Practical relevance: Trichomonosis of the large intestine of the cat was described as a cause of chronic diarrhea over 20 years ago. The trichomonad was identified as Tritrichomonas foetus, with a genotype that is distinct from venereal T foetus of cattle. Clinical challenges: Despite multiple means for diagnosis of the infection, including light microscopy, protozoal culture and PCR amplification using species-specific primers, tests with even greater sensitivity are needed. Feline trichomonosis is resistant to all commonly used antiprotozoal drugs. Ronidazole is currently the only drug demonstrated to be effective in eliminating the infection from cats; however, this drug has a narrow safety margin and clinical resistance is increasingly recognized. The more we learn about trichomonosis in cats, the more complicated and controversial the infection has become, ranging from what we should call the organism to whether we should even bother trying to treat it. Global importance: Feline trichomonosis is recognized to occur worldwide and is regarded as one of the most common infectious causes of colitis in the domestic cat. The infection is widespread in catteries and shelters; and, while remission of diarrhea may occur over time, persistence of the infection is common.
The culprit of infectionTrichomonads are members of the class Parabasalia, order Trichomonadida. These protozoa reside as parasites or commensals of animals, where they live in mucous membrane-lined, anaerobic-tomicroaerophilic, non-sterile organ cavities such as the gastrointestinal and reproductive tracts. As is the case for most anaerobic protozoa, trichomonads lack many of their own biosynthetic pathways and rely on the salvage of nutrients from their host for survival. They are spindle to tear-drop shaped, highly motile flagellates, similar in size to Giardia species. only trophozoites are present in the life cycle (no true cyst stage), division is by binary fission, and transmission occurs directly between hosts via ingestion of trophozoites. Trophozoites bear characteristic numbers of anteriorly directed flagella. in addition there is a single, posteriorly directed flagellum that arises at the anterior end and courses along the body creating an undulating membrane, which is a characteristic feature. A rigid, rod-shaped organelle, the axostyle, runs through the trophozoite and protrudes from the posterior end (Figure 1