P2-42 A Case of Eosinophilic Myositis due to Sarcocystis hominis Confirmed by Multiplex PCR

Thursday, May 12, 2016
Megaron Athens International Conference Center
Francesco Chiesa, Dipartimento di Scienze Veterinarie, Università di Torino, Torino, Italy
Jean-Michel Cappelier, LUNAM Université, Oniris, University of Nantes, Nantes, France
Introduction: Cattle are common intermediate hosts of sarcocysts. The prevalence of Sarcocystis in adult bovine muscle is close to 100% in most regions of the world where it has been studied. Bovine muscle can harbour three species, namely Sarcocystis cruzi with canids as definitive hosts, Sarcocystis hirsuta with felids as definitive hosts and Sarcocystis hominis with primates as definitive hosts. Sarcocystis species have been suggested to play a role in bovine eosinophilic myositis (BEM), a specific inflammatory myopathy characterized by multifocal grey-green lesions in striated muscle of cattle. 

Purpose: In this study, a case of BEM in an 18-month-old cow, born and raised in north-west Italy, was investigated; the objective was to determine if BEM was associated with a particular Sarcocystis species, by assessing with a multiplex PCR, the presence of different species inside the lesions (intralesional) and outside the lesions, in normal muscle tissue (extralesional).

Methods: Up to 10mg of material from 17 typical BEM lesions (only the necrotic center) was scalped from different points of the carcass; between 25 and 50 mg of normal muscular tissue was sampled 37 times from the same areas. The DNA extraction and the multiplex PCR were performed following a formerly described protocol.

Results: The presence of S. hominis DNA has been detected in 14 (82%) of samples from lesions, against 4 (10%) from normal muscle. The analysis demonstrated therefore that the presence of S. hominis DNA in the lesions was significantly higher than that in the normal muscle (Fisher test: p=6x10-6); S. cruzi DNA, on the other hand, has been detected in 4 (25%) and 12 (32%) samples from lesions and normal muscle, respectively. None of the samples was found positive for the presence of S. hirsuta DNA.

Significance: The evidence indicates a human source of infection, supporting a causal relationship between S. hominis infection and BEM in cattle.