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Nevidnyk-Pravda АY, Ushakova GO. Hematological parameters in dogs at the early stages of babesiosis in the Dnipro region of Ukraine. Bìol Tvarin. 2025; 27 (3): 47–55. DOI: 10.15407/animbiol27.03.047.
https://doi.org/10.15407/animbiol27.03.047
Received 25.08.2025 ▪ Revision 08.09.2025 ▪ Accepted 22.09.2025 ▪ Published online 22.10.2025
Hematological parameters in dogs at the early stages of babesiosis in the Dnipro region of Ukraine
А. Yu. Nevidnyk-Pravda, G. O. Ushakova
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Oles Honchar Dnipro National University, 72 Naukovy Ave., Dnipro, 49010, Ukraine
Canine babesiosis is a vector-borne disease caused by protozoan parasites of the genus Babesia, primarily transmitted by ixodid ticks. The disease is widespread globally, including across most regions of Ukraine. Babesia canis is the most prevalent species affecting dogs, with increasing clinical relevance in both domestic and wild carnivores. Infection leads to intravascular hemolysis, hypoxic tissue injury, and multi-organ dysfunction. Despite advances in diagnostics, early hematological changes in the initial stages of infection remain underexplored. This study aims to compare the hematological parameters of dogs in the early stage of babesiosis with healthy controls to identify reliable indicators for early diagnosis and disease monitoring. This study was conducted on 13 clinical cases of Babesia canis infection in dogs, with data collected directly from animals presented at the Peredovyi Veterinary Complex (Dnipro, Ukraine) between February and April 2024. Blood smears confirmed parasitemia, and complete blood counts were performed using the MicroCC-20 Plus automated analyzer. Results showed a statistically significant decrease in red blood cell count (3.59±0.37×106/μL) and hemoglobin (83.42±2.96 g/L) in infected dogs compared to controls (6.36±0.17×106/μL and 158.58±5.87 g/L, respectively). Hematocrit values were also markedly reduced (22.54±1.45% vs. 43.51±2.39%; P<0.0001). Significant thrombocytopenia (38.23±6.20×103/μL) and leukopenia (7.08±0.60×109/L) were observed, with a concurrent neutrophilic shift and lymphopenia. Mean corpuscular volume (MCV) was significantly lower in the infected group (63.45±2.49 fL), while other red cell indices (MCHC, RDW) and total protein levels showed no statistically significant differences. These findings highlight the pronounced hematological disturbances associated with early-stage Babesia canis infection. The changes in erythrocyte count, hemoglobin concentration, hematocrit, and platelet levels may serve as early diagnostic markers. Further research is needed to refine hematological profiling for improved clinical decision-making and timely intervention in canine babesiosis.
Key words: dogs, blood, hematological parameters, Babesia canis, erythrocyte, leukocyte, anaemia, differential diagnostics
- Alvarez JA, Rojas C, Figueroa JV. Diagnostic tools for the identification of Babesia sp. in persistently infected cattle. Pathogens. 2019; 8: 143. DOI: 10.3390/pathogens8030143.
- Antunes S, Rosa C, Couto J, Ferrolho J, Domingos A. Deciphering Babesia-vector interactions. Front Cell Infect Microbiol. 2017; 7: 429. DOI: 10.3389/fcimb.2017.00429.
- Bajer A, Beck A, Beck R, Behnke JM, Dwużnik-Szarek D, Eichenberger RM, Farkas R, Fuehrer HP, Heddergott M, Jokelainen P, Leschnik M, Oborina V, Paulauskas A, Radzijevskaja J, Ranka R, Schnyder M, Springer A, Strube C, Tolkacz K, Walochnik J. Babesiosis in southeastern, central and northeastern Europe: An emerging and re-emerging tick-borne disease of humans and animals. Microorganisms. 2022; 10 (5): 945. DOI: 10.3390/microorganisms10050945.
- Bajer A, Kowalec M, Levytska VA, Mierzejewska EJ, Alsarraf M, Poliukhovych V, Rodo A, Wężyk D, Dwużnik-Szarek D. Tick-borne pathogens, Babesia spp. and Borrelia burgdorferi sl, in sled and companion dogs from central and north-eastern Europe. Pathogens. 2022; 11 (5): 499. DOI: 10.3390/pathogens11050499.
- Beletić A, Janjić F, Radaković M, Spariosu K, Francuski Andrić J, Chandrashekar R, Tyrrell P, Radonjić V, Balint B, Ajtić J, Kovačević Filipović M. Systemic inflammatory response syndrome in dogs with naturally infected with Babesia canis: Association with the parasite load and host factors. Vet Parasitol. 2021; 291: 109366. DOI: 10.1016/j.vetpar.2021.109366.
- Baneth G, Bourdeau P, Bourdoiseau G, Bowman D, Breitschwerdt E, Capelli G, Cardoso L, Dantas-Torres F, Day M, Dedet JP, Dobler G, Ferrer L, Irwin P, Kempf V, Kohn B, Lappin M, Little S, Maggi R, Miró G, Naucke T, Oliva G, Otranto D, Penzhorn B, Pfeffer M, Roura X, Sainz A, Shaw S, Shin S, Solano-Gallego L, Straubinger R, Traub R, Trees A, Truyen U, Demonceau T, Fitzgerald R, Gatti D, Hostetler J, Kilmer B, Krieger K, Mencke N, Mendão C, Mottier L, Pachnicke S, Rees B, Siebert S, Stanneck D, Tarancón Mingote M, von Simson C, Weston S. Vector-borne diseases — constant challenge for practicing veterinarians: Recommendations from the CVBD World Forum. Parasites Vectors. 2012; 5: 55. DOI: 10.1186/1756-3305-5-55.
- Barić Rafaj R, Kules J, Selanec J, Vrkić N, Zovko V, Zupančič M, Trampuš Bakija A, Matijatko V, Crnogaj M, Mrljak V. Markers of coagulation activation, endothelial stimulation, and inflammation in dogs with babesiosis. J Vet Intern Med. 2013; 27 (5): 1172–1178. DOI: 10.1111/jvim.12146.
- Bartnicki M, Łyp P, Dębiak P, Staniec M, Winiarczyk S, Buczek K, Adaszek Ł. Cardiac disorders in dogs infected with Babesia canis. Pol J Vet Sci. 2017; 20 (3): 573–581. DOI: 10.1515/pjvs-2017-0070.
- Birkenheuer AJ, Buch J, Beall MJ, Braff J, Chandrashekar R. Global distribution of canine Babesia species identified by a commercial diagnostic laboratory. Vet Parasitol Reg Stud Rep. 2020; 22: 100471. DOI: 10.1016/j.vprsr.2020.100471.
- Bilwal A, Mandali G, Tandel F. Liver enzyme activity in dogs infected with Babesia canis. Intas Polivet. 2018; 19 (II): 313–314. Available at: https://www.cabidigitallibrary.org/doi/pdf/10.5555/20193238376
- Boozer AL, Macintire DK. Canine babesiosis. Vet Clin N Am Small Anim Pract. 2003; 33 (4): 885–904. DOI: 10.1016/S0195-5616(03)00039-1.
- Brandão LP, Hagiwara MK, Myiashiro SI. Humoral immunity and reinfection resistance in dogs experimentally inoculated with Babesia canis and either treated or untreated with imidocarb dipropionate. Vet Parasitol. 2003; 114 (4): 253–265. DOI: 10.1016/S0304-4017(03)00130-4.
- Daněk O, Hrazdilová K, Kozderková D, Jirků D, Modrý D. The distribution of Dermacentor reticulatus in the Czech Republic re-assessed: Citizen science approach to understanding the current distribution of the Babesia canis vector. Parasites Vectors. 2022; 15: 132. DOI: 10.1186/s13071-022-05242-6.
- Dantas-Torres F. Biology and ecology of the brown dog tick, Rhipicephalus sanguineus. Parasites Vectors. 2010; 3: 26. DOI: 10.1186/1756-3305-3-26.
- Dantas-Torres F, Ketzis J, Mihalca AD, Baneth G, Otranto D, Tort GP, Watanabe M, Linh BK, Inpankaew T, Castro PDJ, Borrás P, Arumugam S, Penzhorn BL, Ybañez AP, Irwin P, Traub RJ. TroCCAP recommendations for the diagnosis, prevention and treatment of parasitic infections in dogs and cats in the tropics. Vet Parasitol. 2020; 283: 109167. DOI: 10.1016/j.vetpar.2020.109167.
- Djokic V, Rocha SC, Parveen N. Lessons learned for pathogenesis, immunology, and disease of erythrocytic parasites: Plasmodium and Babesia. Front Cell Infect Microbiol. 2021; 11: 685239. DOI: 10.3389/fcimb.2021.685239.
- Drehmann M, Springer A, Lindau A, Fachet K, Mai S, Thoma D, Schneider CR, Chitimia-Dobler L, Bröker M, Dobler G, Mackenstedt U, Strube C. The spatial distribution of Dermacentor ticks (Ixodidae) in Germany — evidence of a continuing spread of Dermacentor reticulatus. Front Vet Sci. 2020; 7: 578220. DOI: 10.3389/fvets.2020.578220.
- Dwużnik-Szarek D, Mierzejewska EJ, Rodo A, Goździk K, Behnke-Borowczyk J, Kiewra D, Kartawik N, Bajer A. Monitoring the expansion of Dermacentor reticulatus and occurrence of canine babesiosis in Poland in 2016–2018. Parasites Vectors. 2021; 14: 267. DOI: 10.1186/s13071-021-04758-7.
- Eichenberger RM, Riond B, Willi B, Hofmann-Lehmann R, Deplazes P. Prognostic markers in acute Babesia canis infections. J Vet Intern Med. 2016; 30 (1): 174–182. DOI: 10.1111/jvim.13822.
- Efstratiou A, Karanis G, Karanis P. Tick-borne pathogens and diseases in Greece. Microorganisms. 2021; 9 (8): 1732. DOI: 10.3390/microorganisms9081732.
- Eslahi AV, Mowlavi G, Houshmand E, Pirestani M, Majidiani H, Nahavandi KH, Johkool MG, Badri M. Occurrence of Dioctophyme renale (Goeze, 1782) in road-killed canids of Iran and its public health implication. Vet Parasitol Reg Stud Rep. 2021; 24: 100568. DOI: 10.1016/j.vprsr.2021.100568.
- Eslahi AV, Olfatifar M, Zaki L, Pirestani M, Sotoodeh S, Farahvash MA, Maleki A, Badri M. The worldwide prevalence of intestinal helminthic parasites among food handlers: A systematic review and meta-analysis. Food Control. 2023; 148: 109658. DOI: 10.1016/j.foodcont.2023.109658.
- Galon EM, Zafar I, Ji S, Li H, Ma Z, Xuan X. Molecular reports of ruminant Babesia in southeast Asia. Pathogens. 2022; 11 (8): 915. DOI: 10.3390/pathogens11080915.
- Garcia K, Weakley M, Do T, Mir S. Current and future molecular diagnostics of tick-borne diseases in cattle. Vet Sci. 2022; 9 (5): 241. DOI: 10.3390/vetsci9050241.
- Fabisiak M, Sapierzyński R, Kluciński W. Analysis of haematological abnormalities observed in dogs infected by a large Babesia. Bull Vet Inst Pulawy. 2010; 54 (2): 167–170. Available at: https://www.researchgate.net/publication/289677912_Analyis_of_haematological_abnormalities_observed_in_dogs_infected_by_a_large_Babesia
- Goddard A, Wiinberg B, Schoeman JP, Kristensen AT, Kjelgaard-Hansen M. Mortality in virulent canine babesiosis is associated with a consumptive coagulopathy. Vet J. 2013; 196 (2): 213–217. DOI: 10.1016/j.tvjl.2012.09.009.
- Jacobson LS, Clark IA. The pathophysiology of canine babesiosis: New approaches to an old puzzle. J S Afr Vet Assoc. 1994; 65 (3): 134–145. PMID: 7595923.
- Jalovecka M, Sojka D, Ascencio M, Schnittger L. Babesia life cycle — when phylogeny meets biology. Trends Parasitol. 2019; 35 (5): 356–368. DOI: 10.1016/j.pt.2019.01.007.
- Helm SC, Weingart C, Ramünke S, Schäfer I, Müller E, von Samson-Himmelstjerna G, Kohn B, Krücken J. High genetic diversity of Babesia canis (Piana & Galli-Valerio, 1895) in a recent local outbreak in Berlin/Brandenburg, Germany. Transbound Emerg Dis. 2022; 69: e3336. DOI: 10.1111/tbed.14617.
- Kassa D, Petros B, Mesele T, Hailu E, Wolday D. Characterization of peripheral blood lymphocyte subsets in patients with acute Plasmodium falciparum and P. vivax malaria infections at Wonji Sugar Estate, Ethiopia. Clin. Vaccine Immunol. 2006; 13 (3): 376–379. DOI: 10.1128/CVI.13.3.376-379.2006.
- Kettner F, Reyers F, Miller D. Thrombocytopaenia in canine babesiosis and its clinical usefulness. J S Afr Vet Assoc. 2003; 74 (3): 63–68. DOI: 10.4102/jsava.v74i3.512.
- Kirtz G, Leschnik M, Hooijberg E, Tichy A, Leidinger E. In-clinic laboratory diagnosis of canine babesiosis (Babesia canis canis) for veterinary practitioners in Central Europe. Tierarztl Prax Ausg K Kleintiere Heimtiere. 2012; 40 (2): 87–94. DOI: 10.1055/s-0038-1623628.
- Kuleš J, Potocnakova L, Bhide K, Tomassone L, Fuehrer HP, Horvatić A, Galan A, Guillemin N, Nižić P, Mrljak V, Bhide M. The challenges and advances in diagnosis of vector-borne diseases: where do we stand? Vector Borne Zoonotic Dis. 2017; 17 (5): 285–296. DOI: 10.1089/vbz.2016.2074.
- Kuo CY, Zhao C, Cheng T, Tsou CC, Li YC, Zhang Y, Hsieh MC, Haung SB, Chen WY. Rapid identification of Babesia canis and Babesia gibsoni (Asian genotype) in canine blood samples using a customized portable real-time PCR analyzer and TaqMan-based assay. Ticks Tick Borne Dis. 2020; 11 (2): 101362. DOI: 10.1016/j.ttbdis.2019.101362.
- Liebenberg C, Goddard A, Wiinberg B, Kjelgaard-Hansen M, van der Merwe LL, Thompson PN, Matjila PT, Schoeman JP. Hemostatic abnormalities in uncomplicated babesiosis (Babesia rossi) in dogs. J Vet Intern Med. 2013; 27 (1): 150–156. DOI: 10.1111/jvim.12016.
- Leisewitz A, Goddard A, De Gier J, Van Engelshoven J, Clift S, Thompson P, Schoeman JP. Disease severity and blood cytokine concentrations in dogs with natural Babesia rossi infection. Parasite Immunol. 2019; 41 (7): e12630. DOI: 10.1111/pim.12630.
- Máthé A, Vörös K, Nemeth T, Biksi I, Hetyey C, Manczur F, Tekes L. Clinicopathological changes and effect of imidocarb therapy in dogs experimentally infected with Babesia canis. Acta Vet Hung. 2006; 54 (1): 19–33. DOI: 10.1556/avet.54.2006.1.3.
- Milanović Z, Beletić A, Vekić J, Zeljković A, Andrić N, Ilić Božović A, Spariosu K, Radaković M, Ajtić J, Kovačević Filipović M. Evidence of acute phase reaction in asymptomatic dogs naturally infected with Babesia canis. Vet Parasitol. 2020; 282: 109140. DOI: 10.1016/j.vetpar.2020.109140.
- Onishi T, Suzuki S, Horie M, Hashimoto M, Kajikawa T, Ohishi I, Ejima H. Serum hemolytic activity of Babesia gibsoni-infected dogs: the difference in the activity between self and nonself red blood cells. J Vet Med Sci. 1993; 55 (2): 203–206. DOI: 10.1292/jvms.55.203.
- Otranto D, Dantas-Torres F, Fourie JJ, Lorusso V, Varloud M, Gradoni L, Drake J, Geurden T, Kaminsky R, Heckeroth AR, Schunack B, Pollmeier M, Beugnet F, Holdsworth P. World Association for the Advancement of Veterinary Parasitology (W.A.A.V.P.) guidelines for studies evaluating the efficacy of parasiticides in reducing the risk of vector-borne pathogen transmission in dogs and cats. Vet Parasitol. 2021; 290: 109369. DOI: 10.1016/j.vetpar.2021.109369.
- Panti-May JA, Rodríguez-Vivas RI. Canine babesiosis: A literature review of prevalence, distribution, and diagnosis in Latin America and the Caribbean. Vet Parasitol Reg Stud Rep. 2020; 21: 100417. DOI: 10.1016/j.vprsr.2020.100417.
- Pawełczyk O, Kotela D, Asman M, Witecka J, Wilhelmsson P, Bubel P, Solarz K. The first records of canine babesiosis in dogs from Dermacentor reticulatus — Free zone in Poland. Pathogens. 2022; 11 (11): 1329. DOI: 10.3390/pathogens11111329.
- Penzhorn BL. Don’t let sleeping dogs lie: Unravelling the identity and taxonomy of Babesia canis, Babesia rossi and Babesia vogeli. Parasites Vectors. 2020; 13: 184. DOI: 10.1186/s13071-020-04062-w.
- Penzhorn BL, Harrison-White RF, Stoltsz WH. Completing the cycle: Haemaphysalis elliptica, the vector of Babesia rossi, is the most prevalent tick infesting black-backed jackals (Canis mesomelas), an indigenous reservoir host of B. rossi in South Africa. Ticks Tick Borne Dis. 2020; 11 (2): 101325. DOI: 10.1016/j.ttbdis.2019.101325.
- Reyers F, Leisewitz AL, Lobetti RG, Milner RJ, Jacobson LS, van Zyl M. Canine babesiosis in South Africa: more than one disease. Does this serve as a model for falciparum malaria? Ann Trop Med Parasitol. 1998; 92 (4): 503–511. DOI: 10.1080/00034983.1998.11813308.
- Scheepers E, Leisewitz AL, Thompson PN, Christopher MM. Serial haematology results in transfused and non-transfused dogs naturally infected with Babesia rossi. J S Afr Vet Assoc. 2011; 82 (3): 136–143. DOI: 10.4102/jsava.v82i3.51.
- Schäfer I, Helm C, Marsboom C, Hendrickx G, Kohn B, Krücken J, Samson-Himmelstjerna G, Müller E. Infections with Babesia spp. in dogs living in Germany (2007–2020). J Vet Intern Med. 2021; 35: 3199.
- Schoeman JP, Herrtage ME. Adrenal response to the low dose ACTH stimulation test and the cortisol-to-adrenocorticotrophic hormone ratio in canine babesiosis. Vet Parasitol. 2008; 154 (3–4): 205–213. DOI: 10.1016/j.vetpar.2008.03.023.
- Seleznova M, Kivrane A, Namina A, Krumins R, Aleinikova D, Lazovska M, Akopjana S, Capligina V, Ranka R. Babesiosis in Latvian domestic dogs, 2016–2019. Ticks Tick Borne Dis. 2020; 11 (5): 101459. DOI: 10.1016/j.ttbdis.2020.101459.
- Solano-Gallego L, Sainz Á, Roura X, Estrada-Peña A, Miró G. A review of canine babesiosis: The European perspective. Parasites Vectors. 2016; 9: 336. DOI: 10.1186/s13071-016-1596-0.
- Strobl A, Künzel F, Tichy A, Leschnik M. Complications and risk factors regarding the outcomes of canine babesiosis in Central Europe — a retrospective analysis of 240 cases. Acta Vet Hung. 2020; 68 (2): 160–168. DOI: 10.1556/004.2020.00031.
- Sung LH, Sundaram AH, Glick AL, Chen DF, Shipton L. Babesiosis as a cause of atraumatic splenic injury: Two case reports and a review of literature. J Gen Intern Med. 2021; 36: 3869–3874. DOI: 10.1007/s11606-021-07117-5.
- Teodorowski O, Winiarczyk S, Tarhan D, Dokuzeylül B, Ercan AM, Or ME, Staniec M, Adaszek Ł. Antioxidant status, and blood zinc and copper concentrations in dogs with uncomplicated babesiosis due to Babesia canis infections. J Vet Res. 2021; 65 (2):169–171. DOI: 10.2478/jvetres-2021-0031.
- Thongsahuan S, Chethanond U, Wasiksiri S, Saechan V, Thongtako W, Musikacharoen T. Hematological profile of blood parasitic infected dogs in Southern Thailand. Vet World. 2020; 13 (11): 2388–2394. DOI: 10.14202/vetworld.2020.2388-2394.
- Tołkacz K, Rodo A, Wdowiarska A, Bajer A, Bednarska M. Impact of Babesia microti infection on the initiation and course of pregnancy in BALB/c mice. Parasites Vectors. 2021; 14: 132. DOI: 10.1186/s13071-021-04638-0.
- Vannier E, Krause PJ. Babesiosis. In: Ryan ET, Hill DR, Solomon T, Aronson NE, Endy TP (eds.). Hunter’s Tropical Medicine and Emerging Infectious Diseases. Elsevier, 2020. p. 799–802. DOI: 10.1016/B978-0-323-55512-8.00105-8.
- Vatoliková I, Dekány D, Matušková H, Miklošovičová B, Macenauer Z, Szaboóvá A, Šimek J, Hanzlíček D. Babezióza psov na západnom Slovensku: retrospektívna klinická štúdia z rokov 2014–2018. Veterinářství. 2019; 69: 144–150.
- Wykes MN, Horne-Debets JM, Leow CY, Karunarathne DS. Malaria drives T cells to exhaustion. Front Microbiol. 2014; 5: 249. DOI: 10.3389/fmicb.2014.00249.
- Zygner W, Gójska-Zygner O, Norbury LJ. Pathogenesis of anemia in canine babesiosis: Possible contribution of pro-inflammatory cytokines and chemokines — a review. Pathogens. 2023; 12 (2): 166. DOI: 10.3390/pathogens12020166.
- Zygner W, Rodo A, Gójska-Zygner O, Górski P, Bartosik J, Kotomski G. Disorders in blood circulation as a probable cause of death in dogs infected with Babesia canis. J Vet Res. 2021; 65 (3): 277–285. DOI: 10.2478/jvetres-2021-0036.
- Žvorc Z, Baric Rafaj R, Kules J, Mrljak V. Erythrocyte and platelet indices in babesiosis of dogs. Vet. Arhiv. 2010; 80 (2): 259–267. Available at: https://wwwi.vef.hr/vetarhiv/papers/2010-80-2-10.pdf














