Toxoplasmosis

TOXOPLASMOSIS

Definition

  • It is disease of all species, including man
  • It is a specific parasite with definite host cat and has wide range of intermediate hosts
  • It is manifested by encephalitis, pneumouia, neonatal mortality and abortions and still births in ewes
  • Its major importance is as a zoonosis

Aetiology

  • Toxaplasma gondii – a small crescent shaped protozoan parasite

Transmission

  • Infection in cats occurs due to ingestion of infected meat or sporulated oocyst
  • Exposure to cat faeces, or materials contaminated by cat faeces, which contains oocyst
  • Exposure to infected tissues and meat containing tachyzoites and bradyzoites
  • Congenital transmission
  • Through milk and semen

Pathogenesis

  • Toxaplasma gondii is an intracellular parasite
  • It attacks most organs especially reticulo-enothelial and central nervous systems
  • Sporozoites or bradyzoites penetrate and multiply in intestinal epithelium
  • Cell destruction occurs
  • Released toxoplasma spreads to other organs through blood stream
  • Later, the organism localises as tissue cysts
  • When immunity fails, cysts rupture, large number of inflammatory cells invade surrounding tissue
  • A characteristic granulomatous lesions develops

Clinical signs

  • Vary with species and age groups
  • Most infection go unnoticed
  • In dogs , most common in puppies characterized by neurological signs – diarrhoea or pneumonia
  • Occurs along with canine distemper virus infection
  • In cats – most common manifestations are pneumonia, encephalitis and pancreatitis
  • In sheep and goats – abortions with necrosis and inflammation in the cotyledons of the placenta
  • Congenital infection of lambs and kids with encephalitis
  • Not common in cattle and horses

Lesions

  • Toxoplasma can be found in macrophages, fibroblasts, smooth muscle cells
  • Tissue cysts in brain, liver, kidney and skeletal muscle

Brain

  • Diffuse necrotising and non-suppurative infiltration of brain parenchyma
  • Lymphocytic cells accumulate within the Robin – virchow spaces
  • Toxoplasma tachyzoites found scattered singly or in pairs in the parenchyma

Liver

  • Contains large, sharply well defined areas of coagulation necrosis
  • Tachyzoites are found in the kupffer’s cells of liver, in cysts or scattered in necrotic and normal tissues

Lungs

  • Toxoplasma attack type I and II penumocytes and bronchial epithelial cells as well as macrophages, fibroblasts, endothelial cell and smooth muscle cells
  • Grossly, small, grey, tumour like masses
  • Lining of alveoli becomes cuboidal or columnar and rich in cells suggesting foetal lung
  • Alveoli is filled with large mononuclear cells, leucoytes, and cells lining the alveoli with aggregation of Toxoplasma

Lymph nodes

  • Enlarged, firm in consistency and congested
  • Extensive coagulation necrosis
  • Tachyzoites are found in necrotic areas in endothelial cells or free in tissues

Intestine

  • Ulcers, necrosis, granuloma formation
  • Organisms are demonstrable in muscularis and in granuloma

Pancreas

  • Acute necrotising lesions with lymphocyte infiltration, oedema, swelling
  • Eyes are affected in human adults, lesion is granulomatous chorioretinitis

Diagnosis

  • To detect antibodies in live animals
  • Complement fixation test
  • Haemagglutinateou tests
  • Latex agglutination test
  • Indirect fluorescent antibody
  • ELISA
  • Demonstration of toxoplams in tissue sections
  • Isolation of the organism
  • Immunostaining techniques
Last modified: Thursday, 22 March 2012, 8:02 AM