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Year : 2019, Volume : 43, Issue : 1
First page : ( 34) Last page : ( 37)
Print ISSN : 0250-4758. Online ISSN : 0973-970X. Published online : 2019 March 1.
Article DOI : 10.5958/0973-970X.2019.00007.5

A combined outbreak of Clostridial enterotoxemia and HCN poisoning in laboratory rabbits

Somvanshi R.3,*, Sreelekshmy M.3, Viswas K.N.1,3, Telang A.G.2,3, Singh R.3

3Division of Pathology, Indian Veterinary Research Institute, Izatnagar, Bareilly-243122, Uttar Pradesh, India

1Division of Bacteriology and Mycology, Indian Veterinary Research Institute, Izatnagar, Bareilly-243122, Uttar Pradesh, India

2Centre for Animal Disease Research & Diagnosis (CAD-RAD), Indian Veterinary Research Institute, Izatnagar, Bareilly-243122, Uttar Pradesh, India

*Address for Correspondence R. Somvanshi, Division of Pathology, Division of Bacteriology and Mycology, Centre for Animal Disease Research & Diagnosis (CADRAD), Indian Veterinary Research Institute, Izatnagar, Bareilly-243122, Uttar Pradesh, India, e-mail: dr.rsomvanshi@gmail.com

Received:  7  December,  2018; Accepted:  20  February,  2019.

Abstract

An outbreak of high mortality occurred in a closed organized laboratory rabbit colony was investigated. In this outbreak 97/334 (29%) New Zealand White rabbitsdiedsuddenly within 3 days in early winter season. Major necropsy findings were soiling of hind quarter, haemorrhagictyphlitis, pulmonary congestion and haemorrhages. Intestinal contents cultured under anaerobic conditions revealed specific growth. Gram staining of the cultured anaerobic bacteria showed Gram's-positive, short and stumpy rod shaped bacteria. PCR analysis of the bacteria yielded amplicons of 324 bp size specific for alpha toxin indicating that the sample was positive for Clostridium perfringens type A. Three green fodder (especially maize ballies) and four stomach contents from dead animals were found highly positive for HCN toxin. Histopathologically, pronounced necrotizing typhlitis with marked sub mucosal edema, haemorrhages, splenic haemorrhages, pulmonary edema and presence of bacilli in necrotic lesions were seen. Gram's Good Pasteur staining revealed presence of numerous bacilli in sections of affected caecum. It was concluded that in the present outbreak high mortality was caused by combined effects Clostridial and HCN toxins.

How to cite this article: Somvanshi, R., M., Sreelekshmy, Viswas, K.N., Telang, A.G. and Singh, R. A combined outbreak of Clostridial-enterotoxemia and HCN poisoning in laboratory rabbits. (2019). Indian J. Vet. Pathol., 43(1): 34–37

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Keywords

Clostridialenterotoxaemia, HCN Poisoning, Rabbits, Pathology.

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INTRODUCTION

Clostridium perfringens is an anaerobic, spore forming, Gram positive bacteria found widely distributed in the soil and the digestive tract of many domestic animals. On the basis of the exotoxins they produce, six types (A, B, C, D, E and F) have been identified. Among these, the types B, C and D are found commonly associated with disease in domestic animals. Clostridium perfringens normally inhabits the digestive tract in small numbers without causing any disease. If any toxin is produced, even in small quantities and it can passes through the animal without causing problems. If an animal is exposed to sudden increase in carbohydrates, such as a heavy feeding of milk, lush pastures or supplementary concentrates, resident bacteria may multiply rapidly and produce large amounts of toxin. These toxins may damage the intestines, facilitating the absorption of toxins into the bloodstream. The end result of this intoxication is usually rapid death due to enterotoxaemia1.

Cyanides are found in the plants, fumigants, fertilizers, pesticides, rodenticides and a variety of cyanide compounds are encountered in industries such as electroplating, metal cleaning, gold extraction and plastics industry. The toxicity can result from the accidental exposure or malicious use but in the case of animals, the most frequent cause of poisoning is ingestion of plants containing cyanogenic glycosides. HCN is rapidly absorbed from the gastrointestinal tract following ingestion and from lungs through inhalation. The onset of symptoms depends upon the quantity ingested or inhaled. Inhalation of airborne concentrations in excess of 100 ppm can be fatal within an hour and concentrations above 300 ppm are generally fatal within several minutes2.

In rabbitsthere is paucity of the data on HCN toxicity3. Very few studies are known that too on experimental HCN toxicity by inhalation route in rabbits4,5.

In another subchronic study, New Zealand white rabbits (6 per group) were administered with potassium cyanide in their diet over a period of 40 week experiment6. The average cyanide intake was 36.5 mg/day. The cyanide-exposed group exhibited higher feed consumption with reduced weight gain and focal necrosis was noted in the liver and kidneys. However, to best of our knowledge, there are no reports of spontaneous/field cases of HCN toxicity in rabbits due to feeding of green fodder. In present communication, an outbreak of highmortality was investigated in a closed colony of New Zealand White laboratory rabbits to find out its causes so that such incidences may be prevented in future.

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MATERIALS AND METHODS

A total of 97 New Zealand White rabbits of Laboratory Animal Research Section, ICAR- IVRIwhich suddenly died in the second week of November, 2013 were received for necropsy examination and diseasediagnosis. Mortality continued for 5–6 days. All the animals were systematically examined andsamples were collected.for aerobic and anaerobic microbiological examination, visceral organs (lung, liver and spleen) and caecal contents were collected aseptically For toxicological examination, stomach content, feed mixture and green fodder (maize leaves) were collected. Hind quarter fecal contents and intestinal scrapings were collected for coccidial oocysts examination.Brain, lungs, heart, stomach, spleen, small and large intestines, kidneys and adrenal glands were collected in 10 per cent formalin for histopathological examination.

The intestinal contents were cultured in Robertson‘s cooked meat medium (HiMedia labs) at 37°C under anaerobic conditions for 48 hrs. Culture was then examined by Gram staining, and sub-cultured on anaerobic blood agar under anaerobic conditions. DNA from bacterial culture was then isolated by boiling for 5 minutes followed by snap chilling. Bacterial DNA was then subjected to multiplex PCR for typing Clostridium perfringens as described elsewhere7. Amplified PCR products were examined by agarose gel electrophoresis. Detection of HCN in maize fodder and stomach contents of rabbits was done by a qualitative method-Picrate Paper test8,9. A change in colour of picrate paper strip from yellow to brick red indicated the presence of HCN in the sample. Tissue specimens collected in 10% formalinfor histopathology were processed routinely and 5 mm thick sections were obtained and stained with Haematoxylin and Eosin. Duplicate sections of caecum were stained with Gram‘s Good Pasteur method for demonstration of bacteria.

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RESULTS

History

Out of 334 animals, a total of 91 rabbits (27.25%) died suddenly in the second week of November, 2013. Animals were kept in 11 pans and mortality was observed in all pans irrespective of age and sex. First day 45 animals, followed by 18 on second, 20 on third day and subsequently 1, 4, 1 and 2 animals died. Out of 334 rabbits a total of 91 rabbits died. Clinically, sudden mortality in all age grouipd of rabbits, off feed, dullness and soiled hind quarter were noticed

Postmortem findings

Post-mortem examination revealed soiled hindquarters with large amount of pasty bloody faeces (Fig. 1). Lungs showed moderate congestion and occasional haemorrhages. Stomach contents were blackish in colour. The liver was mildly swollen. Brain, spleen and kidneys showed mild congestion. Small intestine wall appeared thickened, mildly congested and luminacontained catarrhal exudate mixed content. The caecum was found congested, red in colour and distended (Fig. 2). Thecaecal mucosa showed extensive congestion and haemorrhages (Fig. 3) and lumina contained large amount of haemorrhagic content with peculiar smell. Microscopically, the intestinal contents showed numerous erythrocytes, bacilli and few coccidial oocysts.

Microbiological investigations

Intestinal contents were cultured under anaerobic conditions. Gram staining of the cultured bacteria showed Gram-positive, short and stumpy rods. PCR analysis of the bacteria yielded amplicons of 324 bp size specific for alpha toxin (Fig. 4) indicating that the sample was positive for Clostridium perfringens type A. In addition to above, the lung, liver and spleen samples were also found positive for Klebsiellapneumoniae and E. coli organisms.

Toxicological fndings

The feed and liver samples were found to be negative for aflatoxin B1. Three green fodder samples of maize ballies and four stomach contents from dead animals were found negative for nitrate/nitrite while they were found highly positive for HCN.Although the levels of HCN in fodder and stomach content of dead rabbits was not quantified, the time taken for high intensity of the colour development was short which was indicative of high concentration of HCN in the samples analyzed.

Histopathological findings

Most significant changes were observed in caecum and spleen followed by other organs. The small intestine showed desquamated mucosal epithelium, prominent goblet cellsand pronounced secretory activity of the glands. The luminarevealed intestinal contents mixed with numerous desquamated cells. In one animal, ileum showed engorged blood vessels and prominent lymphoid follicles with desquamated cells. Cecal mucosa showed complete necrosis leaving few remnants of glands (Fig. 5). Blood capillaries were highly engorged in different layers and extensive haemorrhages were seen in more than half of the cases. In two cases, clusters of developing or developed coccidial oocysts were seen in the mucosalglands. In one case marked plasmo-lymphocytic infiltration was seen. The areas between muscularis mucosae and muscularis layer showed extensive edema (Fig. 6) marked thickening and engorged capillaries and blood vessels. The cecallumina showed desquamated lining epithelial cells and intestinal content. In most of the cases, mucosa and submucosa were studded with thousands of bacilli in different parts. Duplicate sections stained with Gram‘s Good Pasteur method showed numerous Gram‘s positive bacilli which were present in thousands in number in necrotic mucosa (Fig. 6,7) in edematous submucosa and also in muscularis layer.

In most of the animals splenic red pulp showed pronounced haemorrhages with moderate haemo- siderosis (Fig. 8). White pulp was atrophied. Subscapular and trabecular sinuses were obliterated and showed few erythrocytes and mononuclear cells.In two animals lungs showed compensatory emphysematous alveoli, bullae formation, atelectasis, thickened interalveolar septae and presence of edematous fluid in alveoli. In one animal, blood vessels were highly dilated and engorged. Another animal showed highly dilated blood capillaries/blood vessels and haemorrhages. The liver oftwo animals showed congestion and mild to moderate mononuclear cell infiltration in peribiliary areas. In another case, hepatic sinusoids showed zmild engorgement while kidneys showed markedly engorged capillaries in glomeruli and also in at cortico-medullary junction. Focal mononuclear cell infiltration in interstitium and dilatation of few renal tubules were noticed. Luminal stenosis due to swollen lining epithelial cells of renal tubules and engorged blood vessels in myocardium and meninges were noticed in some cases. Edema was seen in perivascular areas in two cases. One animal showed focal areas of haemorrhages and nuclear crowding in subependymal area.

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DISCUSSION

Clostridial enteropathyis a major cause of morbidity and mortality in growing rabbits in rabbitries. The feeding of high energy and low fiber diets to weanlings is one of the most important predisposing factors of enterotoxaemia. The clinical signs are often lethargy, rough coat and perineal region covered with greenish brown fecal material and death within 48 hours. Clostridiumspiroforme is the major pathogen reported inthis disease which is an anaerobicnon-motile, sporeforming, Gram‘s-positive bacteria capable of producing potent enterotoxins. Conditions that can alter the normal gut flora and favor the colonization and proliferation of Clostridialspiroforme include weaning, abrupt diet change, parturition and lactation, illness, antibiotic administration. Clostridium perfringens also causes enterotoxaemia-like condition in young rabbits rarely that results in bleeding enteritis in the blind sack and edema Clostridium difficile and Clostridium cocleatum has also been reported in rabbits1,10.

Affected rabbits are often in good condition with sufficient body fat but there may be evidence of dehydration, fecal soiling of the perineum and death within 48 hrs. In the present case also, animals showed sudden mortality in a span of 3 days. The major necropsy findings in the present outbreak were soiling of hind quarter, haemorrhagic typhlitisand pulmonary congestion or haemorrhages. The most characteristic findings of Clostridial infection are petechial and ecchymotic haemorrhages on the caecal serosal surface10. This may also be evident on the proximal colon, appendix, and distal ileum. The caecum wasdistended with gas and contains fluid to mucoid dark brown feces, mucosal haemorrhages with occasional ulcers or pseudo-membranes with thickened and edematous submucosa1,10.

Histopathologically, caecum showed pronounced submucosal edema, haemorrhages, splenic haemorrhages with necrosis and pulmonary edema. Gram‘s Good Pasteur staining in tissue sections revealed presence of numerous bacilli in different parts of caecum. These lesions were suggestive of Clostridial enterotoxaemia. In Clostridial enteropathy, diffuse necrosis or focal erosions/ulcers of the stomach and intestinal mucosahave been reported1,10. Submucosa and lamina propriaexhibits inflammatory cell infiltration, mainly neutrophils, and ulcers are frequently overlaid by an exudate layer composed of cell debris, inflammatory cells and proteinaceous fluid1,10. In caecum the most consistent changes are submucosal edema and serosal haemorrhages. There may be evidence of epithelial cell proliferation in areas of intact mucosa, e.g., increased numbers of mitoses and lengthening of crypts. Mucosal attenuation is also reported1.In the present study, intestinal contents were found alpha toxin positive by PCR indicating Clostridium perfringens infection.

HCN toxin was also demonstrated in green maize fodder, ballies and stomach content. Pulmonary edema was seen in some cases which is indicative of HCN toxicity. Although there is no information available on the presence of cyanogenic glycoside hydrolyzing enzyme in rabbit stomach, it is quite possible that the bacterial enzymatic degradation and/change in the gastric pH could have induced liberation of HCN which ultimately resulted in toxicity and mortalities in rabbits.

In conclusion, it may be stated that the present outbreak and high mortality in rabbits was caused due to combined effects of Clostridial and HCN toxins.

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Figures

Fig. 1.:

Hindquarter of rabbits soiled with pasty feces




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Fig. 2.:

The abdomenshowing severely congested caecum




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Fig. 3.:

Caecum showing severely congested and haemorrhagic mucosa




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Fig. 4.:

PCR analysis of DNA isolated from cultured bacteria showing 324 bpproduct specific for alpha toxin of Clostridium perfringens type A.




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Fig. 5.:

Numerous Gram‘s positive Clostridial bacilli in highly edematous submucosal section of caecum. Gram‘s Good Pasteur x250




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Fig. 6.:

Caecum showing complete mucosal necrosis and extensive edema. H&E ×150




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Fig. 7.:

Caecum showing complete mucosal necrosis and extensive haemorrhages at base of mucosa. H&E ×150




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Fig. 8.:

Spleen showing pronouncedlyhaemorrhagic red pulp. H&E ×150.



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REFERENCES

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