Toltrazuril treatment of cystoisosporosis
in dogs under experimental and field
conditions
A. Daugschies', H.-C. Mund” and Valeria Letkova”
‘Institut fir Parasitologie, Binteweg 17, D-30539 Hannover, Germany
Bayer AG, D-51368 Leverkusen, Germany
“University of Veterinary Medicine, Kemenskeho 73, 04001 Kosice, Slovak Republic
WE Coccicio of the genus
Cjstoisospora cause mild to severe
horthea in dogs. The effets of tota-
url trectment on cystoisosporosis
were studied under experimental and
field conditions. Twenty-four puppies
were experimentally infected each with
4-10" oocysts of the C-ohioenss-
group. 3 groups of 6 puppies were
trected 3 dpi with 10,20 or 30 mg/kg
body weight of tora suspension
(5%), the remcining 6 puppies served
2s nontreated controls, Tltrazu sus
pension or mirogranulate were given
once in a dose of 10 or 20 ma/kg
body weight, respectively, to naturally
infected puppies in conventional dog
breeding facies depending on the
coproscopical evidence of infection
Ooeyst excretion and nical date
were recorded. Under experimental
conditions the non-reated puppies
excreted oocysts beginning with 6 dpi
cond suffered from catarthaic to
hemorrhagic diarthea. Uni 12 dpi 4
of 6 nomtreated puppies had died.
Irespective of the dose toltrazur
treciment totally suppressed oocyst
exaefion and no darthea or other
signs of disease were observed inthe
treated groups. Natural Cystosospora
infections were regulary found during
the third or fourth week of age in dog
breedings athough not always astoci
sled with darrheo. A single oral appl
cation of tolrazutl abrogated oocyst
shedding ond the treated. puppies
remained generally coproscopically
negative during the following 2 to 4
weeks. Cystolsospora is pathogenic for
puppies ond can induce severe dis:
‘e0se. Notural infections are common in
conventional dog breedings. Tolrazuril
treatment is suited to control cysto-
isosporosis under experimental ond
field conditions. A single oral treatment
cof puppies in the third or fourth week
of age is recommended
Introduction
ME Coccidia of the genus
Cystoisospora are increasingly regard-
ed as important intestinal pathogens in
dogs. Although oocysts of Cysto-
‘sospora spp. ore relatively seldom
found in the feces of adult dogs they
may couse considerable disease,
sometimes lethal, in young puppies
The occurrence and dynamics of co
nine coccidia were investigated in com-
mercial dog breedings in Germany
cand the efficacy of different regimens
of tolrazuril treatment was evaluated
under experimental ond field condi-
fons
Study design
WE Experimental trol: Tweaty-
four puppies were allocated to
4 groups (A ~ D) of each 6 animals All
puppies were infected with o single
dose of 4x10° C. ohioensis-group
®
oops. Group A individuals served os
non-treated controls, the cnimals of
the other groups received a single oral
tohrazuril treatment in a dose of 10 (B}
20 (C) oF 30 (0) ma/kg body weight
(BW) of tolrazurl suspension (Bay
cox’, 5%) on day 3 post infectionem
(da. Clinical ond coproscopicel dota
were recorded.
Field fils: Two parallel investiga
fions were performed, In field tril 1
four commercial dog breedings with a
total of 104 liters were examined. For
coproscopical investigation, mixed
fecal samples of each of the 104 iters
were collected in weekly intervals unt
at least 7 weeks of oge and, in most
cases, additionally within 24h after
tolrazutl treatment. Biches were ex
mined before ond afer portation
Standard coproscopy flotation with
saturated NaCl) was used for pros
tological examination. Soon after
oocysts were detected all puppies of
the respective liters were treated once
with 10 mg/kg BW tolrazurt 58 suse
pension (Baycox’) and fecal exomina-
tion was confined for ot least 2 to 3
weeks after treatment. Puppies were
sold alter weaning and therefore the
number of litlers included in the study
decreased from week 7 offer partir
fion onword. The numbers oF liters
available ot 8,9, 10 ond 11 waeks of
age were 101, 69, 43 and 21, and fur-
ther decreased to 11 and eventually|
3 liters until 19 weeks of age. In totcl, | #7 |
963 mixed fecal samples were ex- | a: see |
comined. |
Infield rol 20 total of 110 puppies
representing 21 liters of one dog
i
breeding were individually examined | “[
Stimes a week ding 4 to & weeks
cofter birth. Each ofthe liters wos divid- | 9 SNe ect aes
ced into two groups of puppies when oll |
puppies hod become coproscopically Fig. 1: Exe
Positive. One group wos treated once an smaptcar 10 an meoer ap
orally with 20 mg/kg BW tohrazurl 7 anova ites en 19 wee
microgranulate (2%), the other served °°
{3 non-treated controls. Fecal exami- rapidly regoined heclth and increased
nation was continued for ot least 2 1 weight gain. Neither oocyst excretion
3 weeks after treatment nor dinicol disease was found in ony of
the puppies of the treated groups
Results throughout the experiment, irrespec-
tive of the tolrazuril dose applied. No
Tl The experimental infection adverse effects of fotnazuril adminis-
resulted in oocyst excretion following a tration was recorded ot either dose
prepatent period of 6 days in the feces (able 1
mip » ]ejele
‘ens
ira bay wea
Fer a
ra en
F610 nad os 82
ge FG) 7
Dares ge darheane6=128p) | 2
ery i
"Fema cositony-0~noral 1 ~ pay, 2 ~ sig 3 wotary
Teo poppin of gp A ere rated wih 30 g/g By wah ruc 2 dite asia aun
Table 1, Etc20y of acminiravon ofa angle oral dose of totrazun
Erpormetaly looted wih 0" Cystisospara anoense-goup OOeysls
on) 3098
cof each group A puppy. Oocyst num: In the First field tril 80 to 100 % of
bers pecked between 8 ond 12 dpi the liters exereted oocysts with an
with 1182 x 10? OPG, the average average liter prevolence of 88.5 %.
OPG wos 497 x 10’. Diarrhea was Approximately 3% of the bitches
moderate at the onset of oocyst excre- excreted low numbers of oocysts. The
tion but developed into hemorrhagic highest prevalence was recorded in lit-
diarthea later on culminating in death ters of 4 to 6 weeks of age (median
of 4 group A puppies on 12 dpi. The OPG: 5938). Some liters excreted
remaining 2 group A puppies were oocysts in a lower number (approx.
treated with 30 mg/kg BW to avoid 814 OPG) during a second period
lethal outcome. Oocyst excretion and around 9 weeks after parturition. One
clinical disease disoppeared 4 days of three liters that were sil available
‘offer treatment. Both puppies survived, 19 weeks after parturition showed o
u
third period of oocyst excretion (66
0G),
Similar dynamics of oocyst excre-
tion were found in the second field
tril In most cases (93% of positive
samples) oocysts were identified os
belonging to the C. ohicensi-group. In
both field tricks tolrazuril application
almost immediately cbrogoted oocyst
excretion (eg. til 1:99 of 100 treat-
ced liters were negative the day after
‘reatment), No oocysts were found one
week offer treatment and the treated
puppies remained negative for at least
20 3 weeks.
Discus:
HE Orcysts of C. obicenss are
not easily distinguished from C. bur-
rows on a morphological basis and
thus the applied isolate was designat-
ed as C. chioensis-group. The isolate
proved to be pathogenic pointing to
the possibilty that high infection pres-
sure resulting from poor hygiene may
cause severe diorrhea and losses of
puppies in dog breedings (Dubey et a.
1978), Although severe coccidiosis was
‘ot seen inthe two field tials the com-
‘mon occurrence imposes a permanent
pressure on the health of young pup:
pies, ond even moderate intestinal
damage may considerably alter
growth and development. The parasite
is primarily spread within ond between
liters by infected motes while bitches
cre probably less important in the epi
demiclogy of canine coccidiosis, ob
though they potentioly serve a:
In the experimental study tolirazuril
therapy wos obviously beneficial in
two severely affected puppies and is
probably suited for treatment of ca
rine coccidiosis. However, the common
occurrence of Cystoisospora spp. ia
puppies requires metaphylactic or pro:Phylactic measures to suppress oocyst
excretion and thus reduce infection
pressure. Improved hygiene and de-
contamination with disinfectants active
against Cystoisospora oocysts is cer
tainly important but will not eliminate
the parasite. Rommel et al. (1986)
treated 10 dogs infected with 1 x 10°
oocysts of C. burrows: daily from 2 to
6 dpi with 10 mg/kg 8W toltrazuril
which resulted in absolute suppression
of oocyst excretion while each of 5
non-treated controls shed considerable
numbers of oocysts. The present field
trials showed that even a single admin-
istration of tolrezuri in « dosage of 10
or 20 mg/kg BW is suited to efficient
ly control oocyst excretion. Both for-
ulations (suspension, microgranviate)
were without adverse effects, however,
pplication of the suspension is less
laborious ond thus preferable. The
highest probability of oocyst excretion
cond OPG volues were found in pup-
pies of on age of 4 to 6 weeks and
cogyst excretion was almost immedi-
otely suppressed after treatment.
Application of tolirazuri to oll pup
pies 4 weeks offer parturition may
considerably reduce contomination of
liters with oocysts and thus be an
effective means to prevent problems
due to intestinal coccidiosis, The few
remeining oocysts shed by bitches,
before treatment or by older puppies
‘ore probably sufficient to immunise
puppies and this is not expected to be
affected by toltrazuril treatment
(Rommel et al, 1986; Mundt and
Haberkorn 1989). Tolrazuril has been
dearly shown to be effective against
(Qystoisspora under experimental ond
field conditions.
References
Dubey JP, Weisbrode 5, ond
Rogers W. A. (1978) Conne cocci eb
10 on lospor obverse orgasm:
cae report J. A, el. Med. soe. 73,
185-191
‘Mund! H.C. ond Haberhoen A. (1989)
New experiences with oraz in the contra
of pouty coeds In Yoo, P(E)
Cocca and Intestino! Coccchomorphs, INRA,
Perit, pe. 401-406
Rommel M, SchiederT, Waser
rouse HD. ond Sioye M. (1986) The ue of
‘olrazuni-medicsted food to prevent he deve
lopment of espera and Toxaposme oocysts n
dogs and cat. Symp. Bol. Hung, $2, 445-449.
Arwid Daugschies
- Bown in 1957
Prof Dr. Arwid
Dewgschis sched
— Veterinary Medicine
dem from 1977 1983 oh
th Trine Hod
she Shoo of Veterinary Main
Hoover, Germany. rom 183 1985 he
performed enorme fr is ocr hess
chou he fle of Emer ows infcton on
the doy od ten of inn on
rine in coe: Tnefe he joined he
croup of rote Michel reel the
Inte forPorotlay of he Traratiche
Hodhchle Hanover During he allowing
Yor i iin iter in th Fld of prot
roalogy were the pahophnisony of sro
soto is ond cabs ond ug rs
stance of citer coctin 19 fis abi
fon thes abot he rl of eis n he
Boley of he nencadeOnsohagottonum
dtr wes eceped oe he wos awarded
the vero agent the Trice Hock
sb Honore The lec roe
olin of so end specs ofp remotes
and th eidenilogy ond rata endo
porate n peice oc, in hen, is,
dogs on cas re min topes in sro
Aocta rie incolabraon wih scien
trom Chr, Spi, ond Egon i bout e
sathoshrislay of fclosn woter blo
tnd soe.
QS
Bo tone chistion
‘Mund, BVM, born in
+ 1982, studied Ver
cerinary Medicine from
197.19 1976 ot he
Tierdratiche Hoch
sehule [School of Veterinary Medne) n
Honnover,Germony, In 1977 he ec
ron from the German edt Boa of
Spontocs 9 work athe Insitute of Miro
biology nd Epidemics in Honnover
“The doctoral hess wor Frithed in 1978, From
1978 to 1982 he wotked at «scx citar
‘tthe tite of Anal Nttion, Schoo!
of Veterinary Medicine, Hanover ard did
ived a
sink eteorch mainly in the Flo com
prion anime natin incug horses.
1981 he wos occredied os Veternaryspecalt
in Animal Nutrition and Dietetics. Se 1983 he
is working inthe Development Department of
the Arimel Heo Business Group, Bayer AG.
Valéria Letkové
Va
ceived her degre of
Destorin Vaterinary
Medeine 1970 ond
A fied her th.
‘workin 1982 atthe Poesitologcal sie of
Slovok Accdemy of Sconces, Kosice 1989
the became Asoc Pofsior end in 1990
Head of Department of Porasioogy, Diseases,
of ih, Boos and Wild anindls, Univesty of
Veterinary Medicine, Kosice,
The main areas of research conducted inde
pera helminths ond pratoroo of dams,
{roo lving anima and pels, thei bilo, ep
demiology, agnostics, heropy ond conta
She supervised several grant presets, which
resus have been publaed in many periodicals
cd journal. Theo is ako avery close
Colaboraton with many scenic into in
Slovo and abroad
She has cuthored textbooks on Veterinary
Perostology ond handbooks for
52s. She is cho a aupervoe of porate
slovak and foreign stents of weteinry mac
De Lthows io member of ev
‘ond internation sine orgarizations,