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Research article · 2017 · Full text

International Journal of Veterinary Sciences and Animal Husbandry

Avian tuberculosis in a backyard poultry flock in Tunisia: Case report

Khaled KaboudiAbdelkader AmaraMoncef Bouzouaia

Volume 2(6) · Pages 34–37

Research areasTuberculosis Research and EpidemiologyVirology and Viral DiseasesMicrobial infections and disease research

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Abstract

Author-written

Tuberculosis is a chronic infectious disease affecting several species of domestic and wild birds. It is due to the infection of the gastrointestinal tract, liver and spleen by various Mycobacterium species. This disease is more commonly seen in zoos and wild avian species (Del Pilar Silva et al., 2009) [5]. Mycobacterium avium (serotypes 1, 2 and 3) and Mycobacterium genavense represent the most incriminated germs in the case of avian tuberculosis. This topic describes the observations of the first report of a typical case in a chicken issued from a backyard flock received at the avian clinic of the National Veterinary School of Sidi Thabet. This case prompted-us to bring and develop pathological aspects.

Summary

Source-checked

Plain-language reading of the full paper, prepared with AI and checked against the text. Each point links to the authors' own words.

  1. Why it matters

    • Avian tuberculosis is a chronic infectious disease caused by Mycobacterium species that typically infect the liver, spleen, and gastrointestinal tract of wild and domestic birds. View evidence ↗

      Why it matters

      Avian tuberculosis is a chronic infectious disease caused by Mycobacterium species that typically infect the liver, spleen, and gastrointestinal tract of wild and domestic birds.

      In the paper's own words

      “Tuberculosis is a chronic infectious disease affecting several species of domestic and wild birds. It is due to the infection of the gastrointestinal tract, liver and spleen by various Mycobacterium species.”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
    • The most common pathogens responsible for this disease are Mycobacterium genavense and various serotypes (1, 2, and 3) of Mycobacterium avium. View evidence ↗

      Why it matters

      The most common pathogens responsible for this disease are Mycobacterium genavense and various serotypes (1, 2, and 3) of Mycobacterium avium.

      In the paper's own words

      “Mycobacterium avium (serotypes 1, 2 and 3) and Mycobacterium genavense represent the most incriminated germs in the case of avian tuberculosis.”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
    • The infection can potentially spread to humans, with immuno-depressed individuals being particularly susceptible. View evidence ↗

      Why it matters

      The infection can potentially spread to humans, with immuno-depressed individuals being particularly susceptible.

      In the paper's own words

      “Spread of the infection to human is possible, particularly in immuno-depressed patients.”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
  2. The question

    • The study aims to describe the anatomo-pathological features of a typical case of avian tuberculosis in a backyard layer hen in Tunisia. View evidence ↗

      The question

      The study aims to describe the anatomo-pathological features of a typical case of avian tuberculosis in a backyard layer hen in Tunisia.

      In the paper's own words

      “The aim of this article is to report and develop, for the first time, the anatomo-pathological aspects of a typical case of tuberculosis in backyard layer hen, diagnosed in the Avian Clinic of the National Veterinary School of Sidi Thabet (Tunisia).”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
  3. What they did

    • The case involved an 18-month-old lean layer hen from a free-range backyard flock of 20 birds of various ages and origins. View evidence ↗

      What they did

      The case involved an 18-month-old lean layer hen from a free-range backyard flock of 20 birds of various ages and origins.

      In the paper's own words

      “Sporadic mortality was appeared in a free-range poultry flock, composed of 20 birds, with different provenance and age, reared outdoor. The 18 months old dead layer hen was very lean.”

      Page 1

      Found in: Case history

      Read it in the full textOpen PDF at page 1 ↗
    • An autopsy was conducted at the National Veterinary School of Sidi Thabet, utilizing Ziehl-Neelsen coloration on damaged organs. View evidence ↗

      What they did

      An autopsy was conducted at the National Veterinary School of Sidi Thabet, utilizing Ziehl-Neelsen coloration on damaged organs.

      In the paper's own words

      “The autopsy, was performed at the clinic of Avian Pathology of The National Veterinary School of Sidi Thabet (Tunisia). A Ziehl-Neelsen coloration was performed on different damaged organs.”

      Page 2

      Found in: Gross pathology and bacteriology analysis

      Read it in the full textOpen PDF at page 2 ↗
    • The liver, spleen, intestines, pancreas, and kidneys were fixed in 10% formalin and analyzed using hematoxylin-eosin (HE) and Ziehl-Neelsen stains. View evidence ↗

      What they did

      The liver, spleen, intestines, pancreas, and kidneys were fixed in 10% formalin and analyzed using hematoxylin-eosin (HE) and Ziehl-Neelsen stains.

      In the paper's own words

      “Organ Harvesting (liver, spleen, intestines, pancreas, kidneys) are immediately emerged in a 10% formalin solution in order to fix them. After processing sections according to conventional methods of histological techniques, two types of stains are made, hematoxylin-eosin (HE) and the Ziehl-Neelsen.”

      Page 2

      Found in: Histopathological study

      Read it in the full textOpen PDF at page 2 ↗
  4. What they found

    • Gross pathology showed an enlarged, greenish-brown liver containing gray-yellowish nodules ranging from 2 to 5 mm in size. View evidence ↗

      What they found

      Gross pathology showed an enlarged, greenish-brown liver containing gray-yellowish nodules ranging from 2 to 5 mm in size.

      In the paper's own words

      “At the opening of the thoraco-abdominal cavity, the liver appears enlarged, greenish-brown color and dotted with gray-yellowish nodules of variable size (2 to 5 mm), which are detected also within the organ.”

      Page 2

      Found in: Gross pathology and bacteriology

      Read it in the full textOpen PDF at page 2 ↗
    • Caseous nodules were also found in the spleen, intestine, mesentery, gizzard, pancreas, and kidneys, while the ovary was atrophied and deformed. View evidence ↗

      What they found

      Caseous nodules were also found in the spleen, intestine, mesentery, gizzard, pancreas, and kidneys, while the ovary was atrophied and deformed.

      In the paper's own words

      “These nodules are observed in the other viscera, mainly spleen, intestine, mesentery, gizzard, pancreas and kidneys (Figures 2 and 3). The Ovary appears deformed and atrophied.”

      Page 2

      Found in: Gross pathology and bacteriology

      Read it in the full textOpen PDF at page 2 ↗
    • Histopathology revealed immunological granulomas (Koester follicles) in the liver, spleen, intestines, kidney, and pancreas, characterized by central necrosis, macrophage/epithelioid reactions, and Langhans giant cells. View evidence ↗

      What they found

      Histopathology revealed immunological granulomas (Koester follicles) in the liver, spleen, intestines, kidney, and pancreas, characterized by central necrosis, macrophage/epithelioid reactions, and Langhans giant cells.

      In the paper's own words

      “This study showed the presence of immunological granulomas (Koster follicles) in various tissues and viscera. Indeed, liver, spleen, intestines, kidney and pancreas are the site of multiple granulomas centered on an acidophilic disintegration necrosis range, surrounded by a macrophage and epitheloid reaction, with many small and irregular Langhans giant cells.”

      Page 2

      Found in: Histopathology

      Read it in the full textOpen PDF at page 2 ↗
    • Ziehl-Neelsen staining confirmed the presence of acid-fast bacilli within the cytoplasm of macrophages and at the center of the granulomas. View evidence ↗

      What they found

      Ziehl-Neelsen staining confirmed the presence of acid-fast bacilli within the cytoplasm of macrophages and at the center of the granulomas.

      In the paper's own words

      “Clumps of acid-fast bacilli were noted in Ziehl-Neelsen stained sections. These bacilli were accumulated in the center of the granulomas and in the cytoplasm of macrophages (Figures 6 and 7).”

      Page 3

      Found in: Histopathology

      Read it in the full textOpen PDF at page 3 ↗
    • Unlike some other reported cases, no lesions were found in the heart, lungs, or infra-orbital sinus of this specific hen. View evidence ↗

      What they found

      Unlike some other reported cases, no lesions were found in the heart, lungs, or infra-orbital sinus of this specific hen.

      In the paper's own words

      “However, contrarily to the descriptions of Beytut et al. (2001) [2] and Gonzalez et al. (2002) [7], no lesions were identified in the lungs and in the heart and the infra-orbital sinus, respectively.”

      Page 3

      Found in: Discussion

      Read it in the full textOpen PDF at page 3 ↗
  5. What it means

    • The authors conclude that tuberculosis in backyard flocks is promoted by poor biosecurity, mixing different animal species, and introducing birds of unknown sanitary status. View evidence ↗

      What it means

      The authors conclude that tuberculosis in backyard flocks is promoted by poor biosecurity, mixing different animal species, and introducing birds of unknown sanitary status.

      In the paper's own words

      “The existence of tuberculosis in backyard flocks is favored by the lack of biosecurity measures, the mixing of bird and animal species and the introduction in the farm of birds with unknown origin and sanitary status.”

      Page 4

      Found in: Conclusion

      Read it in the full textOpen PDF at page 4 ↗
    • The diagnosis of avian tuberculosis in the adult hen was based on clinical signs of cachexia and chronic diarrhea, combined with autopsy and histopathological findings. View evidence ↗

      What it means

      The diagnosis of avian tuberculosis in the adult hen was based on clinical signs of cachexia and chronic diarrhea, combined with autopsy and histopathological findings.

      In the paper's own words

      “Avian tuberculosis was diagnosed in an adult hen issued from a backyard flock. The cachexia, the chronic diarrhea and the lesions observed at autopsy allowed us to suspect this disease.”

      Page 4

      Found in: Conclusion

      Read it in the full textOpen PDF at page 4 ↗

Figures & tables

From the original paper
Spleen. Multiple Koester follicles in the spleen (HEx100)Figure 5Page 2Liver. Koester follicle (1) centered on a necrosed foci (2) andFigure 4Page 2Multiple caseous nodules with different sizes on the intestines,Figure 3Page 2Splenomegaly with multiple caseous nodules on the spleenFigure 2Page 2enlarged liver sprinkled with caseous nodulesFigure 1Page 2Comparative results of lesions location in natural cases of avian tuberculosis in birdsTable 1Page 3Spleen. Acid-fast bacilli in the center of Koester follicle (1)Figure 7Page 3Liver. Koester follicles (1) and piles of acid-fast bacilli in theFigure 6Page 3
FULL TEXT Original article · reflowed for reading

Introduction

Tuberculosis is a chronic infectious disease affecting several species of domestic and wild birds. Caused by the proliferation of different Mycobacterium species in the digestive tract, the liver and the spleen, this infection is mostly observed in zoological parks and in wild avian species (Del Pilar Silva et al., 2009 ; Stepień-Pyśniak et al., 2016 ; Zhu et al., 2016) [5,18,19] . Mycobacterium avium (serotypes 1, 2 and 3) and Mycobacterium genavense are the most incriminated pathogens in avian tuberculosis. Spread of the infection to human is possible, particularly in immuno-depressed patients. Hejlicek and Treml (1995) [11] classified sensitive avian species to experimental infection by Mycobacterium avium in four groups: very sensitive species (domestic fowl, sparrow, pheasant, partridge and seagull), little sensitive species (guinea fowl, turkey), resistant species (goose, duck) and very resistant species (pigeon, turtledove and crow). Infected birds are considered as the most important source of germ, which is issued from ulcerative lesions of intestines and excreted in feces to contaminate environment. Mycobacterium, such as M. avium, can resist during several years (more than 4 years) which can explain the reappearance of the disease in the same farm, even after elimination of all birds. Resistance of these germs is also considerable in variable temperatures. They can survive about 168 days to 244 days at 20°C and 37°C, respectively (Shalk et al., 1935; Schliesser and Weber, 1973) (in Fulton and Thoen, 2003) [6] . M. avium was isolated from incubated eggs of naturally infected breeder hens. However, correspondent chicks do not develop the disease. Dissemination of the bacteria can be assured by poultry infected carcasses. The aim of this article is to report and develop, for the first time, the anatomo-pathological aspects of a typical case of tuberculosis in backyard layer hen, diagnosed in the Avian Clinic of the National Veterinary School of Sidi Thabet (Tunisia).

Materials and Methods

Materials and Methods

Case history

Sporadic mortality was appeared in a free-range poultry flock, composed of 20 birds, with different provenance and age, reared outdoor. The 18 months old dead layer hen was very lean. It presented an allowance and a whitish diarrhea before death. Biosecurity measures in this little farming are poor, or even absent.

The procurement is based on the purchase of unknown provenance chickens.

Gross pathology and bacteriology analysis

The autopsy, was performed at the clinic of Avian Pathology of The National Veterinary School of Sidi Thabet (Tunisia). A Ziehl-Neelsen coloration was performed on different damaged organs.

Histopathological study

Histopathological analyzes were performed at the Histology department of the National Veterinary School of Sidi Thabet (Tunisia). Organ Harvesting (liver, spleen, intestines, pancreas, kidneys) are immediately emerged in a 10% formalin solution in order to fix them. After processing sections according to conventional methods of histological techniques, two types of stains are made, hematoxylin-eosin (HE) and the Ziehl-Neelsen.

Results

Results

Gross pathology and bacteriology

The necropsy exam revealed during the external examination, weight loss and traces of white diarrhea. At the opening of the thoraco-abdominal cavity, the liver appears enlarged, greenish-brown color and dotted with gray-yellowish nodules of variable size (2 to 5 mm), which are detected also within the organ. (Figure 1) These nodules are observed in the other viscera, mainly spleen, intestine, mesentery, gizzard, pancreas and kidneys (Figures 2 and3). The Ovary appears deformed and atrophied.

Figure 1. enlarged liver sprinkled with caseous nodules
enlarged liver sprinkled with caseous nodules↗ Enlarge
Figure 1
enlarged liver sprinkled with caseous nodules

enlarged liver sprinkled with caseous nodules

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗

Histopathology

This study showed the presence of immunological granulomas (Koster follicles) in various tissues and viscera. Indeed, liver, spleen, intestines, kidney and pancreas are the site of multiple granulomas centered on an acidophilic disintegration necrosis range, surrounded by a macrophage and epitheloid reaction, with many small and irregular Langhans giant cells. The periphery was occupied by a fibroconnective hull and a few lymphocytes (Figures 4 and5). Clumps of acid-fast bacilli were noted in Ziehl-Neelsen stained sections. These bacilli were accumulated in the center of the granulomas and in the cytoplasm of macrophages (Figures 6 and7).

Discussion

Absent in commercial poultry in Tunisia, avian tuberculosis is rather observed in free-range flocks, where it be diagnosed in fowl, turkey, pheasant and, more rarely in goose and duck.

Several risk factors can favor the emergence of the disease in backyard poultry breeding. Indeed, unknown provenance of animals (local markets, other farms), mixture of avian and mammalian species in the same flock, possible contact between domestic poultry and wild birds and poor level of biosafety measures are considerable risk factors in the introduction and development of mycobacterium species in the free-range flocks (Hejlicek and Treml, 1993 [1,4,10,12] . Lesions caused by M. avium may be locolized or generalized in mammals, including cattle, rabbits and horses often present on farms in contact with infected birds (Lesslie and Birn, 1967; Gunnes et al., 1995) [8,14] . The germ can multiply in different tissues for a long time making the animal susceptible to any tuberculin. Clinical signs of avian tuberculosis are not pathognomonic. The infected animal passes through three phases: a latency phase, a development phase of lesions and finally phase of cachexia. The Ingestion of the tuberculosis bacillus causes an intestinal infection and promotes bacillemia. The liver is among the first organs affected, then the germ spreads to the other tissues. Avian tuberculosis is rarely observed in young birds, which are not necessarily more resistant to infection, but the disease is more common in adults. Indeed, the disease gradually settles over a long period. The lesions of avian tuberculosis are often less severe in young chickens than in older birds. Gross lesions described in our study were similar to those revealed by many authors in different bird species naturally infected by avian tuberculosis. In this way, lesions observed in the liver, the spleen and the intestines were in agreement with the results of Randall and Reece (1996) [17] , Gonzalez et al. (2002) [7] , Mayahi et al. (2013) [16] , Majeed et al. (2014) [15] and Zhu et al. (2016) [19] . However, contrarily to the descriptions of Beytut et al. (2001) [2] and Gonzalez et al. (2002) [7] , no lesions were identified in the lungs and in the heart and the infra-orbital sinus, respectively. In addition, we have not detect lesions in the conjunctiva and the joints as was described by Mayahi et al.

(2013) [16] on pigeons affected naturally by tuberculosis.

(Table 1) Inflammatory reaction noted in the intestine, related to the tuberculous granulomas, could explain the malabsorption and the disturbance of the digestive tract function, explaining growth retardation, weight loss and decrease in production. Histopathological lesions were those of a tuberculosis. They were characterized by the presence of multiple follicles of Koester with different size. Our observations were similar to those of many authors. Besides the examined viscera in this study, tuberculosis lesions can have other locations, including the bones, lungs, subcutaneous connective tissue, trachea and more rarely the nervous system in domestic and wild avian species (Hawkey et al., 1990 [2,9,17,19] .

Table 1. Comparative results of lesions location in natural cases of avian tuberculosis in birds
BirdLiverSpleenIntes.Pancr.KidneyGizardLungHeartLoco.Conj.SinusAuthors
BC++++++-----Our study
LH+++----+--+Gonzalez et al. (2002) [7]
LH+++---+--+-Beytut et al. (2001)[2]
Pigeon+++--+-+++-Mayahi et al. (2013)[16]
Pheasant+++--------Kul et al. (2005)
BC: Backyard chicken; Conj. : Conjonctiva; LH: Layer hen: Intes. : Intestine; Loco. : Locomotor system; Pancr. : Pancrzas

Table text extracted from the original PDF; superscript letters are shown inline. The original table image is below.

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Comparative results of lesions location in natural cases of avian tuberculosis in birds↗ Enlarge
Table 1
Comparative results of lesions location in natural cases of avian tuberculosis in birds

Comparative results of lesions location in natural cases of avian tuberculosis in birds

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Original paper tableSource PDF · page 3 ↗

The absence of macroscopic lesions on some viscera does not exclude the disease. In the same context, typical histological lesions of tuberculosis are mentioned on the lungs (Gonzalez et al., 2002) [7] and the intestines (Kul et al., 2005) [13] showing no lesion at the necropsy examination. The frequency and severity of lesions in the intestines, suggesting oral infection. Spread of Mycobacteria from the intestine promotes the liver and the spleen contamination (Bowes, 1993) [3] . Finally, the germ is excreted mainly through the droppings. These contribute to the contamination of the rearing environment and eggshell at the time of laying and thereafter.

Conclusion

Avian tuberculosis was diagnosed in an adult hen issued from a backyard flock. The cachexia, the chronic diarrhea and the lesions observed at autopsy allowed us to suspect this disease. The recourse to the histopathological examination revealed necrotic and granulomatous lesions and the presence of acidfast bacilli in various affected viscera. The existence of tuberculosis in backyard flocks is favored by the lack of biosecurity measures, the mixing of bird and animal species and the introduction in the farm of birds with unknown origin and sanitary status.

Conflict of interest

The authors declare that there is no conflict of interest.

Figures and tables from the paper

Figure 5. Spleen. Multiple Koester follicles in the spleen (HEx100)
Spleen. Multiple Koester follicles in the spleen (HEx100)↗ Enlarge
Figure 5
Spleen. Multiple Koester follicles in the spleen (HEx100)

Spleen. Multiple Koester follicles in the spleen (HEx100)

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Original paper figureSource PDF · page 2 ↗
Figure 4. Liver. Koester follicle (1) centered on a necrosed foci (2) and
Liver. Koester follicle (1) centered on a necrosed foci (2) and↗ Enlarge
Figure 4
Liver. Koester follicle (1) centered on a necrosed foci (2) and

Liver. Koester follicle (1) centered on a necrosed foci (2) and

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Original paper figureSource PDF · page 2 ↗
Figure 3. Multiple caseous nodules with different sizes on the intestines,
Multiple caseous nodules with different sizes on the intestines,↗ Enlarge
Figure 3
Multiple caseous nodules with different sizes on the intestines,

Multiple caseous nodules with different sizes on the intestines,

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Original paper figureSource PDF · page 2 ↗
Figure 2. Splenomegaly with multiple caseous nodules on the spleen
Splenomegaly with multiple caseous nodules on the spleen↗ Enlarge
Figure 2
Splenomegaly with multiple caseous nodules on the spleen

Splenomegaly with multiple caseous nodules on the spleen

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Original paper figureSource PDF · page 2 ↗
Figure 7. Spleen. Acid-fast bacilli in the center of Koester follicle (1)
Spleen. Acid-fast bacilli in the center of Koester follicle (1)↗ Enlarge
Figure 7
Spleen. Acid-fast bacilli in the center of Koester follicle (1)

Spleen. Acid-fast bacilli in the center of Koester follicle (1)

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Original paper figureSource PDF · page 3 ↗
Figure 6. Liver. Koester follicles (1) and piles of acid-fast bacilli in the
Liver. Koester follicles (1) and piles of acid-fast bacilli in the↗ Enlarge
Figure 6
Liver. Koester follicles (1) and piles of acid-fast bacilli in the

Liver. Koester follicles (1) and piles of acid-fast bacilli in the

Open full-size image ↗
Original paper figureSource PDF · page 3 ↗

References

19 in the original paper
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