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Journal of Fish Diseases 2006, 29, 87–94 Pathology of Edwardsiella tarda infection in turbot, Scophthalmus maximus (L.) F Padrs1, C Zarza2, L Dopazo1, M Cuadrado1 and S Crespo1 1 Servei de Diagnòstic Patològic en Peixos and Centre de Referència i Desenvolupament en Aqüicultura (Generalitat de Catalunya), Departament de Biologia Animal, de Biologia Vegetal i d’Ecologia, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Barcelona, Spain 2 Skretting, Carretera de la estación s/n, Cojóbar, Burgos, Spain Abstract Macroscopic and histopathological changes in cultured turbot, Scophthalmus maximus (L.), in Spain caused by infection with Edwardsiella tarda are described. Eye tumefaction, inflammation, haemorrhages, ascites and the presence of a purulent fluid were the main macroscopic lesions observed. Histopathological lesions were found in the kidney, spleen and liver. In the kidney and spleen these were characterized by a severe apostematous inflammatory reaction, with a large number of abscesses. The liver was affected to a lesser degree and only some phagocytes loaded with bacteria were observed. Ultrastructural observations indicated that macrophages were the main cell type implicated in the inflammatory response. Most of the bacteria observed within the phagocyte cytoplasm showed no degenerative changes and some were dividing. Degenerative changes observed in macrophages indicate their failure in preventing the infection. Keywords: Edwardsiella tarda, histopathology, infection, Scophthalmus maximus, Spain, turbot. Introduction In the recent years, the number of bacterial pathogens described in turbot, Scophthalmus maximus (L.), has increased substantially. Vibriosis Correspondence Dr F Padrós, Servei de Diagnòstic Patològic en Peixos, Facultat de Veterinaria, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Barcelona, Spain (e-mail: [email protected]) Ó 2006 Blackwell Publishing Ltd 87 caused by Listonella anguillarum (formerly Vibrio anguillarum) was one of the first bacterial diseases described in this species (Horne, Richards, Roberts & Smith 1977; Devesa, Toranzo & Barja 1985). Although it is still a major problem for turbot culture, the number of cases and the severity of outbreaks are controlled by systematic vaccination programmes in most turbot farms. Outbreaks by Streptococcus parauberis were described in the mid-1990s (Toranzo, Devesa, Heinen, Riaza, Núñez & Barja 1994; Doménech, FernándezGarayzabal, Pascual, Garcı́a, Cutuli, Moreno, Collins & Domı́nguez 1996) which caused severe problems until an effective vaccine was developed. More recently, other emerging problems such as flexibacteriosis caused by Tenacibaculum maritimum (Alsina & Blanch 1993; Pazos, Santos, Núñez & Toranzo 1993) and furunculosis caused by Aeromonas salmonicida (Nougayrede, Sochon & Vuillaume 1990; Pedersen, Kofod, Dalsgaard & Larsen 1994) have caused significant losses in turbot farms. Other bacterial diseases, such as vibriosis due to Vibrio alginolyticus (Austin, Stobie, Robertson, Glass, Stark & Mudarris 1993) and Photobacterium damselae subsp. damselae (formerly Vibrio damsela) (Fouz, Larsen & Toranzo 1991; Fouz, Larsen, Nielsen, Barja & Toranzo 1992) and infections of Serratia liquefaciens (Vigneulle & Baudin Laurencin 1995) have been recorded, mostly as isolated cases and not as epizootic diseases. In 1994, the first isolation of Edwardsiella tarda was described in turbot (Nougayrede, Vuillaume, Vigneulle, Faivre, Luengo & Delprat 1994). Since this first description other cases have been reported in Spanish farms. Journal of Fish Diseases 2006, 29, 87–94 Infections by Edwardsiella have been described in a wide range of species (Plumb 1993). In the 1980s, edwardsiellosis caused by E. tarda was shown to be responsible for significant losses in the Japanese flounder, Paralichthys olivaceus (Temminck & Schlegel), and the disease has become one of the most important problems in farming of the species (Kusuda & Kawai 1998). Therefore, edwardsiellosis is an important potential threat to turbot farming. The aim of the present study was to describe the pathological findings observed in turbot infected by E. tarda and to compare them with cases of edwardsiellosis in other fish species and with other bacterial infections in turbot. Materials and methods Fish A clinical case of edwardsiellosis caused by E. tarda was described in Autumn 2003 in a turbot farm situated in the Gulf of Biscay (Atlantic Coast of Spain). The outbreak affected several batches of fish during October and November. Water temperatures ranged between 15.2 and 17.7 °C during this period. Fish were reared at a density of 30–40 kg m)2. Market-size fish (900–1200 g) were mainly affected and total cumulative mortality on the farm was 3%, but in some tanks it was up to 10%. Diseased turbot were microbiologically sampled. A complete necropsy was carried out and imprints of the kidney, liver and spleen were taken and Gram stained. Histopathology Samples of the kidney, liver and spleen were fixed in 10% phosphate-buffered formalin, dehydrated in an ethanol series and embedded in paraffin. Sections (3–4 lm) were stained with haematoxylin and eosin (H&E), Giemsa and Gram stains. For transmission electron microscopy, samples of kidney, spleen and liver were fixed in 2% buffered glutaraldehyde (pH 7.4), post-fixed with 1% osmium tetroxide, stained Ôen blocÕ with uranyl acetate, dehydrated and embedded in Epon. Sections were stained with 1% lead citrate and examined with a Hitachi H-7000 electron microscope (Hitachi, Tokyo, Japan). Microbiology Samples of the liver, spleen and kidney were streaked onto trypticase-soy agar and Columbia Ó 2006 Blackwell Publishing Ltd 88 F Padrós et al. Pathology of edwardsiellosis in turbot agar 5% sheep blood (BioMérieux, Lyon, France) plates and incubated at 22 °C. Biochemical characterization of isolated bacteria was performed using conventional tests and the API 20 E system (BioMérieux) incubated at 25 °C. Antibiotic susceptibility was assayed by the disc diffusion method on Müeller–Hinton agar. Results Bacterial characterization Pure bacterial isolates were obtained after 12 h incubation with round and grey-coloured colonies. The isolated bacteria were motile small, Gramnegative rods and negative with the cytochromeoxidase reaction. They exhibited phenotypic characteristics typical of E. tarda. The results of morphological and biochemical tests are given in Table 1. The numerical profile obtained from the API20E system was 4344000. Antibiotic susceptibility tests indicated that the E. tarda isolates were sensitive to florfenicol, oxytetracycline and trimethoprim-sulphametoxazole (Table 2). Table 1 Biochemical characteristics of Edwardsiella tarda isolated from turbot (+, positive reaction; ), negative reaction). Incubation temperature: 25 °C Gram stain Cell morphology Cytochrome-oxidase Catalase Motility Citrate utilization H2S from TSI API 20-E tests b-galactosidase Arginine dihydrolase Lysine decarboxylase Ornithine decarboxylase Citrate utilization H2S production Urease hydrolysis Deaminase Indole production Acetoin production Gelatinase Fermentation of Glucose Mannitol Inositol Sorbitol Rhamnose Sucrose Melibiose Amygdalin Arabinose ) Small rod ) + + ) + ) ) + + +(?) ) ) ) + + ) + ) ) ) ) ) ) ) ) F Padrós et al. Pathology of edwardsiellosis in turbot Journal of Fish Diseases 2006, 29, 87–94 Table 2 Drug sensitivity of Edwardsiella tarda isolated from turbot Amoxycillin (25 lg) Erythromycin (15 lg) Florfenicol (30 lg) Flumequine (30 lg) Oxolinic acid (2 lg) Oxytetracycline (30 lg) Trimethoprim-sulphametoxazole (1.25 + 23.75 lg) I R S I I S S S, sensitive; I, intermediate; R, resistant. Gross pathology and organ imprints Affected fish presented evident tumefaction around the eyes (Fig. 1) and also at the bases of the dorsal and anal fins. When these tumefacted areas were incised, an accumulation of a purulent fluid was seen. In some fish, haemorrhages were also observed in the musculature, mainly in the head region. The abdomen was distended because of the presence of ascitic fluid, with the presence of fibrin. Haemorrhages in the liver and generalized congestion of the intestine, spleen and kidney were also observed. The kidney and spleen were clearly enlarged, especially the kidney, where abscess-like lesions filled with a purulent fluid were evident. Gram-stained imprints of the liver, spleen and kidney showed significant numbers of small Gram-negative rods both inside the macrophages and extracellularly. Histopathology Kidney Figure 1 Macroscopic lesions associated with Edwardsiella tarda in turbot. Note the evident oedema around the eyes. Figure 2 Large abscesses in turbot trunk kidney. Note the presence of a core loaded with necrotic material (arrowheads) and an inflammatory zone (arrows) surrounding the abscess (H&E, bar ¼ 215 lm). Ó 2006 Blackwell Publishing Ltd 89 The main change observed was the presence of abscesses. These were situated in the haematopoietic tissue of the head and trunk kidney and presented different sizes and stages of organization. Small abscesses were observed as aggregations of macrophages with a large number of bacteria within their cytoplasm. Larger abscesses (Fig. 2) had a core of necrotic material, mainly formed by a large number of necrotic cells and some bacterial cells. Around these abscesses, a significant inflammatory response was observed. This was characterized by the presence of large numbers of macrophages, mostly packed with many bacterial cells, as well as other inflammatory cells (mainly neutrophils), and fibrin layers. Haemorrhage around the abscesses was also a F Padrós et al. Pathology of edwardsiellosis in turbot Journal of Fish Diseases 2006, 29, 87–94 common finding. Although small abscesses were observed in all the affected turbot examined, large abscesses were not always seen. No granulomatous reaction was noticed in any of the samples. The rest of the haemopoietic tissue was also changed. Single or very small groups of macrophages containing a large number of bacteria (Fig. 3) were seen. These cells were similar to those observed in the small abscesses and in the areas surrounding the larger abscesses. Groups of necrotic haemopoietic cells were disseminated throughout the haemopoietic tissue. Renal sinusoids were not obviously affected and only few bacterial cells were observed in the blood vessels or free in the interstitial spaces. The excretory structures (renal corpuscles and tubules) seemed to be slightly affected and only those located in the vicinity of the abscesses were clearly damaged. Ultrastructural observations (Fig. 4) showed that some bacteria were engulfed in intracytoplasmic vacuoles. Most of the macrophages displayed clear degenerative features in the nucleus and mitochondrial structures (Fig. 5). Most of the bacteria showed no apparent alterations and, in some cases, were dividing. Spleen Large numbers of macrophages loaded with bacteria, similar to those observed in the kidney, were dispersed between splenic sinusoids. Only a few Figure 3 Head kidney. Detached and small groups of macrophages with a large number of bacterial cells in the cytoplasm (arrows) are seen (H&E, bar ¼ 21 lm). Figure 4 Kidney (TEM): a macrophage filled with a large number of bacteria is seen. Notice also that most of the bacterial cells do not show apparent changes and in some cases appear to be dividing (arrow) (bar ¼ 2 lm). Ó 2006 Blackwell Publishing Ltd 90 F Padrós et al. Pathology of edwardsiellosis in turbot Journal of Fish Diseases 2006, 29, 87–94 M ? M ? Figure 5 Kidney (TEM): macrophages filled with bacterial cells showing clear degenerative changes in mitochondria (arrows) and endoplasmic reticulum (arrowheads) and the presence of a large number of myelin figures (M) (bar ¼ 2 lm). M Figure 6 Liver: macrophage (MC) surrounded by hepatocytes (H) and adjacent to a lymphocyte (L). Notice the absence of clear degenerative changes as shown in Fig. 5 and the presence of only a small number of bacterial cells within the cytoplasm. Note that some of the bacterial cells are within intracytoplasmic vacuoles (arrowheads) (bar ¼ 5 lm). bacteria were found in the extracellular spaces or in the blood vessels. Ellipsoids appeared enlarged and reticular cells also contained bacteria within their cytoplasm, although to a lesser extent. Surprisingly, only very few bacterial cells were associated with the macrophage centres which did not display major alterations. Ultrastructural observations of the spleen did not differ from those described in the kidney. cells (Fig. 6). These macrophages were usually embedded in a fibrin matrix and did not often display the degenerative changes observed in the kidney and spleen. No microorganisms were observed in either the extracellular spaces or the vascular endothelia of the hepatic sinusoids. However, in some cases, macrophages (potentially monocytes) loaded with bacterial cells were observed in the lumen of sinusoids. Hepatocytes were not obviously affected. Liver The liver was not extensively damaged and few lesions were observed. These consisted of small groups of macrophages containing few bacterial Ó 2006 Blackwell Publishing Ltd 91 Discussion The macroscopic lesions described in the present report are similar to those previously described for Journal of Fish Diseases 2006, 29, 87–94 edwardsiellosis in turbot by Nougayrede et al. (1994). Temperatures during the outbreak, rearing density and mortalities were also similar in both cases. Microbiological studies confirmed that in both cases E. tarda was the bacterium responsible for the outbreaks. Only the results of citrate utilization (positive in our case, but only in the API 20E system) differed from the data of Nougayrede et al. (1994), but the use of citrate may vary between strains (Whitman 2004). Most of the macroscopic lesions observed in the present study cannot be considered pathognomonic of edwardsiellosis. Dermal lesions are frequent in turbot infected by A. salmonicida, T. maritimum and L. anguillarum. Tumefaction around the eyes is also a typical sign of infection by S. parauberis and reddening around the mouth and fins is also a common lesion observed in vibriosis. Therefore, in order to improve the accuracy of the diagnosis, additional histopathological study is indicated. The histopathological lesions observed in our work are similar in many ways to the lesions described in other fish species affected by E. tarda. Histopathological studies on infections by E. tarda have been made in a number of different species by Miyazaki & Egusa (1976a,b,c) and Miyazaki (1980) described the infection in Japanese eel, Anguilla japonica (Temminck & Schlegel), Miyazaki & Plumb (1985) in channel catfish, Ictalurus punctatus (Rafinesque), and Blazer, Shotts & Waltman (1985) in Danio devario (Hamilton). Miyazaki & Kaige (1985) described the comparative histopathology of edwardsiellosis caused by E. tarda and E. ictaluri in different fish species. These authors described the inflammatory response of Japanese eel, A. japonica and Japanese flounder, P. olivaceus, to E. tarda and that of channel catfish, I. punctatus to E. ictaluri as suppurative. In contrast, they described the response of red sea bream, Pagrus major (Temminck & Schlegel), and tilapia, Tilapia nilotica (L.), as granulomatous. Our results clearly show that the lesions associated with the infection of turbot by E. tarda are similar to those described as ÔsuppurativeÕ lesions by Miyazaki & Kaige (1985). These authors use the term ÔsuppurativeÕ mainly to refer to the presence of abscesses. However, the formation of true abscesses in fish is debatable, as the formation of pus is not considered a feature of teleost inflammation (Ferguson 1989). The presence in the kidney of large Ó 2006 Blackwell Publishing Ltd 92 F Padrós et al. Pathology of edwardsiellosis in turbot numbers of aggregates of macrophages, neutrophils and fibrinous exudates surrounding a central mass of necrotic and liquefacted material is termed as purulent or apostematous inflammation in mammals. Therefore, in sensu lato, these lesions in fish can also be described as abscesses. For histopathological diagnosis, the presence of abscesses in the kidney and spleen is an important feature. Vibriosis in turbot, as in other fish species, is usually characterized by a septicaemic distribution of bacterial cells in the heart and vascular components of the spleen and haematopoietic kidney, as well as in blood capillaries of other well-vascularized organs such as the gills, liver and the skeletal musculature. Vibrionaceae are usually observed as detached cells, free within the blood vessels and forming aggregates or colonies. Furunculosis can also be diagnosed by the presence of large colonies of bacteria, mainly in the kidney, spleen, gills and particularly in the heart. Tenacibaculum maritimum infections are usually not characterized by the expression of significant inflammatory reactions. Serratia liquefaciens infections are characterized by the presence of numerous necrotic foci in the kidney, spleen or liver, but not by apostematous lesions. The microscopic and ultrastructural observations described here suggest that macrophages may play an important role in the pathogenesis of the disease. Bacterial cells were mainly found in association with macrophages. The apparent absence of bacteria in blood vessels and extracellular spaces may either be explained by the clearance activity of macrophages, or bacterial taxis towards these cells. However, the number of bacteria observed within the cytoplasm of kidney and spleen macrophages was very high and seemed to exceed macrophage capacity to destroy them. Edwardsiellosis (Miyazaki & Kaige 1985), bacterial kidney disease (Bruno 1986) and chronic forms of pasteurellosis (Quaglio, Fucilli, Bertoja & Giorgetti 1991; Noya, Magariños, Toranzo & Lamas 1995) are examples of diseases where macrophages play a significant role in defence reactions. However, these responses may be expressed in different ways. Granulomatous reactions are usually related to chronic infections, where the pathogens can be confined and isolated from healthy tissues by an effective and coordinated proliferation of macrophagic cells (macrophages, syncytial cells, epithelioid cells) and connective tissue (fibroblasts). Apostematous lesions are related Journal of Fish Diseases 2006, 29, 87–94 to subacute infection, where the isolation of the pathogens is not complete. The presence of dividing E. tarda inside phagocytic cells was seen in the current study and it was also demonstrated in experimental edwardsiellosis in flounder (Mamnur, Nakai, Muroga & Miyazaki 1997), which supports the idea of an incomplete isolation of E. tarda, as well as a potential dissemination of the pathogen through blood macrophages. 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