Infectious diseases are the leading cause of death among dogs (11. Bentubo HDL, Tomaz MA, Bondan EF, Lallo MA. Expectativa de vida e causas de morte em cães na área metropolitana de São Paulo (Brasil). Ciênc Rural. 2007; 37(4):1021-1026.) and a simultaneous occurrence of more than one disease is common, especially in weakened dogs. Although in clinical practice, diagnosis is usually based on the progress of clinical signs and laboratory findings, many illnesses offer generic signs, such as apathy, anorexia and occasionally fever, progressing to respiratory, gastrointestinal, and neurological manifestations (22. Greene CE. Infectious diseases of the dog and cat. 4th ed. Vol. 1. 2013: Elsevier Health Sciences. 1376.,33. Harrus S, Waner T. Diagnosis of canine monocytotropic ehrlichiosis (Ehrlichia canis): An overview.Vet J. 2011;187(3):292-296.).

Organisms of the Anaplasmataceae family, Rickettsiales order, are Gram-negative bacteria and obligate intracellular parasites. Anaplasma platys is the etiological agent of canine cyclic thrombocytopenia (CCT). This agent affects circulating platelets, in which it is possible to observe morulae, particularly in the acute phase of the disease (44. Tateishi V, Lí O, Hoyos L, Rivera H, Manchego A, Barrios L, et al. Identificación hematológica y molecular de Anaplasma platys en en caninos domésticos de Lima Metropolitana con signos clínicos compatibles con anaplasmosis. Rev Invest Vet Perú. 2015;26(1):111-118.). The severity of thrombocytopenia and percentage of parasitized thrombocytes are higher during primary infection, which lasts 10 to 14 days (55. Baker DC, Simpson M, Gaunt SD,Corstvet RE. Acute Ehrlichia platys Infection in the Dog. Vet Pathol. 1987;24(5):449-453.). CCT is usually asymptomatic or subclinical and difficult to differentiate from other diseases (66. Bouzouraa T, René-Martellet M, Chêne J, Attipa C, Lebert I, Chalvet-Monfray K, et al. Clinical and laboratory features of canine Anaplasma platys infection in 32 naturally infected dogs in the Mediterranean basin. Ticks Tick Borne Dis. 2016;7(6):1256-1264.,77. Dantas-Torres F. Canine vector- borne diseases in Brazil. Parasit Vectors. 2008;1:1-25.). Anaplasma platys has been reported to infect other hosts, such as humans (88. Abarca K, López Del J, González P, Dabanch J, Torres M, Solari V, et al. Evidencia seroepidemiológica de exposición humana a Anaplasma sp en Santiago, Chile. Rev Chil Infectol. 2008;25(5):358-361.-1111. Maggi RG, Mascarelli PE, Havenga LN, Naidoo V, Breitschwerdt EB. Co-infection with Anaplasma platys, Bartonella henselae and Candidatus Mycoplasma haematoparvum in a veterinarian. Parasit Vect. 2013;6(1):103.) and cats (1212. Lima MLF, Soares PT, Ramos CAN, Araújo FR, Ramos RAN, Souza IIF, et al. Molecular detection of Anaplasma platys in a naturally-infected cat in Brazil. Braz J Microbiol. 2010;41:381-385.).

Anaplasma platys is predominant in tropical regions, concurring with Ehrlichia canis and the distribution of Rhipicephalus sanguineus sensu lato (1313. Pérez-Macchi S, Pedrozo R, Bittencourt P, Müller A. Prevalence, molecular characterization and risk factor analysis of Ehrlichia canis and Anaplasma platys in domestic dogs from Paraguay. Comp Immunol Microbiol Infe Dis. 2019;62:31-39.). Additionally, Brandão et al. (1414. Brandão VMD, Barrozo PHM, Sousa LO, Santos RCd, Schwanke K, Sampaio Junior FD, et al. Molecular detection of Ehrlichia canis and Anaplasma platys in dogs from municipality of Belém, State of Pará, Brazil. Ciênc Rural . 2019;49.) confirmed the relevance of the degree of infestation in stray dogs, compared to pet dogs, with respect to the degree of infestation by R. sanguineus s.l. and the risk of being carriers of A. platys. On a related note, Cicuttin et al. (1515. Cicuttin GL, Tarragona EL, De Salvo MN, Mangold AJ, S Nava. Infection with Ehrlichia canis and Anaplasma platys (Rickettsiales: Anaplasmataceae) in two lineages of Rhipicephalus sanguineus sensu lato (Acari: Ixodidae) from Argentina. Ticks Tick Borne Dis . 2015;6(6):724-729.) discussed the vectorial capacity of R. sanguineus s.l. confirming the species as a competent transmitter for Ehrlichia canis and A. platys.

Oscherov et al. (1616. Oscherov E, Milano A, Lobo B, Anda P, Escudero R. Detection of Anaplasma platys and other pathogens in ectoparasites from urban hosts in Northeast Argentine. Rev Ibero-Latinoam Parasitol. 2011;70(1):42-48.) noted the first detection of Anaplasmataceae family organisms in the Argentine territory when the authors discovered the natural infection in R. sanguineus s.l. in the city of Corrientes in northeast Argentina. Later, Eiras et al. (1717. Eiras DF, Craviotto MB, Vezzani D, Eyal O, Baneth G. First description of natural Ehrlichia canis and Anaplasma platys infections in dogs from Argentina. Comp Immunol Microbiol Infect Dis. 2013;36(2):169-173.) reported a co-infection with Hepatozoon canis, Babesia vogeli and A. platys in dogs in the province of Buenos Aires, as well. Considering the scarcity of studies on agents of the Anaplasmataceae family in Argentina and the relevance of this subject to South America, the objective of the present study was to report the molecular detection of an animal naturally infected by A. platys along with its ticks in Salta, Salta Province, Argentina.

In November 2018, a six-month-old Dachshund was admitted into the Catholic University of Salta Veterinary Hospital to receive clinical care, exhibiting a clinical condition of gastroenteritis. Upon admission, anamnesis was performed, and gastroenteritis, prostration and dehydration were observed. The animal was quickly sent to serotherapy (0.9 % NaCl) for intravenous rehydration.

Blood was collected in a vacuum tube with and without ethylenediaminetetraacetic acid (EDTA) anticoagulant by puncture of the cephalic vein. A drop of blood was used for the rapid test for the detection of E. canis antibodies employing a chromatographic membrane (Speed EhrliTM Virbac®), following the manufacturer’s operating instructions.

During clinical examination, ectoparasites were collected with tweezers or manually and they preserved in polypropylene tubes containing isopropyl alcohol. The taxonomic identification of ectoparasites was carried out through the dichotomous keys of Barros-Battesti et al. (1818. Barros-Battesti DM, Arzua M, Bechara GH. Carrapatos de importância médico-veterinária da região neotropical: um guia ilustrado para identificação de espécies. 2006, 1^a ed. São Paulo: Vox/ICTTD-3/Butantan.) for ticks and Linardi and Guimarães (1919. Linardi PMLR. Guimarães, Siphonaptera of Brazil. Museu de Zoologia, Universidade de São Paulo. 2000.) for fleas.

Blood DNA extraction was carried out with a DNeasy Blood & Tissue Kit® (Qiagen, Hilden, NRW, Germany), according to the manufacturer’s instruction. The DNA extraction of ectoparasites was performed by the phenol chloroform technique described by McIntosh et al. (2020. McIntosh D, Bezerra RA, Luz HR, Faccini JLH, Gaiotto FA, Giné GAF, et al. Detection of Rickettsia bellii and Rickettsia amblyommii in Amblyomma longirostre (Acari: Ixodidae) from Bahia state, Northeast Brazil.Brazil J Microbiol. 2015;46(3):879-883.). The extracted DNA was submitted to PCR to detect the DNA of Borrelia spp., A. platys, Ehrlichia spp. and Babesia spp., using primers with their respective protocols, as shown in Table 1.

The products amplified by PCR were purified based on ExoSAP-IT® (Affymetrix USB®) according to the manufacturer’s recommendation. After purification, DNA was sequenced using a capillary-type Sanger platform on a DNA analyzer ABI 3730 (Applied Biosystems, Life Technologies®). The resulting sequences were compared to those published utilizing the platform, NCBI Nucleotide BLAST.

According to clinical examination, the animal exhibited depletion, loss of appetite and dehydration levels of approximately 10 %. It also evidenced eyeball retraction, pale mucosae, dyspnea, 32°C (89.6ºF) temperature, diarrhea, and generalized petechiae. The tutor reported that the animal had already been assisted by other veterinary clinics, being under treatment with Ranitidine, Tramadol and Sucralfate.

The vaccine protocol for distemper and parvovirus viruses was incomplete. Six hours after service arrival, the animal died. No technique for diagnosing viral disease was attempted despite the fact that the presumptive diagnosis was gastroenteritis caused by the distemper virus.

Thirty-three ectoparasites were collected from the animal and identified according to morphology: 32 ticks (7 larvae, 23 nymphs and 2 adults) of the species R. sanguineus s.l. and 1 flea of the species Ctenocephalides canis.

PCR was applied to analyze the extracted DNA of all ectoparasites along with blood samples. Although an evaluation by the PCR technique to determine the presence of agents transmitted by ticks showed a negative result for Ehrlichia spp., the quick testing using Speed EhrliTM^® had presented positive results for the E. canis species. Furthermore, when the materials were tested for A. platys gene gltA, both the animal’s blood and 3 ticks (3/32) amplified the sequence. The partial sequences of the gltA gene for A. platys were submitted to the GenBank under the accession numbers, MN725733 (Blood) and MN725734 (Ticks). Those sequences were compared with others deposited in the GenBank and yielded an identity of 100 %, 99.68 % and 99.56 % with A. platys (KP903286), (KR011928) and (KP903289), respectively.

The present study refers to a dog infected with A. platys exhibiting classic symptoms of CCT (Petechiae) as represented by anorexia, fever, anemia, apathy, and petechiae. To date, few occurrences of clinical infection by A. platys in dogs in Argentina have been reported (1313. Pérez-Macchi S, Pedrozo R, Bittencourt P, Müller A. Prevalence, molecular characterization and risk factor analysis of Ehrlichia canis and Anaplasma platys in domestic dogs from Paraguay. Comp Immunol Microbiol Infe Dis. 2019;62:31-39.,1515. Cicuttin GL, Tarragona EL, De Salvo MN, Mangold AJ, S Nava. Infection with Ehrlichia canis and Anaplasma platys (Rickettsiales: Anaplasmataceae) in two lineages of Rhipicephalus sanguineus sensu lato (Acari: Ixodidae) from Argentina. Ticks Tick Borne Dis . 2015;6(6):724-729.,2525. Cicuttin GL, Vidal P, Nazarena De Salvo M, Beltrán FJ, Gury Dohmen FE. Detección molecular de Rickettsia massiliae y Anaplasma platys en garrapatas Rhipicephalus sanguineus y caninos domésticos del municipio de Bahía Blanca (Argentina). Rev Chil Infectol . 2014;31:563-568.). This is the first report of A. platys causing symptoms in a dog in the Argentine territory; that said, it is a likely case of co-infection with the distemper virus, which may have led to the animal’s death. The literature offers no records regarding gastroenteritis caused by A. platys.

In the present study, serology was positive for E. canis though negative by PCR. Considering the animal’s young age, it can be concluded that maternal antibodies were still present as acute infection increased the chance of detection by molecular techniques as demonstrated by Almeida et al. (2626. Almeida AB, Paula DA, DutraV, Nakazato L, Mendonça AJ , Sousa VR. Infecção por Ehrlichia canis e Anaplasma platys em cadelas e neonatos de Cuiabá, Mato Grosso. Arch Vet Sci. 2010;15(3):127-134.). However, it was not possible to discard cross-reactions between A. platys and E. canis as the manufacturer did not mention tests demonstrating the absence of that possibility.

In the present study, A. platys was also detected in three R. sanguineus s.l. ticks out of the total number of specimens found parasitizing the animal under consideration. The presence of A. platys in Argentina is a ubiquitous phenomenon in both tropical and temperate lineages of R. sanguineus s.l (1515. Cicuttin GL, Tarragona EL, De Salvo MN, Mangold AJ, S Nava. Infection with Ehrlichia canis and Anaplasma platys (Rickettsiales: Anaplasmataceae) in two lineages of Rhipicephalus sanguineus sensu lato (Acari: Ixodidae) from Argentina. Ticks Tick Borne Dis . 2015;6(6):724-729.). Additionally, the presence of A. platys in ticks collected from positive dogs indicates their ability to ingest the bacterium during a blood meal, possibly in relation to the level of rickettsia of dogs as evidenced by Breitschwerdt et al. (2727. Breitschwerdt EB, Hegarty BC, Qurollo BA, Saito TB, Maggi RG, Blanton LS, et al. Intravascular persistence of Anaplasma platys, Ehrlichia chaffeensis, and Ehrlichia ewingii DNA in the blood of a dog and two family members. Parasit Vectors . 2014;7(1):298.).

Furthermore, ticks belonging to this group are competent vectors for many other pathogens to dogs, including phylogenetically related bacteria, such as E. canis (77. Dantas-Torres F. Canine vector- borne diseases in Brazil. Parasit Vectors. 2008;1:1-25.,88. Abarca K, López Del J, González P, Dabanch J, Torres M, Solari V, et al. Evidencia seroepidemiológica de exposición humana a Anaplasma sp en Santiago, Chile. Rev Chil Infectol. 2008;25(5):358-361.). Otherwise, the failure in demonstrating the vector competence of R. sanguineus for A. platys in the study of Simpson et al.(2525. Cicuttin GL, Vidal P, Nazarena De Salvo M, Beltrán FJ, Gury Dohmen FE. Detección molecular de Rickettsia massiliae y Anaplasma platys en garrapatas Rhipicephalus sanguineus y caninos domésticos del municipio de Bahía Blanca (Argentina). Rev Chil Infectol . 2014;31:563-568.) may be related to the tick strain or species used by the researchers.

This is the first molecular record on the presence of A. platys in association with distemper in the northwest region of Argentina. This result indicates that CCT caused by A. platys, together with the results generated by Cicuttin et al. (1515. Cicuttin GL, Tarragona EL, De Salvo MN, Mangold AJ, S Nava. Infection with Ehrlichia canis and Anaplasma platys (Rickettsiales: Anaplasmataceae) in two lineages of Rhipicephalus sanguineus sensu lato (Acari: Ixodidae) from Argentina. Ticks Tick Borne Dis . 2015;6(6):724-729.), may be endemic in the region. As several studies have demonstrated, even though A. platys is considered less pathogenic than other agents of the Anaplasmataceae family, its importance in terms of zoonoses should not be underestimated (88. Abarca K, López Del J, González P, Dabanch J, Torres M, Solari V, et al. Evidencia seroepidemiológica de exposición humana a Anaplasma sp en Santiago, Chile. Rev Chil Infectol. 2008;25(5):358-361.,1010. Arraga-Alvarado C, Palmar M, Parra O, Salas P. Ehrlichia platys (Anaplasma platys) in Dogs from Maracaibo, Venezuela: An Ultrastructural Study of Experimental and Natural Infections. Vet Pathol . 2003;40(2):149-156.,1111. Maggi RG, Mascarelli PE, Havenga LN, Naidoo V, Breitschwerdt EB. Co-infection with Anaplasma platys, Bartonella henselae and Candidatus Mycoplasma haematoparvum in a veterinarian. Parasit Vect. 2013;6(1):103.).