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Parasitology International
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A case of Trypanosoma evansi in a German Shepherd dog in Vietnam
Khanh Linh Bui
a,
⁎
, Duc Hieu Duong
a
, Dao Tran Anh Bui
b
, Viet-Linh Nguyen
c,d
, Thom Do
c,e
,
Thi Lan Anh Le
a,c
, Khanh Trang Tran
a
a
Department of Parasitology, Faculty of Veterinary Medicine, Vietnam National University of Agriculture, Hanoi 12406, Viet Nam
b
Department of Pathology, Faculty of Veterinary Medicine, Vietnam National University of Agriculture, Hanoi 12406, Viet Nam
c
Biodiversity Conservation and Tropical Disease Research Institute, Hanoi 11213, Viet Nam
d
Department of Veterinary Medicine, University of Bari, Bari 70010, Italy
e
Faculty of Veterinary Medicine, Kasetsart University, Bangkok 10900, Thailand
ARTICLE INFO
Keywords:
Trypanosoma evansi
Dog
Vietnam
PCR
ABSTRACT
A 2.5-year-old male German Shepherd was presented to a private veterinary clinic in Hanoi, Vietnam showing
anorexia, weakness, lethargy, reluctant to go for walks with a recent history of intermittent fever. Clinical
examination of the dog showed pale mucous membrane, impaired eyesight, edema of the back legs. Complete
blood count revealed severe anemia; red blood cell 3.8 × 10
12
/l, hemoglobin 8.7 g/dl, hematocrit 26.4%,
associated with thrombocytopenia 145 × 10
9
/l. Biochemical analysis showed a moderate increase of alanine
transaminase (150.7 UI/l) and alkaline phosphatase activities (266 UI/I) with mild hypoglycemia (71.46 mg/dl).
Trypanosoma evansi was observed in Giemsa-stained blood smears under microscopic observation which was
confrmed by PCR. This is the frst report of canine trypanosomiasis caused by T. evansi in Vietnam.
1. Background
Trypanosoma evansi, an etiological agent causing surra, is of great
veterinary concern [1,2]. This fagellate parasite is mechanically
transmitted by several genera of hematophagous fies such as Tabanus
spp. and Stomoxys spp. [3] Since Grifth Evans frst described infection
of this parasite in Indian equines and dromedaries in 1880 [1], T. evansi
has become an important protozoan pathogen because of its various
mammalian hosts (including bovines, rodents, canines, and in very rare
cases also humans) and pathogenicity. The disease was spread from
Africa to many countries in tropical and subtropical regions [4]. Dogs
are highly susceptible to T. evansi and often exhibit signifcant clinical
signs such as edema, anemia, weakness, corneal opacity, and even
death within a month in acute cases [1]. Many cases of canine trypa-
nosomiasis caused by T. evansi have been reported in Africa [5], South
America [6,7], Europe [8,9] and Asia [10,11]. In Southeast Asia, T.
evansi infection in dogs has also been reported in Malaysia and Thailand
[12,13]. In Vietnam, T. evansi infection is considered as highly pre-
valent among water bufaloes [14] and even a case of human infection
has been reported [15], however, canine trypanosomiasis by T. evansi
has never been documented. Herein we reported the frst case of T.
evansi infection in a German Shepherd dog in Vietnam.
2. Case report
A 2.5-year-old male German Shepherd from a dog training center in
Hai Duong Province was presented to a private veterinary clinic
showing anorexia, weakness, lethargy, reluctant to go for walks, and
having a history of intermittent fever. Clinical examination of the dog
showed pale mucous membrane, impaired eyesight, edema of the back
legs, and body temperature in the normal range (38.7 °C). Blood-
sucking dog ticks were greatly found between the toes, behind ears,
under armpits, and around the tail and head. Approximately 2 ml of
blood was obtained aseptically from the jugular vein for hematological
and biochemical analysis. Complete blood count revealed the strongly
regenerative anemia (Hematocrit = 26.4%), accompanying a dramatic
decrease of erythrocyte (3.8 × 10
12
/l), hemoglobin (8.7 g/dl) and
platelets (145 × 10
9
/l). Serum biochemistry showed a moderate in-
crease in alanine transaminase (ALT; 150.7 IU/l) and alkaline phos-
phatase (ALP; 266 IU/I) with mild hypoglycemia (71.46 mg/dl)
(Table 1). The infected dog has been lately hospitalized to the clinic and
consequently has died before receiving any treatment.
Giemsa-stained blood smears were made on microscopic slides for
the detection of blood parasites. Microscope examination on the blood
smears revealed the presence of numerous Trypanosoma characterized
by a long slender free fagellum, a central nucleus, and a posterior
https://doi.org/10.1016/j.parint.2020.102198
Received 12 June 2020; Received in revised form 21 August 2020; Accepted 26 August 2020
⁎
Corresponding author.
E-mail address: bklinh@vnua.edu.vn (K.L. Bui).
Parasitology International 80 (2021) 102198
Available online 12 September 2020
1383-5769/ © 2020 Elsevier B.V. All rights reserved.
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