1 CLOSTRIDIAL DISEASES BACILLARY HAEMOGLOBINURIA (REDWATER DISEASE) BLACKQUARTER (BLACKLEG) BLACK DISEASE (INFECTIOUS NECROTIC HEPATITIS) BOTULISM (LAMZIEKTE, WESTERN DUCK SICKENESS) BRAXY (BRADSOT) ENTEROTOXAEMIA (PULPY KIDNEY DISEASE, OVEREATING DISEASE, TURNIP SICKNESS) LAMB DYSENTERY STRUCK MALIGNANT OEDEMA (GAS GANGRENE) TETANUS (LOCKJAW) In general there are three main categories of clostridial diseases: 1) 2) 3) Those in which the organism invade the tissues where toxin is formed, e.g. malignant oedema, Those in which the organism multiply in the intestine with the production of toxin that is absorbed into the blood, e.g. enterotoxaemia, Those in which the toxin is ingested preformed in the feed, e.g. botulism. (Spores are viable for 1-2 years in salted meat and are resistant to 100°C). Other clostridial diseases such as tetanus and black disease result from the elaboration of toxin in previously damaged tissue, e.g. a deep punctured wound in tetanus and a lesion caused by immature flukes in black disease. BACILLARY HAEMOGLOBINURIA (REDWATER DISEASE) This is an acute highly fatal toxaemia of cattle and sheep characterized by jaundice, haemoglobinuria, fever and the presence of anaemic infarcts in the liver. The disease has been recorded in the USA, Mexico, Venezuela, Chile, Turkey, Australia, New Zealand, UK. The causal organism is Clostridium haemolyticum (Cl. novyi Type D) that can survive for long periods in soil and bones. Infection probably occurs by ingestion of contaminated food and water. Toxin is produced if there is any liver damage (by fluke or mechanical injury) that produces the anaerobic conditions necessary for the growth of spores. Lesions These include anaemia, jaundice, dehydratation and subcutaneous gelatinous oedema. Blood-stained fluid is present in the pleural and peritoneal cavities, the small intestine, and sometimes the large bowel, is haemorrhagic with blood-stained contents. 2 Typical lesions are found in the liver that shows anaemic infarcts (5-20 cm), slightly raised from the surrounding parenchyma, light in colour and outlined by a zone of hyperaemia. The kidneys are dark in colour and petechiated with purplish-red urine in the bladder. Judgement Since the disease is very sudden in onset and runs a rapid course (12 h to 4 days) it is unlikely that cases will be encountered in the abbatoir. Total condemnation because of acute toxaemia is carried out. BLACKQUARTER (BLACKLEG) This an acute infective disease of the ox and sheep caused by Clostridium chauvoei and characterized by severe inflammation of muscles with toxaemia and high mortality. It results from soil infection and it is therefore more common in grass-fed than in stall-fed animals. Blackleg is worldwide in distribution and is confined to certain districts and even particular fields on a farm. Blackquarter spores are very resistant to destructive influence and may retain their virulence for 10-12 years in dried muscle, and indefinitely in the soil. The period of incubation is 2-5 days. Susceptible animals may be infected by inoculation or, more commonly, by the ingestion of spores in soil, dust, food or drinking water. By far the greatest proportion of cases in cattle occur in animals between 6 months and 2 years of age, animals in good bodily condition being the most often attacked. Sheep may be attacked at any age and outbreaks of the disease are associated with wounds at shearing, docking or castration. In both ox and sheep the death rate is high (about 98%), but the disease does not affect humans. Lesions In the ox, infection is followed by crepitant swellings that develop in the subcutaneous connective tissue and spread rapidly. These swellings are usually observed on the shoulder, neck, breast, loins or thigh (the muscular areas most subjected to trauma). Carcases of animals that have died of blackquarter emit a peculiar rancid odour, though they do not decompose as rapidly as animals that have died of anthrax. On examination, the connective tissue surrounding the swellings is infiltrated with yellow gelatinous substance that may be haemorrhagic and permeated with gas bubbles. The muscular tissue of swelling is blackish-red and oedematous and gas bubbles can be seen. The related lymph nodes are acutely enlarged and may be haemorrhagic. The spleen is unchanged or only slightly enlarged. The blood is dark red but coagulates readily. 3 Liver and kidneys are enlarged and congested and spongy appearance is developed (gas formation): “foaming organs” of blackquarter. In sheep the lesions are similar to those in the ox but the characteristic changes in the liver and kidneys do not occur. Differential diagnosis It is often mistaken for extensive bruising. The flesh of blackquarter-carcase may emit the typical rancid odour of butyric acid. Blackquarter may be confused with anthrax, but in anthrax crepitating swellings are absent, the blood is uncoagulated and the spleen is usually enlarged. Judgement If a live animal awaiting slaughter is found to be affected with blackquarter, slaughter and dressing of the carcase should be forbidden. Where disease is detected in the dressed carcase, total condemnation is necessary. BLACK DISEASE (INFECTIOUS NECROTIC HEPATITIS) This is an acute toxaemia of sheep and sometimes cattle and pigs caused by the toxin of Clostridium novyi (oedematiens) Type B produced in the liver tissue previously damaged by immature liver flukes. Lesions The affection is esentially an infectious necrotic hepatitis with a black coloration of the inner surface of the skin due to marked and widespread engorgement of minute blood vessels. Judgement Total condemnation. 4 BOTULISM (LAMZIEKTE, WESTERN DUCK SICKENESS) In animals and humans botulism is a highly fatal intoxication caused by the powerful toxin of C. botulinum that is ingested with food. The usual source of the toxin is decaying material (carcase, vegetables) in which spores multiply rapidly under favourable conditions of warmth and moisture. The organism is also present in the soil and is worldwide in distribution. Eight different types of the organism exist, being differentiated by the serological specificity of their toxins: A, B, C alpha and beta, D, E, F and G. Types A, B and E are most important in causing human botulism, while C-alpha causes disease in poultry, ducks and pheasants (Limberneck), C-beta causes conditions in cattle, horses and mink, and D affects cattle and sheep (Lamziekte). The disease of botulism in animals, like that in humans, is associated with a paralysis of muscles and a progressive motor paralysis ending in death due to respiratory and cardiac failure upon the effect of the neurotoxin. The onset of death is frequently so rapid that no clinical signs are evident. The possibility of circulating botulinum toxin being present in animals subjected to casualty slaughter from outbreaks of the disease is a real one, and casualty slaughter should only be undertaken after negative sera examinations (human hazard). Honey-related botulism: See separately ! Lesions May be absent. Haemorrhages may be present in the gut, heart and brain. The presence of carrion material in the stomachs may be suggestive of botulism. Judgement Total condemnation irrespective of carcase condition, because of the hazard for humans. BRAXY (BRADSOT) This is an acute infective disease of sheep characterized by abomasitis, toxaemia and high mortality. The affection appears in the autumn and winter months. The causative organism is Clostridium septicum the cause of malignant oedema in animals. The predisposing causes are probably nutritional. 5 Lesions A characteristic is the rapid post-mortem decomposition with great abdominal distension within a few hours. There is an offensive odour when the abdomen is opened, and the peritoneal fluid, that is turbid and increased in amount, constitutes an almost pure culture of the microorganism. Cloudy swelling of the kidneys, liver and heart may be observed, but the characteristic lesions are encountered in the abomasum, where the mucous membrane shows patches of dark red discoloration, often situated where this stomach is in contact with the rumen. Judgement Braxy, as with other disease in which the onset of death is rapid, is unlikely to be encountered in meat inspection. Total condemnation. ENTEROTOXAEMIA (PULPY KIDNEY DISEASE, OVEREATING DISEASE, TURNIP SICKNESS) This is a rapidly fatal toxaemia that is extremely common amongst store or fattening sheep during the autumn and late winter. Farmers frequently confuse this disease with braxy having a similar onset and course. Enterotoxaemia is caused by C. perfringes, Type D, that under certain circumtances, multiplies rapidly in the abomasum and intestine and produces a powerful toxin that is absorbed into the circulation and quickly paralyses the vital centres in the brain. The affection often occurs soon after a change to better feeding, for the conditions most favourable for toxin production when the intestine contains much highly nutritious food. Lesions Affected sheep are seldom seen alive. After death the carcase becomes distended with gas, and characteristic post-mortem findings are congestion of heart and lungs, bloodstained pericardial fluid, diffuse or punctiform haemorrhage of heart and endocardium and kidney. There are no constant abomasal or intestinal lesions. Clostridium perfringens toxin may be demonstrated in the gut. Judgement Total condemnation. 6 LAMB DYSENTERY This is a highly fatal, infective disease that attacks lambs in the first or second week of life and is caused by C. perfringens, Type B. Death is due to septicaemia and toxaemia, with or without typical ulceration of the intestines. Lambs show profuse diarrhoea and dysentery and, on post-mortem examination, enteritis and ulceration. Judgement The diseasae occurs so early in the life of the lamb and is of such an acute nature that carcases are unlikely to be encountered in meat inspection. Total condemnation. STRUCK Struck (Cl. perfringens type C enterotoxaemia, haemorrhagic enterotoxaemia) is a highly fatal enterotoxaemia originally observed in Kent. It may affect lambs, calves and piglets and is characterized by its sudden onset, dysentery and high mortality. Lesion The main post-mortem lesion is a necrotic, haemorrhagic enteritis with petechiae in the heart, thymus and serous membranes. Judgement Total condemnation. MALIGNANT OEDEMA (GAS GANGRENE) This is an acute toxaemia of cattle, sheep, goats, pigs, horses and reindeer associated with a high mortality and world-wide occurrence. It is mainly caused by Cl. septicum often in association with other clostridial organisms such as Cl. chauvoei, Cl. novyi, Cl. perfringens and Cl. sordelli. C. sordelli causes swelled head in sheep and Cl. novyi swelled head in rams. The bacterium is not found in the circulating blood of affected animals, but is widely distributed in the soil and constant inhabitant of cultivated land. Malignant oedema is therefore particularly associated with wound infection, particularly laceration with deep destruction of muscular tissue and effusion of blood that forms a medium favourable for the growth of the microorganism and the production of its toxin (3% hypochloride; Hides: for 24h in 1% formaldehyde). Infection of sheep may occur after shearing, docking or castration, and “bighead”, that occurs in rams after fighting. Death occurs more rapidly in sheep than in cattle. In pigs the disease is usually acquired by wound infection, but may also occur by ingestion of the bacteria that penetrate the mucous membrane of the stomach. 7 Lesions Oedematous area develops at the site of inoculation within 24 hours. This swelling is at first soft, but becomes taut and can be incised in the living animal without pain. At a later phase the swelling may crepitate in a manner similar to the lesion in blackleg, and when incised there is effusion of a redish-yellow fluid that contains gas bubbles and possesses a putrid odour. In infection after parturition there is a thick, brownish-red discharge from the vagina, followed by a swelling on the vulval lips that is at first painful but later becomes cold, painless, blue and crepitant. In malignant oedema in pigs the stomach wall may show oedema and gas formation. There may be associated changes in the liver and kidneys, that become porous due to gas formation and constitute the “foaming organs”. Judgement Total condemnation. TETANUS (LOCKJAW) Tetanus is an acute, highly fatal infective disease caused by Clostridium tetani (Bacillus tetani) and characterized by spasmodic contraction of the voluntary muscles. It also occurs in cattle, more rarely in pigs, while humans are infected by contamination of wounds. Cl. tetani is particularly abundant in the surface layers of soil, especially in manured fields and garden soil, and can frequently be demonstrated in the intestines of healhy horses. It readily forms spores that are terminal, spherical in shape and about twice the thickeness of the bacterium. These spores are destroyed by boiling water, but the digestive juices have little effect on them. Cl. tetani produces a powerful toxin made up two components (tetanospasmin and tetanolysin, the latter producing the disintegration of red blood cells) The toxin is destroyed by heating to 65 C for 3 min. (Spores: 100 °C for 15 min) Infection with tetanus is associated with injuries of the skin or mucous membranes, particularly in wounds where there is haemorrhage and destruction of tissue. Fractures, castration, shearing wounds or difficult parturition are common methods by which the microorganism may gain entrance to the animal body and multiply under anaerobic conditions. Infection may also occur in the newborn animal by way of the umbilicus. The incubation period is from 4 to 14 days, but spores remain latent in animal tissues for considerable periods and then, under suitable conditions such as cold, excessive heat or muscular exertion, become active. 8 Symptoms and lesions Cl. tetani seldom reaches the blood stream, but exerts its pathogenic effects by its toxin, that possesses an affinity for nervous system. The disease is characterized by the onset of muscular spasm, begining in the region of head and spreading backwards to other muscular groups. The muscles feel hard. The spasm of the masseter muscles responsible for the common term lockjaw. There is great excitability and increased respirations, and it is characteristic for the temperature to remain normal until death and then rise several degrees. In cattle, retention of the fetal membranes and a resultant septic metritis is often associated with tetanus, the main symptoms being cessation of rumination together with tympanitis and distension of the left flank. In sheep and goats the disease is manifested by a stiff, stilted gait, and in pigs by a pricking up of ears and tail. There are no characteristic post-mortem lesions of the disease (fat in heart, liver and kidneys might become soft and grey or yellow due to hyaline degeneration). Animals that have died of tetanus show evidence of asphyxia, the blood being dark red and showing little tendency to clot. Petechial haemorrhages may be found on the serous membranes of heart, together with oedema and congestion of the lungs. Though tetanus may be recognized with ease in the live animal, its detection after slaughter presents considerable difficulty. Ante-mortem inspection is therefore of the greatest value. Judgement Tetanus is extremely unlikely to be acquired by humans consuming the flesh of an affected animal but the imperfect bleeding of the carcase together with poor durability and changes in the colour of the musculature, necessitate total condemnation.