Escherichiacoli Infection: Colibacillosis
Escherichia coli is a Gram-negative facultative anaerobic bacterium that commonly inhabits the intestine as part of the microbiome in many species, but is present in very small numbers, if at all, in the normal rabbit intestine.
In contrast, many strains of E. coli may be pathogenic in the rabbit. Most pathogenic strains in the rabbit are termed enteropathogenic E. coli (EPEC), but enterohemorrhagic E. coli (EHEC) has also been described. EHEC infection involves elaboration of Shiga toxin, which has local and systemic effects. A commonly used serotype classification system is based on major lipopolysaccharide surface antigens (O), flagellin antigen (H). Many serotypes of E. coli have been isolated from rabbits, and different serotypes appear to dominate in Europe and North America. Rabbit E. coli strains that attach to mucosal epithelium are known as attaching and effacing E. coli (AEEC) strains. Both EPEC and EHEC rabbit isolates are AEEC strains. AEECs attach intimately to the microvillus brush border, typically with pedestal or cup formation and rearrangement of the underlying cytoskeleton. AEEC strains possess a pathogenicity island within their chromosome that encodes the gene products involved in attachment, including the eaeA gene, which is often used to identify AEECs.The absence or rarity of E. coli in the alimentary tract of suckling and weanling rabbits has been attributed to the low pH of the stomach so that the stomach and small intestine are relatively free from all bacteria. In addition, maternal milk contains (non-EPEC antibody) antimicrobial factors that can protect suckling kits from infection by E. coli. Under certain conditions, there may be a marked proliferation of the E. coli, with up to 30 million colony-forming units of E. coli per gram of feces in diarrheic rabbits. For example, in intestinal coccidiosis, there is a rise in cecal pH, with a striking concurrent rise in fecal output of E. coli. Similarly, diets with a high digestive hydrochloride may promote the dissociation of volatile cecal fatty acids, which normally exert an antibacterial effect in the gut. The rise of E. coli in the enteric digesta does not necessarily indicate the presence of a pathogenic E. coli, but it is a clear and useful indicator of dysbiosis, whatever the cause. Isolates of E. coli from clinically normal rabbits usually failed to produce detectable disease.
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