Hexamitiasis | Vetlexicon
avis - Articles

Hexamitiasis

ISSN 3050-2217


Synonym(s): Spironucleus meleagridis infection

Introduction

  • Cause: motile protozoa, Spironucleus meleagridis (previously known as Hexamita meleagridis). Most commonly affects pheasants and partridge and turkeys.
  • Signs: watery diarrhea, lethargy, depression, hunched posture with ruffled feathers, dehydration, death.
  • Diagnosis: confirmation of parasite presence on microscopy of fresh, wet, duodenal or jejunal smears.
  • Treatment: supportive: fluid and electrolyte therapy and enteral nutrition. Tetracyclines.
  • Prognosis: fair to guarded, depending on severity of disease.

Presenting signs

  • Watery or frothy, yellow diarrhea.
  • Lethargy.
  • Depression.
  • Hunched posture with ruffled feathers.
  • Emaciation or rapid weight loss
  • Anorexia.
  • Dehydration.
  • Convulsions.
  • Comatose.
  • Death.

Acute presentation

  • Dull, dehydrated birds with diarrhea.

Geographic incidence

  • Rare in North America.

Age predisposition

  • Young birds in stressful situations.
  • Highest mortality rate in birds aged 1-9 weeks old.

Breed/species predisposition

  • Most commonly affects partridge, pheasant, quail, peafowl and turkeys.
  • Natural infection has not been observed in chickens.

Public health considerations

  • Care with hygiene and wear appropriate gloves and PPEwhen handling gamebirds with diarrhea.

Cost considerations

  • Economically important disease of game birds.

Pathogenesis

Etiology

  • Motile protozoa Spironucleus meleagridis (previously known as Hexamita meleagridis).

Predisposing factors

Specific

  • Stress: birds exposed to stressors, including inclement weather are particularly vulnerable.

Pathophysiology

  • Research is ongoing into the lifecycle and pathophysiology of this parasite with a cystic stage being only relatively recently considering the decades of research into this parasite.
  • Spironucleus cysts are the infective form.
  • Parasite reduces absorption from the intestines resulting in watery diarrhea.
  • Fecal-oral transmission, direct and indirectly through contaminated equipment and clothing.

Timecourse

  • Incubation approximately range around 7 days.

Epidemiology

  • Fecal-oral transmission.
  • Infective cysts excreted in feces.
  • Survivors may become asymptomatic carriers.
  • High morbidity up to 80%.
  • Variable mortality from 1-50%.

Diagnosis

Subscribe To View

This article is available to subscribers.

Try a free trial today or contact us for more information.

Treatment

Subscribe To View

This article is available to subscribers.

Try a free trial today or contact us for more information.

Prevention

Subscribe To View

This article is available to subscribers.

Try a free trial today or contact us for more information.

Outcomes

Subscribe To View

This article is available to subscribers.

Try a free trial today or contact us for more information.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Lloyd S & Gibson J S (2006) Haematology and biochemistry in healthy young pheasants and red-legged partridges and effects of spironucleosis on these parameters. Avian Pathol Journal WVPA 35 (4), 335-340 PubMed.
  • Wood A M & Smith H V (2005) Spironucleosis (hexamitiasis, hexamitosis) in the ring-necked pheasant (Phasianus colchicus): Detection of cysts and description of Spironucleus meleagridis in stained smears. Avian Diseases 49 (1), 138-143 PubMed.

Other sources of information

  • Raftery A & Jones R (2019) Gastrointestinal Disorders. In: Manual of Backyard Poultry Medicine and Surgery. Eds: Poland G & Raftery A. BSAV, UK. pp 205-215.
  • Carpenter J W & Marion C J (2018) Exotic Animal Formulary. Elsevier, USA.
  • Carpenter J W & Christopher J M (2018) Exotic Animal Formulary. 5th edn. Elsevier, USA.
  • Swayne D E (2013) Diseases of Poultry. 13th edn. Wiley-Blackwell, USA.
  • Pattison M (2008) Ed Poultry Diseases. 6th edn. Elsevier/Butterworth-Heinemann, UK.

Organization(s)

  • National Animal Disease Information Service (online) Spironucleus (Hexamita) and Trichomoniasis in Game Birds. NADIS Animal Health Skills, UK. Website: www.nadis.org.uk.