Ornithobacterium Rhinotracheale Infection-Diseases of Poultry 14th Edition

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Diseases of

Poultry 14th Edition

Editor-in-Chief
David E. Swayne
Associate Editors
Martine Boulianne
Catherine M. Logue
Larry R. McDougald
Venugopal Nair
David L. Suarez
Chapter 19 Pasteurellosis and Other Respiratory Bacterial Infections 853

86.9%, 75.9%, and 79.2% resistance, respectively) (104). ceptibility to cefquinome, ceftiofur, tilmicosin and flor-
The lowest resistance rates were observed for amikacin fenicol. They found that cefquinome had the highest
(9.5%), cefoperazone (7.2%), imipenem (3.2%), and risk of selecting resistant mutants among these 4 anti-
neomycin (9.5%). Li et al. (56) studied RA in vitro sus- microbial agents.

­Ornithobacterium rhinotracheale Infection


Hafez M. Hafez and Richard P. Chin

Summary History
Agent, Infection, and Disease. Ornithobacterium rhino­ Ornithobacterium rhinotracheale was first character-
tracheale is a Gram‐negative bacterium which causes ized in 1993 by Charlton et al. (9) and subsequently
respiratory disease in numerous bird species. Additionally, named in 1994 by Vandamme et al. (80) the following
it is associated with heavy economic losses caused by year. Since its identification, O. rhinotracheale has been
increased mortality and condemnation rates, drop in egg isolated from birds in numerous countries throughout
production, and reduced growth. O. rhinotracheale is the world. For additional earlier references on O. rhinotra­
worldwide in distribution. cheale, see (11).

Diagnosis. The preferred diagnostic test is isolation and


identification of O. rhinotracheale. Additionally, antigen Etiology
detection by polymerase chain reaction and detection of
antibodies in the blood is also used. Classification
Intervention. Increased biosecurity practices are Name and Synonyms
primarily used to prevent the introduction and spread of The genus Ornithobacterium is a member of the
O. rhinotracheale. Vaccination using commercial or Flavobacteriaceae within the Cytophaga‐Flavobacterium‐
autogenous inactivated vaccines reduces mortality and Bacteroides phylum and represents a rather distinct line
condemnation rates. of descent within this family. Related bacteria are the
bird pathogens Riemerella anatipestifer and Coenonia
anatina (79, 80). The family includes Flavobacterium, the
Introduction type genus, and the genera Bergeyella, Capnocytophaga,
Chryseobacterium, Ornithobacterium, Riemerella and
Definition and Synonyms Weeksella (6).
Ornithobacterium rhinotracheale infection is a conta-
gious disease of birds that causes respiratory distress, Morphology and Staining
mortality, and decreased growth. The severity of clinical
Ornithobacterium rhinotracheale is a Gram‐negative,
signs, duration of the disease and mortality are extremely
nonmotile, highly pleomorphic, rod‐shaped, nonsporu-
variable and are influenced by several factors such as
lating bacterium. From agars, it appears as short, plump
concurrent infections, poor management, inadequate
rods measuring 0.2–0.9 µm in width and 0.6–5 µm in
ventilation, high stocking density, poor litter conditions,
length (Figure 19.17). Very long rods measuring up to
and poor hygiene.
15 µm can be observed from fluid media.
Economic Significance
Growth Requirements
Ornithobacterium rhinotracheale can be associated with
high economic losses in poultry caused by increased Ornithobacterium rhinotracheale grows aerobically,
mortality and condemnation rates, drop in egg produc- microaerobically, and anaerobically. The optimal growth
tion, or decreased growth. temperature is 37 °C; however, growth can occur at
30–42 °C. The bacteria grows best on 5%–10% sheep blood
agar, but readily grows on tryptose soy agar and chocolate
Public Health Significance
agar. No growth occurs on MacConkey agar, Endo agar,
Currently, O. rhinotracheale has not been found to be of Gassner agar, Drigalski agar, or Simmons citrate media.
any public health significance. The growth in fluid media can be strain‐dependent, and

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854 Section III Bacterial Diseases

Biochemical Properties
Conventional biochemical tests can be inconsistent.
Phenotypic characteristics include the production of
­oxidase, lack of catalase production, lack of motility, no
reaction on triple sugar iron agar, production of beta‐­
­
galactosidase, the inability to reduce nitrate to nitrite, and
the inability to grow on MacConkey agar. There some
reports of a cytochrome oxidase‐negative strain of
O. rhinotracheale isolated from turkeys in Germany (50, 82).

Susceptibility to Chemical and Physical Agents


Ornithobacterium rhinotracheale strains were completely
inactivated by a 0.5% solution containing formic and
glyoxyl acid, and a 0.5% solution of an aldehyde‐based
Figure 19.17 Ornithobacterium rhinotracheale showing highly (20% glutaraldehyde) product after 15 minutes exposure
pleomorphic nature. Gram stain of bacteria from a 48‐hour culture.
Gram stain, ×375. (For color detail, please see the color section.) time (24). These preparations were able to inactivate
O. rhinotracheale in vitro at concentrations of 0.5%
within 15 minutes.

media such as brain heart infusion broth, Pasteurella broth, Antigenic Structure and Toxins
or Todd Hewitt broth are needed.
Currently, no special structures or properties such as
pili, fimbriae, plasmids, or specific toxic activities have
been reported.
Colony Morphology
Ornithobacterium rhinotracheale develop very small, Strain Classification
nonhemolytic colonies that are circular, gray to gray‐
Antigenicity
white, sometimes with a reddish glow, and convex with
Using boiled extract antigens (BEAs) and monovalent
an entire edge. On primary isolation, the colonies of
antisera in the agar gel precipitation (AGP) and enzyme‐
most O. rhinotracheale cultures show great differences in
linked immunosorbent assay (ELISA) tests, 18 serotypes
size (1–3 mm after 48 hour incubation) but when subcul-
(A to R) of O. rhinotracheale have been determined (71).
tured, the colony size will become more uniform.
Serotype A was the most prevalent serotype among
Prolonged incubation can give hemolytic activity on
chicken isolates (97%) and turkey isolates (61%). There
sheep blood agar. β‐hemolytic activity has also been
appears to be a correlation between the geographic origin
found in field isolates (61). Zahra et al. (84) characterized
of the O. rhinotracheale isolates and their serotype.
27 small‐colony variants (SCVs) of O. rhinotracheale iso-
Serotype C could be isolated only from chickens and
lated from tracheal samples collected from different
turkeys in South Africa and the United States (71). There
avian species. Of the 27 O. rhinotracheale isolates, 21
is no indication of host specificity of the serotypes.
(77.8%) showed SCVs in their primary cultures. Five of
Hafez and Sting (25) compared the efficacy of using
them showed high levels of stability and were chosen for
different antigen extractions (heat‐stable, proteinase
further characterization with their wild type isolates.
K‐stable and sodium dodecyl sulfate) for serotyping
SCVs were oxidase negative, whereas their wild type iso-
O. rhinotracheale in the AGP and ELISA tests. Results
lates were positive. Growth curves for stable O. rhinotra­
indicate that the AGP test with heat‐stable or proteinase
cheale SCVs indicated lower growth rates and longer lag
K‐stable antigen extractions is a suitable method for
phases than for their wild type isolates. In addition,
serotyping. Numerous cross‐reactions were seen with
Mirzaie et al. (40) isolated 5 O. rhinotracheale from
the ELISA making it unreliable for serotyping.
pigeon and all 4 isolates from turkey, which showed
smaller colony size, whereas other isolates had larger
colonies, when cultured in blood agar. Fifty percent of Immunogenicity or Protective Characteristics
the isolates with larger colony but none of the isolates Using a novel experimental method of combining immune
with small colony size could agglutinate red blood cells. depletion and passive transfer of immunity within the
The relationship between colony morphology and same host, Schuijffel et al. (52), found that the antibody‐
hemagglutination abilities of O. rhinotracheale and their mediated immunity in chickens was a key component in
virulence is yet to be determined. the protection against O. rhinotracheale infection.

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Chapter 19 Pasteurellosis and Other Respiratory Bacterial Infections 855

Molecular O. rhinotracheale field isolates inoculated into the caudal


Amonsin et al. (2) using multilocus enzyme electrophore- abdominal air sacs of 28‐day‐old broiler chickens showed
sis, repetitive sequence based‐polymerae chain reacation significant differences in the production of airsacculitis
(PCR), and 16S rRNA gene sequencing demonstrated and arthritis (66). In addition, van Veen et al. (78) found
that the majority of 55 O. rhinotracheale isolates recov- that Dutch and South African isolates were more patho-
ered from domesticated poultry throughout the world genic than an American isolate in broiler chickens when
had limited heterogeneity and were represented by a aerosol challenged.
small group of closely related clones. They propose that The pathogenicity of 88 O. rhinotracheale isolates,
the bacterium was recently introduced to domesticated collected in Germany from turkeys and chickens between
poultry from wild bird populations. 2003 and 2006, was examined using the embryo lethality
Twenty‐three isolates of O. rhinotracheale from France test. In total, 54 isolates (61.4%) were mildly pathogenic,
were tested using the random amplified polymorphic whereas 34 isolates (38.6%) were classified as moderately
DNA (RAPD) analysis (32). Results showed that this pathogenic. There was no correlation between serotype
method gave reproducible DNA fingerprints and a good and pathogenicity. No highly pathogenic isolates were
level of discrimination, thus appearing to be another detected, and no increase in pathogenicity over the years
method for typing. was observed (82).
Investigation of several O. rhinotracheale isolates from Soriano et al. found in vitro adherence of O. rhinotra­
turkeys and chickens originated from Germany, Hungary, cheale isolates to chicken tracheal epithelial cells (55).
and Spain by pulsed‐field gel electrophoresis (PFGE) of
genomic macro‐restriction fragments using the enzyme
SalI (27). In general, most isolates showed differences in Pathobiology and Epidemiology
DNA fingerprints although the overall profiles were very
similar and a correlation between geographic origin, Incidence and Distribution
serotype and DNA fingerprint pattern was observed. After a first recognition, O. rhinotracheale has been
In contrast, Koga and Zavaleta (31) investigated 25 diagnosed throughout the world (11).
O. rhinotracheale isolates from broilers, breeders, and layers
from several geographic zones of Peru using PCR and
Natural and Experimental Hosts
repetitive extragenic palindromic PCR (rep‐PCR) tech-
niques. All isolates tested had a genetic profile similar to Ornithobacterium rhinotracheale has been isolated
that of the O. rhinotracheale type strain (American Type worldwide from numerous bird species, including chicken,
Culture Collection 51463) isolated from a turkey in the chukar partridge, duck, falcons, goose, guinea fowl, gull,
United Kingdom. Molecular typing of O. rhinotracheale ostrich, partridge, pheasant, pigeon, quail, rook and
isolates has also been performed using the primers M13 turkey (11, 83).
(5′‐TAT GTA AAA CGA CGG CCA GT‐ 3) and ERIC 1R In commercial poultry, all ages appear to be susceptible.
(5′‐ ATG TAA GCT CCT GGG GAT TCA C ‐3′) and Many case reports of O. rhinotracheale infection describe
variations were found between all tested serotypes (29). a concomitant infection with other respiratory pathogens,
Recently, Thieme et al. (63) established an multilocus such as Escherichia coli (16, 17, 51), Bordetella avium
sequence typing (MLST) scheme for O. rhinotracheale, (17), Newcastle disease virus (65), infectious bronchitis
which allows for worldwide comparison of sequence data. virus (18), avian metapneumovirus (30, 38), Avian
The overall identified low genetic diversity among strains Influenza H9N2 (5), Streptococcus zooepidemicus (45),
isolated from turkeys and chickens, independent of host Avibacterium paragallinarum (41), Mycoplasma synoviae
and geographical origins, suggests that O. rhinotracheale (85), and Chlamydia psittaci (12, 73). Most experimental
has only recently been introduced into domestic poultry studies have concluded that, when experimentally inocu-
and dispersed worldwide. In addition, results clearly lated by itself, O. rhinotracheale causes minimal patho-
showed that O. rhinotracheale strains from birds of prey logic lesions in chickens and turkeys and that the severity
had close genetic relationships to pathogenic strains cir- of lesions are enhanced when there is a concurrent infec-
culating among turkeys and chickens. On the other hand, tion with respiratory viruses or bacteria.
the results further indicate that strains isolated from However, some studies report production of pathologic
pigeons are genetically distant from all other O. rhinotra­ lesions similar to those seen in field cases in chickens and
cheale strains and may taxonomically represent their own turkeys using O. rhinotracheale alone (11, 48, 81).
O. rhinotracheale‐like species (64).
Transmission, Carriers, and Vectors
Pathogenicity
Pathogenicity differences appear to exist between Ornithobacterium rhinotracheale infection appears to
isolates of O. rhinotracheale. Three South African have become endemic and can affect every new restocking

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856 Section III Bacterial Diseases

even in previously cleaned and disinfected poultry houses, Affected birds show listlessness, decreased food intake,
especially in areas with intensive poultry production as reduced weight gains, and transient nasal discharge and
well as in multiple age farms (26). The infection appears sneezing, followed by facial edema (44, 68). O. rhinotra­
to spread horizontally by direct and indirect contact cheale can also cause sudden death (up to 20% in a cou-
through aerosols or drinking water. O. rhinotracheale ple of days) in young birds with infections of the brains
was found to survive 1 day at 37 °C, 6 days at 22 °C, 40 and skull with or without respiratory symptoms (4).
days at 4 °C, and at least 150 days at –12 °C (35). The In broiler breeders the disease affects the birds in the
survival of O. rhinotracheale at lower temperatures may laying period, primarily at the peak of production or
be associated with the higher incidence of reported soon before entering production. There is a slight
infections during winter months. It did not survive increase in mortality, a decrease in feed intake, and
24 hours at 42 °C. some mild respiratory symptoms. Mortality is variable
Vertical transmission is suspected based on some and relatively low in uncomplicated cases. There can be
reports of the isolation of O. rhinotracheale at a very low a drop in egg production, decrease in egg size, and poor
incidence from reproductive organs and hatching eggs, eggshell quality. Fertility and hatchability are unaffected
infertile eggs and dead embryos (15, 62). In addition, in many cases (21).
O. rhinotracheale has been isolated from the ovaries, In commercial laying‐type chickens, decreased egg
oviduct, hatching eggs, infertile eggs. However, when production, increased misshapen eggs, and increased
O. rhinotracheale was inoculated into embryonated mortality have been associated with O. rhinotracheale
chicken eggs, the embryos were killed by the ninth day infection (59).
and O. rhinotracheale was not isolated from the eggs Roepke (47) found a higher severity of clinical signs
suggesting it is not transmitted via eggs during hatching and mortality in older turkeys, and the majority of young
(81). However, van Veen et al. (77), observed that specific infected flocks appeared clinically normal. In many cases
pathogen‐free broiler chickens placed in a hatcher at a young poults are affected between 2 and 8 weeks of age.
commercial turkey hatchery during hatch showed res- Mortality ranges between 1% and 15% during the acute
piratory tract lesions at postmortem examination that phase (8 days), but infections can be accompanied with
were positive for O. rhinotracheale by bacteriological mortality rates of up to 50% (13). Initial symptoms are
and immunohistological examination. coughing, sneezing, and nasal discharge followed, in
some cases, by severe respiratory distress, dyspnea, pros-
tration, and sinusitis. These symptoms are accompanied
Incubation Period
with a reduction in feed consumption and water intake.
Experimental inoculation of 22‐week‐old turkeys with In turkey breeder flocks, there can also be a decrease in
O. rhinotracheale resulted in depression, coughing, and egg production and an increase in the number of unsuit-
decreased feed intake within 24 hours (57). In 48 hours, able hatching eggs (13, 68).
turkeys were coughing bloody mucus. Five days post- Ornithobacterium rhinotracheale has been reported to
inoculation, the coughing had decreased and surviving cause neurological signs or paralysis through arthritis,
turkeys were less depressed. meningitis, osteitis, and osteomyelitis in chickens and
In experimental infection, broiler chickens were turkeys (17, 60, 68).
challenged at 14 days or 21 days with an aerosol and
observed for 2 weeks postinfection. Pathologic lesions
Pathology
at postmortem investigation in general were mild, with
only significant airsacculitis at first week postinfection Gross
and severe exudate in the trachea at second week In broiler chickens, the common gross lesions include
postchallenge (70). pneumonia, pleuritis, and airsacculitis. At slaughter or
postmortem examination, foamy, white, yogurt‐like exudate
can be seen in the air sacs (predominantly abdominal)
Clinical Signs
(Figure 19.18), most of the time accompanied by unilateral
The severity of clinical signs, duration of the disease and pneumonia (70). Lesions caused by O. rhinotracheale
mortality of O. rhinotracheale outbreaks are extremely can lead to condemnation rates of 50% or more (74, 76).
variable. They can be influenced by many factors such as In addition, subcutaneous edema over the cranium with
poor management, inadequate ventilation, high stocking adjacent osteitis, osteomyelitis and encephalitis has been
density, poor litter conditions, poor hygiene, high ammo- reported in chickens.
nia levels, concurrent diseases and the type of secondary In turkeys, there is edema and unilateral or bilateral
infection. consolidation of the lungs (26, 27) with fibrinous exudate
Clinical signs in broiler chickens generally appear at on the pleura (Figure 19.19). In addition, there could be
3–6 weeks of age with a mortality rate of 2%–10%. fibrinosuppurative airsacculitis, pericarditis, peritonitis,

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Chapter 19 Pasteurellosis and Other Respiratory Bacterial Infections 857

Figure 19.18 Thickened, opaque air sacs with white to yellow exudate
(arrows) associated with infection of Ornithobacterium rhinotracheale
in 9‐week‐old turkeys. (For color detail, please see the color section.) Figure 19.20 Severe fibrinoheterophilic inflammation of lung
associated with Ornithobacterium rhinotracheale infection in a turkey.
H&E, ×20. (S. Stoute) (For color detail, please see the color section.)

large collections of fibrin admixed with macrophages


and heterophils lying free within the lumen of air capillaries
and parabronchi. There are pronounced and diffuse
interstitial infiltrates of macrophages with smaller
numbers of heterophils. Widespread coalescing foci of
necrosis often centered within the lumen of parabronchi
with extension of the necrosis into the adjacent paren-
chyma are present. These necrotic foci usually are filled
with dense aggregates of necrotic heterophilic infiltrate
or exudate, and there can be scattered small clusters of
bacteria seen within the necrotic foci. Numerous blood
capillaries can be distended and filled with fibrin thrombi.
The pleura and air sacs can be severely thickened and
edematous with interstitial fibrin deposits, diffuse
heterophilic infiltrate, scattered small foci of necrotic
heterophilic infiltrate, and fibrosis.

Immunity
Minimal information is available regarding immunity to
O. rhinotracheale. The active immunity induced by inac-
tivated vaccines was found to be serotype specific, but
Figure 19.19 Consolidation of the lungs with fibrinous exudate
live vaccination can induce a degree of cross‐protection
on the pleura (pleuropneumonia) associated with
Ornithobacterium rhinotracheale infection in a 16‐week‐old turkey. between some serotypes (54). Passive immunity can be
(For color detail, please see the color section.) induced for up to 3–4 weeks by maternally derived
antibodies.
and mild tracheitis. In some cases, swelling of the liver
and spleen, as well as degeneration of heart muscles, has
been observed. Infections of the joints and vertebrae can Diagnosis
be seen in older birds.
A presumptive diagnosis may be made based on clinical
Microscopic signs and necropsy findings. However, a definitive diag-
Most histologic lesions can be seen in the lungs, pleura, nosis must be based on the isolation and identification
and air sacs. In field cases, the lungs (Figure 19.20) are of O. rhinotracheale and/or detection of antibodies
congested, and throughout the parenchyma, there are (10, 22).

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858 Section III Bacterial Diseases

Isolation and Identification of Causative Agent birds (1, 29). In addition, the immunofluorescence
antibody test and immunohistochemical staining were
Bacterial Isolation and Identification
used to detect O. rhinotracheale in chickens (72).
The trachea, lungs, and air sacs are the best tissues from
Subsequently, van Veen et al. (76) found that the immu-
which to isolate O. rhinotracheale, though it has been
nofluorescence assay and the peroxidase‐antiperoxidase
isolated from numerous tissues, including joint, brain,
test were equally sensitive. Using these tests, they were
and oviduct. The infraorbital sinus and nasal cavity are
able to identify a higher percentage of O. rhinotracheale‐
also suitable sites for culture, but O. rhinotracheale can
infected chicken broiler flocks at slaughter, when
be masked easily by other bacteria overgrowth.
compared with conventional diagnostic methods (i.e.,
Fresh tissues and/or swabs should be collected within
serology and/or bacteriology).
the first week of infection, and shipped cooled in a trans-
port medium, such as Amies gel medium or Stuart gel
medium (43). Serology
Ornithobacterium rhinotracheale can be isolated on
Serology is useful for flock monitoring or as an aid in the
common, nonselective blood or chocolate agar. Colonies
diagnosis of O. rhinotracheale infection.
grow in 24 hours, but it is best to hold inoculated plates
The serum plate agglutination test (SPAT) has been
for 48–72 hours in air enriched with 7.5%–10% CO2.
used as a rapid test for the detection of antibodies against
Colonies will appear pinpoint to small (approximately
O. rhinotracheale (19, 28). One SPAT was developed using
1–2 mm diameter), gray to gray‐white, circular, and con-
a nonserotyped Minnesota isolate of O. rhinotracheale
vex with an entire edge. Gram stain will reveal character-
and was reported to have good sensitivity and specificity
istic pleomorphic Gram‐negative bacteria. Colonies are
(3). However, in another study (36) the SPAT detected
catalase‐negative and oxidase‐positive. Pure O. rhinotra­
only 65% of infected birds during the first 2 weeks of
cheale cultures have a distinct odor, similar to that of
infection and declined significantly thereafter. This sug-
butyric acid.
gests that the SPAT detects IgM antibodies, which are
In contaminated samples with fast growing bacteria,
efficient in agglutination with specific antigens. Erganis
such as E. coli, Proteus sp. or Pseudomonas sp., O. rhinotra­
et al. (19) developed a dot immunobinding assay (DIA)
cheale colonies may be overgrown and are difficult to
which appeared to be less sensitive than other agglutina-
detect in routine investigation. Since most O. rhinotracheale
tion tests.
isolates are resistant to gentamicin the use of 10 µg of
ELISAs have been developed using different serotypes
gentamicin per milliliter of blood agar medium is recom-
and extracted antigens of O. rhinotracheale. Boiled
mended in an effort to isolate O. rhinotracheale from
extract antigens, which are used for serotyping, tend to
contaminated samples. Blood agar containing 5 µg/mL of
give the best results for serotype‐specific tests (68).
gentamicin and polymyxin B was also effective (22).
Conversely, sodium dodecyl sulfate (SDS)‐antigen
The API‐20NE system (bioMérieux, France) was found
extraction (25) and extracted outer membrane proteins
useful for the identification of O. rhinotracheale (71).
of O. rhinotracheale (36) will result in more cross‐reac-
Ninety‐nine percent of isolates were found to have bioco-
tions allowing detection of antibodies against different
des 0‐2‐2‐0‐0‐0‐4 (β‐galactosidase, urease and oxidase
serotypes with 1 test. Field surveys using these ELISAs
positive) (65%) or 0‐0‐2‐0‐0‐0‐4 (β‐galactosidase and oxi-
or commercial ELISA kits have been useful for moni-
dase positive) (34%). For those isolates that were posi-
toring flocks and the diagnosis of O. rhinotracheale
tive for the arginine dihydrolase test, biocodes 0‐3‐2‐0‐0‐0‐4
infections (23, 46, 49, 67). Commercial ELISA kits are
or 0‐1‐2‐0‐0‐0‐4 were found. Also isolates with the code
currently available and able to detect antibodies against
0-0-2-0-0-0-0 (β‐galactosidase positive and urease as well
all tested O. rhinotracheale serotypes.
as oxidase negative) are highly suspected (50).
The effect of amoxicillin treatment on the antibody
The rapid slide agglutination test also has been used
kinetics after experimental infection showed that imme-
for diagnostic purposes. However, auto‐agglutinable
diate treatment did not influence the antibody response,
strains were regularly found (3).
whereas treatment that started 7 days postinoculation
The AGP test, using known positive antisera, is cur-
resulted in a lower antibody response (11).
rently used to identify and serotype O. rhinotracheale
isolates. Conventional and real‐time PCR tests have been
developed and are used for the identification of suspect Differential Diagnosis
isolates (1, 29).
Respiratory lesions associated with O. rhinotracheale are
similar to those caused by numerous bacteria, such as
Antigen Detection E. coli, Pasteurella multocida, Riemerella anatipestifer,
As mentioned above, PCRs was used for the detection of Avibacterium paragallinarum, Coenonia anatine, and
O. rhinotracheale in tracheal swabs of heavily infected Chlamydia psittaci.

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Chapter 19 Pasteurellosis and Other Respiratory Bacterial Infections 859

Intervention Strategies Sprenger et al. (58) vaccinated 6‐week‐old turkeys


either intranasally with a live vaccine or subcutaneously
Management Procedures with a killed O. rhinotracheale vaccine, and challenged
them intratracheally with live O. rhinotracheale at 14 or
Ornithobacterium rhinotracheale appears to be highly 21 weeks of age. Airsacculitis and pneumonia occurred
contagious and strict biosecurity measures should be fol- less frequently in vaccinated birds than in unvaccinated
lowed to prevent its introduction into a flock. However, birds after challenge, and O. rhinotracheale was recov-
after a ranch is infected, O. rhinotracheale becomes ered from unvaccinated, challenged birds, but not from
endemic, especially in multiple‐age farms and in areas vaccinated, challenged or unchallenged birds.
with intensive poultry production. Administration of an autogenous live vaccine (oral
route) in 6‐week‐old turkeys resulted in a decrease in
Vaccination pathologic lesions and mortality when the birds were
older. It is interesting to note that the birds were simultane-
Types of Vaccines ously spray vaccinated with a live avian paramyxovirus‐1
Several attempts to combat infection by using several vaccine without any problems (11).
types of vaccines such as bacterins, live vaccines, and
subunit recombinant vaccines under experimental and Recombinant Vaccines. Schuijffel et al. (52) demonstrated
field conditions have been carried out with various results that cross‐protective immunity against different
(11, 20). O. rhinotracheale serotypes can be induced by live
vaccination in chickens. The genes encoding 8 cross‐
Inactivated Vaccines. Vaccination of broiler chickens with reactive antigens (Or01, Or02, Or03, Or04, Or11, Or77,
inactivated vaccines was found to be effective (69), but is Or98A, and Or98B) were amplified, cloned in an
probably impractical in most, because the efficacy of the expression vector, and expressed in E. coli. Purified
vaccine is negatively influenced by the presence of recombinant proteins with a molecular mass ranging
maternal antibodies. On the other hand, vaccination of from 35.9 to 62.9 kDa were mixed and tested as a
broiler breeders with mineral oil adjuvant inactivated subunit vaccine for protection against challenge with
vaccines stimulated the development of high maternal homologous and heterologous O. rhinotracheale
antibodies (7, 8), which were sufficient to protect progeny serotypes. Subunit vaccination resulted in the
against experimental challenge for up to 4 weeks of age production of antibodies reactive to the recombinant
(69) and produced lower mortality and condemnation proteins on Western blot, and this eight‐valent vaccine
rates in the progeny from vaccinated breeders (8). Using provided both homologous and heterologous protection
inactivated vaccines with mineral oil adjuvant, layers against O. rhinotracheale challenge in chickens. In a
vaccinated at 8 weeks of age with a booster dose at 12 subsequent study (53), they found that these 8 antigens
weeks of age, produced an early immune response and are highly conserved among different O. rhinotracheale
reduced the incidence of airsacculitis and pneumonia (42). serotypes, but the different antigens were not expressed
Vaccination of meat turkey flocks using monovalent or by all serotypes. In addition, their 4 component subunit
trivalent bacterins in field trials resulted in production of vaccine was able to protect chickens against challenge
antibodies for a short duration. Nonetheless, the mortality with a heterologous O. rhinotracheale serotype.
and condemnation rates were lower in the vaccinated
group when compared with the unvaccinated group.
Vaccination of young turkeys with autogenous bacterins Treatment
successfully reduced the number of outbreaks (11). The treatment of O. rhinotracheale infections with
Because of the possibility of infection by several sero- antibiotics is very difficult because of the variable sus-
types, it may be necessary to use different serotypes in ceptibility of strains. O. rhinotracheale can acquire
the vaccines. reduced susceptibility or resistance against antibiotics
such as amoxicillin, ampicillin, doxycycline, enrofloxacin,
Live Attenuated Vaccines. A temperature‐sensitive mutant flumequine, gentamicin, lincomycin, trimethoprim‐
of O. rhinotracheale was developed and used as a live sulfonamide, tetracycline and tylosin (14, 37, 39, 56, 75).
vaccine in turkeys (33, 34). Turkeys were vaccinated at Susceptibility can be dependent on the antibiotic regime
5 days of age via the drinking water, and challenged used by the poultry industry in various geographical
7 weeks postvaccination. Vaccinated birds had a locations.
significantly lower mean score for gross lesions when In 1996, Hafez reported that water medication using
compared with unvaccinated birds, as well as a lower amoxicillin at a dose of 250 ppm for 3–7 days gave
rate of reisolation and number of colony forming units of ­satisfactory results in most cases, and application of
O. rhinotracheale per gram of lung tissue. chlortetracycline at a dose of 500 ppm in drinking

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860 Section III Bacterial Diseases

water for 4–5 days appeared to be effective (21). How­ had a significantly lower susceptibility to erythromycin
ever, further studies have shown that treatment with and sarafloxacin when compared with isolates from the
amoxicillin is no longer efficacious (39). In some cases, United States. Furthermore, Zahra et al. (84) found that
injections with various tetracyclines and penicillins were antibiotic sensitivity of SCVs O. rhinotracheale isolates
found to be effective. had higher minimum inhibitory concentration (MIC)
Sixty‐eight O. rhinotracheale isolates from the United values in comparison with their wild type isolates.
States were found susceptible to ampicillin, erythromycin, They suggested that successful antibiotic treatment of
penicillin, spectinomycin, and tylosin, and 54 of the respiratory diseases associated with O. rhinotracheale
68 isolates were susceptible to neomycin, sarafloxacin, must take into consideration the resistance patterns of
and tetracycline. It was also found that German isolates O. rhinotracheale SCVs.

­Bordetellosis (Turkey Coryza)


Karen B. Register and Mark W. Jackwood

Summary Economic Significance


There are few data available addressing the current
Agent, Infection, and Disease.Bordetellosis is an acute, prevalence of bordetellosis in poultry and no detailed
highly contagious respiratory disease of young turkeys. analysis of its economic impact. The number and severity
Bordetella avium was once considered the sole etiologic of outbreaks appears to have lessened in recent years but
agent but B. hinzii is now also known to be a potential the disease remains a major concern for turkey produc-
cause. Mortality in uncomplicated outbreaks is low but ers. Impaired growth and high mortality resulting from
80%–100% morbidity is typical and the economic impact secondary colisepticemia probably cause significant
can be substantial. Mortality may be at least 50% under losses to the turkey industry. B. avium or B. hinzii alone
poor management conditions or when additional is not known to cause disease in chickens, but related
pathogens are present. Bordetellosis occurs in nearly all losses may occur when B. avium infections are complicated
areas of the world where turkeys are intensively raised. by prior or concurrent infection with other pathogens.
It is not known whether B. hinzii may also contribute to
Diagnosis. Diagnosis is based on clinical signs and losses in cases of complicated infections.
lesions and isolation of B. avium or B. hinzii from the
respiratory tract.
Public Health Significance
Intervention. B. avium vaccines may reduce disease For many years it was thought that B. avium infected
severity or delay onset but they fail to prevent infection only avian hosts but it is now apparent that the bacterium
and are not widely used. is also a rare, opportunistic human pathogen (41, 121).
B. hinzii is likewise an opportunist in humans, occasion-
ally reported as a cause of respiratory disease, bacteremia
Introduction or infections of the digestive system (29, 121). Some
evidence suggests that contaminated poultry or other
Definition and Synonyms avian reservoirs may be among the sources from which
B. hinzii can be transmitted to humans.
Bordetellosis in poultry is a highly contagious disease
affecting primarily the upper respiratory tract. Once
thought to be caused by only Bordetella avium, it is now
apparent that a closely related bacterium with which it History
has frequently been confused, B. hinzii, may also cause
bordetellosis in turkeys (97). The disease is still at times Turkey rhinotracheitis (coryza) attributable to a bacte-
referred to as turkey coryza. Other synonyms that have rium of the genus Bordetella was first reported in Canada
been largely abandoned are alcaligenes rhinotracheitis in 1967 (32) and then in Germany, nearly a decade later
(ART), adenovirus‐associated respiratory disease, acute (45). Outbreaks with a similar presentation occurring in
respiratory disease syndrome, B. avium rhinotracheitis the United States and elsewhere were frequently associ-
(BART), and turkey rhinotracheitis. The variety of names ated with adenovirus, infectious bursal disease virus
used for this disease reflects the initial confusion that (IBDV) or a variety of other bacterial or viral agents
surrounded its etiology. but none were consistently capable of reproducing the

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