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Transcript
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Clinical Presentation and Pathology of Savannah isolate of Trypanosoma vivax in
experimentally infected Yankasa Sheep
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C.I. Ogbaje1*, I. A. Lawal2, J. O. Ajanusi2
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Department of Veterinary Parasitology and Entomology, College of Veterinary Medicine,
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University of Agriculture, Makurdi1.
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Department of Veterinary Parasitology and Entomology, Faculty of Veterinary Medicine,
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Ahmadu Bello University, Zaria2.
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*Corresponding author:
C. I. Ogbaje, Federal University of Agriculture, Makurdi, College of Veterinary Medicine,
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Department of Veterinary Parasitology and Entomology, PMB 2373, Makurdi, Benue State,
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Tel.: +234 803 529 5570; e-mail address: [email protected];
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Key words: Trypanosoma, Infection, Congestion, Parasite, Hyperemia, Necrosis, Pathology
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Abstract
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A study was conducted to assess the clinical presentation and pathology associated with
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experimental infection of Yankasa sheep with Trypanosoma vivax strain isolated from the field
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at Guinea Savanna region of Nigeria. Eighteen adult Yankasa sheep of both sexes were used.
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They were screened for haemo, endo, and ectoparasites, treated and conditioned for 2 weeks.
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They were divided into 3 groups (A, B & C) of 6 animals each. Two groups (A and B) were
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infected with 2 ml of infected blood containing approximately 2.0×106 of T. vivax. Group A were
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left untreated and monitored for 7 weeks while group B was treated at the peak of parasitaemia
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with a trypanocide. Group C served as uninfected control. The clinical signs observed were;
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anorexia, rough hair coat, ocular discharge, pale mucous membrane, diarrhoea, severe weakness,
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depression, oedema of the eye lids, teeth grinding, emaciation and torticollis-like central nervous
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system disorder. Pathological lesions seen were serous atrophy of pericardial fat, focal
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haemorrhages of diaphragmatic lobe of the right lung, hydropericardium (17 ml), diffuse pin
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point haemorrhages of the liver and kidney surfaces and empty gall bladder. Microscopically, the
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brain revealed areas of neuronal degeneration, spleen showed areas of haemosiderosis in the red
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and white pulps. The Kidney revealed necrotic renal tubules and glomerular degeneration, lung
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was congested with areas of hemorrhages and thickened alveoli wall. There was degeneration of
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the skeletal muscles with absence of sperm cells in the epididymis.
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Introduction
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Trypanosoma vivax accounts for up to half of total prevalence of African animal trypanosomosis
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in West Africa especially in Nigeria where it is considered to be the predominant pathogen for
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domestic animals (Osorio et al., 2008). This could be ascribed to the mechanical transmission or
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shorter development cycle in the anterior part of the tsetse fly (Sinshaw et al., 2006; Batista et
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al., 2012). The trypanosome readily persists in areas free of tsetse flies (for example, in Central
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and South America and in the Caribbean), where it is transmitted mechanically by biting flies or
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contaminated needles, syringes, and surgical instruments, (Batista et al., 2012). Trypanosoma
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vivax infects large variety of domestic and wild animals (Fikru et al., 2012).
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Anaemia which is considered to be the cardinal clinical sign observed in AAT (Cherenet et al.,
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2006; Biryomumaisho et al., 2007) is not specific for only trypanosomosis since anaemia is seen
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in all the diseases caused by blood parasites and some gastrointestinal helminthes. The individual
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host, breed susceptibility and the species of trypanosomes have utmost effect on the severity of
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the clinical response (Fikru et al., 2012). Other factors such as poor nutrition and concurrent
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infection, plays a role in the disease process. Trypanosoma vivax has been reported to have a
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variable incubation period and also considered to be less virulent for cattle than Trypanosoma
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congolense, but mortality rates of over 50 percent can occur (Njiru et al., 2011).
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Control of African animal trypanosomosis is dependent largely on vector control and use of
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drugs (chemotherapy and chemoprophylaxis), (Achenef and Birasa, 2013). In sub-Saharan
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Africa, sheep provide almost 30% of the meat consumed and around 16% of the milk produced
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(McClintock, 1983).
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In Nigeria, Sheep contributes about 50% of the total domestic meat production with a population
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of about 22.1 million (Opasina and David-West, 1984). They thrive in a wide variety of
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environments in the tropics and sub-tropics and they require little capital since they can be
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completely maintained on pastures and agricultural waste products (Francis, 1987).
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Trypanosomosis is becoming of increasing clinical importance in small ruminants in Nigeria
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because of the heavy economic loss from the effect of the disease (Omotainse and Anosa, 2009).
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This work was designed to carefully study the clinical manifestation and pathology produced by
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experimental infections of Trypanosoma vivax strain of Southern Guinea Savannah of Nigeria in
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Yankasa Sheep, since it has been reported that clinical response to the disease is dependent on
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the species and strain of the trypanosome and the breed of the affected animal. The outcome of
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this study will assist field Veterinarians to carry out effective treatment in areas where laboratory
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facilities are not available.
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Materials and Methods
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Ethical permission and Study Area
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Ethical approval was obtained from the Institutional Ethical Unit of the College of Veterinary
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Medicine of the Federal University of Agricultural, Makurdi, Nigeria. The Trypanosoma vivax
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used in the study was isolated from white Fulani cattle in Makurdi, Benue State, Nigeria.
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Makurdi, the administrative headquarter of Benue state, lies approximately between latitude
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7°441N and longitude 8°541E. The town is located along the coast of the River Benue (the
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second biggest River in Nigeria). The climatic condition in Makurdi is influenced by two air
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masses: the warm, moist south westerly air mass, and the warm, dry northeasterly air mass. The
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southwesterly air mass is a rain – bearing wind that brings about rainfall from the months of May
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to October. The dry northeasterly air mass blows over the region from November to April,
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thereby bringing about seasonal drought. The mean annual rainfall in Makurdi is about 1,290
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mm (Akintola, 1986). Temperature in Makurdi is however, generally high throughout the year,
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with February and March as the hottest months. Temperature in Makurdi varies from a daily
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maximum of 40°C and an annual mean minimum of 22.3°C (NBS, 2010).
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Parasite Identification
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The Trypanosoma vivax was confirmed in the laboratory by wet mount and thin blood smear
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examinations and molecular test.
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The molecular test was conducted through the used of multiplex and Trypanosoma vivax species-
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specific
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5’GCGTTCAAAGATTGGGCAATG-3’ R: 5’-CGCCCGAAAGTTCACC-3’) and Trypanosoma
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vivax species-specific (TVW A- d: 5’-GTG CTC CAT GTG CCA CGT TG-3’ TVW B- d: 5’-
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CAT ATG GTC TGG GAG CGG GT-3’) PCR were supplied by Inqaba Biotechnical Industries
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LTD, Hatfield- Pretoria, South Africa.
PCR.
The
primers
for
the
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multiplex
Trypanosoma
(F:
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The multiplex Trypanosoma PCR was performed as described by Desquesenes et al. (2001) and
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Trypanosoma vivax species-specific PCR was conducted as described by Masiga et al. (1996).
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The multiplex Trypanosoma PCR was conducted to rule out the possibility of mixed infections in
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the sample whereas the Trypanosoma vivax species-specific PCR was performed on the isolate
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for species identification (i.e. confirmatory test).
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Source and Management of Experimental sheep
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Eighteen Yankasa sheep, aged between 2-3 years and of both sexes were purchased from an
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open market at Karfur in Kastina State (Northern Nigeria). On arrival, the animals were
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screened for ecto, endo and haemo-parasites as described by Soulsby (1986) and Woo (1971)
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respectively.
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All the experimental sheep were dewormed using Albendazole® at the dose rate of 7.5 mg/kg.
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Ecto-parasites infestations were treated and controlled with cypermecthrin pour-on preparation
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and asuntol® spray (coumaphos). Those found with Anaplasma infections were treated with
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oxytetracycline long acting at the dose rate of 20 mg/kg body weight. Those infected with
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coccidia were treated with Amprolium for 5 days according to the manufacturer
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recommendation. All the sheep were also vaccinated each with 1 ml subcutaneous injection of
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monoclonal pestes de petit ruminantes (PPR) vaccine against PPR because of the endemicity of
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the disease in the experimental site. They were then introduced into arthropod-free pens of the
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Department of Veterinary Parasitology and Entomology, Faculty of Veterinary Medicine,
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Ahmadu Bello University, Zaria and pre-conditioned for two weeks before the commencement
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of the experiment.
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The animals were fed on cotton seed cake mixed with maize offal, ground nut husk, Digiteria
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hay, then salt lick and clean drinking water were provided ad libitum. The feed were sourced
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from National Agricultural Research Institute (NAPRI), Shika, Zaria.
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Animal Identification and Grouping
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The experimental animals were ear tagged and randomly divided into 3 groups (A, B and C) of 6
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animals per group. Base line data were obtained from each of the animals in all the groups for a
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period of 1 week prior to infection. Each of the sheep in groups A and B was infected through
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intravenous inoculation of 2 ml containing approximately 2.0×106 Trypanosoma vivax as
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quantified using the improved Naubauer haemocytometer (Petana, 1963). Group C served as
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uninfected control. Group A animals were treated with trypanocide (Diminazene aceturate at the
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dose rate of 3.5 mg/kg body weight) when the parasitaemia was massive (++++).
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Gross and Histopathological Examination
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At day 56 post- infection (pi), some of the sheep in the groups (A, B, and C) were picked at
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random, sacrificed and necropsied. Samples of the spleen, lungs, brain, liver, heart, kidney,
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testicle, ovary, uterus, adrenal gland and pancreas were taken immersed in phosphate buffered
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formol saline, dehydrated in graded concentration of absolute alcohol and xylene, and embedded
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in paraffin. Thin sections (5μ) mounted on a clean glass slides were stained routinely for
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histopathological examination by light microscopy using haematoxylin and eosin (H&E).
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Results
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The results of the multiplex PCR and Trypanosoma vivax species-specific PCR revealed that the
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sample was pure Trypanosoma vivax isolates since it was negative to multiplex primers PCR for
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other trypanosomes, but positive for Trypanosoma vivax which yielded an expected amplicon of
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175 bp. These two tests confirmed that the isolate used in the study was Trypanosoma vivax.
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Prepatent Period of six (6) days was recorded for all the infected sheep but with different levels
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of parasitaemia.
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The following clinical manifestations were observed following the experimental infection of the
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sheep with Trypanosoma vivax; anorexia, rough hair coat, ocular discharge, pale mucous
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membrane, diarrhoea, severe weakness, depression, oedema of the eye lids, teeth grinding,
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emaciation and torticollis- like central nervous system (CNS) disorder.
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The gross pathological lesions observed in the infected untreated animals were serous atrophy of
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pericardial fat, foci haemorrhages on the diaphragmatic lobe of the right lung, hydropericardium
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(17 ml), diffuse pin point haemorrages of the liver (Plate I), kidney and empty gall bladder.
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Those infected and treated 10 days post infection revealed serous atrophy of pericardial fat,
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congestion of the entire right apical lobe and parts of the diaphragmatic lobe and focal areas of
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haemorrhages. There were no pathological changes seen in the uninfected control sheep.
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Histopathology section of the brain of the infected untreated Yankasa sheep revealed areas of
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neuronal degeneration (Plate II), whereas the spleen showed areas of haemosiderosis in the red
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and white pulps. The Kidney of the same animal revealed necrotic renal tubules and glomerular
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degeneration (Plate III). The Lung was congested with areas of haemorrhages and thickened
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alveoli membranes (pneumonia), (Plate IV). There was atrophy and degeneration of the skeletal
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muscles with absence of sperm cells in the epididymis (Plate V).
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Photomicrograph of the lungs of the infected-treated sheep revealed thickened alveolar
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membranes (Pneumonia) and uterine necrosis. There were focal areas of tubular and glomerular
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necrosis in the kidneys. The spleen revealed haemosiderosis of the red and white pulps.
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Discussion
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In this study, gross pathological changes were observed in infected untreated sheep with severe
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clinical manifestations. This observation is a confirmation of previous report by other authors
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(Taylor and Authie, 2007; Osorio et al., 2008) that pathology in tissues is associated with the
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relative ability of Trypanosoma vivax to invade extravascular spaces and organs. The more
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pathogenic the strain of parasite used, the severe the clinical manifestations and the pathological
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lesions presented and verse versa. This explains why the observed lesions were more severe in
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organs of the infected untreated sheep.
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Viscera organs were variously affected because of the strategic physiological roles.
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Consequently, liver was more affected grossly because of its important function as the major site
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of erythrocytes and parasites clearance from the body system (Losos and Ikede, 1972). These
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were therefore common finding in the infected untreated animals in this study.
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Histologically also, the liver in the infected untreated animals revealed hepatic necrosis,
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degeneration and congested sinuses. The hepatic necrosis may have resulted from the insufficient
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blood supply to the liver due to anaemia and partial blockage of liver vessels by the parasites and
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their products at a certain time. The respiratory involvements were exhibited in all the humane
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sacrificed infected animals by the thickened alveolar membranes, congested and haemorrhagic
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lungs. The associated pneumonia may be due to secondary bacterial infections as a result of
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immunosuppression commonly seen in trypanosomosis (Taylor, 1998).
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The histological sections of infected female’s uterus revealed uterine necrosis. This may be one
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of the reasons for abortion that have been widely reported in the disease by other researchers
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(Maikaje et al., 1991; Bawa et al., 2000; Akinwale et al., 2006; Batista et al,. 2007). Section of
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the epididymis from infected males revealed normal epithelium that was devoid of spermatozoa.
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This finding is not in agreement with the earlier report that trypanosomosis causes epididymitis
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(Batista et al., 2007; Bezerra et al., 2008).
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In the kidney of the infected untreated animals, there were foci areas of necrosis in the renal
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tubules and glomeruli, these findings are in good agreement with the early report by Takeet and
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Fagbemi, (2009). Torticolis-like form of nervous signs were observed in two infected and
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untreated sheep which had areas of neuronal degeneration in the brain; nervous in coordination
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have been reported by Batista et al. (2007) from Brazil. This lesion may be due to the direct
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effect of the parasites on the brain or as a result of hypoxia from anaemia or partial occlusion of
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the brain vessels by the parasites/or their products.
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In the pancreas, there were areas of necrosis in the glands; similar inflammatory changes in the
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glands of the body have been reported by Losos and Ikede, (1972). There was also necrosis of
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the adrenal glands of the infected, untreated animals. Enlarged adrenal glands, characterized by
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inflammatory changes have been reported by Ogwu et al. (1992). Such inflammatory reaction if
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prolonged, can lead to necrosis, so this finding is in agreement with the former report.
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The haemosiderin and follicular depletion seen in the spleen of the infected animals may have
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been caused by hemolysis and anaemia which are associated with the disease. Similar
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observations have been reported by Taiwo et al. (2003), Fatihu et al. (2008), Takeet and
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Fagbemi, (2009). The mild atrophy of the skeletal and cardiac muscles associated with the
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infection may be due to anorexia and poor feed utilization by the infected animals. Similar
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muscle atrophy has been reported by Fatihu et al. (2008) in bovine trypanosomosis. This muscles
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atrophy may be one of the reasons why the disease is being referred to as wasting disease.
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In conclusion, the study shows that the Trypanosoma vivax strains used has high affinity for
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both vascular and extravascular organs and is highly pathogenic to the breed of sheep (Yankasa
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sheep) used.
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Acknowledgements: We sincerely appreciate TETFUND for the funding of this research and
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the contributions of Drs.M. Bisalla, J. Sambo; J. Natala, O.O.Okubanjo, R. Ofukwu, Mr. Bale,
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Professors R. Ezeokonkwo, N. U. Useh (for editing the manuscript) and staff of DNA laboratory
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of National Veterinary Research Institute, Vom and Biotechnology laboratory of Ahmadu Bello
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University, Zaria, Nigeria.
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References
248
Achenef M. and Birasa B. Drugs and Drug Resistance in African Animal Trypanosomosis: A
249
Review. Europ. J. Appl. Sci., 5: 3; 84-89, 2013.
250
Akintola FO. Rainfall Distribution in Nigeria (1892 – 1983). Ibadan: Impact Publishers Nig. Ltd,
251
1986.
252
Akinwale OP, Nock IH, Esievo KAN, Edeghere HU, Olukosi YA. Study on the susceptibility of
253
Sahel goats to experimental Trypanosoma vivax infection. Vet. Parasitol., 137: 210–213, 2006.
254
Batista JS, Riet-correa F, Teixeira MMG, Madruga CR. Trypanosomiasis by Trypanosoma vivax
255
in cattle in the Brazilian semiarid: description of an outbreak and lesions in the nervous system.
256
Vet. Parasitol., 143: 174–181, 2007.
257
Batista JS, Rodrigues CMF, Olinda RG, Silva TM, Vale RG, Câmara AC., Rebouc RE, Bezerra
258
FS., García HA, Teixeira MMG. Highly debilitating natural Trypanosoma vivax infections in
259
Brazilian calves: epidemiology, pathology, and probable transplacental trans-mission. Parasitol.
260
Res., 110: 73–80, 2012.
261
262
Bawa EK, Ogwu D, Sekoni VO, Oyedipe EO, Esievo KAN, Kambai JE.
263
Trypanosoma vivax on pregnancy of Yankasa sheep and the results of homidium chloride
264
chemotherapy. Vet. Parasitol., , 54: 1033-1040, 2000.
Effects of
265
266
Bezerra FSB, Garcia HA, Alves HM, Oliveira IRS, Silva AE, Teixeira MMG, Batista JS.
267
Trypanosoma vivax in testicular and epidydimal tissues of experimentally infected sheep.
268
Pesquisa Veterinaria Brasileira, 28: 575-582, 2008.
269
270
Biryomumaisho S. and Katunguka-Rwakishaya E. The pathogenesis of anaemia in goats
271
experimentally infected with Trypanosoma congolense or Trypanosoma brucei: Use of myeloid:
272
erythroid ratio. Vet. Parasitol., 143: 354-357, 2007.
10
273
274
Cherenet T, Sani RA, Speybroeck N, Panandam
275
comparative longitudinal study of bovine trypanosomiasis in tsetse-free and tsetse-infested zones
276
of the Amhara Region, northwest Ethiopia. Vet. Parasitol., 140: 251–258, 2006.
277
Desquesnes M., Mclaughlin G, Zoungrana A, Davila, AMR. Detection and identification of
278
Trypanosomes of African livestock through a single PCR based on internal transcribed spacer 1
279
of rDNA. Int. J. Parasitol., 31: 610-614, 2001.
280
Fatihu MY, Adamu S, Umar IA, Ibrahim NDG, Eduvie LO, Esievo KAN. . Studies on effects of
281
lactose on experimental Trypanosoma vivax infection in Zebu cattle. 1. Plasma kinetics of
282
intravenously administeredlactose at onset of infection and pathology. Ond. J. Vet. Res., 75:163–
283
172, 2008.
284
Fikru R, Bruno M G, Delespaux V, Motid Y, Tadessee A, Bekanaa M., Claes F, Dekenb RD,
285
Büscher P. Widespread occurrence of Trypanosoma vivax in bovines of tsetse- as well as non-
286
tsetse-infested regions of Ethiopia: A reason for concern? Vet. Parasitol., 190: 355– 36, 12012.
287
Francis PA. Livestock and farming systems in southeast Nigeria. Paper presented at the
288
International Workshop on Goat Production in the Humid Tropics at Obafemi Awolowo
289
University, Ile-Ife. 1987, 20–23 July 1987.
290
Losos GJ. and Ikede BO. Review of pathology of disease in domestic and laboratory animals
291
caused by Trypanosoma congolense, Trypanosoma vivax, Trypanosoma brucei, Trypanosoma
292
rhodesiense and Trypanosoma gambiense. Vet. path., 9: 1-71, 1972.
JM, Nadzr S, Van den bossche P. A
293
294
Maikaje DB, Sannusi A, Kyewalabye EK, Saror, DI. The course of experimental Trypanosoma
295
vivax infection in Uda sheep. Vet. Parasitol., 38: 267–274 1991.
296
Masiga DK, Smyth AJ, Hayesbromidge IJ, Gibson WC. Sensitive detection of trypanosomes in
297
tsetse flies by DNA amplification. Int. J. Parasitol., 22: 909-918, 1992.
298
11
299
Mcclintock, J. What causes supply levels from African Livestock Sectors to change? ILCA's
300
LPU working paper no. 2, 1983.
301
National Bureau of Statistics. Annual Abstract of Statistics, Federal Republic of Nigeria. Pp: 7-
302
10, 2010,.
303
Njiru ZK, Oumab JO, Batetab R, Njerub SE, Ndungub K, Gitongab PK., Guyab S, Trauba R.
304
Loop-mediated isothermal amplification test for Trypanosoma vivax based on satellite repeat
305
DNA. Short communication. Vet. Parasitol., 180: 358– 362, 2011.
306
Ogwu D, Njoku CO, Ogbogu VC. Adrenal and thyroid dysfunctions, in experimental
307
Trypanosoma congolense infection in cattle. Vet. Parasitol., 42: 15-26, 1992.
308
309
Omotainse S.O and Anosa VO. Comparative histopathology of the lymph nodes, spleen, liver
310
and kidney in experimental ovine trypanosomosis. Ond. J. Vet. Res., 76: 377–383, 2009.
311
312
Opasina BA and David-West KB. Position Paper on Sheep and Goat Production in Nigeria.
313
Small Ruminant Production Systems in the Humid Zone of West Africa, held in Ibadan, Nigeria,
314
pp. 55-67, 1984.
315
316
Osorio AL, Madruga CR, Desquenes M, Soares CO. Trypanosoma (Duttonela) vivax: its
317
biology, epidemiology, pathogenesis and introduction in the New World; a review. Mem. Inst.
318
Osw. Crz., 103: 1–13 2008.
319
320
Petana W. A method of counting trypanosomes using Gram’s iodine as diluents. Trans. Roy.
321
Soc. Trop. Med. Hyg., 1963, 57, 307.
322
323
Sinshaw A., Abebe G, Desquesnes M., Yoni W. Biting flies and Trypanosoma vivax infection in
324
three highland districts bordering lake Tana, Ethiopia. Vet. Parasitol., 142: 35–46, 2006,.
325
326
Soulsby EJL. Helminths, Arthropods and Protozoa of Domesticated Animals. London Baillere,
327
Tindall and Cassell, 1986.
12
328
329
Taiwo VO, Olaniyi MO, Ogunsanmi AO. Comparative plasma biochemical changes and
330
susceptibility of erythrocytes to in vitro peroxidation during experimental Trypanosoma
331
congolense and Trypanosoma brucei infection in sheep. Isra. J. Vet. Med., 58: 4, 435-443, 2003.
332
Takeet MI and Fagbemi BO. Haematological, pathological and plasma biochemical changes in
333
rabbit experimentally infected with Trypanosoma congolense. Sci. Wd. J., 4: 2, 2009.
334
Taylor KA. Immune responses of cattle to African trypanosomes: protective or pathogenic. Int. J.
335
Parasitol., 28: 219-240, 1998.
336
337
Taylor KA and Authie ML. Pathogenesis of animal trypanosomiasis, in the trypanosomoses,
338
edited by I.Maudlin, P.H. Holmes and M.A. Miles. Oxfordshire: CABI Publishing, 331–353,
339
2007.
340
341
Woo PTK. Evaluation of heamatocrit centrifuge and other techniques for field
342
trypanosomiasis and filariasis. Acta Tropica, 28: 298-303, 1971.
343
344
345
346
347
348
349
350
351
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diagnosis of