Pyogranulomatous enteritis and mesenteric lymphadenitis in an adult llama caused by Rhodococcus equi carrying virulence-associated protein A gene

J Vet Diagn Invest. 2019 Sep;31(5):747-751. doi: 10.1177/1040638719862834. Epub 2019 Jul 5.

Abstract

We report herein Rhodococcus equi infection in an 11-y-old, male llama with a history of diarrhea and endoparasitism. Postmortem examination revealed granulomatous and ulcerative enteritis, pyogranulomatous mesenteric lymphadenitis, fibrinosuppurative peritonitis, and granulomatous hepatitis. Intralesional macrophages were laden with gram-positive cocci. Bacteriology identified R. equi, and cultures tested positive for R. equi choE and vapA genes by PCR. This case expands the reported spectrum of lesions associated with R. equi infections in llamas from pyogranulomatous bronchopneumonia and peripheral lymphadenitis to pyogranulomatous mesenteric lymphadenitis and enteritis. We also link a R. equi that is carrying the virulent-associated protein gene VapA to clinical disease in New World camelids.

Keywords: PCR; VapA protein; camelid; pathology; virulence-associated protein.

Publication types

  • Case Reports

MeSH terms

  • Actinomycetales Infections / microbiology
  • Actinomycetales Infections / veterinary*
  • Animals
  • Animals, Domestic
  • Bacterial Proteins / analysis
  • Camelids, New World*
  • Enteritis / microbiology
  • Enteritis / veterinary*
  • Male
  • Mesenteric Lymphadenitis / microbiology
  • Mesenteric Lymphadenitis / veterinary*
  • Oregon
  • Rhodococcus equi / genetics
  • Rhodococcus equi / isolation & purification*
  • Rhodococcus equi / pathogenicity
  • Virulence Factors

Substances

  • Bacterial Proteins
  • VapA protein, Rhodococcus equi
  • Virulence Factors