Diseases / List of Parasitic Diseases / Disease description:

Sarcocystosis in Waterfowl, Bears and Lagomorphs

INFORMATION AVAILABLE

GENERAL INFORMATION

CLINICAL CHARACTERISTICS & PATHOLOGY

INVESTIGATION & DIAGNOSIS

TREATMENT & CONTROL

SUSCEPTIBILITY & TRANSMISSION

ENVIRONMENT & GEOGRAPHY

 

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General and References

Disease Summary

WATERFOWL A protozoal disease that is usually asymptomatic in waterfowl and an incidental finding at post mortem examination.
LAGOMORPHS
  • Sarcocystis cuniculi forms cysts in the muscles of lagomorphs. Infections are usually asymptomatic; lameness may occur in heavy infections. (B529.15.w15, B614.10.w10)

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Alternative Names (Synonyms)

  • Sarcosporidiosis
  • Rice-breast disease
  • Sarcocystis sp. Infection.

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Disease Type

 Parasitic - Single-celled/Protozoa

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Infectious/Non-Infectious Agent associated with the Disease

In Waterfowl

Protozoan parasite: Sarcocystis rileyi, Sarcocystis spp.

In bears
  • Sarcocystis sp. (J11.84.w2)
    • Two sarcocyts of an unknown species measured 45 by 37.5 µm and 67.5 by 50 µm. There was a thin sarcocyst wall (< 2 µm), with villar protrusions on the wall up to 2 µm long and up to 0.7 µm wide. Bradyzoites within the sarcocysts measured 6.0-6.6 x 2.5-3.3 µm, and contained organelles typical of Sarcocystis sp. bradyzoite organelles. (J11.84.w2)
In lagomorphs
  • Sarcocystis cuniculi has been reported to forms cysts in the muscles of lagomorphs; lagomorphs act as the intermediate host for this parasite and the cat is the definitive host. (B614.10.w10)
    • Morphology:
      • Cysts are septate and up to five millimetres long. The wall has radial spines that are called cytophaneres. (B614.10.w10)
    • Life cycle:
      • The sexual stages of Sarcocystis cuniculi occur in predators; the asexual stages are found in prey animals. The development of the oocysts occur in the small intestine of predators. When each oocyst sporulates, two sporocysts are produced, each with four sporozoites. The sporocysts are ingested by the intermediate host. Final generation of meronts (sarcocysts) are found in the striated muscles of the intermediate host. Infection of the definitive host occurs by eating prey animals that are infected with mature sarcocysts. (B614.10.w10)
    • Pathophysiology
      • Rupture of the cysts leads to an intense inflammatory response in the muscle resulting in myositis. (B601.11.w11; B603.3.w3)
  • Sarcocystis leporum in Sylvilagus (cottontail) rabbits. (B529.15.w15, J1.13.w16)
    • This has been considered a synonym of Sarcocystic cuniculi (B603.3.w3; B614.10.w10), but when cats were infected by feeding on muscle from infected cottontail rabbits, the sporocysts were not infective to domestic rabbits. (J1.13.w16)
  • Sarcocystis sp. in Ochotona princeps - American pika. (J381.37.w1)

Infective "Taxa"

Non-infective agents

--

Physical agents

-- Indirect / Secondary

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References

Disease Author

Dr Debra Bourne MA VetMB PhD MRCVS (V.w5); Nikki Fox BVSc MRCVS (V.w103)
Click image for main Reference Section

Referees

John Chitty BVetMed CertZooMed MRCVS (V.w65); Lord Soulsby of Swaffham Prior MA,PhD,DSc (H c: Mult) , AM(H c),DVM&S (H.c),DVMS(H.c) ,DVM(H,c) F.Med Sci.,Hon FRCVS F.Inst Biol. F.R.C.Path (H.c), DVSM, MRCVS (V.w135)

Major References / Reviews

Code and Title List

In Waterfowl

B11.39.w7:- BSAVA Manual of Raptors, Pigeons and Waterfowl
B15:- Diseases of Wild Waterfowl
B24:- Helminths, Arthropods and Protozoa of Domesticated Animals
B36.28.w28:- Field Manual of Wildlife Diseases
B37.x.w1:- Handbook of Avian Medicine
J5.26.w1:- Avian Diseases
P4.1993.w3: - Proceedings Association of Avian Veterinarians

In Bears:
J11
.84.w2, J212.5.w1

In Lagomorphs:
B529.15.w15, B601.11.w11; B603.3.w3; B606.10.w10; B614.10.w10

Other References

Code and Title List

J1.12.w1, J1.13.w7, J1.15.w2, J1.17.w2, J1.17.w3, J1.17.w6, J1.26.w1, J1.27.w1:- Journal of Wildlife Diseases
J3.70.w1:- Veterinary Record
J4.99.w1:- Journal of the American Veterinary Medical Association
J5.7.w2, J5.36.w5:- Avian Diseases

In Bears:
J1
.16.w11, J1.35.w6
P5.29.w5

In Lagomorphs:
J1.13.w16, J1.13.w17, J1.16.w17, J1.18.w8, J10.27.w2, J40.7.w1, J381.37.w1, J469.281.w1

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Clinical Characteristics and Pathology

Detailed Clinical and Pathological Characteristics

General

WATERFOWL Usually asymptomatic in waterfowl, with macrocysts as an incidental finding, particularly in the breast muscles, at post mortem examination.

Clinical Characteristics

WATERFOWL
  • Usually asymptomatic.
  • Lameness or weakness may be seen with severe infections; very rarely paralysis.
  • Heavy infections may increase susceptibility to predation and hunting.

(B11.39.w7, B36.28.w28, B37.x.w1)

BEARS In two polar bears in a zoo in Anchorage, Alaska: (J11.83.w1)
  • Lethargy and anorexia. (J11.83.w1)
  • Death after six days of illness, despite supportive treatment. (J11.83.w1)

In two-year-old American black bears (Ursus americanus - American black bear) in a wild animal park in South Dakota:

  • Clinical signs were "vague"; one bear died. (J212.5.w1)
LAGOMORPHS
  • Asymptomatic in rabbits with light or moderate infections. (B614.10.w10)
  • Lameness may be seen in very heavy infections. (B614.10.w10)

Incubation

WATERFOWL At least three months required for the development of visible cysts (B36.28.w28).
BEARS --
LAGOMORPHS --

Mortality / Morbidity

WATERFOWL Mortality due to this disease is rare in waterfowl (B36.28.w28). Mortality reported in a green-winged teal Anas crecca, which was emaciated at death (J4.99.w1).
BEARS
  • Two polar bears in a zoo in Anchorage, Alaska, both died despite supportive treatment. (J11.83.w1)
  • In two-year-old American black bears (Ursus americanus - American black bear) in a wild animal park in South Dakota, one bear died after a short illness, one recovered after treatment, the third was lost to follow-up. (J212.5.w1)
  • No morbidity or mortality has been described in association with sarcocysts in the muscle of Ursus americanus - American black bears. (J1.35.w6, J11.84.w2, J11.88.w2)
LAGOMORPHS
  • Clinical disease is often only seen in very heavy infections. (B614.10.w10)
  • In the USA, this disease is endemic in wild Sylvilagus rabbits. (B603.3.w3)

Pathology

WATERFOWL Gross Pathology:
  • Macrocysts are visible as white, cream or yellow ‘rice grain’ cylindrical lesions in breast muscles (most common site), other skeletal muscles, cardiac muscle, in parallel streaks through the muscle. Muscle may have a gritty feel on cutting due to calcification around cysts.

Histopathology:

  • Focal granulomatous myositis, sometimes severe, may develop in association with degenerating cysts: initial infiltration of lymphocytes and plasma cells, later also macrophages, with necrotic muscle fibres adjacent, through to granulomas with caseous necrotic core, surrounded by epithelioid and giant cells, with lymphocytes and plasma cells peripherally.

(J5.26.w1, B15, B36.28.w28, B37.x.w1)

BEARS Gross

In two Ursus maritimus - Polar bears in a zoo in Anchorage, Alaska: 

  • General: jaundice, occasional petechiae and ecchymoses on the viscera. (J11.83.w1)
  • Hepatic: liver slightly swollen and mottled tan/red. In one bear, the gall bladder wall was oedematous. (J11.83.w1)

Histopathology

In two polar bears in a zoo in Anchorage, Alaska: 

  • Hepatic: Acute hepatocellular necrosis. In the liver parenchyma, numerous foci of acute hepatocellular lytic necrosis, varying in size and random in distribution. Foci were haemorrhagic a few had low numbers of lymphocytes and neutrophils. At the borders of some necrotic foci were swollen hepatocytes with slight vacuolation of the cytoplasm, mild nuclear pleomorphism and occasionally developing protozoan parasites. (J11.83.w1)
    • Morphologically the parasites found were identified as Sarcocystis. They divided by endopolygeny, not endodyogeny, and merozoits lacked rhoptries. (J11.83.w1)
    • The parasites did not react by immunohistochemistry to Toxoplasma gondii, Neospora caninum or Sarcocystis neurona. (J11.83.w1)

In one two-year-old Ursus americanus - American black bear in South Dakota:

  • Hepatic: Acute random hepatic necrosis, moderate to severe. There was a mild mononuclear cell infiltrate, mainly in the portal zones. There was inflammation of some portal veins, and portal zone haemorrhage associated with this. In the parenchyma, some necrotic foci had associated congestion and haemorrhage.
    In several hepatocytes, various developmental stages of a protozoan parasite were present, in and near necrotic foci. Infected hepatocytes generally appeared normal except for distended cytoplasm, and no inflammation was associated with the infected cells, rather, it appeared that inflammation and necrosis were associated with maturation and rupture of the schizonts. (J212.5.w1)
    • Developing schizonts, in the cytoplasm of hepatocytes, were described as large, basophilic, which occupied 50-80% of the cytoplasm of the hepatocyte when mature, causing peripheral displacement of the nucleus. The earliest schizont detected was 6 x 4 µm and its nucleus had a prominent nucleolus. later stages had a larger nucleus, prominent nucleolus and clefts in the cytoplasm. Often, merozoites budded peripherally to leave a residual body, up to 15 µm diameter, not condensed. Mature schizonts, containing up to 36 merozoites, were up to 20 x 30 µm. Within the necrotic foci were numerous merozoites, many degenerating. (J212.5.w1)
    • Electron microscopy revealed schizonts free in the hepatocyte cytoplasm, not within host parasitophorous vacuole. Merozoites were found to contain a nucleus, conoid and micronemes, but no rhoptries. (J212.5.w1)
    • Parasites did not react to Toxoplasm gondii or Neospora caninum but did react to Sarcocystis cruzi. (J212.5.w1)

Muscular sarcocystis:

  • In a bear with Sarcocystis sp. sarcocysts in muscle, there were no associated histopathological lesions. (J11.84.w2)
  • There were no associated lesions associated with Sarcocystis sp. sarcocyts found on microscopic examination of muscles in two Ursus americanus - American black bear from Florida, during a survey in 1998-2000. (J11.88.w2)
  • Sarcocysts were an incidental finding in striated muscle of a wild Ursus americanus - American black bear in Minnesota. (J1.16.w11)
  • In the tongues of two of 46 Ursus americanus - American black bears from Oregon, one sarcocyst was 240 x 60 µm, the other 84 x 60 µm. (J1.35.w6)
    • By electron microscopy, the wall of one cysts measured about 0.9 µm in thickness. (J1.35.w6)
  • Sarcocysts were found in skeletal muscle of a 114-day-old Ursus arctos - Brown bear at Rostock zoo. (P5.29.w5)
LAGOMORPHS
  • Sarcocystosis lesions are seen in cardiac and skeletal muscle, particularly in the flanks, loins and hind legs.
  • Sometimes they may be found in oesophageal striated muscle. (J1.18.w8)

Gross pathology

  • In heavy infections, cysts (up to 5 mm long) may be seen as multiple white streaks that run in the direction of the muscle fibre. (B614.10.w10)

Histopathology

  • Usually intact cysts are seen in the muscle without any accompanying inflammation. However, if the cyst wall degenerates, the invasion of the released trophozoites can lead to severe focal myocarditis and myositis. This is characterised by mineralisation and infiltration of plasma cells, lymphocytes, macrophages and eosinophils. Scarring may be prominent. (B614.10.w10)

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Human Health Considerations

  • None. Visible cysts may cause carcasses to be discarded, but the cysts are invisible after cooking (B15, B36.28.w28).

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Susceptibility / Transmission

General information on Susceptibility / Transmission

WATERFOWL Susceptibility:
  • Macroscopic cysts are common in dabbling ducks, less common in other duck species, uncommon in geese and swans.
  • Macroscopic cysts are not found in very young birds and are rare in juveniles. This may be related to the absence of infective oocysts or the breeding grounds and/or the time required for the development of visible cysts.

Transmission:

(B15, B36.28.w28).

BEARS Susceptibility:
LAGOMORPHS Susceptibiliy:

Transmission:

  • Oral-faecal route: The definitive host of Sarcocystis cuniculi is the cat. Transmission of the protozoa to rabbits is thought to be via ingestion of cat faecal material that is infected with sporocysts. (B614.10.w10)
    • Transmission to rabbits by feeding with sporocycts from infected cats has been confirmed. (J1.16.w17)
    • Transmission to domestic cats by feeding on infected rabbits has been confirmed. (J1.13.w16, J1.13.w17, J1.16.w17)
  • Fleas: Transmission via fleas has also been suggested. (B614.10.w10)

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Disease / Agent has been reported in either the wild or in captivity in:

  • Mortality reported in a green-winged teal Anas crecca, which was emaciated at death (J4.99.w1).
  • Macroscopic cysts have been reported frequently in dabbling ducks such as mallard (Anas platyrhynchos, northern pintail Anas acuta, northern shoveler Anas clypeata, (green winged) teal Anas crecca, American black duck Anas rubripes, gadwall Anas strepera, mottled duck Anas fulvigula and American wigeon Anas americana) with other ducks being more likely to have only microscopic cysts; cysts are found infrequently in geese and swans (B15, B36.28.w28)
  • Mallard Anas platyrhynchos, Northern shoveler Anas clypeata, blue-winged teal Anas discors, green-winged teal Anas crecca, gadwall Anas strepera, Northern pintail Anas acuta (J5.26.w1).
  • Mottled duck Anas fulvigula in Louisiana, USA (J1.27.w1).
  • American black ducks Anas americana in New Jersey, USA (J1.26.w1).
  • Wild northern shoveler Anas clypeata in southwest Texas, USA (J1.13.w7).
  • Magpie goose Anseranas semipalmata, Pacific black duck Anas superciliosa and grey teal Anas gracilis (Anas gibberifrons gracilis) in Australia (J1.15.w2)
  • Wild green-winged teal Anas crecca in southwest Texas, USA (J1.17.w6).
  • Mallard Anas platyrhynchos in Texas, USA (J5.36.w5).
  • Mallard Anas platyrhynchos, Northern shoveler Anas clypeata, Pintail Anas acuta, American wigeon Anas americana, blue-winged teal Anas discors, green-winged teal Anas crecca in North Dakota (J1.12.w1).
  • Redhead Aythya americana, canvasback Aythya valisineria, common goldeneye Bucephala clangula, green-winged teal Anas crecca, wood duck Aix sponsa, greater scaup Aythya marila, bufflehead Bucephala albeola, American widgeon Anas (Mareca) americana, blue-winged teal Anas discors, northern shovelers Anas clypeata, mallard Anas platyrhynchos, pintail Anas acuta (J5.7.w2).
  • Bufflehead Bucephala albeola recently imported to the UK from North America, with note that the condition has also been seen in the mallard Anas platyrhynchos, American black duck Anas rubripes, gadwall Anas strepera, blue-winged teal Anas discors and northern shoveler Anas clypeata (J3.70.w1)

IN BEARS

  • Sporozoan cysts, probably Sarcocystis sp., were detected by histology in the heart and skeletal muscle of 11% of 53 bears during a survey of Ursus americanus - American black bear from six states in the southeastern USA, July 1973-November 1976. (J1.14.w10)
  • Clinical (fatal) hepatic sarcocystosis was diagnosed in two polar bears in a zoo in Anchorage, Alaska. (J11.83.w1)
  • Hepatic sarcocystosis was confirmed by histopathology in one Ursus americanus - American black bear at a wild animal park in South Dakota. (J212.5.w1)
  • During a survey of muscles (diaphragm, abdominal muscle or carcass muscle) from 92 hunter-killed Ursus americanus - American black bear from North Carolina in November 1996, Sarcocystis sp. was detected in one bear. Two sarcocysts were found and identified structurally as Sarcocystis. There were no associated lesions and the species was unknown; the structure of the sarcocyst wall was different form that of known Sarcocysis spp. (J11.84.w2)
  • Sarcocystis sp. was detected in the tongues of two of 46 Ursus americanus - American black bears from Oregon, May-June 1995 and 1996. (J1.35.w6)
  • Sarcocystis sp. sarcocyts were found on microscopic examination of muscles in two of 132 Ursus americanus - American black bear from Florida, 1998-2000. There were no associated lesions. (J11.88.w2)
  • Sarcocysts were an incidental finding in striated muscle of a wild Ursus americanus - American black bear in Minnesota. (J1.16.w11)
  • Protozoal cysts which were identified by immunohistochemical staining as Sarcocytis sp. were an incidental finding in the cerebral neuropil of a nine-year-old free-living male Ursus americanus - American black bear from Labrador, Canada which died from valvular endocarditis. (J1.36.w8)

IN LAGOMORPHS

 Host Species List

WATERFOWL LAGOMORPHS

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Disease / Agent has been specifically reported in Free-ranging populations of:

  • Mallard Anas platyrhynchos, Northern shoveler Anas clypeata, blue-winged teal Anas discors, green-winged teal Anas crecca, gadwall Anas strepera, Northern pintail Anas acuta (J5.26.w1).
  • Mottled duck Anas fulvigula in Louisiana, USA (J1.27.w1).
  • American black ducks Anas americana in New Jersey, USA (J1.26.w1).
  • Wild northern shoveler Anas clypeata in southwest Texas, USA (J1.13.w7).
  • Magpie goose Anseranas semipalmata, Pacific black duck Anas superciliosa and grey teal Anas gracilis (Anas gibberifrons gracilis) in Australia (J1.15.w2)
  • Wild green-winged teal Anas crecca in southwest Texas, USA (J1.17.w6).
  • Mallard Anas platyrhynchos in Texas, USA (J5.36.w5).
  • Mallard Anas platyrhynchos, Northern shoveler Anas clypeata, Pintail Anas acuta, American wigeon Anas americana, blue-winged teal Anas discors, green-winged teal Anas crecca in North Dakota (J1.12.w1).
  • Redhead Aythya americana, canvasback Aythya valisineria, common goldeneye Bucephala clangula, green-winged teal Anas crecca, wood duck Aix sponsa, greater scaup Aythya marila, American widgeon Anas (Mareca) americana, blue-winged teal Anas discors, northern shovelers Anas clypeata, mallard Anas platyrhynchos, pintail Anas acuta (J5.7.w2).

IN BEARS

  • Sporozoan cysts, probably Sarcocystis sp., were detected by histology in the heart and skeletal muscle of 11% of 53 bears during a survey of Ursus americanus - American black bear from six states in the southeastern USA, July 1973-November 1976. (J1.14.w10)
  • Clinical (fatal) hepatic sarcocystosis was diagnosed in two polar bears in a zoo in Anchorage, Alaska. (J11.83.w1)
  • Hepatic sarcocystosis was confirmed by histopathology in one Ursus americanus - American black bear at a wild animal park in South Dakota. (J212.5.w1)
  • During a survey of muscles (diaphragm, abdominal muscle or carcass muscle) from 92 hunter-killed Ursus americanus - American black bear from North Carolina in November 1996, Sarcocystis sp. was detected in one bear. Two sarcocysts were found and identified structurally as Sarcocystis. There were no associated lesions and the species was unknown; the structure of the sarcocyst wall was different form that of known Sarcocysis spp. (J11.84.w2)
  • Sarcoscystis sp. was detected in the tongues of two of 46 Ursus americanus - American black bears from Oregon, May-June 1995 and 1996. (J1.35.w6)
  • Sarcocystis sp. sarcocyts were found on microscopic examination of muscles in two of 132 Ursus americanus - American black bear from Florida, 1998-2000. There were no associated lesions. (J11.88.w2)
  • Sarcocysts were an incidental finding in striated muscle of a wild Ursus americanus - American black bear in Minnesota. (J1.16.w11)
  • Protozoal cysts which were identified by immunohistochemical staining as Sarcocytis sp. were an incidental finding in the cerebral neuropil of a nine-year-old free-living male Ursus americanus - American black bear from Labrador, Canada which died from valvular endocarditis. (J1.36.w8)

IN LAGOMORPHS

 Host Species List

WATERFOWL LAGOMORPHS

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Environment/Geography

General Information on Environmental Factors/Events and Seasonality

The presence of the definitive host carnivore is required for this disease to be present in an area: Mephitis mephitis - Striped skunk for Sarcocystis rileyi, also Didelphis virginiana - Virginian opossum for at least one type of Sarcocystis.

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Regions / Countries where the Infectious Agent or Disease has been recorded

In Waterfowl
  • USA, Canada, Australia; rarely in the UK (J1.15.w2, B11.39.w7, B15, B36.28.w28).
  • Worldwide (B24).
In Bears
  • North America. (J1.14.w10, J11.83.w1, J11.88.w2, J212.5.w1)

In Lagomorphs

  • North America (B614.10.w10, J1.18.w8)
  • Europe (B614.10.w10)
  • Australia (Tasmania) (J1.16.w17)

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Regions / Countries where the Infectious Agent or Disease has been recorded in Free-ranging populations

USA, Canada, Australia (J1.15.w2, B15, B36.28.w28).

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General Investigation / Diagnosis

General Information on Investigation / Diagnosis

WATERFOWL Presence of cysts on post mortem examination; macroscopic cysts are visible as conspicuous white to yellow ‘rice grains’ in muscles, particularly breast muscles, also other skeletal muscles and the heart (B36.28.w28, B37.x.w1).
BEARS
  • Detection of sporozoan cysts on microscopic examination (histological examination). (J1.14.w10, J1.16.w11J1.35.w6, J11.83.w1, J11.84.w2, J11.88.w2, J212.5.w1)
  • Confirmation and identification as Sarcocytis sp. by immunohistochemical staining. (J1.36.w8)
LAGOMORPHS Gross pathology
  • Heavy infections may be detected by the observation of white streaks that run parallel to the direction of the muscle bundles. (B614.10.w10)

Histopathology

  • Most diagnoses of this infection are made by examining tissue sections under the microscope. (B614.10.w10)

Smears

  • Smears that are made from excised pieces of infected muscle may demonstrate motile banana-shaped organisms under the phase microscope. Smears can also be stained with Giemsa. (B614.10.w10)

Serological tests

  • The efficacy of these type of tests is not known for Sarcocystis infection in rabbits. (B614.10.w10)
Related Techniques
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Similar Diseases (Differential Diagnosis)

WATERFOWL --
BEARS
  • Protozoal cysts found by histological examination can be differentiated from Toxoplasma gondii or Neospora caninum by immunohistochemical staining. (J1.36.w8)
LAGOMORPHS --

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Treatment and Control

Specific Medical Treatment

WATERFOWL
  • 30 days treatment with pyrimethamine (0.5mg/kg orally twice daily) has been suggested (B11.39.w7).
  • Pyrimethamine 0.5mg/kg orally twice daily plus trimethoprim sulfadiazine 30 mg/kg intramuscular twice daily, for at least 14 days, has also been suggested (P4.1993.w3).
BEARS
LAGOMORPHS
  • There is no treatment for this condition. (B601.11.w11; B606.10.w10; B614.10.w10)
Related Techniques
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General Nursing and Surgical Techniques

WATERFOWL --
BEARS
  • In two polar bears in a zoo in Anchorage, Alaska, supportive treatment (unsuccessful) included fluid therapy, antibiotics, B vitamins and glucocorticoids. (J11.83.w1)
LAGOMORPHS --
Related Techniques
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Preventative Measures

Vaccination WATERFOWL Control measures do not appear to be indicated for waterfowl. (B36.28.w28).
BEARS --
LAGOMORPHS --
Prophylactic Treatment

WATERFOWL

--
BEARS --
LAGOMORPHS --
Related Techniques
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Environmental and Population Control Measures

General Environment Changes, Cleaning and Disinfection

WATERFOWL

--
BEARS --
LAGOMORPHS --
Population Control Measures WATERFOWL --
BEARS --
LAGOMORPHS --
Isolation, Quarantine and Screening WATERFOWL --
BEARS --
LAGOMORPHS
  • Pet rabbits: avoid contact with wild rabbits. (B601.11.w11)
  • Laboratory rabbits: isolation from cats should be practiced because rabbits may become infected by ingesting contaminated ingesta. (B614.10.w10)
Related Techniques
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