Difference between revisions of "Snake Cryptosporidiosis"

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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.
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==Introduction==
[[Image:Crypto_lump_copy.jpg|400px|thumb|right|©RVC and its licensors, Peer Zwart and Fredric Frye. All rights reserved]]
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[[Image:Crypto_lump_copy.jpg|100px|thumb|right|'''Mid-body swelling''' © RVC]]
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[[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 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 [[Snake Necropsy|necropsy]].
 +
 
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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.
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* Samples for microscopy may be collected by stomach wash. ''Cryptosporidia'' may sometimes be seen in the mucous of regurgitated food.
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* [[ELISA testing|ELISA]] detectable ''Cryptosporidium''-specific antibody titres are available but are not necessarily specific for ''C. serpentis''.
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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''.
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'''For more information on diagnostics, see''' [[Lizard and Snake Specimen Collection and Evaluation|Specimen Collection and Evaluation]].
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[[Image:Clinical_cryptosporidiosis_snow_corn_snake.jpg|300px|thumb|right|© RVC]]
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==Treatment==
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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:
  
*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.
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'''1)''' Euthanize any infected animals
  
*Samples for microscopy may be collected by stomach wash. Cryptosporidia may sometimes be seen in the mucous of regurgitated food.
+
'''2)''' Prevent any movement in or out of the colony
  
*ELISA detectable Cryptosporidium-specific antibody titres are available but are not necessarily specific for C. serpentis.
+
'''3)''' Use the above mentioned disinfectants on all cages and equipment
  
*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.  
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'''4)''' Test food and water for the presence of cryptosporidium
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'''5)''' Quarantine any new arrivals for an appropriate period to prevent reintroduction of infection.
  
[[Image:Clinical_cryptosporidiosis_snow_corn_snake.jpg|350px|thumb|right]]
 
==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.
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'''For more information on good husbandry, see''' [[:Category: Snake Husbandry|Snake Husbandry]].
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{{Learning
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|flashcards = [[Reptiles and Amphibians Q&A 20]]
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|literature search = [http://www.cabdirect.org/search.html?q=(title:(snake)+OR+ab:(snake)+OR+od:(snake))+AND+(title:(cryptosporidi*)) Snake Cryptosporidiosis publications]
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|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''']
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}}
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==References==
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Frye, FL & Williams, DL (1995) '''Self-Assessment Colour Review - Reptiles & Amphibians''' ''Manson''
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{{review}}
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{{OpenPages}}
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[[Category:Snake_Diseases]]
 
[[Category:Snake_Diseases]]
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[[Category:Expert Review - Exotics]]

Latest revision as of 18:30, 26 July 2012


Introduction

Mid-body swelling © RVC

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.

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.

For more information on physical examinations of snakes, see Snake Physical Examination.

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.

For more information on diagnostics, see Specimen Collection and Evaluation.

© 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. 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.

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

2) Prevent any movement in or out of the colony

3) Use the above mentioned disinfectants on all cages and equipment

4) Test food and water for the presence of cryptosporidium

5) Quarantine any new arrivals for an appropriate period to prevent reintroduction of infection.

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.

For more information on good husbandry, see Snake Husbandry.


Snake Cryptosporidiosis Learning Resources
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Flashcards
Test your knowledge using flashcard type questions
Reptiles and Amphibians Q&A 20
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Literature Search
Search for recent publications via CAB Abstract
(CABI log in required)
Snake Cryptosporidiosis publications
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Full Text Articles
Full text articles available from CAB Abstract
(CABI log in required)
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




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