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UlrichWernery Oskar-Ruger Kaaden
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VetBooks.ir
UIrich We rnery
Oskar-Ruger Kaaden
Infectious Diseases
in Camelids
2nd, revised and enlarged edition
The first edition of Infectious Diseases of An important addition is the new chap-
Camelids was a sigruficant contribution to ter on parasites. Information on many of
the scientific literature of camel medicine. these parasitic diseases is now in concise,
Clinicians, scientists,pathologists and cam- usable form.
el owners all over the world used the book. It is significant that superbly skilled sci-
The information was current, reflecting the entists have been given an opportunity to
extensive experience obtained at the Cen- investigate and conduct research on camel
tral Veterinary Research Laboratory (CVRL) diseases in the United Arab Emirates. His
and from world literature. The CVRL is Highness General Sheikh Mohammed Bin
one of the premier diagnostic laboratories Rashid A1 Maktoum deserves the thanks of
in the world, with the staff devoting their camel owners all over the world for having
efforts towards the diagnosis of disease in the foresight to establish the Central Vet-
camels, horses and falcons in the Middle erinary Research Laboratory. Following
East. The CVRL has a professional staff more than a decade of investigation and
of microbiologists,pathologists, molecular collection of data on camelid diseases,
biologists and parasitologists working to- the CVRL accumulated the expertise and
gether to further the scientific knowledge knowledge to publish this book. His High-
necessary for the proper husbandry of ness' continued support of ongoing inves-
camels. tigations on camel health is a reflection of
The authors are pre-eminently qualified his intense interest and support of the ath-
to write on this subject, having devoted letic camel. Camel owners, trainers, veteri-
much time, effort and expertise to study- narians and scientists from many disci-
ing camel infectious and parasitic diseases. plines are deeply.appreciativeof His High-
The second edition continues the excel- ness' benevolence.
lence of the first edition and adds signifi- The second edition has been completely
cantly more information. The etiology of updated, particularlyin the areas of pathol-
heretofore-questionablediagnoses has been ogy, parasitology and mycology. The book
clarified. More specific diagnostic proce- is divided into bacterial, viral, fungal and
dures have been studied for sensitivityand parasitic diseases, with each chapter con-
specificity in camels. taining information on etiology, epidemi-
Two new contributing authors have ology, clinical signs, pathology, diagnosis,
been invited to expand the areas of diag- treatment and prevention. Treatment and
nostic pathology (Dr. J. Kinne) and para- control has been given special emphasis in
sitology (Dr. s. Bornstein). Publications this second edition.
dealing with the details of camel pathol- Congratulations to the authors for their
ogy are few and with this edition a valu- dedication and willingness to share their
able service has been rendered to diag- experiences with colleagues around the
nosticians and camel owners all over the world.
world. The husbandry of camels will be
improved as a result of more basic knowl- Murray E. Fowler, DVM
edge about diseases and disease processes Professor Emeritus, Zoological Medicine
in camels. University of California, Davis, USA
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After working for a short period of time volume of milk with excellent nutritional
with dromedaries in Somalia some years value in areas of the world where the tra-
ago, I now have the privilege of dedicating ditional milk animals, the cow, the sheep
much of my time to this animal species in and the goat, have difficulty surviving, not
an optimal environment. The Central Vet- to speak of producing milk. It is therefore
erinary Research Laboratory in Dubai was inconceivablethat such a favorable animal
founded in 1985 and one of the major tasks species is so seldom used as a farm animal.
of this institute was research on infectious Many people still believe that the camel is
diseases of camelids. Before 1970, very lit- of low economic value and is synonymous
tle was known about infectious diseases with underdevelopment.
of camels. However, during the last two Only recently has the camel family been
decades there has been a tremendous in- considered to aid man in many different
crease in the number of scientific papers respects. Understanding and utilizing this
in the world literature. It is now known special gft could lead to the development
that infectious diseases cause 50"/0 of fatal- of camel farms in famine areas and a re-
ities in New World camelids and 65% in duction in human starvation.
Old World camelids. Pneumonia, peritoni- This book is written as a gesture of ap-
tis and diseases of the intestinal tract are preciation from four European camel re-
the main ailments in NWC, whereas infec- searchersfor all that this animal family has
tious diseases of the alimentary tract are meant to us.
the main causes of fatalities in OWC.
Most species of the camel family are do- Autumn 2001 U. Wernery, Dubai
mesticated and are used as beasts of bur- 0.-R. Kaaden, Munich
den, as "ships of the desert", and provide J. Kinne, Dubai
man with high quality fiber, meat and S. Bornstein, Uppsala
milk. OWC can produce a considerable
Acknowledgements
nil,.’
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The authors are deeply indebted to His made it possible for this laboratory to dis-
Highness General Sheikh Mohammed Bin cover new facts regarding camel diseases.
Rashid A1 Maktoum, Minister of Defense The authors are particularly grateful to
of the United Arab Emirates, whose gen- Mrs. S. Robinson, Mr. R. Babu and Mr.
erosity helped realize the publication of N. Chaudhry for their care and patience in
the second edition of this book. typing the manuscript and to Mr. D. Wer-
Sincere thanks are given to the owners nery who introduced me to the world of
of the Bin Hamoodah Group of Companies computers and who had the painstaking
for their generous contribution to financ- job of typing most of the tables.
ing the publication of the second edition of Many thanks go to the staff of the Cam-
this book and their interest in safeguarding el Reproduction Laboratory in Nakhlee,
camel breeding and racing traditions in the Dr. J. A. Skidmore and Mr. M. Billah, for
UAE. their support and to Dr. B. N. Kumar, who
The authors gratefully acknowledge the works for the Bin Hamoodah Group of
cooperation, help and advice from Dr. Ali Companies.
Ridha, the Administrative Director of the Many other people supported and helped
Central Veterinary Research Laboratory. us with this project, but we owe a particular
Dr. Ridha has taken a keen and critical in- debt of gratitude to Dr. E. Zabegina from
terest in all of the authors’ scientific work Moscow and Dr. Zhao Xing-Xu from Chi-
and has been our mentor during many na, who introduced us to many excellent
years in a new culture. camel scientists in the former Soviet Union
Very special efforts have been contrib- and China. We are also extremely grateful
uted by the CVR Laboratory staff in Dubai: to Prof. M. E. Fowler from the USA, Prof.
Dr. J. Sasse, Mrs. R. Wernery, Mr. 0.Mathai, R. Gothe and Prof. M. Rommel from Ger-
Mrs. R. Zachariah, Mrs. S. Joseph, Mrs. many for their valuable contributions.
S. Korah, Mrs. L. George, Mr. Y. Abubakr, Finally, I must thank my family, espe-
Mr. A. K. Nizarudeen, Mr. F. Joseph, Mr. cially my wife Renate, for her invaluable
A. Ali, Mr. Y. Ali, Mr. A. Siddique and Mr. assistance and advice as well as for her un-
N. Muthuvattil without whose help we derstanding of my absence from many so-
could never have completed this work. cial events.
With great enthusiasm and invaluable Last, but not least, the authors are par-
assistance, they helped to introduce new ticularly thankful to the publisher, espe-
laboratory techniques and cared for our cially to Dr. A. Miiller from Blackwell Wis-
experimental animals. senschafts-Verlag for his continuing sup-
We warmly thank the veterinarians and port and the excellent design of the second
nutritionist who work for the ruling fami- edition of this book.
ly of Dubai, Dr.A. M. Billah, Dr. J. Akbar,
Dr. A. U1-Haq, Dr. G. Munawar, Dr.M. Ali, U. Wernery
Dr. A. Ali, Dr. H. Tesfamariam and Mr. 0.-R. Kaaden
J. Wensvoort, for their support. Their contri- J. Kinne
butions and submission of specimens have S. Bornstein
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Introduction
Introduction 3
Camelids have served the needs of people bibliographies about the camel can be
for thousands of years and have provided found under Farid (1981), Mukasa-Muger-
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them with food, fiber and fuel. In many wa (1981), and Wilson et al. (1990).
parts of the world they have also served as Prior to 1987, approximately 1000 New
beasts of burden. They secured trade and World camelid veterinary references were
communication throughout wide arid and published. During the period from 1987 to
semiarid expanses. To the Bedouin of the 1996 one thousand four hundred new ref-
Arabian Peninsula and North and East erences appeared in the world literature
Africa, the dromedary was, and still is in (Wernery et al., 1999).
some parts, vital for survival in a most in- The camelid family has become the
hospitable environment. Bactrian camels focus of increasing study in the last few
inhabit the high deserts of Asia where they years. This has become apparent not only
survive -40°C temperatures. For hundreds through the increase in scientific publi-
of years they have carried goods along the cations by, for example, Wilson (1984),
Old Silk Route to China. A few wild Bactri- Yagil (1985), Higgins (1986), Bitter (1986),
ans still roam the steppes of the Gobi des- Griindel (1988), Doose (1990), Saltin and
ert in Mongolia and China. In South Amer- Roose (1994),Wernery and Kaaden (1995),
ica, the vicufia and guanaco remain wild Manfield and Tinson (1996), Tibary and
species, while the llama and the alpaca are Anouassi (1997), Gauly (1997), Faye (1997),
domesticated. They have adapted well to Wilson (1998), Fowler (1998), Beil (1999),
high altitude survival. In many countries Wernery et al. (1999), and Gahlot (2000),
camelids have now adapted to contained and the edition of a camel journal (Journal
management, and in the last few years of Camel Practice and Research, editor Dr.
there has been a renaissance in both Old T. K. Gahlot), but also through the increase
and New World camelids. in joint research projects between Euro-
Until recently, scientific interest in cam- pean universities and institutions in and
els and the majority of research projects in- countries. This growing general interest in
volving camels have been concentrated in camelids also became evident when 300
countries actively involved with the care camel experts from 30 countries took part
and maintenance of the camel as a domes- in the First International Camel Conference
ticated animal. A frequent opinion encoun- in Dubai, United Arab Emirates, in Febru-
tered in those countries not involved with ary 1992 (Allen et al., 1992). Further inter-
camel husbandry is that the camel is an national meetings and conferences took
anachronism, an animal of the past and place in 1996 in Eilat, Israel, in 1997 in Al-
without a future (Wilson, 1984).It is there- Ain, UAE, and in 1999 in South and North
fore not surprising that many publications America and in Morocco. Proceedings are
on camels appear in journals that are available from most of these conferences.
difficult to obtain or in lesser-known lan- As an important source of milk, meat
guages. There was obviously an urgent and wool as well as transportation and la-
need for a comprehensive compilation and bor, the camel should play a more impor-
evaluation of the published literature for tant role than is currently the case in a
all those involved with camels. An impoc- world where food and energy reserves are
tant step in this direction was the publica- dwindling (El-Gayoum, 1986). This is es-
tion of the bibliography Sur le dromadaire pecially true as the camel is, due to its
et le chameau by Saint-Martin et al. (1990), physiological attributes, the most suitable
in which approximately 5500 pre-1990 pub- domestic mammal for uses in climatic ex-
lications regarding camels are catalogued tremes (Yagil, 1985; Wilson, 1989; George,
by author and subject matter. Additional 1992; Wernery, 1992).
4 Introduction
For a long time it has been incorrectly as- ancestors of the OWC migrated to north-
sumed that one and two-humped camels east Asia across the isthmus today known
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derive from a sole wild species, i.e. the as the Bering Strait. Today’s OWC evolved
two-humped wild camel - Camelus ferus. from these early camels, branching out
There were two main reasons for this be- westwards. They were most widely spread
lief. Firstly, both the one and two-humped during the Pleistocene era (endingtwo mil-
camels pass through a two-hump embry- lion years ago) when they reached as far
onic stage. Secondly, the crossbreeds be- as Eastern Europe, North and East Africa
tween dromedaries and Bactrians are fer- and eastern Asia (Koehler, 1981; Koehler-
tile. However, the latest osteological in- Rollefson, 1988). After some time, they
vestigations on post-cranial skeletons of died out in some of these regions. When
dromedaries (Camelus dromedarius) and the OWC migrated eastwards after cross-
Bactrian camels (Camelus buctrianus) have ing the Bering Strait, the ancestors of the
shown that they are in fact derived from humpless NWC migrated south over the
two different species (Peters, 1997). newly formed isthmus between the half
The tylopods originated in North Amer- continents of North and South America
ica 50-60 million years ago (Tertiary pe- (Sielmann, 1982). They populated South
riod) at which time they branched into America where the different types are
eight different families (Zeuner, 1963). known today as llama (Lama g l u m - do-
They were at that time the size of hares. Six mesticated), vicufia (Lama vicugna - wild),
of the eight families died out in the middle guanaco (Lamaguanicoe - wild) and alpaca
Miocene. Then, five million years ago, the (Lama pacos - domesticated) (Fig. 1). The
Figure 1 The four different South American camelids (courtesy of Prof. M. E. Fowler, USA)
(a) Llama, (b) Alpaca, (c) Guanaco, (d) VicuAa
Introduction 5
Order Artiodactyla
Suborder Suiformes Hippopotamuses, swine, peccaries
Suborder Tylopoda Camelids
Old Camelus dromedarius - dromedary camel
World Camelus bactrianus - Bactrian camel
New Lama glama - llama
World Lama pacos - alpaca
Lama guanicoe - guanaco
Vicugna vicugna - vicuAa
V: vicugna mensalis (Peruvian)
V: vicugna vicugna (Argentinean)
Suborder Ruminantia Cattle, sheep, goats, water buffalo, giraffe, deer,
antelooe. bison
OWC and NWC belong to the Camelidae mas and alpacas have been domesticated
(camel-like)family under the suborder Ty- there for 7,000 years and were among the
Zopoda (Table 1). first recorded domesticated animals, an
In North America, all camel species died achievement of high Indian culture.
out 10,000 years ago, the last being the Of the OWC, the two remaining species
genus Camelops, which was most proba- domesticated today are the one-humped
bly hunted into extinction by the indige- camel or dromedary (Camelusdromedarius),
nous Indians. In South America today, be- and the two-humped camel (Camelus buc-
tween 7 and 8 million small camels have trianus),with the exception of a small, wild
been counted (Peru, Bolivia) (Table 2). Lla- population of camels in China and Mongo-
Table 2 Estimated population o f South American camelids (Carpio, 1991; Torres, 1992)
Country Llamas Alpacas Guanacos Vicuiias
Argentina 75,000 2,000 550,000 23,000
Bolivia 2,500,000 300,000 ? 12,000
Chile 85,000 5,000 20,000 28,000
Peru 900,000 3,020,000 1,400 98,000
Austra I ia < 5,000 > 5,000 A few in zoos 0
Canada > 6,000 > 2,000 < 100 in zoos > 10
Europe < 2,000 < 1,000 < 100 in zoos < 100
in zoos
United States > 110,000 > 9,500 145, mostly 0
in zoos
In lSlS registry in zoos* 343 303 397 100
Total 3,683,343 3,344.803 572,142 161,210
Grand Total 7,761,498
* ISIS = International Species Inventory System
6 Introduction
lia (Fig. 2b). However, until today it has man. The Bactrian camels fulfill a similar
been impossible to establish whether the role in Mongolia, Western Siberia, Trans-
remaining populations of Bactrian camels Caspian, Asia Minor, Iran and Afghanistan.
in these regions are feral or genuinely wild The extent of the OWC habitat and world-
camels. The dromedary’s role in North and wide population is shown in Fig. 3 and
East Africa, Arabia and the Near East is Table 3.
mainly one of transportation of goods and
Introduction 7
Figure 3 Distribu-
tion of C. drome-
darius and C. bac-
trianus
8 Introduction
OWC have adapted marvelously to life wallets, handbags and purses. Wool is an
in either hot or cold environments and important dromedary by-product in many
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breeding NWC with OWC. The first suc- the beginning of the Holocene era. The re-
cessful hybrid was produced in the Unit- mains were found at Sihi, a village in
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ed Arab Emirates (UAE) between a male Yemen, and were dated at 7000 BC.
dromedary and a female guanaco (Fig. 5). It is widely believed that the dromedary
Although there is evidence of the Bactri- was domesticated 4,500 years ago, where-
an camels’ ancestors discovered at pre-his- as the wild dromedary population died
toric sites in Kazakhstan and Mongolia, lit- out 1000 BC. Exactly when the wild camel
tle is known about the dromedary’s ances- became domesticated is uncertain, but it
try. An ancestor of the dromedary camel, is believed to have begun on the Arabian
the ”giant” camel, is known zoologically as Peninsula (Wensvoort, 1991). Bones exca-
Camelus thomasi (named after the French vated at trading settlements in Jericho,
paleontologist Thomas). Camelus thomasi is Shar-I-Sokhta and Umm A1 Nar (near the
now considered a possible ancestor of the city of Abu Dhabi) prove that domestica-
domestic one-humped camel (Peters, 1998). tion began at that time. It was written in
These camels are presumed to have existed the Bible that around 1100 BC the Median
in a wild state during the last ice age in Bedouin tribes used dromedaries to occu-
North Africa and in the Negev Desert, py Palestine. In 1000 BC large dromedary
where they probably died out some 12,000 caravans brought incense from Oman and
to 20,000 years ago during extremely cold Yemen to the Mediterranean, which made
temperatures coupled with drought. How- both countries indescribably rich. Archae-
ever, no skeletal remains or rock paintings ologists are still trying to locate the fabled
of camels in the Sahara mountains support city of Ubar (Shisr) that was supposedly
this theory. Evidence of wild camels was situated in Dhofar, the southernmost prov-
only found once in South West Asia, at ince of Oman. This city was the center of
Figure 6 Routes of
the incense trade
Introduction 11
the incense trade, from where the camel arid deserts of Australia they established
caravans made their way through Marib, free-ranging herds, which nowadays num-
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Medina and Petra towards Gaza and the ber approximately 200,000 animals. These
Mediterranean. The other incense routes feral camels are scattered throughout the
through the great Arabian deserts towards arid interior of Australia with an estimated
Gerrha on the Arabian Gulf could only be 50% in Western Australia, 25% in the Nort-
traversed with the help of the camel (Fig. 6). hem Territory, and 25% in western Queens-
Camel breeding may have increased be- land and northern South Australia. In the
cause of the lucrative incense trade. These late 1960s, there was renewed interest in
heavily laden “ships of the desert” took camels, and by 1970, Australia had two
about 50-70 days to cross the deadly camel tourist businesses with camel races
stretch of land between Marib and Petra. being held around Australia (Anonymous,
The caravanserai reached its zenith during 1995).Several races were held in Sydney in
the reign of the Nabateen. Terracotta finds August 1998 (with the support of the UAE)
from Petra are richly decorated with drom- in preparation for the Olympic Games in
edaries. With the advent of Christianity the 2000.
incense trade began to decline, and Arabia Dromedaries were also brought into
Felix reverted to the deserted Empty Quar- southern Africa, mainly Namibia, around
ter. After the caravans vanished, only the 1890. They were used by the German
Bedouins continued to utilize the drome- Schutztruppe in Namibia until the end of
dary. World War I for three reasons. Firstly, only
When trade began with Arabia, drome- dromedaries could survive in the Namib-
dary numbers increased in Africa. It is pre- ian and Kalahari deserts; secondly, oxen
sumed that between 1500-2000 BC, drom- were eradicated by rinderpest and foot-
edaries spread into Africa from the Ara- and-mouth disease; and thirdly, horses
bian Peninsula via the Horn of Africa. were severely decimated by the devastat-
Beyond Somalia, the country with the ing African horse sickness virus. In 1906,
highest proportion of dromedaries per per- Lorenz Hagenbeck shipped 2,000 Sudanese
son, the “ship of the desert” spread north camels to the small outpost of Swakop-
and westwards. However, it was not intro- mund in Namibia. After the Versailles Peace
duced into Tunisia and the Atlas countries Treaty (1919), the English police force then
before Hellenistic times. took possession of all remaining camels in
Dromedaries were not only introduced Namibia. However, as in Australia, after
into countries with temperate climates such motorized transport became popular, the
as Europe, South America and the Carib- camels were abandoned and it is believed
bean, but also into Australia and southern that as a result of being eaten by lions and
Africa, which have hot climates. An esti- bushmen, they disappeared in southern
mated 10,000-12,000 camels imported into Africa in the late 1960s (Massmann, 1981).
Australia between 1860 and 1907 were Dromedarieswere also used in the Unit-
used as draught and riding animals by ed States after the Mexican war of the
people pioneering the dry interior (Viswa- 1840s, on mail express routes across the
nathan, 1991). The camels introduced into newly acquired arid regions, but they were
Australia were almost exclusively drome- later eradicated.
daries, because they are highly suited to In Europe, camel societieshave emerged
the Australian desert climate. Most of the during the last two decades and animals
camels were released in the mid-l920s, have been used to attract tourists. In Au-
when motor vehicles began operating in gust 1997, camel races were held at Berlin’s
the central areas of Australia. In the semi- famous horse race course Hoppegarten in
12 introduction
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front of 60,000 spectators. However, this cause of the crossbreeding of Bactrian and
was not the first camel race in Europe, dromedaries in Russia, Turkey, Afghanis-
as was then claimed. The first races took tan and Syria. As the second generation
place in Cologne-Weidenpesch in 1969 of these crossbreeds (Tulu) are generally
with Moroccan camels (Leue, 1969). weak and susceptible to diseases and the
Since the 1980s, the dromedary has again fourth generation is infertile, the breeders
become popular, not only with scientists, have to start all over again to achieve a
but also in the countries where it is used good crossbreed (Fig. 8).
for riding and transport. Its milk, skin and
meat are all utilized and, additionally, it
has become a tourist attraction. The future
of the dromedary species is assured de-
spite the competition of modem transport
and other domesticated animals, and it of-
fers no threat to domesticated animals or
any endangered wildlife.
Scientists have recently intensified their
study of the dromedary and are debating
whether there are different dromedary
"breeds". Until now, the dromedary has
been classified in the following ways - by
naming them after the tribes who rear
them, or whether they are riding or trans-
port camels, by their color, geographical
background (Fig. 7), physical characteris-
tics or their use for milk, meat, or racing
(Wilson, 1998). This categorizationhas giv-
en rise to the classification of dromedaries
under 48 "breeds" in 9 regions and sub-re- Figure 8 Crossbreed (Tulu) (female, 2 years
gions, under 3 main groups and 8 sub- old) between a Bactrian male and a female
groups. The confusion is compounded be- dromedary
Introduction 13
In its great genetic diversity, the drome- resulted in feuds and skirmishes. Obvious-
dary raises many questions which are not ly, the tribe with the quickest and most
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Figure 9 One of
the authors exam-
ines a valuable
female asil drome-
dary
14 Introduction
This is one of the primary ways of combating water deprivation in the desert.
2. Thermoregulation in the camel is greatly affected by the availability of drinking water.
The camel has a great dehydration tolerance; it can lose one third of i t s body weight in
water without suffering any ill effects.
3. A dehydrated camel reacts t o changes in external temperature. In the morning when the
desert is cold, the camel's body temperature is low: 34.0"C. In the late afternoon the body
temperature can reach 42°C. The camel adapts i t s body temperature t o the outside tem-
perature, preventing it from sweating. A rise in body temperature saves a camel a lot of
water that would otherwise be used t o dissipate the heat load. High blood temperature
would do permanent damage t o the brain and retina cells of the eyes. However, camels
are able t o cool the brain and eyes through extraction of water from exhaled air. The wa-
ter vapor from the exhaled air stays in the long nose and cools the carotid rete, a network
of small blood vessels supplying the brain and eyes.
4. Goats kept in an open yard with no shade are unable t o survive more than 3 days with-
out water; Barki sheep also die after 3 days o f dehydration, but camels can survive 20 t o
30 days without drinking water.
5. A 600 kg camel can replenish its entire water deficit of 200 liters in 3 minutes. Camel eryth-
rocytes are extremely resistant t o hypotonicity. Bedouin goats kept 4 days without water
die of hemolysis after replenishing a 40% water loss in 8 minutes.
7. In camels, water rapidly enters the bloodstream after drinking. After 4 hours water is ap-
parently equilibrated throughout most o f the body. No other animal has such a rapid en-
try of water into the blood.
8. The hump is an accumulation of fat for the time when energy is needed. It indirectly aids
in cooling the body as the accumulation of fat leaves the subcutis of the body fat free, al-
lowing easy dissipation of heat.
9. In a dehydrated camel, alimentary tract water is i t s body's sole source of water because
this water is continuously absorbed from the intestines. Camels hold 75% of their weight
in fluids, and as long as the camel continues t o eat, water will be present in the stomach.
Camels withstand more than 3 weeks without drinking water and s ti l l continue t o eat nor-
mally, because their stomachs still contain relatively large quantities of fluid. In a trial, a
camel was dehydrated for 51 days and was only fed on dry grass. A t the end of the ex-
periment the appetite declined. By then, the camel had lost 37% of i t s body weight.
10. Compartment 1 contains high concentrations of sodium and bicarbonate and low con-
centrations of chloride and potassium. These high concentrations of electrolytes are also
found in the saliva and intestines and play an important role in the camel's utilization of
alimentary water.
11. Camel kidneys have long loops of Henle, and urine production is greatly decreased in the
dehydrated camel. Salt is also well handled by the camel kidneys. Camels can drink sea-
water without showing any side effects. Camel can excrete urine with a salt concentration
almost twice that o f seawater.
12. Dehydrated camels can "store" sugar in their blood in order not t o lose water through the
urine (sugar is highly hygroscopic). In a trial, blood sugar rose as high as 1300 mg% with-
out the appearance of glucose in urine. As soon as drinking water was made available, an
enormous diuresis followed and blood glucose returned t o normal.
13. A dehydrated camel is able t o continue lactation.
14. Camels mate in crouched position. They are induced ovulators with a relatively short mat-
ing period. Their gestation period is 13 months.
introduction 15
partment of Agricultural Research, UTFN/ Manefield, G.W. and A. Tinson. 1996. Camels.
SAU/OO8/SAU. A compendium. The T.G. Hungerford Vade
VetBooks.ir
Bitter, H. 1986. Untersuchungen zur Resistenz Mecum Series for Domestic Animals.
von Kamelen (Camelus dromedarius) unter Margan, Ute. 1987. Vergleichende Untersuchun-
besonderer Beriicksichtigung der Mektion gen zur Bedeutung der alternativen Komple-
mit Trypanosoma evansi (Steel 1885). Thesis, mentaktivierung bei Rindern und Kamelen.
Hannover. Thesis, Gottingen 33.
Carpio, M. 1991. Camelidos socio-economia An- Massmann, Ursula. 1981. Kamele in Siidwest-
dina (Camelids and Andean socio-econom- afrika. Namib und Meer 9: 31-54.
ics). Ed. Novoa, C. and Florez, M.: A produc- Mukasa-Mugerwa, E. 1981. The camel (Cam-
tion de Rumiantes Menores: Alpacas. Lima, elus dromedarius): A bibliographical review.
Peru. Re rumen: 3-16. International Livestock Center for Africa.
Doose, Anette. 1990. Funktionen und Morpho- ILCA Monogr. 5: 4-119.
logie des Verdauungssystems des einhockri- Peters, J. 1997. Das Dromedar: Herkunft, Dome-
gen Kamels (Camelus dromedarius). Thesis, stikationsgeschichte und Krankheitsbehand-
Hannover. lung in friihgeschichtlicher Zeit. Tierurztl.
El-Gayoum, S.E.A. 1986. Study on the mecha- Praxis 25: 559-565.
nism of resistance to camel diseases. Thesis, Peters, J. 1998. Camelus thomasi Pomel, 1893, a
Gottingen 22. possible ancestor of the one-humped camel?
Farid, M.F.A. 1981. Camelids Bibliography. Int. J. of Mammalian Biology 63: 372-376.
ACSAD-AS 15. Saint-Martin, G., M.F. Nitcheman, D. Richard
Faye, B. 1997. Guide de l'devage du dro- and M.A. Richard. 1990. Bibliographie sur le
madaire. Sanofi Sant6 Nutrition Animale, La dromadaire et le chameau. 2nd edition, Tome
Ballastiere - 813126, 33501 Libourne, Cedex, 1, Tome 2: Index.
France: 115-116. Saltin, 8. and R.J. Roose. 1994. The racing camel
Fazil, M.A. and R.R. Hofmann. 1981. Haltung (Camelusdromedarius).Acta Physiol. Scand.,
und Krankheiten des Kamels. Tieriirztl.Praxis Wernerssons Grafiska AB, Kumla/Chister
9: 389-402. Perssons Tryckeri AB, Koeping 150 (617).
Fowler, M.E. 1998. Medicine and surgery of Schmidt-Nielsen,K. 1964. Desert animals: phys-
South American Camelids. Iowa State Uni- iological problems of heat and water. Claren-
versity Press, Ames. don Press, Oxford.
Gahlot, T.K. 2000. Selected topics on camelids. Sielmann, H. 1982. Weltreich der Tiere. Natura-
The Camelid Publishers, Sankhla Printers, lis Verlags- und Vertiebsgesellschaft mbH,
Bikaner, India. Miinchen, Monchengladbach, Arbus.
Gauly, M. 1997. Neuweltkamele. Parey Buch- Tibary, A. and A. Anouassi. 1997. Theriogenolo-
verlag Berlin. gy in camelidae. Anatomy, Physiology, Pathol-
George, U. 1992. ijberleben. Geo Spezial, Sahara ogy and ArtificialBreeding. Abu Dhabi Print-
6: 47. ing and Publishing Co., Mina, Abu Dhabi,
Gruendel, M. 1988. Das Blut des einhockrigen UAE.
Kamels (Camelus dromedarius). Eine Litera- Torres, H. 1992. South American Camelids: an
turiibersicht. Thesis, Hannover. action plan for their conservation. South Amer-
Higgins, A. 1986. The camel in health and dis- ican Camelid Specialist Group, Gland, Swit-
ease. Bailliere Tindall. zerland. IUCN/CSE.
Koehler, J. 1981. Zur Domestikation des Kamels. Viswanathan, L. 1991. More about camels. The
Thesis, Hannover. Gazelle, Dubai Natural History Group 6: 6.
Koehler-Rollefson, I. 1988. The introduction of Wensvoort, J. 1991. Camels, camel nutrition and
the camel into Africa with special referenceto racing camels. The Gazelle, Dubai Natural
Somalia.Working paper 24. History Group 6: 5.
h u e , G. 1969. Erstmaliges Kamelrennen in Eu- Wernery, U. 1992. Dromedare, die Rennpferde
ropa 1969 auf der Pferderennbahn in Koln Arabiens. Tierarztl. Umschau 4 7 801.
aus veterinarphysiologischer,genetischer and Wernery, U. 1997. Dromedare in Arabien. La-
biomechanischer Sicht. Dtsch. tierarztl. Wschr. mas. Haltung and Zucht w n Neuweltkameliden
78 (18): 500-502. 5 (1): 34-36.
Introduction 17
Wemery, U., M.E. Fowler and R. Wernery. 1999. Zeuner, F.E. 1963. A history of domesticated an-
Color Atlas of Camelid Hematology. Black- imals. Hutchinson, London.
VetBooks.ir
Bacterial Diseases
1.1 General Survey
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Diseases caused by clostridia are often gas edema; however, Cross (1919) was able
difficult to identify in the tropics due to to elicit the disorder experimentally in
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Figure 10 C. per-
fringens entero-
toxemia: subpleu-
ral hemorrhages
24 Bacterial Diseases
Figure 11 C. per-
fringens enterotox-
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emia: petechial
hemorrhages in
Compartment 3
found in the same organs as listed above. ed milk or barley (Figs. 13 and 14) are
These included severe hemorrhagic colitis, found in their abomasum. The stress of
hydropericardium with fibrinous exudate racing is also certain to play an important
and ecchymotic changes in compartment 3 role in the development of peracute en-
and the stomach. terotoxemia.
A further important etiological factor in The dromedary calf exhibits distinctive
the outbreak of enterotoxemia in racing features when affected by the enterotox-
dromedaries is a nutritional error prior to emia complex. The target organs for C. per-
competition. Most likely due to ignorance, fringens type A toxins in young drome-
dromedaries are fed large amounts of un- daries are the heart and kidneys. Wernery
crushed barley, cow milk, honey and alfal- et al. (1992b) have reported severe myo-
fa. At autopsy, large amounts of undigest- cardial degeneration (Figs. 15 and 16) and
Figure 12 C. per-
fringens enterotox-
emia: kidney cap-
sule adherent to
parenchyma
General Survev 25
Figure 13 C. per-
fringens enterotox-
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emia: undigested
milk in the gastric
system of a racing
dromedary
Figure 14 C. per-
fringens enterotox-
emia: undigested
barley in the gastric
system of a racing
dromedary
26 Bacterial Diseases
Figure 15 C. per-
fringens enterotox-
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emia in a young
dromedary: severe
myocardial degen-
eration
Figure 16 C. per-
fringens enterotox-
emia in a young
dromedary: hyaline
degeneration of
heart muscle
Figure 17 C. per-
fringens enterotox-
emia in a young
dromedary: "pulpy
kidney "
General Survey 27
Figure 18 C. per-
fringens enterotox-
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emia in a young
dromedary: sand in
the compartments
of infection for the maturing young drom- The tests revealed no evidence of a defi-
edaries. Knowledge of this epidemiologi- ciency of these minerals, so it was assumed
cal connection has increasingly led drome- that the dromedary calves ingested the
dary owners to relocate their breeding sand more out of curiosity than due to an
herds more often or to replace the contam- as yet undetected nutritional deficiency.
inated sand with fresh sand. Mineral licks were also placed in all the
To investigate the reasons for the young dromedary enclosures.
dromedaries ingesting sand, blood sam- An additional important aspect in the
ples were taken and examined for the min- development of clostridiosis in Cumelidue is
erals calcium, magnesium, iron and phos- the amount of serum immunoglobulin in
phorus. Dromedary milk samples were the young animals (see also 2.1.7 neonatal
obtained and analyzed using the same diarrhea). Cumelidue have an epitheliocho-
method. The results are summarized in rial placenta, so that the calf, as in the foal,
Table 8. receives its passive protection against dis-
Table 8 Magnesium, phosphorus, calcium and iron values in sera of dromedary calves
and milk from breeding dromedaries from herds where sand eating occurs
Sera Milk
*Reference Herd 1 Herd 2 **Reference ***5 samples
values values
mgldL 22 samples 26 samples g/kg
Magnesium 1.8-2.2 1.9 2.0 0.083 0.078
Phosphorus 3.2-6.5 10.7 9.8 0.95 0.82
Ca Icium 9.5-1 1.5 10.3 10.2 1.64 1.32
Iron 80-1 30 89 83
~
* Normal values are for adult dromedaries (Samples were examined in a Dimension Auto-
analyzer, Dupont)
** Whabi et al. (1987)
*** Examined by the J.A. Comloquoy, Dubai Aluminum Plant
28 Bacterial Diseases
birth. Although the newborn calf is im- the duodenum of recently expired animals.
munocompetent at birth, the endogenous The intestinal contents are removed imme-
antibody production is not sufficient to diately post mortem and deep frozen. The
produce a protective immunoglobulin lev- next day the material is thawed, sterile fil-
el within the first month of life. The globu- tered and tested for pathogenicity in mice.
lin fraction is naturally low at birth. Even One milliliter of the sterile intestinal con-
after ingestion of colostrum, the globulin tents is injected intravenously into the tail
level declines after the seventh day and vein of laboratory mice. In the presence
reaches the lowest level between the 20th of clostridial toxin, the mice expire within
and 30th day post partum. The highest 2 to 8 hours, exhibiting seizures and the
losses due to C. perfringens enterotoxemia characteristic opisthotonus.
occul during this time. The colorimetric tetrazolium cleavage
Fowler (1998) made similar observations test (MTT) has widely replaced the mouse
in NWC. He determined that the globulin lethal test and is regularly used for the de-
content of NWC serum is very low at birth tection of clostridial toxins from intestinal
(< 5.2 mg/mL), increased following inges- fluids. It also has the advantage that the
tion of colostrum to 5.5-6.2 mg/mL within fluid can be diluted and a titer estimated.
4-5 days yet reached its lowest level 3 to 4 The higher the titer, the more toxin is pres-
weeks post partum. C. perJrrngenstype A is a ent in the gut (Fig. 19).
very serious disease in alpaca crias in South In suspected enterotoxemia,the presence
America and it is named “MaZ de AZpucas” of large numbers of Gram-positive rods
(Rath, 1950; Moro Sommo, 1963; Ramirez from mucosal scrapings from the small
and Huaman, 1980-1981; Ramirez et al., intestine of fresh dead animals is presump-
1983a and b; Huaman et al., 1981;Ellis et al., tive evidence of clostridial enterotoxemia
1990; Fowler, 1996). The animal mortality (Fig. 20).
rates vary between 10 and 70% and even on Fluorescent antibody (FA) technique is
carefully managed farms may approach also routinely used for disease with C. chau-
50%. The disease o c c u ~ sin crias between 8 voei, C. septicum, C. novyi and C. sordellii.
and 35 days of age with sudden death or a Cultivation of C. perfringens from organs
short disease period during which the crias of dead dromedaries is performed on Sa-
are recumbent, showing nervous system hidi-Furgeson-Perfringens (SFP)agar and
disorders. The pathological changes in al- Zeissler agar under anaerobic conditions
pacas are very similar to the lesions seen with the gas generating kit. In C. perfrin-
in OWC with petechiae in different organs, gens outbreaks in the UAE, three different
hyperemia, excess serosanguinous pericar- C. perfringens type A strainswere identified
dial fluid and lesions in the intestinal tract. using chromatography (Heitefuss et al.,
Type C and D enterotoxemias are more 1990; Heitefuss, 1991). These strains are
common in lamoids than they are in OWC. now included in a local vaccine to protect
dromedaries from clostridiosis.
Specimens, including intes-
tinal fluid, should be taken from freshly Treatment and Control Treatment of sick
(less than 4 hours) dead animals, as clos- dromedaries with a bovine C. perfringens
tridia are rapid postmortem invaders. Tox- hyperimmune serum is very rewarding.
ins are very labile and therefore small in- Many valuable racing camels were saved
testinal contents should be frozen as soon by the intravenous application of 1OOmL
as possible until processed. The laboratory of antiserum.This procedure can be repeat-
General Survev 29
Figure19 MlT
results on vero cells
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indicating toxin in
the intestinal fluids
of dromedaries
with clostridial en-
terotoxemia
ed without any side effects. For the preven- before parturition and a booster adminis-
tion of this important disease, sanitation, tered 1 month prior to delivery.
feeding and general husbandry practices Isolation and identification of clostridial
should be optimal. In endangered herds, strains are necessary to confirm the diagno-
chlortetracyclines at a rate of 25 mg/kg feed sis and to develop a specific clostridialvac-
should be added to the feed. cine. For camels in the UAE,thistoxoid vac-
Toxoid vaccines are commonly used to cine was produced at the Institute for Ap-
prevent enterotoxemia outbreaks in cattle, plied Biotechnology of the Tropics (IBT) in
sheep and llamas. The vaccine should be Goettingen, as it is known that locally de-
administered to the dam, since neonates rived strains give optimal protection. This
are unable to produce enough antibodies. vaccine prevented further cases of C. pefrin-
The dam should be vaccinated 2 months gens enterotoxemia in adult dromedaries
Figure 20 C. per-
fringens: increased
number of Gram-
positive rods in a
mucosal scraping
from the small
intestine of a drom-
edary with clostri-
dial enterotoxemia
30 Bacterial Diseases
Figure 21 C. per-
fringens enterotox-
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(Seifert et al., 1992) and reduced losses in strict anaerobe and even small traces of oxy-
young animals. After subcutaneous appli- gen will inhibit growth.
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Tox phage, the strain will then produce the the well water was contaminated by a ca-
C1 toxin and will also become a type C daver, which was the source of the toxin.
strain. Infection with a D-Tox phage trans- The danger of a botulism outbreak in
forms the same neutral strain into a type D racing dromedaries in the UAE is slight. In
strain (conversion).It is even possible to general, the animals are superbly cared for.
infect a phageless neutral type C. botulinum Additionally, the feed is well balanced
strain with a phage of the closely related without animal additives, the camels are
C. novyi and to convert the strain into a watered from deep wells and lick stones
C. novyi strain (Westphal, 1991).All togeth- and mineral additives are readily available.
er, between the different types and strains
of C. botulinum and its specific bacterio- Diagnosis tli Botulism is often difficult to
phages, a confusing, complex variety of diagnose.A presumptive diagnosis is based
new combinations are possible. The con- on history, clinical signs and identification
ventional differentiation between the types of toxin in serum of moribund or recently
can no longer be upheld. dead animals or feed. It is also possible to
Reports of botulism in camels are rare. isolate C. botulinum in suspect foodstuffs.
Provost et al. (1975) reported a catastroph- One milliliter of serum from diseased ani-
ic outbreak of type C botulism in drome- mals is inoculated intraperitoneally into
daries in Chad. Upon inspection of the mice. If toxin is present, the characteristic
herd of 150 animals, 45 were already dead ”wasp waist” appearance in the mice will
and 40 severely ill. The sick animals had be seen within a few hours to 3 days. Un-
difficulty in standing, developed hind- fortunately, the mouse test is not very sensi-
quarter paresis, and collapsed and died tive when large animals like camels are test-
within a few hours. It was presumed that ed, as the concentrationof toxin in the serum
General Survey 33
or ruminal fluid is generally so low that tox- there are differences between local specific
in cannot be detected. The diagnosis then strains. Under natural conditions, the ani-
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relies on the history and clinical signs. The mals most frequently affected are the cow,
toxicity of feed samples may be determined sheep, goat, buffalo, horse, reindeer, ele-
by test feeding the sample to specifically phant and mink. Birds (with the exception
immunized laboratory animals or sheep. of the ostrich) and reptiles have a low sus-
Other methods for detection of botu- ceptibility and are seldom affected (Bisp-
h u m toxin include immunodiffusion, ing and Amtsberg, 1988). Pigs are not im-
complement fixation test and ELISA, but mune to anthrax, though they are gener-
these tests are not commercially available ally afflicted with a subacute or chronic
and, except for the CFT, the sensitivity course of the disease following a primary
does not exceed that of the mouse bioassay. lesion in the pharynx. Anthrax occurs
throughout the world and is especially a
Treatment and Prevention problem where high concentrationsof ani-
specific treatment for diseased animals mals occur. This is the case, for example, at
sufferingfrom botulism, apart from the ad- watering holes, animal markets and salt
ministration of hyperimmune serum spe- licks.
cific to the toxin type involved. As the type Anthrax is an acute, septicemic disease,
of C. botulinum responsible for the disease which can affect camelids (Davis et al.,
in animals is generally not known until 1981; Wernery and Kaaden, 1995; Fowler,
some time has relapsed, it is possible to 1998).
mix antisera before administration. The
antiserum is given intravenously. It is ex- Etiology IK B. anthracis is an aerobic sporu-
pensive, but may save very valuable cam- lating bacterium, which is a Gram-posi-
elids. Cattle and horses are treated with tive, non-motile, cylindrical rod. Inside
5mL of each type of antiserum and it is the host it forms a capsule, which can
presumed that 5 mL should also be given be demonstrated by special stains. In or-
to diseased OWC and 3 mL to NWC intra- gan smears the bacilli lie either singly or
venously. The treatment may be repeated in short chains forming a so-called bam-
within 24 hours. In addition to this treat- boo-stick form. Spores develop only in
ment, good nursing is essential when treat- the presence of oxygen at temperatures
ing camelids suffering from botulism. above 12°C. B. anthracis grows on ordi-
Prevention of botulism includes: vaccina- nary solid media and no hemolysis is pro-
tion, correction of phosphorus deficiency duced on blood agar. Under low magnifi-
and removal of the source of intoxication. cation the colonies give the appearance of
Vaccines are commercially available, some- a Medusa-like head or a woman’s curly
times as a combined vaccine for botulism hair.
and black-quarter.Camelids should be vac-
cinated in endangered areas. The initial vac- Epidemiology and Clinical Signs i b An-
cination should be followed by a second thrax is a peracute disease characterized
5 weeks later and annually thereafter. by septicemia and sudden death. The an-
thrax endospores can survive for years in
the soil. Masses of vegetative bacilli are
1.1.3 Anthrax discharged from the body in the final
stages of the disease and sporulate in and
Bacillus anthracis causes anthrax in man and on the ground at temperatures of 2032°C
animals. Throughout the world there is a (Seifert, 1992). Soil can be contaminated
single uniform antigenic type, even though for years by buried cadavers, which then
34 Bacterial Diseases
a dromedary herd was due to migrating advanced autolysis, when no anthrax ba-
birds. The outbreak was controlled by strict cilli are demonstrable, the thermo-precipi-
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hygienic measures, administration of pro- tation of Ascoli can be applied. For the cul-
caine penicillin and 50 mL of anthrax anti- tivation of B. unthrucis in laboratory ani-
serum per dromedary over 5 days. mals, white mice are the animals of choice.
The clinical signs of anthrax in drome- They are subcutaneously infected and will
daries are similar to those in the cow (Gatt die within 2 to 4 days. A gelatinous edema
Rutter and Mack, 1963): fever up to 42"C, develops at the injection site.
extravasation of tar-like blood from the
body orifices, diarrhea, colic, bloat and Prevention and Control To prevent
severe cardiovascular and pulmonary dis- sporulation of B. unthrucis, carcasses should
turbances. Some dromedaries develop not be opened. They should be incinerated
painful swellings on the throat and neck. with the contaminated bedding. After con-
In NWC the clinical signs described for tact, equipment must be properly disinfec-
anthrax resemble those seen in OWC. Sud- ted. The following disinfectant solutions
den death without any signs may occur as can be used:
well as subcutaneous swellings on various - 10% hot caustic soda solution,
parts of the body. Bloody discharge may - 4% formaldehyde solution,
exude from all body orifices and lamoids - 7% hydrogen peroxide,
may die after 1 to 3 days (Fowler, 1998). - 2%glutaraldehyde,
- calcium hypochloride with 5% active
Pathology The principal lesions in sep- chlorine.
ticemic anthrax in animals are hemor-
rhages, edema and necrosis. In drome- B. anthrucis is susceptible to many anti-
daries, there is evidence of rapid post biotics, including penicillin and tetracy-
mortem decomposition (Tabbaa, 1997) of clines.
the carcass with oozing of bloodstained Pasteur developed the first effective
fluid from nose, mouth and anus. Dark- B. unthrucis vaccine. It was replaced by
red, poorly clotted blood, petechiae and the live, avirulent, spore vaccine devel-
ecchymoses are observed throughout the oped by Steme. This vaccine has been used
carcass. An enlarged pulpy spleen, whch worldwide with great economic value to
is the most characteristic feature at necrop- the livestock industry and to wildlife. A
sy in ruminants, has also been described single inoculation provides effective im-
in camelids (Manefield and Tinson, 1996). munity for 9 months, but annual booster
There is no rigor mortis and the blood vaccinations are recommended. Anthrax
fails to clod. Splenomegaly with black tar- can be a serious danger to camelids and
ry pulp, generalized congestion and lung it is therefore recommended to vaccinate
edema were also observed by Boue (1962) Cumelidue in endangered areas. However,
and Richard (1975). anthrax vaccines should be carefully used
in camelids and the dose adjusted to the
Diagnosis B. anthracis is easily cultured weight of the animal, since bacteria-in-
from blood and tissues. However, if an- duced anthrax has been reported in young
thrax is suspected one should avoid a llamas (Cartwright et al., 1987). OWC
necropsy to exclude contamination of the should be given the dose of cattle and
soil with spores. A small quantity of blood NWC should receive the dose that is rec-
is sufficient for the diagnosis. A smear or a ommended for sheep. A half sheep dose is
culture as well as a fluorescent antibody recommended for NWC weaners (Fowler,
test (FAT) will confirm the diagnosis. In 1998).
36 Bacterial Diseases
The large number of Gram-negative bacte- They are chemically very stable and boil-
ria constituting the normal flora of the gas- ing does not destroy them. The toxins are
trointestinal tract provides a potential pool also not significantly altered by acids or
of endotoxinfor the animal. This is especial- enzymes present in abdominal fluids. Small
ly true for ruminants and Cumelidue, when amounts of endotoxins are regularly pro-
the compartments’flora is destroyed by the duced in the gastrointestinal tract. They are
decline of rumen pH. Impairment of rumen absorbed through the intestinal mucosa
fermentationcaused by highly digestibledi- into the circulation and are detoxified in
ets leads to inappetence and lactic acidosis. the liver. However, if hepatic efficiency is
Ruminants and Cumelidue with acute lactic reduced or the amount of toxins is too large,
acidosis often manifest clinical signs of en- toxemia is produced, with severe conse-
dotoxemia or endotoxin shock, because ru- quences. Widespread vascular endothelial
minal Gram-negativebacteria are destroyed and subsequent tissue damage can be ex-
in large quantities.Lactic acid is apparently pected. Due to the vascular endothelial
not the toxic factor, since huge quantities of damage, endotoxin activates the clotting
endotoxins have been detected in cell-free cascade and causes disseminated intravas-
ruminal fluid of acidotic animals.The endo- d a r coagulation (DIC).
toxin of alimentary origin is not the cause of
lactic acidosis syndrome, but the result of it. Clinical Signs and Pathology
The cause of lactic acidosis in dromeda- merous years a disease has been rife among
ries is the feeding of highly digestible diets racing dromedaries in the UAE that due to
to a desert animal, whose forestomachs are its clinical and pathological presentation
adapted to poor-quality feed. The new feed- has been called ”hemorrhagicdiathesis” or
ing practice has gained huge momentum, ”hemorrhagic disease” (HD). The disease
since camel races on the Arabian Peninsula occurs primarily in racing dromedaries, of
have become extremely competitive. which 80% are between 2 and 4 years old
Intensive investigations over the last or even younger. The disease affects indi-
decade now seem to have solved the mys- vidual camels, but also groups of up to 10
tery surrounding a disease of racing cam- animals and more in a herd can fall sick.
els known as “ B u d u s cereus intoxication”, Cases have been diagnosed at all times of
“hemorrhagic diathesis” or ”hemorrhagic the year, but the highest incidence occurs
disease” (Wernery and Kaaden, 1995). during the summer months’ high tempera-
tures and high humidity. It is believed that
Endotoxins are lipopolysaccha- not only the extreme climate aggravates
rides, which are found in the outer cell outbreaks of this disease, but also the start
wall of Gram-negative bacteria and are re- of training sessions ahead of the new race
leased during periods of rapid growth or season and a change of diet from a more
death of organisms. Structurally, endotox- high fiber to a high carbohydrate and pro-
ins are composed of three parts: tein diet.
- Lipid A buried in the cell wall, it medi- The initial stage (24-48 h) of the disease
ates most of the toxic effects of endotoxin. is characterized by a dramatic decrease in
- 0 Region: gives antigenicspecificityand the total number of leukocytes(WBC),fever
is highly variable between bacterial spe- as high as 41”C, inappetence, depression
cies. and dullness. Three to 4 days after the onset
- Core Region: acts as the link between the of the first clinical signs, the WBC counts
inner (lipid A) and outer (0)regions. increases (Table 11).
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Table 11 Blood parameters and serum enzymes of 10 dromedaries with endotoxicosis (blood was taken 1 t o 2 days and 3 t o 4 days after the
onset of the disease)
Parameters Units Reference
1to 2 days 3 t o 4 days
Values** -
White Blood Cells XI 031~ 6.0-13.5 2.5 1.6 2.6 0.8 2.9 19.3 24.8 18.0 17.3 26.6
Neutrophils % 50-60 70 X 66 X 65 80 78 82 86 77
Lymphocytes % 30-45 23 X 27 X 28 12 16 13 12 20
Monocytes % 2-8 6 X 6 X 6 8 6 5 2 3
Eosinophils % 0-6 0 X 1 X 1 0 0 0 0 0
Basophils % 0-2 1 X 0 X 0 0 0 0 0 0
Erythrocytes X I OVL 7.5-12.0 7.9 8.4 8.0 9.0 9.5 8.0 7.8 8.4 9.9 8.6
Hemoglobin g/d L 12.0-1 5.0 11.1 11.3 11.1 12.2 12.0 10.4 12.0 10.9 12.1 10.8
Platelets XI 031~ 350-450 168 142 236 116 182 27 1 372 298 201 291
Creatine Kinase (CK) IU/L 40-1 20 46 81 93 70 62 320 438 594 362 612
Glutamate-
oxalacetate-
transaminase (AST, GOT) IU/L 60-1 20 120 104 83 97 110 490 119 257 421 401
Lactate-
dehydrogenase (LDH) IU/L 400-775 590 390 220 142 350 1812 675 730 1557 1210
Glucose mg/dL 70-1 10 46 70 65 44 48 86 92 99 106 107
Blood Urea mg/dL 3-2 1 19 21 23 25 21 75 195 60 44 146
Nitrogen (BUN)
Creatinine (Crea) mg/dL 0-2.2 2.0 2.2 2.0 2.0 1.8 4.5 9.3 4.2 3.7 9.6
Fibrinogen mg% 250-400 98 102 72 93 106 180 201 305 298 172
Prothrombin time (PT) Sec 17.6k1.6 28.2 22.4 27.0 24.8 26.3 19.2 17.4 18.9 20.2 21.6
Partial thromboplastine Sec 46.9 i 13 82.4 60.2 62.0 54.6 70.3 50.1 48.0 47.6 53.1 60.0
time (PIT)
Figure 23 Swollen
and hemorrhagic
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inguinal lymph
node
Some animals develop a cough and Affected dromedaries die between the
swelling of the throat accompanied by a 3rd and 7th day. Two or 3 days before
marked uni- or bilateral enlargement of the death, the animalsbecome recumbent. Some
body lymph nodes (Fig. 23). Mucous mem- dromedaries develop central nervous sys-
branes are often injected. Additionally, com- tem disturbances, lacrimation and hyper-
plete atonia of compartment 1, abdominal salivation. The development of nervous
pain and regurgitation have been observed. signs is a feature of terminal cases. The dis-
Rectal examination of affected dromedaries ease is the most serious ailment in racing
reveals normally formed balls of stool that camels and has been reported from all
are covered in fresh or tar-like blood. Only countries of the Arabian Peninsula where
very few camels develop diarrhea (Mane- camel racing is performed. It is unknown
field and Tinson, 1996). in other camel-rearing countries.
Figure 24 Tracheal
ulcers caused by
endotoxemia
General Survev 39
Figure 25 Subendo-
cardial hemorrhage
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caused by endotox-
emia
Figure 26 Hemor-
rhage in the abo-
masum caused by
endotoxemia
40 Bacterial Diseases
Figure 27 Ulcers
in the abomasum,
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Figure 29 Petechiae
in the renal pelvis
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caused by endotox-
emia
All lymph nodes are enlarged, hemorrhag- rhages, necroses and karyorrhexis are pri-
ic often with necrotic centers (Fig. 30). The marily seen in the follicular centers and are
lungs are congested and exhibit subpleural very prominent in the Peyer’s patches and
and interstitial hemorrhages (Fig. 31). in the mesenteric lymph nodes (Fig.33).
All of the animals exhibit ruminal acido- The changes point to viral involvement,
sis; the pH values are between 4 and 6. but extensive studies including animal ex-
Smears from the ruminal fluid of necrop- periments yield no indication of viral dis-
sied racing dromedaries show a Gram- eases.
positive bacterial flora (Fig. 32) and there Severe hemorrhages are also observed
are no protozoa in the fluid of C1. in the abomasum, intestinal tract and the
Histopathological examination demon- subepicardial as well as subendocardial
strates an intermediate to severe loss of layers of the heart. Pronounced necroses
lymphocytes in the lymphatic tissues, in- are regularly seen in the epithelium of the
cluding the spleen and tonsils. Hemor- convoluted and straight renal tubules. In
Figure 30 Enlarged,
hemorrhagic
prescapular lymph
nodes with necrotic
centers caused by
endotoxemia
42 Bacterial Diseases
Figure 31 Intersti-
tial hemorrhages
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numerous glomeruli, the Bowman’s space In dromedaries which survive longer, seg-
is dilated and filled with protein material. mental necrosis of capillary loops is ob-
The Bowman’s capsule is often thickened served (fibrinoid necrosis). PAS-positive
due to deposits of PAS-positive material cylinders block the lumen of some distal
(Fig. 34). Some of the glomerular capillar- tubuli showing tubulonephrosis. The liv-
ies contain microthrombi (shock bodies). ers of the animals autopsied exhibit a pan-
General Survev 43
Figure 33 Necrosis
and karyorrhexis
in follicular centers
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of a mesenteric
lymph node of a
racing camel with
endotoxemia
Figure 34 Dilated
Bowman's space
of a dromedary
kidney: note the
thickened Bow-
man's capsule due
t o deposits of PAS-
positive material
lobular fatty degeneration as well as necro- negative for cumarine and its derivatives
biosis in centrolobular areas (Fig. 35). Hy- as well as organophosphates.The endotox-
peremia is regularly seen in the brain and ins have also a direct impact on the leuko-
both a perivascular and a meningeal ede- poietic system causing aplasia and de-
ma may be observed. Strikingly, no inflam- struction, which is demonstrated in lymph
matory response is observed in any organs, nodes, tonsils, spleens and other lymphoid
most probably due to the toxin-induced tissues. It also has a direct toxic effect on
destruction of follicles in the lymphoid tis- the circulating leukocytes, which are often
sues and the destruction of the circulating not identifiable due to their toxic changes.
white blood cells. The agranulocytosis induced by the lipo-
Chemical analysis of the livers, kidneys polysaccharides produces severe immuno-
and contents of the compartment 1 are suppression in diseased camels, predispos-
Exploring the Variety of Random
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korkeudelta hypätä alas, yhtä vähän kuin kukaan ilman tikapuita
pääsisi sinne ylös.
— Paras lienen, koska ette ole nähnyt muita kuin minut ja hänet.
Teette minusta vain pilaa.
MAANALAISESSA KOPISSA.
Huone oli noin kolme metriä pitkä, kaksi metriä leveä ja korkea.
Muita huonekaluja siinä ei ollut kuin vuode ja tuoli, pieni siirrettävä
rautakamiini ja palava lamppu. Seinään oli taottu rautakahleet, joihin
nainen kuin kahlekoira oli oikeasta kädestään kytketty. Kahleet olivat
kuitenkin niin pitkät, että hän pääsi ovelle asti ja vielä sen
ulkopuolellekin.
— En ole mikään henki, vaan ihminen, joka olen auttava sinut pois
täältä taikka sinun kanssasi kuoleva tänne nälkään.
— Mikä on nimesi?
— Vai hän sinä olet. Tuo, joka tuossa makaa, on sinusta kertonut.
Olet rohkea nuorukainen… kuinka olet päässyt tänne?
— Vien.
— Vai viet minut täältä, tuonne ulos, ulos, jossa päivällä aurinko
paistaa taivaalla ja yöllä kuu ja tähdet! Vietkö todellakin? Kunpa et
vain valehtelisi?
— Luulen osaavani. Ellen minä osaa, niin hän, joka tuossa makaa,
on minua neuvova.
— Nyt huomaan olevani vapaa ja että täyttä totta aijot viedä minut
täältä. Nyt vasta oikein sen käsitän. Mutta mihin minut viet?
— Sinne juuri.
— Voi, älkää jättäkö minua tänne, rukoili v. Nit, joka jo oli vironnut
pyörryksistänsä, ehkä ei yksikään ihminen enään tule täällä
käymään, niin että minun täytyy kuolla tänne nälkään. Ja jos pidätte
sananne ja tulettekin huomenna minua noutamaan, niin ajatelkaa,
että yksi ainoa yökin on täällä kauhea. Varmaankin se minut tappaisi.
Tässä keskeytti hänet herra v. Nit, joka niin hiljaa kuin olisi
itsekseen puhunut, itseään soimaten sanoi:
Siinä kyllin, että hän pysyi sanassansa ja hänen kostonsa oli yhtä
julma kuin viekkaasti keksitty. Siitä syystä vain hän ei kieltänyt
minulta lämpöä ja valoa, ruokaa ja juomaa, että hän kauvan ja
kylliksensä saisi nauttia kostostaan… Hänen kostonhimonsa ei ollut
samaa laatua kuin rosvon, joka tyytyy tikarinpistoon… ei, hänen
antamansa pistot olivat yhtä monet kuin hiekka jyväset meren
pohjalla.
Tämä mies, joka istuu tässä minun vieressäni, oli hänen kätyrinsä
ja sitäpaitsi minun nöyrä palvelijani…kaikessa muussa, paitsi siinä,
mikä koski vapauttamistani.
Kuitenkin hänellä oli ihmisen sydän ja hänen käydessänsä täällä
yksin, minulla joskus oli hänestä vähän hauskuuttakin.
Vapaaherra oli toivonut minun pian kuolevan, jotta hän itse saisi
Ristilän haltuunsa. Kun mieheni sitten palasi, raukesi hänen kaikki
toivonsa tyhjiin, sillä veljeänsä hän kumminkin piti jonkinmoisessa
arvossa, taikka lieneekö hänessä ollut vähän veljellistä rakkautta,
koska ei sanonut tahtoneensa saattaa häntä pois hengiltä. Tämä
näyttikin olevan ainoa valokohta hänen mustassa sielussaan.