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HEARTWATERAnother Potential Foreign Animal DiseasePrepared by : DebbraMarcelMonoclonal Antibody Section, Veterinary Research Institute (VRI)
•a.k.aCOWDRIOSIS,isnon-zoonoticdiseasebutoftenacute,fatal,infectiousandtick-borne(Amblyommaticks) rickettsialonruminants. 
•causedbybacteriaEhrlichiaruminantium(Dumler,2001). 
•widespreadinmostofAfrica,alsofoundonafewCaribbeanislandsandthreateningtheAmericanmainland. However,nocasereportedinAsiaregionsyet(OIE,2010). 
•cancausehighmortality(upto90%)insusceptiblewildanddomesticruminants(cattle,sheep,goats,antelopeandbuffalo)esp.younganimalsandnon-nativebreeds 
INTRODUCTION 
Goatsandsheeparemoresusceptiblethancattle,andEuropeanbreedsaregenerallymoresusceptiblethan 
indigenousAfricanbreeds. 
Amblyommaticks 
GoatSheepCattle
GEOGRAPHICAL DISTRIBUTIONAccording to OIE 2010, no case for this disease ever reported in SouthestAsia (including Malaysia)
CLINICAL SIGNS 
•causedbyanincreasedvascularpermeabilityandconsequentoedemaandhypovolaemia. 
•symptomsincludeneurologicalsignssuchastremorsandheadpressing, respiratorysignssuchascoughingandnasaldischarge,andsystemicsignssuchasfeverandlossofappetite. 
•highdeathratesinacutestagewithoutmanyclinicalmanifestationswhileinthehigherrecoveryrateinperacutestage. 
•physicalexaminationmayrevealpetechiaeofthemucousmembranes,tachycardiaandmuffledheartsounds. 
EXTRA INFO: 
•canalsocausereproductiveandgastrointestinaldisease. 
•recoveredanimalsbecomecarriersofinfection 
•certainwildanimalscanplayaroleasreservoir 
fever and loss of appetite 
coughing and nasal discharge 
oedemaand hypovolaemiaa
DIAGNOSIS(POST-MORTEM EXAMINATION) 
•Lightyellowtransudatewithinthethorax,pericardiumandabdomen. 
•Pulmonaryoedemaandmucosalcongestionareregularlyseenalongwithfrothyfluidintheairwaysandcutsurfacesofthelungs. 
•Hydropericardium,hydrothoraxandlungoedemaarecommonlyassociatedpost-mortemsigns. 
HistopathologicalidentificationofEhrlichiaruminantium: 
bypreparingthehippocampusunderGiemsastainingorby 
Histopathology(brain/kidney). 
stainedEhrlichiaruminantium
DIAGNOSTIC TECHNIQUES(based on OIE Terrestrial Manual) 
1.Identificationoftheagent(IsolationofEhrlichiaruminantium) 
a)usingin-vitroculture 
b)usingin-vivoculture 
2.Molecularmethods(detectionofEhrlichiaruminantium) 
a)usingDNAprobes 
b)usingPCRandnestedPCR 
c)usingthereverselineblottechnique 
d)usingreal-timePCR 
3.Serologicaltests 
a)IFATwithinfectedendothelialcelltissuecultureas 
antigen(CIFAtest) 
b)MAP1-Benzyme-linkedimmunosorbentassay 
c)MAP1competitiveenzyme-linkedimmunosorbent 
assayBacterial Isolation 
FluorecenseTest 
ELISA
TREATMENT AND CONTROL 
TREATMENT 
•Duringtheearlystages,animalsmaybetreatedwithsulfonamidesandtetracyclines. 
•Inadvanceddisease,prognosisispoor. 
CONTROL 
•Tetracyclinescanalsobeusedprophylacticallywhenanimalsareintroducedintoanareaendemicwithcowdriosis. 
•Alivebloodvaccineisavailableforprotectionofyoungstock, butanimalsmayrequiretreatmentforthediseasepost- vaccination. 
•EctoparasiticidesdipssuchasRhipicephalus(Boophilus)andHyalommaspecieswillcontributetocontrolofvectorsofEhrlichiaruminantium.
REFERENCES 
1.DumlerJS,BarbetAF,BekkerCP,etal.(2001)."ReorganizationofgenerainthefamiliesRickettsiaceaeandAnaplasmataceaeintheorderRickettsiales:unificationofsomespeciesofEhrlichiawithAnaplasma,CowdriawithEhrlichiaandEhrlichiawithNeorickettsia,descriptionsofsixnewspeciescombinationsanddesignationofEhrlichiaequiand'HGEagent'assubjectivesynonymsofEhrlichiaphagocytophila". Int.J.Syst.Evol.Microbiol.51(Pt6):2145–65.doi:10.1099/00207713-51-6-2145. PMID11760958. 
2.http://www.ebi.ac.uk/2can/genomes/bacteria/Ehrlichia_ruminantium.html 
3."Heartwater".AnimalandPlantHealthInspectionService.U.S.DepartmentofAgriculture.Retrieved2008-04-13. 
4.CHAPTER2.1.6.HEARTWATER.OIETerrestrialManual(2008). 
5.CFSPHTechnicalFactSheets.Heartwaterathttp://www.cfsph.iastate.edu/ DiseaseInfo/ 
6.Heartwater:AnotherPotentialForeignAnimalDisease.http://www.vetmed. ucdavis.edu/vetext/INF-DA/INF-DA_HEARTWATER.HTML 
7.USDAAPHISfactsheet.Heartwater.http://www.aphis.usda.gov/lpa/ pubs/fsheet_faq_notice/fs_ahheartw.html 
Prepared by : 
DebbraMarcel 
Monoclonal Antibody Section, 
Veterinary Research Institute (VRI)

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Heartwater disease (shared in slideshare 7.11.2014)