A 1-year-old male miniature donkey (Equus asinus) from a herd of eight
was presented with a 9-month history of pruritic dermatitis, lethargy
and anorexia. Physical examination revealed diffuse lichenification a
nd scales involving the skin of the face, head and dorsum from the nec
k to the pelvis. The main histological alteration within the superfici
al and deep dermis was the presence of multiple large, spherical, thic
k walled, protozoal Besnoitia cysts. In addition, the inflammatory res
ponse consisted of a moderate, superficial and deep perivascular, mixe
d mononuclear cell infiltrate, with epidermal hyperplasia and compact
orthokeratosis. Based upon the large size of the protozoal cysts and t
he ultrastructural features of the bradyzoites contained therein (cono
id, polar ring, rhoptries, micronemes and microtubules), a diagnosis o
f cutaneous besnoitiosis was established. Treatment with trimethoprim-
sulphamethoxazole resulted in significant clinical improvement. To our
knowledge, this is the first reported case of besnoitiosis in a minia
ture donkey in North America.