Equine Health Update EHU 2020 Issue 01 | Page 31

Equine Disease Quarterly | EQUINE limit inbreeding. CONTACT: Ernest Bailey [email protected] Ted Kalbfleisch [email protected] Maxwell H. Gluck Equine Research Center University of Kentucky Lexington, Kentucky Jessica Petersen [email protected] University of Nebraska-Lincoln Lincoln, Nebraska Besnoitiosis in Donkeys Figure 01. Besnoitiosis eye Besnoitiosis is a protozoan infection caused by Besnoitia spp., which are cyst-forming coccidian parasites that affect multiple host species worldwide. Besnoitia bennetti is the species known to infect equids and has been reported in horses and donkeys in Africa, Asia, and more recently, the United States and Europe. Equine besnoitiosis was first reported in 1927 in four horses from Sudan. The only reported cases of equine besnoitiosis in North America have been in donkeys. The life cycle of Besnoitia species involves both a definitive (predator) and intermediate (prey) host. Although a feline definitive host has been identified for Besnoitia species known to infect several types of wildlife, attempts to demonstrate a cat as the definitive host of B. bennetti have been unsuccessful, thus precluding researchers from elucidating the parasite’s life cycle and mode of disease transmission in donkeys. Clinical disease is characterized by a miliary dermatitis caused by pinpoint parasitic cysts in the skin, mucous membranes, and conjunctiva. The skin over the muzzle, nostrils, ears, perineum, and medial thigh appears to be preferentially affected. One of the most unique features of besnoitiosis is the development of “scleral pearls,” which are cysts on the sclera of the eye (Figure 1). Cysts have also been infrequently identified in the testicles, nasopharynx, larynx, trachea, and esophagus of infected donkeys. Infected donkeys may also have generalized crusting dermatitis, poor hair coat, and/or focal areas of alopecia. Often affected donkeys have a history of chronic dermatitis non-responsive to treatment with antibiotics, ointments, medicated baths, etc. In an epidemiologic investigation of besnoitiosis in donkey herds across the United States, young animals (average age 2 years) were at increased risk of infection when compared to older individuals. Sex and breed were not associated with developing besnoitiosis. The most common lesions in infected donkeys were cysts in the nostrils (94%), perineum (69%) and sclera (81%). Some infected animals remain seemingly otherwise healthy, while others become cachexic and debilitated as a result of the disease. The reason for this difference in host response to infection is unknown, but similar clinical subtypes are observed with bovine besnoitiosis in European cattle herds. • Volume 22 Issue 01 | March 2020 • 31