# [Avian Colibacillosis](/knowledge/bacteria/avian-bacteria/avian-colibacillosis-e-coli-chickens): [Escherichia coli Infections in Poultry](/knowledge/bacteria/avian-bacteria/escherichia-coli-infections-in-poultry-colibacillosis), Clinical Manifestations, Diagnosis, and Control

## Key Takeaways

- Avian pathogenic *Escherichia coli* (APEC) causes colibacillosis, a disease characterized by localized or systemic infections, with O serogroups O1, O2, O18, and O78 being most frequently implicated.
- Transmission primarily occurs via the fecal-oral route, with predisposing factors including immunosuppression from viral infections, nutritional deficiencies, environmental stressors, and concurrent bacterial infections.
- Clinical manifestations range from acute septicemia with sudden death to chronic forms exhibiting fibrinous polyserositis, airsacculitis, pericarditis, and synovitis.
- Diagnosis is confirmed by isolating *E. coli* from internal organs, followed by biochemical identification, serotyping, and molecular detection of virulence genes like *iss* and *iucD*.
- Antimicrobial therapy, guided by susceptibility testing, is crucial for treatment, with florfenicol, enrofloxacin, and amoxicillin clavulanate being common choices, alongside strict biosecurity and environmental management for prevention.
- Control strategies encompass rigorous biosecurity, optimized environmental conditions (e.g., low ammonia levels), autogenous vaccination in susceptible flocks, and competitive exclusion products for early colonization resistance.

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## Etiology and Classification

[Avian colibacillosis](/knowledge/bacteria/avian-bacteria/avian-colibacillosis-e-coli-chickens) is a bacterial disease of poultry caused by avian pathogenic *Escherichia coli* (APEC). APEC strains belong to the family Enterobacteriaceae and are gram negative rods that possess a range of virulence factors including adhesins, invasins, iron acquisition systems, and toxins (Barnes et al., 2008). The O serogroups most frequently associated with colibacillosis include O1, O2, O18, and O78, although other serogroups are also reported (Dho Moulin and Fairbrother, 1999). APEC strains are distinguished from commensal *E. coli* by the presence of ColV or ColBM plasmids encoding virulence determinants such as aerobactin, increased serum survival, and hemolysins (Ginns et al., 2000). The term **[chicken e coli infection](/knowledge/bacteria/avian-bacteria/chicken-e-coli-colibacillosis-treatment)** broadly encompasses both localized and systemic forms of this disease.

## Epidemiology and Transmission

APEC is ubiquitous in poultry environments. Infection occurs primarily via the fecal oral route, with **[chicken feces bacteria](/knowledge/bacteria/avian-bacteria/bacterial-pathogens-poultry-feces)** serving as the main source of environmental contamination (Lutful Kabir, 2010). Flocks become infected through ingestion of contaminated feed, water, or litter. Mechanical transmission via contaminated equipment, personnel, and vectors such as beetles is also recognized (Barnes et al., 2008). The question **does chicken have e coli** is answered affirmatively for virtually all flocks, as *E. coli* is a normal inhabitant of the intestinal tract; however, disease only occurs when APEC strains colonize and invade extraintestinal sites under predisposing conditions.

Predisposing factors for colibacillosis include immunosuppression from viral infections ([infectious bursal disease virus](/knowledge/viruses/avian-viruses/infectious-bursal-disease-virus), chicken anemia virus, [Marek](/knowledge/viruses/avian-viruses/mareks-disease-virus-vaccine-strains)'s disease virus), nutritional deficiencies, environmental stressors such as poor ventilation and high ammonia levels, and concurrent infections with *[Mycoplasma gallisepticum](/knowledge/bacteria/avian-bacteria/mycoplasma-gallisepticum-poultry-chronic-respiratory-disease-control)* or *Bordetella avium* (Dho Moulin and Fairbrother, 1999). The term **chicken has e coli** on necropsy refers to the isolation of APEC from internal organs, confirming systemic infection.

## Pathogenesis

Following ingestion, APEC strains adhere to the mucosal epithelium of the upper respiratory tract and intestine using type 1 fimbriae and P fimbriae (Ginns et al., 2000). After breaching the mucosal barrier, bacteria invade the bloodstream and cause a bacteremic phase. The O antigen and lipopolysaccharide layer confer resistance to serum killing and phagocytosis (Barnes et al., 2008). Aerobactin production allows APEC to sequester iron from host proteins, enabling proliferation in low iron environments (Dho Moulin and Fairbrother, 1999). Systemic dissemination leads to colonization of the pericardium, liver, spleen, peritoneum, and joints.

### Virulence Factors of APEC

| Virulence Factor | Mechanism | Reference |
|---------|------|------|
| Type 1 fimbriae | Adherence to respiratory epithelium | Ginns et al., 2000 |
| P fimbriae | Adherence to urogenital epithelium | Dho Moulin and Fairbrother, 1999 |
| Aerobactin | Iron chelation from host transferrin | Barnes et al., 2008 |
| ColV plasmid | Serum resistance and complement evasion | Ginns et al., 2000 |
| Hemolysin | Cytotoxicity toward host cells | Nolan et al., 2013 |
| Heat stable enterotoxin | Induction of secretory diarrhea | Lutful Kabir, 2010 |

## Clinical Manifestations

**Chicken e coli symptoms** vary according to the site and extent of infection. In acute septicemic forms, birds show depression, anorexia, ruffled feathers, cyanosis of comb and wattles, and sudden death (Barnes et al., 2008). Respiratory signs include dyspnea, rales, and nasal discharge, often presenting as airsacculitis and pericarditis (Dho Moulin and Fairbrother, 1999). Chronic cases manifest as fibrinous polyserositis (coligranuloma), salpingitis, peritonitis, and synovitis (Lutful Kabir, 2010). Coliform cellulitis ("swollen head syndrome") is characterized by subcutaneous edema and necrosis of the head and neck (Nolan et al., 2013). Yolk sac infection (omphalitis) occurs in hatchlings, presenting as lethargy, unabsorbed yolk sacs, and mortality (Barnes et al., 2008).

Localized infections include coliform egg peritonitis in layers, which leads to reduced egg production and vent picking behavior. In broilers, colibacillosis often follows respiratory infections, with mortality ranging from 5% to 20% (Dho Moulin and Fairbrother, 1999). The acute septicemic form is most severe in young birds, while older birds more commonly exhibit chronic localized forms (Lutful Kabir, 2010).

## Pathology

Gross lesions in acute colibacillosis include fibrinous perihepatitis (coating of liver with fibrin), fibrinous pericarditis (thickened, opaque pericardial sac), and airsacculitis with caseous exudate (Ginns et al., 2000). The spleen is often congested and enlarged. In chronic cases, granulomas (coligranuloma) are observed in the liver, ceca, and occasionally the lungs (Nolan et al., 2013). Salpingitis presents with enlarged, caseous oviducts. Yolk peritonitis appears as dark, discolored yolk material free in the abdominal cavity.

Histopathologically, acute cases show heterophilic and fibrinous inflammation with extensive necrosis. Chronic lesions are dominated by macrophages and granulomatous inflammation (Barnes et al., 2008). Fibrinous thrombi may be present in small blood vessels in septicemic cases.

## Diagnosis

### Clinical and Necropsy Diagnosis

Presumptive diagnosis of **[chicken e coli infection](/knowledge/bacteria/avian-bacteria/chicken-e-coli-infection)** is based on clinical signs and characteristic necropsy lesions. Presentation of fibrinous polyserositis in birds with a history of respiratory or enteric disease is highly suggestive (Dho Moulin and Fairbrother, 1999).

### Bacteriological Culture and Isolation

Confirmatory diagnosis requires isolation of *E. coli* from internal organs (lung, liver, spleen, pericardium, bone marrow) of freshly euthanized or dead birds (Lutful Kabir, 2010). Swabs are streaked onto [MacConkey agar](/knowledge/diagnostics/microbiology/macconkey-agar-selective-differential-enteric) or [eosin methylene blue agar](/knowledge/diagnostics/microbiology/eosin-methylene-blue-agar-selective-differential) and incubated aerobically at 37 degrees Celsius for 18 to 24 hours. Lactose positive colonies (pink on MacConkey) are subcultured for purity and identified using biochemical tests (indole positive, methyl red positive, Voges Proskauer negative, citrate negative) (Barnes et al., 2008). Gram staining confirms gram negative rods.

### Serotyping

Serotyping using antisera against O and K antigens identifies APEC serogroups and supports epidemiological tracking (Nolan et al., 2013). Agglutination tests with specific antisera for O1, O2, O18, and O78 are routinely performed (Ginns et al., 2000).

### Molecular Diagnostics

Polymerase chain reaction (PCR) assays targeting virulence genes such as *iss* (increased serum survival), *iucD* (aerobactin), *tsh* (temperature sensitive hemagglutinin), and *fimC* (type 1 fimbriae) can differentiate APEC from commensal isolates (Lutful Kabir, 2010). Multiplex PCR panels allow rapid detection of multiple virulence markers in a single reaction (Nolan et al., 2013). Real time PCR provides quantification of bacterial load in tissue samples.

### Antimicrobial Susceptibility Testing

Given widespread antimicrobial resistance, disk diffusion or broth microdilution testing is essential for guiding therapy (Barnes et al., 2008). Resistance to tetracyclines, sulfonamides, and penicillins is common, while susceptibility to fluoroquinolones, aminoglycosides, and third generation cephalosporins varies geographically (Dho Moulin and Fairbrother, 1999).

### Differential Diagnosis

Differential diagnoses include [fowl cholera](/knowledge/bacteria/avian-bacteria/avian-cholera-fowl-cholera-in-poultry) (*Pasteurella multocida*), salmonellosis, pullorum disease, mycoplasmosis, [avian influenza](/knowledge/bacteria/avian-bacteria/avian-influenza-cdc-global-surveillance), Newcastle disease, and *Gallibacterium anatis* infection (Lutful Kabir, 2010). The presence of fibrinous polyserositis is more characteristic of colibacillosis than most other bacterial infections, but bacterial culture is necessary for differentiation.

### Mermaid Diagnostic Workflow

```mermaid
flowchart TD
    A["Clinical Signs: Depression, Dyspnea, Diarrhea, Mortality"] --> B["Necropsy: Fibrinous Perihepatitis, Pericarditis, Airsacculitis"]
    B --> C["Suspected Colibacillosis"]
    C --> D["Bacteriological Culture: MacConkey Agar from Liver, Spleen, Bone Marrow"]
    D --> E{"Lactose Positive Colonies"}
    E -->|"Yes"| F["Biochemical Confirmation: IMViC + + / - / - "]
    F --> G["Serotyping: O1, O2, O18, O78"]
    F --> H["Virulence Gene PCR: iss, iucD, tsh, fimC"]
    G --> I["Antimicrobial Susceptibility Testing"]
    H --> I
    I --> J["Confirmatory Diagnosis and Treatment Plan"]
    E -->|"No"| K["Consider Other Pathogens: Pasteurella, Salmonella, Mycoplasma"]
    K --> L["Additional Testing"]
```

## Treatment and Antimicrobial Therapy

Treatment of **[chicken e coli infection](/knowledge/bacteria/avian-bacteria/collibacillosis-chickens-etiology-clinical-signs-management)** is based on antimicrobial therapy guided by susceptibility testing. Florfenicol, enrofloxacin, and amoxicillin clavulanate are commonly used, though resistance is documented (Barnes et al., 2008). Ceftiofur is used in some regions but carries cross resistance concerns with human medicine. In [Mycoplasma gallisepticum](/knowledge/bacteria/avian-bacteria/mycoplasma-gallisepticum-poultry-chronic-respiratory-disease-control) co infections, tetracyclines are preferred (Lutful Kabir, 2010). Antimicrobials are administered in water or feed for 3 to 7 days depending on severity.

Supportive therapy includes reducing environmental ammonia, improving ventilation, and providing clean, fresh water. Sick birds are isolated and culled if recovery is poor. The use of probiotics and prebiotics as alternatives to antibiotics in **[chicken e coli infection](/knowledge/bacteria/avian-bacteria/chicken-e-coli-colibacillosis-treatment)** control has been investigated, with *Lactobacillus* and *Bacillus* species showing competitive exclusion potential (Nolan et al., 2013).

## Control and Prevention

### Biosecurity

Control of colibacillosis relies on strict biosecurity to prevent introduction and spread of APEC. Out production, routine cleaning and disinfection of poultry houses, footbaths, and rodent control are essential (Barnes et al., 2008).

### Environmental Management

Ammonia levels in poultry houses should be kept below 25 ppm using proper ventilation and litter management. Temperature and humidity are optimized to minimize respiratory irritation (Dho Moulin and Fairbrother, 1999). Good sanitation reduces the load of **[chicken feces bacteria](/knowledge/bacteria/avian-bacteria/bacterial-pathogens-poultry-feces)** in the environment.

### Vaccination

Autogenous vaccines (bacterins) using APEC strains isolated from affected flocks have been used in layer and breeder flocks. These vaccines stimulate humoral immunity, reducing egg peritonitis and salpingitis (Ginns et al., 2000). Commercial vaccines are not widely available due to serogroup diversity (Lutful Kabir, 2010). Flagellin based recombinant vaccines are under investigation (Nolan et al., 2013).

### Competitive Exclusion

Probiotic products containing *Lactobacillus*, *Bifidobacterium*, and *Enterococcus* species are used in day old chicks to establish a protective intestinal flora, reducing APEC colonization (Nolan et al., 2013).

### Hatchery Management

Egg sanitation using formaldehyde fumigation or hydrogen peroxide fogging reduces vertical and horizontal transmission of APEC to chicks. Good navel hygiene and hatchery hygiene reduce omphalitis incidence (Barnes et al., 2008).

## Public Health Considerations

While this article focuses on veterinary aspects, it is noted that APEC strains are generally considered of low zoonotic potential but carry antimicrobial resistance genes that can be transferred to human pathogens horizontally (Lutful Kabir, 2010). The question **does chicken have e coli** that is pathogenic to humans is answered by the presence of *E. coli* on poultry meat and in poultry environments; however, APEC virulence factors differ from those of human extraintestinal pathogenic *E. coli* (ExPEC). Cross contamination during processing and consumer handling leads to human exposure to **[chicken feces bacteria](/knowledge/bacteria/avian-bacteria/bacterial-pathogens-poultry-feces)** and other fecal flora (Barnes et al., 2008).

## References

Barnes, H.J., Nolan, L.K., and Vaillancourt, J.P. (2008). Colibacillosis. In *Diseases of Poultry*, 12th edition, edited by Y.M. Saif, A.M. Fadly, J.R. Glisson, L.R. McDougald, L.K. Nolan, and D.E. Swayne. Blackwell Publishing, Ames, Iowa, pp. 270 298.

Dho Moulin, M. and Fairbrother, J.M. (1999). Avian pathogenic *Escherichia coli* (APEC). *Veterinary Research*, 30(2 3), 299 316.

Ginns, C.A., Browning, G.F., Benham, M.L., and Whithear, K.G. (2000). Antimicrobial resistance and epidemiology of *Escherichia coli* in broiler chickens. *Avian Pathology*, 29(4), 285 294.

Lutful Kabir, S.M. (2010). [Avian colibacillosis](/knowledge/bacteria/avian-bacteria/avian-colibacillosis-escherichia-coli-infections-in-poultry): economic losses, pathogenesis, diagnosis, and control. *Veterinary Medicine International*, 2010, 1 8.

Nolan, L.K., Barnes, H.J., and Vaillancourt, J.P. (2013). Colibacillosis. In *Diseases of Poultry*, 13th edition, edited by D.E. Swayne, J.R. Glisson, L.R. McDougald, L.K. Nolan, D.L. Suarez, and V. Nair. Wiley Blackwell, Ames, Iowa, pp. 751 805.

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