Data were gathered for 117 cats from 89 catteries at an international cat show to examine prevalence and risk factors for feline Tritrichomonas foetus and Giardia infection. Prevalence of T. foetus was 31% among cats (36 out of 117) and catteries (28 out of 89) based on results of fecal smear examination (5 out of 36), fecal culture in modified Diamond's medium (9 out of 36), fecal culture in In Pouch TF medium (20 out of 36), or PCR amplification of the ribosomal RNA gene from feces with T. foetus-specific primers (34 out of 36). Catteries in which T. foetus was identified were more likely to have had a recent history of diarrhea, historical diagnosis of coccidia infection in adult cats, and a decreased number of square feet of facility per cat. Evidence did not exist for the ongoing transmission of T. foetus by water, food, or contact with other species.Tritrichomonas foetus was recently identified as a cause of large-bowel diarrhea in domestic cats (6,7,10,15,16). Based on morphology and sequence identity of rRNA, feline T. foetus is indistinguishable from bovine venereal T. foetus and porcine enteric Tritrichomonas suis (1,2,3,8,11,13,14,18). The origin of T. foetus and the prevalence of infected cats are unknown. We thus performed an epidemiological study of feline T. foetus infection. The specific aims of the present study were to determine the prevalence of T. foetus infection within a geographically widespread group of suspected at-risk cats, to identify environmental risk factors for feline infection by T. foetus, and to determine the relative efficacy of direct fecal smear examination, fecal protozoal culture, and single-tube nested PCR for the diagnosis of T. foetus infection in naturally infected cats. Because of our clinical impression that T. foetus is often misidentified as Giardia and as a test of the ability of this study to disclose true risk factors for T. foetus infection if present, all cats were additionally tested for Giardia infection.
MATERIALS AND METHODSSurvey distributions, fecal collection, and processing were performed at an international cat show in 2001. Catteries for which there was a completed survey and a freshly voided fecal sample from Ն1 cat present at the show were included. For each fecal sample, a single 0.9% saline smear was immediately prepared and viewed at ϫ400 magnification for motile trichomonads and Giardia trophozoites. A portion (Յ0.1 g) of feces was inoculated into In Pouch TF medium (Biomed Diagnostics; San Jose, Calif.) for the cultivation of T. foetus as described previously (4), and a portion (0.1 g) of the feces was suspended in 10 ml of sterile phosphate-buffered 0.9% saline and shipped overnight to the authors' laboratory for cultivation in modified Diamond's medium (Remel, Lenexa, Kans.) as described previously (4). Feces (2 g) were frozen, shipped same-day on dry ice to the authors' laboratory, and stored at Ϫ20°C. Feces were examined for the presence of Giardia-specific antigen by enzyme-linked immunosorbent assay according to manufacturer instructions...