Babesiosis Infosheet
by Lynda Adame
greyhoundadmin@abap.org

 

Babesiosis

 

What Is It: Babesiosis is a tick-borne hemoprotozoan (blood) disease. The organism is called Babesia; the disease is called Babesiosis.

Species: Babesia canis, Babesia gibsoni

Primary Vector: Brown Dog Tick (must feed a minimum of 2-3 days to transmit)

Other Vectors: Deer Tick, blood transfusion, contaminated needles and instruments, transplacental.

Diagnosis: There are three tests being used by Veterinarians to detect infection:

  • The IFA (Indirect Fluorescent Antibody Assay) test is used to detect the presence of antibodies to the disease in a dog's blood serum. This test will determine a titer level: less than 1:40 is considered Negative (minimal exposure), a titer above 1:80 is considered positive for an active infection. The IFA is considered more reliable than the Giemsa Smear for detecting exposure/infection.
  • The Giemsa Smear is used to locate the actual organism in the dogs blood. Despite appropriate staining technique and intensive film examination, the organisms frequently cannot be found.
  • The PCR (Polymerase Chain Reaction) tests for the presence of the organisms DNA in the dogs blood. A positive PCR means the dog has an active infection. This test is not widely available.

Titer info: Titers counts double: 1:10, 1:20, 1:40, 1:80, 1:160, and so on. A high titer can be caused by repeated exposure to the disease, a large number of active organisms in the blood, or a better immune system response of a specific dog. (i.e. a dog responds naturally with more antibodies than another dog). Titer is an indication of exposure to a specific foreign protein. It does not indicate that there are active organisms in the blood.

Comments: Babesiosis is a cyclical disease, similar to Malaria. Dogs that recover from the initial infection show variable and unpredictable patent periods alternating with dormant periods. The clinical signs vary greatly depending upon the stage of the disease, the age and immune status of the dog, and complications from other infections.

Phases: Acute -

This phase is of short duration, and is where the dog is initially infected with the disease. If the dog does not die outright from the infection, then it moves on to the next phase.

Subclinical -

This phase can last months or years. It is characterized by a fine equilibrium between the parasite and the immune system of the host. This equilibrium can be disturbed by a number of things: environmental stress, additional diseases/infections (especially Ehrlichiosis), immunodeficiency, spleen removal, surgery, stress, hard work, immunosuppressive treatment, use of corticosteroids (Prednisone is a no-no).

The dog may exhibit few clinical symptoms during this phase, beyond intermittent fever and loss of appetite. If the equilibrium is disturbed, the parasite will begin to slowly grow in number and the dog will move into the next phase. Infected Greyhounds are often in this phase when they are adopted out.

Chronic -

If the dogs system remains unable to clear the parasite, it enters this final phase. The most obvious initial signs to an owner are a cycle of: lethargy, loss of interest in food, and a gradual loss of body condition especially evident around the eyes and along the spine. Other symptoms are: upper respiratory problems - coughing or labored breathing, vomiting, constipation, diarrhea, ulcerative stomatitis (sores in the mouth), edema (swelling), abdominal swelling (ascites), bleeding under the skin or a rash (purpura), low White Blood Cell count, clotting problems, joint swelling, back pain, seizures, weakness, increased liver enzyme, low Platelet count, hyper reflective eyes, enlarged lymph nodes, enlarged spleen, septic shock, depression.

Misdiagnosed as: hemolytic anemia, kidney failure, vague blood disorder, thrombocytopenia, "doggie AIDS", autoimmune disease, Von Willebrands disease, leukemia, DIC (disseminated intravascular coagulation - severe clotting disorder).

Treatment: The current drug of choice (Imidocarb Dipropionate) was recently approved by the FDA. It is a chemo-therapeutic and is not to be used without some thought and concern. Imidocarb is the least toxic of all of the anti-babesial drugs, and the success rate is stated in research papers to be 95 -98%. There are also un-substantiated claims of Doxicycline and/or Clindamycin being used to treat Babesia.


Here are some Labs that perform tick disease testing:

University of Illinois (This Lab can run the PCR test)
Laboratory of Veterinary Diagnostic Medicine
ATTN: Dr. Kakoma
P.O. Box "U", 2001 S. Lincoln
Urbana, IL 61801
PH: 217/333-1620 or 217/333-1859
FAX: 217-222-4628


Protatek Reference Lab
ATTN: Dr. Cynthia Holland
574 E. Alamo St.
Suite 90
Chandler, AZ 85225
(480) 545-8499
http://www.winternet.com/~protatek/ProtaTek_Reference_Lab/

Instructions for Tick Fever Panel:

Draw 3cc of blood, use a serum-separation tube, spin down, refrigerate until mailing.Try to mail early in the week, ship tube upright in ice and use priority mail.


Dr. T. McElwain
Washington State University
Vet Diagnostic Lab
Pullman, WA 99164


Dr. E.B. Brietschwerdt
Dr. M.G. Levy
North Carolina State University
College of Vet Medicine
4700 Hillsborough Rd.
Raleigh, NC 27606


Dr. D. Huxsoll
Louisiana State University
School of Vet Medicine
Baton Rouge, LA 70803


Corning Clinical Lab
P.O. Box 305125
Nashville, TN 37230

No instructions available.


This Lab also does the PCR test:

Antech Diagnostics
13633 N. Cave Creek Road
Phoenix, AZ 85022
(800) 745-4725