The authors declare no conflicts of interest.
Clinical management of canine babesiosis
Article first published online: 9 DEC 2009
© Veterinary Emergency and Critical Care Society 2009
Journal of Veterinary Emergency and Critical Care
Volume 20, Issue 1, pages 77–89, February 2010
How to Cite
Ayoob, A. L., Hackner, S. G. and Prittie, J. (2010), Clinical management of canine babesiosis. Journal of Veterinary Emergency and Critical Care, 20: 77–89. doi: 10.1111/j.1476-4431.2009.00489.x
- Issue published online: 8 FEB 2010
- Article first published online: 9 DEC 2009
- blood-borne parasite;
- canine hemoprotozoa;
Objective – To review and summarize current information regarding epidemiology, pathogenesis, and pathophysiology leading to the various clinical syndromes associated with canine babesiosis. Diagnosis, treatment, preventative strategies, and zoonotic implications are discussed.
Etiology – Babesiosis is caused by hemoprotozoa of the genus Babesia. Numerous species of Babesia exist worldwide. An increased incidence of babesiosis is described, especially in North America. The babesial organism spends the majority of its life cycle within the erythrocyte of the definitive host, resulting in hemolysis, with or without systemic complications.
Diagnosis – Definitive diagnosis depends on direct visualization of the organism on blood smear or polymerase chain reaction. A positive serologic antibody test indicates exposure with or without active infection.
Therapy – Antiprotozoal drugs, antimicrobials, and supportive care are the mainstays of babesiosis therapy.
Prognosis – Prognosis depends on the severity of disease, which in turn depends on both organism and host factors. Clinical syndromes associated with a poorer prognosis include red biliary syndrome, acute renal failure, acute respiratory distress syndrome, neurologic dysfunction, acute pancreatitis, cardiac dysfunction, and hypoglycemia.