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Wednesday, 24 May 2023

Battle Against Anaplasmosis, Babesiosis, and Ehrlichiosis: A Water Buffalo Recovery Story

Battle Against Anaplasmosis, Babesiosis, and Ehrlichiosis: A Water Buffalo Recovery Story

I still remember the day vividly when I got the call from a game reserve owner who had recently bought a few juvenile water buffalos. One had already died unexpectedly, and the owner was deeply concerned for the rest of the herd. This was to be my first case involving water buffalo in South Africa. As a dedicated veterinarian, I knew I had to act quickly. In this case study, I'll share with you how I managed to diagnose, treat, and prevent three common diseases in the herd, without even being physically present at the farm.

First Contact: The Mystery of the Fallen Buffalo

After the unfortunate death of one buffalo, I conducted a necropsy which revealed pathological findings consistent with anaplasmosis, babesiosis, and ehrlichiosis (heartwater). Let's take a moment to understand these diseases.

Anaplasmosis is a tick-borne disease that affects various animals, causing severe anemia and other health issues. The bacteria responsible, Anaplasma, invades the red blood cells, leading to their destruction.

Babesiosis, also transmitted by ticks, is caused by microscopic parasites that infect red blood cells. This disease can range from asymptomatic to severe, with symptoms including fever, hemolytic anemia, and hemoglobinuria.

Ehrlichiosis (Heartwater), another tick-borne disease, is caused by the bacterium Ehrlichia ruminantium, leading to severe symptoms such as fever, rapid and difficult breathing, and neurological signs including a high-stepping gait.

Given that these diseases are prevalent in the local area and that the symptoms and post-mortem findings were consistent with these diseases, I made the decision to treat the remaining buffalos for all three. Fortunately, the treatment for these diseases is similar, allowing us to cover all bases.

A Comprehensive Plan: Treating and Preventing Disease

We immediately started a treatment regimen for the entire herd, focusing on rickettsia and other protozoa, which are common causes of these diseases. The treatment was complemented with supportive care, including vitamins, nutritional support, and essential minerals to stimulate their rumen.

One week later, the owner called again, alarmed by the deteriorating health of one of the buffalos. Due to travel restrictions, I was unable to visit the farm, so we conducted the consultation remotely. The owner shared videos and photos of the ailing buffalo, and I guided him through the examination.

Embracing Telemedicine: Remote Diagnosis and Consultation

From the signs and symptoms, I concluded that the buffalo was likely suffering from either anaplasmosis, babesiosis, or ehrlichiosis (heartwater). We had to act fast, so we started the treatment plan we had previously established. This time, however, the buffalo remained weak even after the treatment. It was a tense period, but fortunately, on the fourth day, the buffalo took a turn for the better and began recovering. Soon, it was walking around and eating enthusiastically.

The Road to Recovery: Outcomes and Insights

The relief and joy on the owner's face were palpable even through our remote connection. He had suffered significant losses in the past, and the prospect of losing another animal was distressing. This experience underscored the importance of swift diagnosis and treatment, as well as the potential of remote veterinary consultations.

The success of this case is a testament to the importance of disease control and prevention. It was indeed a challenging situation, but it reaffirmed my faith in the power of veterinary medicine and the role it plays in preserving the health of animals, especially in a diverse ecosystem like a game reserve. I look forward to visiting the farm soon to take blood samples and verify my findings, ensuring there are no more flare-ups of these diseases.

See below for photos and videos of the case showing the progress of the treatment:





















Further Reading:

1. Antigens and Alternatives for Control of Anaplasma marginale Infection in Cattle

2. Tick-borne infections in human and animal population worldwide


NB. The owner of the water buffalo agreed to making this post available online for interested readers.



Monday, 1 May 2023

A Tick-ing Time Bomb: How Many Types of Ticks Exist in South Africa, and How Many Diseases Do They Transmit?

 


Introduction

Ticked off by ticks? You're not alone! These tiny, blood-sucking parasites are more than just a nuisance - they can be downright dangerous. In this article, we'll delve deep into the world of ticks in South Africa, answering the big question: How many types of ticks exist in South Africa, and how many diseases do they transmit? We'll explore their unique biology, the diseases they're responsible for, and how to protect ourselves from these pesky parasites. So, let's jump right in!

South African Ticks: What's the Buzz?

Tick Species Galore!

Did you know that South Africa is a hotspot for tick diversity? Yep, you read that right! When it comes to the number of tick species, South Africa is a veritable gold mine. So, how many types of ticks exist in South Africa? Drumroll, please... There are over 90 species of ticks found in the region!

These little bloodsuckers belong to two main families:

  1. Ixodidae (hard ticks)
  2. Argasidae (soft ticks)

Here's a quick breakdown of some of the most common tick species in South Africa and the diseases they transmit:

Ixodidae: Hard Ticks



·        Rhipicephalus evertsi evertsi: Commonly known as the red-legged tick, it transmits Babesiosis (also called "tick fever") in livestock.


·        Rhipicephalus appendiculatus: Watch out for this one! It's the primary vector of East Coast fever in cattle and also transmits the human infection African tick-bite fever.



·        Amblyomma hebraeum: Known as the bont tick, it's infamous for transmitting heartwater disease in livestock.


·        Rhipicephalus sanguineus: The brown dog tick can transmit canine Ehrlichiosis and Babesiosis to our furry friends.


·        Rhipicephalus decoloratus: The African blue tick, is a vector for several diseases in South Africa including tick-borne fever, anaplasmosis, and theileriosis.


·      Hyalomma spp.: The bont-legged tick, a type of tick found in South Africa, can transmit various diseases including Crimean-Congo hemorrhagic fever, Q fever, and spotted fever group rickettsioses.


·        Haemaphysalis elliptica: Found mainly in the Eastern Cape, this little critter transmits the potentially lethal disease, canine babesiosis or "biliary fever."


Argasidae: Soft Ticks

·        Ornithodoros moubata: Also known as the "tampan" or "eyeless" tick, it's a carrier of African swine fever and human tick-borne relapsing fever.



·        Argas persicus: The fowl tick, which often infests poultry houses, transmits avian spirochetosis.

Don't Get Ticked Off: Tick-Borne Diseases in South Africa

Alright, now that we've got a handle on how many types of ticks exist in South Africa, let's dive into the second part of our question: How many diseases do they transmit?

Well, folks, the answer is quite a few. These creepy crawlies are responsible for a wide range of diseases that affect both humans and animals. Here's a rundown of some of the most common tick-borne diseases in South Africa:

  1. Lyme disease
  2. African tick-bite fever
  3. Tick-borne relapsing fever
  4. Crimean-Congo hemorrhagic fever
  5. Ehrlichiosis
  6. Anaplasmosis
  7. Babesiosis
  8. Heartwater disease
  9. East Coast fever

These diseases can result in symptoms ranging from mild flu-like signs to severe complications, including organ failure, neurological disorders, and even death. With such a wide array of diseases being transmitted by ticks in South Africa, it's crucial to be vigilant and take necessary precautions to avoid getting bitten by these pesky parasites.

FAQs: Ticking Off the Questions

Q1: How can I protect myself and my pets from ticks in South Africa?

A: Great question! Here are some tips to keep ticks at bay:

  • Regularly check yourself, your children, and your pets for ticks, especially after spending time outdoors in areas known for tick presence.
  • Use tick repellents containing DEET or permethrin on your skin and clothing. For pets, consult your veterinarian for appropriate tick control products.
  • Keep your yard well-groomed by mowing the grass, trimming bushes, and removing leaf litter.
  • When hiking, stick to well-trodden paths and avoid tall grass or brushy areas where ticks may be hiding.

Q2: What should I do if I find a tick on my body or my pet's?

A: If you find a tick, don't panic! Remove it as soon as possible using fine-tipped tweezers or a tick removal tool. Grasp the tick as close to the skin as possible and pull upward with steady, even pressure. Once the tick is removed, clean the bite area with soap and water or rubbing alcohol. If you develop any unusual symptoms, contact your healthcare provider or your pet's veterinarian.

Q3: Are all tick bites dangerous?

A: Not all tick bites will transmit diseases. However, it's important to be cautious and monitor the bite site for any signs of infection or illness. The sooner a tick-borne disease is detected, the better the chances of successful treatment.

FAQs: Tick Talk for Veterinary Professionals

Q1: What are the key differences between hard ticks (Ixodidae) and soft ticks (Argasidae)?

A: As a veterinary professional, it's essential to know the differences between hard and soft ticks. Here's a quick rundown:

  • Morphology: Hard ticks have a tough, plate-like structure called a scutum, while soft ticks lack this feature, giving them a more leathery appearance.
  • Mouthparts: Hard ticks have visible mouthparts when viewed from above, whereas soft ticks have concealed mouthparts.
  • Feeding: Hard ticks typically take a long time to feed (days), while soft ticks feed more quickly (minutes to hours).
  • Life cycle: Hard ticks have a four-stage life cycle (egg, larva, nymph, adult), while soft ticks undergo multiple nymphal stages before becoming adults.

Q2: As a veterinary professional, what tick-borne diseases should I be most familiar with?

A: Tick-borne diseases can vary by region, but as a veterinary professional in South Africa, it's crucial to be familiar with the following diseases:

  1. Babesiosis: A protozoal infection affecting livestock and pets, causing anemia, fever, and weakness.
  2. Ehrlichiosis: A bacterial infection primarily affecting dogs, causing fever, lethargy, and loss of appetite.
  3. Anaplasmosis: A bacterial disease affecting both livestock and pets, with symptoms similar to Ehrlichiosis.
  4. Heartwater disease: A rickettsial infection affecting livestock, causing fever, respiratory distress, and neurological signs.
  5. East Coast fever: A protozoal disease primarily affecting cattle, causing fever, weight loss, and lymph node enlargement.

Q3: How can I differentiate between various tick species and the diseases they transmit as a veterinarian?

A: Differentiating between tick species and the diseases they transmit can be challenging, but as a vet, it's essential to hone your skills in tick identification and familiarize yourself with common tick-borne diseases in your area. Here are some tips:

  • Study the morphology, habitat, and host preferences of common tick species in South Africa.
  • Familiarize yourself with the signs and symptoms of tick-borne diseases in animals.
  • Consider collaborating with local experts or using online resources to help you identify tick species.
  • When diagnosing tick-borne diseases, obtain a thorough history, perform a comprehensive physical exam, and use appropriate diagnostic tests, such as blood smears, PCR, or serology.

By staying informed and developing a solid understanding of tick species and the diseases they transmit, you'll be well-equipped to address tick-related health issues in your future veterinary practice.

 

Conclusion: Staying Tick-Safe in South Africa

So, there you have it! We've answered the burning question: How many types of ticks exist in South Africa, and how many diseases do they transmit? With over 90 species of ticks and a host of tick-borne diseases, it's essential to stay informed and take precautions to protect yourself, your loved ones, and your pets from these pesky parasites. By following the tips provided and staying vigilant, you can enjoy South Africa's great outdoors without the worry of ticking off these unwanted hitchhikers!

 

Sources:

·       Distribution and prevalence of ticks and tick-borne pathogens of wild animals in South Africa: A systematic review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9114622/

·       A list of the ticks of South Africa. https://journals.co.za/doi/10.10520/AJA00411752_966

·       Tick Animal Facts. https://a-z-animals.com/animals/tick/

·       Tick-borne pathogens of potential zoonotic importance in the southern African Region. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1019-91282014000100040

·       Distribution of endemic and introduced tick species in Free State Province, South Africa. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1019-91282015000100008

·       A comparison between tick species collected in a controlled and control free area on a game ranch in South Africa. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1019-91282013000100009

·       Image credits go to afrivip.org