TurkeyPoult 
                      Enteritis
                    The turkey industry in Indiana 
                      ranks seventh in the US 
                      with 15 million turkeys (5.1% of US turkeys) in production 
                      yearly and a market value of $140.4 million.   Turkeypoult 
                      enteritis (also referred to as "spiking mortality of 
                      turkey poults") has contributed to significant economic 
                      losses encountered by a large number of turkey producers 
                      in Indiana 
                      for the last several years.   As an example of the magnitude 
                      of losses due to this disease, the estimated cost (mortality, 
                      stunting, and medication) in DuBois 
                      County alone 
                      in 1994 was $19.26 million. A similar disease has also been 
                      identified in western and eastern North 
                      Carolina, South 
                      Carolina, Georgia, 
                      Virginia, 
                      New York and 
                      other states.   Outbreaks of this disease have resulted 
                      in major economic hardships for turkey farmers in North 
                      Carolina in 1995 and 1996. 
                    The clinical signs of turkey poult enteritis usually appear 
                      at 7 to 28 days of age and have diarrhea, chirping, litter 
                      eating, decreased feed efficiency, decreased weight gain, 
                      and uneven flock growth.   The morbidity is usually high 
                      and mortality may be low; however, mortality over 40 to 
                      50% occasionally occurred in Indiana 
                      flocks in 1993. Diagnosticians at ADDL and SIPAC have shown 
                      that turkey poult enteritis can be experimentally induced 
                      by gavaging turkey poults with intestinal contents from 
                      affected poults. Electron microscopic examination of intestinal 
                      contents from affected turkey poults often revealed coronavirus.  
                      In addition, intestines were often positive for coronavirus 
                      by fluorescent antibody testing.   However, attempts to 
                      isolate turkey coronavirus using various cell lines have 
                      not been successful. Turkey 
                      embryos have been used for the isolation, propagation and 
                      characterization of turkey coronavirus.   Turkeycoronavirus 
                      from affected intestinal contents filtered at 0.22 microns 
                      has been successfully passaged and propagated in turkey 
                      embryos. This is the only in vivo system available 
                      in propagating turkey coronavirus. 
                    Fluorescent antibody testing and electron microscopic examination 
                      of the intestines from the passaged turkey embryos have 
                      revealed the presence of turkey coronavirus.   The infected 
                      intestines were often dilated and contained gas and greenish-brown 
                      fluid. By the fifth passage, the intestines had slight villous 
                      blunting, increased villous epithilialvacuolation, and multifocaldilation 
                      of crypts  histologically.     Turkeycoronavirus 
                      has also been purified from the intestines of infected turkey 
                      embryos in the fifth passage    by    sucrose    density    
                      gradient ultracentrifugation.   The virions banded at a 
                      buoyant density of 1.18 to 1.20 g/ml and that of 1.14 g/ml 
                      in sucrose gradients, similar to reports for the other turkey 
                      coronaviruses isolated at Minnesota 
                      and Canada 
                      previously. In addition, sucrose density gradient purified 
                      material has been demonstrated to contain turkey coronavirus 
                      by electron   microscopy   and   immunoelectronmicroscopy. 
                      The purified turkey coronavirus also proved to be infectious 
                      to turkey embryos. 
                    Diagnosticians at ADD1 and SIPAC conducted a study in an 
                      attempt to experimentally reproduce turkey poult enteritis 
                      in seven-day-old turkey poults using sucrose density gradient 
                      purified embryo intestinal material from serially passaged 
                      turkey embryos.  Clinically, the infected turkey poults 
                      showed ruffled feathers, acute enteritis, and decreased 
                      weight gain. Microscopically, the villi, particularly in 
                      the jejunum and ileum, revealed marked villous atrophy.  
                      It appears that turkey poult enteritis can be caused by 
                      turkey coronavirus. 
                    Although there is no effective treatment for turkey poult 
                      enteritis, strict biosecurity and use of crumble feed are 
                      helpful in reducing the severity of the disease. In order 
                      to effectively diagnose and control  turkey  poult   enteritis,   
                      continuous monitoring of turkey poult intestines and sera 
                      from the field by fluorescent antibody testing, further 
                      characterization of turkey coronaviral protein, production 
                      of monoclonal antibody to turkey coronavirus   development   
                      of  eruyme-linked immunosorbent  assay  (ELISA)  for  turkey 
                      coronaviral antibody or turkey coronavirus, genomic   sequence   
                      comparison   of  turkey coronavirus isolate from Indiana 
                      with that from Minnesota, Canada, North Carolina, and other 
                      states and application of polymerase chain reaction (PCR) 
                      for the detection of turkey coronavirus are under way. 
                    - prepared by Tsang Long Lin,DVM,PhD 
                      
                   |