Medicine:Airsacculitis

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Short description: Bacterial, fungal or viral inflammatory disease of air sacs in birds.
Airsacculitis
Other namesAir sacculitis, aerosacculitis, air sac disease, air sac infection, air sac syndrome, sac disease
Airsacs-bird.jpg
Airsacs as shown in common kestrel (Falco tinnunculus): 1. cervical air sac, 2. clavicular air sac, 3. cranial thoracal air sac, 4. caudal thoracal air sac, 5. abdominal air sac (5' diverticels into pelvic girdle), 6. lung, 7. trachea
SpecialtyVeterinary medicine
SymptomsSwelling of the neck, difficult breathing, coughing, loss of appetite, loss of weight, watery eyes, nasal discharge, lethargy, ruffled feathers, clogged nares, stunted growth in juveniles, fewer eggs in hens
Usual onsetBetween 6 and 12 weeks of age
CausesBacterial, fungal or viral inflammatory disease
Differential diagnosisRhinitis, avian infectious bronchitis, gapeworm infection, chronic respiratory disease
TreatmentPharmacotherapy, symptomatic treatment
MedicationAntibiotics
FrequencyCommon

Airsacculitis,[1][2] also known as air sacculitis,[3] aerosacculitis,[4] air sac disease,[5] air sac infection, air sac syndrome and simply sac disease,[6] is a common inflammatory condition of air sacs that occurs in birds[5][7] and is caused by various microbial (mostly bacterial) taxa.[7] Having multiple different causative agents, the condition is widely distributed around the world.[6]

Since the disease is highly infectious it is especially dangerous for domesticated birds (poultry) bred on big farms.[5][6] Occurrence of airsacculitis in big flocks can mean high economic loss, as infected poultry needs to be carefully observed, with all of the infected tissue disposed of and not used for human food. In severe cases of the disease whole infected bird carcasses need to be disposed.[8]

Usually the disease affects younger birds, aged between 6 and 12 weeks.[6] The most characteristic sign of airsacculitis is an inflamed mucous membrane of bird air sacs,[9] which swells and becomes red,[8] with infected birds exhibiting different symptoms, such as coughing, lethargy, swelling of the neck, difficult breathing, appetite and weight loss etc.[6][9]

The same term is used for bacterial infection and subsequent inflammation of laryngeal air sacs in non-human primates.[3]

In birds

Anatomical background

The respiratory system of birds differs significantly from that found in mammals. Birds have relatively small lungs that are rigid and not contractile like those of mammals, in which lungs expand and contract during the breathing cycle. Another critical difference is the absence of so-called air sacs in mammals. Such structures help birds to regulate air flow through their respiratory system.[10] Birds also lack the diaphragm.[6]

Birds have so-called air sacs, which help them to regulate the constant flowing of air through their respiratory system.
X-ray of a bird with air sacs being visible.

Signs and symptoms

Airsacculitis is an inflammatory condition,[5] that appears as a consequence of infection with various species of microbes, mostly bacteria.[7] The condition itself resembles mammal bronchitis and pneumonia, even though different body parts are infected and inflamed.[6]

In a few cases the condition is asymptomatic.[11] Infected birds usually appear sick; lower part of their neck can swell and animals experience difficulties breathing.[9] They may cough, lose their appetite and subsequently their weight, often exhibit nasal discharge, apparent clogged nares, ruffled feathers, have watery eyes and appear lethargic.[6][12] Affected adult females (hens) lay fewer eggs, while juveniles exhibit stunted growth.[6]

When doing an autopsy congestion of air sacs, throat and nares is evident.[6] Air sacs are red, swollen and produce a lot of liquid.[8]

Cause

The cause of airsacculitis is a bacterial infection of air sacs.[6] The common disease causative agents are species, such as pathogenic Escherichia coli, Mycoplasma gallisepticum (MG), Mycoplasma synoviae (MS), Mycoplasma meleagridis (MM),[9] Ornithobacterium rhinotracheale (ORT) and Bordetella avium.[13][14] Airsacculitis can also be caused by other microbes, such as fungi and in rare cases even viruses.[7] Only rarely airsacculitis is a consequence of improper vaccine or its administration.[6][15]

This disease is highly infectious in birds, but the infectivity is dependent on the causative agent itself. Specific bacteria species (particularly E. coli), causing the airsacculitis in birds, can be transmitted to people. In some cases this disease can be latent, meaning bacteria remain dormant in survivors and potentially attack non-infected birds after a while.[6]

Diagnosis and treatment

The occurrence of airsacculitis on big poultry farms usually means the loss of some percentage of birds.

Typical symptoms should be observed.[6] The disease can be diagnosed with a help of radiography[16] and endoscopy.[11] After a close inspection (e.g. an air sac biopsy) veterinarians usually prescribe antibiotics for the exact infectious agent. It is also important to diagnose any additional (comorbid) diseases.[6] Abscess and granuloma can be removed surgically.[11]

To prevent the disease poultry should be kept in dry and warm (not chilled or over-heated) conditions, with appropriate sanitation, source of clean water and an access to enough fresh air (ventilation).[6][9]

Prognosis

Prognosis is usually favorable, with poultry experiencing moderate pain for some time.[17][18] It has been reported that commonly about 2/3 of infected birds recover after exhibiting symptoms for some time. Prompt care increases the likelihood of survival.[6] In specific birds unwanted feather-plucking can occur as a consequence of infection and inflammation.[17][18]

Differential diagnosis

Some other diseases that affect bird's respiratory system and have similar signs are rhinitis (coryza), avian infectious bronchitis (IB), infection of trachea with a gapeworm and chronic respiratory disease (CRD).[6] Among other diseases associated with the onset of airsacculitis are also avian chlamydiosis (AC), newcastle disease (ND), aspergillosis and ornithobacteriosis.[7]

In primates

Disease and pathology

Shematic representation of laryngeal air sacs in non-human primates.

Sometimes, the term airsacculitis is used for bacterial infection of the laryngeal air sacs in mammals, the most commonly primates.[3][19] Such airsacculitis in non-human primates often leads to various chronic respiratory diseases.[3] The infected air sacs thicken. Under the microscope one can detect hyperplasia or hypertrophy of epithelium, cell necrosis, fibrosis, cellular infiltrates, as well as an occurrence of bacterial colonies. Among typical symptoms of the disease are halitosis (bad breath), coughing, rhinorrhea (nasal discharge), depression, anorexia and weight loss.[19]

Anatomy and function

It is critically important to note, that laryngeal air sac is not a synonym of pulmonary alveolus (sometimes also called an air sac),[20] which represents the end of the bronchiole and serves as an exchanging agent of gases between lungs and blood.[21] Infected lungs and inflamed lung tissue (with alveoli) is a sign of pneumonia and not airsacculitis.[22]

In primates laryngeal air sacs occur in apes and gibbons, while such structures are absent in people and some smaller gibbon species. These air sacs are useful when producing fast and extended call sequences. Such behaviour often leads to the risk of hyperventilation if there are no air sacs to allow re-breathing of an exhaled air.[20]

Researchers proposed the absence of laryngeal air sacs in humans is a result of people's ability to adjust their speech breathing patterns and consequently lower probability of hyperventilation. It is thought that the lack of laryngeal air sacs in humans represents a derived feature.[20]

See also

References

  1. ↑ Bigland, C. H.; Dungan, William; Yamamoto, R.; Voris, J. C. (1964). "Airsacculitis in Poults from Different Strains of Turkeys". Avian Diseases 8 (1): 85–92. doi:10.2307/1587824. ISSN 0005-2086. https://www.jstor.org/stable/1587824. 
  2. ↑ Kleven, Stanley H.; King, Dyarl D.; Anderson, David P. (1972). "Airsacculitis in Broilers from Mycoplasma synoviae: Effect on Air-Sac Lesions of Vaccinating with Infectious Bronchitis and Newcastle Virus". Avian Diseases 16 (4): 915–924. doi:10.2307/1588772. ISSN 0005-2086. PMID 5079882. https://www.jstor.org/stable/1588772. 
  3. ↑ 3.0 3.1 3.2 3.3 Cullin, Cassandra O.; Colgin, Lois M. A.; Lewis, Anne D. (2017). "Air sacculitis in three rhesus macaques (Macaca mulatta) and one Japanese macaque (M. fuscata)". Journal of Medical Primatology 46 (2): 48–50. doi:10.1111/jmp.12257. ISSN 1600-0684. PMID 28224653. 
  4. ↑ Larrat, Sylvain; Locke, Sean; Dallaire, André D.; Fitzgerald, Guy; Marcogliese, David J.; Lair, Stéphane (2012). "Fatal aerosacculitis and pneumonia associated with Eucoleus sp. (nematoda: capillaridae) in the lungs of a Peregrine Falcon (Falco peregrinus)". Journal of Wildlife Diseases 48 (3): 832–834. doi:10.7589/0090-3558-48.3.832. ISSN 1943-3700. PMID 22740560. 
  5. ↑ 5.0 5.1 5.2 5.3 "Definition of AIR-SAC DISEASE" (in en). https://www.merriam-webster.com/dictionary/air-sac+disease. 
  6. ↑ 6.00 6.01 6.02 6.03 6.04 6.05 6.06 6.07 6.08 6.09 6.10 6.11 6.12 6.13 6.14 6.15 6.16 6.17 "All about Airsacculitis disease". https://www.mypetchicken.com/backyard-chickens/chicken-help/All-about-Airsacculitis-disease-H387.aspx. 
  7. ↑ 7.0 7.1 7.2 7.3 7.4 LLC, AnimalDVM. "Airsacculitis in Chickens" (in en). http://www.poultrydvm.com/condition/airsacculitis. 
  8. ↑ 8.0 8.1 8.2 Compliance Guideline for Training Establishment Carcass Sorters in the New Poultry Inspection System (NPIS) Food Safety and Inspection Service U.S. Department of Agriculture (September 2014). Retrieved 19. September 2021.
  9. ↑ 9.0 9.1 9.2 9.3 9.4 "Airsacculitis". https://www.zoetisus.com/conditions/airsacculitis.aspx#. 
  10. ↑ Campbell, Neil A. (1990). Biology (2nd. ed.). Redwood City, Calif.: Benjamin/Cummings Pub. Co. ISBN 0-8053-1800-3. OCLC 20352649. https://www.worldcat.org/oclc/20352649. 
  11. ↑ 11.0 11.1 11.2 Redrobe, Sharon (2015-03-30). Treatment of Respiratory Disease in Birds. http://www.vin.com/doc/?id=6693870. 
  12. ↑ "How to control airsacculitis in broilers" (in en-US). 2014-03-12. https://www.fwi.co.uk/livestock/poultry/broilers/how-to-control-airsacculitis-in-chickens. 
  13. ↑ El-Sukhon, Saeb N.; Musa, Asad; Al-Attar, Majed (2002). "Studies on the Bacterial Etiology of Airsacculitis of Broilers in Northern and Middle Jordan with Special Reference to Escherichia coli, Ornithobacterium rhinotracheale, and Bordetella avium". Avian Diseases 46 (3): 605–612. doi:10.1637/0005-2086(2002)046[0605:SOTBEO2.0.CO;2]. ISSN 0005-2086. PMID 12243524. https://www.jstor.org/stable/1592940. 
  14. ↑ "Epidemiological Studies on Bacteriological Aspects of Air Sacculitis in Chickens". Assiut Veterinary Medical Journal 54 (118): 1–17. 2008-07-15. doi:10.21608/avmj.2008.175966. ISSN 2314-5226. http://dx.doi.org/10.21608/avmj.2008.175966. 
  15. ↑ "Chapter 4 - Airsacculitis | Animal & Food Sciences". http://afs.ca.uky.edu/poultry/chapter-4-airsacculitis. 
  16. ↑ Burr, Elisha W. (1986). "Respiratory Diseases in Parrots" (in en). AFA Watchbird 13 (1): 50–56. https://journals.tdl.org/watchbird/index.php/watchbird/article/view/2405. 
  17. ↑ 17.0 17.1 Forbes NA & Altman RB (1998) Self-Assessment Colour Review Avian Medicine Manson Publishing Ltd
  18. ↑ 18.0 18.1 Stanford, M (2009) Respiratory Disease in Birds Royal Veterinary College Integrated Course RVC
  19. ↑ 19.0 19.1 Kumar, Shyamesh; Fox, Benjamin; Owston, Michael; Hubbard, Gene B.; Dick, Edward J. (2012). "Pathology of spontaneous air sacculitis in 37 baboons and seven chimpanzees and a brief review of the literature". Journal of Medical Primatology 41 (4): 266–277. doi:10.1111/j.1600-0684.2012.00547.x. ISSN 1600-0684. PMID 22765381. 
  20. ↑ 20.0 20.1 20.2 Hewitt, Gwen; MacLarnon, Ann; Jones, Kate E. (2002). "The functions of laryngeal air sacs in primates: a new hypothesis". Folia Primatologica; International Journal of Primatology 73 (2–3): 70–94. doi:10.1159/000064786. ISSN 0015-5713. PMID 12207055. https://pubmed.ncbi.nlm.nih.gov/12207055/. 
  21. ↑ "Alveoli" (in en). 2011-02-02. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/alveoli. 
  22. ↑ "Definition of PNEUMONIA" (in en). https://www.merriam-webster.com/dictionary/pneumonia. 




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