TurkJVetAnimSci 29(2005)449-454 ©TÜB‹TAK ResearchArticle AvipoxvirusInfectioninQuails

M.YavuzGÜLBAHAR DepartmentofPathology,FacultyofVeterinaryMedicine,OndokuzMay›sUniversity,Samsun- MehmetÇABALAR DepartmentofVirology,FacultyofVeterinaryMedicine,HarranUniversity,fianl›urfa-TURKEY BanurBOYNUKARA DepartmentofMicrobiology,FacultyofVeterinaryMedicine,YüzüncüY›lUniversity,Van-TURKEY

Received:23.10.2003

Abstract: Thepresentstudydescribesclinical,virological,histopathological,immunohistochemicalandelectronmicroscopicfindings ofpoxinfectionencounteredinaquailflock.Lesionsconsistedofsingleormultiplenoduleswithacrustinvariablesizeof grayto yellowordarkbrowndiscolorationonthecomb,eyelids,andtheotherpoorlyfeatheredareasofthebody.Histopathologicalchanges consistedofhyperplasticepitheliumoverlying,withballooningdegenerationofkeratinocytes,manyofwhichhadeosinophilic intracytoplasmicinclusionbodies(Bollingerbodies),andheterophilicinfiltrationsadmixedwithmononuclearcellsextendingi nto dermis.Avipoxvirusinfectionwasconfirmedbypositiveimmunostaininginthecytoplasmofaffectedcellsforpoxvirusantigen, excludednoimmunostainingofinclusionbodies,usingstreptavidin-biotinperoxidasecomplexmethodandbydemonstrationofbrick- shapedparticleswithacentralcoreusingdirectelectronmicroscopy.Typicalthicknessofchorio-allantoicmembranes(C AMs) infectedwithvirus,comparedwithcontrols,wasobserved,andtheharvestedvirusonCAMswasdetectedaspositiveagainstknown fowlpoxvirususinggeldiffusiontest.

KeyWords: Avipoxvirus,pox,quail

B›ld›rc›nlardaAvipoxvirusEnfeksiyonu

Özet: Buçal›flmada,birb›ld›rc›nçiftli¤indekarfl›lafl›lançiçekolgusununklinik,virolojik,histopatolojik,immunohistokimyasalve elektronmikroskopikbulgular›incelendi.Lezyonlaribik,gözkapaklar›,vevücudunk›ls›zbölgelerindede¤iflikbüyüklüklerde,gri-sar› veyakoyukahverengikabuklu,tekyadaçoksay›danodüllerdenibaretti.Histopatolojikolarak,deridekihiperplastikepitelde keratinositlerdebalonumsudejenerasyonvebuhücrelerdeeozinofilikintrasitoplazmikinklüzyoncisimcikleri(Bollingercisimci kleri) belirlendi.Ayr›cadermisekadaruzananmononüklearhücrelerlekar›fl›khaldeheterofilikhücreinfiltrasyonlar›gözlendi.Avipo xvirus enfeksiyonu,streptavidin-biotinperoksidazkompleksmetotkullan›larakyap›lanboyanmalardapoxvirusantijenietkilenenhücrelerin sitoplazmas›ndasaptand›.Elektronmikroskobikincelemedeise,merkezikorlu,tu¤lafleklindekiavipoxviruspartiküllerigörüldü . Viruslaenfektekorio-allantoikmembranlar(CAM)kontrollerlekarfl›laflt›r›ld›¤›ndatipikolarakkal›nlaflm›flt›veCAM’daüretilenvirus, geldiffüzyontestiilebilinenfowlpoxvirusakarfl›pozitifolarakbelirlendi.

AnahtarSözcükler: Avipoxvirus,çiçek,b›ld›rc›n

Introduction esophagus(diphtheriticform).Significantmortalityhas Avianpoxisanacutecontagiousdiseasecausedby beenobservedinquails,especiallywiththediphtheritic genusAvipoxvirus,includingfowl,turkey,pigeon,canary, forminvolvingtherespiratorytract(3). junco,quail,sparrow,andstarlingpoxvirusesinthefamily Avipoxvirusinfectionisrareinquails;however,the , andhasbeenreportedinawidevarietyof presenceofthediseasehasbeenreportedinvariousquail domesticandwildbirds(1-3).Thehostantigen-related speciesinsomecountries(5-8).Mostofthosestudiesare knowntoaffectavianspeciesareingeneral ofwildbirdsinAmerica.However,therehasbeenno species-specific,butmayinfecthostofotheravianspecies detailedinformationaboutimmunohistochemical (3,4).Itisaslow-spreadingdiseasecharacterizedby detectionofviralantigeninnaturallyoccurringpoxvirus developmentofdiscretenodularproliferativeskinlesions infectioninJapanesequails.Thispaperdescribesclinical, onpoorlyfeatheredpartsofthebody(cutaneousform)or virological,histopathological,immunohistochemicaland fibrino-necroticandproliferativelesionsinmucous electronmicroscopicfindingsofnaturallyoccurring membraneofupperrespiratorytract,mouth,and poxvirusinfectioninaquailflockinVanprovince,Turkey.

449 AvipoxvirusInfectioninQuails

MaterialsandMethods omittedandreplacedbyPBSfornegativecontrols.Tissue Birds. Intheyear2000,twentysick(no:8)ordead sectionsknowntoexpressthepoxvirusantigensserved (no:12)quails( Coturnixcoturnixjaponica )were aspositivecontrols. obtainedfromanoutbreakofpoxinfectionencountered Electronmicroscopy. Preparationwascarriedout inanegg-layingquailflockinVanprovince,Turkey. usingtheflotationtechnique.First,freshtissuesamplesas Approximately3000birdsofdifferentageswereinthe perthescabsforinoculationonCAMwerehomogenizedto flockandtheinfectionwasnotencounteredinyoung a40%suspensionindistilledwater.Eachmixturewas quailsorchicksseparatedfromothersickadultbirds. centrifugedfor20minutesat1000g.Acarbon-coated Necropsywasperformedonthebirdseuthanizedunder electronmicroscopegridwasfloatedonadropofthe etheranesthesiaorimmediatelyfollowingdeath.Tissue supernatantfor45minutes,removedandblottedwithfilter specimenswerecollectedfromvariousorgans,thenfixed paper,thennegativelystainedwith1%phosphotungstic in10%neutral-bufferedformalinsolution.Thetissues acidanddried.Thepreparedgridswereexaminedina wereembeddedinparaffin,sectionedat5µmandstained transmissionelectronmicroscope(Jeol100CX-II). withhematoxylinandeosin(H&E).Additionalfresh tissuesfromscabswerecollectedforvirologicalstudies. Results embryoinoculation. Scabscollectedfrom affectedquailsweretrituratedtomakea10% Clinically,sickbirdsshowedweightloss,decreased suspensioninphosphatebuffersaline(PBS).After eggproductionandimpairedfertility.Mortalityand centrifugationfor30minutesat2000g,thesupernatant morbidityinadultbirdsofthequailflockwere wasinoculatedat0.2mldosesonchorio-allantoic approximately20%and60%respectively.Thedisease membranes(CAMs)of10-day-oldchickenembryos.The wascharacterizedbythecutaneousformcomprising infectedCAMswereharvested7daysafterinoculation. smallmultifocaltocoalescingnodularlesionsinvariable sizeofgraytoyellowordarkbrowndiscolorationon Geldiffusiontest.TheharvestedvirusonCAMswas predominantlyaffectingthecomb,eyelids,andtheother suspendedinPBS,andthenthemixturewascentrifuged poorlyfeatheredareasofthebody.Whenthebrown for20minutesat1000g.Thesupernatantwastested wart-likescabscoatingtheextensivethicklesionswere forprecipitatingpotencyagainstknownpositivefowlpox virusantisera.Thetestwasperformedinplasticpetri removed,avariableamountofcaseousexudatesadmixed dishcontaining0.7percentagarnobleandexaminedfor withbloodwasfound.Manyofaffectedbirdshad lineofprecipitationafter48hours. unilateralorbilateralblindnessduetomildtosevere blepharitisandconjunctivitis(Figure1).Insuchbirds, Immunohistochemistry. Investigationforthe opacityofthecorneaduetokeratitiswasacommon distributionofavianpoxvirusantigenusingstreptavidin- finding.Somebirdshadbrowncrustypapulesatthe biotincomplexmethod(ABC)wasperformedwitha commissureofthebeakandaroundtheexternalnares.In commercialkit(ShandonInc.,Pittsburgh,PA,USA).The threecasesnecropsied,superficialsmallraisedwhite- techniqueincludedanenzyme(protease)pretreatment yellownodularlesionsathardpalateandthebaseof andalldeparaffinizedsectionswerequenchedfor tonguewerealsoobserved,butinvolvementofother endogenousperoxidasewith3%H2O2 inPBSandblocked visceralorganswasnotseeninanybirds. with5%normalgoatserumpriortoexposuretoprimary antisera.Thesectionsthenwereincubatedwithprimary Microscopically,theaffectedskin,featherfolliclesand rabbitpolyclonalantibodiesraisedagainstfowlpoxvirus conjunctivashowedvaryingdegreesofepithelial (PoultryDiseasesResearchandProduction hyperplasia,coveredbyanecroticmaterial,with Institute,Manisa,Turkey),diluted1:200inPBSfor4 ballooningdegenerationofkeratinocyteswithvacuolated hoursatroomtemperature.Theantiserawereprepared cytoplasmandintraepithelialvesicles.Numerous aspreviouslydescribed(9).Thesectionswereincubated degeneratedandenlargedkeratinocytes,especiallyinthe withthebiotinylatedsecondaryantibody,followedby epitheliumofskinandfeatherfollicles,contained streptavidin-peroxidaseconjugate,andthenvisualized eosinophiliccytoplasmicinclusions(Bollingerbodies)with with3-amino-9-ethylcarbazoleandcounterstainedwith centralpalezone(Figure2).Inthedermisand Mayer’shematoxylin.Theprimaryantibodieswere subconjunctiva,edemaandcongestionwithnecrosisand

450 M.Y.GÜLBAHAR,M.ÇABALAR,B.BOYNUKARA

Figure1.Typicalpoxlesionscharacterizedbyred-brownwart-like Figure2. Hyperplasticanddegenerativechangesintheepidermallayer massesonsnoodandcombofaquail.Noteobstructionof coveredbynecroticmaterial.Arrowsindicateintracytoplasmic visioncausedbyacomplicatedeyelesionwithcaseous inclusionbodies.H&E,200X. material. predominantlyheterophilicinflammatorycellinfiltrations CAMswasdetectedaspositiveagainstknownfowlpox admixedwithmononuclearcellswereobserved.Inthe virususinggeldiffusiontest. birdswithcornealopacity,theanteriorchamberand limbuscorneawasinfiltratedwithheterophilleucocytes. Someofthebirdshadfocalmononuclearcellinfiltrations Discussion inthelungs,spleen,liverandproventriculus. Theclinicalsignsandhistologiclesionsobservedinthe Immunolocalizationofpoxvirusantigenseenasa affectedquailsweresimilartothoseinthepreviously diffuseorgranularbrick-redcoloringofthecytoplasm describedcasesofnaturalavipoxvirusinfectioninquails almostconfinedtotheepitheliumofskinandconjunctiva (5-8,10)andotheravianspecies(11-14).Lesion (Figures3,4).Positiveimmunostainingwereobservedin morphologyanddistributionweretypicalofavianpox, thecytoplasmofdegeneratedorexfoliatedcellsinthe withahighprevalenceoflesionsinvolvingtheskinofthe epidermis,featherfollicleandconjunctiva.Viralantigen head,presumablythepoorlyfeatheredareas.Inthe wasidentifiedoccasionallyinthecytoplasmof diphthericform,superficialsmallraisedwhite-yellow macrophagesinthedermisandinthesubconjunctival nodularlesionslimitedonthehardpalateandthebaseof propria(Figure4).Cornealepitheliumshowingopacity tonguewithlowpercentageofcasesandtheother didnotincludepositiveimmunostaining.Someacinarcells visceralorganinvolvementwasnotobserved.The inthelacrimalglandshadpositiveimmunostaining.The atypicalpoxlesionsarereportedinthefeatheredpartsof inclusionbodiespresentinthecytoplasmoftheepithelial thebodyinchicken,mainlyintheposteriordorsalarea cellsdidnotstainbyABCmethod(Figure5).Viralantigen andexternalpartofthethigh(15,16).Inthepresent wasnotdetectedinotherorgansexamined. study,nolesionobservedinothercutaneousareas,orin theviscerabesidesthreebirdswithsuperficialsmall Virusparticleswithatypicalavipoxvirusmorphology raisedwhite-yellownodularlesionsathardpalateandthe usingatransmissionelectronmicroscopewereidentified. baseoftongue.Ocularlesionwithcornealopacityand Eachvirionconsistedofabrick-shapedwithacentrally conjunctivitishasbeenreportedinthepreviously placedcore.Theoutercoatwascomposedofrandomly reportedavianpoxinfections(7,17).Inthepresentstudy, distributedsurfacetubules(Figure6). cornealopacitywasattributedthepresenceofthe TheinoculatedCAMswerethickerthanthecontrols, inflammationintheanteriorchamberandcorneallimbus, butneitherhistopathologicalnorimmunohistochemical whichextendedfromconjunctivalepithelium.The examinationwasperformed.Theharvestedviruson emaciatedconditionofthebirds,whichiscommonin

451 AvipoxvirusInfectioninQuails

Figure3.Positiveimmunostainingforavianpoxvirusantigeninthe Figure4. Positiveimmunostainingforavianpoxvirusantigenin epidermis.ABCmethod,Mayer’shematoxylincounterstain, desquamatedandsuperficialconjunctivalepithelium.Note 80X. positiveimmunostaininginthecytoplasmofsubconjunctival macrophages.ABCmethod,Mayer’shematoxylin counterstain,200X.

Figure5.Positiveimmunostainingforavianpoxvirusantigeninthe Figure6.Viralparticlesconsistedofabrick-shapedwithacentrally cytoplasmofepidermalcells(brick-redcolor).Notenegative placedcore.Transmissionelectronmicroscope,negatively immunostainingofthenuclei(thinarrows)andpaleblue stained,66000X. cytoplasmicinclusions(thickarrows).ABCmethod,Mayer’s hematoxylincounterstain,800X. poxvirusinfection,mighthaveresultedfromemaciation objectsisanotherroutebetweentheinfectedand duetoanorexia,anddifficultyinsearchingforfood susceptiblebirds(3,18).Inthisstudy,theinitialsourceof becausepoxlesionsinvolvingeyelesionsoftenobstructed infectionandroutesofinfectionfrombirdtobirdwas vision. notdetermined,however,thepresenceoflesions Poxvirusinfectionoccursthroughmechanical commonlyontheeyemaybereflectingtheconjunctival transmissionofthevirustotheinjuredorlaceratedskin, transmissionfrombirdtobird.Thevirusmayreachthe especiallybybloodsuckingarthropodssuchasmosquitoes laryngealregionviathelacrimalducttocauseinfectionof (3).Contacttransmissionviadirectorcontaminated theupperrespiratorytract(19).Intheexperimental

452 M.Y.GÜLBAHAR,M.ÇABALAR,B.BOYNUKARA

studyandnaturalinfections,theviralantigenhasbeen amongtheotheravipoxsubgroups.However,weused detectedinorganssuchaslungsandtrachea(14). antiseraraisedagainstfowlpoxvirusfor Althoughviralantigenwasdetectedinthelacrimalglands immunohistochemistryandgeldiffusiontestinthe ofsomequails,attemptstodemonstrateantigenin detectionofpoxvirusantigen. respiratoryorganswereunsuccessful.Forthisreason, Electronmicroscopyisausefultechniquetoverifythe focalinflammatorycellinfiltrationwithoutadetectable presenceofpoxviruses(9).Directelectronmicroscopyof poxviralantigeninthelungs,spleen,liverand negativelystainedpreparationsprovidesareliableand proventriculusmightbeduetosystemiceffectsofthe rapidgenusdiagnosisbutnospeciesdiagnosisofpox(1). infectionratherthandirectvirus-associatedlesions.A Orfvirusbydirectelectronmicroscopywasidentifiedin secretedprotein,called(vacciniagrowthfactor)VGF,is scabscollectedfromaffectedlambs(22).Inthisresearch, synthesizedearlyininfectionandbindstotheepidermal avipoxvirusbydirectelectronmicroscopywasconfirmed growthfactorreceptorsthatinducedhyperplastic thepresenceintissuesamplesofinfectedquails. responsesofnon-infectedepithelialcells(4). Tripathyetal. (23)havebeendetectedpaletodark- Furthermore,proliferatingcellswithouttypicallesionsof brownstainedintracytoplasmicinclusionsinsectionsof poxvirushadnopositiveimmunostaining,confirmingthis formalin-fixedfowlpox-infectedCAMsusingperoxidase- pathogenesis. labeledantibody.Intheskinofexperimentally Quailpoxvirusisadistinctspeciesofthegenus infectedwithfowlpoxvirus,thestainingoftheantigen Avipoxviridae,andquailpoxvirushadnoimmunologic wasdiffuseinthecytoplasmregardlessoftheinclusion relationshiptopigeonandfowlpoxviruses(20,21). bodies,andmanycytoplasmicinclusionbodies Poxvirusesarestilloccasionallyisolatedfrompreviously demonstratedstrongreactionontheirmarginsbyinsitu vaccinatedbirdsandtheseinfectionsareprobablya hybridizationandimmunohistochemistry(14).Inthis reflectionofthehostrangeofantigenicallydistinct study,noimmunostainingofinclusionbodieswasseen avipoxviruses(20).Moreover,quailsvaccinatedwith whereasthestainingofcytoplasmontheirmarginswas pigeonandfowlpoxvirusesarenotprotectedagainst diffuse.Ithasbeencommonlyacceptedthatthe challengeoftheirimmunitywithquailpoxvirus(21). poxvirusesreplicateentirelyinthecytoplasmofhostcells. Immunologicalstraindifferentiationisdifficultduetothe Earlyworkers,however,havereportedthatsomenewly presenceofcross-reactingantigens,whileavipoxvirus synthesizedviralDNAmightbeassociatedwithnucleusof infectioncanbereadilydiagnosedbymicroscopic poxvirus-infectedcells(4).Specificandnon-structural examinationorvirusisolation(20).Inthisregard,in earlyantigensofcowpoxvirusreactingwithmonoclonal areaswherepoultryisrearedincloseproximitytoquails, antibodiesbyimmunocytochemistry(24),bothfowlpox crossinfectionispossible(20,21).Accordingtothe viralDNAandRNAbyamembranefilterhybridization owner,therewasnohistoryaboutthepresenceofapox method(25)andsheeppoxvirusantigenby infectioninotherneighboringpoultryflocksandthe immunohistochemistry(9)weredetectedinnucleiof presentquailshadnotbeenvaccinatedagainstpox poxvirus-infectedcells.Oncontrary,therewasno infection.Inthisstudy,specificattemptswerenotmade evidenceofnuclearstaininginthisstudyaswellasin tocharacterizepoxviruspropagatedfromthesickquail previousreports(14,17,26,27).

References 1. Bolte,A.L.,Meurer,J.,Kaleta,E.F.:Avianhostspectrumof 4. Moss,B.:Poxviridaeandtheirreplication.In:FieldsB.N.,Knipe, avipoxviruses.AvianPathol.,1999;28:415-432. D.M.,Chanock,R.M.,Hirsch,M.S.,Melnick,J.L.,Monath,T.P., Roizman,B.,Eds.Virology.2nded.,RavenPress,NewYork, 2. Gough,R.E.,Alexander,D.J.,Collins,M.S.,Lister,S.A.:Routine 1990;2079-2111. virusisolationordetectioninthediagnosisofdiseasesinbirds. AvianPathol.,1988;17:893-907. 5. Crawford,J.A.,Oates,R.M.,Helfer,D.H.:AvianpoxinCalifornia quailfromOregon.J.Wildlife.Dis.,1979;15:447-449. 3. TripathyD.N.,Reed,W.M.:Pox.In:Calnek,B.W.,Barnes,H.J., Beard,C.W.,McDougald,L.R.,Saif,Y.M.,Eds.Diseasesof 6. Davidson,W.R.,Kellogg,F.E.,Doster,G.L.:Aneporniticofavian Poultry.10thed.,IowaStateUniversityPress,Ames,Iowa, poxinwildbobwhitequail.J.Wildlife.Dis.,1980;16:293-298. 1997;643-659.

453 AvipoxvirusInfectioninQuails

7. Poonacha,K.B.,Wilson,M.:Avianpoxinpen-raisedbobwhite 18. Donnelly,T.M.,Crane,L.A.:Aneporniticofavianpoxina quail.J.Am.Vet.Med.Assoc.,1981;179:1264-1265. researchaviary.AvianDis.,1984;28:517-525. 8. Rinaldi,A.,Mahnel,H.,Nardelli,L.,Andelli,G.C.,Cervio,G., 19. Eleazer,T.H.,Harrel,J.S.,Blalock,H.G.:Transmissionstudies Valeri, A.:Charakterisierungeineswachtelpockenvirus.Zbl.Vet. involvingawetfowlpoxisolate.AvianDis.,1983;27:542-544. Med.B.1972;19:199-212. 20. Ghildyal,N.,Schnitzlein,W.M.,Tripathy,D.N.:Geneticand 9. Gülbahar,M.Y.,Çabalar,M.,Gül,Y.,‹çen,H.: antigenicdifferencesbetweenfowlpoxandquailpoxviruses.Arch. Immunohistochemicaldetectionofantigeninlambtissues Virol.,1989;106:85-92. naturallyinfectedwithsheeppoxvirus.J.Vet.Med.B.,2000;46: 21. Winterfield,R.W.,Reed,W.:Avianpox:Infectionandimmunity 173-181. withquail,psittacine,fowl,andpigeonpoxviruses.PoultrySci., 10. Singh,S.D.,Mohanty,G.C.,Kataria,J.M.:Vascularandcellular 1985;64:65-70. reactionsinquailskininducedbyfowlpoxvirus.IndianJ.Vet. 22. Çabalar,M.,Voyvoda,H.,Sekin,S.:Diagnosisofecthyma Pathol.,1992;16:1-5. contagiosum(orf)inlambsusingdirectelectronmicroscopy. 11. Hernandez,M.,Sanchez,C.,Galka,M.E.,Dominguez,L., Proceedingof13 th NationalElectronMicroscopyCongress, Goyache,J.,Oria,J.,Pizarro,M.:AvianpoxinfectioninSpanish METU,Ankara.1997;131-134. imperialeagles(Aquilaadalberti).AvianPathol.2001;30:91-97. 23. Tripathy,D.N.,Hanson,L.E.,Killinger,A.H.:Immunoperoxidase 12. Loupal,V.G.,Schonbauer,M.,Jahn,J.:Pockenbeizoound techniquefordetectionoffowlpoxantigen.AvianDis.1973;17: wildvogeln.Zbl.Vet.Med.B.,1985;32:326-336. 274-278. 13. Minbay,A.,Kreier,J.P.:Anexperimentalstudyofthe 24. Kitamoto,N.,Hiroi,K.,Miyamoto,K.,Tanaka,T.,Mityamoto, pathogenesisoffowlpoxinfectioninchickens.AvianDis.,1973; H.:Virus-specificearlyantigenexpressedinthenucleusofcowpox 17:532-539. virus-infectedcells.J.Gen.Virol.,1990;71:235-240. 14. Tanizaki,E.,Horiuchi,T.,Niikura,M.,Mikami,T.,Wakamiya,N.: 25. Gafford,L.G.,Randall,C.C.:Virus-specificRNAandDNAinnuclei DetectionoffowlpoxvirusDNAbyinsituhybridizationusinga ofcellsinfectedwithfowlpoxvirus.Virology,1976;69:1-14. biotinylatedprobe.AvianDis.,1990;34:374-380. 26. Mockett,A.P.A.,Deuter,A.,Southee,D.J.:Fowlpoxvaccination: 15. Back,A.,Soncini,R.A.,Ruthes,O.,Madureira,S.Jr.,Flores,R.: routesofinoculationandpathologicaleffects.AvianPathol., AnatypicalfowlpoxoutbreakinbroilersinsouthernBrazil.Avian 1990;19:613-625. Dis.,1995;39:902-906. 27. Moss,B:Poxviridae:thevirusesandtheirreplication.In:Fields 16. Tsai,S.S.,Chang,T.C.,Yang,S.F.,Chi,Y.C.,Cher,R.S.,Chien, B.N.,Knipe,D.M.,Howley,P.M.,Chanock,R.M.,Melnick,J.L., M.S.,Itakura,C.:Unusuallesionsassociatedwithavianpoxvirus Monath,T.P.,Roizman,B.,Eds.FundamentalVirology,3rded. infectioninrosy-facedlovebirds( Agapornisroseicollis ).Avian Lippincott-Raven,Philadelphia,1996;1163-1197. Pathol.,1997;26:75-82. 17. McDonald,S.E.,Lowenstine,L.J.,Ardans,A.A.:Avianpoxinblue- frontedAmazon.J.Am.Vet.Med.Assoc.,1981;179: 1218-1222.

454