Outbreaks of contagious ecthyma in camels {Camelus
Transcription
Outbreaks of contagious ecthyma in camels {Camelus
Rev. sci. tech. Off. int. Epiz., 1994,13 (3), 939-945 Outbreaks of contagious ecthyma in camels {Camelus dromedarius) in the Turkana district of Kenya C.G. GITAO * Summary: Mortality among camel calves (Camelus d r o m e d a r i u s ) is one of the most serious problems faced by camel herdsmen and, although there are several reasons for this mortality, diseases play a major role. In an investigation of outbreaks of contagious ecthyma in camels in the Turkana district of Kenya, four outbreaks were detected involving only camel calves. The principal lesions were distinct or largely coalesced pustules on the mouth, nose and muzzle. Direct electron microscopy of infected scabs was used to confirm the presence of the virus. Secondary infection of the pustules was common in affected calves. Morbidity in affected herds was 100%, with no adult involvement. Affected calves were unable to suckle properly. In all outbreaks, there was a concurrent outbreak of contagious pustular dermatitis in goat kids in the same household. Contagious ecthyma is an important disease in camels, contributing to calf debility and eventually to high calf mortality. K E Y W O R D S : Camels - Contagious ecthyma - Kenya - Outbreaks Turkana. - INTRODUCTION C o n t a g i o u s e c t h y m a i n c a m e l s (Camelus dromedarius) is a p a r a p o x v i r u s d i s e a s e w h i c h h a s b e e n d e s c r i b e d in M o n g o l i a ( 4 , 2 ) , S o m a l i a (3), t h e f o r m e r S o v i e t U n i o n (11) a n d t h e S u d a n (1). O n l y o n e o u t b r e a k h a s b e e n r e p o r t e d in K e n y a (7). N o i n v e s t i g a t i o n h a s b e e n m a d e in a specific c a m e l - r e a r i n g a r e a t o d e t e r m i n e t h e g e o g r a p h i c a l s p r e a d of t h e d i s e a s e . A s calf m o r t a l i t y is t h e m o s t i m p o r t a n t h e a l t h p r o b l e m f a c e d b y c a m e l h e r d e r s ( 8 ) , s o m e t i m e s r e a c h i n g 5 0 % , it is i m p o r t a n t t o e x a m i n e a n y p o t e n t i a l f a c t o r w h i c h m a y c o n t r i b u t e t o t h e debility of c a m e l calves a n d h e n c e t o s u c h m o r t a l i t y . Visits w e r e t h e r e f o r e m a d e t o t h e T u r k a n a d i s t r i c t i n K e n y a , o n e of t h e p r i n c i p a l c a m e l r e a r i n g a r e a s in t h e c o u n t r y , a n d s k i n c o n d i t i o n s w e r e e x a m i n e d in s e v e r a l h e r d s . * University of Nairobi, Department of Veterinary Pathology and Microbiology, P.O. Box 29053, Nairobi, Kenya. 940 MATERIALS AND METHODS Epidemiology T h e T u r k a n a district is a n a r i d a r e a r e c e i v i n g less t h a n 500 m m of s c a t t e r e d rainfall a n n u a l l y . I n t h i s d i s t r i c t , a p p r o x i m a t e l y 1 0 0 , 0 0 0 c a m e l s a r e r e a r e d b y p a s t o r a l i s t s in h e r d s r a n g i n g in size f r o m 2 a n i m a l s t o 60 o r m o r e . T h e d i s t r i c t w a s v i s i t e d in t h e d r y m o n t h of S e p t e m b e r , a n d 6 0 0 c a m e l s w e r e e x a m i n e d i n 30 h e r d s r a n g i n g i n size f r o m 2-60 animals. Skin conditions w e r e closely scrutinised a n d scabs w e r e o b t a i n e d from suspected pox lesions. E l e c t r o n microscopy S k i n s c a b s f r o m i n f e c t e d c a m e l s w e r e g r o u n d a n d r e - s u s p e n d e d in a m i n i m u m v o l u m e of p h o s p h a t e b u f f e r e d s a l i n e ( p H 7.2). A n e l e c t r o n m i c r o s c o p e grid w a s floated o n a d r o p of v i r u s s u s p e n s i o n for t w o m i n u t e s , t h e n r e m o v e d a n d b l o t t e d w i t h t h e e d g e of a p i e c e of b l o t t i n g p a p e r , a n d p l a c e d o n a d r o p of 2 % s o d i u m p h o s p h o t u n g s t a t e ( p H 6.6). A f t e r 90 s, t h e g r i d w a s b l o t t e d , air d r i e d a n d e x a m i n e d u s i n g a t r a n s m i s s i o n e l e c t r o n m i c r o s c o p e o p e r a t i n g a t 60,000 V. RESULTS C o n t a g i o u s e c t h y m a w a s d e t e c t e d in c a m e l s in f o u r a r e a s of t h e T u r k a n a d i s t r i c t ( T a b l e I ) . O f 6 0 0 c a m e l s e x a m i n e d , c l i n i c a l c o n t a g i o u s e c t h y m a w a s d e t e c t e d in 67 a n i m a l s , i n d i c a t i n g a p o i n t p r e v a l e n c e r a t e of 1 1 . 2 % . I n t h e f o u r a r e a s , c o n t a g i o u s e c t h y m a w a s f o u n d t o b e at t h e s a m e clinical stage, a l t h o u g h t h e a r e a s a r e v e r y far a p a r t . T h e c o n d i t i o n h a d b e e n p r e s e n t for o n e w e e k a n d o n l y e i g h t - m o n t h - o l d c a m e l s w e r e affected. M o r b i d i t y w a s 1 0 0 % in e a c h of t h e affected flocks. T h e p r i n c i p a l clinical f e a t u r e o b s e r v e d w a s t h e a p p e a r a n c e of p u s t u l e s o n t h e n o s e , m u z z l e a n d lips (Fig. 1). M a n y of t h e cervical a n d m a n d i b u l a r l y m p h n o d e s w e r e s w o l l e n a n d o e d e m a t o u s . Frequently, these swollen lymph nodes h a d b e e n b r a n d e d with a hot i r o n , w h i c h is a c o m m o n p r a c t i c e a m o n g p a s t o r a l i s t s in t h e a r e a . P a r a p o x i n f e c t i o n w a s c o n f i r m e d b y e l e c t r o n m i c r o s c o p y in m o s t c a s e s (Fig. 2 ) . T h e m a j o r i t y of t h e s e l e s i o n s TABLE I Outbreaks of contagious ecthyma in the Turkana district in camels and of Kenya goats Camels Location Kakuma Kalokol Lokori Lokitaung No. affected Age (months) 12 20 30 5 8 8 8 8 EM+: infection detected by electron microscopy Goats EM+ No. affected EM+ 10 18 27 5 20 5 10 20 18 5 7 16 941 Fiel Pustules o n t h e m u z z l e and lips of a c a m e l calf infected with contagious e c t h y m a h a d secondary infections a n d thick yellowish pus h a d accumulated b e n e a t h t h e scabs. In a r e a s of t h e s k i n w i t h n o s e c o n d a r y i n f e c t i o n s , r a w h y p e r a e m i a w a s o b s e r v e d b e n e a t h t h e s c a b . N o l e s i o n s w e r e o b s e r v e d o n t h e u d d e r s of t h e d a m s of t h e s e calves, n o r o n t h e skin of a n y of t h e a d u l t c a m e l s e x a m i n e d . I n all t h e a r e a s w h e r e o u t b r e a k s of c o n t a g i o u s e c t h y m a w e r e o b s e r v e d in c a m e l s , i n f e c t i o n w a s also a p p a r e n t in g o a t k i d s ( T a b l e I ) . L e s i o n s in k i d s w e r e of a similar t y p e a n d at a similar s t a g e , s h o w i n g p u s t u l e s p r i n c i p a l l y on t h e lips, m u z z l e a n d n o s e . E x t e n s i v e s e c o n d a r y i n f e c t i o n w a s also o b s e r v e d in g o a t k i d s , w i t h t h i c k y e l l o w i s h p u s u n d e r n e a t h s o m e of t h e s c a b s (Fig. 3 ) . P o x l e s i o n s w e r e also visible o n t h e u d d e r s of t e n d a m s s u c k l i n g s o m e of t h e affected g o a t k i d s . DISCUSSION C a m e l r e a r i n g is a difficult p r o c e s s , d u e t o t h e l o w r e p r o d u c t i v e r a t e of t h e c a m e l a n d h i g h calf m o r t a l i t y ( s o m e t i m e s r e a c h i n g 5 0 % ) (8). It is t h e r e f o r e i m p o r t a n t t o e x a m i n e s o m e of t h e f a c t o r s w h i c h m a y c o n t r i b u t e t o t h e w e a k e n i n g of c a l v e s a n d t h u s t o h i g h mortality. T h e c u r r e n t s t u d y i n d i c a t e s t h a t c o n t a g i o u s e c t h y m a is e n z o o t i c in c a m e l s in t h e T u r k a n a d i s t r i c t of K e n y a , a n d is p r e s e n t p r i n c i p a l l y in c a m e l c a l v e s . T h e fact t h a t a s i m i l a r c l i n i c a l s t a g e of t h e d i s e a s e w a s o b s e r v e d i n d i f f e r e n t g e o g r a p h i c a l a r e a s is 942 FIG. 2 N e g a t i v e l y - s t a i n e d electron micrograph of contagious e c t h y m a virus (60,000x) p r o b a b l y r e l a t e d t o t h e fact t h a t c a m e l s a r e s e a s o n a l b r e e d e r s a n d m a n y calves a r e t h e r e f o r e b o r n at a p p r o x i m a t e l y t h e s a m e t i m e . M o r b i d i t y of 1 0 0 % in c a l v e s h a s a l s o b e e n d e s c r i b e d b y o t h e r r e s e a r c h e r s , b u t this r a t e w a s r e p o r t e d t o b e l o w ( 1 0 - 2 0 % ) in a d u l t c a m e l s ( 7 ) . T h e c o m m o n p r a c t i c e of k e e p i n g all c a m e l calves in t h e s a m e s h e l t e r at n i g h t c o u l d b e r e s p o n s i b l e for t h e s p r e a d of v i r u s b y c o n t a c t . T h e a b s e n c e of c o n t a g i o u s e c t h y m a in m a t u r e a n i m a l s is p r o b a b l y d u e t o a n i m m u n e r e s p o n s e w h i c h is a b s e n t in v e r y y o u n g c a m e l s ; s u c h a p a t t e r n h a s b e e n d e s c r i b e d for g o a t k i d s (10). I n this study, o n l y localised lesions o n t h e m u z z l e a n d lips w e r e f o u n d . S i m i l a r s i g n s h a v e b e e n r e p o r t e d in S o m a l i a (6) a n d t h e S u d a n ( 1 ) . G e n e r a l i s e d lesions i n v o l v i n g t h e distal p a r t s of t h e legs, t h e i n n e r t h i g h s a n d t h e v a g i n a in f e m a l e s h a v e also b e e n r e p o r t e d (7). A l l o u t b r e a k s o c c u r r e d in h e r d s w h e r e p a r a p o x v i r u s i n f e c t i o n w a s also o b s e r v e d in g o a t k i d s r a i s e d n e a r b y . O t h e r r e p o r t s h a v e i n d i c a t e d t h a t o u t b r e a k s of c o n t a g i o u s e c t h y m a in c a m e l s h a v e o c c u r r e d in a r e a s w h e r e orf is p r e s e n t in s h e e p (7). O u t b r e a k s of p a r a p o x v i r u s i n f e c t i o n in a l p a c a s (Lama pacos), s t e e n b o k (Raphicerus campestris) (9) a n d m a n y o t h e r a n i m a l s a r e t h o u g h t t o b e of o v i n e o r c a p r i n e o r i g i n ( 1 0 ) . T h i s is p r o b a b l y also t h e c a s e for c o n t a g i o u s e c t h y m a in c a m e l s . N o p r o g r a m m e e x i s t s f o r t h e v a c c i n a t i o n of c a m e l s o r g o a t s a g a i n s t c o n t a g i o u s e c t h y m a virus in t h e c a m e l - r e a r i n g a r e a s of K e n y a , p r o b a b l y d u e t o lack of i n f o r m a t i o n , t h e v a s t d i s t a n c e s t o b e c o v e r e d in t h e a r i d l a n d s a n d t h e l a c k of r e s o u r c e s . T h i s s t u d y m a y t h e r e f o r e s e r v e as a basis for t h e e s t a b l i s h m e n t of s u c h a p r o g r a m m e . 943 FIG. 3 Pustules o n t h e m u z z l e and lips o f a goat kid infected with contagious e c t h y m a O t h e r c o n d i t i o n s w h i c h m a y b e similar t o c o n t a g i o u s e c t h y m a w e r e p r e c l u d e d b y t h e clinical signs. M a n g e i n f e c t i o n is a s s o c i a t e d w i t h g e n e r a l p r u r i t i s a n d a l o p e c i a o n m a n y p a r t s of t h e b o d y s u r f a c e . C a m e l s a r e n o t likely t o suffer clinically f r o m f o o t a n d m o u t h disease, although the animals m a y react to experimentally-inoculated foot and m o u t h d i s e a s e v i r u s (5). * * * ÉPIDÉMIES D'ECTHYMA (CAMELUS DROMEDARIUS) C.G. Gitao. CONTAGIEUX CHEZ LES DROMADAIRES D A N S LE DISTRICT D E T U R K A N A A U KENYA. - Résumé : La mortalité des jeunes dromadaires ( C a m e l u s d r o m e d a r i u s ) est l'un des problèmes les plus graves auxquels soient confrontés les éleveurs. Parmi les différentes causes de cette mortalité, les maladies jouent un rôle majeur. Lors d'une étude sur l'ecthyma contagieux chez les dromadaires, effectuée dans le district de Turkana, au Kenya, quatre foyers ont été décelés qui ne concernaient que de jeunes animaux. Les principales lésions consistaient en des pustules isolées ou largement confluantes, localisées dans la bouche, dans les naseaux et sur le museau. L'observation directe au microscope électronique des croûtes infectées a permis de confirmer la présence du virus. Une infection secondaire des pustules a été fréquemment observée chez les jeunes dromadaires atteints. 944 La morbidité était de 100 % dans les élevages atteints, mais elle ne concernait pas les adultes. Les chamelons étaient incapables de téter correctement. Dans tous les cas, on a observé une épidémie concomitante de dermatite pustuleuse contagieuse chez les chevreaux dans la même exploitation. L'ecthyma contagieux est une maladie grave du dromadaire chez lequel elle entraîne une asthénie, voire une mortalité élevée dans le cas des jeunes sujets. M O T S - C L É S : Dromadaires - Ecthyma contagieux - Foyers - Kenya Turkana. * * * B R O T E S D E E C T I M A C O N T A G I O S O E N LOS D R O M E D A R I O S (CAMELUS DROMEDARIUS) D E L D I S T R I T O D E T U R K A N A , E N K E N I A . - C.G. Gitao. Resumen: La mortalidad de los dromedarios jóvenes ( C a m e l u s d r o m e d a r i u s ) es uno de los problemas más graves que deben enfrentar los ganaderos; entre sus causas, las enfermedades ocupan un lugar principal. En ocasión de un estudio sobre el ectima contagioso en los dromedarios en el distrito de Turkana, en Kenia, se detectaron cuatro brotes que incluían solamente animales jóvenes. Las lesiones más importantes consistían en pústulas aisladas o ampliamente confluentes, localizadas en la boca, las narices y el hocico. La observación directa en microscopio electrónico de las costras infectadas permitió confirmar la presencia del virus. Una infección secundaria de las pústulas se observó a menudo en los jóvenes dromedarios afectados. La morbilidad fue del 100% en los rebaños afectados, pero no implicaba a los animales adultos. Los más jóvenes eran incapaces de mamar correctamente. En todos los casos, se observaron brotes concomitantes de dermatitis pustulosa contagiosa en los cabritos de la misma explotación. El ectima contagioso es una enfermedad grave del dromedario, que puede causar astenia e incluso una mortalidad elevada en los animales jóvenes. P A L A B R A S C L A V E : B r o t e s - D r o m e d a r i o s - E c t i m a contagioso - K e n i a Turkana. * * * REFERENCES 1. A L I O . A . , K H E I R S.A.M., D A M I R H . A . & B A R R I M . E . S . ( 1 9 9 1 ) . - C a m e l (Camelus dromedarius) contagious ecthyma in t h e Sudan. A case r e p o r t . Rev. Elev. Méd. vét. Pays trop., 44 (2), 143-145. 2. DASHTSEREN 3. J A Z E K Z . , K R I Z B . & R O T H B A U E R V. ( 1 9 8 3 ) . - C a m e l p o x a n d its risk t o t h e h u m a n population. J. Hyg. Epidemiol. Microbiol. Immunol., 27, 29-42. 4. KHOKHOO T.S., S O L O V Y E V B . V , V A R E J K A F. & K H O K H O O A . ( 1 9 8 4 ) . - C a m e l contagious ecthyma (pustular dermatitis). Acta virol., 28,122-127. A . (1982). - Biological p r o p e r t i e s of camel contagious e c t h y m a virus. Thesis, Veterinary Institute, B r n o , 89. 945 5. M C G R A N E J.J. & H I G G I N S A.J. ( 1 9 8 5 ) . - I n f e c t i o u s d i s e a s e s of t h e c a m e l : v i r u s e s , bacteria a n d fungi. Br. vet. J., 141,529-543. 6. MOALLIN A . S . M . & Z E S S I N K . H . (1988). - O u t b r e a k s of c a m e l c o n t a g i o u s e c t h y m a in central Somalia. Trop. Anim. Hlth Prod., 20,185-186. 7. M U N Z E., S C H I L L I N G E R D . , R E I M A N N M . & M A H N E L H . (1986). - E l e c t r o n microscopical diagnosis of Ecthyma contagiosum in camels (Camelus dromedarius). First r e p o r t of t h e disease in K e n y a . J. vet. Med., B, 33,73-77. 8. R I C H A R D D . (1979). - P a t h o l o g y a n d p r o d u c t i o n of c a m e l s . In C a m e l s . R e p o r t N o . 6. I n t e r n a t i o n a l F o u n d a t i o n for Science, Stockholm, 409-430. 9. R O B E R T S O N A . (1976). - H a n d b o o k o n a n i m a l d i s e a s e s in t h e T r o p i c s , 3rd E d . British Veterinary Association, L o n d o n , 9-11. 10. R O B I N S O N A.J. & B A L A S S U T.C. (1981). - C o n t a g i o u s p u s t u l a r dermatitis (orf). Vet. Bull, 51 (10), 771-780. 11. R O S L Y A K O V A . A . (1972). - C o m p a r i s o n of the ultrastructure of c a m e l p o x virus, t h e virus of a pox-like disease of camels a n d contagious e c t h y m a virus [in R u s s i a n ] . Vop. Virus., 17, 26-30.