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Peer-reviewed veterinary case report

Dog in Texas found with Babesia parasite linked to North Carolina dogs

By Holman, Patricia J et al.·Published in Journal of the American Veterinary Medical Association·2009·Department of Veterinary Pathobiology, United States·View original on PubMed

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Original publication title: Detection of a large unnamed Babesia piroplasm originally identified in dogs in North Carolina in a dog with no history of travel to that state.

Species:
dog

Plain-English summary

A 12-year-old male Labrador Retriever in Texas was brought to the vet because his lymph nodes were swollen. After testing, he was diagnosed with stage IV lymphoma and started on chemotherapy. During a routine blood test, the vet found a type of parasite called Babesia, which is usually seen in dogs from North Carolina. The dog was treated with a medication called imidocarb diproprionate, but follow-up tests showed that the parasite was still present, possibly due to the dog's weakened immune system or the treatment not being effective against this specific type of Babesia.

People also search for: dog swollen lymph nodes · Labrador lymphoma treatment · Babesia infection in dogs

Abstract

CASE DESCRIPTION: A 12-year-old 46-kg (101.2-lb) sexually intact male Labrador Retriever was evaluated because of lymphadenomegaly. The dog resided in Texas, and its travel history included many southeastern and eastern shore states but not North Carolina. CLINICAL FINDINGS: Following evaluation of the dog, a diagnosis of stage IVa intermediate- to large-cell lymphoma was made. A cyclophosphamide-hydroxydaunorubicin (doxorubicin)-vincristine-prednisone chemotherapy protocol was initiated. One week after the first chemotherapeutic treatment, a routine blood smear evaluation revealed single and paired intraerythrocytic large piroplasms that resembled Babesia canis. Via molecular testing, the organism was identified as a Babesia sp that had been detected previously in dogs in North Carolina. TREATMENT AND OUTCOME: The dog was administered imidocarb diproprionate (7 mg/kg [3.2 mg/lb], IM) on 2 occasions (3-week interval). At 1, 4, 15, and 50 weeks after the second treatment, blood samples were analyzed specifically for the North Carolina Babesia sp via PCR assay; the result of each assay was positive. CLINICAL RELEVANCE: Because of the morphologic similarity of the large piroplasm detected in dogs in North Carolina to B canis, molecular testing of large piroplasms detected in dogs is needed to definitively identify the infective Babesia sp. In the dog of this report, the infection was not eliminated following treatment with imidocarb diproprionate, which may have been a result of the immunocompromised state of the dog or the drug's ineffectiveness against this parasite. If imidocarb diproprionate is ineffective against the North Carolina Babesia sp, treated dogs may act as reservoirs of infection.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19793016/