Tyzzer’s Disease

Todayโ€™s path rounds are on ๐“๐ฒ๐ณ๐ณ๐ž๐ซ’๐ฌ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐“๐ฒ๐ณ๐ณ๐ž๐ซ’๐ฌ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž is a bacterial infection of the liver that leads to ๐ก๐ž๐ฉ๐š๐ญ๐ข๐œ ๐ง๐ž๐œ๐ซ๐จ๐ฌ๐ข๐ฌ, or death of the liver cells.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
We most commonly see this disease in foals and rodents, however it can also be seen in calves, kittens and puppies!

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
Tyzzerโ€™s disease is caused by ๐‚๐ฅ๐จ๐ฌ๐ญ๐ซ๐ข๐๐ข๐ฎ๐ฆ ๐ฉ๐ข๐ฅ๐ข๐Ÿ๐จ๐ซ๐ฆ๐ž, a spore forming bacteria that is considered ๐จ๐›๐ฅ๐ข๐ ๐š๐ญ๐ž ๐ข๐ง๐ญ๐ซ๐š๐œ๐ž๐ฅ๐ฅ๐ฎ๐ฅ๐š๐ซ, meaning it must live within host cells. The bacteriaโ€™s spores are shed in the feces of sick or ๐œ๐š๐ซ๐ซ๐ข๐ž๐ซ (unaffected) animals, which contaminates the environment and provides a source for other animals to get sick.

Animals will ingest the spores when they explore their environment, and from there the bacteria gains access to the intestine. From there, it enters the ๐ฉ๐จ๐ซ๐ญ๐š๐ฅ ๐œ๐ข๐ซ๐œ๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง, the vessels that lead from the gut to the liver. Once in the liver, the bacteria sets up shop in the liver cells, causing ๐ง๐ž๐œ๐ซ๐จ๐ฌ๐ข๐ฌ (cell death).

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
With a large amount of the liver cells dying, these animals often show signs of ๐š๐œ๐ฎ๐ญ๐ž ๐ฅ๐ข๐ฏ๐ž๐ซ ๐Ÿ๐š๐ข๐ฅ๐ฎ๐ซ๐ž, including depression, fever, ๐ข๐œ๐ญ๐ž๐ซ๐ฎ๐ฌ (yellowing of the tissue) which progresses to seizures, coma and ultimately death. Depending on the extent of the gut infection, they may also develop ๐๐ข๐š๐ซ๐ซ๐ก๐ž๐š due to death of intestinal cells.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Diagnosis is typically based on necropsy, showing multiple areas of liver necrosis and visualizing the bacteria under the microscope using special stains. It can also be detected in fecal samples of live animals using ๐๐‚๐‘, which detects the bacterial DNA.

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?
Clostridium piliforme is susceptible to some antibiotics, however the prognosis is extremely poor, even with treatment. This is particularly true in foals, where the disease is considered almost 100% fatal! To prevent the disease, environments where previously sick animals lived should be thoroughly cleaned to try and remove spores. Animals should also have their stress minimized to keep their immune system in tip-top shape!

๐๐ก๐จ๐ญ๐จ๐ฌ
1-3) Examples of the ๐ฆ๐ฎ๐ฅ๐ญ๐ข๐Ÿ๐จ๐œ๐š๐ฅ (many affected areas) liver necrosis in Tyzzerโ€™s. Itโ€™s almost kinda pretty!
4) A regular ๐‡&๐„ ๐ฌ๐ญ๐š๐ข๐ง of an affected liver. Kinda hard to see the bacteria!
5) A ๐–๐š๐ซ๐ญ๐ก๐ข๐ง-๐’๐ญ๐š๐ซ๐ซ๐ฒ ๐ฌ๐ญ๐š๐ข๐ง that highlights the bacteria. Much easier to see!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 2. Sixth Edition.
Uzal F. Tyzzer Disease in Animals. Merck Veterinary Manual 2021.

Photos 1-3 ยฉ Noahโ€™s Arkive contributors Williams, Arp, Mosier licensed under CC BY-SA 4.0.
Photos 4-5 ยฉ University of Calgary Diagnostic Services Unit.

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