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Showing posts with label Veterinary Medicine. Show all posts
Showing posts with label Veterinary Medicine. Show all posts

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

Thursday, 30 March 2023

Reptilian Hearts: The Ultimate Survival Machines That Can Keep Beating Without Oxygen, Brain, or Body

Reptilian Hearts: The Ultimate Survival Machines That Can Keep Beating Without Oxygen, Brain, or Body



Turtles are fascinating creatures that can live for a long time, sometimes even longer than humans. But what happens when they die? Do they stop moving immediately, or do they keep twitching for a while? And what about their hearts? Do they stop beating as soon as the turtle is declared dead, or do they keep pumping blood for hours, days, or even weeks?

In this article, we will explore the amazing phenomenon of reptilian hearts that can keep beating after death, even when separated from the body. We will also look at the reasons behind this phenomenon, such as the slow metabolism, high concentration of ions, and special cardiac tissue of reptiles. We will focus on turtles as an example, but also mention other reptiles that share this trait.


Part 1: How to Tell If a Turtle Is Dead or Alive

Before we dive into the topic of post-mortem heartbeats, we need to address a more basic question: how can we tell if a turtle is dead or alive? This may seem like an easy question, but it is actually quite tricky. Turtles are notoriously difficult to diagnose for death, because they have several adaptations that allow them to survive in harsh conditions and appear lifeless.

One of these adaptations is hibernation. Turtles can lower their body temperature and metabolic rate to conserve energy and survive cold winters. During hibernation, they may bury themselves in mud or sand, or hide under rocks or logs. Their breathing and heartbeat become very slow and faint, and they may not respond to external stimuli. To an inexperienced observer, they may look dead, but they are actually alive and waiting for warmer weather.

Another adaptation is anoxia tolerance. Turtles can survive without oxygen for a long time, thanks to their ability to store glycogen in their liver and muscles, and use anaerobic metabolism to produce energy. They can also reduce their oxygen demand by shutting down non-essential organs and functions. This allows them to stay underwater for hours or even days without coming up for air. Some turtles can even breathe through their cloaca (the opening for excretion and reproduction) or their skin, by absorbing dissolved oxygen from the water. When turtles are exposed to anoxia (lack of oxygen), they may enter a state of torpor (reduced activity and responsiveness), which can also make them look dead.

A third adaptation is decapitation survival. Turtles can survive having their heads cut off for a short period of time, because their brains are not essential for controlling their basic bodily functions. Their spinal cord and peripheral nerves can still send signals to their muscles and organs, allowing them to move and breathe. Their hearts can also keep beating without any input from the brain, thanks to their special cardiac tissue that we will discuss later.

These adaptations make it hard to determine if a turtle is dead or alive by just looking at it. Some signs that may indicate death are:

  • Rigor mortis (stiffening of the muscles)
  • Putrefaction (decomposition of the body)
  • Livor mortis (pooling of blood in the lower parts of the body)
  • Algor mortis (cooling of the body)
  • Clouding of the eyes
  • Absence of reflexes
  • Absence of heartbeat

However, these signs are not always reliable or conclusive. Rigor mortis may not occur in cold-blooded animals like turtles, or may be delayed by low temperatures. Putrefaction may also be slowed down by low temperatures or dry environments. Livor mortis may not be visible in turtles with dark shells or skin. Algor mortis may not be significant in ectothermic animals like turtles, whose body temperature depends on the environment. Clouding of the eyes may be caused by dehydration or injury, not necessarily death. Absence of reflexes may be due to hibernation or torpor, not necessarily death. And absence of heartbeat may be due to faintness or irregularity, not necessarily death.

Therefore, to confirm if a turtle is dead or alive, it is necessary to perform a thorough physical examination and use diagnostic tools such as stethoscope, electrocardiogram (ECG), ultrasound, or necropsy (post-mortem examination). However, even these methods may not be definitive, as we will see in the next part.

 

Part 2: How the Reptilian Heart Keeps Beating After Death

One of the most remarkable features of reptilian hearts is their ability to keep beating after death, even when separated from the body. This phenomenon has been observed in various reptile species, such as turtles, snakes, lizards, and crocodiles. But how is this possible? What makes the reptilian heart so resilient and independent?

The answer lies in the structure and function of the reptilian cardiac tissue. Unlike mammalian hearts, which have a specialized pacemaker region called the sinoatrial node (SA node) that initiates and regulates the heartbeat, reptilian hearts have multiple pacemaker regions distributed throughout the atria and ventricles. These regions are composed of nodal cells, which are modified cardiac muscle cells that can generate spontaneous electrical impulses without any external stimulation. These impulses travel through specialized conducting fibers called nodal tissue, which connect the different pacemaker regions and coordinate their activity.

The main pacemaker region in reptiles is located in the sinus venosus (SV), a thin-walled chamber that receives blood from the body and empties into the right atrium. The SV generates impulses at a regular rate and sends them to the atria and ventricles through the nodal tissue. However, if the SV is damaged or removed, other pacemaker regions can take over and maintain the heartbeat. The most important of these backup pacemakers are located in the atrioventricular node (AV node), which is situated at the junction of the atria and ventricles, and in the ventricular apex (VA), which is located at the tip of the ventricle.

The AV node and VA can generate impulses independently of the SV, but at a slower rate. The AV node also acts as a gatekeeper that regulates the transmission of impulses from the atria to the ventricles, preventing them from contracting too fast or too slow. The VA can also influence the contraction of the ventricle by sending retrograde impulses (backward impulses) to the rest of the cardiac tissue.

The presence of multiple pacemaker regions and conducting fibers in reptilian hearts gives them a high degree of autonomy and adaptability. They can adjust their rate and rhythm according to various factors, such as temperature, oxygen level, hormonal status, and neural input. They can also survive injury or ischemia (lack of blood supply) better than mammalian hearts, because they have more backup systems and alternative pathways for electrical conduction.

This also explains why reptilian hearts can keep beating after death, even when separated from the body. As long as they have enough oxygen and nutrients, they can generate their own impulses and contract without any input from the brain or nervous system. They can also resist decay longer than other organs, because they have a low metabolic rate and a high concentration of ions that prevent bacterial growth.

However, this does not mean that reptilian hearts are immortal or invincible. They still depend on external factors for optimal functioning, such as temperature regulation, hormonal balance, and neural modulation. They also have limits to their endurance and resilience, especially when exposed to extreme conditions or prolonged stress. Therefore, it is important to monitor and evaluate their health and performance using appropriate diagnostic tools and methods.

 

Conclusion:

The reptilian heart exhibits remarkable post-mortem contractility, even when isolated from the body. This phenomenon is attributed to the distinctive structure and function of the reptilian cardiac tissue, which has multiple pacemaker regions and conducting fibers that can generate and coordinate electrical impulses autonomously of the brain or nervous system. The reptilian heart also possesses adaptations that enable it to withstand harsh conditions and exhibit apparent lifelessness, such as hibernation, anoxia tolerance, and decapitation survival. However, these adaptations also pose challenges to the diagnosis of death in reptiles, and necessitate a comprehensive physical examination and diagnostic tools such as stethoscope, electrocardiogram, ultrasound, or necropsy to assess their cardiac status. Reptile cardiology is an emerging field of veterinary medicine that requires further research and application to improve the health and welfare of captive reptiles.




Sources:

 

Kik MJL, Mitchell MA. Reptile Cardiology: A Review of Anatomy and Physiology, Diagnostic Approaches, and Clinical Disease. Seminars in Avian and Exotic Pet Medicine. 2005;14(1):52-60. https://vetmed.illinois.edu/mmitch/pdf/reptilecardiology.pdf

 

Crossley DA II. Reptilian cardiovascular anatomy and physiology: evaluation and monitoring (Proceedings). DVM360. 2009. https://www.dvm360.com/view/reptilian-cardiovascular-anatomy-and-physiology-evaluation-and-monitoring-proceedings

 

Rupprecht C, KΓΌhn C, Witten PE, et al. Reptilian heart development and the molecular basis of cardiac chamber evolution. Nature. 2009;461(7260):95-98. https://www.nature.com/articles/nature08324

 

Johnson A, Clinton J, Stevens R. Turtle heart beats five days after death. Amer Biol Teacher. 1957;19(6):176-177. https://online.ucpress.edu/abt/article/19/6/176/4675/Turtle-Heart-Beats-Five-Days-after-Death


Here are some photos that were taken during a necropsy we did on a turtle with some of our Vet Program students:

 






 

#vetstudentexperience #veterinary #vet #vetmed #vetlife #veterinarian #veterinarymedicine #vettech #vetstudent #vetschool #reptilecardio #reptileanatomy #reptilephysiology #reptilediagnosis #reptiledisease #postmortemheart #reptilecare #reptilelove

Friday, 17 March 2023

What happens if you don't treat an open wound on a zebra or other wildlife?




What happens if you don't treat an open wound on a zebra or other wildlife?

When a zebra or other wildlife sustains an open wound, it's crucial to treat it promptly to prevent infection and promote healing. Failure to treat an open wound can result in serious consequences that can ultimately threaten the animal's life.

Firstly, an open wound can provide a gateway for bacteria, viruses, and parasites to enter the animal's body, causing infections that can spread rapidly throughout the animal's system. Infections can lead to sepsis, which can be fatal if not treated promptly. Additionally, an infection can lead to systemic inflammation, which can cause organ failure and death.

Secondly, an open wound can also impair an animal's ability to move and perform essential functions such as grazing and drinking water. In cases where the wound is located on the animal's limbs, it can cause limping, which can affect the animal's mobility. If the wound is located on the animal's head or face, it can cause problems with feeding and drinking, leading to malnutrition and dehydration.

Lastly, an untreated open wound can attract predators and scavengers, which can pose a serious threat to the animal's safety. Predators such as lions, hyenas, and wild dogs are drawn to the smell of blood and can easily spot an injured animal. Additionally, scavengers such as vultures and jackals can quickly take advantage of an injured animal, causing further harm.

In conclusion, the failure to treat an open wound on a zebra or other wildlife can have severe consequences, ranging from infection and impaired mobility to attracting predators and scavengers. If you come across an injured animal, it's essential to contact a wildlife rescue organization or veterinarian immediately for prompt treatment.

Sources:

"Infection Control in Wound Management," NCBI, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2923493/
"Inflammatory Response to Wound Infections," NCBI, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399383/
"Wildlife First Aid and Emergency Care," Humane Society, https://www.humanesociety.org/resources/wildlife-first-aid-and-emergency-care
"Wildlife Emergency Response," International Fund for Animal Welfare, https://www.ifaw.org/uk/wildlife-emergency-response
"Wildlife Rehabilitation," National Wildlife Rehabilitators Association, https://www.nwrawildlife.org/page/Rehab_FAQs











#vetstudentexperience
#wildlifeconservation #injuredwildlife #wildlifeemergency #wildlifehealth #wildliferehabilitation