Difference between revisions of "Snake Cryptosporidiosis"

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==Introduction==
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Cryptosporidium spp. are protozoa of the phylum Apicomplexa and commonly cause gastrointestinal disease in animals. Cryptosporidium serpentis infection in snakes causes gastric hypertrophy and consequent clinical signs. The mode of transmission is oral-faecal. The disease can either be subclinical with intermittent shedding or clinical with gastrointestinal disease. Non-ophidian reptiles may also be carriers.
[[Image:Crypto_lump_copy.jpg|100px|thumb|right|'''Mid-body swelling''' © RVC]]
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[[Image:Crypto_lump_copy.jpg|400px|thumb|right|©RVC and its licensors, Peer Zwart and Fredric Frye. All rights reserved]]
[[Cryptosporidium|''Cryptosporidium'']] spp. are [[Protozoa|protozoa]] of the phylum Apicomplexa and commonly cause gastrointestinal disease in animals. ''Cryptosporidium serpentis'' infection in snakes causes gastric hypertrophy and consequent clinical signs. The mode of transmission is oral-faecal. The disease can either be subclinical with intermittent shedding or clinical with gastrointestinal disease. Non-[[Ophidian|ophidian]] reptiles may also be carriers.
 
 
 
 
==Examination==
 
==Examination==
Regurgitation of mucus covered prey three to four days after eating, weight loss and a firm mid-body swelling are the usual clinical signs. Regurgitation may be episodic.  
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Regurgitation of mucus covered prey three to four days after eating, weight loss and a firm mid-body swelling are the usual clinical signs. Regurgitation may be episodic.  
 
 
'''For more information on physical examinations of snakes, see''' [[Snake Physical Examination]].
 
 
 
 
==Diagnosis==
 
==Diagnosis==
Cryptosporidiosis can be insidious and go unnoticed until pathologic changes are advanced. It is diagnosed by several methods, but often established on [[Snake Necropsy|necropsy]].
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Cryptosporidiosis can be insidious and go unnoticed until pathologic changes are advanced. It is diagnosed by several methods, but often established on necropsy.
 
 
* Cryptosporidial oocysts (about 6 µm diameter) can be detected in faeces. Modified acid fast staining helps to detect them. Due to inconsistent shedding, four consecutive negative faecal tests are necessary to establish a ''Cryptosporidium''-free snake.
 
 
 
* Samples for microscopy may be collected by stomach wash. ''Cryptosporidia'' may sometimes be seen in the mucous of regurgitated food.
 
 
 
* [[ELISA testing|ELISA]] detectable ''Cryptosporidium''-specific antibody titres are available but are not necessarily specific for ''C. serpentis''.
 
 
 
* Histopathology can establish a positive diagnosis from endoscopic biopsy or surgical biopsy. Negative histology does not rule out cryptosporidiosis because of the non-uniform distribution of ''Cryptosporidia''.
 
 
'''For more information on diagnostics, see''' [[Lizard and Snake Specimen Collection and Evaluation|Specimen Collection and Evaluation]].
 
[[Image:Clinical_cryptosporidiosis_snow_corn_snake.jpg|300px|thumb|right|© RVC]]
 
 
 
==Treatment==
 
Treatment can be supportive but death usually occurs from a few months to a year after the clinical signs are first noticed. Treatment with immunoglobulins may be helpful. [[Lizard and Snake Euthanasia|Euthanasia]] may be the most realistic option. If not, strict [[Lizard and Snake Quarantine|quarantine]] of any infected snakes is very important to stop the spread of infection. Disinfection of contaminated areas can be carried out with 5% ammonia or 10% formalin. Hypochlorite at 3% is not effective.
 
 
 
'''For more vivarium disinfectants, see''' [[Lizard and Snake Day to Day Practice]].
 
 
 
If multiple snakes within a colony are found to be infected, the following steps should be followed:
 
  
'''1)''' Euthanize any infected animals
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*Cryptosporidial oocysts (about 6 µm diameter) can be detected in faeces. Modified acid fast staining helps to detect them. Due to inconsistent shedding, four consecutive negative faecal tests are necessary to establish a Cryptosporidium-free snake.
  
'''2)''' Prevent any movement in or out of the colony
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*Samples for microscopy may be collected by stomach wash. Cryptosporidia may sometimes be seen in the mucous of regurgitated food.
  
'''3)''' Use the above mentioned disinfectants on all cages and equipment
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*ELISA detectable Cryptosporidium-specific antibody titres are available but are not necessarily specific for C. serpentis.
  
'''4)''' Test food and water for the presence of cryptosporidium
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*Histopathology can establish a positive diagnosis from endoscopic biopsy or surgical biopsy. Negative histology does not rule out cryptosporidiosis because of the non-uniform distribution of cryptosporidia.  
 
 
'''5)''' Quarantine any new arrivals for an appropriate period to prevent reintroduction of infection.
 
  
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==Therapy==
 +
Treatment can be supportive but death usually occurs from a few months to a year after the clinical signs are first noticed. Treatment with immunoglobulins may be helpful. Euthanasia may be the most realistic option. If not, strict quarantine of any infected snakes is very important to stop the spread of infection. Disinfection of contaminated areas can be carried out with 5% ammonia or 10% formalin. Hypochlorite at 3% is not effective.
 
==Prevention==
 
==Prevention==
Good husbandry practices will always be invaluable as part of a preventive medicine program. Limiting stressors and maintaining good hygiene will decrease the spread of cryptosporidiosis. Snakes should not be housed with other reptiles since they are susceptible to the excreted oocysts from carriers.  ''Cryptosporidium'' spp. that infect mammals do not infect snakes and it appears that ''Cryptosporidium serpentis'' is not adapted to poikilotherms and therefore not contagious to mammals.
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Good husbandry practices will always be invaluable as part of a preventive medicine program. Limiting stressors and maintaining good hygiene will decrease the spread of cryptosporidiosis. Snakes should not be housed with other reptiles since they are susceptible to the excreted oocysts from carriers.  Cryptosporidium spp. that infect mammals do not infect snakes and it appears that Cryptosporidium serpentis is not adapted to poikilotherms and therefore not contagious to mammals.
 
 
'''For more information on good husbandry, see''' [[:Category: Snake Husbandry|Snake Husbandry]].
 
 
 
{{Learning
 
|flashcards = [[Reptiles and Amphibians Q&A 20]]
 
|literature search = [http://www.cabdirect.org/search.html?q=(title:(snake)+OR+ab:(snake)+OR+od:(snake))+AND+(title:(cryptosporidi*)) Snake Cryptosporidiosis publications]
 
|full text = [http://www.cabi.org/cabdirect/FullTextPDF/2009/20093231161.pdf  ''' Cryptosporidium and cryptosporidiosis: a brief review.''' Siddiki, A. M. A. M. Z.; Masuduzzaman, M.; Faculty of Veterinary Medicine, Trakia University, Stara Zagora, Bulgaria, Bulgarian Journal of Veterinary Medicine, 2009, 12, 2, pp 91-111, many ref. - '''Full Text Article''']
 
}}
 
 
 
==References==
 
Frye, FL & Williams, DL (1995) '''Self-Assessment Colour Review - Reptiles & Amphibians''' ''Manson''
 
 
 
 
 
{{review}}
 
 
 
{{OpenPages}}
 
 
 
 
[[Category:Snake_Diseases]]
 
[[Category:Snake_Diseases]]
[[Category:Expert Review - Exotics]]
 

Revision as of 10:11, 23 April 2010



Cryptosporidium spp. are protozoa of the phylum Apicomplexa and commonly cause gastrointestinal disease in animals. Cryptosporidium serpentis infection in snakes causes gastric hypertrophy and consequent clinical signs. The mode of transmission is oral-faecal. The disease can either be subclinical with intermittent shedding or clinical with gastrointestinal disease. Non-ophidian reptiles may also be carriers.

©RVC and its licensors, Peer Zwart and Fredric Frye. All rights reserved

Examination

Regurgitation of mucus covered prey three to four days after eating, weight loss and a firm mid-body swelling are the usual clinical signs. Regurgitation may be episodic.

Diagnosis

Cryptosporidiosis can be insidious and go unnoticed until pathologic changes are advanced. It is diagnosed by several methods, but often established on necropsy.

  • Cryptosporidial oocysts (about 6 µm diameter) can be detected in faeces. Modified acid fast staining helps to detect them. Due to inconsistent shedding, four consecutive negative faecal tests are necessary to establish a Cryptosporidium-free snake.
  • Samples for microscopy may be collected by stomach wash. Cryptosporidia may sometimes be seen in the mucous of regurgitated food.
  • ELISA detectable Cryptosporidium-specific antibody titres are available but are not necessarily specific for C. serpentis.
  • Histopathology can establish a positive diagnosis from endoscopic biopsy or surgical biopsy. Negative histology does not rule out cryptosporidiosis because of the non-uniform distribution of cryptosporidia.

Therapy

Treatment can be supportive but death usually occurs from a few months to a year after the clinical signs are first noticed. Treatment with immunoglobulins may be helpful. Euthanasia may be the most realistic option. If not, strict quarantine of any infected snakes is very important to stop the spread of infection. Disinfection of contaminated areas can be carried out with 5% ammonia or 10% formalin. Hypochlorite at 3% is not effective.

Prevention

Good husbandry practices will always be invaluable as part of a preventive medicine program. Limiting stressors and maintaining good hygiene will decrease the spread of cryptosporidiosis. Snakes should not be housed with other reptiles since they are susceptible to the excreted oocysts from carriers. Cryptosporidium spp. that infect mammals do not infect snakes and it appears that Cryptosporidium serpentis is not adapted to poikilotherms and therefore not contagious to mammals.