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Hexamitiasis
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
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
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Treatment
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Prevention
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Outcomes
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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.