

• Wear  protec<ve  clothing  when  hun<ng  or  when  in  habitats  where  <cks  are  prevalent  

• Use  <ck  preventa<ve  products  on  livestock,  companion  animals,  and  around  buildings/facili<es  where  these  animals  are  kept    

•   Livestock  and  pets  may  be  treated  with  Acaricides  (Figure  4)      

(CFSPH,  2005)

• Conjunc<vi<s  • Joint  pain  •   Coughing  • Confusion    • Rash  in  some  cases  

• Vomi<ng  • Diarrhea    • Abdominal  pain  • Anorexia  • Photophobia  

• Kidney  failure  • Respiratory    distress  • Opportunis<c  Infec<ons  • Hemorrhages

• Cardiomyopathy  •   Mul<ple  organ  failure  • Meningoencephali<s  •   Seizures  • Coma

• Reluctance  to  move      distal  limb  •   Edema  • Transient  ventricular        arrhythmias  

• Fever    • Weight  loss  • Listlessness  • Coughing

• Increased  respiratory  rate  •   Increased  pulse  rate  •   Abor<on    • Reduced  semen  quality

• Decreased  feed  intake  • Depression  • Reluctance  to  move      (Tate  et  al.,  2005)  

Ixodes  scapularis

Adult  Female

Adult    Male

Nymph

A.  phagocytophilum  morula    (  cell  grouping)

Neutrophil  (white  blood  cell)

red  blood  cell

Figure  3.    Photograph  of  a  <ck  infested  deer  in  Millburn  Township,  NJ  Millburn  Township  Deer  Management  Task  Force    

hXp://twp.millburn.nj.us/View-­‐document/65-­‐Deer-­‐Task-­‐Force  

Wright-­‐Giemsa  blood  smear/stain  1000X  magnifica<on

Figure  4.    An  example  of  a  commercially  available  acaricide  for  use  in  livestock  and  companion  animals.  

Figure  5.    Equine Doxycycline Oral Suspension Rood Riddle Veterinary Pharmacy

http://www.rrvp.com

Figure  1.    Size  and  appearance  of  adult  female  and  male,  and  nymph    lxodes  scapularis.    (by  Taina  Litwak,  CMI,  CDC)  

Figure  2.  Human  blood  cells  stained  with  Wright-­‐Giemsa  at  1000x  magnifica<on.    Normal  red  blood  cells  and  a  neutrophil  carrying  a    A.  phogocytophilum  morula.      

Auburn  University  College  of  Veterinary  Medicine.    hBp://www.vetmed.auburn.edu/anaplasmosis_canine/feline  

(CFSH,  2005)