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Faculty of Veterinary Science
Infectious Diseases II
(Parasitic Diseases)
THEILERIOSIS
30th,April ,2016
SHAFI’I. A. M. SHEIKH
Theileriosis are those tick-borne protozoan
diseases associated with Theileria spp.
 In North Africa, most cases of Bovine
theileriosis are caused by Th. annulata
(tropical or Mediterranean theileriosis) and
Th. mutans (benign theileriosis), and Th.
parva (ECF) may exist in East Africa .
 Theileriosis of sheep and goat are caused by
Th. hirci (Th. lestoquardi - Malignant ovine
theileriosis) and Th. ovis (mild theileriosis).
 Equine theileriosis are caused by Th. equi.
 Transmission: Stage to stage
(Transstadial Transmission).
4) Lymphocyte  lymphoblast (enlarged
lymphocyte) and…
3) Sporozoite enters
lymphocyte (WBC)  schizont
6) 10-15 days post-
infection, schizont 
merozoite (invades
erythrocyte (RBC))
1) Sporozoites produced
in tick salivary glands
2) Sporozoites transfer to
ungulate if tick is attached
for 48-72 hrs
5) …divides with schizont inside  2 infected daughter cells
7) In RBC,
merozoite 
piroplasm (infect
ticks)
8) RBCs
ingested by
nymphs during
feeding
Incubation Period
Experimentally Infected: 8-12 days
Naturally Infected: up to 3 weeks
9) Once in gut, undergoes
sexual reproduction 
motile stage, moves to
tick’s salivary gland
* 5-8 days post-infection:
found in lymph nodes
* Schizonts increase 10-
fold every 3 days
Pathogenesis
Tick inoculation of sporozoites lymphocytes
in local lymph node schizonts lymphoid
proliferation merozoites erythrocytes
piroplasms ticks.
 Damage mainly by schizonts.
 Swelling of the draining lymph node, usually the
parotid.
 Generalized lymphadenopathy.
 Fever 40 – 41o C
 Poor condition and severe lymphadenopathy in heifer
Lacrimation and corneal opacity
Dyspnea
Diarrhoea
Recumbency
Death usually within three weeks of
infection
 In case of Equine theileriosis there is fever, anaemia,
jaundice and haemoglobinuria.
Jaundice in a horse’s eye
 Occasional cases of brain involvement occur and
are characterized by circling, hence 'turning
sickness' or cerebral theileriosis due to the
presence of schizont in the cerebral capillaries.
 Splenic enlargement.
 Severe pulmonary emphysema and edema along with
hydrothorax and hydropericardium.
 Generalized lymphoid hyperplasia.
 Small lymphoid nodules (the so-called pseudo-infarcts) are
present in liver, kidney, and alimentary tract.
 The carcass is emaciated and hemorrhages are evident in a
variety of tissues and organs.
The Ln. is enlarged and diffusely pale, and
contains numerous petechiae.
Pulmonary emphysema and edema
Multiple pale foci on the cortical
surface of the kidney are
lymphoid infiltrates.
Emaciated Carcass
Kidney, There are multiple petechiae on
the surface of the cortex. The lymph
node near the hilus is markedly enlargedHydropericardium
Emaciated Carcass
 East Coast Fever only occurs where R.
appendiculatus is present, although occasionally
outbreaks such areas have been recorded due to
the introduction of tick-infected cattle from an
enzootic area.
 In sick animals, macroschizonts are readily
detected in biopsy smears of lymph nodes and
in dead animals in impression smears of
lymph nodes and spleen.
There are two types of schizonts (Koch’s Blue Bodies)
• Macroschizont: one with large chromatin granules gives
(8-16 macromerozoites).
• Microschizont: one with small chromatin granules gives
(50-120 Micromerozoites) (Sexually differentiated) and
infect RBCs.
In the field, diagnosis is usually achieved by
finding Theileria parasites in Giemsa-stained blood
smears and lymph node needle biopsy smears
Theileria Piroplasmosis
Lymphoblasts containing
Theileria parasites
 The indirect fluorescent antibody test is of
value in detecting cattle which have recovered
from ECF.
Differential diagnosis
1. Heartwater because of pulmonary edema and hydrothorax.
Examination of brain smears and lymph node or spleen
impression smears can differentiate between the two diseases.
2. Trypanosomiasis because of edema, lymphadenopathy, and
anemia. Blood and lymph node smear examination will normally
differentiate between the two diseases.
3. Babesiosis and anaplasmosis because of anemia. These diseases
can easily be differentiated from theileriosis on examination of
blood smears.
4. Malignant catarrhal fever because of lymphadenopathy and
corneal opacity. Examination of blood and lymph node smears
will clearly differentiate between the two diseases.
Treatment
 Tetracyclines have a therapeutic effect if
given at the time of infection but they are of
no value in the treatment of clinical cases.
Control
 Integrated approach involving resistant animal
breeds.
 Vaccination by infection-and-treatment
methods.
 Strategic application of
acaricides.
Dipping
Recommended actions if theileriosis is suspected
• Notification of authorities
Theileria species not reported in Somalia ;
however, Th. parva, is exotic. East Coast fever and
diseases caused by other exotic Theileria spp. must
be reported to state or federal authorities
immediately upon diagnosis or suspicion of the
disease.
Theileriosis

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Theileriosis

  • 1. Faculty of Veterinary Science Infectious Diseases II (Parasitic Diseases) THEILERIOSIS 30th,April ,2016 SHAFI’I. A. M. SHEIKH
  • 2.
  • 3. Theileriosis are those tick-borne protozoan diseases associated with Theileria spp.  In North Africa, most cases of Bovine theileriosis are caused by Th. annulata (tropical or Mediterranean theileriosis) and Th. mutans (benign theileriosis), and Th. parva (ECF) may exist in East Africa .
  • 4.  Theileriosis of sheep and goat are caused by Th. hirci (Th. lestoquardi - Malignant ovine theileriosis) and Th. ovis (mild theileriosis).  Equine theileriosis are caused by Th. equi.  Transmission: Stage to stage (Transstadial Transmission).
  • 5.
  • 6.
  • 7. 4) Lymphocyte  lymphoblast (enlarged lymphocyte) and… 3) Sporozoite enters lymphocyte (WBC)  schizont 6) 10-15 days post- infection, schizont  merozoite (invades erythrocyte (RBC)) 1) Sporozoites produced in tick salivary glands 2) Sporozoites transfer to ungulate if tick is attached for 48-72 hrs 5) …divides with schizont inside  2 infected daughter cells 7) In RBC, merozoite  piroplasm (infect ticks) 8) RBCs ingested by nymphs during feeding Incubation Period Experimentally Infected: 8-12 days Naturally Infected: up to 3 weeks 9) Once in gut, undergoes sexual reproduction  motile stage, moves to tick’s salivary gland * 5-8 days post-infection: found in lymph nodes * Schizonts increase 10- fold every 3 days
  • 8. Pathogenesis Tick inoculation of sporozoites lymphocytes in local lymph node schizonts lymphoid proliferation merozoites erythrocytes piroplasms ticks.  Damage mainly by schizonts.
  • 9.  Swelling of the draining lymph node, usually the parotid.  Generalized lymphadenopathy.  Fever 40 – 41o C
  • 10.
  • 11.  Poor condition and severe lymphadenopathy in heifer
  • 16. Death usually within three weeks of infection
  • 17.  In case of Equine theileriosis there is fever, anaemia, jaundice and haemoglobinuria. Jaundice in a horse’s eye
  • 18.  Occasional cases of brain involvement occur and are characterized by circling, hence 'turning sickness' or cerebral theileriosis due to the presence of schizont in the cerebral capillaries.
  • 19.  Splenic enlargement.  Severe pulmonary emphysema and edema along with hydrothorax and hydropericardium.  Generalized lymphoid hyperplasia.  Small lymphoid nodules (the so-called pseudo-infarcts) are present in liver, kidney, and alimentary tract.  The carcass is emaciated and hemorrhages are evident in a variety of tissues and organs.
  • 20. The Ln. is enlarged and diffusely pale, and contains numerous petechiae. Pulmonary emphysema and edema Multiple pale foci on the cortical surface of the kidney are lymphoid infiltrates.
  • 21. Emaciated Carcass Kidney, There are multiple petechiae on the surface of the cortex. The lymph node near the hilus is markedly enlargedHydropericardium Emaciated Carcass
  • 22.  East Coast Fever only occurs where R. appendiculatus is present, although occasionally outbreaks such areas have been recorded due to the introduction of tick-infected cattle from an enzootic area.
  • 23.  In sick animals, macroschizonts are readily detected in biopsy smears of lymph nodes and in dead animals in impression smears of lymph nodes and spleen.
  • 24. There are two types of schizonts (Koch’s Blue Bodies) • Macroschizont: one with large chromatin granules gives (8-16 macromerozoites). • Microschizont: one with small chromatin granules gives (50-120 Micromerozoites) (Sexually differentiated) and infect RBCs.
  • 25. In the field, diagnosis is usually achieved by finding Theileria parasites in Giemsa-stained blood smears and lymph node needle biopsy smears
  • 27.  The indirect fluorescent antibody test is of value in detecting cattle which have recovered from ECF.
  • 28. Differential diagnosis 1. Heartwater because of pulmonary edema and hydrothorax. Examination of brain smears and lymph node or spleen impression smears can differentiate between the two diseases. 2. Trypanosomiasis because of edema, lymphadenopathy, and anemia. Blood and lymph node smear examination will normally differentiate between the two diseases. 3. Babesiosis and anaplasmosis because of anemia. These diseases can easily be differentiated from theileriosis on examination of blood smears. 4. Malignant catarrhal fever because of lymphadenopathy and corneal opacity. Examination of blood and lymph node smears will clearly differentiate between the two diseases.
  • 29. Treatment  Tetracyclines have a therapeutic effect if given at the time of infection but they are of no value in the treatment of clinical cases.
  • 30.
  • 31. Control  Integrated approach involving resistant animal breeds.  Vaccination by infection-and-treatment methods.
  • 32.  Strategic application of acaricides.
  • 34. Recommended actions if theileriosis is suspected • Notification of authorities Theileria species not reported in Somalia ; however, Th. parva, is exotic. East Coast fever and diseases caused by other exotic Theileria spp. must be reported to state or federal authorities immediately upon diagnosis or suspicion of the disease.

Editor's Notes

  1. Geographic Distribution The distribution of ECF is strictly associated with the distribution of the vector tick species. In the case of Rhipicephalus appendiculatus, the area extends from southern Sudan to South Africa and as far west as Zaire.
  2. The dominating pathological lesion is generalized lymphoid proliferation resulting from uncontrolled proliferation of T-Iymphocytes containing schizonts. This is followed later by necrosis of infected lymphoblasts induced by cytotoxic T-Iymphocytes. The severe lymphocytolysis often leads to immunosuppression.
  3. Turning sickness: an aberrant form of theileriosis in which parasitized lymphocytes cause emboli and hemorrhagic infarcts in central nervous tissue.
  4. Bovine, lung. The lung tissue is diffusely tan-brown, and lobules are non-collapsed and rubbery (interstitial pneumonia). The node is enlarged and diffusely pale, and contains numerous petechiae. Bovine, kidney. The multiple pale foci on the cortical surface are lymphoid infiltrates.
  5. Bovine, kidney. There are multiple petechiae on the surface of the cortex. The lymph node near the hilus is markedly enlarged.
  6. Koch’s blue bodies: sporozoites enter the lymphocytes.
  7. Treatment with these compounds is highly effective when applied in the early stages of clinical disease but is less effective in the advanced stages in which there is extensive destruction of lymphoid and hematopoietic tissues.
  8. Infect animal with the sporozoite form of the parasite while at the same time treating the cattle with an antibiotic drug to lessen the severity of the infection.