Blackhead

Todayโ€™s path rounds are on ๐›๐ฅ๐š๐œ๐ค๐ก๐ž๐š๐, otherwise known as ๐ก๐ข๐ฌ๐ญ๐จ๐ฆ๐จ๐ง๐ข๐š๐ฌ๐ข๐ฌ.

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐๐ฅ๐š๐œ๐ค๐ก๐ž๐š๐ is a parasitic disease caused by a ๐ฉ๐ซ๐จ๐ญ๐จ๐ณ๐จ๐š๐ง, which are small single celled organisms. Interestingly, this protozoan is transmitted alongside another parasite, the roundworm ๐‡๐ž๐ญ๐ž๐ซ๐š๐ค๐ข๐ฌ ๐ ๐š๐ฅ๐ฅ๐ข๐ง๐š๐ซ๐ฎ๐ฆ. So these poor animals end up with two parasitic infections for the price of one!

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Any ๐ ๐š๐ฅ๐ฅ๐ข๐ง๐š๐œ๐ž๐จ๐ฎ๐ฌ (poultry and game birds) bird species can get it, but we most commonly think of this disease in turkeys. In turkeys, mortality rates can be up to 80-100%!

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
As mentioned before, this protozoan likes to hitch a ride on the roundworm Heterakis gallinarum. This roundworm is transmitted primarily by earthworms, who ingest the roundwormโ€™s eggs as they go about their earthworm life. The turkey or chicken then eats this earthworm, the egg hatches, and the bird becomes infected.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Once the protozoans are within the bird, they migrate into the wall of the ๐œ๐ž๐œ๐š, part of the large intestine. Here, they cause damage to the intestinal wall causing inflammation and leakage of ๐ฉ๐ฎ๐ฌ (fluid filled with inflammatory cells) that forms a cheesy, firm mass in the ceca. Gross. These protozoans also like to migrate to the liver, where they cause ๐ง๐ž๐œ๐ซ๐จ๐ฌ๐ข๐ฌ (cell death) in characteristic circular shapes.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Usually this disease is diagnosed by necropsy, specifically looking for the ๐œ๐ž๐œ๐š๐ฅ ๐œ๐จ๐ซ๐ž of pus in the ceca, and the liver spots. Seeing both of these lesions together is considered ๐ฉ๐š๐ญ๐ก๐จ๐ ๐ง๐จ๐ฆ๐จ๐ง๐ข๐œ, meaning that no other diseases present like this. So if you see them, you know what youโ€™re dealing with! If you want to further confirm the diagnosis, you can do testing to specifically identify the protozoans DNA, or look at the tissue under a microscope to see the protozoans directly.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐? ๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ฉ๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ž๐?
Unfortunately, there are currently no approved treatments for blackhead. So prevention is key! Turkeys should not be raised with other poultry species, because many of those species can have ๐ฌ๐ฎ๐›๐œ๐ฅ๐ข๐ง๐ข๐œ๐š๐ฅ (no presenting symptoms) infections, allowing the protozoan to transmit to the turkey before anyone knows whatโ€™s going on. If possible, turkeys should also be kept in environments with no earthworms, to prevent them from acquiring the disease through roundworm infection.

๐๐ก๐จ๐ญ๐จ๐ฌ
1-2) Examples of the liver necrosis seen during necropsy. Kinda pretty!
3-4) Examples of cecal cores.
5) Both lesions together!
6) What a pathologist might see looking at liver tissue under the microscope. Those little pink blobs are the protozoa itself!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Beckstead, R.B. Histomoniasis in Poultry. Merck Veterinary Manual, 2019.

Photos 1-6 ยฉ Noahโ€™s Arkive contributors Holshuh, Luginbuhl, Page, Reece licensed under CC BY-SA 4.0.

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