ISRAEL JOURNAL OF VETERINARY MEDICINE INTESTINAL CHLAMYDIOSIS IN THE PROGENY OF IMPORTED BEEF CATTLE; FIRST DETECTED IN ISRAEL Vol. 56 (2) 2001 J. Brenner1 Y. Yaakobovich2 and M. Berenstein2 1. Unit of Neonatal Diseases Prevention 2. Department of Bacteriology, Kimron Veterinary Institute, P. O. Box 19, 50250 Bet Dagan, Israel Summary Intestinal chlamydiosis was diagnosed for the first time in Israel in the progeny of imported cattle. Eighty calves were born to 100 imported dams. Forty calves born at the beginning of the calving season showed no clinical signs of disease. The 40 remaining calves, born subsequently, developed on day 5 a watery-yellowish diarrhea tinged with undigested spots of blood (morbidity rate = 0.5). Clinical signs lasting 5 days were observed. 25 of the sick calves died while the remaining 15 recovered (case fatality rate = 0.315). Chlamydial antigen was demonstrated in 6 out of 14 samples submitted, and was identified in feces, synovial fluid, lung and pharyngeal lymph node. To evaluate whether this type of chlamydial outbreak could be considered as a rare syndrome in Israeli farms, an attempt to demonstrate chlamydial antigens in the feces of newborn calves less than 10 days old and suffering from diarrhea, was carried out during a 12 month period. Only 2 out of 100 diarrheic fecal samples originating from local cattle over a period from January throughout December 1999, were chlamydial antigen positive (prevalence of 0.02, 95% CI, 0,0.07). This outbreak of intestinal chlamydiosis in young calves was observed for the first time in Israel and we conclude that it should be considered as a rare phenomenon. Introduction Chlamydiae are obligate, intracellular parasites belonging to the bacterial order of Chlamydiales. Infection of livestock with chlamydiae may result in pneumonia, abortion, rhinitis, conjunctivitis, arthritis, or enteritis or in no apparent disease. The intestinal tract is the natural habitat for chlamydia, mostly causing inapparent infections. The intestine may be an important portal of entry in the development of systemic infections (1), and chlamydia may occasionally cause severe enteric disease in calves less than 10 days old (1, 2,3,4). Hepatic lesions, not necessarily with clinical signs of hepatitis, interstitial pneumonia and arthritis often accompany watery diarrhea and dehydration. Serosal hemorrhages, mucosal edema and petechiae are often observed. The demonstration of chlamydia in fecal samples and internal organs of young calves, born to imported dams, led us to conduct a study to verify its unusual rare appearance in Israel. The object of this study was to determine the incidence of intestinal chlamydiosis of diarrheic young calves less than 10 days old in Israel during a 12 month period (January-December 1999). Materials and Methods Materials and Methods Pathological specimens originating from imported young cattle (Murray Grey) submitted for detection of chlamydial antigen Three dead calves 10 days old were brought to Kimron Veterinary Institute (KVI) originated from a Murray Grey breed imported two years earlier from Australia. These calves belonged to a Kibbutz farm that owns also two local beef cattle herds and one large dairy cattle herd. No clinical disease in the neonatal calf rearing units was observed in these three herds. On post mortem examination, extensive abomasal petechiae were observed in the dead calves and chlamydial involvement was suspected. Eleven additional fecal samples of calves less than 10 days old originating from the affected Australian herd and born towards the end of the calving period were examined for chlamydial antigen. Six were from diseased calves and 5 from healthy ones. In addition, all the fecal samples were submitted for routine bacterial and viral diagnosis (5) (Table 1). Chlamydial antigen examination of fecal samples from young calves from other herds on the same farm Fecal samples were collected from 20 healthy calves up to 10 days old originating from the other 3 herds (2 beef and 1 dairy) belonging to the same farm. The observational period overlapped (partially) the period during which the clinical manifestations were observed in the imported stock (November 1999-February 2000). Fecal samples of local Israeli diarrheic calves Eighty-four fecal samples including 24 from cadavers and 60 feces from diarrheic calves less than <10 day old which arrived to the department of bacteriology at the KVI for routine diagnosis were examined for chlamydial antigen. In addition, 16 other fecal samples from two herds, 8 samples from each herd, were included after one positive chlamydia sample in each herd was detected during the survey. Chlamydial antigen in pathological material A commercial kit Cell LPS IF test (Cellab PTY LTD, Brookvale, Australia) based on the detection of the common group specific chlamydial lipopolysaccharide (LPS) antigen was used. It utilizes a fluorescein-labeled monoclonal antibody which binds specifically to the organism. The manufacturer claims 92.5% of specificity and 89.0% of sensitivity when the tests are performed according to instructions. This test is recommended by the OIE (6). Statistics Proportion of chlamydial positive samples and 95% confidential interval (CI) for each group of samples were calculated, namely, for those originating from “Israeli” or “foreign” sources. Case fatality rate (number of deaths/number of cases) and morbidity rate (number of cases/population at risk) were calculated for the herd (“foreign”) that experienced the intestinal chlamydiosis outbreak. Results Identification of intestinal chlamydiosis in imported beef calves (Murray Grey) In calves born in Israel to imported Australian beef cattle, unusual morbidity and mortality were observed. A total of 80 calves were born to 100 imported dams. The calving period lasted approximately 3 months, from October to the end of December 1998. The 40 calves born during the first half of the calving period, showed no clinical signs of disease. Morbidity suddenly erupted. All the remaining 40 (morbidity rate = 0.5) calves born thereafter developed on day 5 a watery-yellowish diarrhea tinged with undigested drops of blood. Twenty-five of them died after an illness lasting 5 days (case fatality rate = 0.315). Supportive treatment with antibiotics and physiological solutions probably saved the remaining 15 calves. Chlamydial antigen was identified in two of three cadavers brought for post mortem examination. This was demonstrated in the feces and the synovial fluid (no other organs were inspected) of one calf, while in the other it was found in the feces, lung and pharyngeal lymph node. No attempt at antigen demonstration was performed on the first cadaver which was precedent before chlamydial disease was suspected. Chlamydiae antigen was demonstrated in 3 out of 6 diseased calves and in one out of 5 other healthy ones. A total of 6 positive cases was demonstrated out of 14 specimens (11 feces and 3 cadavers) tested (incidence of 0.428, 95% CI, 0.18-0.71). Table 1 lists other enteropathogens found in the feces of the diseased Murray Grey calves. Only rotavirus as a major enteropathogen could have been associated and even involved in this outbreak. They were identified in about 50% of the samples. Table 1. Microorganisms prevalence in feces of young diarrheic Murray Grey calves Positive samples 7 Campylobacter Jejumi 1 Cryptosporidium parvum 5 Salmonella Cl 1 Tested Pathogen Rotavirus Negative samples 7 5 9 13 Prevalence 50% 20% 35.7% 7.7% Coranvirus, E. coli K99+ and anaerobic bacteria or other Salmonella spp. were negative. Chlamydial antigen in fecal samples collected in 1999 Only two out of 100 diarrheic fecal samples originating from local sources, were positive for chlamydial antigen (prevalence of 0.02, 95% CI, 0,0.07). Discussion As reported by others, the majority of calves yielding chlamydia from fecal samples are of apparently good health and clinically normal (1). The enteritis described in this study and the demonstration of chlamydial antigen in fecal samples concomitantly with its demonstration in internal organs and synovial fluid, is consistent with clinical descriptions reported of intestinal chlamydiosis (1,3,4). However, definitive diagnosis requires isolation of the infective agent from internal organs or detection of antigen by a specific IF test as was fulfilled in this outbreak (7). Reggiardo et al., (8) reported chlamydial agents recovered from calves suffering from diarrhea as young as two days of age. In experimental infection, it was demonstrated that 24-hour-old calves developed fever, leukocytosis and diarrhea and some mortality after oral exposure (1). Other infected calves developed watery, mucoid and bloody diarrhea, dehydration and frequently the affected calves died. Doughri et al,. (1) and Shewen (2) reported an undifferented diarrheic syndrome produced experimentally that had ensued in dehydration and death in calves under two weeks of age. Routine examination for intestinal chlamydiosis in fecal samples originating from young calves younger than 10 days is performed periodically. Until 1999, clinical intestinal chlamydiosis of young calves was considered as very rare, if at all, in Israel. Our current data confirm that this epidemiological situation was not changed materially. With regard to the identification of the chlamydia, there are no commercially available reagents that can distinguish between C. psittaci and C. pecorum or between different strains of C. psittaci. These strains cause dramatically diverse disease syndromes and have greatly varying pathogenic properties (9). In this outbreak, we assume that the strain involved was C. pecorum according to the new classification reviewed by Everett (9). Based on the latter, C. pecorum is responsible for lesions encountered in the intestine, joints and lymph nodes of cattle and other farm animals. We have demonstrated the presence of chlamydial antigen in all these organs and in the lung of newborn calves that was examined. The identification of chlamydial antigen in fecal samples in more than one case from calves originating from imported cattle, confounds the findings in fecal samples originating from the local diarrheic young calves. Thus, it seems that the intestinal chlamydiosis of the imported calves was an unusual event in Israeli herds. Based on our records, no problems related to intestinal chlamydiosis have been encountered in Israel during the last 25 years. We have been tested, at random, few dozens of fecal samples of diarrheic calves less than 10 days of age for the presence of chlamydial antigen. They resulted negative (personal communication). Furthermore, we were unable to confirm its presence in pathogenic fecal samples collected during 1999 in such a magnitude that could be considered as an outbreak of intestinal chlamydiosis in calves. With regard to the two identifications that were found during our observational period on two different farms, the findings might be considered as sporadic events. In fact we failed to demonstrate chlamydial antigen in any of the additional sixteen fecal samples, taken on these same sites in successive order. These cases did not meet the “outbreak” criteria. Moreover, no clinical manifestations consistent with intestinal chlamydiosis were observed on these two above-mentioned farms. The presence of this pathogen in calves originating from imported cattle remains unexplained as we failed to demonstrate Chlamydial antigen presence in fecal samples taken from the imported dams (data not shown). Some authors propose that although ruminants become infected orally, newborn calves are probably infected in utero or even transplacentally (8,10). The in utero infection theory may explain the apparent absence, so far, of chlamydial transmission from the affected herd to the other 3 herds on the same farm. It also strengthens some claims that vertical transmission is the major route of transmission of intestinal chlamydiosis (8,10). Indeed we were unable to demonstrate chlamydial antigen in young calves originating from the other three herds on the same farm. Moreover, no outbreaks of undifferented diarrhea were observed during or after the outbreak in the imported stock. Diarrhea, which by its nature is multi-factorial and therefore several enteropathogens in combination might be isolated/demonstrated. Other enteropathogens, which were demonstrated in the feces of the affected calves, especially rotavirus and cryptosporidia might cause diarrhea alone or in combination with other pathogens References 1. Doughri, A.M., S. Young, and J. Stroz, 1974. Pathologic changes in intestinal chlamydial infection of newborn calves. Am. J. Vet. Res. 35: 939-944. 2. Shewen, P.E., 1980. Chlamydial infection in Animals. A review. Can. Vet. J. 21: 2-11. 3. Stroz, J., K.P. Altera, H.J. Olander, and A.K. Eugster,. 1971. Behavior of different bovine chlamydia agent in newborn calves. J. Comp. Path. 81: 299-310. 4. Eugster, A.K. and J. Stroz, 1971. Pathogenic events in intestinal chlamydiosis infection leading to polyarthritis in calves. J. Infect. Dis. 123: 41-50. 5. Brenner, J., Friedman, S. and Elad, D. 2000. Prevalence of enteropathogenic organisms from the feces and carcasses of young cattle in Israel from 1990 to 1997. Isr. J. Vet. Med. 55: 5-9. 6. Office International des Epizooties, Manual of Standard for Tests and Vaccines 1996. Pp. 634-640. 7. Pienear, J.G. and A.P. Shutte, 1975. The occurrence and pathology of chlamydiosis in domestic and laboratory animals: a review. Onderstepoort J. Vet. Res. 42: 77-90. 8. Reggiaro, G., T.J. Fuhrmann, G.L. Meerdink, and E.J. Binknell, 1989. Diagnostic chlamydia infection in dairy calves. J. Vet. Diag. Invest. 1: 305-308. 9. Everett, K.D.E., 2000. Chalmydia and Chlamydiales: more than meets the eye. Vet. Immunol. Immunopathol. 75: 109-126. 10. Idtse, F.S., 1984. Chlamydia and chlamydial disease of cattle: a review of literature. Vet. Med. 79: 543-550.