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Parasitic diseases (2)
EQUINE
Dr. Munguti E.M
A.H.I.T.I NDOMBA
Habronemiasis (“summer sores”)
 It occurs as a result of nematode
infestation of the skin and typically
manifests as granulomatous erosions
and/or masses.
 Its caused by;
 Habronema muscae,
 Habronema majus (H. microstoma) and
 Draschia megastoma
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 2
Clinical findings
 1) Conjunctival Habronemiasis
 produces granulomatous lesions caused by
invasion by Habronema larvae occurring on
the third eyelid, the eyelid proper, or on the
conjunctiva of the medial canthus.
 Excessive tearing and squinting often
accompany these lesions
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 3
2) Cutaneous Habronemiasis
 Manifested by granulomatous lesions caused
by the invasion of skin wounds or excoriations
by the larvae of Habronema spp. and
Draschia megastoma
 Presents as ulcerative skin nodules in the
spring and summer, with regression in winter
months
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 4
Effects.
 Commonly affected areas include legs, penis,
preputial sheath, eyes, and any open skin
wounds.
 Geldings and stallions that have infestation of
the penis or sheath may exhibit dysuria
(difficulty urinating).
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 5
Clinical signs.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 6
3) Gastric Habronemiasis
 Causes large granulomatous masses in the
stomach mucosa due to the invasion of
Draschia megastoma larvae.
 These lesions usually go unnoticed (i.e. are
sub-clinical) until stomach wall perforation
occurs
 The larvae of H. Majus and H. Muscae only
cause mild gastritis
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 7
Lifecycle.
 Common house flies and stable flies are
intermediate hosts for these parasites & ingest &
harbour the larval stages
 the immature larval stages are deposited into
the skin while biting or around the muzzle,
thereby facilitating ingestion by the horse.
 Adult stages of the nematode live in the stomach
and produce larvae which are subsequently
passed in manure
 larvae in the manure are ingested by maggots
(immature flies).
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 8
Diagnosis.
 based on the clinical appearance of the
lesions.
 Pruritis (itchiness), swelling and excessive
granulation are typically evident and occur
secondary to the horse’s own immune
hypersensitivity to the larvae.
 In many cases, tiny yellow granules are
visible within the granulomatous reaction(s).
 Biopsy is required to make a definitive
diagnosis
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 9
TREATMENT
 1) Ivermectin; one full dose orally repeated 2
weeks later.
 2) Topical and/or Systemic Steroid Therapy to
reduce swelling, granulation, and pain.
 3) Fly Control. (fly repellents, fly strips and fly
masks/sheets, particularly those that cover the
underside of the belly).
 4) Topical Wound Care. Using a thick ointment
to cover open wounds may help to discourage
flies from landing and depositing larvae into the
tissue.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 10
Hair Worms
(Trichostrongylus axei, Stomach Hair Worms)
 Effects: Hair worms in small numbers usually
do not cause the horse any medical
problems, but a heavy worm burden can lead
to watery diarrhea and severe weight loss.
 Control:
 Ivermectin-based wormer for broad-spectrum
control
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 11
Threadworms
(Strongyloides, Strongyloides westerii)
 Life Cycle: Mostly a concern in foals, larvae
are ingested in the mare's milk or by
threadworm larvae present in the bedding,
which can penetrate the foal's skin.
 Larvae migrate through the lungs and small
intestine.
 Effects: The main effect is diarrhoea.
 Control: An Ivermectin-based wormer
 Foals become immune by 3 months
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 12
Onchocercosis
 O. cervicalis is found in the ligamentum
nuchae and possibly other sites in Equidae.
 Adults are associated with connective tissues;
they are very thin and 3–60 cm long.
 Microfilariae are found in the dermis and on
rare occasions circulating in peripheral blood.
 Culicoides spp are the intermediate hosts for
O cervicalis,
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 13
Clinical Findings
 O. cervicalis has been associated with
fistulous withers, poll evil, dermatitis, and
uveitis in horses.
 Adults in the ligamentum nuchae induce
inflammatory reactions ranging from acute
oedematous necrosis to chronic
granulomatous changes, resulting in marked
fibrosis and mineralization.
 Mineralized nodules are more common in
older horses
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 14
Cl/s,…
 Microfilariae concentrate in the skin of the ventral
midline
 Large numbers can be found in horses without
dermatitis as well as in horses with dermatitis of
the face, neck, chest, withers, forelegs, and
abdomen.
 Lesions may be pruritic and often include areas
of scale, crusts, ulceration, alopecia, and de-
pigmentation.
 dermatitis may be due to immunologic reaction to
dead and dying microfilariae.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 15
Diagnosis
 The most effective method of diagnosis is by
skin biopsy, preferably a full-thickness biopsy
≥6 mm.
 The tissue is minced and macerated in
isotonic saline for several hours.
 Microfilariae are concentrated and stained
with new methylene blue after removal of skin
pieces
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 16
Treatment
 No treatment is effective against the adults.
 Ivermectin (200 mcg/kg) and
 moxidectin (400 mcg/kg) are efficacious
(>99%) against microfilariae
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 17
Ascarids in horses
 Parascaris equorum, the horse roundworm, is
a very large yellowish white parasite that may
pass out in the feces of foals and young
horses.
 Typically, adult horses develop an immunity
to this parasite; therefore, roundworms
primarily infect young horses less than 2
years of age.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 18
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 19
Clinical signs.
 Include unthriftiness, potbelly, rough hair coat,
and slow growth.
 Some young horses develop nasal discharge
accompanied by a cough as a result of larvae
migration.
 Physical damage, such as inflammation and
scarring of liver and lung tissue, occur in the
horse during migration.
 Adult roundworms can cause physical damage
due to intestinal blockage or intestinal rupture.
 The damage ranges from mild digestive upset
and lower feed absorption to severe colic.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 20
Strongyles in horses
 The three primary species of large strongyles
that infect the horse are;
 Strongylus vulgaris,
 Strongylus endentatus, and
 Strongylus equinus.
 The adult form of all strongyles (large or
small) live in the large intestine.
 The larvae of large strongyles migrate through
various parts of the body
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 21
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 22
Pathology.
 S. vulgaris, (the bloodworm), will burrow into
and migrate in the walls of the arteries that
are the primary blood supplier to the small
and large intestines.
 Migration can result in the formation of blood
clots, which can disrupt the blood flow to the
intestines and cause scar tissue formation in
affected arteries.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 23
 Strongylus endentatus and Strongylus
equinus larval migration is primarily through
the liver.
 This migration results in damage to the liver
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 24
Stomach bots in horses
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 25
Stomach bots
 are not worms but, the larvae of the botfly,
Gasterophilus.
 Female botflies lay their eggs by attaching
them to the hairs of the horse.
 Gasterophilus nasalis lay between the jaw
bones.
 Gasterophilus hemorrhoidalis lay on the short
hairs of the lip.
 Gasterophilus intestinalis lay their eggs on
the forelimb and shoulder.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 26
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 27
Pathology
 Effects: Although bots can cause damage to
the tissue of the horse's mouth and intestinal
tract, most horses do not show signs of
serious diseases from bots.
 However, very large numbers of bots have
been associated with gastric ulcers.
 Control: Use an Ivermectin-based wormer
for broad-spectrum control.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 28
Tapeworms (cestodes)
 Life Cycle:
 require an intermediate host to mature.
 Tapeworm eggs are ingested by a tiny mite
called the orabatid mite that lives on the grass in
pastures.
 Horses ingest the mites while they graze.
 Inside the horse, the tapeworm eggs mature in
6-10 weeks into adult tapeworms that attach to
the intestinal lining, where they absorb nutrients.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 29
Effects:
 Tapeworm infestations can lead to colic,
rough hair coat, slow growth, and other
conditions due to nutrient deficiencies.
 In addition, heavy tapeworm infestation is
considered to be a significant cause of colic.
 Control: regular use of an Ivermectin-based
wormer for broad-spectrum control is
combined with a specialized wormer
containing pyrantel pamoate.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 30
Lungworms (Dictyocaulus arnfieldi)
 Life Cycle: Larvae are ingested while
grazing.
 They then migrate through the body to the
lungs where they mature into adults and lay
eggs
 Effects: Horses with lungworms may show
coughing or respiratory problems, especially
when exercising.
 Control: Frequent deworming is important.
Use an Ivermectin-based wormer for broad-
spectrum control.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 31
Pinworms (Oxyuris equi)
 Life Cycle: Female pinworms lay their eggs in
the skin around the horse's anus where they are
often rubbed off onto the ground.
 They are then eaten by a horse and the life cycle
repeats.
 Effects:
 The egg masses are extremely itchy.
 Horses with pinworm infections will sometimes
rub their tails until all the hair is pulled off.
 Adult pinworms may be seen around the anal
area, along with a clear discharge.
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 32
Control.
 Ivermectin, fenbendazole, pyrantel pamoate,
 piperazine, moxidectin, and praziquantel can
help control pinworms
28/12/2023 Munguti/DIPL2/VRD& PARA DSES 33

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60 Parasitic diseases (2).pptx

  • 1. Parasitic diseases (2) EQUINE Dr. Munguti E.M A.H.I.T.I NDOMBA
  • 2. Habronemiasis (“summer sores”)  It occurs as a result of nematode infestation of the skin and typically manifests as granulomatous erosions and/or masses.  Its caused by;  Habronema muscae,  Habronema majus (H. microstoma) and  Draschia megastoma 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 2
  • 3. Clinical findings  1) Conjunctival Habronemiasis  produces granulomatous lesions caused by invasion by Habronema larvae occurring on the third eyelid, the eyelid proper, or on the conjunctiva of the medial canthus.  Excessive tearing and squinting often accompany these lesions 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 3
  • 4. 2) Cutaneous Habronemiasis  Manifested by granulomatous lesions caused by the invasion of skin wounds or excoriations by the larvae of Habronema spp. and Draschia megastoma  Presents as ulcerative skin nodules in the spring and summer, with regression in winter months 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 4
  • 5. Effects.  Commonly affected areas include legs, penis, preputial sheath, eyes, and any open skin wounds.  Geldings and stallions that have infestation of the penis or sheath may exhibit dysuria (difficulty urinating). 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 5
  • 7. 3) Gastric Habronemiasis  Causes large granulomatous masses in the stomach mucosa due to the invasion of Draschia megastoma larvae.  These lesions usually go unnoticed (i.e. are sub-clinical) until stomach wall perforation occurs  The larvae of H. Majus and H. Muscae only cause mild gastritis 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 7
  • 8. Lifecycle.  Common house flies and stable flies are intermediate hosts for these parasites & ingest & harbour the larval stages  the immature larval stages are deposited into the skin while biting or around the muzzle, thereby facilitating ingestion by the horse.  Adult stages of the nematode live in the stomach and produce larvae which are subsequently passed in manure  larvae in the manure are ingested by maggots (immature flies). 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 8
  • 9. Diagnosis.  based on the clinical appearance of the lesions.  Pruritis (itchiness), swelling and excessive granulation are typically evident and occur secondary to the horse’s own immune hypersensitivity to the larvae.  In many cases, tiny yellow granules are visible within the granulomatous reaction(s).  Biopsy is required to make a definitive diagnosis 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 9
  • 10. TREATMENT  1) Ivermectin; one full dose orally repeated 2 weeks later.  2) Topical and/or Systemic Steroid Therapy to reduce swelling, granulation, and pain.  3) Fly Control. (fly repellents, fly strips and fly masks/sheets, particularly those that cover the underside of the belly).  4) Topical Wound Care. Using a thick ointment to cover open wounds may help to discourage flies from landing and depositing larvae into the tissue. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 10
  • 11. Hair Worms (Trichostrongylus axei, Stomach Hair Worms)  Effects: Hair worms in small numbers usually do not cause the horse any medical problems, but a heavy worm burden can lead to watery diarrhea and severe weight loss.  Control:  Ivermectin-based wormer for broad-spectrum control 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 11
  • 12. Threadworms (Strongyloides, Strongyloides westerii)  Life Cycle: Mostly a concern in foals, larvae are ingested in the mare's milk or by threadworm larvae present in the bedding, which can penetrate the foal's skin.  Larvae migrate through the lungs and small intestine.  Effects: The main effect is diarrhoea.  Control: An Ivermectin-based wormer  Foals become immune by 3 months 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 12
  • 13. Onchocercosis  O. cervicalis is found in the ligamentum nuchae and possibly other sites in Equidae.  Adults are associated with connective tissues; they are very thin and 3–60 cm long.  Microfilariae are found in the dermis and on rare occasions circulating in peripheral blood.  Culicoides spp are the intermediate hosts for O cervicalis, 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 13
  • 14. Clinical Findings  O. cervicalis has been associated with fistulous withers, poll evil, dermatitis, and uveitis in horses.  Adults in the ligamentum nuchae induce inflammatory reactions ranging from acute oedematous necrosis to chronic granulomatous changes, resulting in marked fibrosis and mineralization.  Mineralized nodules are more common in older horses 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 14
  • 15. Cl/s,…  Microfilariae concentrate in the skin of the ventral midline  Large numbers can be found in horses without dermatitis as well as in horses with dermatitis of the face, neck, chest, withers, forelegs, and abdomen.  Lesions may be pruritic and often include areas of scale, crusts, ulceration, alopecia, and de- pigmentation.  dermatitis may be due to immunologic reaction to dead and dying microfilariae. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 15
  • 16. Diagnosis  The most effective method of diagnosis is by skin biopsy, preferably a full-thickness biopsy ≥6 mm.  The tissue is minced and macerated in isotonic saline for several hours.  Microfilariae are concentrated and stained with new methylene blue after removal of skin pieces 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 16
  • 17. Treatment  No treatment is effective against the adults.  Ivermectin (200 mcg/kg) and  moxidectin (400 mcg/kg) are efficacious (>99%) against microfilariae 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 17
  • 18. Ascarids in horses  Parascaris equorum, the horse roundworm, is a very large yellowish white parasite that may pass out in the feces of foals and young horses.  Typically, adult horses develop an immunity to this parasite; therefore, roundworms primarily infect young horses less than 2 years of age. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 18
  • 20. Clinical signs.  Include unthriftiness, potbelly, rough hair coat, and slow growth.  Some young horses develop nasal discharge accompanied by a cough as a result of larvae migration.  Physical damage, such as inflammation and scarring of liver and lung tissue, occur in the horse during migration.  Adult roundworms can cause physical damage due to intestinal blockage or intestinal rupture.  The damage ranges from mild digestive upset and lower feed absorption to severe colic. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 20
  • 21. Strongyles in horses  The three primary species of large strongyles that infect the horse are;  Strongylus vulgaris,  Strongylus endentatus, and  Strongylus equinus.  The adult form of all strongyles (large or small) live in the large intestine.  The larvae of large strongyles migrate through various parts of the body 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 21
  • 23. Pathology.  S. vulgaris, (the bloodworm), will burrow into and migrate in the walls of the arteries that are the primary blood supplier to the small and large intestines.  Migration can result in the formation of blood clots, which can disrupt the blood flow to the intestines and cause scar tissue formation in affected arteries. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 23
  • 24.  Strongylus endentatus and Strongylus equinus larval migration is primarily through the liver.  This migration results in damage to the liver 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 24
  • 25. Stomach bots in horses 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 25
  • 26. Stomach bots  are not worms but, the larvae of the botfly, Gasterophilus.  Female botflies lay their eggs by attaching them to the hairs of the horse.  Gasterophilus nasalis lay between the jaw bones.  Gasterophilus hemorrhoidalis lay on the short hairs of the lip.  Gasterophilus intestinalis lay their eggs on the forelimb and shoulder. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 26
  • 28. Pathology  Effects: Although bots can cause damage to the tissue of the horse's mouth and intestinal tract, most horses do not show signs of serious diseases from bots.  However, very large numbers of bots have been associated with gastric ulcers.  Control: Use an Ivermectin-based wormer for broad-spectrum control. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 28
  • 29. Tapeworms (cestodes)  Life Cycle:  require an intermediate host to mature.  Tapeworm eggs are ingested by a tiny mite called the orabatid mite that lives on the grass in pastures.  Horses ingest the mites while they graze.  Inside the horse, the tapeworm eggs mature in 6-10 weeks into adult tapeworms that attach to the intestinal lining, where they absorb nutrients. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 29
  • 30. Effects:  Tapeworm infestations can lead to colic, rough hair coat, slow growth, and other conditions due to nutrient deficiencies.  In addition, heavy tapeworm infestation is considered to be a significant cause of colic.  Control: regular use of an Ivermectin-based wormer for broad-spectrum control is combined with a specialized wormer containing pyrantel pamoate. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 30
  • 31. Lungworms (Dictyocaulus arnfieldi)  Life Cycle: Larvae are ingested while grazing.  They then migrate through the body to the lungs where they mature into adults and lay eggs  Effects: Horses with lungworms may show coughing or respiratory problems, especially when exercising.  Control: Frequent deworming is important. Use an Ivermectin-based wormer for broad- spectrum control. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 31
  • 32. Pinworms (Oxyuris equi)  Life Cycle: Female pinworms lay their eggs in the skin around the horse's anus where they are often rubbed off onto the ground.  They are then eaten by a horse and the life cycle repeats.  Effects:  The egg masses are extremely itchy.  Horses with pinworm infections will sometimes rub their tails until all the hair is pulled off.  Adult pinworms may be seen around the anal area, along with a clear discharge. 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 32
  • 33. Control.  Ivermectin, fenbendazole, pyrantel pamoate,  piperazine, moxidectin, and praziquantel can help control pinworms 28/12/2023 Munguti/DIPL2/VRD& PARA DSES 33