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zoonoses and communicable diseases common to ... - PAHO/WHO

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SALMONELLOSIS 239DOGS AND CATS: In recent years, a high prevalence of infection caused by numerousserotypes has been confirmed in cats <strong>and</strong> dogs. These animals may be asymp<strong>to</strong>maticcarriers or may suffer from gastroenteritic salmonellosis with varyingdegrees of severity.Dogs can contract the infection by eating the feces of other dogs, other domesticor peridomestic animals, or man. Dogs <strong>and</strong> cats can also be infected by contaminatedfood. In addition, dogs can transmit the disease <strong>to</strong> man.Treatment for these animals consists mainly of fluid <strong>and</strong> electrolyte replacement.Antibiotic treatment is reserved for septicemic cases <strong>and</strong> is effective if begun earlyin the course of the disease. The antibiotics indicated for invasive salmonellosis areampicillin, chloramphenicol, <strong>and</strong> sulfamethoxazole with trimethoprim (Timoney etal., 1988).Multiresistant animal strains that can be transmitted <strong>to</strong> man are another problem.The indiscriminate use of antibiotics in animals often results in changes in flora inthe colon, allowing rapid multiplication of resistant bacteria. In addition, the numberof carrier animals in the group that shed the etiologic agent can increase(Timoney et al., 1988).FOWL: Two serotypes, S. pullorum <strong>and</strong> S. gallinarum, are adapted <strong>to</strong> domesticfowl. They are not very pathogenic for man, although cases of salmonellosis causedby these serotypes have been described in children. Many other serotypes are frequentlyisolated from domestic poultry; for that reason, these animals are consideredone of the principal reservoirs of salmonellae.Pullorum disease, caused by serotype S. pullorum, <strong>and</strong> fowl typhoid, caused by S.gallinarum, produce serious economic losses on poultry farms if not adequatelycontrolled. Both <strong>diseases</strong> are distributed worldwide <strong>and</strong> give rise <strong>to</strong> outbreaks withhigh morbidity <strong>and</strong> mortality. Pullorum disease appears during the first 2 weeks oflife <strong>and</strong> causes high mortality. The agent is transmitted vertically as well as horizontally.Carrier birds lay infected eggs that contaminate incuba<strong>to</strong>rs <strong>and</strong> hatcheries.Fowl typhoid occurs mainly in adult birds <strong>and</strong> is transmitted by the fecal matter ofcarrier fowl. On an affected poultry farm, recuperating birds <strong>and</strong> apparently healthybirds are reservoirs of infection.Salmonellae unadapted <strong>to</strong> fowl also infect them frequently. In the US, more than200 serotypes of Salmonella spp. have been isolated from chickens <strong>and</strong>/or turkeys(Nagaraja et al., 1991). Nearly all the serotypes that attack man infect fowl as well.Some of these serotypes are isolated from healthy birds. The infection in adult birdsis generally asymp<strong>to</strong>matic, but during the first few weeks of life, its clinical pictureis similar <strong>to</strong> pullorum disease (loss of appetite, nervous symp<strong>to</strong>ms, <strong>and</strong> blockage ofthe cloaca with diarrheal fecal matter). The highest mortality occurs during the first2 weeks of life. Most losses occur between six <strong>and</strong> ten days after hatching.Mortality practically ceases after a month. The clinically apparent form of the diseaseis rare after three weeks of life, but many birds survive as carriers (Nagarajaet al., 1991).The most <strong>common</strong> agent in ducks <strong>and</strong> geese is S. typhimurium. The infection maybe transmitted from the infected ovary <strong>to</strong> the egg yolk, as in pullorum disease, or bycontamination of the shell when it passes through the cloaca.The most <strong>common</strong> agent of salmonellosis in pigeons is S. typhimurium var.copenhagen.

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