NAVLE Hemic and Lymphatic

Equine Piroplasmosis Study Guide

Equine piroplasmosis (EP) is a tick-borne, hemoprotozoan disease of equids caused by the intraerythrocytic apicomplexan parasites Theileria equi and Babesia caballi.

Overview and Clinical Importance

Equine piroplasmosis (EP) is a tick-borne, hemoprotozoan disease of equids caused by the intraerythrocytic apicomplexan parasites Theileria equi and Babesia caballi. A third species, Theileria haneyi, has recently been identified but appears to have lower pathogenicity. EP is a WOAH (formerly OIE) reportable disease that affects horses, donkeys, mules, and zebras worldwide.

This disease has significant economic impact due to treatment costs, restrictions on international horse movement, reduced performance in sport horses, and potential mortality rates of 5-10% in endemic areas and up to 50% in naive animals imported to endemic regions.

High-YieldThe United States is considered free of natural tick-borne transmission of EP (except Puerto Rico and U.S. Virgin Islands). EP is a foreign animal disease in the U.S. and all positive cases MUST be reported to State and Federal animal health officials.
Feature Theileria equi Babesia caballi
Previous Name Babesia equi Piroplasma caballi
Size Smaller (2-3 micrometers) Larger (2-5 micrometers)
Blood Smear Morphology Maltese cross (tetrad), ring forms, paired pyriform Paired pyriform (pear-shaped), connected at acute angle
Extra-RBC Stage Yes - schizogony in lymphocytes and monocytes No - directly infects erythrocytes
Transovarial Transmission No (transstadial only) Yes (tick is reservoir)
Primary Reservoir Equine host (lifelong carrier) Tick vector
Carrier Duration Lifelong without treatment Self-limiting (up to 4 years)
Relative Pathogenicity More pathogenic and severe Generally milder disease
Parasitemia Level 1-7% of erythrocytes 0.1-1% of erythrocytes
Treatment Response Difficult to clear; higher doses needed Easier to eliminate

Etiology and Causative Agents

Equine piroplasmosis is caused by two primary hemoprotozoan parasites within the phylum Apicomplexa and order Piroplasmida. The term "piroplasmosis" derives from the pear-shaped (pyriform) appearance of the intraerythrocytic merozoite stage.

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