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Table 2 Summary of findings in 12 deceased donkeys with besnoitiosis identified over a period of 3 years (from 2016 to 2019)

From: First record of besnoitiosis caused by Besnoitia bennetti in donkeys from the UK

ID

Age and sex

Year

Clinical history

Pathological findings

1a

29-year-old female

2016

Chronic stiffness, osteoarthritis and alopecia

Hyperkeratosis, ulceration and lymphoplasmacytic dermatitis, with one Besnoitia cyst in the dermis

2a

28-year-old gelding

2016

Chronic and progressive alopecia, crusts and ulcers

Multiple eosinophilic granulomas and Besnoitia cysts in the dermis with no associated inflammation

3a,c

6-year-old gelding

2016

Dental disease, penile sheath phimosis and skin issues

Besnoitia cysts were found within the dermis with no surrounding inflammation

4a,c

5-year-old gelding

2017

Repeated sarcoids plus an inoperable sarcoid on penile sheath

Moderate enlargement of inguinal lymph nodes with one Besnoitia cyst in the subcapsular space of the inguinal lymph node

5c

28-year-old gelding

2017

Intractable pain, corneal ulceration, keratitis and conjunctivitis

Chronic, mild to moderate, conjunctivitis with intralesional Besnoitia cysts in both conjunctivae

6

23-year-old gelding

2017

Severe dental disease and chronic osteoarthritis

Chronic, moderate, diffuse lymphoplasmacytic conjunctivitis with one Besnoitia cyst in the conjunctiva and eyelid

7b,c

8-year-old gelding

2018

Inoperable sarcoid mass in the left-hand side of the upper lip

Besnoitia cysts were identified adjacent to sarcoid without associated inflammation

8

32-year-old gelding

2018

Lameness due to hoof abscess, with stiffness and arthritis

Besnoitia cysts in iris, extraocular muscles, conjunctiva, sclera, third eyelid and larynx

9b

13-year-old gelding

2019

Recurrent sarcoids and neurological signs

Besnoitia cysts were identified adjacent to a sarcoid without associated inflammation

10a

21-year-old female

2019

Chronic and progressive lameness and osteitis

Besnoitia cysts surrounded by lymphoplasmacytic inflammation in laminar corium of the left fore limb

11a

24-year-old female

2019

Chronic laminitis, hoof abscess and third phalanx osteitis

Besnoitia cyst surrounded by inflammation in the third phalanx and stratum lamellatum of the right fore limb

12

28-year-old gelding

2019

Recurrent, persistent ulcerative dermatitis

Chronic, multifocal, lymphoplasmacytic inflammation with intralesional Besnoitia cysts in the larynx, muzzle, sclera of both eyes and conjunctiva

  1. aCases with dermatological involvement (i.e. without grossly detectable eye or upper respiratory lesions) were diagnosed by histopathology
  2. bDonkeys were diagnosed with sarcoid ante-mortem, but later on died due to non-parasitic reasons and Besnoitia cysts were detected during histopathology examination
  3. cDiagnosis was confirmed in 4 archived serum samples based on a positive IFAT cut-off titre of 1:400 and recognition of > 3 of 10 bands in the immunoblots