parasite

Background 

This is the first report of Besnoitia bennetti in donkeys in Ireland. B. bennetti, an apicomplexan protozoan parasite specifc to equids, is an emerging pathogen in Europe. This parasite forms chronic intracytoplasmic cysts in cells of the mesenchymal lineage, mainly fbroblasts, in the skin, sclera and mucosa. Clinical signs in afected equine hosts vary from mild to severe debilitating disease. Little is known of the phylogeny, epidemiology or transmission of B. bennetti infection in donkeys, mules or horses. 

Case presentation 

Two cases of besnoitiosis in donkeys are presented. Both donkeys were born and raised in the south west of Ireland. The first case was a 2.5-year-old donkey that had a suspect sarcoid removed, while the second case, a 2-year-old donkey, had a biopsy of nodular dermatitis of the muzzle. Diagnosis was made by histopathology and the parasite species, B. bennetti, was confirmed by PCR followed by sequencing and microsatellite analysis. Both donkeys had high antibody titres against Besnoitia spp. Small (0.5 mm) scleral, conjunctival and dermal cysts over the muzzle were subsequently observed in both animals. Treatment with trimethoprim sulfadiazine for 30 days did not lead to clinical resolution. The fndings are compared to the cases of besnoitiosis in donkeys reported in the past 10 years throughout Europe. 

Conclusions 

Besnoitiosis should be considered as a differential diagnosis for chronic skin disease particularly in cases of cutaneous masses, non-pruritic dermatitis, and dermatitis that is not responsive to treatment in donkeys and other equids. Future studies are needed to investigate the prevalence of the disease in Irish donkeys, the spread of the disease and the potential impact on the health and welfare of the donkeys.

The control of equid gastrointestinal nematodes in developed countries, in particular the cyathostomins, is threatened by high levels of anthelmintic resistance. In recent years, there has been increasing interest in the evaluation of traditional ‘ethnoveterinary’ medicines as alternatives to chemical anthelmintics. The cysteine proteinases (CPs), a group of enzymes derived from fruits such as papaya (Carica papaya), pineapple (Ananas comosus) and figs (Ficus spp.), have shown good efficacy against adult stages of a range of parasitic nematodes, in vitro and in vivo. The efficacy of CPs against cyathostomins remains to be explored. In this study, the efficacy of a crude preparation of CPs, papaya latex supernatant (PLS), against the free-living stages of cyathostomins was evaluated using two in vitro tests, the egg hatch test (EHT) and the larval migration inhibition test (LMIT). It was demonstrated that PLS had a potent effect in the EHT, with EC-50 values in the range of 0.12-0.22 μM. At concentrations above 6.25 μM the eggs did not develop, below this concentration the L1 developed but they lost integrity of the cuticle upon hatching. These effects were inhibited by pre-incubation of PLS with the CP inhibitor L-trans-epoxysuccinyl-L-leucylamido-(4-guanidino butane) (E64), indicating that CPs were responsible for the anti-parasitic activity. A dose-dependent inhibition of migration of third stage larvae (L3) in the LMIT was demonstrated at higher concentrations of PLS, with EC-50 values in the range of 67.35-106.31 μM. Incubation of PLS with E64 prior to use in the LMIT did not reverse the anti-migratory effect, suggesting that CPs were not responsible for the reduced migration of cyathostomin L3 and that PLS also contains an additional active compound. This is the first report of PLS and/or CPs showing activity against the free-living stages of a parasitic helminth. In addition, it suggests that cyathostomins are highly sensitive to the effects of CPs and further evaluation of their efficacy against parasitic stages and in vivo are strongly indicated.

A review of common gastrointestinal disorders of donkeys and mules is presented. Clinically relevant aspects of donkey behavior, anatomy, and physiology are highlighted. Diagnosis, management, and treatment of conditions affecting the gastrointestinal tract from stomach to rectum, including liver and pancreas, are discussed.

Published online ahead of print.

The efficacy of an oral formulation of praziquantel (Equitape, Horse paste, Fort Dodge) in the reduction of cestode egg counts and serum antibody level against Anoplocephala perfoliata was assessed in 44 donkeys under field conditions. The donkeys were confirmed both by faecal examination and serum antibody assessed by an enzymelinked immunosorbent assay to have natural infection with tapeworms. The donkeys were randomly allocated into treatment (n022) and control (n022) groups. The treatment group was treated with both praziquantel and ivermectin (Ivomec, Merial) at a dose rate of 1 mg/kg and 200 μg/kg, respectively while the control group was treated only with ivermectin. Faecal samples were collected before treatment (day-0) and 2, 6, 8, 12, and 16 weeks post-treatment while blood samples were collected before treatment and 8 and 16 weeks after treatment and analysed. The results of the study demonstrated that praziquantel paste was highly effective in reducing cestode eggs in donkeys and had an efficacy of more than 99 % until week 16 (day112). No cestode egg reappearance by 16 weeks post-treatment in any animal in the treatment group was observed while donkeys in the control group continued shedding cestode eggs. The immunological assay also showed a significant reduction in serum antibody level against A. perfoliata in treated donkeys compared to the control group (p00.0001). This marked decrease in serum antibody level indicates reduced risk of cestode-associated colic and other gastrointestinal disorders and clinical diseases. No adverse reactions or clinical effects were encountered in any animal within either group throughout the trial period.

Background

Domesticated grazing animals including horses and donkeys are frequently housed using deep litter bedding systems, where it is commonly presumed that there is no risk of infection from the nematodes that are associated with grazing at pasture. We use two different approaches to test whether equids could become infected with cyathostomines from the ingestion of deep litter straw bedding.

Methods

Two herbage plot studies were performed in horticultural incubators set up to simulate three straw bedding scenarios and one grass turf positive control. Faeces were placed on 16 plots, and larval recoveries performed on samples of straw/grass substrate over 2- to 3-week periods. Within each incubator, a thermostat was set to maintain an environmental temperature of approximately 10 °C to 20 °C. To provide further validation, 24 samples of straw bedding were collected over an 8-week period from six barns in which a large number of donkeys were housed in a deep litter straw bedding system. These samples were collected from the superficial bedding at 16 sites along a “W” route through each barn.

Results

No infective larvae were recovered from any of the plots containing dry straw. However, infective cyathostomine larvae were first detected on day 8 from plots containing moist straw. In the straw bedding study, cyathostomine larvae were detected in 18 of the 24 samples. Additionally, in the two barns which were sampled serially, the level of larval infectivity generally increased from week to week, except when the straw bedding was removed and replaced.

Conclusions

We have demonstrated that equine cyathostomines can develop to infective larvae on moist straw bedding. It is therefore possible for a horse or donkey bedded in deep litter straw to become infected by ingesting the contaminated straw. This has implications for parasite control in stabled equids and potentially in housed ruminants, and further investigation is required in order to establish the relative infective pressure from pasture versus straw bedding.

In many countries diseases affecting working equid performance and productivity are detrimental both to equid welfare and to local economic development. Central nervous system (CNS) trypanosomosis, caused by Trypanosoma brucei spp 1, is a severe manifestation of trypanosomosis, which is usually fatal. The causative agent of this condition in the Gambia was investigated further in this study, to determine genotypic variation, mode of transmission and future management interventions. The presence of trypanosomes in local tsetse flies (Glossina spp.) was also investigated due to suspected vector involvement in disease transmission. Working equids exhibiting signs of CNS trypanosomosis were clinically evaluated. Blood was stored in EDTA and on FTA® cards prior to DNA extraction. In advanced neurological disease where prognosis was hopeless euthanasia was performed. CSF and CNS tissue samples were collected post-mortem. CSF was stored on FTA® cards and tissue samples were collected in formalin and RNAlater®. To confirm CNS T.brucei spp infection, immunohistochemistry and T.brucei-specific PCR 2 was performed on tissue samples. DNA was also extracted from blood collected from patients with evidence of generalised T.brucei infection with normal neurological function, and from the midguts of locally caught tsetse. Parasite population structure was investigated using a panel of microsatellite markers 3 together with a reference strain of T.brucei equiperdum (OVI) and a T.b.brucei positive control.Ten cases (5 horses, 5 donkeys) with naturally occurring CNS trypanosomosis were included. Horses presented with rapidly progressive spinal ataxia while donkeys showed slowly deteriorating cerebral dysfunction and cranial nerve abnormalities. CNS trypanosomosis was confirmed post-mortem using immunohistochemistry and PCR. Histopathological evaluation revealed diffuse lymphocytic-plasmacytic meningoencephalomyelitis. Microsatellite fragment analysis showed a heterogenous parasite population with a large range of alleles present, inconsistent with a clonal population. Parasite populations from donkey versus horse, and from blood versus CNS tissue were not found to be significantly different, suggesting that host factors are important in progression of neurological disease. Of 405 tsetse trapped locally and dissected, 11 contained microscopically visible midgut trypanosome infections. DNA extracted from the positive tsetse midguts was positive for equid DNA in 3/11 cases, confirming vector involvement. 5/11 flies were positive for T.brucei but with different microsatellite patterns to that found in infected CNS tissue. Further work is required to develop an optimal panel for use in both tsetse and equine-derived samples. Continued efforts are required to improve understanding of the transmission of this disease to enable the development of effective preventative measures.

Acknowledgements

This work is funded by The Donkey Sanctuary.

Endoparasites in donkeys are ubiquitous and may cause serious disease. All common helminth parasites that affect horses also infect donkeys, therefore donkeys that co-graze can act as a significant source of infection for either species. Whilst donkeys are prone to the same parasite species as horses infection characteristics and presenting signs and symptoms of disease may differ. Large strongyles and cyathostomins are common in donkeys worldwide with Strongylus vulgaris causing significant disease in donkeys with poor anthelmintic treatment history. Cyathostomins infect the majority of donkeys globally and may rarely cause cyathostominosis or colitis; however signs and symptoms of both can vary significantly from those displayed in affected horses. The significance of low level cyathostomin infection on the donkey host is unclear, many donkeys appear to thrive with high faecal egg counts (> 3000epg) and when the donkey is in general good health they may exist with high cyathostomin burdens with little impact on their overall health. The donkey is renowned as the reservoir host for the lungworm, Dictyocaulus arnfieldi. Mature horses are not permissive hosts to the full life cycle of this parasite, but develop clinical signs on infection. In contrast, donkeys are permissive hosts without displaying overt clinical signs and act as a source of infection to co-grazing horses. Donkeys are also susceptible to the flukes, Fasciola hepatica and Fasciola gigantica and may be an important reservoir host for both human and herbivore infections particularly in developing countries. Finally, Parascaris spp. infections in donkeys are common, however infection is not only associated with young, immuno-compromised animals as seen in horses. Parascaris spp. infection is a frequent finding in all age groups of donkeys. The inability of many donkeys to develop lifelong immunity to Parascaris poses problems when attempting to reduce transmission of this parasite in herds which include adult and young donkeys. Anthelmintic treatment is challenging as many anthelmintics are not licensed for use in this species; however dosing should follow best practice used in horses. Anthelmintic resistance is of particular concern in donkeys with recent reports of lack of efficacy of all anthelmintic classes in cyathostomins infecting donkeys. Control of parasites in donkeys must primarily focus on reducing the risk of infection, maintaining good health and targeting drug treatments carefully. Donkeys can be co-grazed safely with other species but careful monitoring and control should be practiced to ensure that donkeys do not act as reservoirs of infection to other, more susceptible animals. The importance of parasite infection, particularly co-infection with multiple species must be appreciated. Donkeys under stress due to malnourishment, infectious disease, overwork or neglect are at a high risk of disease related to parasite infection and consideration must be given to targeted treatments in such circumstances. Whilst the donkey remains a challenging parasite host following simple control measures and improving the overall welfare of the donkey will undoubtedly serve both the donkey and other species grazing alongside.