Clinical occurrence of trypanosomiasis in Arabian horses from Ahvaz.
Abstract: Trypanosoma evansi (T. evansi) is a hemoprotozoan parasite affecting camels and equids, such as horses, mules, and donkeys, and is known to cause surra disease in these animals. Despite the worldwide distribution of T. evansi infections in equids, surra has not been reported in Arabian horses in Khuzestan Province for over 60 years. In September 2018, a 7-year-old Arabian mare was referred from a 10-horse farm in the suburbs of Ahvaz City. The mare presented with a history of weight loss, poor appetite, and proximity to a camel herd. Physical examination revealed a poor body condition score (BCS ≤ 3/9), pale conjunctival and oral mucosal membranes, dehydration, tachycardia, and fever. Other horses in the herd also exhibited gradual weight loss and hyporexia, with two fatalities reported. A hematologic examination of the referred mare showed leukopenia, severe anemia, and thrombocytopenia. Microscopic examination of a whole blood smear confirmed severe infection with Trypanosoma. PCR assessment of a blood sample further confirmed the infection with T. evansi. The referred mare and seven nonreferred patients from the herd received treatment with diminazene diaceturate (5 mg/kg, a single dose) and penicillin for 4 days. Unfortunately, the referred mare died despite the treatment, while the remaining nonreferred horses recovered. This report marks the first molecular diagnosis of surra in an Arabian horse in Khuzestan Province, highlighting the need for further investigation into surra as a re-emerging disease in this significant population of Arabian horses in the region.
© 2025 American Society for Veterinary Clinical Pathology.
Publication Date: 2025-06-03 PubMed ID: 40462454DOI: 10.1111/vcp.70003Google Scholar: Lookup
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Summary
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The research article details a case of surra disease caused by the parasite T. evansi, popping up for the first time in 60 years among Arabian horses in the Khuzestan Province. The diagnosis was confirmed through PCR and notified as a re-emerging disease in this particular horse population.
Background of the Study
- The study was triggered by the occurrence of Trypanosomiasis, also known as surra, in Arabian horses in the Khuzestan Province, after a hiatus of 60 years.
- The disease is caused by T. evansi, a hemoprotozoan parasite which can affect various equids like horses, donkeys, and mules, as well as camels.
Case Study and Presentation
- In September 2018, a 7-year-old Arabian mare from a 10-horse farm in the suburbs of Ahvaz City presented with a history of weight loss, poor appetite, and proximity to a camel herd.
- Symptoms included poor body condition, pale conjunctival and oral mucosal membranes, dehydration, tachycardia, and fever. Other horses in the herd also showed gradual weight loss and hyporexia, with two deaths reported.
Diagnostic Methods and Results
- Various diagnostic methods were used including physical examination, hematologic examination, and microscopic examination of a whole blood smear which confirmed the severe infection with Trypanosoma.
- A PCR assessment of a blood sample further confirmed the infection with T. evansi.
- The referred mare and seven non-referred patients from the herd received treatment with diminazene diaceturate and penicillin.
- Unfortunately, the referred mare died despite the treatment, while the remaining nonreferred horses recovered.
Implications of the Findings
- This study marks the first molecular diagnosis of surra in an Arabian horse in Khuzestan Province.
- The findings highlight the need for further investigation into surra as a re-emerging disease in this significant population of Arabian horses in the region.
Cite This Article
APA
Nikvand AA, Jalali SM, Bahrami S, Rahij Torfi H.
(2025).
Clinical occurrence of trypanosomiasis in Arabian horses from Ahvaz.
Vet Clin Pathol.
https://doi.org/10.1111/vcp.70003 Publication
Researcher Affiliations
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
- Department of Parasitology, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
- Graduated of Veterinary Clinical Pathology, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
Grant Funding
- SCU.VC1401.30378 / Shahid Chamran University of Ahvaz
References
This article includes 31 references
- Constable PD, Hinchcliff KW, Done SH, Grünberg W. A Textbook of the Diseases of Cattle, Horses, Sheep, Pigs, and Goats. 11th ed. Saunders Ltd; 2017:2156‐2158.
- Hines MT. Clinical approach to commonly encountered problems. Equine Internal Medicine 4th ed. Saunders Ltd; 2018:232‐233.
- Sawesi OK, Elbaz AK, Mahmoud AS. Hematological reference values of horses in western Libya and their relationship to breed, age, and management. Open vet J 2023;13(12):1696‐1707.
- Aradaib IE, Majid AA. A simple and rapid method for detection of Trypanosoma Evansi in the dromedary camel using a nested polymerase chain reaction. Kinetoplastid Biol Dis 2006;5(2):1‐6.
- Bryan LK, Hamer SA, Shaw S. Chagas disease in a Texan horse with neurologic deficits. Vet Parasitol 2016;216:13‐17.
- Wemery U, Kaaden OR. Infectious Disease of Camel. 2nd ed. Blackwell Wissens Chafts‐Verlag; 2002:274‐282.
- Desquesnes M, Holzmuller P, Lai DH, Dargantes A, Lun ZR, Jittaplapong S. Trypanosoma evansi and surra: a review and perspectives on origin, history, distribution, taxonomy, morphology, hosts, and pathogenic effects. Biomed Res Int 2013;1:194176.
- Joshi PP, Shegokar VR, Powar RM. Human trypanosomiasis caused by Trypanosoma evansi in India: the first case report. Am J Trop Med Hyg 2005;73(3):491‐495.
- Mirshekar F, Yakhchali M, Shariati‐Sharifi F. Molecular evidence of Trypanosoma evansi infection in Iranian dromedary camel herds. Ann Parasitol 2019;65(2):159‐165.
- Ghaemi M, Zavarib A, Jannat‐Pirouz H. Evaluation of Trypanosama Evansi prevalence and risk factors in the one‐humped camels (Camelus Dromedarius) of the north‐east of Iran by a real‐time PCR test. Prev Vet Med 2019;168:60‐65.
- Sazmand A, Joachim A. Parasitic diseases of camels in Iran (1931–2017)—a literature review. Parasite 2017;24:21.
- Zakian A, Nouri M, Safaei P. An acute outbreak of natural Trypanosoma evansi infection in camel (Camelus dromedarius) herds in the southwestern Iran. Comp Clin Pathol 2017;26(1):51‐59.
- Sazmand A, Bahari A, Papi S, Otranto D. Parasitic diseases of equids in Iran (1931‐2020): a literature review. Parasit Vectors 2020;13(1):586.1‐19.
- Hashemi‐Fesharaki R, Esmaeil‐Nia K, Habibi GR, Sarkarzadeh P. Investigations on trypanosomosis in equine. Proceedings of the 1st National Congress of Equine Health and Diseases, 12th–14th November, Tehran, Iran 1996;60‐61.
- Badiei K, Ahmadi MR, Nazifi S. Equine trypanosomiasis (T. Evansi): a case report associated with abortion. Iran vet J 1998;1:69‐75.
- Mahzounieh M, Tahmasby H, Amiri‐Dehcheshmeh J, Monji H. Molecular epidemiology of trypanosoma in equids in Iran. Vet Res Biol Prod 2012;99:20‐24.
- Javanshir A, Tavassoli M, Esmaeilnejad B. Morphological, serological, molecular detection, and phylogenetic analysis of Trypanosoma Evansi in horses of different regions in Iran. Parasitol Res 2023;122(8):1873‐1881.
- Dagnachew S, Mohammed S, Dessie B, Tilahun M, Ayele A, Kefyalew H. Bovine and equine trypanosomosis in northwest Ethiopia: prevalence, density of vectors and control measures. Parasite Epidemiol Control 2020;11(1):e00170.
- Tamarit A, Gutierrez C, Arroyo R. Trypanosoma evansi infection in mainland Spain. Vet Parasitol 2010;167(1):74‐76.
- Aregawi WG, Agga GE, Abdi RD, Buscher P. Systematic review and meta‐analysis on the global distribution, host range, and prevalence of Trypanosoma evansi. Parasit Vectors 2019;12(1):67.
- Giordani F, Morrison LJ, Rowan TG, de Koning HP, Barrett MP. The animal trypanosomiases and their chemotherapy: a review. Parasitology 2016;143(14):1862‐1889.
- Elshafie EI, Sani RA, Sharma R, Abubakr IA. Clinical and hematological profiles of Malaysian ponies experimentally infected with a field strain of Trypanosoma Evansi. Open Parasitol 2018;6(1):7‐16.
- Silva RAMS, Herrera HM, Domingos LBDS, Ximenes FA, Davila AMR. Pathogenesis of Trypanosoma evansi infection in dogs and horses: hematological and clinical aspects. Cienc Rural 1995;25(2):233‐238.
- Stijlemans B, Cnops J, Naniima P. Development of a pHrodo‐based assay for the assessment of in vitro and in vivo erythrophagocytosis during experimental trypanosomosis. PLoS Negl Trop Dis 2015;9(3):e0003561.
- Walton RM, Lawson CA. Equine Hematology. Equine Hematology, Cytology, and Clinical Chemistry 2nd ed. Wiley‐Blackwell; 2021:9‐26.
- Agina OA. Haematology and clinical biochemistry findings associated with equine diseases—a review. Not Sci Biol 2017;9(1):1‐21.
- Sellon DC, Levine J, Millikin E, Palmer K, Grindem C, Covington P. Thrombocytopenia in horses: 35 cases (1989–1994). J Vet Intern Med 1996;10(3):127‐132.
- Marcondes MC, Borelli P, Yoshida N, Russo M. Acute Trypanosoma cruzi infection is associated with anemia, thrombocytopenia, leukopenia, and bone marrow hypoplasia: reversal by nifurtimox treatment. Microbes Infect 2000;2(4):347‐352.
- Walden HS, Ness SAL, Mittel LD. Miscellaneous parasitic diseases. Equine Infectious Diseases 2nd ed. Saunders Elsevier; 2014:505‐514.
- Buscher P, Gonzatti MI, Hebert L. Equine trypanosomosis: enigmas and diagnostic challenges. Parasit Vectors 2019;12(1):234.
- Tuntasuvan D, Jarabrum W, Viseshakul N. Chemotherapy of surra in horses and mules with diminazene aceturate. Vet Parasitol 2003;110(3–4):227‐233.
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