Fusarium species are a group of filamentous fungi widely recognized for their pathogenicity in agriculture, where they primarily infect crops like corn, wheat, and barley. These fungi exhibit typical fungal morphology, characterized by septate hyphae, conidia (asexual spores), and distinctive macro- and microconidia. Fusarium species can produce a variety of toxins, including mycotoxins like fumonisins, trichothecenes, and zearalenone, which have serious implications for both agricultural productivity and animal health. Traditionally, Fusarium was seen as a crop pathogen, but in recent years, its impact has expanded to veterinary medicine. Several species of Fusarium are now known to infect animals, causing a variety of diseases in a broad host range (O’Donnel et al., 2016). Additionally, when Fusarium-contaminated feed is consumed by animals, mycotoxins can contaminate the food chain, leading to toxic effects in livestock and other animals (Placinta et al., 1999). These mycotoxins can lead to immunosuppression, gastrointestinal issues, reproductive disorders, and even death in severe cases. As a result, Fusarium species are increasingly recognized as a significant concern in both food safety and animal health. In this blog post we will explore the veterinary impacts of Fusarium. We discuss the challenges of treating the pathogen and how the fungus’ history as an agricultural pathogen enhances its danger in veterinary disease. Finally, we explain the utility and importance of Next Generation Sequencing (NGS) as a tool for diagnosis of Fusarium.

Major Fusarium Species, Their Animal Hosts, and Symptoms

Several Fusarium species have been identified as causing infections in animals, each linked to particular animal hosts and disease manifestations:

  • Fusarium solani
    • Hosts: Dogs, cats, horses, cattle, fish
    • Symptoms: Keratomycosis (eye infection), mycotic dermatitis, systemic infections (especially in immunocompromised animals)
  • Fusarium oxysporum
    • Hosts: Cattle, sheep, horses, poultry
    • Symptoms: Respiratory issues, gastrointestinal upset, reproductive failure (due to mycotoxin contamination)
  • Fusarium verticillioides (formerly Fusarium moniliforme)
    • Hosts: Swine, poultry, horses
    • Symptoms: Leukoencephalomalacia (brain disease) in horses, growth stunting and neurological symptoms in swine and poultry
  • Fusarium graminearum
    • Hosts: Cattle, pigs, horses, poultry
    • Symptoms: Reproductive failure, anorexia, lethargy, mycotoxin-induced immunosuppression
  • Fusarium proliferatum
    • Hosts: Swine, poultry
    • Symptoms: Liver and kidney damage, gastrointestinal disturbances, reproductive issues
  • Fusarium culmorum
    • Hosts: Cattle, poultry, swine
    • Symptoms: Respiratory disease, digestive problems, mycotoxicosis

Treatment of Fusarium Infections in Animals

When animals are infected by Fusarium species, prompt treatment is essential to mitigate the toxic effects and prevent the spread of the infection. Here are the primary methods of treatment:

  • Antifungal Therapy
    • Azoles (e.g., itraconazole, fluconazole) are commonly used to treat Fusarium infections. They work by inhibiting the synthesis of ergosterol, a critical component of the fungal cell membrane, thereby disrupting fungal growth (Al-Hatmi et al., 2018).
    • Amphotericin B may be administered for more severe, systemic Fusarium infections. This polyene antibiotic binds to ergosterol in the fungal cell membrane, creating pores that lead to cell death (Al-Hatmi et al., 2018).
    • Terbinafine is another option, effective against dermatophytes and some Fusarium species, by inhibiting squalene epoxidase, an enzyme involved in the biosynthesis of ergosterol (Al-Hatmi et al., 2018).
  • Supportive Care
    • Intravenous fluids, nutritional support, and anti-inflammatory drugs (e.g., corticosteroids) help manage symptoms and improve the animal’s recovery chances.
    • For cases of systemic infection or intoxication, activated charcoal may be used to limit the absorption of mycotoxins from the gastrointestinal tract.
  • Surgical Intervention
    • In some cases, surgical debridement or removal of infected tissue, such as abscesses or necrotic tissue caused by Fusarium keratomycosis, may be necessary (Al-Hatmi et al., 2018).
  • Detoxification of Animal Feed
    • The use of mycotoxin binders (e.g., activated charcoal, clay-based adsorbents) in contaminated animal feed can help reduce the toxic burden on affected animals.

Fungicides to Avoid Due to Fusarium Antifungal Resistance

Fusarium species are notorious for their hardy nature and resistance to several fungicides, a phenomenon that has been exacerbated by certain agricultural practices. The widespread use of fungicides in agriculture has led to the development of resistance in Fusarium, making some treatments ineffective for controlling fungal growth. Here’s a breakdown of the observed antifungal resistance in Fusarium:

  • Triazoles (e.g., tebuconazole, propiconazole) – Fusarium species, especially Fusarium solani, have developed resistance mechanisms that render these fungicides ineffective. Overuse of triazoles in agricultural settings, where they are commonly applied to crops like wheat and corn, has selected for Fusarium strains that can metabolize or pump out the fungicide before it can have an effect (Al-Hatmi et al., 2018).
  • Strobilurins (e.g., azoxystrobin, pyraclostrobin) – While effective for many fungal pathogens, Fusarium species have shown significant resistance to strobilurins. Agricultural over-reliance on strobilurins for crop protection has contributed to the development of resistant Fusarium strains. These fungicides inhibit mitochondrial respiration in fungi, but Fusarium species have developed alternative metabolic pathways to survive their action.
  • Chlorothalonil – Resistance to this broad-spectrum fungicide has been reported in Fusarium, reducing its efficacy in both agricultural and veterinary settings.
  • MBC Fungicides (e.g., benomyl, thiophanate-methyl) – These fungicides are often ineffective against Fusarium, as the fungus can quickly develop resistance mechanisms.

The Role of NGS in Fusarium Diagnosis and Treatment

Next Generation Sequencing (NGS) technologies represent a groundbreaking advancement in the diagnosis and treatment of Fusarium infections in animals. NGS allows for comprehensive molecular analysis of Fusarium species and mycotoxins at the genetic level, providing a more precise understanding of the fungal pathogen involved. By using NGS, veterinarians can quickly identify the specific Fusarium species infecting an animal, even distinguishing between pathogenic and non-pathogenic strains. This level of specificity can lead to more targeted treatment strategies, such as the use of antifungal agents that are effective against the identified species. Such accuracy of classification is critical certain species of Fusarium possess resistances that other species lack (Al-Hatmi et al., 2016). Additionally, NGS can detect mycotoxin profiles in animal tissues and feed, helping to determine the exact toxins present and their potential health impacts. This diagnostic tool can also be used to monitor resistance patterns in Fusarium species, guiding treatment plans and enabling veterinarians to avoid ineffective fungicides. In summary, NGS has the potential to revolutionize the management of Fusarium-related diseases in animals, improving both treatment outcomes and preventative measures.

 

References

  • Al-Hatmi, Abdullah MS, Jacques F. Meis, and G. Sybren de Hoog. “Fusarium: molecular diversity and intrinsic drug resistance.” PLoS pathogens4 (2016): e1005464. DOI: https://doi.org/10.1371/journal.ppat.1005464
  • Al-Hatmi, A. M., Bonifaz, A., Ranque, S., De Hoog, G. S., Verweij, P. E., & Meis, J. F. (2018). Current antifungal treatment of fusariosis. International Journal of Antimicrobial Agents51(3), 326-332. DOI: https://doi.org/10.1016/j.ijantimicag.2017.06.017
  • O’Donnell, Kerry, et al. “Veterinary fusarioses within the United States.” Journal of Clinical Microbiology11 (2016): 2813-2819. DOI: https://doi.org/10.1128/jcm.01607-16
  • Placinta, C. M., D’Mello, J. F., & Macdonald, A. M. C. (1999). A review of worldwide contamination of cereal grains and animal feed with Fusarium mycotoxins. Animal feed science and technology78(1-2), 21-37. DOI: https://doi.org/10.1016/S0377-8401(98)00278-8
  • Ke, X., Lu, M., & Wang, J. (2016). Identification of Fusarium solani species complex from infected zebrafish (Danio rerio). Journal of Veterinary Diagnostic Investigation28(6), 688-692. DOI: https://doi.org/10.1177/10406387166695

Categories: Cats, Dogs, Fish, Fungal Infections, Gastrointestinal Health, Next-Gen DNA Sequencing Technology, Pet Health, Safety and Wellness, Respiratory Infection

animal diagnostics

Validated by Veterinarians

“Clients expect their veterinarians to stay up to date on all matters that affect the health and well being of their non-human family members. The current technique that we have used to determine the presence and antibiotic sensitivity of organisms causing disease in our pets is over a century old.

With the emergence of dangerous antibacterial resistance, it is critical that veterinarians are able to offer laser focused diagnostics and treatment. MiDog enables us to offer care that exceeds the typical standard of care.”

Bernadine Cruz, DVM, Laguna Hills Animal Hospital Laguna Woods, CA

“I love the absolute abundance and comparing the fungal with bacterial infection. I do not worry as much about getting a false negative urinary infection reading as I do with traditional urine cultures. Several times the same urine would culture negative but MiDOG would detect pathogens.”

Michael Morgan, DVMQuail Animal Hospital, Tustin, CA

“The MiDOG All-in-One Test is amazing, I would use it instead of culture and sensitivity.  Such rapid and detailed results, I will reach for MiDOG before culture next time!

Thank you very much MiDOG, for sharing the opportunity to try your technology.”

Martha Smith-Blackmore, DVM, President of Forensic Veterinary Investigations, LLC – Boston, MA

The MiDOG All-in-One Microbial Test is our new gold standard of pathogen identification. The results are so accurate and valuable – especially with assessing both bacterial and fungal infections with the same sample.

Thank you MiDOG!”

Kathy Wentworth, DVM, Diplomate ABVP Canine and Feline Practice – PetPoint Medical Center, Irvine, CA

“The MiDOG staff was extremely helpful and supportive.”

Cathy Curtis, DVM – London, UK

“I have had great results using the MiDOG® Test. Compared to traditional culture tests, I am better able to target the treatment for dogs because the MiDOG® Test is so sensitive that it identifies all pathogens including bacteria and fungi, as well as antibiotic sensitivity.

The cost and turnaround time are about the same as a culture test, but I get much more data. The test has great performance and I believe the NGS technology will be a game changer for veterinarians treating dogs with lesions or other infections.”

Michael Kavanagh, DVM, Practice owner – Saddleback Animal Hospital, Tustin, CA

“It’s helpful to have an NGS spectrum because it gives you a broader insight of what’s happening and what might be going on.”

Richard Harvey BVSc DVD DipECVD PhD FRSB FRCVS – European Specialist in Veterinary Dermatology – Head of Dermatology, Willows Veterinary Centre & Referral Service – Solihull, England UK

“I have been using MiDog for over 4 years now and exclusively as my test of choice for all cultures for 3 years.  It is so great to submit a culture and feel confident there will be a result when it comes back, especially for urine cultures.  The reports were intimidating at first because they contain so much information.  After the first few, I am now quickly able to glance over it and pick out the highlights.  I can then come back later and pour over all the details.  I have been extremely pleased with my patients’ results using the test as well.  I don’t envision ever going back to traditional culture and susceptibilities again.”

Brian M. Urmson, DVM, Columbiana Veterinary Associates

“As an exotic veterinarian, there are numerous tests we have to consider to check specific bacterial and fungal organisms based on the species. MiDOG eliminates the need for many of these separate samples and provides definitive results quickly to help us treat our patients more efficiently and effectively. The lab is wonderful to work with and has never rejected our samples- they even processed a lizard toe we amputated and determined the cause of skin infection.”

Dr. Melissa Giese, Chicago Exotics Animal Hospital

“MiDOG’s diagnostic approach offers the unique ability to identify pathogens that evade traditional culture and sensitivity testing. I have found that adding a molecular based testing approach in the form of Next Generation Sequencing (NGS) from MiDOG to my routine diagnostic cultures can be extremely helpful in the identification and diagnosis of uncommon pathogens in veterinary medicine.”

Dr. Wayne Rosenkrantz, Animal Dermatology Clinic – Tustin

“She [Dr. Krumbeck] really did a great job of making complicated concepts accessible and demonstrating the value of your services. I’m really looking forward to working with MiDOG on my research project!”

Dr. Yaicha Peters, Animal Dermatology Clinic – San Diego

“As a proud collaborator with MiDOG, I deeply appreciate their dedication to fostering partnerships between industry and veterinary experts. Their commitment to enhancing diagnostic quality for veterinarians is commendable. In my experience, their support has been invaluable, earning them a ‘Double A+, Triple Star’ rating. Their assistance has been faultless, contributing significantly to the success of my projects and studies. I eagerly anticipate our continued collaboration.”

Dr. Richard Harvey, BVSc DVD DipECVD PhD FRSB FRCVS; European Specialist in Veterinary Dermatology

“We’re seeing that, if we prescribe too many antibiotics or they’re taken too frequently, animals are developing inappropriate or pathogenic strains of bacteria. We’re also seeing that our antibiotics are just not working against them anymore… It’s a good example of why we need better diagnostic testing, like MiDOG, so that we’re selecting the correct antibiotic every time our patients have an infection.”

Dr. Alissa Rexo, DVM, CVA, DACVD, Mid-Atlantic Veterinary Dermatology

“The NGS technique as offered by MiDOG is wonderful because pathogens like Melissococcus plutonius, for example, are difficult to grow and keep alive in the laboratory. A standard laboratory cannot truly examine or even properly diagnose this pathogen in bee hives at this time. But with NGS, we can reliably diagnose it.”

Dr. Joerg Mayer, Entomologist and Microbiologist at the University of Georgia

“For me, as a clinician and as a researcher, I see the immense value in the product [the All-in-One Test]. I have had great success using MiDOG clinically, including identifying Mycoplasma in a 24 year old pigeon, a Nannizziopsis spp in a ball python from a large pet distributor, Mycoplasma and Fusobacterium necrophorum co-infection in a peacock, and to identify an abnormal gut GI in a technician’s dog that tested negative for everything else (but we were able to establish what was abnormal, and work toward fixing it).”

Dr. Jeremy Rayl – Veterinarian, Block House Creek Animal Hospital, Cedar Park, Texas

“With MiDog results I not only receive a list of organisms detected in the sample, but also cell counts which allow me to target the most abundant pathogens or the most pathogenic. The identification of antimicrobial resistance genes is also helpful in selecting an appropriate antibiotic. Another benefit is that sample handling is less prone to risk of overgrowth and is stable at room temperature. Easy and informative. A great tool in our diagnostic toolbox!!”

Lauren Palmer DVM, MPH, Marine mammal Care Center Los Angeles