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Acanthocephalans should be gently removed from Depending on the species aricept 5 mg sale treatment juvenile arthritis, infections may be localized the gut wall to prevent rupture of the parasite aricept 10 mg with visa medicine allergic reaction, which in the mouth discount aricept 5 mg on line medications with pseudoephedrine, oropharynx buy aricept 10mg with visa treatment juvenile rheumatoid arthritis, esophagus, crop and tra- will destroy the hydraulic system that extends the chea, or the pulmonary and hepatic tissues can be proboscis (making identification of the parasite invaded. Acanthocephalans may lose their white plaques on the gastrointestinal mucosa or ne- torpor and detach from the gut wall when the host crosis with an accumulation of cheesy material that dies. They may then resemble a yellowish to whitish, might occlude the esophagus and trachea. Placing the parasite into crowding and poor hygiene may potentiate infections tap water overnight in a refrigerator may cause the in individual birds as well as increasing the incidence proboscis to extend, at which point the parasite is of disease in a flock. In adult birds, infections are usually charac- A fecal examination should be performed at necropsy terized by emaciation, dyspnea or vomiting. A patho- so that eggs detected by fecal flotation or sedimenta- genic strain caused the death of all ages of naive tion can be compared to the eggs in the adult worms. Birds that recover particularly common in pigeons and raptors (frounce) from an infection are susceptible to re-infection indi- (see Chapter 8). Pathogenic and nonpathogenic cating that a long-lasting protective immune re- strains of T. Direct transmission occurs following the in- masses are difficult to treat and generally have a gestion of food contaminated with feces from infected poor prognosis (see Chapter 19). The environmentally stable cysts can serve as a source of infection to other hosts. Flotation techniques group of 77 parakeets from several sources, 66% of with zinc sulfate may improve the accuracy of a the birds were found to be shedding Giardia. Dry skin and feather picking, particularly in the carpal-metacarpal, flank, axilla and lower leg areas, has been described as a clinical sign of giardiasis in budgerigars and cockatiels (see Chapter 24). Giardi- asis can cause poor growth and high mortality in budgerigar and cockatiel neonates. Mortality rates of 20 to 50% have been described in some infected budg- erigar flocks. The role that the immune system plays in preventing a bird from developing giardiasis has not been determined. Trophozoites can range from 10 to 20 µm Most infections occur following the ingestion of in- in length and 5 to 15 µm in width, depending on the fected embryonated eggs of the cecal worm Heterakis host or type of fixation. The histomonas are released from the paired flagella (including an anterior and trailing larvae and invade the wall of the cecum where they posterior pair), two nuclei and a sucking disc that may cause ulceration or small nodules. The sucking disc may be seen if the light is adjusted Coccidia to maximize contrast. Cysts are believed to be inter- Coccidian parasites include a variety of life styles mittently shed in the feces, and multiple samples and means of transmission. Oocysts of most genera must be examined before considering that a bird is are passed unsporulated. The cysts measure 10-14 µm x 8-10 µm 45 µm in length, contain a granular-appearing and contain four nuclei and fibrillar structures. Keeping the aviary as clean and dry as possible will reduce the viability and number of cysts available for Coccidia are common in mynahs, toucans, pigeons, transmission. By either from endogenous parasites that are not de- comparison, infections are rare in captive Amazon stroyed or from reinfection from exposure to environ- parrots. Contaminated water supplies cause clinical changes unless the birds are main- have been discussed as a method of repeated expo- tained in crowded, unsanitary conditions. Clinical sure of mammals to Giardia and may serve as a disease is occasionally seen in canaries and finches. Giardia cysts survive the Coccidiosis is a major cause of enteritis in Columbi- standard chlorination of water. Eimeria dunsingi oocysts are ated Splendid Grass Parakeets and cockatiels and ovoid, lack a micropyle and are 26-39 x 22-28 µm. Generally, Hexamita is smaller than oocysts of Eimeria are subdivided into four sporocysts Giardia, swims in a smooth linear fashion and may each with two sporozoites, whereas withIsospora, the be associated with chronic diarrhea. Hexamita has oocysts have two sporocysts each with four sporozoi- been described as a cause of disease in lories. In general, some cases of coccidiosis are associated with severe Histomonas: Histomoniasis is common in gallina- clinical disease, while other birds will pass numerous ceous birds. The induced disease is called blackhead oocysts in the feces and remain asymptomatic. In some Isospora is most common in Passeriformes, Psittaci- birds, this parasite is considered a major pathogen formes and Piciformes, and Eimeria is most common while in other birds it is considered an incidental in Galliformes and Columbiformes. When lesions occur, they generally include may be asymptomatic or develop clinical signs of hepatomegaly (with necrosis) and ascites. Adults are gen- ovoid protozoa that infect and may cause disease in erally asymptomatic carriers that shed oocysts in the the mucosal epithelial cells lining the gastrointesti- feces. Prevalence can be high in young birds during nal, respiratory and urinary tracts of birds. Birds less than a year of age are most likely Cryptosporidiosis has been documented in Gallifor- to develop clinical changes. An enlarged liver and dilated bowel loops that cryptosporidial infections may be transmitted can occasionally be observed through the transpar- among closely related species, which should be con- ent skin (see Color 20). With severe infections, zoite sidered when managing this coccidia in a collection. At ne- blood to parenchymal organs where it infects reticu- cropsy, there may be an excessive amount of mucus loendothelial and intestinal epithelial cells. Coccidial oocysts are environmentally stable and are not killed by most disinfectants. Finches x Oocysts were identified in the feces from young and adult birds in the affected group. Suggestive of the opportunis- Toxoplasma: Toxoplasma is a coccidian parasite tic nature of Cryptosporidium was the detection of with an indirect life cycle. In fatal infections in most species, has been documented three birds, the parasite remained localized to the in the Red Lory, Swainson’s Lorikeet, Regent Parrot, Superb Parrot and Crimson Rosella. In the other bird, Cryptosporidium was present throughout the large gondii is considered a ubiquitous organism with a intestines, small intestines and bursa (see Figure broad host range, and probably could infect any mam- 32. Oocysts produced and passed in the feces of infected cats would be the only source Cryptosporidium sp. The number of parasites varied tomegaly, vasculitis and necrotic foci in the lungs, from a few to several million per gram of feces. Cryptosporidium undergoes sexual multiplication in the intestine of a recovered from the ostriches was not infectious to definitive host. None of the restricted to North America and has been associated birds in this study had clinical signs of infection, but with acute deaths in a variety of psittacine species. Adult New World genous sporulation resulting in autoinfection in the Psittaciformes appear to be relatively resistant (Ta- parasitized host. The susceptibility of Old World Psittacifor- severe enteritis and diarrhea in experimentally in- mes and resistance of New World Psittaciformes may fected Bobwhite Quail in the company of reovirus. Infections appear to be more the feces so the frequent cleaning regimes that are common in the winter months and males appear to used to control other coccidia are ineffective in pre- be more susceptible than females. Crypto- ent age resistance and a bird over 33 years of age died sporidium is resistant to many disinfectants. Blue and Gold Macaw Port Lincoln Parrot Diagnosis can be improved by centrifuging diluted Budgerigar Princess Parrot feces in a high-concentration salt solution or using Cockatiel Red-capped Parrot Cockatoo Red Shining Parrot Sheather’s flotation. With modified acid-fast Great-billed Parrot Tori Parakeet Green Rosella stain, Cryptosporidium stains pink against a blue Lories (Red) background. If clinical signs lowed by infection of numerous tissues and schizo- occur prior to death, they are characterized by severe gony in the reticuloendothelial cells, particularly in dyspnea, yellow-pigmented urates and lethargy. These replication cycles can cause occlusion of the affected vessels resulting Pulmonary edema with hemorrhage is the most con- in the fatal lesions characteristic of infections in Old sistent sign in birds that die acutely (see Color 22). Histopathologic findings include dif- In a normal infectivity cycle, the intermediate host fuse interstitial and exudative pneumonia, reticu- survives schizogony in the vascular endothelium and loendothelial cell hyperplasia and schizonts or mero- mature cysts containing bradyzoites are sub- zoites in the capillary endothelium.

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Look at the opening screen(s) discount aricept 5mg on-line symptoms xeroderma pigmentosum, the bottom or closing screens discount aricept 10mg amex medications safe in pregnancy, sidebar generic aricept 5 mg online 25 medications to know for nclex, and the source code (viewable through the Web browser) buy aricept 5mg free shipping medicine lookup, in that order, for authoritative information to use in citing a blog. For more details, combine the instructions in this chapter with those in Chapter 24B Parts of Databases on the Internet if the item was posted by the blog owner or in Chapter 24C Contributions to Databases on the Internet if the item was written by someone other than the blog owner. Many blogs also post articles or other documents that were initially published elsewhere. Messages posted to discussion lists like a blog are considered a form of personal communication and are not ofen accepted by editors or others for inclusion in a reference list. Most authorities recommend placing references to such communications within the running text, not as formal end references. Te nature and source of the cited information should be identifed by an appropriate statement. Place the source information in parentheses, using a term or terms to indicate that the citation is not represented in the reference list. Such statements may include additional details, such as the reason for the posting. It is highly recommended that any message being considered for future citation be saved to disk or in print because blogs may not save or archive messages for retrieval or may withdraw individual messages. Continue to Citation Rules with Examples for Blogs Continue to Examples of Citations to Blogs 1924 Citing Medicine Citation Rules with Examples for Blogs Components/elements are listed in the order they should appear in a reference. An R afer the component name means that it is required in the citation; an O afer the name means it is optional. Author/Editor (R) | Author Afliation (O) | Title (R) | Content Type (O) | Type of Medium (R) | Editor and other Secondary Authors (O) | Place of Publication (R) | Publisher (R) | Date of Publication (R) | Date of Citation (R) | Availability (R) | Language (R) | Notes (O) Author/Editor for Blogs (required) General Rules for Author/Editor • List names in the order they appear on the opening screens • Enter surname (family or last name) frst for each author/editor • Capitalize surnames and enter spaces within surnames as they appear on the assumption that the author approved the form used. Smith" is the author • If the only personal name given in a site is associated with a copyright statement, use that name as the publisher Box 94. Virginie Halley des Fontaines becomes Halley des Fontaines V [If you cannot determine whether a surname is compound or a combination of a middle name and a surname, look elsewhere in the site for clarifcation such as an "About" or "My Profle" link. Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. Names in non-roman alphabets (Cyrillic, Greek, Arabic, Hebrew, Korean) or character-based languages (Chinese, Japanese). Romanization, a form of transliteration, means using the roman (Latin) alphabet to represent the letters or characters of another alphabet. Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. An organization such as a university, society, association, corporation, or government body may be an author. International Union of Pure and Applied Chemistry, Organic and Biomolecular Chemistry Division. American College of Surgeons, Committee on Trauma, Ad Hoc Subcommittee on Outcomes, Working Group. Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. Follow the same rules used for author names, but end the list of names with a comma and editor or editors. Separate the surname from the given name or initials by a comma; follow initials with a period; separate successive names by a semicolon and a space. If you abbreviate a word in one reference in a list of references, abbreviate the same word in all references. Marubini E (Istituto di Statistica Medica e Biometria, Universita degli Studi di Milano, Milan, Italy). Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. Moskva becomes Moscow Wien becomes Vienna Italia becomes Italy Box 108 continues on next page... Blog with author afliation Title for Blogs (required) General Rules for Title • Reproduce the title of a blog as closely as possible to the wording that appears on the screen, duplicating capitalization, spacing, and punctuation • Use a colon followed by a space to separate a title from a subtitle, unless another form of punctuation (such as a question mark, period, or an exclamation point) is already present • Follow non-English titles with a translation whenever possible; place the translation in square brackets • End a title with a space Specific Rules for Title • Determining the title • Titles not in English • Titles in more than one language • Titles ending in punctuation other than a period • Titles containing a Greek letter, chemical formula, or another special character Box 110. Use the following sources in the order given: • Look for the most prominent (usually the largest) wording on the opening screen • Use the "About" or similar link • Look at the title bar of the Web browser (generally in the top lef corner) • Look for the title in the source code of the blog if it is displayed by the Web browser Box 110 continues on next page... Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. Blog title with upper/lowercase letters, special characters 1940 Citing Medicine 12. Blog in a language other than English Content Type for Blogs (optional) General Rules for Content Type • Use a content type to alert the user that the reference is to a blog, not to a standard book or Web site • Begin type information with a lef square bracket • Enter the words "blog on" • End the content type with space Specific Rules for Content Type • Titles ending in punctuation other than a period • Titles not in English Box 115. Place the content type and type of medium in square brackets afer the title and end title information with a period. Blog published with content type given Editor and other Secondary Authors for Blogs (optional) General Rules for Editor and other Secondary Authors • A secondary author modifes the work of the author. Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. For example, Chicago as the place of publication of a blog issued by the American Medical Association. Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. Blog with unknown place of publication Publisher for Blogs (required) General Rules for Publisher • Use for publisher the individual or organization issuing the blog • Record the name of the publisher as it is found on the title page or opening screens, using whatever capitalization and punctuation appears • When a division or another subsidiary part of a publisher appears in the publication, enter the publisher name frst. If you abbreviate a word in one reference in a list of references, abbreviate the same word in all references. Place all translated publisher names in square brackets unless the translation is given in the publication. Tokyo: Medikaru Rebyusha Beijing (China): [Chinese Academy of Social Sciences, Population Research Institute] Taiyuan (China): Shanxi ke xue ji she chu ban she • If the name of a division of other part of an organization is included in the publisher information, give the names in hierarchical order from highest to lowest Valencia (Spain): Universidade de Valencia, Instituto de Historia de la Ciencia y Documentacion Lopez Pinero Box 129 continues on next page... Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. Aarhus (Denmark): Aarhus-Universitetsforlag [Aarhus University Press] • As an option, you may translate all publisher names not in English. Place all translated publisher names in square brackets unless the translation is given in the publication. Blog with unknown publisher Date of Publication for Blogs (required) General Rules for Date of Publication • Give the beginning date, i. Electronic Mail and Discussion Forums 1953 • Include the month, if desired, afer the year, such as 2004 May • Use English names for months and abbreviate them using the frst three letters, such as Jan • For an open blog, give the beginning date of the blog followed by a hyphen and 3 spaces • For a closed blog, give the beginning and ending dates, separated by a hyphen with a space before and afer • If the beginning date is not provided, see No beginning date is provided below • End date information with a space Box 137. When a blog does not clearly state the date the blog began (and closed): • Look for the beginning date in a link titled "About", "My Profle", etc. A copyright date is identifed by the symbol ©, the letter "c", or the word copyright preceding the date. Tis convention alerts a user that the information is older than the date of publication implies. Blog with date obtained from earliest material in it Date of Citation for Blogs (required) General Rules for Date of Citation • Always include the date the blog was seen on the Internet • Include the year month and day in that order, such as 2006 May 5 • Use English names for months and abbreviate them using the frst three letters, such as Jan • If a date of update/revision is given, place the date of citation afer it and follow both dates with a right square bracket • If no date of update/revision is given, place citation date information in square brackets • End date information with a period placed outside the closing bracket Examples for Date of Citation 1. Contribution to a blog on the Internet by someone other than the blog owner Language for Blogs (required) General Rules for Language • Give the language of publication if not English • Capitalize the language name • Follow the language name with a period Specific Rules for Language • Blogs appearing in more than one language Box 142. Blog in a language other than English 1960 Citing Medicine Notes for Blogs (optional) General Rules for Notes • Notes is a collective term for any useful information given afer the citation itself • Complete sentences are not required • Be brief Specific Rules for Notes • Types of material to include in notes Box 143. Blog with supplemental note included Electronic Mail and Discussion Forums 1961 Examples of Citations to Blogs 1. Blog with editors where there is no author Ostrovsky M, Genes N, Odell T, Ostrovsky G, editors. Diabetes Mine: a gold mine of straight talk and encouragement for people living with diabetes [blog on the Internet]. Diabetes Mine: a gold mine of straight talk and encouragement for people living with diabetes [blog on the Internet].

Add- by clipping the wings before introducing it to new ing fresh green plants to the diet provides the birds surroundings discount aricept 5mg with amex medications 142. Outside the breeding season buy aricept 10 mg without prescription medications you cant crush, a maintenance Free-ranging Blood Pheasants feed on mosses cheap aricept 5 mg medicine 0552, li- diet containing less than 20% crude protein is best generic 10 mg aricept overnight delivery symptoms mold exposure. They Commercial diets for domestic turkey are usually browse constantly in planted aviaries. Snowcocks eat better suited for pheasants than diets developed for mostly grasses and leguminous plants. Feeding is best accomplished by pro- feed on these plants immediately after hatching. In captivity, tragopans can be fed lucerne, grasses, Most New World quail are primarily seed-eaters and cucumbers, apples and different kinds of berries. Forest-adapted species may be the spring, summer and autumn, grouse feed on a largely insectivorous and have higher and more spe- variety of plants. In the winter, most grouse species cific protein requirements in comparison to other are restricted to consuming one or a few plant spe- gallinaceous birds. They can be sustained on pel- capercaillies and other grouse species feed almost lets containing 21% crude protein supplemented exclusively on conifer needles, the Black Grouse on with fruits but no grains. During the breeding sea- birch buds, and ptarmigans on buds from different son, they are fed soybean paste, chopped hard-cooked deciduous trees (birch, alder, willow). In addition to captivity is similar to the fecal flora of the domestic high-protein turkey or pheasant diets, adult peacock fowl, and differs substantially from the fecal flora of free-ranging capercaillies. Green plants are oil content of natural food plants may support the rarely consumed by these species. The Roulroul is fed growth of autochthonous intestinal flora in free- ranging grouse. The primarily meat diet of these birds sole winter food and the main portion of food in the 28 summer. Halofuginone is toxic for the Common Pheas- ant, guineafowl and the Common Partridge. Monen- Some gallinaceous birds consume almost exclusively 14 sin is toxic for guineafowl. In general, turkeys, results in obesity, reduced fertility and im- the effects of coccidiostats and other medical feed balances in the intestinal microflora. These species supplements on gallinaceous birds have not been should be maintained only where natural-type foods sufficiently studied. Pel- lets should be provided only in small quantities, if at All gallinaceous birds should have access to grit. Koklass naturally feed on ferns, grasses, leaves, grit container should be emptied and refilled regu- mosses, buds and berries. In captivity they should be larly because birds select only stones that are suit- provided soft green plants, fruits and berries and no able for their body mass. In the summer, grasses and lucerne can be have an adequate supply of calcium and should not provided. Fresh, peacock pheasants, Crested Argus, Great Argus and clean water must be available at all times for all some other gallinaceous hens feed their chicks for species. Starting at five to six weeks of age, the Reproduction protein requirements begin to decrease, and the in- take of carbohydrates increases to meet energy re- quirements. By six months of age, most young galli- naceous birds have reached a mass equivalent to that Some gallinaceous birds breed readily in captivity of adults. Some pheasant and a large flat plate on which they can move around and quail species are approaching a level of domestica- practice picking. By five to seven days of age, food can tion that is advantageous for both the captive animal be offered in larger containers. Comparatively, “semi-domesticated” plate to larger containers should occur by offering animals are of no value if offspring are to be released feed in both containers at the same time. Small to the wild with the intent of reintroducing genetic chicks may drown in large water containers. Genetic selec- stones or glass marbles in the container will reduce tion and breeding to achieve color variants increase losses. The clutch size Chicks of unpretentious species (Common Pheasant, and incubation times for commonly maintained gal- peafowl, guineafowl) are initially fed a starter diet linaceous birds are listed in Table 45. Parameters like turkey starter (28% crude protein) and are trans- for artificial incubation are listed in Table 45. It is best to provide these birds with foods that are Gallinaceous birds to be used for breeding purposes similar to those eaten by their free-ranging conspeci- should be introduced to each other before the breed- fics. A diet composed of turkey starter mixed with ing season in surroundings that are novel to all the mealworms, ant cocoons, chopped hard-cooked eggs, candidates concerned. The female should be intro- diced romaine lettuce, spinach, dandelion and other duced to the enclosure a few hours prior to the male. In several species In some species, it is possible to keep several males (some grouse), chicks obtain food by picking at the together if there are no females present. In monogamous spe- vided intact plants that are placed in the ground or cies, only a single pair should be housed together. Chicks that are to be released into the wild ing the breeding season may attack other males, must be introduced to their natural foods to prevent other bird species or even the keeper. Perhaps chicks are imprinted with food male and mock escape by the female is normal behav- shapes and colors, or at the least, they learn what ior in some species like eared pheasants and fran- foods to consume from the hen. If there is insufficient space for the hen to The chicks of some gallinaceous birds will not pick escape, she may be injured or killed by the cock. Hatching Incubation Chamber Hatching Chamber is genetically determined and should not be assisted. Synchronization of the hatch dates Pheasant can occur by two mechanisms: 1) The hen does not California 38. The procedures to providing adequate space for a pair of exception is the megapode chick, which is inde- pendent immediately after hatching. Densely planted aviaries that provide a hen with areas to hide may still have Foster Breeding inherent problems. Fiberglass panels leaned against the wall or concrete tubes provide similar protection The hens of some gallinaceous birds are unreliable and are easy to clean. Cracid, Common Pheasant and nearly all species of New World quail hens are una- For species in which there are substantial differences menable brooders in captivity. Domestic turkey hens hen to enter the cock’s enclosure, while preventing can be used to incubate the eggs of larger gallina- the cock from entering the hen’s area. Small and fragile eggs should be placed effective method for breeding birds like the Common under Golden Pheasant hens, which are cautious Capercaillie. During the most attractive of several cocks and if only one cock last week of incubation, the eggs of tropical birds is available, breeding may not occur if the hen does being raised in dry climates should be moistened not like the cock. After hatching, the acoustic presence of other males is necessary to hen and chicks can be placed in a small enclosure stimulate display and mating behavior. Chicks are prone to chilling Most gallinaceous birds incubate eggs on the ground the first few days post-hatching and must have sup- and should be provided with flat trays containing plemental body heat from the attending hen. Tragopans, the Congo Peafowl, the Bronze-tailed Peacock Pheas- The disadvantages of foster parenting are: ant, the Crested Argus Pheasant, the Mikado Pheas- crushing of small fragile eggs by heavy or clumsy ant, the Salvadori’s Pheasant and the cracids nest in adults; trees. A box placed approximately 150 cm from the premature cessation of brooding if the natural ground and filled with hay and foliage can be used as incubation period of the foster hen is shorter than an artificial nest.

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Newly formed elementary bodies are re- leased cheap aricept 10 mg otc symptoms 7 weeks pregnancy, not always by lysis of the host cell buy aricept 5 mg otc medicine 834. The first step in replication is the attachment to and penetration of a target cell (mainly columnar Serovars epithelial cells of mucous membranes and mononu- C buy 10mg aricept medicine information. The process is comparable to receptor-mediated monoclonal antibodies: psittacine purchase 5mg aricept fast delivery medicine 832, pigeon I, duck, endocytosis. By remaining in an endosome, Whether or not the parrot serovar and turkey se- the chlamydia is protected from host-derived rovar are really of particular importance as zoonotic lysozymes. It has been found (which would destroy the engulfed organism) is in- that the different serovars do not only occcur in the hibited by chlamydial-derived proteins. Chlamydia has a tion of the metabolically inert elementary body into genus-specific lipoglycoprotein with an acid polysac- the large (0. Several proteinaceous an- cation cycle probably begins with the reduction of the tigens, including the major outer membrane protein, disulfide bond that cross links the outer membrane can show subspecies or even strain-specific variabil- proteins. The cause they can persist in spite of circulating antibod- most important virulence factor is a toxin, which ies and therapeutics designed to inhibit cellular wall occurs with various degrees of intensity in the differ- formation. The growth and binary fission of the reticu- growth in a particular avian host, metabolic and late bodies result in the production of many progeny structural changes occur that can alter its patho- and micro-colonies containing from 100 to 500 chlamy- genicity and antigenicity. By the end of the are formed during the replication cycle contains het- replication cycle, enzymes produced by the intracel- erologous “new” antigens, which are assumed to be lular parasite may induce lysis of the host cell (48 host-specific. These enzymes are tine stations, breeding farms, multispecies aviaries, susceptible to antibiotics. Endotoxicosis may occur in pet shops) of chlamydia can change the physico- the host cell when lysosomes are destroyed and en- chemical properties and, therefore, the antigenic dosomatic enzymes are released into the cytoplasm. Maturation of the noninfectious reticulate the newly acquired characteristics are not truly sta- bodies into infectious elementary bodies involves the ble. Chlamydia-specific lipopolysaccharide The outcome of an infection is dependent on the ratio is brought to the host cell surface concomitantly with of elementary bodies to macrophages. Mature inclusion body densely packed with progeny reticulate bodies and elementary bodies. The reticulate body ap- pears to be oriented to permit penetration of its surface projec- tions through the inclusion membrane into the eukaryotic cytoplasm (arrow); x 48,000. Low doses that between 30 and 70% of the birds tested are of a virulent strain are rapidly inactivated by infected. If the macrophage is damaged, the chances of the Transmission chlamydial organism to survive are reduced. Low doses of a nonvirulent strain do not stimulate an Elementary bodies present in feather dust and dried appropriate lytic reaction, resulting in macrophages feces are primarily dispersed through air circulation. Vertical transmission life span of these epithelioid cells should govern the through the egg has been documented in domesti- duration of antibiotic treatment. However, nothing is cated ducks,32,47 Black-headed Gulls32 and budgeri- known about the longevity of these transformed cells gars,44 and has been suggested in turkeys. Incomplete autosteriliza- in the feces (up to 105 infectious units per gram of tion and phagocytosis into “new” macrophages favor feces), urine, lacrimal fluid, nasal discharge, mucous the selection of strains with low virulence for the from the oral and pharyngeal cavities and “crop milk” species in question. Insufficient information is shedding of large numbers of chlamydia that might available to establish the periods during which birds be highly virulent for other avian species. Stability of Chlamydia The infectious elementary bodies, which can be Cockatiels are frequent carriers of chlamydia and stained as described by Giemsa, Gimenez, Stamp, can shed the agent in the feces for more than one year Macchiavello or Castaneda, can survive outside the following an active infection. Infected ducks have host (protected by proteinaceous material) and inside been shown to shed chlamydia in the feces for 100 host cells for several weeks (see Color 10). Bacterial- days, and harbor the organism on the nasal mucosa induced destruction of tissues and the presence of for 170 days. Chlamydia is this theory cannot be substantiated using improved particularly sensitive to heat and one percent for- methods of chlamydial detection. Quaternary ers may begin to shed the organism following a ammonium compounds and lipid solvents are poor stressful event. Infectivity has tion of infections within a flock during a four- to been shown to be destroyed within minutes by ben- five-month period cannot be confirmed. As a rule, infected birds, cattle, sheep and goats readily trans- the organism is well adapted to avian hosts and mit chlamydia to other members of the same species. A newly imported Amazon parrot with chlamydiosis Clinical disease is precipitated mainly by human-in- was thought to have infected a cat that was restricted duced conditions and procedures. However, surveys of imported and domes- There are considerable differences between the sus- tically bred Psittaciformes as well as free-ranging ceptibility of various host species to chlamydia. Similar differences are described with varying chlamydial strains in the same host spe- These interactions of the host immune system and cies. Macaws and Amazon parrots tion times, clinical signs and pathology noted with chlamydial infections. These are generalizations with many excep- adjacent serosal membranes can lead to polyserosi- tis, including pericarditis. Given the high number of birds with anti- often fatal illness in young birds or with nonhost- bodies to chlamydia, most primary infections must adapted chlamydial strains. The precondition for occur without the development of obvious clinical such an adaptation is a latent infection of some time signs. The amount of antitoxic strains can be most dramatic when they infect a 19,28 antibodies seems too low to induce some immunity. The surface of the elemen- tary bodies contains hepatotoxic and nephrotoxic components that disappear once the organism enters the host cell. The toxins are once again a factor following replication and release of progeny elemen- tary bodies from the host cell. These toxins present on the elementary bodies induce the production of antibodies that neutralize the toxins and destroy infectivity. These toxins have not been isolated and characterized, but they are believed to be related to the few proteinaceous-specific membrane antigens of the intact elementary body. If an elementary body is phagocytized and is not coated with opsonins, the organism can survive and replicate within the macro- phage. During persistent infection, chlamydia re- a 12-day history of progressive upper respiratory disease, polyuria (biliverdinuria), diarrhea and anorexia. On presentation, the bird main within a membrane-bound compartment and had a severe rhinitis, conjunctivitis, severe dyspnea and emacia- release infectious progeny and antigens via exocy- tion (275 g). Chlamydia antigen was 5 detected in the feces and on a pharyngeal swab by antigen-capture microorganisms from an infected cell. The client had an upper respiratory disease and flu-like exocytosed antigens released from the cells may not symptoms. African Grey Parrots are generally considered resistant to chlamydiosis, I-restricted cytotoxic T-lymphocytes. This allows in- but as indicated by this case, under some conditions they can fection, and probably reinfection, to occur and be become sick. The minimum incubation period for naturally Heterophils Normal infected Psittaciformes is 42 days. These infected birds Bile acids Elevated (> 2 times normal) may shed the organism for several months while remaining asymptomatic. Extreme environmental changes or concurrent infections may activate per- A distinct, sometimes recurrent, keratoconjunctivitis sistent infections, resulting in the occurrence of clini- with no other, or only subtle, signs has been de- cal disease. Epizooitologically, outbreaks in offspring scribed for small Australian parakeets (especially in from asymptomatically infected parents and young the genus Neophema), pigeons, ducks, and European birds to which they are exposed are common.

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