Neospora caninum oocyst shedding in a naturally infected dog from Italy.

Although the seroprevalence of Neospora caninum infection in dogs can be relatively high, there are few reports of dogs naturally shedding N. caninum oocysts. Worldwide, the prevalence of Neospora excretion in canine faeces ranges from 0.03% to 4.9%. A mixed-breed male household dog of about 8years in age living in the district of Pisa (Tuscany, Central Italy) was referred for dysorexia, weakness and general lymph node enlargement. Clinical pathology demonstrated mild normocytic and normochromic anemia, thrombocytopenia and hypoproteinemia with hypoalbuminemia. Serology for Leishmania, Ehrlichia canis and Anaplasma phagocytophilum was negative. From lymph node and bone marrow analysis, T cell lymphoma, high grade, pleomorphic type, clinical stage V, was diagnosed. The dog was treated with a chemotherapy induction protocol with vincristine, cyclophosphamide, and prednisone for 8weeks. A faecal sample collected from the dog 7days after the beginning of the treatment and analysed by flotation test and a McMaster method, revealed the presence of 300 OPG N. caninum-like unsporulated oocysts of about 10-11μm in diameter. An aliquot of the same faecal sample analysed by PCR with species-specific primer pairs Np6+/Np21+ was positive for N. caninum DNA, while specific serology performed on sera collected at the first visit and a month later by IFAT, were positive with a titer of 1: 50 and 1:400, respectively. Soon after the dog died. Naturally occurring systemic illness or iatrogenic immunosuppression may predispose dogs to proliferation of the parasite. The dog was receiving chemo-immunosuppressive treatment for T cell lymphoma. For this reason it is possible to suppose that emission of Neospora oocysts in this dog was caused by reactivation of a latent infection.