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Objective: To evaluate the efficacy of and optimize a commercially available culture system for sensitive and specific in-clinic culture of Tritrichomonas foetus from cat feces., Design: Prospective study., Sample Population: Samples of freshly voided feces from 117 purebred cats and pure cultures of T. foetus obtained from a cat with chronic diarrhea., Procedure: Optimal conditions for use of the culture system, such as quantity of fecal inoculum (0.025 to 0.2 g) and cultivation temperature (25 or 37 degrees C [98.6 or 77.0 degrees F]), were determined. Specificity of the system was examined by attempted culture of Giardia lamblia and Pentatrichomonas hominis. Sensitivity of the system to detect T. foetus was determined by inoculation of culture system pouches with serially diluted T. foetus suspensions with and without feces., Results: Detection limit of the culture system was 1 and 1,000 T. foetus organisms without and with feces from cats, respectively. Optimal fecal inoculum was < 0.1 g of feces. At 37 degrees C, cultures yielded positive results in 24 hours; organisms remained viable for 1 to 6 days, and bacterial overgrowth was common. At 25 degrees C, cultures yielded positive results in 1 to 11 days; organisms were long-lived, and bacterial overgrowth was uncommon. Neither G. lamblia or P. hominis survived in the culture system., Conclusions and Clinical Relevance: The culture system was sensitive and specific for culture of T. foetus in feces of cats. Performance was optimal when test kits were inoculated with < or = 0.1 g of freshly voided feces and cultured at 25 degrees C.

Objective: To compare sensitivity for diagnosing Tritrichomonas foetus infection in bulls using 2 sampling tools and to calculate negative predictive values for infection., Design: Randomized clinical trial., Animals: 30 Bos taurus bulls naturally or experimentally infected with T foetus., Procedure: Preputial scrapings were obtained once/wk for 6 weeks using an artificial insemination pipette and a metal brush; which tool was used first for each bull was randomly determined. Samples were collected first from the left side of the prepuce and then from the right side and placed in commercially available transport media chi 2 Values and confidence limits were adjusted for effect of clustering of results by bull., Results: Significant differences in sensitivity of results were not found between samples collected using the brush or pipette. Using the pipette, sensitivity was estimated to be 91.6% (95% confidence interval, 84.3 to 95.7%); negative predictive values ranged from 41 to 99% for prevalence of infection of 90 to 5%, respectively. Sensitivity was 88.8% for first sample obtained and 96.1% for second sample obtained., Conclusions and Clinical Relevance: Collection of preputial scrapings with an artificial insemination pipette or a metal brush and use of a commercially available culture system can provide a sensitive diagnostic test for T foetus infection in bulls. Calculated negative predictive values indicated that 1 or 2 tests would suffice in most clinical situations. For bulls from herds in which T foetus is endemic, 2 to 4 tests/bull may be required to ensure that each bull is not infected.

Objective: To compare sensitivity of a generic trypticase-yeast extract-maltose (TYM) medium versus a commercial nutrient medium in the diagnosis of Tritrichomonas foetus infection in heifers and to assess sensitivity when incubation of samples inoculated into commercial medium pouches is delayed overnight., Design: Prospective study., Animals: 30 virgin beef heifers., Procedures: 20 heifers vaccinated with a trichomonad antigen and 10 unvaccinated control heifers were exposed at synchronized estrus by intravaginal instillation of 10(6) T foetus organisms. Cervicovaginal mucus samples were collected every other week for 10 weeks from controls and once (10 weeks after exposure) from vaccinated heifers. Samples were inoculated into both media and immediately incubated at 37 C (98.6 F). A duplicate inoculation from controls was made into commercial medium, and the pouch was shipped overnight to a diagnostic laboratory without prior incubation., Results: For 40 of 50 samples from control heifers, there was agreement on diagnoses between media. There was agreement on a positive diagnosis for 3 of 20 samples from vaccinated heifers and on a negative diagnosis for 15 of these 20 samples. For samples shipped overnight before incubation, there were 10% fewer positive diagnoses, compared with samples incubated immediately in commercial medium and 10% more positive diagnoses, compared with samples immediately incubated in TYM., Clinical Implications: Use of the commercial medium is a more sensitive indicator of current infection in heifers than use of generic TYM medium. In herds where infection prevalence is high, this method is likely to identify more infected females, an important consideration when control programs include culling of infected cows.

A cat with acute onset of febrile systemic illness was determined to be infected with Cytauxzoon felis. The diagnosis was made on the basis of cytologic morphology of erythroparasites seen in blood smears and results of microfluorometric immunoassay for serum antibody directed against C felis-parasitized RBC. Treatment consisted of parenteral administration of fluids and antibiotics. The cat recovered within 2 weeks. Circulating erythroparasites were not detected on blood smears from samples collected during follow-up examinations. However, high serum antibody titer persisted for at least 15 weeks after infection. The cat continued to be free of clinical disease 2.5 years after the initial diagnosis. Whether C felis infection persists in this cat has yet to be determined. This case indicates that some domestic cats can recover from naturally acquired cytauxzoonosis.

Neospora caninum, a protozoan organism, caused extensor rigidity of the pelvic limbs in a 12-week-old dog. Diagnosis was based on results of muscle biopsy, neuroelectrodiagnostics, serotesting, and cell culture. Indirect fluorescent antibody (IFA) titer to N caninum was 1:800 at time of admission and 1:3,200 after 4 and 6 weeks. A reciprocal IFA titer of 50 to N caninum was also found in the CSF. Serotesting for T gondii was negative. Treatment with clindamycin followed by sulfadiazine and trimethoprim did not change the pelvic limb extensor rigidity, but other signs of minor neurologic dysfunction improved.

Seven pregnant cows (gestation durations, 42 days to 7 months) were identified as culture-positive for Tritrichomonas foetus. For 6 of these pregnancies, 2 of the youngest fetuses were aborted, and calves were delivered by the other 4 cows. Two cows became carriers, maintaining trichomonad infections for 6 and 9 weeks after parturition. Carrier cows may be a source of reinfection for their herd mates. Hence, strategies for controlling trichomoniasis might include delaying the time of first breeding and aggressive culling of infected cows.

Encephalitozoon infection was diagnosed in a double yellow-headed Amazon parrot, Amazona ochrocephala. Illness was characterized by respiratory distress, decreased appetite, diarrhea, and weight loss. This gram-positive organism was present in renal tubules, intestine, and lungs. Ultrastructural features consisted of 5 polar filament coils and a single nucleus. Organisms were contained within parasitophorous vacuoles in cytoplasm of the renal tubular epithelium.

Histologic sections and case histories from 23 dogs with proven fatal toxoplasmosis-like illness at the Angell Memorial Animal Hospital were reviewed. Toxoplasma gondii was identified in 13 dogs. A newly identified parasite, Neospora caninum, structurally distinct from T gondii, was found in 10 dogs. The newly discovered organism, belonging to a new genus and new species, formed meronts in many tissues of the dogs, especially the brain and spinal cord. Neospora caninum was located directly in the host cell cytoplasm without a parasitophorous vacuole; it divided by endodyogeny, contained more than 11 rhoptries, and did not react with the anti-T gondii serum in the immunoperoxidase test. Meningoencephalomyelitis and myositis were the main lesions associated with N caninum. Ulcerative and fistulous dermatitis was the major lesion in 1 dog.

Three cases of equine protozoal myeloencephalitis were diagnosed over a 12-month period in horses that had never left the state of California. These cases suggest that the disease is enzootic in California.