Analyze Diet
Animals : an open access journal from MDPI2025; 15(10); 1485; doi: 10.3390/ani15101485

Assessment of Common Hematologic Parameters and Novel Hematologic Ratios for Predicting Piroplasmosis Infection in Horses.

Abstract: Equine piroplasmosis (EP) is a tick-borne disease affecting equids worldwide. Diagnosis is based on direct methods (blood smear or PCR) or indirect methods (serology); however, these techniques yield positive and negative results. Thus, an alternative, reliable, rapid, and cost-effective complementary tool, such as hematologic parameters and newly described hematologic ratios, could help in the EP diagnosis. This study describes the changes induced by piroplasmosis infection on hematologic parameters and ratios in horses. PCR-positive horses exhibited anemia and thrombocytopenia, whereas PCR-positive horses showed anemia and leukocytosis. -seropositive horses had lower neutrophil and lymphocyte percentages than seronegative horses. Hematologic ratios displayed significant differences between negative and infected horses (mostly those infected by ). Most of the variations observed in these ratios were those previously linked to the worst prognosis or outcome in horses and humans. This study also evaluates the ability to predict the EP status of these hematologic parameters and ratios, with platelet-related parameters showing a fair ability to predict a PCR-positive result. While molecular methods remain the gold standard, complete hematology analysis and ratios could provide valuable complementary information to enhance the diagnostic accuracy of piroplasmosis in horses.
Publication Date: 2025-05-20 PubMed ID: 40427362PubMed Central: PMC12108503DOI: 10.3390/ani15101485Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This study explores how changes in common blood parameters and novel hematological ratios can aid in the diagnosis of Equine piroplasmosis (EP), a tick-borne disease affecting horses. It indicates that these elements could provide valuable supplementary information to the current diagnostic methods, potentially improving accuracy.

Understanding Equine Piroplasmosis

  • Equine piroplasmosis (EP) is a disease in horses that spreads through ticks.
  • There are common techniques for diagnosing EP, including blood smears, PCR, and serology tests, but these methods sometimes yield both positive and negative results, indicating a lack of full accuracy.
  • To improve diagnostic accuracy, the study is exploring alternative means including hematologic parameters and newly devised hematologic ratios.

Investigating Hematologic Changes

  • The research studied changes caused by EP infection on hematologic parameters and ratios in horses.
  • In cases with PCR-positive horses, symptoms of anemia and thrombocytopenia (a lower than normal count of platelets in the blood) were observed. Meanwhile, PCR-positive horses exhibited symptoms of anemia and leukocytosis (higher than normal white blood cell count).
  • The study found that horses seropositive for EP had lower percentages of neutrophils (a type of white blood cell) and lymphocytes (a variety of white blood cell involved in the immune response) compared to horses that were seronegative.

Role of Hematologic Ratios

  • The study observed that hematologic ratios showed significant disparities between EP-infected horses and those not infected; the differences were particularly pronounced in horses infected by certain strains of the disease.
  • The variations in the hematologic ratios linked with the worst prognosis or treatment outcomes in both horses and humans were especially noticeable.

Diagnostic Potential of Hematologic Parameters

  • The research evaluated the predictive capability of these hematologic parameters and ratios on EP status.
  • In particular, parameters related to platelets (small particles in the blood that help with clotting) showed a significant capability to predict a PCR-positive result for EP.
  • The findings suggest that while molecular methods are the gold standard for diagnosing EP, a full hematological analysis and use of these ratios could offer valuable additional information to enhance diagnostic precision.

Cite This Article

APA
Duaso J, Perez-Ecija A, Martínez E, Navarro A, De Las Heras A, Mendoza FJ. (2025). Assessment of Common Hematologic Parameters and Novel Hematologic Ratios for Predicting Piroplasmosis Infection in Horses. Animals (Basel), 15(10), 1485. https://doi.org/10.3390/ani15101485

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 15
Issue: 10
PII: 1485

Researcher Affiliations

Duaso, Juan
  • Department of Animal Medicine and Surgery, University of Cordoba, 14014 Cordoba, Spain.
Perez-Ecija, Alejandro
  • Department of Animal Medicine and Surgery, University of Cordoba, 14014 Cordoba, Spain.
Martínez, Esther
  • Gasset Laboratory, DAV Salud Group SL, 18200 Granada, Spain.
Navarro, Ana
  • Gasset Laboratory, DAV Salud Group SL, 18200 Granada, Spain.
De Las Heras, Adelaida
  • Department of Animal Medicine and Surgery, University of Cordoba, 14014 Cordoba, Spain.
Mendoza, Francisco J
  • Department of Animal Medicine and Surgery, University of Cordoba, 14014 Cordoba, Spain.

Grant Funding

  • Plan Propio de Investigaciu00f3n Enrique Aguilar Benitez de Lugo (AGR 277) / University of Cu00f3rdoba

Conflict of Interest Statement

Authors Esther Martínez and Ana Navarro were employed by the company Gasset Laboratory, DAV Salud Group SL. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

This article includes 37 references
  1. Onyiche T.E., Suganuma K., Igarashi I., Yokoyama N., Xuan X., Thekisoe O.. A review on equine piroplasmosis: Epidemiology, vector ecology, risk factors, host immunity, diagnosis and control.. Int. J. Environ. Res. Public Health 2019;16:1736.
    doi: 10.3390/ijerph16101736pmc: PMC6572709pubmed: 31100920google scholar: lookup
  2. Mendoza F.J., Pérez-Écija A., Kappmeyer L.S., Suarez C.E., Bastos R.G.. New insights in the diagnosis and treatment of equine piroplasmosis: Pitfalls, idiosyncrasies, and myths.. Front. Vet. Sci. 2024;11:1459989.
    doi: 10.3389/fvets.2024.1459989pmc: PMC11349644pubmed: 39205808google scholar: lookup
  3. Onyiche T.E., Taioe M.O., Molefe N.I., Biu A.A., Luka J., Omeh I.J., Yokoyama N., Thekisoe O.. Equine piroplasmosis: An insight into global exposure of equids from 1990 to 2019 by systematic review and meta-analysis.. Parasitology 2020;147:1411–1424.
    doi: 10.1017/S0031182020001407pmc: PMC10317785pubmed: 32741382google scholar: lookup
  4. Rothschild C.M.. Equine piroplasmosis.. J. Equine. Vet. Sci. 2013;33:497–508.
  5. Wise L.N., Pelzel-McCluskey A.M., Mealey R.H., Knowles D.P.. Equine piroplasmosis.. Vet. Clin. N. Am. Equine. Pract. 2014;30:677–693.
    doi: 10.1016/j.cveq.2014.08.008pubmed: 25300637google scholar: lookup
  6. Bastos R.G., Sears K.P., Dinkel K.D., Kappmeyer L., Ueti M.W., Knowles D.P., Fry L.M.. Development of an indirect ELISA to detect equine antibodies to Theileria haneyi.. Pathogens 2021;10:270.
    doi: 10.3390/pathogens10030270pmc: PMC7997436pubmed: 33673478google scholar: lookup
  7. Tirosh-Levy S., Gottlieb Y., Fry L.M., Knowles D.P., Steinman A.. Twenty years of equine piroplasmosis research: Global distribution, molecular diagnosis, and phylogeny.. Pathogens 2020;9:926.
    doi: 10.3390/pathogens9110926pmc: PMC7695325pubmed: 33171698google scholar: lookup
  8. Yokoyama N.. Manual of Diagnostic Tests and Vaccines for Terrestrial Animals. 13th ed. Equine Piroplasmosis.. WOAH; Paris, France: 2024.
  9. Camacho A.T., Guitian F.J., Pallas E., Gestal J.J., Olmeda A.S., Habela M.A., Telford S.R., 3rd, Spielman A.. Theileria (Babesia) equi and Babesia caballi infections in horses in Galicia, Spain.. Trop. Anim. Health Prod. 2005;37:293–302.
    doi: 10.1007/s11250-005-5691-zpubmed: 15934637google scholar: lookup
  10. Camino E., Dorrego A., Carvajal K.A., Buendia-Andres A., de Juan L., Dominguez L., Cruz-Lopez F.. Serological, molecular and hematological diagnosis in horses with clinical suspicion of equine piroplasmosis: Pooling strengths.. Vet. Parasitol. 2019;275:108928.
    doi: 10.1016/j.vetpar.2019.108928pubmed: 31605935google scholar: lookup
  11. Dorrego A., Camino E., Gago P., Buendia-Andres A., Acurio K., Gonzalez S., de Juan L., Cruz-Lopez F.. Haemato-biochemical characterization of equine piroplasmosis asymptomatic carriers and seropositive, real-time PCR negative horses.. Vet. Parasitol. 2023;323:110046.
    doi: 10.1016/j.vetpar.2023.110046pubmed: 37826971google scholar: lookup
  12. Hernandez-Ainsa M., Velamazan R., Lanas A., Carrera-Lasfuentes P., Piazuelo E.. Blood-cell-based inflammatory markers as a useful tool for early diagnosis in colorectal cancer.. Front. Med. 2022;9:843074.
    doi: 10.3389/fmed.2022.843074pmc: PMC9252519pubmed: 35795635google scholar: lookup
  13. Rezaeian S., Razmjooei F., Pourmokhtari M., Abdoli A., Mofazzal Jahromi M.A., Bagheri K.. Hematological, inflammatory, and novel biomarkers assessment as an eminent strategy for clinical management of COVID-19.. Heliyon 2023;9:e22896.
  14. Van Rensburg J., Davids S., Smuts C., Davison G.M.. Use of full blood count parameters and haematology cell ratios in screening for sepsis in South Africa.. Afr. J. Lab. Med. 2023;12:2104.
    doi: 10.4102/ajlm.v12i1.2104pmc: PMC10157447pubmed: 37151816google scholar: lookup
  15. Tang W., Yao W., Wang W., Lv Q., Ding W., He R.. Common hematological and biochemical parameters for predicting urinary tract infections in geriatric patients with hip fractures.. Front. Med. 2024;11:1333472.
    doi: 10.3389/fmed.2024.1333472pmc: PMC11169829pubmed: 38873209google scholar: lookup
  16. Foy B.H., Carlson J.C.T., Aguirre A.D., Higgins J.M.. Platelet-white cell ratio is more strongly associated with mortality than other common risk ratios derived from complete blood counts.. Nat. Commun. 2025;16:1113.
    doi: 10.1038/s41467-025-56251-9pmc: PMC11775293pubmed: 39875373google scholar: lookup
  17. Scalco R., de Oliveira G.N., da Rosa Curcio B., Wooten M., Magdesian K.G., Hidai S.T., Pandit P., Aleman M.. Red blood cell distribution width to platelet ratio in neonatal foals with sepsis.. J. Vet. Intern. Med. 2023;37:1552–1560.
    doi: 10.1111/jvim.16793pmc: PMC10365058pubmed: 37306395google scholar: lookup
  18. Samuels A.N., Kamr A.M., Reed S.M., Slovis N.M., Hostnik L.D., Burns T.A., Toribio R.E.. Association of the neutrophil-lymphocyte ratio with outcome in sick hospitalized neonatal foals.. J. Vet. Intern. Med. 2024;38:1196–1206.
    doi: 10.1111/jvim.16995pmc: PMC10937482pubmed: 38284437google scholar: lookup
  19. Wilkins P.A., Wong D., Slovis N.M., Collins N., Barr B.S., MacKenzie C., De Solis C.N., Castagnetti C., Mariella J., Burns T.. The systemic inflammatory response syndrome and predictors of infection and mortality in 1068 critically ill newborn foals.. J. Vet. Intern. Med. 2025;39:e70004.
    doi: 10.1111/jvim.70004pmc: PMC11911538pubmed: 40091577google scholar: lookup
  20. Rodríguez R., Cerón J.J., Riber C., Castejón F., Gómez-Díez M., Serrano-Rodríguez J.M., Muñoz A.. Acute phase proteins in Andalusian horses infected with Theileria equi.. Vet. J. 2014;202:182–183.
    doi: 10.1016/j.tvjl.2014.07.003pubmed: 25086769google scholar: lookup
  21. . II Estudio sobre el Impacto Económico del Sector Ecuestre en España (Deloitte). Real Federación Hípica Española; Madrid, Spain: 2022.
  22. Tudurachi B.S., Anghel L., Tudurachi A., Sascău R.A., Stătescu C.. Assessment of inflammatory hematological ratios (NLR, PLR, MLR, LMR and Monocyte/HDL-Cholesterol Ratio) in acute myocardial infarction and particularities in young patients.. Int. J. Mol. Sic. 2023;24:14378.
    doi: 10.3390/ijms241814378pmc: PMC10531986pubmed: 37762680google scholar: lookup
  23. Bartolome Del Pino L.E., Nardini R., Veneziano V., Iacoponi F., Cersini A., Autorino G.L., Buono F., Scicluna M.. Babesia caballi and Theileria equi infections in horses in Central-Southern Italy: Sero-molecular survey and associated risk factors.. Ticks Tick Borne Dis. 2016;7:462–469.
    doi: 10.1016/j.ttbdis.2016.01.011pubmed: 26847198google scholar: lookup
  24. Bartolome Del Pino L.E., Meana A.. Host and environmental factors as determinants of equine piroplasmosis seroprevalence n Central Spain.. Span. J. Agric. Res. 2020;18:e0108.
  25. Graham H., van Kalsbeek P., van der Goot J., Koene M.G.J.. Low seroprevalence of equine piroplasmosis in horses exported from the Netherlands between 2015 and 2021.. Front. Vet. Sci. 2022;9:954046.
    doi: 10.3389/fvets.2022.954046pmc: PMC9588945pubmed: 36299627google scholar: lookup
  26. Hermans L.M., Bonsergent C., Josson A., Rocafort-Ferrer G., Le Guyader M., Angelloz-Pessey S., Leblond A., Malandrin L.. Evaluation of Theileria equi vertical transmission rate and routes in a cohort of asymptomatic mares and their foals.. Ticks Tick Borne Dis. 2025;16:102432.
    doi: 10.1016/j.ttbdis.2024.102432pubmed: 39724815google scholar: lookup
  27. Mahmoud M.S., El-Ezz N.T., Abdel-Shafy S., Nassar S.A., El Namaky A.H., Khalil W.K., Knowles D., Kappmeyer L., Silva M.G., Suarez C.E.. Assessment of Theileria equi and Babesia caballi infections in equine populations in Egypt by molecular, serological and hematological approaches.. Parasit. Vectors. 2016;9:260.
    doi: 10.1186/s13071-016-1539-9pmc: PMC4857240pubmed: 27146413google scholar: lookup
  28. Hailat N.Q., Lafi S.Q., Al-Darraji A.M., Al-Ani F.K.. Equine babesiosis associated with strenuous exercise: Clinical and pathological studies in Jordan.. Vet. Parasitol. 1997;69:1–8.
    doi: 10.1016/S0304-4017(96)01100-4pubmed: 9187024google scholar: lookup
  29. Zobba R., Ardu M., Niccolini S., Chessa B., Manna L., Cocco R., Pinna Parpaglia M.L.. Clinical and laboratory findings in equine piroplasmosis.. J. Equine. Vet. Sci. 2008;28:301–308.
  30. Al-Obaidi Q.T., Mohd Mokhtar A., Al-Sultan I.I., Azlinda A.B., Mohd Azam K.G.K.. Equine piroplasmosis in Kelantan, Malaysia: Clinicohemato-biochemical alterations in subclinically and clinically infected equids.. Trop. Biomed. 2016;33:619–631.
    pubmed: 33579058
  31. Wise L.N., Kappmeyer L.S., Mealey R.H., Knowles D.P.. Review of equine piroplasmosis.. J. Vet. Intern. Med. 2013;27:1334–1346.
    doi: 10.1111/jvim.12168pubmed: 24033559google scholar: lookup
  32. Tamzali Y.. Equine piroplasmosis: An updated review.. Equine Vet. Educ. 2013;25:590–598.
    doi: 10.1111/eve.12070google scholar: lookup
  33. Yao H., Lian L., Zheng R., Chen C.. Red blood cell distribution width/platelet ratio on admission as a predictor for in-hospital mortality in patients with acute myocardial infarction: A retrospective analysis from MIMIC-IV Database.. BMC Anesthesiol. 2023;23:113.
    doi: 10.1186/s12871-023-02071-7pmc: PMC10071654pubmed: 37016294google scholar: lookup
  34. Farkas J.D.. The complete blood count to diagnose septic shock.. J. Thorac. Dis. 2020;12:s16–s21.
    doi: 10.21037/jtd.2019.12.63pmc: PMC7024748pubmed: 32148922google scholar: lookup
  35. Chen Z., Huang Y., Li S., Lin J., Liu W., Ding Z., Li X., Chen Y., Pang W., Yang D.. Platelet-to-white blood cell ratio: A prognostic predictor for 90-day outcomes in ischemic stroke patients with intravenous thrombolysis.. J. Stroke Cerebrovasc. Dis. 2016;25:2430–2438.
  36. Wang M.Q., Sun Y.Y., Wang Y., Yan X.L., Jin H., Sun X., Zhang P., Zhu H.J., Guo Z.N., Yang Y.. Platelet-to-neutrophil ratio after intravenous thrombolysis predicts unfavorable outcomes in acute ischemic stroke.. Curr. Neurovasc. Res. 2020;17:411–419.
  37. Zhou J., Li X., Wang M., Gu C., Liu J.. Platelet-to-monocyte ratio as a novel promising agent for the prognosis of hepatitis B virus-associated decompensated cirrhosis.. Can. J. Gastroenterol. Hepatol. 2023;2023:6646156.
    doi: 10.1155/2023/6646156pmc: PMC10361825pubmed: 37485072google scholar: lookup

Citations

This article has been cited 5 times.
  1. Deniz Ö, Erol HS, van den Hoven R, Onmaz AC, Aragona F, Fazio F. Monitoring Weaning Stress in Fillies and Colts on a Thoroughbred Breeding Farm by Cortisol and Blood Inflammatory Markers: The Benefits of Gradual Separation and Social Support. Animals (Basel) 2025 Dec 10;15(24).
    doi: 10.3390/ani15243551pubmed: 41463836google scholar: lookup
  2. Ullah A, Geng M, Chen W, Zhu Q, Shi L, Zhang X, Akhtar MF, Wang C, Khan MZ. Effect of Parasitic Infections on Hematological Profile, Reproductive and Productive Performance in Equines. Animals (Basel) 2025 Nov 14;15(22).
    doi: 10.3390/ani15223294pubmed: 41302002google scholar: lookup
  3. Davias C, Mendoza FJ, De Las Heras A, Gonzalez-De-Cara C, Buzon-Cuevas A, Perez-Ecija A. Hematologic Ratios in Donkeys: Reference Intervals and Response to Experimentally Induced Endotoxemia. Animals (Basel) 2025 Aug 4;15(15).
    doi: 10.3390/ani15152272pubmed: 40805061google scholar: lookup
  4. Duaso J, Perez-Ecija A, Navarro A, Martínez E, De Las Heras A, Mendoza FJ. True Prevalence and Seroprevalence of Piroplasmosis in Horses in Southwestern Europe. Animals (Basel) 2025 Jul 11;15(14).
    doi: 10.3390/ani15142047pubmed: 40723509google scholar: lookup
  5. Duaso J, Perez-Ecija A, Navarro A, Martínez E, De Las Heras A, Mendoza FJ. Evaluation of Blood Biochemical Parameters and Ratios in Piroplasmosis-Infected Horses in an Endemic Region. Vet Sci 2025 Jul 5;12(7).
    doi: 10.3390/vetsci12070643pubmed: 40711303google scholar: lookup