Juan Gutiérrez

Bovine piroplasms in Minorca (Balearic Islands, Spain): a comparison of PCR-based and light microscopy detection.

The present study provides the first epidemiological data regarding infection by Theileria and Babesia piroplasms in cattle in Minorca. More than 94% of the studied animals were positive for the presence of Theileria sp., and of those, 41.3% were positive for the presence of Theileria annulata. These results indicate that the prevalence of Mediterranean theileriosis caused by T. annulata is very high in Minorcan dairy farms and that other Theileria sp. are also present in the area. The prevalence of infection was similar throughout the study indicating an endemic situation in this island. The use of PCR resulted in significantly higher efficacy of detection of Theileria sp. compared to microscopical observation (MO) of blood smears and allowed the specific discrimination between pathogenic and non-pathogenic theilerias which cannot be accomplished by traditional diagnosis by MO. Babesia infection in the area was mainly due to Babesia bigemina (6.0% of the studied animals were infected), while one animal (0.75%) was found to be infected by Babesia bovis. It was observed that 31% of animals infected with B. bigemina had a concurrent infection of T. annulata. PCR also resulted in a significantly higher efficacy of detection of Babesia sp. compared to MO when infection levels were higher, towards the end of the study period. The results clearly demonstrate that parasitic infection by piroplasms, especially Theileria sp. is common and endemic in the island of Minorca and that PCR is the optimal approach for the detection and discrimination of these important parasites.

Pulmonary tuberculosis in HIV-infected patients with normal chest radiographs

SubjectsThree HIV-infected patients with active pulmonary non-disseminated tuberculosis and normal chest radiograph at clinical presentation and during follow-up are reported. Patients had cough and fever but no other specific symptoms. Löwenstein cultures of specimens from bronchoalveolar lavage in two cases and induced sputum in one yielded Mycobacterium tuberculosis. ConclusionsThe diagnosis of tuberculosis in HIV-infected patients depends greatly on clinical suspicion by the physician, because of its atypical presentation. Failure to perform appropriate diagnostic tests in HIV-infected patients who present with suspected pulmonary disease will result in underdiagnosis and undertreatment of tuberculosis.

A Survey of Ticks (Acari: Ixodidae) on Dairy Cattle on the Island of Menorca in Spain

A survey of ticks affecting dairy cattle under extensive management on Menorca island (off the Spanish Mediterranean coast) was performed through 1999–2000 on seven farms. The species collected were Rhipicephalus bursa, R. turanicus, Hyalomma m. marginatum, H. lusitanicum and Boophilus annulatus. The most abundant species were R. bursa and H. m. marginatum, with peaks of 10.7 (in summer) and 7.5 (in spring) ticks/cow, respectively. R. turanicus was scarcely encountered, while B. annulatus and H. lusitanicum were abundant only in a few localities. The mild climate and adequate vegetation on the island provide satisfactory habitat for extended periods of tick activity, as compared with other regions where these ticks have been collected. The competence of the ticks as vectors for pathogens and the difficulty of using acaricide treatments in the region are discussed.

In vivo and in vitro sensitivity of Trichomonas gallinae to some nitroimidazole drugs

A study was carried out in order to establish the in vivo efficacy of two nitroimidazole drugs against the flagellate Trichomonas gallinae. The results obtained showed a high proportion of therapeutic failures. Thus, carnidazole and dimetridazole failed to eliminate infection in 13 of 17 and 20 of 21 racing pigeons, respectively. The in vitro susceptibility of four T. gallinae isolates to five nitroimidazolic drugs, that is, carnidazole, dimetridazole, metronidazole, ornidazole and ronidazole, was also determined. Minimal lethal concentrations (MLCs) of these drugs were obtained. One of the isolates tested had already proved to be resistant in the first in vivo tests, while the other three had been obtained from wild birds. We were able to confirm in vitro the resistance of the racing pigeon isolate to all the nitroimidazole drugs tested. For carnidazole, dimetridazole, metronidazole and ornidazole the MLC ranged between 93.75-500 microg ml. Although ronidazole showed a greater potency than the other nitroimidazole derivatives against this isolate (MLC: 15.62-31.25 microg ml), 8-22 times more drug was necessary for efficacy against this isolate compared to the others. These other three parasite isolates proved to be sensitive to the five drugs tested (MLC: 0.97-7.81 microg ml).

Isolation of the trichomonad Tetratrichomonas buttreyi (Hibler et al., 1960) Honigberg, 1963 in bovine diarrhoeic faeces

A trichomonad was found in the faeces of a heifer with watery diarrhoea. It was classified as Tetratrichomonas buttreyi according to its morphology as revealed by scanning electron microscopy. This flagellate was successfully maintained in a cysteine-peptone-liver medium. It is, to our knowledge, the first report of Tetratrichomonas buttreyi in Spain. This trichomonad appears to be a nonpathogenic commensal which often proliferates in fluid faeces.

Prevalence of sarcoptic mange in fattening pigs sacrified in a slaughterhouse of northeastern Spain

A study was conducted in fattening pigs from NE Spain to determine the prevalence of sarcoptic mange. Pigs were sacrificed in a slaughterhouse in the province of Barcelona (Catalonia, NE Spain) in November 1990, April 1991, and October 1991. From 7906 pigs slaughtered on those dates, 818 ear scrapings were taken. The survey results indicate that 276 (33.7%) of 818 pigs sampled from 58 (86.6%) of 67 herds were positive for Sarcoptes scabiei (De Geer). The presence of Sarcoptes-induced skin lesions was examined in 816 pigs. Of the 660 pigs showing skin lesions, 244 (37.0%) were positive for mites. A sucrose flotation-concentration method was more effective than a direct examination technique to detect S. scabiei mites.

Predicting length of hospitalisation of elderly patients, using the Barthel Index

Key points • TDI is a powerful echocardiographic tool for assessing the functions of both ventricles. It shows that systolic and diastolic functions of both ventricles decline with normal ageing. • With ageing, there is an increase of plasma NT-proBNP levels and a decline of exercise capacity. Both are correlated with left ventricular diastolic dysfunction that reaches the degree found in patients with mild chronic heart failure. • Normal ageing can be considered as early-stage heart failure.

Radiographic findings in pulmonary tuberculosis : the influence of human immunodeficiency virus infection

The chest radiographs and medical records of 166 patients diagnosed as having clinically active pulmonary tuberculosis were reviewed. Forty-nine patients (group I) were seropositives to human immunodeficiency virus (HIV), and 117 patients (group II) did not have known risk factors for HIV infection. Roentgenographic abnormalities were analysed in the two groups, according to nine different radiographic patterns previously defined. The seropositive group had a significantly higher proportion of hilar and/or mediastinal adenopathy (P less than 0.001), infiltrates confined to the lower lung fields (P less than 0.05), and miliary tuberculosis (P less than 0.005). Otherwise, single cavitation and destructive pattern were more frequent in the group II. These data suggest that patients with pulmonary tuberculosis and HIV infection are much more likely to have atypical radiographic findings.

Seroprevalence of Babesia ovis in Mouflon Sheep in Spain

A serological survey detected antibodies against Babesia ovis in mouflon sheep (Ovis musimon) from two different reserves located in Catalonia in northeastern Spain. An indirect fluorescent antibody test (IFAT) was developed using a B. ovis isolate of ovine origin as the antigen. Of 50 sera tested, six (12%) showed titres between 1:160 and 1:640 and were considered positive. These results indicate that exposure of mouflon to Babesia ovis is common in this region.

Seroprevalence of Babesia ovis in sheep in Catalonia, northeastern Spain.

An indirect fluorescent antibody test (IFAT) was developed in order to detect antibodies against Babesia ovis in different sheep flocks from Catalonia, northeastern Spain. Of the total 2174 sera included in the study, 133 (6.1%) were positive. Considerable differences in seroprevalence were detected depending on the geographical areas from which the animals originated. This must have been a consequence of the presence or absence of the vector tick, Rhipicephalus bursa, the distribution of which depends upon the bioclimate and vegetation present in the different areas studied. Even within those areas which afford suitable conditions for the presence of Rh. bursa ticks, and therefore in which positive titres were found, great differences in seroprevalence were detected among different flocks.