Equine trypanosomosis: enigmas and diagnostic challenges
Open Access
- 15 May 2019
- journal article
- review article
- Published by Springer Science and Business Media LLC in Parasites & Vectors
- Vol. 12 (1), 1-8
- https://doi.org/10.1186/s13071-019-3484-x
Abstract
Equine trypanosomosis is a complex of infectious diseases called dourine, nagana and surra. It is caused by several species of the genus Trypanosoma that are transmitted cyclically by tsetse flies, mechanically by other haematophagous flies, or sexually. Trypanosoma congolense (subgenus Nannomonas) and T. vivax (subgenus Dutonella) are genetically and morphologically distinct from T. brucei, T. equiperdum and T. evansi (subgenus Trypanozoon). It remains controversial whether the three latter taxa should be considered distinct species. Recent outbreaks of surra and dourine in Europe illustrate the risk and consequences of importation of equine trypanosomosis with infected animals into non-endemic countries. Knowledge on the epidemiological situation is fragmentary since many endemic countries do not report the diseases to the World Organisation for Animal Health, OIE. Other major obstacles to the control of equine trypanosomosis are the lack of vaccines, the inability of drugs to cure the neurological stage of the disease, the inconsistent case definition and the limitations of current diagnostics. Especially in view of the ever-increasing movement of horses around the globe, there is not only the obvious need for reliable curative and prophylactic drugs but also for accurate diagnostic tests and algorithms. Unfortunately, clinical signs are not pathognomonic, parasitological tests are not sufficiently sensitive, serological tests miss sensitivity or specificity, and molecular tests cannot distinguish the taxa within the Trypanozoon subgenus. To address the limitations of the current diagnostics for equine trypanosomosis, we recommend studies into improved molecular and serological tests with the highest possible sensitivity and specificity. We realise that this is an ambitious goal, but it is dictated by needs at the point of care. However, depending on available treatment options, it may not always be necessary to identify which trypanosome taxon is responsible for a given infection.Keywords
Funding Information
- UK Medical Research Council (Senior Non-Clinical Fellowship MR/L019701/1)
- Bill and Melinda Gates Foundation (OPP1174221-2018)
This publication has 77 references indexed in Scilit:
- Trypanosoma evansiand Surra: A Review and Perspectives on Origin, History, Distribution, Taxonomy, Morphology, Hosts, and Pathogenic EffectsBioMed Research International, 2013
- Trypanosoma evansiand Surra: A Review and Perspectives on Transmission, Epidemiology and Control, Impact, and Zoonotic AspectsBioMed Research International, 2013
- Tandem repeat protein as potential diagnostic antigen for Trypanosoma evansi infectionZeitschrift für Parasitenkunde, 2011
- Towards a New Reference Test for Surra in CamelsClinical and Vaccine Immunology, 2009
- Adaptations of Trypanosoma brucei to gradual loss of kinetoplast DNA: Trypanosoma equiperdum and Trypanosoma evansi are petite mutants of T. bruceiProceedings of the National Academy of Sciences of the United States of America, 2008
- Trypanosomosis in The Gambia: prevalence in working horses and donkeys detected by whole genome amplification and PCR, and evidence for interactions between trypanosome speciesBMC Veterinary Research, 2008
- Prevalence of Trypanosoma evansi Infection in Equines and Camels in the Punjab Region, PakistanAnnals of the New York Academy of Sciences, 2006
- Characterization of Trypanosoma evansi type BInfection, Genetics and Evolution, 2006
- The use of ITS1 rDNA PCR in detecting pathogenic African trypanosomesZeitschrift Fur Parasitenkunde-Parasitology Research, 2004
- Pathogenesis of animal trypanosomiasis.Published by CABI Publishing ,2004