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Anja Strobl
Anja Strobl
Clinical Unit of Internal Medicine Small Animals, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210 Vienna , Austria
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Nikola Pantchev
Nikola Pantchev
IDEXX Laboratories, Kornwestheim , Germany
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Lukas Martin
Lukas Martin
Clinical Unit of Internal Medicine Small Animals, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210 Vienna , Austria
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Abigail Guija-De-Arespacochaga
Abigail Guija-De-Arespacochaga
Clinical Pathology Platform, Veterinary University Vienna, Vienna , Austria
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Barbara Hinney
Barbara Hinney
Institute of Parasitology, Department of Pathobiology, Veterinary University Vienna, Vienna , Austria
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Hans-Peter Fuehrer
Hans-Peter Fuehrer
Institute of Parasitology, Department of Pathobiology, Veterinary University Vienna, Vienna , Austria
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Michael Leschnik
michael.leschnik@vetmeduni.ac.at
https://orcid.org/0000-0001-6312-8579
Michael Leschnik
Clinical Unit of Internal Medicine Small Animals, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210 Vienna , Austria
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Abstract
A four-year-old intact male Boxer, that had a history of travelling to Serbia, was referred for lethargy and anaemia. Shortly before the dog was referred, it was diagnosed twice with an infection with Babesia canis and was treated with imidocarb both times. A blood smear evaluation was indicative of the presence of intraerythrocytic piroplasms. After receiving inconclusive results regarding the type of piroplasm, the dog was diagnosed with simultaneous infections with B. canis and Babesia gibsoni via real-time polymerase chain reaction (rt-PCR) testing. The dog was treated with imidocarb, atovaquone and azithromycin, and in a follow-up examination, the PCR results were negative for B. canis and B. gibsoni. Several weeks later, the dog was presented again, and a PCR was positive for B. gibsoni. After atovaquone and azithromycin failed to eliminate the parasites, a therapy attempt using metronidazole, clindamycin and doxycycline was initiated. Six months after diagnosis, the treatment appeared successful in eliminating B. gibsoni. This case report describes the clinical findings of the co-infection and the initiated diagnostic and therapeutic approaches.
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ACTA VETERINARIA HUNGARICA
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