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Haemoplasmosis in CatsABCD guidelines on prevention and managementAgent propertiesThe haemoplasmas are haemotropic mycoplasmas, bacteria that parasitize red blood cells and can induce haemolytic anaemia. They are currently classified within the genus Mycoplasma in the Mycoplasmataceae family of bacteria. However, recent work suggests that although the hemoplasmas probably do belong to this family, they may be better placed in their own separate genusPEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IaWNrczwvQXV0aG9yPjxZZWFyPjIwMTQ8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 1. In contrast to many ‘classical’ mycoplasmas, haemoplasmas are uncultivable. Their propagation is possible in living animals only, not in vitro.Three main haemoplasma species known to infect cats are Mycoplasma haemofelis, ‘Candidatus Mycoplasma haemominutum’ and ‘Candidatus Mycoplasma turicensis’. These mycoplasmas have a worldwide distribution.EpidemiologyFeline hemoplasma infections are usually more common in male, non-pedigree cats with outdoor access and cat bite abscesses. Infection with ‘Ca. M. haemominutum’ is usually more prevalent in older cats, presumably because cats have an increasing chance of acquiring chronic subclinical infection over their lifetime. Some studies have found an association between hemoplasma infection and feline immunodeficiency virus (FIV)PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HZW50aWxpbmk8L0F1dGhvcj48WWVhcj4yMDA5PC9ZZWFy

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ADDIN EN.CITE.DATA 2, 3 whereas others have not ADDIN EN.CITE <EndNote><Cite><Author>Willi</Author><Year>2006</Year><RecNum>497</RecNum><DisplayText><style face="superscript">4</style></DisplayText><record><rec-number>497</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">497</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Willi, B.</author><author>Boretti, F. S.</author><author>Baumgartner, C.</author><author>Tasker, S.</author><author>Wenger, B.</author><author>Cattori, V.</author><author>Meli, M. L.</author><author>Reusch, C. E.</author><author>Lutz, H.</author><author>Hofmann-Lehmann, R.</author></authors></contributors><auth-address>Clinical Laboratory, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, 8057 Zurich, Switzerland.</auth-address><titles><title>Prevalence, risk factor analysis, and follow-up of infections caused by three feline hemoplasma species in cats in Switzerland</title><secondary-title>Journal of Clinical Microbiology</secondary-title></titles><periodical><full-title>Journal of Clinical Microbiology</full-title><abbr-1>J Clin Microbiol</abbr-1></periodical><pages>961-969</pages><volume>44</volume><number>3</number><dates><year>2006</year><pub-dates><date>Mar</date></pub-dates></dates><accession-num>16517884</accession-num><urls><related-urls><url>, and most studies have failed to show an association between hemoplasma infection and feline leukaemia virus (FeLV) infectionPEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HZW50aWxpbmk8L0F1dGhvcj48WWVhcj4yMDA5PC9ZZWFy

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ADDIN EN.CITE.DATA 5. The prevalence of the feline haemoplasma species varies geographically. In general ‘Ca. M. haemominutum’ is most prevalent (0-46.7% of cats in prevalence studies found to be infected), followed by M. haemofelis (0-46.6% of cats) and ‘Ca. M. turicensis’ (0-26.0% of cats) in domestic cats. Reported prevalences vary not only due to geographical variation but also because the cats sampled in different studies are very variable i.e. some test only ill anaemic cats, whereas others sample healthy cats only, and some test stray feral cats whereas others focus on owned cats.The clustered geographical distribution of infection in some studies supports the role of an arthropod vector in hemoplasma transmission ADDIN EN.CITE <EndNote><Cite><Author>Sykes</Author><Year>2007</Year><RecNum>530</RecNum><DisplayText><style face="superscript">6</style></DisplayText><record><rec-number>530</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">530</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Sykes, J. E.</author><author>Drazenovich, N. L.</author><author>Ball, L. M.</author><author>Leutenegger, C. M.</author></authors></contributors><auth-address>Department of Medicine and Epidemiology, University of California, Davis 95616, USA. jesykes@ucdavis.edu</auth-address><titles><title>Use of conventional and real-time polymerase chain reaction to determine the epidemiology of hemoplasma infections in anemic and nonanemic cats</title><secondary-title>Journal of Veterinary Internal Medicine</secondary-title></titles><periodical><full-title>Journal of Veterinary Internal Medicine</full-title><abbr-1>J Vet Intern Med</abbr-1></periodical><pages>685-693</pages><volume>21</volume><number>4</number><keywords><keyword>Anemia/microbiology/*veterinary</keyword><keyword>Animals</keyword><keyword>Cat Diseases/*epidemiology/microbiology</keyword><keyword>Cats</keyword><keyword>Female</keyword><keyword>Male</keyword><keyword>Mycoplasma/*isolation &amp; purification</keyword><keyword>Mycoplasma Infections/epidemiology/*veterinary</keyword><keyword>Polymerase Chain Reaction/*veterinary</keyword><keyword>Retrospective Studies</keyword></keywords><dates><year>2007</year><pub-dates><date>Jul-Aug</date></pub-dates></dates><accession-num>17708387</accession-num><urls><related-urls><url>. The cat flea has been implicated in feline hemoplasma transmission, but only very transient M. haemofelis infection has been reported via the haematophagous activity of fleas, and clinical and haematological signs of M. haemofelis infection were not induced in the recipient catPEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Xb29kczwvQXV0aG9yPjxZZWFyPjIwMDU8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 7. Additionally, a recent study found no evidence of hemoplasma transmission by fleas in an experiment involving the introduction of fleas into groups of cats housed together ADDIN EN.CITE <EndNote><Cite><Author>Lappin</Author><Year>2014</Year><RecNum>739</RecNum><DisplayText><style face="superscript">8</style></DisplayText><record><rec-number>739</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1418390649">739</key></foreign-keys><ref-type name="Conference Proceedings">10</ref-type><contributors><authors><author>Lappin, M.R.</author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Feline haemoplasmas are not transmitted by </style><style face="italic" font="default" size="100%">Ctenocephalides felis</style></title><secondary-title>9th Symposium of the CVBD World Forum</secondary-title></titles><pages>44-46</pages><dates><year>2014</year></dates><pub-location>Lisbon, Portugal</pub-location><urls></urls></record></Cite></EndNote>8. Some observations have suggested that cat fights are involved in transmission. Subcutaneous inoculation of ‘Ca. M. turicensis’-containing blood resulted in infection transmission, whereas the same inoculation method using ‘Ca. M. turicensis’-containing saliva, did not ADDIN EN.CITE <EndNote><Cite><Author>Museux</Author><Year>2009</Year><RecNum>583</RecNum><DisplayText><style face="superscript">9</style></DisplayText><record><rec-number>583</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">583</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Museux, K.</author><author>Boretti, F. S.</author><author>Willi, B.</author><author>Riond, B.</author><author>Hoelzle, K.</author><author>Hoelzle, L. E.</author><author>Wittenbrink, M. M.</author><author>Tasker, S.</author><author>Wengi, N.</author><author>Reusch, C. E.</author><author>Lutz, H.</author><author>Hofmann-Lehmann, R.</author></authors></contributors><titles><title><style face="italic" font="default" size="100%">In vivo</style><style face="normal" font="default" size="100%"> transmission studies of &apos;</style><style face="italic" font="default" size="100%">Candidatus</style><style face="normal" font="default" size="100%"> Mycoplasma turicensis&apos; in the domestic cat</style></title><secondary-title>Veterinary Research</secondary-title></titles><periodical><full-title>Veterinary Research</full-title><abbr-1>Vet Res</abbr-1></periodical><pages>45</pages><volume>40</volume><number>5</number><dates><year>2009</year><pub-dates><date>Sep-Oct</date></pub-dates></dates><accession-num>19505421</accession-num><urls><related-urls><url> (Print)&#xD;Journal Article&#xD;Research Support, Non-U.S. Gov&apos;t</research-notes></record></Cite></EndNote>9. This suggests that hemoplasma transmission by social contact (saliva via mutual grooming etc.) is less likely than transmission by aggressive interaction (blood transmission during a cat bite incident) ADDIN EN.CITE <EndNote><Cite><Author>Museux</Author><Year>2009</Year><RecNum>583</RecNum><DisplayText><style face="superscript">9</style></DisplayText><record><rec-number>583</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">583</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Museux, K.</author><author>Boretti, F. S.</author><author>Willi, B.</author><author>Riond, B.</author><author>Hoelzle, K.</author><author>Hoelzle, L. E.</author><author>Wittenbrink, M. M.</author><author>Tasker, S.</author><author>Wengi, N.</author><author>Reusch, C. E.</author><author>Lutz, H.</author><author>Hofmann-Lehmann, R.</author></authors></contributors><titles><title><style face="italic" font="default" size="100%">In vivo</style><style face="normal" font="default" size="100%"> transmission studies of &apos;</style><style face="italic" font="default" size="100%">Candidatus</style><style face="normal" font="default" size="100%"> Mycoplasma turicensis&apos; in the domestic cat</style></title><secondary-title>Veterinary Research</secondary-title></titles><periodical><full-title>Veterinary Research</full-title><abbr-1>Vet Res</abbr-1></periodical><pages>45</pages><volume>40</volume><number>5</number><dates><year>2009</year><pub-dates><date>Sep-Oct</date></pub-dates></dates><accession-num>19505421</accession-num><urls><related-urls><url> (Print)&#xD;Journal Article&#xD;Research Support, Non-U.S. Gov&apos;t</research-notes></record></Cite></EndNote>9. However, a recent study ADDIN EN.CITE <EndNote><Cite><Author>Lappin</Author><Year>2014</Year><RecNum>739</RecNum><DisplayText><style face="superscript">8</style></DisplayText><record><rec-number>739</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1418390649">739</key></foreign-keys><ref-type name="Conference Proceedings">10</ref-type><contributors><authors><author>Lappin, M.R.</author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Feline haemoplasmas are not transmitted by </style><style face="italic" font="default" size="100%">Ctenocephalides felis</style></title><secondary-title>9th Symposium of the CVBD World Forum</secondary-title></titles><pages>44-46</pages><dates><year>2014</year></dates><pub-location>Lisbon, Portugal</pub-location><urls></urls></record></Cite></EndNote>8 found evidence of horizontal transmission of ‘Ca. 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ADDIN EN.CITE.DATA 10.PathogenesisMycoplasma haemofelis is the most pathogenic feline haemoplasma species as it can result in severe, sometimes fatal, haemolytic anaemia following acute infection in some cats, although others may develop only mild anaemia, so variability in outcome occurs. This may be due to host response differences or M. haemofelis strain variation, but disease can occur in immunocompetent. Chronic infection is usually not associated with significant anaemia and carrier cats exist which show no evidence of anaemia. In line with this, some epidemiological studies have not shown associations between anaemia and M. haemofelis infection, probably due to the inclusion of chronically M. haemofelis-infected asymptomatic cats. Although ‘Ca. M. haemominutum’ infection can cause erythrocyte parameters (e.g. red blood cell count, haemoglobin, haematocrit) to lower, anaemia is not commonly seen following infection unless the cat has concurrent problems e.g. immunosuppression or is undergoing chemotherapy. Many asymptomatic carrier cats of ‘Ca. M. haemominutum’ exist. ‘Ca. M. haemominutum’ has also been associated with the development of myeloproliferative disease in cats with FeLV infection in one experimental study ADDIN EN.CITE <EndNote><Cite><Author>George</Author><Year>2002</Year><RecNum>407</RecNum><DisplayText><style face="superscript">11</style></DisplayText><record><rec-number>407</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824957">407</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>George, J. W.</author><author>Rideout, B. A.</author><author>Griffey, S. M.</author><author>Pedersen, N. C.</author></authors></contributors><auth-address>Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis 95616, USA.</auth-address><titles><title><style face="normal" font="default" size="100%">Effect of preexisting FeLV infection or FeLV and feline immunodeficiency virus coinfection on pathogenicity of the small variant of </style><style face="italic" font="default" size="100%">Haemobartonella felis</style><style face="normal" font="default" size="100%"> in cats</style></title><secondary-title>American Journal of Veterinary Research</secondary-title></titles><periodical><full-title>American Journal of Veterinary Research</full-title><abbr-1>Am J Vet Res</abbr-1></periodical><pages>1172-1178</pages><volume>63</volume><number>8</number><dates><year>2002</year><pub-dates><date>Aug</date></pub-dates></dates><accession-num>12171173</accession-num><urls></urls></record></Cite></EndNote>11. However cases of anaemia have been reported in which only ‘Ca. M. haemominutum’ infection was diagnosed and so it appears that in some cases ‘Ca. M. haemominutum’ can cause anaemia in the absence of concurrent diseases ADDIN EN.CITE <EndNote><Cite><Author>Weingart</Author><Year>2015</Year><RecNum>748</RecNum><DisplayText><style face="superscript">12</style></DisplayText><record><rec-number>748</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1425645871">748</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Weingart, C.</author><author>Tasker, S.</author><author>Kohn, B.</author></authors></contributors><auth-address>Clinic for Small Animals, Faculty of Veterinary Medicine, Freie Universitat Berlin, Berlin, Germany.&#xD;School of Veterinary Sciences and The Feline Centre, Langford Veterinary Services, University of Bristol, Bristol, UK.&#xD;Clinic for Small Animals, Faculty of Veterinary Medicine, Freie Universitat Berlin, Berlin, Germany kohn@vetmed.fu-berlin.de.</auth-address><titles><title>Infection with haemoplasma species in 22 cats with anaemia</title><secondary-title>J Feline Med Surg</secondary-title><alt-title>Journal of feline medicine and surgery</alt-title></titles><periodical><full-title>Journal of Feline Medicine and Surgery</full-title><abbr-1>J Feline Med Surg</abbr-1></periodical><alt-periodical><full-title>Journal of Feline Medicine and Surgery</full-title><abbr-1>J Feline Med Surg</abbr-1></alt-periodical><dates><year>2015</year><pub-dates><date>Mar 3</date></pub-dates></dates><isbn>1532-2750 (Electronic)&#xD;1098-612X (Linking)</isbn><accession-num>25736447</accession-num><urls><related-urls><url>. ‘Ca. M. turicensis’ infection has caused anaemia or a small lowering in erythrocyte parameters in some experimental studies, but generally anaemia is uncommon. Concurrent disease and immunosuppression are both thought to be involved in the pathogenesis of ‘Ca. M. turicensis’ disease, similar to ‘Ca. M. haemominutum’. Determining the pathogenicity of ‘Ca. M. haemominutum’ and ‘Ca. M. turicensis’ in naturally infected cats can been difficult as cats are often co-infected with other haemoplasma species, confounding disease associations. Carrier cats often have subclinical infections, but reactivation of infection can occur and may result in clinical disease ADDIN EN.CITE <EndNote><Cite><Author>Weingart</Author><Year>2015</Year><RecNum>748</RecNum><DisplayText><style face="superscript">12</style></DisplayText><record><rec-number>748</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1425645871">748</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Weingart, C.</author><author>Tasker, S.</author><author>Kohn, B.</author></authors></contributors><auth-address>Clinic for Small Animals, Faculty of Veterinary Medicine, Freie Universitat Berlin, Berlin, Germany.&#xD;School of Veterinary Sciences and The Feline Centre, Langford Veterinary Services, University of Bristol, Bristol, UK.&#xD;Clinic for Small Animals, Faculty of Veterinary Medicine, Freie Universitat Berlin, Berlin, Germany kohn@vetmed.fu-berlin.de.</auth-address><titles><title>Infection with haemoplasma species in 22 cats with anaemia</title><secondary-title>J Feline Med Surg</secondary-title><alt-title>Journal of feline medicine and surgery</alt-title></titles><periodical><full-title>Journal of Feline Medicine and Surgery</full-title><abbr-1>J Feline Med Surg</abbr-1></periodical><alt-periodical><full-title>Journal of Feline Medicine and Surgery</full-title><abbr-1>J Feline Med Surg</abbr-1></alt-periodical><dates><year>2015</year><pub-dates><date>Mar 3</date></pub-dates></dates><isbn>1532-2750 (Electronic)&#xD;1098-612X (Linking)</isbn><accession-num>25736447</accession-num><urls><related-urls><url>. 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ADDIN EN.CITE.DATA 13, possibly in those that have previously eliminated infection. However another study found that cats that had recovered from previous ‘Ca. M. turicensis’ infection actually showed more severe and rapid M. haemofelis infection signs than na?ve cats infected with M. haemofelis HYPERLINK \l "_ENREF_14" \o "Baumann, 2015 #760" PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CYXVtYW5uPC9BdXRob3I+PFllYXI+MjAxNTwvWWVhcj48

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ADDIN EN.CITE.DATA 14. Thus more research is required into the relationship between infection with different haemoplasma species and its pathogenesis and immunity.Clinical presentationCommon clinical signs associated with pathogenic hemoplasma infections are lethargy, weakness, reduced appetite, dehydration, weight loss and intermittent pyrexia. Pallor, associated with anaemia, is also reported. Splenomegaly may be evident in some cats. Severe anemia may result in tachycardia, tachypnoea and weak or bounding femoral pulses with haemic cardiac murmurs. Icterus is uncommon despite the haemolytic nature of the anaemia. DiagnosisPathogenic hemoplasma infections typically cause a regenerative macrocytic hypochromic anemia although pronounced reticulocytosis is not always evident ADDIN EN.CITE <EndNote><Cite><Author>Kewish</Author><Year>2004</Year><RecNum>476</RecNum><DisplayText><style face="superscript">15</style></DisplayText><record><rec-number>476</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">476</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Kewish, K. E.</author><author>Appleyard, G. D.</author><author>Myers, S. L.</author><author>Kidney, B. A.</author><author>Jackson, M. L.</author></authors></contributors><auth-address>Department of Veterinary Pathology, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.</auth-address><titles><title><style face="italic" font="default" size="100%">Mycoplasma haemofelis</style><style face="normal" font="default" size="100%"> and</style><style face="italic" font="default" size="100%"> Mycoplasma haemominutum</style><style face="normal" font="default" size="100%"> detection by polymerase chain reaction in cats from Saskatchewan and Alberta</style></title><secondary-title>Canadian Veterinary Journal</secondary-title></titles><periodical><full-title>Canadian Veterinary Journal</full-title><abbr-1>Can Vet J</abbr-1></periodical><pages>749-752</pages><volume>45</volume><number>9</number><dates><year>2004</year><pub-dates><date>Sep</date></pub-dates></dates><accession-num>15510683</accession-num><urls><related-urls><url>. Normoblasts may be present. White blood cell changes may also occur including leukopenia, lymphopenia, eosinopenia and monocytosis. Positive Coombs’ test results can occur, particularly with cold agglutinins, and persistent autoagglutination has been reported in acute haemoplasmosis, indicating the presence of erythrocyte-bound antibodies. However, in experimental studies ADDIN EN.CITE <EndNote><Cite><Author>Tasker</Author><Year>2009</Year><RecNum>574</RecNum><DisplayText><style face="superscript">16</style></DisplayText><record><rec-number>574</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">574</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Tasker, S.</author><author>Peters, I. R.</author><author>Papasouliotis, K.</author><author>Cue, S. M.</author><author>Willi, B.</author><author>Hofmann-Lehmann, R.</author><author>Gruffydd-Jones, T. J.</author><author>Knowles, T. G.</author><author>Day, M. J.</author><author>Helps, C. R.</author></authors></contributors><titles><title>Description of outcomes of experimental infection with feline haemoplasmas: copy numbers, haematology, Coombs&apos; testing and blood glucose concentrations</title><secondary-title>Veterinary Microbiology</secondary-title></titles><periodical><full-title>Veterinary Microbiology</full-title><abbr-1>Vet Microbiol</abbr-1></periodical><pages>323-32</pages><volume>139</volume><number>3-4</number><dates><year>2009</year></dates><urls><related-urls><url> these antibodies appear after the development of anaemia; the absence of erythrocyte-bound antibodies at the onset of development of anaemia could be due to reduced sensitivity for their detection or because erythrocyte-bound antibodies appear as a result of haemoplasma-induced haemolysis rather than mediating it. Indeed erythrocyte-bound antibodies disappear with antibiotic and supportive treatment alone, without glucocorticoid treatment. Hyperbilirubinemia is seen occasionally, due to hemolysis, and hypoxic liver damage may result in increased activities of alanine aminotransferase (ALT). A polyclonal hypergammaglobulinaemia is also sometimes seen.Cytology of blood smears, stained with Romanowsky type stains, may reveal haemoplasmas on the surface of erythrocyte but this is known to be very insensitive for diagnosis, and cytology cannot easily differentiate haemoplasma species. The untrained eye may also fail to distinguish stain precipitate and Howell-Jolly bodies from haemoplasmas.As haemoplasmas do not grow on bacteriological media, in vitro.culture is not currently possible.Polymerase chain reaction (PCR) assays are now the diagnostic method of choice for haemoplasma infection. PCR is far more sensitive and specific than cytology. Quantitative PCR (qPCR) assays allow quantification of haemoplasma DNA in the sample being analysed, allowing monitoring of response to treatment. It is known that M. haemofelis blood organism numbers can fluctuate markedly in some cats for several months following infection; the reason for this is not known but may be related to antigenic variation. No evidence of significant tissue sequestration of M. haemofelis, to explain reduced blood organism numbers, has been found ADDIN EN.CITE <EndNote><Cite><Author>Tasker</Author><Year>2009</Year><RecNum>575</RecNum><DisplayText><style face="superscript">17</style></DisplayText><record><rec-number>575</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">575</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Tasker, S.</author><author>Peters, I. R.</author><author>Day, M. J.</author><author>Willi, B.</author><author>Hofmann-Lehmann, R.</author><author>Gruffydd-Jones, T. J.</author><author>Helps, C. R.</author></authors></contributors><titles><title>Distribution of feline haemoplasmas in blood and tissue following experimental infection</title><secondary-title>Microbial Pathogenesis</secondary-title></titles><periodical><full-title>Microbial Pathogenesis</full-title></periodical><pages>334–340</pages><volume>47</volume><dates><year>2009</year><pub-dates><date>Sep 23</date></pub-dates></dates><accession-num>19782126</accession-num><urls><related-urls><url>. This is in contrast to ‘Ca. M. turicensis’, in which evidence of tissue sequestration was found in PCR negative catsPEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Ob3ZhY2NvPC9BdXRob3I+PFllYXI+MjAxMzwvWWVhcj48

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ADDIN EN.CITE.DATA 18. Haemoplasma serological tests have been difficult to develop due to our inability to culture haemoplasmas in vitro preventing the easy acquisition of significant amounts of haemoplasma proteins for use in serological assays. Serological assays are currently only available for use in experimental studies. These serological assays, based on a M. haemofelis dnaK protein, have suggested that antibody levels may differentiate between acute and chronic infection with M. haemofelis HYPERLINK \l "_ENREF_19" \o "Barker, 2010 #664" PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CYXJrZXI8L0F1dGhvcj48WWVhcj4yMDEwPC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 19 and have been more sensitive than PCR in detecting haemoplasma exposure (as PCR negative seropositive cats have been identified) ADDIN EN.CITE <EndNote><Cite><Author>Novacco</Author><Year>2011</Year><RecNum>685</RecNum><DisplayText><style face="superscript">20</style></DisplayText><record><rec-number>685</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1326659527">685</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Novacco, M.</author><author>Boretti, F. S.</author><author>Wolf-Jackel, G. A.</author><author>Riond, B.</author><author>Meli, M. L.</author><author>Willi, B.</author><author>Lutz, H.</author><author>Hofmann-Lehmann, R.</author></authors></contributors><auth-address>Clinical Laboratory, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, 8057 Zurich, Switzerland. mnovacco@vetclinics.uzh.ch.</auth-address><titles><title>Chronic &quot;Candidatus Mycoplasma turicensis&quot; infection</title><secondary-title>Veterinary Research</secondary-title></titles><periodical><full-title>Veterinary Research</full-title><abbr-1>Vet Res</abbr-1></periodical><pages>59</pages><volume>42</volume><number>1</number><edition>2011/04/22</edition><dates><year>2011</year><pub-dates><date>Jan-Feb</date></pub-dates></dates><isbn>0928-4249 (Print)&#xD;0928-4249 (Linking)</isbn><accession-num>21507220</accession-num><urls><related-urls><url> [pii]&#xD;10.1186/1297-9716-42-59</electronic-resource-num><language>eng</language></record></Cite></EndNote>20, but these assays are not appropriate for use in field cats due to cross-reactivity.TreatmentHaemoplasmosis generally has a good prognosis if prompt appropriate treatment is instigated. However, as haemoplasmas lack a cell wall around their cell membrane, ?-lactams (e.g. penicillins, cephalosporins) are not effective in treatment. Tetracyclines (primarily doxycycline) and fluoroquinolones (e.g. marbofloxacin, pradofloxacin) are effective for the treatment of haemoplasmosis. The majority of studies have evaluated the response of M. haemofelis only to treatment. Doxycycline (10 mg/kg SID PO or 5 mg/kg BID PO) is often used as a 1st line treatment, typically for 3 weeks although longer treatment courses are recommended by some to increase the chance of eliminating infection, although longer antibiotic treatment courses have not been evaluated for the clearance of infection. One studyPEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Eb3dlcnM8L0F1dGhvcj48WWVhcj4yMDA5PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 21 suggested that pradofloxacin (at two doses; both the standard 5 mg/kg daily PO, as well as a higher dose of 10 mg/kg daily PO) may be more effective at clearing M. haemofelis than doxycycline. Sometimes dual ADDIN EN.CITE <EndNote><Cite><Author>Tasker</Author><Year>2010</Year><RecNum>629</RecNum><DisplayText><style face="superscript">22</style></DisplayText><record><rec-number>629</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1269444933">629</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Tasker, Séverine</author></authors></contributors><titles><title>Haemotropic mycoplasmas: what&apos;s the real significance in cats?</title><secondary-title>Journal of Feline Medicine and Surgery</secondary-title></titles><periodical><full-title>Journal of Feline Medicine and Surgery</full-title><abbr-1>J Feline Med Surg</abbr-1></periodical><pages>369-381</pages><volume>12</volume><number>5</number><dates><year>2010</year></dates><urls><related-urls><url> or sequential therapy with doxycycline and a fluroquinolone can be helpful. It has been found that ‘Ca. M. haemominutum’ infection does not necessary respond to antibiotics similarly to M. haemofelis; in one study ADDIN EN.CITE <EndNote><Cite><Author>Tasker</Author><Year>2006</Year><RecNum>477</RecNum><DisplayText><style face="superscript">23</style></DisplayText><record><rec-number>477</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">477</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Tasker, S. </author><author>Caney, S.M.A.</author><author>Day, M.J.</author><author>Dean, R.S.</author><author>Helps, C.R.</author><author>Knowles, T.G.</author><author>Lait, P.J.P.</author><author>Pinches, M.D.G.</author><author>Gruffydd-Jones, T.J.</author></authors></contributors><auth-address>School of Clinical Veterinary Science, University of Bristol, Langford, Bristol, BS40 5DU, United Kingdom.</auth-address><titles><title><style face="normal" font="default" size="100%">Effect of chronic FIV infection, and efficacy of marbofloxacin treatment, on &apos;</style><style face="italic" font="default" size="100%">Candidatus</style><style face="normal" font="default" size="100%"> Mycoplasma haemominutum&apos; infection</style></title><secondary-title>Microbes and Infection</secondary-title></titles><periodical><full-title>Microbes and Infection</full-title><abbr-1>Microbes Infect</abbr-1></periodical><pages>653-661</pages><volume>8</volume><number>3</number><dates><year>2006</year><pub-dates><date>Mar</date></pub-dates></dates><accession-num>16483821</accession-num><urls><related-urls><url> ‘Ca. M. haemominutum’ organism numbers in the blood only temporarily fell during marbofloxacin (2 mg/kg SID PO) treatment, with organism numbers re-increasing to pre-treatment levels following completion of a 4 weeks course of treatment. The response of ‘Ca. M. turicensis’ to antibiotic treatment has not been fully evaluated but doxycycline can be effective ADDIN EN.CITE <EndNote><Cite><Author>Museux</Author><Year>2009</Year><RecNum>583</RecNum><DisplayText><style face="superscript">9</style></DisplayText><record><rec-number>583</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">583</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Museux, K.</author><author>Boretti, F. S.</author><author>Willi, B.</author><author>Riond, B.</author><author>Hoelzle, K.</author><author>Hoelzle, L. E.</author><author>Wittenbrink, M. M.</author><author>Tasker, S.</author><author>Wengi, N.</author><author>Reusch, C. E.</author><author>Lutz, H.</author><author>Hofmann-Lehmann, R.</author></authors></contributors><titles><title><style face="italic" font="default" size="100%">In vivo</style><style face="normal" font="default" size="100%"> transmission studies of &apos;</style><style face="italic" font="default" size="100%">Candidatus</style><style face="normal" font="default" size="100%"> Mycoplasma turicensis&apos; in the domestic cat</style></title><secondary-title>Veterinary Research</secondary-title></titles><periodical><full-title>Veterinary Research</full-title><abbr-1>Vet Res</abbr-1></periodical><pages>45</pages><volume>40</volume><number>5</number><dates><year>2009</year><pub-dates><date>Sep-Oct</date></pub-dates></dates><accession-num>19505421</accession-num><urls><related-urls><url> (Print)&#xD;Journal Article&#xD;Research Support, Non-U.S. Gov&apos;t</research-notes></record></Cite></EndNote>9.Corticosteroids have been recommended as adjunct treatment for any immune-mediated component of haemoplasma-associated anaemia, although cats usually recover without any need for corticosteroid treatment, as antibiotic and supportive care alone is usually adequate. Supportive care can be important; correction of dehydration with fluid therapy, and blood transfusion if the anaemia is severe.Prevention Blood donors should be screened for hemoplasma infection by PCR in order to prevent inadvertent transmission by blood transfusion from asymptomatic carrier cats. There are no vaccines against feline haemoplasmosis. Keeping cats indoors is also likely to prevent infection (but may be impractical) as outdoor status has been identified as a risk factor. Although vector transmission has not been proven, preventative flea and tick treatment is probably wise to help prevent infection in case vectors are involved. Zoonotic infectionsHaemoplasma infections with novel hemoplasma species have been described in humansPEVuZE5vdGU+PENpdGU+PEF1dGhvcj5NYWdnaTwvQXV0aG9yPjxZZWFyPjIwMTM8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 24, 25, as well as with species that have possibly originated in animals, including the cat ADDIN EN.CITE <EndNote><Cite><Author>Santos</Author><Year>2008</Year><RecNum>580</RecNum><DisplayText><style face="superscript">26</style></DisplayText><record><rec-number>580</rec-number><foreign-keys><key app="EN" db-id="ddvwrvzeir2fd2exf0kxxf5mvar5xzwe9prz" timestamp="1260824958">580</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Santos, A. P.</author><author>Santos, R. P.</author><author>Biondo, A. W.</author><author>Dora, J. M.</author><author>Goldani, L. Z.</author><author>de Oliveira, S. T.</author><author>de Sa Guimaraes, A. M.</author><author>Timenetsky, J.</author><author>de Morais, H. A.</author><author>Gonzalez, F. H.</author><author>Messick, J. B.</author></authors></contributors><auth-address>Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil. santos1@purdue.edu</auth-address><titles><title>Hemoplasma infection in HIV-positive patient, Brazil</title><secondary-title>Emerging Infectious Diseases</secondary-title></titles><periodical><full-title>Emerging Infectious Diseases</full-title><abbr-1>Emerg Infect Dis</abbr-1></periodical><pages>1922-1924</pages><volume>14</volume><number>12</number><dates><year>2008</year><pub-dates><date>Dec</date></pub-dates></dates><accession-num>19046522</accession-num><urls><related-urls><url>, raising the possibility of zoonotic infections. Key PointsMycoplasma haemofelis is the most pathogenic of the three feline haemoplasma species‘Ca. M. haemominutum’ and ‘Ca. M. turicensis’ infections are less pathogenic but can result in disease in immunocompromised cats Male non-pedigree cats with outdoor access are more likely to be haemoplasma infected‘Ca. M. haemominutum’ is more common in older catsThe natural mode of transmission of haemoplasma infection is not known; aggressive interactions and vectors are possibilities.Transmission by blood transfusion is possible and all blood donors should be screen for haemoplasma infectionPolymerase chain reaction assays are the preferred diagnostic method for haemoplasma infectionsAsymptomatic carrier cats exist for all feline haemoplasma speciesTreatment with doxycycline for 3 weeks is usually effective for M. haemofelis-associated clinical disease (but this may not clear infection)Little information is currently available on the antibiotic responsiveness of ‘Ca. M. haemominutum’ and ‘Ca. M. turicensis’References ADDIN EN.REFLIST 1.Hicks CA, Barker EN, Brady C, Stokes CR, Helps CR and Tasker S. Non-ribosomal phylogenetic exploration of Mollicute species: new insights into haemoplasma taxonomy. Infect Genet Evol. 2014; 23: 99-105.2.Gentilini F, Novacco M, Turba ME, Willi B, Bacci ML and Hofmann-Lehmann R. Use of combined conventional and real-time PCR to determine the epidemiology of feline haemoplasma infections in northern Italy. J Feline Med Surg. 2009; 11: 277-85.3.Macieira DB, de Menezes RD, Damico CB, et al. Prevalence and risk factors for hemoplasmas in domestic cats naturally infected with feline immunodeficiency virus and/or feline leukemia virus in Rio de Janeiro - Brazil. J Feline Med Surg. 2008; 10: 120-9.4.Willi B, Boretti FS, Baumgartner C, et al. Prevalence, risk factor analysis, and follow-up of infections caused by three feline hemoplasma species in cats in Switzerland. J Clin Microbiol. 2006; 44: 961-9.5.Carver S, Beatty JA, Troyer RM, et al. Closing the gap on causal processes of infection risk from cross-sectional data: structural equation models to understand infection and co-infection. Parasit Vectors. 2015; 8: 658.6.Sykes JE, Drazenovich NL, Ball LM and Leutenegger CM. Use of conventional and real-time polymerase chain reaction to determine the epidemiology of hemoplasma infections in anemic and nonanemic cats. J Vet Intern Med. 2007; 21: 685-93.7.Woods JE, Brewer MM, Hawley JR, Wisnewski N and Lappin MR. Evaluation of experimental transmission of 'Candidatus Mycoplasma haemominutum' and Mycoplasma haemofelis by Ctenocephalides felis to cats. Am J Vet Res. 2005; 66: 1008-12.8.Lappin MR. Feline haemoplasmas are not transmitted by Ctenocephalides felis. 9th Symposium of the CVBD World Forum. Lisbon, Portugal2014, p. 44-6.9.Museux K, Boretti FS, Willi B, et al. In vivo transmission studies of 'Candidatus Mycoplasma turicensis' in the domestic cat. Vet Res. 2009; 40: 45.10.Pennisi MG, Hartmann K, Addie DD, et al. BLOOD TRANSFUSION IN CATS ABCD guidelines for minimising risks of infectious iatrogenic complications. J Feline Med Surg. 2015; 17: 588-93.11.George JW, Rideout BA, Griffey SM and Pedersen NC. Effect of preexisting FeLV infection or FeLV and feline immunodeficiency virus coinfection on pathogenicity of the small variant of Haemobartonella felis in cats. Am J Vet Res. 2002; 63: 1172-8.12.Weingart C, Tasker S and Kohn B. Infection with haemoplasma species in 22 cats with anaemia. J Feline Med Surg. 2015. 13.Hicks CA, Willi B, Riond B, et al. Protective immunity against infection with Mycoplasma haemofelis. Clin Vaccine Immunol. 2014; 22: 108-18.14.Baumann J, Novacco M, Willi B, et al. Lack of cross-protection against Mycoplasma haemofelis infection and signs of enhancement in "Candidatus Mycoplasma turicensis"-recovered cats. Vet Res. 2015; 46: 104.15.Kewish KE, Appleyard GD, Myers SL, Kidney BA and Jackson ML. Mycoplasma haemofelis and Mycoplasma haemominutum detection by polymerase chain reaction in cats from Saskatchewan and Alberta. Can Vet J. 2004; 45: 749-52.16.Tasker S, Peters IR, Papasouliotis K, et al. Description of outcomes of experimental infection with feline haemoplasmas: copy numbers, haematology, Coombs' testing and blood glucose concentrations. Vet Microbiol. 2009; 139: 323-32.17.Tasker S, Peters IR, Day MJ, et al. Distribution of feline haemoplasmas in blood and tissue following experimental infection. Microbial Pathogenesis. 2009; 47: 334–40.18.Novacco M, Riond B, Meli ML, Grest P and Hofmann-Lehmann R. Tissue sequestration of 'Candidatus Mycoplasma turicensis'. Vet Microbiol. 2013; 167: 403-9.19.Barker EN, Helps CR, Heesom KJ, et al. Detection of humoral response using a recombinant heat shock protein 70, DnaK, of Mycoplasma haemofelis in experimentally and naturally hemoplasma-infected cats. Clin Vaccine Immunol. 2010; 17: 1926-32.20.Novacco M, Boretti FS, Wolf-Jackel GA, et al. Chronic "Candidatus Mycoplasma turicensis" infection. Vet Res. 2011; 42: 59.21.Dowers KL, Tasker S, Radecki SV and Lappin MR. Use of pradofloxacin to treat experimentally induced Mycoplasma hemofelis infection in cats. Am J Vet Res. 2009; 70: 105-11.22.Tasker S. Haemotropic mycoplasmas: what's the real significance in cats? J Feline Med Surg. 2010; 12: 369-81.23.Tasker S, Caney SMA, Day MJ, et al. Effect of chronic FIV infection, and efficacy of marbofloxacin treatment, on 'Candidatus Mycoplasma haemominutum' infection. Microbes Infect. 2006; 8: 653-61.24.Maggi RG, Compton SM, Trull CL, Mascarelli PE, Mozayeni BR and Breitschwerdt EB. Infection with Hemotropic Mycoplasma Species in Patients with or without Extensive Arthropod or Animal Contact. J Clin Microbiol. 2013; 51: 3237-41.25.Steer JA, Tasker S, Barker EN, et al. A novel hemotropic Mycoplasma (hemoplasma) in a patient with hemolytic anemia and pyrexia. Clin Infect Dis. 2011; 53: e147-51.26.Santos AP, Santos RP, Biondo AW, et al. Hemoplasma infection in HIV-positive patient, Brazil. Emerg Infect Dis. 2008; 14: 1922-4. ................
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