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{{Infobox medical condition (new)
{{Infobox medical condition (new)
| name = Anaplasmosis
| name = Anaplasmosis
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| image = Anaplasma-centrale.jpg
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| caption = ''Anaplasma centrale'' infecting the red blood cells of a cow: The arrow points to typical infected cell.
| caption = ''Anaplasma centrale'' infecting the red blood cells of a cow: The arrow points to typical infected cell.
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| field = [[Veterinary medicine]]
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'''Anaplasmosis''' is a [[tick]]-borne disease affecting [[ruminant]]s, dogs, and horses,<ref>{{Cite web|title=Anaplasmosis|url=https://www.pgc.pa.gov/Wildlife/Wildlife-RelatedDiseases/Pages/Anaplasmosis.aspx|access-date=2021-11-29|website=Pennsylvania Game Commission|language=en-US|archive-date=2022-05-24|archive-url=https://web.archive.org/web/20220524144147/https://www.pgc.pa.gov/Wildlife/Wildlife-RelatedDiseases/Pages/Anaplasmosis.aspx|url-status=dead}}</ref> and is caused by ''[[Anaplasma]]'' bacteria. Anaplasmosis is an infectious but not contagious disease. Anaplasmosis can be transmitted through mechanical and biological vector processes. Anaplasmosis can also be referred to as "yellow bag" or "yellow fever" because the infected animal can develop a jaundiced look. Other signs of infection include weight loss, diarrhea, paleness of the skin, aggressive behavior, and high fever.<ref name=":7">{{Cite book| vauthors = Whittier WD, Currin N, Currin JF |url= http://worldcat.org/oclc/1200163698|title=Anaplasmosis in Beef Cattle|date=2005-09-01|publisher=Virginia Cooperative Extension|oclc=1200163698}}</ref>
'''Anaplasmosis''' is a disease caused by a [[rickettsia]]l [[parasite]] of [[ruminant]]s, ''[[Anaplasma]]'' spp and is therefore related to rickettsial disease.<ref>{{Cite web|url=https://www.merckmanuals.com/en-ca/professional/infectious-diseases/rickettsiae-and-related-organisms/ehrlichiosis-and-anaplasmosis|title=Ehrlichiosis and Anaplasmosis - Infectious Diseases|website=Merck Manuals Professional Edition|language=en-CA|access-date=2019-04-02}}</ref> Anaplasmosis is an infectious but not contagious disease. Anaplasmosis can be transmitted through numerous ways including tick and fly bites, as well as from unsanitary instruments used on the animal. The ''[[Ixodes]]'' [[tick]] that commonly transmits [[Lyme disease]] also spreads anaplasmosis. The microorganisms are Gram-negative,<ref name=":0">{{Cite journal|title = Pathogens and symbionts in ticks: prevalence of ''Anaplasma phagocytophilum'' (Ehrlichia sp.), Wolbachia sp., Rickettsia sp., and Babesia sp. in Southern Germany|journal = International Journal of Medical Microbiology Supplements|date = 2004-04-01|pages = 86–92|volume = 293, Supplement 37|series = Proceedings of the VII International Potsdam Symposium on Tick-Borne Diseases|doi = 10.1016/S1433-1128(04)80013-5|first = Kathrin|last = Hartelt|first2 = Rainer|last2 = Oehme|first3 = Henning|last3 = Frank|first4 = Stefan O.|last4 = Brockmann|first5 = Dieter|last5 = Hassler|first6 = Peter|last6 = Kimmig}}</ref> and infect [[red blood cell]]s.<ref>{{cite book|last1=Capucille|first1=DJ|editor1-last=Haskell|editor1-first=SRR|title=Blackwell's Five-Minute Veterinary Consult Ruminant.|date=2011|publisher=John Wiley & Sons|location=Hoboken|isbn=9780470961186|pages=50–51|chapter=Anaplasmosis}}</ref> There are many different tick species that can carry the bacteria able to cause anaplasmosis, but the two major species include ''[[Anaplasma marginale]]'' and ''[[Anaplasma phagocytophilum]]''.<ref name=":3" /> While there are no current live or killed vaccines effective for all strains of ''A. marginale'' approved by the USDA for anaplasmosis, there are other means of prevention. Tick and fly control for herd of ruminants can be effective but also labor intensive. Chemical methods can also be used, including sanitizing surgical equipment after each use.<ref name=":3" /> Tetracycline drugs are the most common treatment for anaplasmosis, and can provide the animal with immunity for a period of time.<ref name=":5" /> The disease is more common in the South and West parts of the United States, but is no longer considered a major problem since the use of tetracycline drugs.<ref name=":6" />

Many different tick species can carry the bacteria that cause anaplasmosis. The two major bacterial pathogens are ''[[Anaplasma marginale]]'' and ''[[Anaplasma phagocytophilum]]''.<ref name=":3" /> These microorganisms are Gram-negative,<ref name=":0">{{cite journal | vauthors = Hartelt K, Oehme R, Frank H, Brockmann SO, Hassler D, Kimmig P | title = Pathogens and symbionts in ticks: prevalence of Anaplasma phagocytophilum (Ehrlichia sp.), Wolbachia sp., Rickettsia sp., and Babesia sp. in Southern Germany | journal = International Journal of Medical Microbiology | volume = 293 | issue = Suppl 37 | pages = 86–92 | date = April 2004 | pmid = 15146989 | doi = 10.1016/S1433-1128(04)80013-5 | series = Proceedings of the VII International Potsdam Symposium on Tick-Borne Diseases }}</ref> and infect [[red blood cell]]s.<ref>{{cite book| vauthors = Capucille DJ |title=Blackwell's Five-Minute Veterinary Consult Ruminant.|date=2011|publisher=John Wiley & Sons|isbn=9780470961186| veditors = Haskell SR |location=Hoboken|pages=50–51|chapter=Anaplasmosis}}</ref> Once the host is infected with anaplasmosis, the immune system will try to fight off and kill the infected red blood cells, but will also kill healthy red blood cells.<ref name=":7" /> The ''[[Anaplasma sparouinense]]'' species is responsible for a rare [[zoonosis]], the Sparouine anaplasmosis, detected only in French Guiana, South America.<ref name=":8">{{cite journal | vauthors = Duron O, Koual R, Musset L, Buysse M, Lambert Y, Jaulhac B, Blanchet D, Alsibai KD, Lazrek Y, Epelboin L, Deshuillers P, Michaud C, Douine M | display-authors = 6 | title = Novel Chronic Anaplasmosis in Splenectomized Patient, Amazon Rainforest | journal = Emerging Infectious Diseases | volume = 28 | issue = 8 | pages = 1673–1676 | date = August 2022 | pmid = 35876693 | pmc = 9328922 | doi = 10.3201/eid2808.212425 }}</ref> This disease was described from a clandestine gold miner working deep in rainforest. Infection of his red blood cells led to a severe deterioration of his health and required his hospitalization. Molecular typing showed that ''Anaplasma sparouinense'' is distinct to all known species and more genetically related to recently described ''Anaplasma'' species causing infections in rainforest wild fauna of Brazil.<ref name=":8" />

While there are no current live or inactivated vaccines effective for all strains of ''A. marginale'' approved by the [[United States Department of Agriculture|USDA]] for anaplasmosis, there are other means of prevention. Tick and fly control for herds of ruminants can be effective but also labor intensive. Chemical methods can also be used, including sanitizing surgical equipment after each use.<ref name=":3" /> Tetracycline drugs are the most common treatment for anaplasmosis, and can provide the animal with immunity for a period of time.<ref name=":5" /> The disease is more common in the South and West parts of the United States, but is no longer considered a major problem since the use of tetracycline drugs.<ref name=":6" />


== Transmission ==
== Transmission ==
Mechanical and biological vector transmission work in different ways but both lead to infection of the red blood cells. Mechanical transmission happens in two ways, one when red blood cells are inoculated with the blood parasite through surgical equipment including needles, dehorners, ear taggers, castrating knives, and tattoo instruments. Another mechanical transmission mode is through the mouthparts of biting flies who carry an ''Anaplasma'' species of blood parasite.<ref name=":7" />
Anaplasmosis is known as a tick-borne disease because tick bites can transmit various species of Anaplasma bacteria. The most common Anaplasmosis-causing tick is [[Ixodes scapularis]], also known as the black-legged tick or the deer tick.<ref name=":1">{{Cite web|url=https://www.cdc.gov/anaplasmosis/transmission/index.html|title=Transmission {{!}} Anaplasmosis {{!}} CDC|date=2019-01-11|website=www.cdc.gov|language=en-us|access-date=2019-04-02}}</ref><ref>{{Cite web|url=https://www.aldf.com/anaplasmosis/|title=Anaplasmosis {{!}} ALDF|website=www.aldf.com|access-date=2019-04-02}}</ref> It carries ''[[Anaplasma phagocytophilum]]''. Anaplasmosis can also be contracted from [[biting fly|biting flies]]. Once infected with Anaplasma, cattle will continue to carry the bacterium.<ref name=":3" />


Biological vector transmission is through ticks that carry a blood parasite able to cause anaplasmosis. The most common Anaplasmosis-causing tick is [[Ixodes scapularis]], also known as the black-legged tick or the deer tick.<ref name=":1">{{Cite web|url=https://www.cdc.gov/anaplasmosis/transmission/index.html|title=Transmission {{!}} Anaplasmosis {{!}} CDC|date=2019-01-11|website=www.cdc.gov|language=en-us|access-date=2019-04-02}}</ref><ref>{{Cite web|url=https://www.aldf.com/anaplasmosis/|title=Anaplasmosis {{!}} ALDF|website=www.aldf.com|access-date=2019-04-02}}</ref> Ticks who contain species of many different ''Anaplasma'' species can transmit this disease through a bite. The blood parasite survives and can multiply in the tick, and can sit dormant for months without being transmitted to an animal. When bitten by a tick carrying a blood parasite, the blood parasite can then enter the new host and cause infection.<ref name=":7" />
Anaplasmosis can also be contracted from blood transfusions, as well as using surgical, [[Cattle dehorning|dehorning]], [[castration]], and [[tattoo]] instruments and [[hypodermic needle]]s that are not disinfected between uses.<ref name=":1" />

Once infected with a species of ''Anaplasma'', the parasite multiplies in the blood stream and attaches to red blood cells. The immune system will attempt to kill the infected blood cells but will also kill uninfected red blood cells in the process. The number of red blood cells being destroyed becomes larger than new red blood cells being made, causing the host to become anemic and leading to many other symptoms. Once infected with anaplasmosis, the cattle will always be a carrier of the infectious disease, and calves born from carriers will also carry the disease.<ref name=":7" />


==Signs and symptoms==
==Signs and symptoms==
Classic signs and symptoms of anaplasmosis include [[fever]], a [[leukopenia|decreased number of white blood cells]], [[thrombocytopenia|platelets]] in the bloodstream, and abnormally elevated levels of [[aminotransferase|liver enzymes]]. The [[erythema chronicum migrans]] rash may be seen with anaplasmosis as it is co-transmitted in 10% of Lyme disease cases.
Classic signs and symptoms of anaplasmosis will not occur until 3–6 weeks after infection.<ref name=":7" /> The most common symptoms of anaplasmosis include [[fever]], a [[leukopenia|decreased number of white blood cells]], [[thrombocytopenia|platelets]] in the bloodstream, and abnormally elevated levels of [[aminotransferase|liver enzymes]]. The [[erythema chronicum migrans]] rash may be seen with anaplasmosis as it is co-transmitted in 10% of Lyme disease cases.{{cn|date=January 2023}}


[[Anemia]] may be severe and result in cardiovascular changes such as an [[tachycardia|increase in heart rate]]. [[Haematuria|Blood in the urine]] may occur due to the lysis of red blood cells. General systemic signs such as [[diarrhea]], anorexia, and weight loss. Paleness around the eyes, muzzle, lips, and teats of the cattle may also be exhibited. <ref name=":4">{{Cite web|title=Keep a watchful eye out for anaplasmosis in cattle herds — Division of Agricultural Sciences and Natural Resources|url=http://www.dasnr.okstate.edu/Members/donald-stotts-40okstate.edu/keep-a-watchful-eye-out-for-anaplasmosis-in-cattle-herds|access-date=2021-11-16|website=www.dasnr.okstate.edu}}</ref>
[[Anemia]] may be severe and result in cardiovascular changes such as an [[tachycardia|increase in heart rate]]. [[Haematuria|Blood in the urine]] may occur due to the lysis of red blood cells. General systemic signs include [[diarrhea]], anorexia, and weight loss. Infected animals may develop a jaundiced look which then turns into paleness around the eyes, muzzle, lips, and teats of the cattle.<ref name=":7" />


All cattle are susceptible to infection by ''Anaplasma marginale'', but the severity worsens with age increase. Older cattle tend to exhibit the most severe clinical symptoms, which cattle aged 1-3 may also show severe symptoms but are able to recover easier. <ref name=":4" />
All cattle are susceptible to infection by ''Anaplasma marginale'', but the severity worsens with age increase. Older cattle tend to exhibit the most severe clinical symptoms; cattle aged 1–3 may also show severe symptoms but are able to recover easier.<ref name=":4">{{Cite web|title=Keep a watchful eye out for anaplasmosis in cattle herds — Division of Agricultural Sciences and Natural Resources|url=http://www.dasnr.okstate.edu/Members/donald-stotts-40okstate.edu/keep-a-watchful-eye-out-for-anaplasmosis-in-cattle-herds|access-date=2021-11-16|website=www.dasnr.okstate.edu|date=6 July 2016 }}</ref>


==Causes==
==Causes==
The two major species that cause anaplasmosis in ruminants include ''[[Anaplasma marginale]]'' and ''[[Anaplasma phagocytophilum]]''. ''[[Anaplasma marginale]]'' is found worldwide and is transmitted by ''[[Rhipicephalus]]'' ticks. ''[[Anaplasma phagocytophilum]]'' is also found worldwide, mainly transmitted by ''[[Ixodes]]'' ticks.<ref name=":2">{{Cite journal|last=Atif|first=Farhan Ahmad|date=2015-11-01|title=Anaplasma marginale and Anaplasma phagocytophilum: Rickettsiales pathogens of veterinary and public health significance|url=https://doi.org/10.1007/s00436-015-4698-2|journal=Parasitology Research|language=en|volume=114|issue=11|pages=3941–3957|doi=10.1007/s00436-015-4698-2|issn=1432-1955}}</ref> Other species that cause anaplasmosis in specific species include:
The two major species that cause anaplasmosis in ruminants include ''[[Anaplasma marginale]]'' and ''[[Anaplasma phagocytophilum]]''. ''[[Anaplasma marginale]]'' is found worldwide and is transmitted by ''[[Rhipicephalus]]'' ticks. ''[[Anaplasma phagocytophilum]]'' is also found worldwide, mainly transmitted by ''[[Ixodes]]'' ticks.<ref name=":2">{{cite journal | vauthors = Atif FA | title = Anaplasma marginale and Anaplasma phagocytophilum: Rickettsiales pathogens of veterinary and public health significance | journal = Parasitology Research | volume = 114 | issue = 11 | pages = 3941–3957 | date = November 2015 | pmid = 26346451 | doi = 10.1007/s00436-015-4698-2 | s2cid = 14218282 }}</ref> Other species that cause anaplasmosis in specific species include:
* Cattle:

** ''[[Anaplasma centrale]]'' found mainly in [[South America]], Africa and the [[Middle East]]<ref name="Boes 2017"/>
*Cattle:
* Sheep and goats:
** ''[[Anaplasma centrale]]'' - found mainly in [[South America]], Africa and the [[Middle East]]<ref name="Boes 2017"/>
** ''[[Anaplasma ovis]]'' found worldwide.<ref name="Boes 2017">{{cite book| vauthors = Boes KM, Durham AC | veditors = Zachary JF |title=Pathologic Basis of Veterinary Disease|date=2017|publisher=Elsevier Health Sciences|isbn=9780323357975|pages=749–50|edition=6th|chapter=Anaplasmosis, Ehrlichiosis, Heartwater and Tick-Borne Fever}}</ref> There is a prevalence of 82.9% in sheep, and 74.9% in goats. This species is the most prevalent for causing anaplasmosis in sheep and goats, although ''[[Anaplasma phagocytophilum|Anaplasma phagocytophilium]]'' can also cause the disease. ''[[Anaplasma phagocytophilum|Anaplasma phagocytophilium]]'' has a prevalence of 11.9% in sheep, and 15.2% in goats.<ref>{{Cite journal| vauthors = Alessandra T, Santo C |date=2012-08-01|title=Tick-borne diseases in sheep and goats: Clinical and diagnostic aspects |journal=Small Ruminant Research|series=Supplement: SIPAOC Congress 2010|language=en|volume=106|pages=S6–S11|doi=10.1016/j.smallrumres.2012.04.026|issn=0921-4488}}</ref>
*Sheep and goats:
** ''[[Anaplasma ovis]]'' - found worldwide<ref name="Boes 2017">{{cite book|last1=Boes|first1=KM|last2=Durham|first2=AC|editor1-last=Zachary|editor1-first=JF|title=Pathologic Basis of Veterinary Disease|date=2017|publisher=Elsevier Health Sciences|isbn=9780323357975|pages=749–50|edition=6th|chapter=Anaplasmosis, Ehrlichiosis, Heartwater and Tick-Borne Fever}}</ref>. There is a prevalence of 82.9% in sheep, and 74.9% in goats. This species is the most prevalent for causing anaplasmosis in sheep and goats, although ''[[Anaplasma phagocytophilum|Anaplasma phagocytophilium]]'' can also cause the disease. ''[[Anaplasma phagocytophilum|Anaplasma phagocytophilium]]'' has a prevalence of 11.9% in sheep, and 15.2% in goats.<ref>{{Cite journal|last=Alessandra|first=Torina|last2=Santo|first2=Caracappa|date=2012-08-01|title=Tick-borne diseases in sheep and goats: Clinical and diagnostic aspects|url=https://www.sciencedirect.com/science/article/pii/S0921448812001769|journal=Small Ruminant Research|series=Supplement: SIPAOC Congress 2010|language=en|volume=106|pages=S6–S11|doi=10.1016/j.smallrumres.2012.04.026|issn=0921-4488}}</ref>


== Morphology ==
== Morphology ==
There are many strains of ''[[Anaplasma marginale]]'', all with differing morphology, antigenic properties, protein sequence, and ability to be transmitted by ticks. Major surface proteins (MSP) have been found to play a major role in the infection by ''[[Anaplasma marginale]]''. Out of the six MSP found on this species, three of the major surface proteins do not seem to differ between all strains, those including MSP1a, MSP4, and MSP5. msp1a gene, which codes for MSP1a is used as a marker for the identification of ''Anaplasma marginale'' because it has shown to be conserved in the multiplication of rickettsia in cattle and ticks and has been shown to be involved in adhesion of to bovine erythrocytes and tick cells.<ref name=":3">{{Cite journal|last=Aubry|first=P.|last2=Geale|first2=D. W.|date=2011|title=A Review of Bovine Anaplasmosis|url=https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1865-1682.2010.01173.x|journal=Transboundary and Emerging Diseases|language=en|volume=58|issue=1|pages=1–30|doi=10.1111/j.1865-1682.2010.01173.x|issn=1865-1682}}</ref>
There are many strains of ''[[Anaplasma marginale]]'', all with differing morphology, antigenic properties, protein sequence, and ability to be transmitted by ticks. Major surface proteins (MSP) have been found to play a major role in the infection by ''[[Anaplasma marginale]]''. Out of the six MSP found on this species, three of the major surface proteins do not seem to differ between all strains, those including MSP1a, MSP4, and MSP5. The msp1a gene, which codes for MSP1a, is used as a marker for the identification of ''Anaplasma marginale'' because it has shown to be conserved in the multiplication of rickettsia in cattle and ticks and has been shown to be involved in adhesion to bovine erythrocytes and tick cells.<ref name=":3">{{cite journal | vauthors = Aubry P, Geale DW | title = A review of bovine anaplasmosis | journal = Transboundary and Emerging Diseases | volume = 58 | issue = 1 | pages = 1–30 | date = February 2011 | pmid = 21040509 | doi = 10.1111/j.1865-1682.2010.01173.x | doi-access = free }}</ref>


''[[Anaplasma phagocytophilum]]'' is a gram-negative bacterium that does not have lipopolysaccharides or peptidoglycan. The outer membrane does not have a capsule, and is coarse with irregular periplasmic spaces. This species was originally included in the genus ''Ehrlichia (Ehrlichia phagocytophilium),'' but is now included in the genus ''Anaplasma ([[Anaplasma phagocytophilium]]).''<ref name=":2" />
''[[Anaplasma phagocytophilum]]'' is a gram-negative bacterium that does not have lipopolysaccharides or peptidoglycan. The outer membrane does not have a capsule, and is coarse with irregular periplasmic spaces. This species was originally included in the genus ''Ehrlichia (Ehrlichia phagocytophilium),'' but is now included in the genus ''Anaplasma ([[Anaplasma phagocytophilium]]).''<ref name=":2" />


==Prevention==
==Prevention==
There are currently no live or killed [[Vaccine|vaccines]] approved by the [[United States Department of Agriculture|USDA]] that is effective against all strains of [[Anaplasma marginale|''A. marginale'']]. There are vaccines that rely on erythrocyte-derived antigen sources to provide immunity or prevent clinical disease, although these do not prevent cattle from being infected with [[Anaplasma marginale|''A. marginale'']]. Other means of prevention can include testing all ruminants in a herd and eliminate any individuals who test positive for anaplasmosis, leading to an anaplasmosis-free herd. There are also means of vector control that can be used. Tick control is widely used in some countries, including Africa, but rarely used in the United States due to the fact that this prevention method is labor-intensive and expensive. In contrast, the control of flies is effective and there are many ways to do this. Chemical agents can be used, sanitation methods (such as cleaning stalls/pens regularly, manure management, and protecting feed), as well as biological control by natural enemies of flies (including bees, mites, parasitoids). There are also ways to prevent iatrogenic transmission, by avoiding re-using of needles, and sanitizing medical equipment between uses. [[Antimicrobial|Antimicrobial treatment]] can also be used, although it is more commonly used in the case of active infection. This includes the drugs [[tetracycline]] and [[imidocarb]], and is used in healthy ruminants to decrease the clinical effects of an active infection.<ref name=":3" />
Currently, no live or inactivated [[vaccine]]s have been approved by the [[United States Department of Agriculture|USDA]] that are effective against all strains of [[Anaplasma marginale|''A. marginale'']]. Some vaccines that rely on erythrocyte-derived antigen sources provide immunity or prevent clinical disease, although these do not prevent cattle from being infected with [[Anaplasma marginale|''A. marginale'']]. Other means of prevention can include testing all ruminants in a herd and eliminating any individuals who test positive for anaplasmosis, leading to an anaplasmosis-free herd. Vector control measures can also be used. Tick control is widely used in some countries, including Africa, but rarely used in the United States due to the fact that this prevention method is labor-intensive and expensive. In contrast, the control of flies is effective and there are many ways to do this. Chemical agents can be used, sanitation methods (such as cleaning stalls/pens regularly, manure management, and protecting feed), as well as biological control by natural enemies of flies (including bees, mites, parasitoids). Ways to prevent iatrogenic transmission include avoiding re-using of needles and sanitizing medical equipment between uses. [[Antimicrobial|Antimicrobial treatment]] can also be used, although it is more commonly used in the case of active infection. This includes the drugs [[tetracycline]] and [[imidocarb]], and is used in healthy ruminants to decrease the clinical effects of an active infection.<ref name=":3" />


==Treatment==
==Treatment==
The most common source of treatment is the use of tetracycline drugs (including [[tetracycline]], [[Chlortetracycline|chlortetracycline,]] [[oxytetracycline]], [[rolitetracycline]], [[doxycycline]], and [[minocycline]]) and [[imidocarb]]. An injection of tetracycline drugs can give ruminants immunity to Anaplasma species for at least eight months. [[Imidocarb]] has been shown to be highly effective against ''[[Anaplasma marginale]]'', but has been identified as a possible carcinogen and is not approved in the United States or Europe. Countries such as South Africa, Australia, Israel, and South America have used live vaccines containing infectious ''[[Anaplasma centrale]]'' to prevent infection of ''[[Anaplasma marginale]]''. Live vaccines are prohibited in the United States, and there has been production of vaccines consisting of nonliving ''[[Anaplasma marginale]]'' pulled from infected bovine erythrocytes, which can provide some immunity but leaves cattle susceptible to other strains of ''[[Anaplasma marginale]].''<ref name=":5">{{Cite web|title=Anaplasmosis - Circulatory System|url=https://www.merckvetmanual.com/circulatory-system/blood-parasites/anaplasmosis|access-date=2021-11-14|website=Merck Veterinary Manual|language=en-US}}</ref> Supportive therapy such as [[blood products]] and fluids may be necessary.<ref name="WikiVet">[http://en.wikivet.net/Anaplasmosis Anaplasmosis] reviewed and published by [[WikiVet]], accessed 10 October 2011.</ref>
The most common source of treatment is the use of tetracycline drugs (including [[tetracycline]], [[chlortetracycline]], [[oxytetracycline]], [[rolitetracycline]], [[doxycycline]], and [[minocycline]]) and [[imidocarb]]. An injection of tetracycline drugs can give ruminants immunity to Anaplasma species for at least eight months. [[Imidocarb]] has been shown to be highly effective against ''[[Anaplasma marginale]]'', but has been identified as a possible carcinogen and is not approved in the United States or Europe. Countries such as South Africa, Australia, Israel, and South America have used live vaccines containing infectious ''[[Anaplasma centrale]]'' to prevent infection of ''[[Anaplasma marginale]]''. Live vaccines are prohibited in the United States, and there has been production of vaccines consisting of nonliving ''[[Anaplasma marginale]]'' pulled from infected bovine erythrocytes, which can provide some immunity but leaves cattle susceptible to other strains of ''[[Anaplasma marginale]].''<ref name=":5">{{Cite web|title=Anaplasmosis Circulatory System|url=https://www.merckvetmanual.com/circulatory-system/blood-parasites/anaplasmosis|access-date=2021-11-14|website=Merck Veterinary Manual|language=en-US}}</ref> Supportive therapy such as [[blood products]] and fluids may be necessary.<ref name="WikiVet">[http://en.wikivet.net/Anaplasmosis Anaplasmosis] reviewed and published by [[WikiVet]], accessed 10 October 2011.</ref>


==Epidemiology==
==Epidemiology==
In the United States, anaplasmosis is notably present in the south and west, where the tick hosts ''[[Ixodes]]'' spp. are found. It is also a seemingly increasing antibody in humans in Europe.<ref name=":0" /> Although vaccines have been developed, none are currently available in the United States. Early in the 20th century, this disease was considered one of major economic consequence in the western United States. In the 1980s and 1990s, control of ticks through new [[acaricides]] and practical treatment with prolonged-action [[antibiotics]], notably [[tetracycline]], has led to the point where the disease is no longer considered a major problem. The disease affects immunoglobulin G, therefore G-specific antibody levels can be used to diagnose the disease.<ref name=":6">{{Cite journal|last=Srivastava|first=Siddhartha|last2=Evans|first2=Gerald|last3=Guan|first3=T. Hugh|last4=Edginton|first4=Stefan|date=2018-03-26|title=Human granulocytic anaplasmosis acquired from a blacklegged tick in Ontario|url=http://www.cmaj.ca/content/190/12/E363|journal=CMAJ|language=en|volume=190|issue=12|pages=E363–E366|doi=10.1503/cmaj.171243|issn=0820-3946|pmid=29581163|pmc=5871440}}</ref>
In the United States, anaplasmosis is notably present in the South and West, where the tick hosts ''[[Ixodes]]'' spp. are found. It is also a seemingly increasing antibody in humans in Europe.<ref name=":0" /> Although vaccines have been developed, none are currently available in the United States. Early in the 20th century, this disease was considered one of major economic consequence in the Western United States. In the 1980s and 1990s, control of ticks through new [[acaricides]] and practical treatment with prolonged-action [[antibiotics]], notably [[tetracycline]], has led to the point where the disease is no longer considered a major problem. The disease affects immunoglobulin G, therefore G-specific antibody levels can be used to diagnose the disease.<ref name=":6">{{cite journal | vauthors = Edginton S, Guan TH, Evans G, Srivastava S | title = Human granulocytic anaplasmosis acquired from a blacklegged tick in Ontario | journal = CMAJ | volume = 190 | issue = 12 | pages = E363–E366 | date = March 2018 | pmid = 29581163 | pmc = 5871440 | doi = 10.1503/cmaj.171243 }}</ref>


In 2005, ''A. ovis'' was found in [[reindeer]] populations in Mongolia.<ref>{{cite journal|last1=Haigh|first1=Jerry C.|last2=Gerwing|first2=Victoria|last3=Erdenebaatar|first3=Janchivdorj |last4=Hill|first4=Janet E.|title=A novel clinical syndrome and detection of ''A. ovis'' in Mongolian reindeer (''Rangifer tarandus'')|journal=Journal of Wildlife Diseases|date=July 2008|volume=44|issue=3|pages=569–577|doi=10.7589/0090-3558-44.3.569|pmid=18689641}}{{open access}}</ref> This pathogen and its associated syndrome (characterized by lethargy, fever, and pale mucous membranes) was previously observed in only wild sheep and goats in the region, and is the first observed occurrence of ''A. ovis'' in reindeer.
In 2005, ''A. ovis'' was found in [[reindeer]] populations in Mongolia.<ref>{{cite journal | vauthors = Haigh JC, Gerwing V, Erdenebaatar J, Hill JE | title = A novel clinical syndrome and detection of Anaplasma ovis in Mongolian reindeer (Rangifer tarandus) | journal = Journal of Wildlife Diseases | volume = 44 | issue = 3 | pages = 569–577 | date = July 2008 | pmid = 18689641 | doi = 10.7589/0090-3558-44.3.569 | s2cid = 26942337 | doi-access = free }}{{open access}}</ref> This pathogen and its associated syndrome (characterized by lethargy, fever, and pale mucous membranes) was previously observed in only wild sheep and goats in the region, and is the first observed occurrence of ''A. ovis'' in reindeer.{{cn|date=January 2023}}


In Australia, bovine anaplasmosis, caused by ''A. marginale'', is found in only the northern and eastern parts of Australia where the cattle tick is present. It was probably introduced as early as 1829 by cattle from Indonesia infested with the cattle tick ''[[Boophilus microplus]]''.<ref name="TFBA">{{cite web|url=https://www.business.qld.gov.au/industries/farms-fishing-forestry/agriculture/livestock/cattle/managing-tick-fever/tick-fever|title=Bovine anaplasmosis|work=Tick fever|publisher=Department of Agriculture, Fisheries and Forestry, [[Queensland Government]]|access-date=14 June 2012}}</ref>
In Australia, bovine anaplasmosis, caused by ''A. marginale'', is found in only the northern and eastern parts of Australia where the cattle tick is present. It was probably introduced as early as 1829 by cattle from Indonesia infested with the cattle tick ''[[Boophilus microplus]]''.<ref name="TFBA">{{cite web|url=https://www.business.qld.gov.au/industries/farms-fishing-forestry/agriculture/livestock/cattle/managing-tick-fever/tick-fever|title=Bovine anaplasmosis|work=Tick fever|publisher=Department of Agriculture, Fisheries and Forestry, [[Queensland Government]]|access-date=14 June 2012}}</ref>
Line 65: Line 70:
The [[veterinarian]] George P. Broussard of [[New Iberia, Louisiana]], conducted important research on anaplasmosis and [[brucellosis]].<ref>"George Patout Broussard", ''A Dictionary of Louisiana Biography'', Vol. 1 (1988), [[Louisiana Historical Association]] publication, p. 114.</ref>
The [[veterinarian]] George P. Broussard of [[New Iberia, Louisiana]], conducted important research on anaplasmosis and [[brucellosis]].<ref>"George Patout Broussard", ''A Dictionary of Louisiana Biography'', Vol. 1 (1988), [[Louisiana Historical Association]] publication, p. 114.</ref>


==References==
== References ==
{{Reflist}}
{{Reflist}}


== External links ==
== External links ==
{{Medical resources
{{Medical resources
| DiseasesDB =
| DiseasesDB =
| ICD10 =
| ICD10 = A79.82
| ICD9 =
| ICD9 =
| ICDO =
| ICDO =
| OMIM =
| OMIM =
| MedlinePlus =
| MedlinePlus =
| eMedicineSubj =
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| MeshID = D000712
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Latest revision as of 11:44, 29 December 2024

Anaplasmosis
Anaplasma centrale infecting the red blood cells of a cow: The arrow points to typical infected cell.
SpecialtyVeterinary medicine

Anaplasmosis is a tick-borne disease affecting ruminants, dogs, and horses,[1] and is caused by Anaplasma bacteria. Anaplasmosis is an infectious but not contagious disease. Anaplasmosis can be transmitted through mechanical and biological vector processes. Anaplasmosis can also be referred to as "yellow bag" or "yellow fever" because the infected animal can develop a jaundiced look. Other signs of infection include weight loss, diarrhea, paleness of the skin, aggressive behavior, and high fever.[2]

Many different tick species can carry the bacteria that cause anaplasmosis. The two major bacterial pathogens are Anaplasma marginale and Anaplasma phagocytophilum.[3] These microorganisms are Gram-negative,[4] and infect red blood cells.[5] Once the host is infected with anaplasmosis, the immune system will try to fight off and kill the infected red blood cells, but will also kill healthy red blood cells.[2] The Anaplasma sparouinense species is responsible for a rare zoonosis, the Sparouine anaplasmosis, detected only in French Guiana, South America.[6] This disease was described from a clandestine gold miner working deep in rainforest. Infection of his red blood cells led to a severe deterioration of his health and required his hospitalization. Molecular typing showed that Anaplasma sparouinense is distinct to all known species and more genetically related to recently described Anaplasma species causing infections in rainforest wild fauna of Brazil.[6]

While there are no current live or inactivated vaccines effective for all strains of A. marginale approved by the USDA for anaplasmosis, there are other means of prevention. Tick and fly control for herds of ruminants can be effective but also labor intensive. Chemical methods can also be used, including sanitizing surgical equipment after each use.[3] Tetracycline drugs are the most common treatment for anaplasmosis, and can provide the animal with immunity for a period of time.[7] The disease is more common in the South and West parts of the United States, but is no longer considered a major problem since the use of tetracycline drugs.[8]

Transmission

[edit]

Mechanical and biological vector transmission work in different ways but both lead to infection of the red blood cells. Mechanical transmission happens in two ways, one when red blood cells are inoculated with the blood parasite through surgical equipment including needles, dehorners, ear taggers, castrating knives, and tattoo instruments. Another mechanical transmission mode is through the mouthparts of biting flies who carry an Anaplasma species of blood parasite.[2]

Biological vector transmission is through ticks that carry a blood parasite able to cause anaplasmosis. The most common Anaplasmosis-causing tick is Ixodes scapularis, also known as the black-legged tick or the deer tick.[9][10] Ticks who contain species of many different Anaplasma species can transmit this disease through a bite. The blood parasite survives and can multiply in the tick, and can sit dormant for months without being transmitted to an animal. When bitten by a tick carrying a blood parasite, the blood parasite can then enter the new host and cause infection.[2]

Once infected with a species of Anaplasma, the parasite multiplies in the blood stream and attaches to red blood cells. The immune system will attempt to kill the infected blood cells but will also kill uninfected red blood cells in the process. The number of red blood cells being destroyed becomes larger than new red blood cells being made, causing the host to become anemic and leading to many other symptoms. Once infected with anaplasmosis, the cattle will always be a carrier of the infectious disease, and calves born from carriers will also carry the disease.[2]

Signs and symptoms

[edit]

Classic signs and symptoms of anaplasmosis will not occur until 3–6 weeks after infection.[2] The most common symptoms of anaplasmosis include fever, a decreased number of white blood cells, platelets in the bloodstream, and abnormally elevated levels of liver enzymes. The erythema chronicum migrans rash may be seen with anaplasmosis as it is co-transmitted in 10% of Lyme disease cases.[citation needed]

Anemia may be severe and result in cardiovascular changes such as an increase in heart rate. Blood in the urine may occur due to the lysis of red blood cells. General systemic signs include diarrhea, anorexia, and weight loss. Infected animals may develop a jaundiced look which then turns into paleness around the eyes, muzzle, lips, and teats of the cattle.[2]

All cattle are susceptible to infection by Anaplasma marginale, but the severity worsens with age increase. Older cattle tend to exhibit the most severe clinical symptoms; cattle aged 1–3 may also show severe symptoms but are able to recover easier.[11]

Causes

[edit]

The two major species that cause anaplasmosis in ruminants include Anaplasma marginale and Anaplasma phagocytophilum. Anaplasma marginale is found worldwide and is transmitted by Rhipicephalus ticks. Anaplasma phagocytophilum is also found worldwide, mainly transmitted by Ixodes ticks.[12] Other species that cause anaplasmosis in specific species include:

Morphology

[edit]

There are many strains of Anaplasma marginale, all with differing morphology, antigenic properties, protein sequence, and ability to be transmitted by ticks. Major surface proteins (MSP) have been found to play a major role in the infection by Anaplasma marginale. Out of the six MSP found on this species, three of the major surface proteins do not seem to differ between all strains, those including MSP1a, MSP4, and MSP5. The msp1a gene, which codes for MSP1a, is used as a marker for the identification of Anaplasma marginale because it has shown to be conserved in the multiplication of rickettsia in cattle and ticks and has been shown to be involved in adhesion to bovine erythrocytes and tick cells.[3]

Anaplasma phagocytophilum is a gram-negative bacterium that does not have lipopolysaccharides or peptidoglycan. The outer membrane does not have a capsule, and is coarse with irregular periplasmic spaces. This species was originally included in the genus Ehrlichia (Ehrlichia phagocytophilium), but is now included in the genus Anaplasma (Anaplasma phagocytophilium).[12]

Prevention

[edit]

Currently, no live or inactivated vaccines have been approved by the USDA that are effective against all strains of A. marginale. Some vaccines that rely on erythrocyte-derived antigen sources provide immunity or prevent clinical disease, although these do not prevent cattle from being infected with A. marginale. Other means of prevention can include testing all ruminants in a herd and eliminating any individuals who test positive for anaplasmosis, leading to an anaplasmosis-free herd. Vector control measures can also be used. Tick control is widely used in some countries, including Africa, but rarely used in the United States due to the fact that this prevention method is labor-intensive and expensive. In contrast, the control of flies is effective and there are many ways to do this. Chemical agents can be used, sanitation methods (such as cleaning stalls/pens regularly, manure management, and protecting feed), as well as biological control by natural enemies of flies (including bees, mites, parasitoids). Ways to prevent iatrogenic transmission include avoiding re-using of needles and sanitizing medical equipment between uses. Antimicrobial treatment can also be used, although it is more commonly used in the case of active infection. This includes the drugs tetracycline and imidocarb, and is used in healthy ruminants to decrease the clinical effects of an active infection.[3]

Treatment

[edit]

The most common source of treatment is the use of tetracycline drugs (including tetracycline, chlortetracycline, oxytetracycline, rolitetracycline, doxycycline, and minocycline) and imidocarb. An injection of tetracycline drugs can give ruminants immunity to Anaplasma species for at least eight months. Imidocarb has been shown to be highly effective against Anaplasma marginale, but has been identified as a possible carcinogen and is not approved in the United States or Europe. Countries such as South Africa, Australia, Israel, and South America have used live vaccines containing infectious Anaplasma centrale to prevent infection of Anaplasma marginale. Live vaccines are prohibited in the United States, and there has been production of vaccines consisting of nonliving Anaplasma marginale pulled from infected bovine erythrocytes, which can provide some immunity but leaves cattle susceptible to other strains of Anaplasma marginale.[7] Supportive therapy such as blood products and fluids may be necessary.[15]

Epidemiology

[edit]

In the United States, anaplasmosis is notably present in the South and West, where the tick hosts Ixodes spp. are found. It is also a seemingly increasing antibody in humans in Europe.[4] Although vaccines have been developed, none are currently available in the United States. Early in the 20th century, this disease was considered one of major economic consequence in the Western United States. In the 1980s and 1990s, control of ticks through new acaricides and practical treatment with prolonged-action antibiotics, notably tetracycline, has led to the point where the disease is no longer considered a major problem. The disease affects immunoglobulin G, therefore G-specific antibody levels can be used to diagnose the disease.[8]

In 2005, A. ovis was found in reindeer populations in Mongolia.[16] This pathogen and its associated syndrome (characterized by lethargy, fever, and pale mucous membranes) was previously observed in only wild sheep and goats in the region, and is the first observed occurrence of A. ovis in reindeer.[citation needed]

In Australia, bovine anaplasmosis, caused by A. marginale, is found in only the northern and eastern parts of Australia where the cattle tick is present. It was probably introduced as early as 1829 by cattle from Indonesia infested with the cattle tick Boophilus microplus.[17]

The veterinarian George P. Broussard of New Iberia, Louisiana, conducted important research on anaplasmosis and brucellosis.[18]

References

[edit]
  1. ^ "Anaplasmosis". Pennsylvania Game Commission. Archived from the original on 2022-05-24. Retrieved 2021-11-29.
  2. ^ a b c d e f g Whittier WD, Currin N, Currin JF (2005-09-01). Anaplasmosis in Beef Cattle. Virginia Cooperative Extension. OCLC 1200163698.
  3. ^ a b c d Aubry P, Geale DW (February 2011). "A review of bovine anaplasmosis". Transboundary and Emerging Diseases. 58 (1): 1–30. doi:10.1111/j.1865-1682.2010.01173.x. PMID 21040509.
  4. ^ a b Hartelt K, Oehme R, Frank H, Brockmann SO, Hassler D, Kimmig P (April 2004). "Pathogens and symbionts in ticks: prevalence of Anaplasma phagocytophilum (Ehrlichia sp.), Wolbachia sp., Rickettsia sp., and Babesia sp. in Southern Germany". International Journal of Medical Microbiology. Proceedings of the VII International Potsdam Symposium on Tick-Borne Diseases. 293 (Suppl 37): 86–92. doi:10.1016/S1433-1128(04)80013-5. PMID 15146989.
  5. ^ Capucille DJ (2011). "Anaplasmosis". In Haskell SR (ed.). Blackwell's Five-Minute Veterinary Consult Ruminant. Hoboken: John Wiley & Sons. pp. 50–51. ISBN 9780470961186.
  6. ^ a b Duron O, Koual R, Musset L, Buysse M, Lambert Y, Jaulhac B, et al. (August 2022). "Novel Chronic Anaplasmosis in Splenectomized Patient, Amazon Rainforest". Emerging Infectious Diseases. 28 (8): 1673–1676. doi:10.3201/eid2808.212425. PMC 9328922. PMID 35876693.
  7. ^ a b "Anaplasmosis – Circulatory System". Merck Veterinary Manual. Retrieved 2021-11-14.
  8. ^ a b Edginton S, Guan TH, Evans G, Srivastava S (March 2018). "Human granulocytic anaplasmosis acquired from a blacklegged tick in Ontario". CMAJ. 190 (12): E363 – E366. doi:10.1503/cmaj.171243. PMC 5871440. PMID 29581163.
  9. ^ "Transmission | Anaplasmosis | CDC". www.cdc.gov. 2019-01-11. Retrieved 2019-04-02.
  10. ^ "Anaplasmosis | ALDF". www.aldf.com. Retrieved 2019-04-02.
  11. ^ "Keep a watchful eye out for anaplasmosis in cattle herds — Division of Agricultural Sciences and Natural Resources". www.dasnr.okstate.edu. 6 July 2016. Retrieved 2021-11-16.
  12. ^ a b Atif FA (November 2015). "Anaplasma marginale and Anaplasma phagocytophilum: Rickettsiales pathogens of veterinary and public health significance". Parasitology Research. 114 (11): 3941–3957. doi:10.1007/s00436-015-4698-2. PMID 26346451. S2CID 14218282.
  13. ^ a b Boes KM, Durham AC (2017). "Anaplasmosis, Ehrlichiosis, Heartwater and Tick-Borne Fever". In Zachary JF (ed.). Pathologic Basis of Veterinary Disease (6th ed.). Elsevier Health Sciences. pp. 749–50. ISBN 9780323357975.
  14. ^ Alessandra T, Santo C (2012-08-01). "Tick-borne diseases in sheep and goats: Clinical and diagnostic aspects". Small Ruminant Research. Supplement: SIPAOC Congress 2010. 106: S6 – S11. doi:10.1016/j.smallrumres.2012.04.026. ISSN 0921-4488.
  15. ^ Anaplasmosis reviewed and published by WikiVet, accessed 10 October 2011.
  16. ^ Haigh JC, Gerwing V, Erdenebaatar J, Hill JE (July 2008). "A novel clinical syndrome and detection of Anaplasma ovis in Mongolian reindeer (Rangifer tarandus)". Journal of Wildlife Diseases. 44 (3): 569–577. doi:10.7589/0090-3558-44.3.569. PMID 18689641. S2CID 26942337.Open access icon
  17. ^ "Bovine anaplasmosis". Tick fever. Department of Agriculture, Fisheries and Forestry, Queensland Government. Retrieved 14 June 2012.
  18. ^ "George Patout Broussard", A Dictionary of Louisiana Biography, Vol. 1 (1988), Louisiana Historical Association publication, p. 114.
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