Clinical-epidemiological Investigation of Moldy Corn Poisoning Due to Penicillium Spp in Mules at Udayapur District, Nepal
Clinical-Epidemiological Investigation of Moldy Corn Poisoning due to Penicillium spp in mules at Udayapur District, Nepal
1.Dr.Kedar Karki
Vet. Officer,
Dr.Poornima Manandhar SVO
Central Vet. Laboratory. Tripureswor Kathmandu Nepal
Abstract:
An clinical epidemiological investigation of Acute sudden death syndrome due to which 31 mules from a herd of 9oo died within the period of 2006-7-12 to2006-10-21 in Udayapur District Nepal. These animals were becoming utilized for great transportation work in hilly region of Nepal. On rout these animals were becoming fed only entire maize and grame.Typically healthy looking animals started dying suddenly. Initially suspected for acute bacterial illness and treated with broad-spectrum antibiotics and vaccinated with bacterial vaccine.On close observation of herd their feed stuff revealed grains fed to these animal during rainy season was discovered 20% moldy in appearance. On Postmortem examination acute severe congestion and hemorrhages in liver, lung, spleen heart, intestinal mucosa had been discovered.Histopathological examination of tissue from these organs revealed infiltration of mononuclear cell in tissue indicative of chronic nature of condition.Continous use of apparently 15-20% moldy grain (maize, gram) was employed as feed. On laboratory analysis of sample of same grain was found to be containing 60-110CFU/gm of Penicillium spp of fungus. When remaining herd still using very same feed treated with toxin binder (toxicurb, varishta), liver tonic like bioliv, digevet, mineral mixture promin and immunocare controlled the mortality could be indicative of the illness syndrome becoming caused by moldy corn poisoning similar to condition Equine Encephalomalacia.Laboratory findings and response of treatment indicates that in the course of rainy season and immediately following rainy season feeding of stored grains are going to be detrimental to equine species. During this period care should be taken to feeding grains to this animal if treated with any toxin binder as well as herbal immunomodulater is going to minimize the chances of occurring this syndrome.
History: The DLSO Udayapur reported the periodic death of total 31 adult mules during o63/2/16-o63/7/6.With sowing symptoms like Abnormal behavior, aggression, changing habits, Abnormal proprioceptive positioning, Abnormal pupillary response to light, Agalactia, Anorexia, Ataxia, Blindness, Circling, Colic, Coma, Cyanosis, Decreased quantity of stools, absent feces, constipation, Decreased borborygmi, Decreased, absent thirst, hypodipsia, adipsia, Dehydration, Difficulty in prehending or chewing food, Disoriented, Dullness, Dysmetria, Dysphagia, Dyspnea, Excessive salivation, Excitement, Generalized weakness, Head pressing, Head shaking, , Head, face, ears, jaw weakness, droop, Head, face, ears, jaw, nose, nasal, swelling, Head, face, neck, tongue hypoesthesia, Hemoglobinuria or myoglobinuria, Hyperesthesia, Icterus, Inability to stand, Increased respiratory rate, Mydriasis, Opisthotonus, Paraparesis, Petechiae or ecchymoses, Propulsion, Red or brown urine, Reluctant to move, Seizures or syncope, Skin edema, Sudden death, Sweating, Tetraparesis, Tongue weakness, Trembling, Tremor, Underweight, poor condition, thin, emaciated, unthriftiness, ill thrift, Weight loss
Death inside 10-15 minutes soon after collapsing on the ground. These herd were becoming treated with antibiotics and vaccinated against anthrax during this period with unchecked mortality. On field investigation, obtaining a thorough history and completing a physical examination, it was discovered that the horses were being fed cracked and moldy corn.
Review of Literatures:
Penicillium grain mold is probably the second most typical grain mold pathogen. It may possibly be caused by several species of Penicillium, which includes P. oxalicum and P. chrysogenum. Penicillium species are nicely adapted to survival in several varieties of storage facility. Kernel infection can happen in the field or in storage. Symptoms range from external mold development to internal discoloration (“Blue Eye”) of the embryo. Symptoms caused by Penicillium are effortless to confuse with those caused by Aspergillus glaucus. Mycotoxins most fungi produce a class of chemical compounds referred to as secondary metabolites. These compounds have a wide range of biological activities such as antibiotic (antibacterial and antifungal), acute and chronic toxicities (plant, animal, and humans), and hormone and growth regulation (plants and animals). It is not unusual for far more than 1 species of grain mold pathogen to be present within a single storage bin and many grain mold pathogens can be active under the exact same environmental conditions supplying for the chance to have a lot more than one mycotoxin produced in a lot of contaminated grain. The nature of the toxic effects caused by mycotoxins varies greatly. Some mycotoxins trigger acute toxicities (i.e., immediate effect) where a certain organ (e.g., liver, kidney) loses total or partial function other mycotoxins cause chronic toxicities (i.e., long-term) resulting in symptoms such as weight loss and reproductive dysfunction. Still other mycotoxins impair the immune program predisposing the affected animal to a selection of infections or other ailments. For some mycotoxins damage is not permanent and affected animals can recover from ingestion if the contaminated feed is removed from the diet.( Jim Stack, ).
Equine leukoencephalomalacia commonly referred to as “Moldy Corn Poisoning”, is a disease of the central nervous method that affects horses, mules, and donkeys. It is generally related with feeding of moldy corn over a number of days to weeks. The clinical signs linked with the neurologic form of Equine leukoencephalomalacia in horses include apathy, drowsiness, pharyngeal paralysis, blindness, circling, difficulty backing, staggering, hyper excitability, seizures and eventual recumbency. Nonetheless, in some circumstances, sudden death may be the only clinical sign observed. When animals show the neurological signs, death usually occurs within 48-72 hours. If an animal survives the acute syndrome, neurological deficits are observed. A recovered horse is at times referred to as a “dummy” because of its loss of intelligence. Histologically, there may be diffuse vacuolization of hepatocytes, fatty degeneration, centrilobular necrosis with inflammatory cell infiltrate, bile duct proliferation, bile stasis, increased mitotic figures inside the hepatocytes, or periportal fibrosis. Equine leukoencephalomalacia is a typically fatal, rapidly progressing neurologic illness of horses (and other equids) caused by ingestion of fumonisin. Horses showing these signs will normally turn into recumbent and comatose in 1 to 10 days and might show clonic-tonic convulsions prior to dying. In some circumstances, frantic behavior such as head pressing, agitation, hyper excitability, profuse sweating and delirium might be observed. It is characterized by liquefactive necrosis of the cerebral white matter. Liver lesions can also happen. The extent of contamination of raw corn with fumonisins varies with geographic location, agronomic and storage practices, and the vulnerability of the plants to fungal invasion during all phases of growth, storage, and processing. The levels of fumonisins in raw corn are also influenced by environmental factors such as temperature, humidity, and rainfall in the course of pre-harvest and harvest periods. High levels of fumonisins are linked with hot and dry weather, followed by periods of high humidity. High levels of fumonisins might also occur in raw corn that has been damaged by insects. Horses, along with rabbits, are the species most sensitive to the toxic effects of fumonisin. Ruminants, mink and poultry are much more resistant than horses, rabbits, catfish and swine to fumonisin. Onset of clinical signs can occur from 1-21 weeks right after beginning consuming feeds containing fumonisin, but generally happen within 2-9 weeks. Time of onset depends on the concentration of fumonisins in the feed. Clinical signs of fumonisin poisoning in horses are typically related to liquefactive necrosis of the white matter of the brain and contain progressive ataxia, depression, anorexia, delirium, aimless wandering, recumbency, coma and death. Death can occur from 12 hours – 1 week after onset of clinical signs. At necropsy, lesions in the cerebral cortex can range from none to multifocal areas of hemorrhage and necrosis, to the presence of large cavitations of liquefactive necrosis. Histologically, there are multifocal areas of liquefactive necrosis inside the cerebral cortex with infiltration of macrophages. Differential diagnoses ought to contain rabies, equine encephalomyelitis, equine herpes virus, botulism, head trauma, hepatoencephalopathy, and bacterial meningoencephalitis (Dr. Steve Hooser, Dr. Duane Murphy 2003).
Material and Approaches:
Mule population and Husbandry in Udaypur:
A total 900 mules are being used for domestic excellent transportation to hilly district under Mule Transporters Society since B.S.2060.A total of 50 members are being involved in this bissunes.Mules are typically fed on dry entire maize,grame grains. These grains are normally purchased from market only tiny part of it is utilized from domestic production. These grains are having moldiness upto15-20%and are not processed just before feeding.
Preliminary Field Investigation:
Post-mortem examination of death Mule revealed severe congestion of liver, lung,speen, heart,serosangqinus fluid in thoracic cavity.Haemorrhage in stomach mucosa. Preliminary trigger of sudden death was suspected for moldy grain poisoning.
For bacteriological culture of smear, swab,blood.
Liver, lung, spleen, heart tissue for histopathology.
Blood for bacteriological, parasitological examination.
Liver, lung, spleen,heart,intestine for toxicological analysis
.Fecal samples for endoparasite examination.
Serum for serological examination.
Feedgrains:Maize,Grame for mycological culture identification,quantitification were collected.
Mules in herds had been provided with toxinbinder, adaptogen, immunomodulater, vitaminBcomplex as treatment and preventive measure.
Laboratory Investigation:
Bacteriological culture of tissue specimen, swab blood: revealed no growth of any bacteria. Blood parasite: Negative.Chemical toxin in tissue: negative. Intestinal parasite: Mixed Strongyels spp.
Penicillium, Aspergillus, Candida spp on mycological media.
6*10-110*10 CFU/gm Penicillium colonies recorded in feed samples.
Histopathological adjustments: Liver,: Fatty degeneration of hepatocytes.Mononuclear cells infiltration in the form of couple of nodules.
Lungs: Perivascular cuffing. Infiltration of mononuclear cells in the form of nodules.
Kidney:Deep medullary region reveals infiltration of mononuclear cells.
Spleen: The number of white cells seems to be increased in the location of white pulp. Suggestive of chronic/viral illness.
Serum sample :
Revealed positive for for Japanese’s Encephalitis(Elisa)
Treatment and Control Measure advised:
Advised for correct drying of grain just before feeding. 2% Copper sulfate to be mixed in grain prior to feeding. Commercial toxinbinders,Varishta, Toxicurb @ 1kg/tone of grain for 15days along with Liver tonic, Immunomodulaters, Vitamin B complicated.
Result and Discussion:
Approximately 15-20% moldy corn infestated with Penicillium spp being fed regularly to these herd.Intermitent but acute sudden death in the course of post rainy season suggest the death due to fungal toxin.Histopathological changes in the tissue of lung ,liver, kidney are similar to the findings of other workers. Histologically, a center of necrosis with no recognizable structure will be observed. The transition between regular and necrotic tissue will usually show hemorrhage, edema, congested blood vessels and neuronophagia. In animals with the hepatotoxic syndrome, livers will be swollen and a diffuse yellow-brown color. Irregular nodules and pale foci can be seen in hepatic parenchyma. (Dr. Steve Hooser, Dr. Duane Murphy 2003).Pathogenicity of Fusarium revealed that it causes hepatic congestion with mild triaditis, pulmonary congestion, and splenic lymphoid hyperplasia (Karki 2003) .Further a lot more a positive response to treatment with toxinbinder, adaptogen,immunomdulater further confirm the sudden death was due to moldy corn poisoning. Further monitoring of finding of this investigation is suggested.
Conclusion:
Findings of this investigation indicates that moldy feed grains and ingredients are infested with toxic fungus is emerging as a new health hazard for livestock and poultry.Simultonious use of toxinbinder,adaptogen like livertonic,mineralmixture and Immunomodulaters drugs promises to assist in minimizing health risk in livestock and poultry production really should be looked into.
References:
1:MOLDY CORN POISONING HORSES:(Equine LeukoencephalomalaciaMark Russell, PhD, Department of Animal Sciences Don Scott, PhD, Department of Botany and Plant Pathology William Hope, DVM, Department of Veterinary Clinical SciencesCooperative Extension ServicePurdue UniversityWest Lafayette, IN 47907 , BOLETIM TÉCNICO No. 15 – http://www.micotoxinas.com.br/ Retrieved on 21/6/2007
2:FINAL DIAGNOSIS -Moldy Corn Poisoning (Equine Leucoencephalomalacia, Fumonisin Toxicity) in Horses : Dr. Steve Hooser, ADDL Toxicologist Dr. Duane Murphy, ADDL Pathologist Spring 2003 Newsletter http//www.addl.purdue.edu/newsletters/2003/Spring/finaldx.shtml. Retrieved on 21/6/2007
3:Avoid mycotoxin’s harmful effects from impacting your horse’s wellness and performance.Mycotoxins in Equine Feed,: By Trevor K. Smith, PhD, PAg www.ecmagazine.net/…/mycotoxin2.jpg Retrieved on 21/6/2007
four:Grain Molds and Mycotoxins in Corn: Jim Stack, Extension Study Plant Pathologist Division of the Institute of Agriculture and Natural Resources at the University of Nebraska–Lincoln cooperating with the Counties and the United States Department of Agriculture.http://cbc.homestead.com/Archives.html, Retrieved on 21/6/2007
five:Toxocurb:www.polchemgroup.com.
6:Varishta:www.varshagroup.com
7:Pathogenecity Assessment of Fusarium graminearum in Mice. Kedar B.Karki:pp14,Vetcon 2003, 7th national veterinary conference 2003,Nepal Veterinary Association.
Acknowledgement:
We would like to acknowledge Dr.Rebti Man Shrestha Chief Veterinary Officer,Dr.Salina Manandhar,Dr.Binaya Kumar Karna,Dr.Pragya Koirala Veterinary Officer and all laboratory technician for their contribution in Laboratory work and investigation work.
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