Diphtheritic stomatitis is a recently discovered disease and has thus far been reported only in

Yellow-eyed penguin The yellow-eyed penguin (''Megadyptes antipodes''), known also as hoiho or tarakaka, is a species of penguin endemic to New Zealand. Previously thought closely related to the little penguin (''Eudyptula minor''), molecular research has shown it ...

s (''Megadyptes antipodes''). Its symptoms are similar to human

diphtheria Diphtheria is an infection caused by the bacterium '' Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild clinical course, but in some outbreaks more than 10% of those diagnosed with the disease may die. Signs and s ...

and is characterized by infectious

lesion A lesion is any damage or abnormal change in the tissue of an organism, usually caused by disease or trauma. ''Lesion'' is derived from the Latin "injury". Lesions may occur in plants as well as animals. Types There is no designated classifi ...

s in the mouth area that impede swallowing and cause respiratory troubles. The infection is caused by ''

Corynebacterium amycolatum ''Corynebacterium amycolatum'' is a gram-positive bacteria, gram-positive, non-spore-forming, aerobic or facultatively anaerobic bacillus capable of fermentation with propionic acid as the major end product of its glucose metabolism. One of its ...

'', an

aerobic Aerobic means "requiring air," in which "air" usually means oxygen. Aerobic may also refer to * Aerobic exercise, prolonged exercise of moderate intensity * Aerobics, a form of aerobic exercise * Aerobic respiration, the aerobic process of cellu ...

Gram-positive In bacteriology, gram-positive bacteria are bacteria that give a positive result in the Gram stain test, which is traditionally used to quickly classify bacteria into two broad categories according to their type of cell wall. Gram-positive bacte ...

bacterium Bacteria (; singular: bacterium) are ubiquitous, mostly free-living organisms often consisting of one biological cell. They constitute a large domain of prokaryotic microorganisms. Typically a few micrometres in length, bacteria were among ...

and mainly affects very young chicks. However, it seems likely that a triggering agent (e.g. a

virus A virus is a submicroscopic infectious agent that replicates only inside the living cells of an organism. Viruses infect all life forms, from animals and plants to microorganisms, including bacteria and archaea. Since Dmitri Ivanovsky's 1 ...

) might be involved in which renders the corynebacterium a secondary

pathogen In biology, a pathogen ( el, πάθος, "suffering", "passion" and , "producer of") in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a germ ...

. The disease has been a serious cause of mortality in the 2002 and 2004 Yellow-eyed penguin breeding seasons. It seems that only the

New Zealand New Zealand ( mi, Aotearoa ) is an island country in the southwestern Pacific Ocean. It consists of two main landmasses—the North Island () and the South Island ()—and over 700 smaller islands. It is the sixth-largest island count ...

South Island The South Island, also officially named , is the larger of the two major islands of New Zealand in surface area, the other being the smaller but more populous North Island. It is bordered to the north by Cook Strait, to the west by the Tasman ...

and

Stewart Island/Rakiura Stewart Island ( mi, Rakiura, ' glowing skies', officially Stewart Island / Rakiura) is New Zealand's third-largest island, located south of the South Island, across the Foveaux Strait. It is a roughly triangular island with a total land ar ...

were affected.

Signs and symptoms

* Almost exclusively seen in Yellow-eyed penguin chicks * Heavy breathing and signs of weakness * Yellow caesious

exudate An exudate is a fluid emitted by an organism through pores or a wound, a process known as exuding or exudation. ''Exudate'' is derived from ''exude'' 'to ooze' from Latin ''exsūdāre'' 'to (ooze out) sweat' (''ex-'' 'out' and ''sūdāre'' 'to ...

within the beak and at the commissures of the mouth * Yellow diphtheritic membrane covers the hard

palate The palate () is the roof of the mouth in humans and other mammals. It separates the oral cavity from the nasal cavity. A similar structure is found in crocodilians, but in most other tetrapods, the oral and nasal cavities are not truly sepa ...

, tongue and

buccal mucosa The oral mucosa is the mucous membrane lining the inside of the mouth. It comprises stratified squamous epithelium, termed "oral epithelium", and an underlying connective tissue termed ''lamina propria''. The oral cavity has sometimes been describ ...

* Mouth can often not be closed due to lesions, in serious cases tongue exposed

Diagnosis

* Isolation of ''

'' from a clinical specimen, or * Histopathologic diagnosis of diphtheria

Treatment

During the latest outbreak of the disease (2004), several treatment methods were tested. Main treatment involved the administration of antibiotics, in some cases glucose solution or dietary mixtures were additionally supplemented. Outcome of the different treatment methods varied greatly. Especially the success of antibiotic treatment and a widespread use on wild animals remains a matter of debate.

Sources

* Summarized from Minutes of "Yellow-eyed Penguin Corynebacterium Workshop" held in Dunedin, Tuesday 5 April 2005 {{DEFAULTSORT:Diphtheritic Stomatitis Bacterial diseases Bird diseases