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American canine hepatozoonosis
1Department of Pathobiology, College of Veterinary Medicine, Oklahoma State University, Stillwater, Oklahoma 74078, USA. saewing@okstate.edu
Clinical Microbiology Reviews
|October 15, 2003
Summary
American canine hepatozoonosis (ACH) is a severe tick-borne disease caused by Hepatozoon americanum. This review details its biology, transmission by Gulf Coast ticks, and clinical aspects, differentiating it from Old World hepatozoonosis.
Area of Science:
- Veterinary Parasitology
- Infectious Diseases
- Tick-borne Illnesses
Background:
- American canine hepatozoonosis (ACH) is a debilitating and often fatal tick-borne disease prevalent in the southeastern and south-central United States.
- The disease is caused by the apicomplexan parasite Hepatozoon americanum, distinct from the Old World pathogen Hepatozoon canis.
- ACH is transmitted through the ingestion of infected Gulf Coast ticks (Amblyomma maculatum).
Purpose of the Study:
- To review the biology of Hepatozoon americanum and its vector, Amblyomma maculatum.
- To differentiate American canine hepatozoonosis from classical canine hepatozoonosis (H. canis).
- To examine the clinical presentation, diagnosis, treatment, and epidemiology of ACH.
Main Methods:
- Literature review of existing studies on Hepatozoon americanum and canine hepatozoonosis.
- Comparative analysis of ACH and H. canis transmission cycles and hosts.
- Discussion of clinical findings, diagnostic approaches, and therapeutic strategies for ACH.
Main Results:
- Hepatozoon americanum is transmitted by Gulf Coast ticks, with dogs as accidental hosts, unlike H. canis transmitted by brown dog ticks.
- ACH is characterized by leukocytosis and periosteal bone proliferation, leading to severe clinical signs.
- The geographic distribution of ACH aligns with the expanding range of the Gulf Coast tick.
Conclusions:
- The endemic cycle of H. americanum involves A. maculatum and unidentified vertebrate hosts.
- Further research is needed to identify intermediate hosts and understand the role of coyotes in maintaining the ACH cycle.
- ACH presents unique biological and epidemiological features, offering potential as a model for studying angiogenesis and hypertrophic osteoarthropathy.