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Query: UMLS:C0012739 (disseminated intravascular coagulation)
 8,673 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The protamine sulphate test (PST) was studied as a screening test for intravascular coagulation in experimental Babesia bovis infections. The test became positive in 39 of 42 splenectomised calves and two of six intact cattle tested during acute infections. Haematological studies during the course of infection in two splenectomised and six intact cattle indicated that a positive PST was reliable evidence for intravascular coagulation. Of four splenectomised and one intact cattle that were positive to the test and were subsequently autopsied, all had histopathological changes indicative of disseminated intravascular coagulation (DIC). It was concluded that the PST could be used as a screening test for DIC in acute bovine babesiosis.
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PMID:The protamine sulphate test as a screening test for intravascular coagulation in experimental Babesia bovis infections. 90 40

Six cases of disseminated intravascular coagulation in the horse are reported. They were characterised clinically by severe subcutaneous oedema of the head and neck, and clinocopathologically by abnormal partial thromboplastin and prothrombin times, a thrombocytopaenia and an increase in fibrin degradation product concentrations. Various aetiologies played a role in the pathogenesis of the condition including African horsesickness, babesiosis, lymphosarcoma and verminosis.
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PMID:[Disseminated intravascular coagulation in the horse: a report of six cases]. 350 1

Three nonsplenectomized patients were infected with Babesia microti. One had fever, abdominal pain suggesting gallbladder disease, and evidence of disseminated intravascular coagulation; another was considered to have lymphoma, partly because two smears for Babesia before admission were negative. All three patients were treated with pentamidine isethionate and improved clinically. Parasites were no longer seen on smears after 5 days of therapy, but Babesia could still be recovered by hamster inoculation 5 weeks after therapy in one of the patients tested, underscoring the need for this test to properly evaluate eradication of the organism. In one patient, pentamidine was stopped after 7 days because of increased creatinine concentration, and this amount of drug appeared adequate to control the parasitemia. Pain at drug injection sites was a major side effect in all three patients. Pentamidine appears to be useful in controlling clinical manifestations of babesiosis and decreasing parasitemia, but it does not eradicate the organism.
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PMID:Response of babesiosis to pentamidine therapy. 719 15

A method is described for the collection and sterilization of 100 1 batches of bovine serum. Serum was prepared by defibrination of 20 1 volumes of whole blood using an impeller spinning at 400-500 rev./min. After freezing and thawing the raw serum was clarified through milk filters, pre-filtered through cartridge filters and sterilized by membrane filtration. The bacteriologically sterile serum was used in vaccines against bovine babesiosis and anasplasmosis after testing indicated no toxicity for Babesia and Anaplasma.
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PMID:Collection and sterilization of large volumes of bovine serum and its use in vaccines against bovine babesiosis and anaplasmosis. 743 73

The pathogenesis of a newly recognized, molecularly and antigenically distinct human babesial isolate (WA1) and Babesia microti, the common cause of human babesiosis in the United States, were compared in a Syrian hamster model. A group of 33 adult female hamsters were inoculated intraperitoneally with either WA1-infected, B. microti-infected, or uninfected hamster erythrocytes. All WA1-infected animals became parasitemic by postinoculation (PI) day 3 or 4 and were severely lethargic and dyspneic by PI days 6 to 10. Death often occurred spontaneously by PI day 10, with parasitemia of 12 to 90%. Hamsters inoculated with B. microti became parasitemic by PI day 7 and developed peak parasitemia (42 to 60%) by PI day 14 that subsequently decreased to low or undetectable values. Although the B. microti-infected hamsters developed severe anemia, they generally remained asymptomatic. Postmortem examination of WA1-infected hamsters revealed intravascular aggregates of large mononuclear inflammatory cells that occasionally occluded small to medium veins, pulmonary leukoclastic phlebitis, thrombosis, and multifocal coagulative necrosis in the heart, spleen, lung, and liver. No vascular lesions or areas of coagulative necrosis were detected in any B. microti-infected or control hamsters. The results of this study suggest that marked leukocytosis followed by acute necrotizing phlebitis resulting in disseminated intravascular coagulation, thromboembolism, and infarction may be central to the pathogenesis of WA1 infections.
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PMID:Comparative pathogenesis of human WA1 and Babesia microti isolates in a Syrian hamster model. 890 83

The study shows a close relationship between incidence of ovine babesiosis caused by Babesia ovis and the activity period and distribution area of the vector tick Rhipicephalus bursa. The most important factor limiting the distribution of this tick is a decrease in humidity. In general, it is absent from areas with an average annual rainfall of less than about 300 mm. The rate of parasitaemia and the degree of anaemia were not correlated. Decrease of the packed-cell volume ranged from 30 to 40%. Parasitized erythrocytes were not observed to block capillaries in the brain, which explained the absence of nervous symptoms in acute babesiosis. The kidney was the most severely affected organ, exhibiting acute glomerulonephritis. The lesions observed were suggestive of vascular alteration and vascular stasis, leading to anoxia of the tissues. A disseminated intravascular coagulation (DIC) syndrome was recorded in sheep infected with babesiosis. Biochemical studies revealed possible damage to the liver and kidneys. Most of the lambs (85%) that were infested with larvae, and all lambs infested with adult R. bursa ticks reacted serologically to B. ovis antigen. The serological reactions following infestation with the larvae occurred much later than those following infestation with the adult stage. Both transovarial and transstadial transmission of the parasite were demonstrated. A study of antibodies to B. ovis using IFAT in hoggets and ewes revealed high serological prevalence, i.e., 88.9% in ewes and 84.5% in hoggets. No marked seasonal fluctuation was observed. The serological findings, in addition to the fact that one splenectomised lamb reacted to larval infestation with acute ovine babesiosis, show that the preimaginal stages of R. bursa occurring in the winter can transmit B. ovis, usually causing a sub-clinical disease. This might play a major role in pre-immunizing and strengthening the premunition of the sheep against the main spring challenge by the adult ticks. The sub-clinical reactions are probably due to the low infection rate of the preimaginal stages of R. bursa by B. ovis parasites.
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PMID:Some epizootiological and clinical aspects of ovine babesiosis caused by Babesia ovis--a review. 956 3

Clinical Confusion between human babesiosis and malaria is often reported in the literature. Headache, fever, chills, nausea, vomiting, myalgia, altered mental status, disseminated intravascular coagulation, anaemia with dyserythropoiesis, hypotension, respiratory distress, and renal insufficiency are common to both diseases. This remarkable similarity is not restricted to the human host. In the mouse, for example, the histological changes wrought by fatal malaria (Plasmodium vinckei) and babesiosis (Babesia rhodaini) are identical, and parasites of both genera cross-protect. Malarial disease pathogenesis is now generally associated with excessive production of pro-inflammatory cytokines , such as tumour necrosis factor. While this concept has not yet been examined in babesiosis, indirect evidence arises from noting the parasite density at which illness occurs in primary infections caused by either organism. Naive mice tolerate high loads of malarial or babesial parasites before they become ill, and are also tolerant to endotoxicity, which is mediated by these same cytokines. In contrast, humans require very much smaller loads of Plasmodium or Babesia spp. before becoming ill, and likewise are very sensitive to endotoxin, the harmful effects of which are mediated by the pro-inflammatory cytokines. For these reasons, as discussed in this review, the diseases caused by these two genera of intra-erythrocytic protozoan parasites will probably prove to be conceptually identical.
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PMID:Do babesiosis and malaria share a common disease process? 968 99

Clinical, clinico-pathological and serological studies were performed in sheep experimentally infected with Babesia ovis. Acute babesiosis occurred in all the lambs infested with adult Rhipicephalus bursa ticks and in one lamb infested with the larvae. The rate of parasitaemia and the degree of anaemia were not correlated. Decrease in the packed-cell volume ranged from 30 to 40%. Parasitized erythrocytes were not observed to block capillaries in the brain, which explained the absence of nervous symptoms in acute babesiosis. The kidneys were the most severely affected organs, exhibiting acute glomerulonephritis. The lesions observed were suggestive of vascular alteration and vascular stasis, leading to anoxia of the tissues. A disseminated intravascular coagulation (DIC) syndrome was recorded in sheep infected with babesiosis. A marked increase in the enzymes of the transaminase groups, mainly aspartate aminotransferase (AST), was observed. Enzymatic changes (increases in AST, alanine aminotransferase (ALT) and lactic dehydrogenase (LDH) and decreases in sorbitol dehydrogenase (SDH), alkaline phosphatase (ALP) and malic enzyme (MEZ)), decreases in total proteins and albumin, and increases in urea and creatinine might reflect the degree of severity of the damage to the liver and kidney tissues. Most of the lambs (85%) that were infested with larvae, and all lambs infested with adult R. bursa ticks, reacted serologically to B. ovis antigen. The serological reactions following infestation with the larvae occurred much later than those following infestation with the adult stage. The lambs which were infested with larvae showed mild clinical reactions when challenged by infected R. bursa adults, as compared with the reactions to the challenge in naive control animals. The serological findings, in addition to the fact that one splenectomized lamb reacted to larval infestation with acute ovine babesiosis, show that the preimaginal stages of R. bursa can transmit B. ovis, usually causing a sub-clinical disease. It is suggested that infections derived from preimaginal ticks in the winter can preimmunize sheep for the subsequent more severe infections derived from adult ticks in the summer. Furthermore, in the absence of a reliable vaccine against B. ovis, grazing flocks in the enzootic regions should be exposed to the preimaginal stages during their activity period (October-February) before exposure to the adult ticks in spring and summer (April-July).
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PMID:Clinical, clinico-pathological and serological studies of Babesia ovis in experimentally infected sheep. 978 Aug 25

Thirty-four consecutive patients were hospitalized with diagnosis of severe Babesia infection over the course of 13 years. The average time from onset of symptoms to diagnosis was 15 days. When compared with uninfected febrile control patients, affected patients complained significantly more often of malaise, arthralgias and myalgias, and shortness of breath (P<.05), and they more often had thrombocytopenia and abnormal liver function (P<.05). Forty-one percent of patients with Babesia developed complications such as acute respiratory failure, disseminated intravascular coagulation, congestive heart failure, and renal failure. Analysis of data revealed that complicated babesiosis was more commonly associated with the presence of severe anemia (hemoglobin level <10 g/dL; P=.01) and higher parasitemia levels (>10%; P=.08). Patients were treated with a combination of drugs that included clindamycin, quinine, atovaquone, or azithromycin. Despite treatment, parasitemia persisted for an average of 8.5 days (range, 3--21 days). Exchange transfusion was performed for 7 patients, and it effectively reduced the high levels of parasitemia. Three patients died. Improved outcomes may result with prompt recognition and treatment of babesiosis.
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PMID:Severe babesiosis in Long Island: review of 34 cases and their complications. 1128

A retrospective study of clinical cases of babesiosis in dogs examined at the Veterinary Teaching Hospital, Rof Codina, from January 2003 to October 2004 is presented. The diagnosis was confirmed by direct observation of large piroplasms in stained blood smears. Dogs with concurrent diseases were excluded from the study. Clinical signs, complete blood count, serum biochemistry and hemostasis profiles were obtained. The observed clinical signs were due to hemolytic anemia and inflammatory responses but the most relevant clinico-pathological findings were related to alterations in hemostasis. All dogs presented with thrombocytopenia and 20% had disseminated intravascular coagulation syndrome. Anemia of variable severity was observed in most of the dogs.
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PMID:Clinico-pathological findings and coagulation disorders in 45 cases of canine babesiosis in Spain. 1690 37


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