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Topic:Piroplasmosis
Piroplasmosis is a tick-borne disease affecting horses, caused by the protozoan parasites Theileria equi and Babesia caballi. These parasites invade and multiply within the red blood cells of the host, leading to hemolytic anemia. Clinical signs of piroplasmosis in horses may include fever, lethargy, jaundice, and anemia, although some horses may remain asymptomatic carriers. Diagnosis is typically confirmed through blood tests, including serological assays and polymerase chain reaction (PCR) techniques. Piroplasmosis can impact equine health and performance, and it poses challenges for international horse movement due to quarantine regulations. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, diagnostic methods, and management strategies for equine piroplasmosis.
Equine piroplasmosis in China, 2000 to 2025: a systematic review and meta-analysis of prevalence and risk factors. Equine piroplasmosis (EP) is a tick-borne disease of equids caused by Theileria equi, Babesia caballi, and Theileria haneyi. We conducted a PRISMA-guided systematic review and meta-analysis to estimate pooled prevalence in China and identify associated risk factors. PubMed, Web of Science, ScienceDirect, CNKI, Wanfang, and VIP were searched through 15 August 2025. Of 2,626 records identified, 80 studies met the inclusion criteria. Random-effects models were used to pool prevalence estimates, and prespecified subgroup analyses and univariate meta-regression were used to explore heterogeneity an...
Development of a rapid and highly accurate diagnostic test for detecting Theileria equi in horses using recombinase polymerase amplification (RPA) combined with nucleic acid lateral flow immunoassay. Equine piroplasmosis (EP) is a protozoan disease in horses, mainly caused by Theileria equi, and is associated with non-specific signs such as fever, anemia, and edema. The lack of specific clinical signs, coupled with the high prevalence of carrier horses, highlights the critical need for a rapid and highly accurate diagnostic test for the detection of Theileria equi. Existing methods, including molecular, serological, and microscopic techniques, require specialized equipment, skilled personnel, and considerable time. The current study aims to develop a rapid and accurate assay for the detect...
First molecular detection of Theileria haneyi infection in horses in Southern Spain. Equine piroplasmosis (EP) is a tick-borne disease of equids caused by the hemoparasites , and . , a close relative of that causes mild clinical signs under experimental conditions, has been reported in several countries, adding complexity to EP ecology, diagnosis, and treatment. However, its presence in Spain remains unknown, which is concerning given the country's importance in equine genetics and international trade. Hereby, we investigated the presence of in blood samples from equids in Spain. Unassigned: Blood samples from 222 equids (218 horses, two donkeys, two mules) suspected of EP a...
Herd-level occurrence and spread of Theileria equi and its associated ticks on an Austrian horse farm. Equine piroplasmosis (EP) is a tick-borne disease caused by the blood parasites Theileria equi, Theileria haneyi, and Babesia caballi transmitted primarily by hard ticks (Ixodidae). The clinical courses of EP range from asymptomatic to severe, and chronic infections for several years support the transmission among hosts. Methods: Over a period of two years, blood and fecal samples were taken from horses (n = 18) on a single farm in eastern Austria, starting with the first confirmed case of T. equi infection. Hard ticks (n = 1525 of Ixodes ricinus, Dermacentor reticulatus and Haemaphysalis ...
Theileria equi sensu lato genetic diversity and phylogeny: new insights from mitochondrion, apicoplast and nucleus multilocus gene analysis. Equine piroplasmosis is a significant tick-borne disease with a global distribution. Among the two causative agents, Theileria equi has undergone numerous taxonomic reclassifications over time, reflecting advances in our understanding of its biology, molecular characteristics, and phylogenetic relationships. Formerly named Babesia equi, now classified in the Equus group apart from Babesia and Theileria species, its genus name will again certainly change. The genetic diversity also within T. equi lead to the renaming of one lineage as Theileria haneyi. Theileria equi should better now be consid...
Molecular and serological survey on Theileria equi and Babesia caballi infecting Arabian horses in the northern provinces of Syria. Equine babesiosis is one of the prevalent diseases in horses worldwide, but its presence in Syria generally and in the northern region specifically is not known. In Syria, the civil war has severely disrupted veterinary services, hence disease control measures, creating a fertile ground for the spread of tick-borne diseases. Unassigned: This study aimed to conduct a comprehensive molecular and serological survey of and . in Arabian horses from the northern provinces of Syria, regions heavily impacted by the war. Unassigned: A total of 110 Arabian horses, aged between 2 and 10 years, were inc...
The first molecular detection of equine piroplasmosis in Vietnam and genetic characterization of three co-circulating genotypes of Theileria equi. Equine piroplasmosis, caused by , and , significantly impacts on the veterinary and economic aspects of the global horse industry. However, many countries, including Vietnam, have not yet conducted epidemiological surveys to determine the prevalence of these haemoparasites. This study aimed to detect and/or infections in horses and to identify their genotypes. Blood samples were collected from 154 apparently healthy horses in eight districts of Hanoi, Thai Nguyen, and Son La provinces located in the northern part of the country. Twenty-four horses (15.58%, 95%CI: 10.70–22.14%) were found ...
Tafenoquine succinate inhibits the growth of the equine piroplasmosis hemoparasites Theileria equi and Babesia caballi. Equine piroplasmosis (EP) is a tick-borne disease of equids caused by the intraerythrocytic apicomplexan parasites Theileria equi, Babesia caballi and the recently identified Theileria haneyi. Acute cases can be severe, with anemia, jaundice, abortion or sudden death. Survivors remain lifelong carriers, serving as reservoirs for tick-borne and iatrogenic transmission. No vaccines are currently available, and control strategies rely heavily on accurate diagnostics and chemotherapeutic intervention. Imidocarb dipropionate (ID) is the current standard of care for both acute treatment and radical ...
Antibiotics prescribing patterns and association with system-specific pathologies in equine veterinary practice: Insights from a 12-year study at a veterinary teaching hospital. Antibiotics are essential in veterinary medicine, enhancing animal health and welfare. However, widespread use contributes to resistance, increasing the risk of treatment failure and the transmission to humans. Objective: Analyze antibiotic prescribing practices in an equine internal medicine unit, focusing on factors influencing use, particularly Highest Priority Critically Important Antimicrobials (HPCIAs). Methods: 1315 adult equids, including horses, donkeys and mules, presented for different diseases to the Veterinary Teaching Hospital (VTH) of the University of Pisa from 2011 to 2023. Re...
Equine piroplasmosis: an emerging tick-borne threat to equine health. Equine piroplasmosisis a tick-borne haemoprotozoan disease of equine population (horses, mules, donkeys and zebras) caused either by T. equi or B. caballi. Clinically it is characterized by pyrexia, hemolytic anemia and jaundice. Intravascular hemolysis and development of oxidative stress are key pathological alterations. Disease is endemic in almost all part of world (tropical, subtropical, temperate regions) except some courtiers which are EP free like US, UK, Northern Europe, Iceland and New Zealand. These countries follow strict quarantine measures and T. equi infection leads to developmen...
Treatment evaluation using ultrasonographic scanning of the spleen in Arabian horses affected by babesiosis. Equine babesiosis is a widespread protozoan disease in Saudi Arabia. The most common finding of clinical babesiosis is splenomegaly, which can be detected using non-invasive splenic ultrasonography. Unassigned: This study aimed to investigate changes in the spleen size in horses infected with babesiosis using ultrasonography before and after treatment. Unassigned: This study employed 15 male and female Arabian horses. Each animal was examined clinically for clinical signs, and blood samples were collected in plain tubes to detect antibodies against . The spleens of healthy and affected horses ...
Babesia spp. in Domestic Animals from Rural Areas of Cauca Department: Previous Exposure and Molecular Detection Among Canines, Bovines and Equines. Babesia species are tick-borne protozoan parasites which affect several animal species. Babesia spp. infections are significantly important for veterinary medicine, affecting a wide range of domestic animal species such as dogs, cattle, and horses. In Colombia, studies of Babesia spp. infections in domestic animals are scarce. Thus, the aim of the present study was to explore the circulation of these parasites among domestic canines, bovines and equines from the department of Cauca. Methods: Between August and November, 2017, active domestic animal sampling of cattle was performed in eight rur...
Rapid and sensitive detection of Theileria equi using a novel integrated RPACRISPR/Cas13a lateral flow assay. Equine piroplasmosis (EP), caused by the intracellular protozoa Theileria equi, Babesia caballi, and Theileria haneyi, represents a major health and economic threat to the equine industry worldwide. Existing diagnostic methods, including PCR, serology, and microscopy, are constrained by their dependence on specialized equipment, lengthy protocols, and the requirement for skilled personnel. Objective: This study aimed to develop a rapid, accurate, and field-deployable molecular diagnostic assay for T. equi. Methods: A nucleic acid-based diagnostic platform combining recombinase polymerase ampli...
Newly designed PCR assays based on the ema-10 and ema-11 genes confirm the circulation of Theileria haneyi in horses in Brazil. Equine Piroplasmosis (EP) is a tick-borne disease caused by the protozoan parasites Babesia caballi, Theileria equi, and Theileria haneyi, characterized by intravascular hemolysis and associated systemic illness. Although T. equi and B. caballi have been widely reported in some regions of Brazil, data from other states are limited. Additionally, despite reports of T. equi genotype C, currently recognized as T. haneyi, has been identified in Brazil, there are no investigations using T. haneyi-specific molecular tools. This study assessed the presence of these three agents in horses from Baixada...
Genetic diversity of equine piroplasmosis agents in Guadeloupe (Caribbeans): first report of Theileria haneyi, evaluation of diagnostic tools and impact of horse movement. Equine piroplasmosis is a major tick-borne horse disease, caused by the intracellular development of piroplasms (Theileria equi sensu lato and Babesia caballi), with significant economic and sanitary consequences. In 2024, 203 blood samples were collected in Guadeloupe (Caribbean) from asymptomatic horses. Using an 18S rRNA nested PCR (nPCR) specific for each equine genus parasite, 79 samples tested positive for Theileria equi and 9 for Babesia caballi, resulting in respective prevalence of 38.9% and 4.4%. Three horses were co-infected. For B. caballi, 18S rRNA sequence analysis revealed the p...
True Prevalence and Seroprevalence of Piroplasmosis in Horses in Southwestern Europe. Equine piroplasmosis (EP) is an endemic parasitic disease in southern European countries, such as Spain. Andalusia, the most southwestern region of Europe, is the community with the highest number of registered horses and farms in Spain and one of the main international exporters of Andalusian (Spanish Purebred) horses worldwide. Considering the current expansion of this disease and the possible effect of climate change on its prevalence, studying the EP prevalence in this region is compelling. Molecular (PCR) and serological methods (cELISA and IFAT) were used to study the true and apparent p...
An epidemiological survey of equine piroplasmosis in donkeys and horses in Malawi. Equine piroplasmosis (EP) is a tick-borne disease caused by Theileria equi, Theileria haneyi, and Babesia caballi in equids, such as horses, donkeys, mules, and zebras. A comprehensive understanding of the epidemiology of T. equi and B. caballi is vital for EP management. The present study surveyed T. equi and B. caballi infections in donkeys and horses in Malawi. Blood samples were collected from 185 equines, including 178 donkeys in Lilongwe (n = 136) and Dedza (n = 42) districts, and seven horses in Lilongwe district. The blood samples were used to measure hematocrit values and prepare ...
Evaluation of Blood Biochemical Parameters and Ratios in Piroplasmosis-Infected Horses in an Endemic Region. Equine piroplasmosis (EP), caused by and , is a worldwide tick-borne disease with severe economic, commercial, and sanitary implications for equids. Although diagnosis is based on direct (blood smear or PCR) or indirect (serology) methods, these techniques are expensive, laborious, and false-negative and false-positive results can be yielded. Biochemistry blood profiles are routinely performed in horses. Biochemical parameters and ratios could be a reliable complementary diagnostic tool to assist clinicians in EP diagnosis, mainly in endemic areas, or for discarding similar disorders (piro-li...
Microscopic examination of haemoparasites and the first molecular detection of Theileria equi in horses in Myanmar. The study aimed to determine the prevalence of blood parasites in horses and identify risk factors and molecular detection of piroplasm species (Theileria equi and Babesia caballi) of horses in Myanmar. Blood samples (n = 302) were collected from five regions of Myanmar. Blood smears were screened for presence of piroplasms. Samples positive for piroplasms were subjected to molecular identification using primers specific to the small subunit ribosomal RNA (SSU rRNA) of piroplasms. The overall prevalence of blood parasites (piroplasms, Trypanosoma spp., and microfilaria of Setaria equina) w...
Prevalence rates of Babesia caballi and Theileria equi in the horse population of northern Spain: a serological and molecular study. Equine piroplasmosis (EP), a tick-borne disease caused by Babesia caballi and Theileria equi, is of significant concern due to its impact on the international horse trade. According to standards established by the World Organisation for Animal Health (WOAH), horses imported from EP-endemic regions must have a certificate confirming negative serological and molecular test results. In EP-free countries, only seronegative horses are allowed to enter. This entails economic losses for endemic regions such as Spain. Our study aimed to assess the prevalence of B. caballi and T. equi in horses from no...
Risk factors for tick infestation and equine Piroplasmosis infection among draught horses in France. Equine piroplasmosis, caused by the protozoan parasites Babesia caballi and Theileria equi, is endemic in Europe's Mediterranean basin, creating significant health and economic challenges for the equine sector. With no available vaccine, an eco-epidemiological approach is essential in order to identify and implement effective preventive measures. With this aim in view, we identified risk factors associated with B. caballi and T. equi infections and tick infestation for draught horses in the Auvergne-Rhône-Alpes region of France, known for its high piroplasmosis seroprevalence. During the spri...
First Molecular Characterization of Theileria equi from Northeastern Algeria. Equine piroplasmosis (EP) is a tick-borne disease that affects equids and is caused by the parasites Theileria equi, Theileria haneyi and Babesia caballi. This disease leads to significant economic losses for the global equine industry. The current study aimed to evaluate the prevalence of Piroplasmida infections in equines from El Tarf, located in northeastern Algeria, and investigate the phylogenetic diversity within isolates obtained from infected equines in this study and between those from previous studies. Methods: A total of 120 blood samples were collected from equines in three municip...
Epidemiology and genetic diversity of Theileria equi and Babesia caballi in draft horses in the Distrito Federal, Brazil. Equine piroplasmosis (EP) is a reportable disease according to the World Organization for Animal Health (WOAH), caused by Babesia caballi, Theileria equi and T. haneyi. This syndrome is prevalent in tropical and subtropical regions, including various areas in Brazilian. This study examines EP in the Distrito Federal, Brazil, focusing on prevalence, epidemiological characteristics, and circulating genotypes. Epidemiological data and whole blood samples were collected from horses in the Distrito Federal. DNA was analyzed using qPCR for Theileria sp. and B. caballi, followed by cPCR for 18S rDNA ...
Molecular detection of piroplasms, Anaplasma, and Ehrlichia species in Kazakhstan. Tick-borne pathogens (TBPs) are a global public health issue. However, there have been few reports on the prevalence of piroplasms, , and in Kazakhstan. To understand the distribution of piroplasms, , and pathogens carried by ticks in Kazakhstan, a total of 10,461 ticks were collected from natural hosts (e.g., cattle, sheep, and horses) in six oblasts in eastern, southern, and western Kazakhstan between 2022 and 2024. After morphological identification, 272 representative ticks were further used for species-level detection and partial genotyping analysis of TBPs. Two species ( and ), four ...
Equine piroplasmosis in different geographical areas in France: Prevalence heterogeneity of asymptomatic carriers and low genetic diversity of Theileria equi and Babesia caballi. Equine piroplasmosis is a worldwide tick-borne disease caused by the parasites Theileria equi sensu lato and Babesia caballi, with significant economic and sanitary consequences. These two parasites are genetically variable, with a potential impact on diagnostic accuracy. Our study aimed to evaluate the frequency of asymptomatic carriers of these parasites in France and describe the circulating genotypes. We developed a species-specific nested PCR protocol targeting the 18S small sub-unit (SSU) rRNA gene and used it on blood samples collected from 566 asymptomatic horses across four National V...
Evaluation of Theileria equi vertical transmission rate and routes in a cohort of asymptomatic mares and their foals. Equine piroplasmosis is a tick-borne disease mainly caused by Theileria equi and Babesia caballi. The objectives of this study were to analyse the frequency and routes of vertical transmission of these blood parasites from 179 asymptomatic mares to their foals. Foals were sampled within 72 h post-partum. The seroprevalences determined by Indirect Immunofluorescent Antibody Test (IFAT) and based on a subset sample of 107 couples, were 59.8% and 42.1% for T. equi and B. caballi, respectively in the mare population, and 54.2% and 40.2% in the foal population. A species-specific nested PCR was per...
Occurrence and risk factors of equine piroplasmosis in Portugal: A five-year retrospective study. Equine piroplasmosis (EP) is a tick-borne disease of equids caused by Theileria equi, Theileria haneyi, and Babesia caballi. EP is endemic in most tropical and subtropical regions worldwide, and there is a likelihood that it is also endemic in Portugal. This retrospective study aimed to determine the seroprevalence, prevalence, and potential risk factors of EP in our country over the past five years. A total of 3063 diagnostic test records were analysed. Results from the competitive enzyme-linked immunosorbent assay (cELISA) revealed a seroprevalence of 32.7 % and 15.7 % for T. equi and B....
[Equine piroplasmosis: Case descriptions and overview of the epidemiological situation in Europe with focus on Germany]. Equine piroplasmosis (EP) is caused by (.) and (.) and is transmitted by hard ticks. Predominantly, the Mediterranean region is known as being endemic for both pathogens in Europe. However, autochthonous infections in central European countries such as Germany can no longer be ruled out due to individual case reports in horses without any stays abroad as well as the geographical expansion of the habitats of different tick species. The case reports presented underline the risk of infection for horses travelling to endemic areas and in horses imported from such areas to non-endemic countries...
Molecular Investigations of Babesia caballi from Clinically Healthy Horses in Southwestern Romania. is a tick-borne hemoparasite that causes equine piroplasmosis. It has a significant economic impact, decreasing performance and affecting animal welfare. This study aimed to identify DNA in the blood of horses from households in the southwestern and western regions of Romania. We included 310 animals, from which blood was collected via EDTA. To test the samples for the parasite genome, we used real-time PCR and conventional PCR. The prevalence of was 5.81% (18/310) in apparently healthy horses, suggesting that this parasite is enzootic in the regions studied, although veterinarians did not...
Molecular-phylogenetic analyses of Babesia and Theileria species from small mammals and their ticks in northern China suggest new reservoirs of bovine and equine piroplasms. Babesia and Theileria species (Apicomplexa: Piroplasmida) are tick-borne protozoan parasites that can cause mild to severe infection in humans, wildlife, livestock and companion animals. To date, reports on the molecular study of piroplasms from wild living small mammals and their ticks are still limited, especially in Asia. This study encompassed an extensive survey involving 907 liver samples and 145 ixodid ticks from 16 different species of small mammals (Rodentia, Lagomorpha, Eulipotyphla). These were collected in 13 cities and counties in northern China. DNA extracts from these samples we...
