Viral Chorioretinitis of Kangaroos

Chapter 51 Viral Chorioretinitis of Kangaroos



A widespread outbreak of viral chorioretinitis in wild kangaroos received considerable media attention in Australia and worldwide in the 1990s. Many blind kangaroos were first observed along the Darling River in western New South Wales between April and July 1994. Between March and June 1995, the disease reappeared, with larger numbers of affected animals, and extended into northwestern Victoria and southeastern South Australia. The condition reappeared again the following year and, between December 1995 and April 1996, kangaroos in southern Western Australia were also affected. There had been anecdotal reports of similar outbreaks of blindness in kangaroos as early as 1905, and in the 1940s through the 1960s, but these were never investigated in any detail, so the cause remained uncertain. However, an outbreak of kangaroo blindness in northwestern Victoria in 1975 with similar histopathologic findings was retrospectively confirmed as viral chorioretinitis by polymerase chain reaction (PCR) testing of archived material. Durham and colleagues2 have described the condition as seen in South Australia, and field observations and epidemiology were described by Curran and associates.1 Comprehensive laboratory investigations (e.g., virus isolation, serology, histopathology, electron microscopy, molecular testing) of field cases indicating a viral cause were described by Hooper and coworkers.3 A viral cause was confirmed when the disease was replicated by experimental inoculation of captive kangaroos, as described by Reddacliff and colleagues.4





Epidemiology


These orbiviruses are transmitted by biting midges (Culicoides austropalpalis, C. dycei, and C. marksi), whereas other insects, especially mosquitoes, appear not to be involved. Wallal and Warrego viruses circulate regularly between midges and macropods in northern Australia, apparently without clinical signs of disease. C. austropalpalis is known to prefer feeding on birds, but avian involvement in maintenance and transmission of the viruses in nature is unclear. A possible explanation for the occurrence of outbreaks may be the entry of the viruses, or at least a pathogenic strain, into southern vector populations and, in turn, the infection of susceptible groups of macropods. Infection is widespread during outbreaks, but often asymptomatic. Surveys at the peak of the outbreak in 1995 showed 50% to 85% of kangaroos in affected areas to be seropositive to both viruses, whereas estimates for prevalence of blindness ranged from less than 5% to approximately 50% in the worst affected areas. Only severely affected animals that become blind are noticed. Animals are viremic—thus capable of transmitting infection to biting midges—for less than 2 weeks, within several weeks of first infection, and weeks to months before clinical signs appear. There is no evidence for any direct transmission from kangaroo to kangaroo. In experimental transmission studies, control kangaroos kept in insect-proof enclosures with infected animals remained seronegative. There is no known risk of direct zoonotic infection.



Clinical Signs and Diagnosis



Signs


Severely affected kangaroos are blind, stumbling into bushes and other objects, especially when disturbed. The gait is affected, with shorter and higher hops, sometimes hopping in circles. The head may be elevated in a star-gazing posture when disturbed. These changes seem secondary to visual impairment, rather than caused by any neuromuscular problem. Otherwise, animals are apparently normal, being able to hear, move, and feed freely and, if feed is plentiful, may maintain body condition. Any deaths appear to be secondary to blindness, from malnutrition, dehydration, or misadventure.


Apart from blindness, there are few external signs of eye disease. Some animals have only small focal retinal lesions that have minimal or no clinical manifestations, but these may be observed ophthalmoscopically. Many apparently normal wild kangaroos from affected areas have lesions when examined pathologically. Changes in eye reflectivity when spotlighted at night may indicate early retinal changes. Occasional acutely affected animals that have accompanying anterior uveitis may show cloudy or watery eyes. In severely affected cases, acute and chronic, the pupils may be dilated and animals may not squint as is usual in bright sunlight. Cataracts were seen in some chronically affected kangaroos, but it is not clear whether these resulted from the chorioretinitis or from accidental eye damage. Increased rectal temperature is not a reliable indicator of viremia in this condition; in experimentally infected animals, this varied from 35.2° C to 38.9° C, depending on ambient conditions and excitement during capture.

Stay updated, free articles. Join our Telegram channel

Aug 27, 2016 | Posted by in EXOTIC, WILD, ZOO | Comments Off on Viral Chorioretinitis of Kangaroos

Full access? Get Clinical Tree

Get Clinical Tree app for offline access