Avian Medicine: Principles and Application (Abridg

  Signs to watch for possible illness . Many times your bird will display signs of illness long after it becomes sick . They hide illnesses very well .  This is a natural built in defense that they have carried with them from the wild . It is normal for a bird to hide its illness in order not to become prey.

Signs of Illness:

  1. Sitting at the bottom of the cage
  2. Fluffed up feathers , could also be a sign that your bird is too cold.
  3. Lethargy
  4. Irregular droppings
  5. Discharge from nasal passages or eyes
  6. Plucking feathers , could also be emotional or mental
  7. irregular negative behavior or constant screaming
  8. weight loss
  9. discoloration in urates ( the white deposits in droppings )
  10. Difficulty breathing
  11. Birds also display signs of stress by breathing through their mouth .

These are some of the more common signs of illness you will find more in the articles we will be posting. Please check back for further updates.

 Pacheco's Disease in Birds:

Also known as Parrot Herpes virus, Pacheco's Disease causes acute viral hepatitis. First observed in the
1930's and thought to attack only Psittacines.
What causes Pacheco's Disease?
Pacheco's Disease is caused by a herpes virus. Often seen in shipments of imported birds, stress seems
to trigger a reaction in a previously asymptomatic carrier or increase the susceptibility of becoming
infected. The close proximity and stressful nature of shipping appear to contribute to the transmission
of the virus.
Transmission:
 Pacheco's Disease is transmitted via contact with contaminated food, water, or feces. Less
common is airborne transmission. The virus can be contracted from an obviously ill bird as well as from
carriers, who appear asymptomatic, but can shed the virus in feces as well as through ocular and
respiratory secretions. Examples of species commonly seen as carriers and seem to have a resistance to
the virus include Mitred, Nanday, and Patagonian Conures; however, any bird that recovers from
Pacheco's Disease can become a carrier. At risk populations include imported birds, those housed in
aviaries and pet stores in large groups, and those in quarantine stations.
Symptoms and diagnosis :
The incubation period for Pacheco's Disease is 3-14 days.  The most common symptom is
sudden death. Other symptoms can include diarrhea with a rapid
progression to death within 48 hours. More symptoms- regurgitation, yellow-green urates,  acute central nervous system
signs- tremor, imbalance, or seizures. Necropsy often reveals enlarged kidneys, liver, and spleen, circumscribed areas
of necrosis on the liver, and hemorrhage. The skin, spleen, intestines, pancreas, and body cavity may show signs of
hemorrhage. Diagnosis is based on history (such as recent importation), clinical symptoms, and viral isolation from infected
tissues.


Treatment:

Pacheco's Disease is generally considered untreatable because of its sudden onset and rapid death. There has been some
success with the antiviral drug acyclovir followed by supportive treatment including fluid administration, isolation, and tube
feeding (gavage).
How is Pacheco's Disease prevented?
Strict observance of good husbandry and quickly isolating suspected cases are the best preventive measures to
take. In cases where carriers are suspected, some suggest serologic testing for the virus.

 Aspergillosis

Causes:

Aspergillosis is a respiratory disease of birds caused by the fungus Aspergillus, which is found
almost everywhere in the environment.
 Aspergillus grows readily in warm and moist
environments. The microscopic spores of the fungus become airborne, and poor ventilation,
poor sanitation, dusty conditions, and close confinement increase the chance the spores will be
inhaled.
Usually, the fungus does not cause disease, however, if a bird does not have a healthy immune
system, it can cause illness. Predisposing factors - illnesses, stress, poor nutrition,
poor husbandry or unsanitary conditions, another injury to the respiratory system (e.g.; smoke
inhalation), and prolonged use of certain medications such as antibiotics or corticosteroids.
 Aspergillosis appears to be more common in parrots and mynahs than other pet birds.
What are the signs of aspergillosis?
Aspergillosis can follow one of two courses - acute or chronic. Birds with acute aspergillosis have severe difficulty breathing,
decreased or loss of appetite, frequent drinking and urination, cyanosis (a bluish coloration of mucous membranes and/or
skin), and even sudden death. The fungus can affects the trachea, syrinx (voice box), and air sacs. The lungs may also
be involved. Diagnosis is generally made through a post-mortem examination.
Chronic aspergillosis is more common, and unfortunately, much more deadly due to its insidious nature. The bird may
not become symptomatic until the disease has progressed too far for a cure. The respiratory system is the primary location of
infection. White nodules appear and ultimately erode through the tissue, and large numbers of spores enter the bloodstream.
The spores then travel through the body, infecting multiple organs including kidneys, skin, muscle, gastrointestinal tract,
liver, eyes, and brain.
Respiratory symptoms - the first to occur but will depend on the location of the greatest areas of
colonization. Difficulty breathing, rapid breathing and/or exercise intolerance are common. If the syrinx
(voice box) is involved, a change in voice, reluctance to talk, or a "click" may occur. Nares may become
plugged or you may see a discharge. Eventually, severe respiratory compromise may kill the bird.
Other signs and symptoms vary, depending on the other organs involved. If any portion of the central
nervous system has become involved, the bird may have tremors, an uneven or wobbly gait, seizures, or
paralysis. With liver involvement, a green discoloration to the urates may be seen, and the veterinarian may
feel an enlarged liver. Generalized,  symptoms can include loss of appetite leading to weight
loss, muscle wasting, gout (painful, inflamed joints due to urate deposits), regurgitation, abnormal feces or
diarrhea, excessive urination, depression, and lethargy.
Spores can penetrate fresh or incubating eggs and will kill the embryos.
How is aspergillosis diagnosed?
Aspergillosis can be very difficult to diagnose since the signs of disease mimic those of many other illnesses, especially in the
chronic form. The veterinarian will need a detailed history of the course of the illness, and an accurate description of the diet
and husbandry of the bird. Radiographs, a complete blood count, and a chemistry panel to support a diagnosis.
Endoscopy can be used to view lesions in the syrinx or trachea, and a sample can be taken for culture and microscopic
examination, and possibly PCR testing for the presence of Aspergillus. A diagnosis can also
be supported by a specific blood test panel to look for aspergillosis.
Treatment:
Surgery may be performed to remove accessible lesions. Antifungal drugs may be
administered orally, topically, by injection, or nebulizing, depending upon the drug. There are several reports that itraconazole
may be more toxic to African grey parrots, when compared to other species. Therapy needs to be continued for weeks to
months and more than one antifungal drug may be used. Supportive care such as oxygen, supplemental heat, tube feeding,
and treatment of underlying conditions are often needed. Unfortunately, the prognosis is always guarded.

 

 Psittacine Beak and Feather Disease (PBFD) : 
 (PBFD) is a contagious, fatal viral disease that affects the beak, feathers, and immune
system of birds belonging to the Psittacidae family. It was first recognized in 1975 by veterinarians in Australia, where the
disease affects wild birds. Although birds showing signs of disease usually die, it is common for birds to be exposed to the
virus, develop a mild infection, and recover.

Birds at Risk:
:PBFD has been diagnosed in over 40 species of psittacines, mostly in Old World members of the parrot family. PBFD is seen
more often in cockatoos, but Eclectus parrots, lovebirds, budgies, and African grey parrots are also affected.
 Most birds diagnosed with psittacine beak and feather disease are under 2 years of age.
Causes:

PBFD is caused by a DNA virus that affects the cells of the immune system and those that produce the beak and feathers. The
virus is a circovirus, which is one of the smallest viruses known to cause disease.
Transmission:
PBFD is extremely contagious. Large amounts of the virus, which can become airborne, are found in the droppings, contents
of the crop, and the feather dust of infected birds. The feather dust is easily dispersed and can contaminate food, water, cages,
clothing, and other areas of the environment. PBFD is thought to be transmitted by inhalation or
ingestion of the virus.  The virus may be transmitted in utero from the female bird to the egg.
The incubation period can be as short as 3-4 weeks.
to several years, depending upon the amount of virus transmitted, the age of the bird, the stage of feather development, and
the health of the bird's immune system.
 Signs of PBFD:
There are both acute and chronic forms of the disease.
Peracute/Acute Form: The peracute and acute forms occur in very young birds, and may begin with signs
unrelated to the beak or feathers. Affected birds are often depressed and regurgitate due to crop stasis. They may develop a
diarrhea-causing enteritis or pneumonia, and die without displaying any lesions of the feathers or beak.  Called the
peracute form of the disease. In the acute form, juveniles losing their down and developing feathers may have lesions on the
feathers, including circular bands around the feathers which constrict the feather at its base. These feathers are often loose,
break easily, may bleed, and are very painful.
Common Signs of Psittacine Beak & Feather Disease
Acute Form Chronic Form:
Depression
Regurgitation, diarrhea, Loss of appetite and weight, Abnormal feather development
Death
Loss of feather dust and powder, Abnormal feather development

Abnormal growth and deformities of the beak, Necrotic beak and oral lesions
Secondary infections,.Death in months to years
Chronic Form: More common in older birds, the powder-down feathers are often the
first feathers affected. The feathers are fragile and fracture easily, have constricting bands, may hemorrhage, and may be
discolored, deformed, or curled. As the feather follicles are damaged, the bird will soon be unable to replace feathers, and the
primary, secondary, tail, and crest feathers are lost. Bare skin is exposed, and the normal feather dust is not found on the body
or the beak, where it normally accumulates due to preening. Feather abnormalities,  " dystrophic feathers," may
not appear until the first molt after infection, a period up to 6 months.
The beak may develop irregular sunken areas. Brown necrotic areas may be found inside the upper beak, and the beak may
elongate, become deformed, and fracture. Secondary beak and oral infections often occur.  The nails can also be affected.
Mucus in the droppings, or a green tint to the droppings may occur. In some birds, the liver will be affected, and liver failure
may be the cause of death.
Birds with the chronic form of the disease may live for months to years before dying of a secondary infection.
Diagnosis:
The review of the medical history, presence of clinical signs, and observations during the physical exam support the
diagnosis of PBFD.
The diagnosis may also be confirmed by a PCR (polymerase chain reaction) test on whole blood or biopsy samples from the affected bird.
 The test detects the presence of the virus. This test may be used on swabs of surfaces in the environment to detect contamination.
False positive and false negative test results can occur.  Healthy birds with a positive test result should be retested after 90 days. If they still have positive
test results, they should be considered carriers of the virus. If the retest is negative, the bird may have eliminated the virus,
and become immune.
How is PBFD treated?
There is no specific treatment for PBFD. Supportive care - good nutrition, supplementary heat (incubator), beak
trimming, and treatment of secondary infections can be offered. The disease, however, is progressive, and very few birds
recover. Euthanasia may need to be considered for birds with severe and/or painful signs. Birds who die a natural death
usually succumb to a secondary bacterial, fungal, or viral infection despite treatment, since their immune systems have been
compromised. Most birds die within 6 months to 2 years of developing the disease.
 prevention and control :
Birds should be purchased from suppliers with disease-free birds. New birds coming into facilities
should be quarantined and tested. Repeat testing in 3-4 weeks to allow for the incubation period is
recommended. Infected birds should be isolated and removed from breeding programs. Juvenile birds
should be housed separately from adults. Bird owners need to understand that if they handle other
peoples' birds, it may be possible for them to bring the virus into their home and infect their birds. Good
hygiene and sanitation should be used. There is no known disinfectant that kills this virus.
In Australia, a killed vaccine has been developed which can protect unexposed birds; it can cause more
severe disease in birds already showing signs of PBFD. Birds should be vaccinated  as soon as two weeks age.
 The vaccine should be boostered after one month.

 

Psittacosis (Parrot Fever):
Psittacosis
also known as 'parrot fever,' ornithosis, or chlamydiosis. It is a widespread
disease caused by an organism called Chlamydophila psittaci. Psittacosis can infect a variety
of species including humans, birds, cows, cats, goats, sheep, and pigs. Among the bird species,
it will infect just about anything with feathers including pet birds (psittacines), ratites, pigeons,
poultry, ducks, and other migratory birds.
The transmission from bird to bird is primarily by inhalation of infected dust from droppings
or respiratory secretions. It is often seen in birds that have been in close quarters such as
quarantine stations, pet shops, or boarding facilities. Birds tend to shed the organism if stressed
but may not show any signs of the disease.
Symptoms:
No symptoms are specific to psittacosis. Birds can show any of the following signs: lack of
appetite, weight loss, depression, listlessness, difficulty breathing, watery green droppings, pink eyes, discharge from eyes or
nares, or sudden death. Those birds that are carriers and used for breeding can pass it to their offspring who may then die or become carriers .
Diagnosis:
Psittacosis is difficult to diagnose.
 A presumptive diagnosis of psittacosis is made based on history of being exsposed to
other birds in the preceding several weeks, clinical signs, x-rays, and blood work. If psittacosis is suspected, treatment should
begin at once.
Treatment:
 It is important that the birds be isolated from
other birds. No immunity develops to the disease: reinfection even after treatment and full recovery is
possible.
Prevention :
Before a new bird comes into the household, it should have a  Avian veterinary examination and be isolated for at least six weeks.
All birds should be purchased from a reputable Breeder.
Transmission to humans:
The chlamydial organism is capable of being transmitted from birds to humans. It is potentially dangerous for persons who
are sick, elderly, or immunosuppressed . Because the condition in humans
may be misdiagnosed, anyone who is exposed to pet birds and who develops a prolonged case of the flu should seek the
advice of a physician and make a point of telling their physician about their exposure to birds. To prevent psittacosis, wash
your hands after handling your bird or cleaning the cage. Have any bird that shows signs of illness examined by your avain
veterinarian.

 

 Signs of Disease and Illness in Pet Birds:
Parrots hide signs of illness. Predators look for signs of
illness or weakness when choosing their prey, so a prey animal needs to appear healthy, or it will be a
sure target. By the time they are showing signs of disease, usually the birds have become too
sick to disguise it. At this point, small birds have little reserve, and even
handling them can put them into shock. This is why it is extremely important for bird owners to be
aware of signs of illness in a bird, and monitor their birds at least twice a day
 notice the signs of illness in the list below, contact your veterinarian. Weakness, labored
breathing, bleeding, injuries, collapse, seizures, or other nervous system signs are especially serious,
should be considered emergencies, and need immediate attention.
Signs of illness in birds as characterized by changes in general appearance or
stance:
Huddled
Sitting low on the perch
Sitting on the bottom of the cage
Hanging onto the side of the cage with his beak instead of sitting on a
perch
Head tucked under wing and standing on two feet
Ruffled feathers (consistently)
Weakness
Losing balance, teetering, or falling off of perch
Lumps or swelling of any portion of the body
Picking at his feathers or body
Trembling
Not preening
Harassed by other birds
Eyes dull, sunken, or abnormal color
Walking in circles
Unusual smell to bird or droppings
Drooped or elevated wing(s)
Changes in behavior and general attitude that may be signs of disease in birds:
Inactivity
Decreased or changes in vocalizations or singing
Drooping wings
Collapse
Seizures
Increased sleeping or eyes closed
Poor response to stimuli
Changes in personality, e.g., more submissive, more aggressive
Displaying juvenile behavior, e.g., begging for food
Changes in color, volume, consistency, and number of droppings indicating illness in birds:
Change in color of the urates (the normally white portion of the droppings), urine (the normally clear portion), or
feces (normal varies with species)
Change in consistency: watery (increased urine), loose feces (diarrhea), hard feces (constipation) indicating illness
Bloody droppings
Undigested food in feces
Decrease in number or size of droppings
Increase in urates
Discharge around the eyes and/or nares
Squinting or half-closed eyes
Weakness, labored
breathing, bleeding,
trauma, collapse, seizures,
or other nervous system
signs are especially
serious, should be
considered emergencies,
and need immediate
attention.

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