Haemato-biochemical alterations caused by diarrhea in Friesian calves infected with Escherichia coli and Salmonella with detection of their virulence genes.

Document Type : Original researches

Abstract

Diarrhea is a common fatal disease of neonatal calves. There are many causes of diarrhea while Salmonella and E. coli are the main bacterial causes. One hundred blood and fecal samples were collected for this study; 80 from diarrhetic calves and 20 from apparent healthy calves (the control group). Blood samples were collected from each animal for hematological and biochemical assessment. An increase in total RBCs count, Hb content, total WBCs count, neutrophil percent, hematocrit value, ALT, AST, urea, creatinine, and K level while, total proteins, albumin, globulin Na and Cl decreased in diseased calves when compared to control group. Fecal Samples were bacteriologically examined. Seventy-two bacterial isolates were recovered, they included 22 Salmonella (27.5%) and 50 E. coli (62.5%). Four serogroups were identified for Salmonella including Enteritidis (54.5%), Typhimurium 31.8%, Newport (13.6%), and (9.1%) Anatum. Out of 50 E. coli isolates; 10 serogroups were identified included O26, O103, O127, O119, O86, O111, O157, O44, O158 and O78. Molecular identification of Salmonella strains revealed that InvA, hilA, fimA, and sopB genes were detected in all Salmonella serovars (100%), mgtC (90%), ssaQ and stn (86%) each, and spi4R (81%). E. coli strains revealed that the 16SrRNA gene was detected in all identified E. coli strains (100%), Sta and eaeA (88%) each, Stx1(84%), Vt2e and F41(76%) each, Stx2 (64%).
 

Keywords

Main Subjects


Haemato-biochemical alterations caused by diarrhea in Friesian calves infected with Escherichia coli and Salmonella with detection of their virulence genes.

Asmaa Elsayed Mohammed 1*, Adel El-Sayed Ahmed Mohamed2

  1. Department of Bacteriology, Animal Health Research Institute, Agriculture Research Center (ARC), Sohag, Egypt.
  2. Division of Clinical Laboratory Diagnosis, Department of Animal Medicine, Faculty of Veterinary Medicine, South Valley University, Qena, Egypt.

ABSTRACT

Diarrhea is a common fatal disease of neonatal calves. There are many causes of diarrhea while Salmonella and E. coli are the main bacterial causes. One hundred blood and fecal samples were collected for this study; 80 from diarrhetic calves and 20 from apparent healthy calves (the control group). Blood samples were collected from each animal for hematological and biochemical assessment. An increase in total RBCs count, Hb content, total WBCs count, neutrophil percent, hematocrit value, ALT, AST, urea, creatinine, and K level while, total proteins, albumin, globulin Na and Cl decreased in diseased calves when compared to control group. Fecal Samples were bacteriologically examined. Seventy-two bacterial isolates were recovered, they included 22 Salmonella (27.5%) and 50 E. coli (62.5%). Four serogroups were identified for Salmonella including Enteritidis (54.5%), Typhimurium 31.8%, Newport (13.6%), and (9.1%) Anatum. Out of 50 E. coli isolates; 10 serogroups were identified included O26, O103, O127, O119, O86, O111, O157, O44, O158 and O78. Molecular identification of Salmonella strains revealed that InvA, hilA, fimA, and sopB genes were detected in all Salmonella serovars (100%), mgtC (90%), ssaQ and stn (86%) each, and spi4R (81%). E. coli strains revealed that the 16SrRNA gene was detected in all identified E. coli strains (100%), Sta and eaeA (88%) each, Stx1(84%), Vt2e and F41(76%) each, Stx2 (64%).

Keywords: Diarrhea, Salmonella, E. coli, virulence genes, ALT and AST.

INTRODUCTION

Calves have an essential role in the future of animal wealth. They represent a principal source of high-quality protein required for the rapidly increasing population (Ahmed and Ghada, 2007).

The first week of life for newly born calf is considered a critical period because it is associated with a high mortality rate (10%). Diarrhea is an important cause of mortality during this age. The prevalence of diarrhea ranges from 15 to 20% in calves less than one month (Vandeputte et al., 2010). It is commonly attributed to Salmonella spp., Escherichia coli (E. coli), Clostridium perfringens type C, bovine rotavirus group A, bovine corona virus, and Cryptosporidium spp. (Raihan et al., 2014). Salmonella and E. coli are considered as the main pathogenic organisms isolated from diarrhetic calves leading to changes in nutrient transport mechanisms and severe gastrointestinal lesions (Tarabees et al., 2021). Multiple factors predispose to diarrhea in newborn calves including vaccination programs, umbilical cord problems, the number of calves in the herd, and colostrum feeding. Other risk factors that affect the incidence and severity of the disease are the animal's age, the season, poor cleaning, farm type, shelter construction, and inadequate disinfection in shelters (Berber et al., 2021).

Salmonella spp. is a gram-negative rod-shaped facultative anaerobic bacteria belonging to the family of Enterobacteriaceae.  Manifestations of Salmonella infection usually appear in calves between 4 and 28 days after birth (Holschbach and Peek, 2018). It is transmitted through water, food, or direct contact with diseased animals. Signs of the disease in calves include fever, recumbency, loss of appetite, and diarrhea which sometimes contains mucus or blood (Nikkhah et al., 2023).

Colibacillosis is considered an important infection in farm animals produced by pathogenic serotypes of E. coli (Hassan et al., 2013). E. coli is a gram-negative rod-shaped, non-spore-forming, and motile or non-motile facultative anaerobic bacteria related to the family of Enterobacteriaceae (Muktar et al., 2015). The clinical picture of Colibacillosis in calves includes dullness, depression, lethargy, and loss of appetite. The feces are semisolid to watery with a bad offensive odor.  They are greenish to yellowish white and occasionally blood-stained. Mild to moderate dehydration may occur in diseased animals (Singh et al., 2014). Death from diarrhea is mainly from acidosis, dehydration, and loss of electrolytes. This dehydration in calves is followed by hyponatremia, hyperkalemia, and hypochloremia (Mostafa et al., 2018). The diarrhea in calves is mainly associated with an increment in the concentration of liver enzymes and kidney function tests (Shehta et al., 2022).

The most important hematological changes caused by acute infection occur in leukocytes in the form of neutropenia or neutrophilia (Santos et al., 2002) (Taylor et al., 2017).

Many enteropathogens producing diarrhea lead to alterations in enzyme activity, severe intestinal lesions, and nutrient transport mechanisms or a combination of these effects (Wudu et al., 2008).

Salmonella expresses a variety of virulence factors that are responsible for the organism's pathogenicity. It includes phase-variable flagella polymorphic surface carbohydrates, multiple fimbrial adhesins, and well-structured mechanisms for invasion and survival in host macrophages. It includes about 200 genes carried on the five chromosomal pathogenicity islands (SPI-1 to SPI-5) on Salmonella chromosomes which are important for virulence (Thabet, 2023). The invA gene is present in Salmonella isolates and is responsible for invading the epithelial tissue of the animal’s intestine (Borriello et al., 2012). It is used as a confirmatory gene for Salmonella (Truit et al., 2018).

The ability of E. coli to cause severe diseases in humans is due to its ability to secrete verocytotoxins (VT1 and VT2), shiga toxins (Stx1 and Stx2), and intimin (eae) (Kargar and Homayoon, 2015). The E. coli strains that have the eaeA gene and do not give stx1 and stx2 genes, were known as Enteropathogenic E. coli (Al-gammal et al., 2020).

This study was conducted to assess the clinical, hematological, and biochemical changes in diarrhetic Friesian calves. Also, it was aimed to isolate and identify Salmonella and E. coli with molecular detection of their virulence genes by PCR technique.

MATERIALS AND METHODS                                                                                  

  1. Animals:

This study was conducted from January to April 2024 and included one hundred Friesian calves recruited from different farms in Sohag governorate. Eighty calves were suffering from diarrhea and 20 calves were apparently healthy as a control group. Their ages ranged from 7-14 days with a body weight between 30-45kg. The calves lived in small bins near their mothers. They fed milk from their mothers twice daily, in the morning and at the end of the day. Each calf fed on two teats. They fed on the colostrum of their mothers. These calves defecated 4 or 5 times daily. They lost the suckling reflex. Their mothers had good health and received the vaccines for lumpy skin disease, FMD, and three days sickness. These calves were treated with nanazoxide syrup (30 ml daily for two days), in addition to sulfademadine, neomycin, pectin, and tannic acid powder mixture (a teaspoonful in water twice daily for two days).

 

This work was done according to the requirements of the Medical Research Ethics Committee of Faculty of Medicine, Sohag University under IRB Registration number Soh-Med-24-01-06PD.

  1. Clinical examination:

Clinical examination of each calf included respiratory rate, pulse rate, and body temperature according to (Constable et al., 2017).

  1. Sampling:

Blood and fecal samples were collected from each calf. Ten milliliters (ml) of blood were collected from the jugular vein. Each blood sample was divided into two tubes, 5 ml each. The first tube was coated with EDTA for hematological analysis. The second tube was a plain tube without EDTA, for biochemical analysis. Fecal samples were collected from the rectum of diseased calves after evacuation on the second and third day of the appearance of clinical signs. Then they were stored in sterile plastic cups, identified, and transmitted to the laboratory of the Animal Health Research Institute, Sohag in an icebox within one hour for bacteriological examination of E. coli and Salmonella.

  1. Hematological analysis:

The hematological examination was carried out to estimate the red blood cells count (RBCs), hematocrit value (HCT), hemoglobin (Hb), white blood cells count (WBCs), and neutrophil using an automated hematology analyzer (Celltac a model no. MEK-6500k).

 

  1. Biochemical examinations:

Serum was used for the estimation of total proteins and albumin according to the technique described by (Titez 1990 and 1994) and serum globulins were determined by subtracting the albumin values from those of total proteins. Liver function tests including aspartate aminotransferase (AST) and alanine aminotransferase (ALT), were measured according to (Breur, 1996 and Young, 1990).  Kidney function parameters including urea and creatinine were assessed according to (Young, 2001and Titez, 1986). Serum electrolytes (Na, K, and Cl) were measured according to (A.O.A.C, 2015). Biochemical parameters were estimated using the automated chemistry analyzer (Aptio, Siemens, ADVIA® 2400).

  1. Bacteriological examination:

One gram of each fecal sample was enriched in buffered peptone water and then incubated at 37o c for 24 hrs.

For isolation of Salmonella strains, 0.1 ml from the enriched sample was inoculated into 10 ml Rappaport Vassiliadis broth and incubated overnight at 37o c for 24 hrs, then a loopful from Rappaport Vassiliadis broth was streaked into brilliant green agar (BG) xylose-lysine and deoxycholate agar (XLD) and incubated at 37oc for 24 hrs according to Collee et al. (1996). Typical Salmonellae colonies on XLD agar appeared as red colonies with black centers. On the brilliant green, Salmonella appeared as pinkish-white or red colonies.

For isolation of E. coli strains, a loopful from the enriched specimen on a buffered peptone water was inoculated into McConkey's agar and Eosin methylene blue (EMB) then incubated at 37oc for 24 hrs according to Collee et al. (1996). E. coli colonies on MacConkey's agar appeared as pink or red colonies lactose fermenter. On EMB appeared as bluish black colonies with a green metallic sheen.

  1. Identification of Salmonella and E. coli:

7.1. Microscopic examination:

Typical colonies for Salmonella and E. coli were examined under the microscope by using of Gram stain.

  • Biochemical identification:

Suspected colonies of Salmonella and E. coli were confirmed by the API 20E test. A Strip of API 20E test was inoculated for each isolate and then incubated for 24 hours at 37o c. Positive results were examined for each of the 20 biochemical tests. By using of profile manual or calling the API voice (APIWEB™), the seven-digital number was calculated, and the organisms were identified (figure 1 and figure 2) (Mitham and Rasha, 2018)

 

Figure 1: Salmonella identification on API 20 E

 

Figure 2: E. coli identification by API 20 E

  • Serological identification:

Slide agglutination test to identify Salmonella isolates was done according to Grimont and Weill (2007), while for E. coli isolates, it was performed according to Ørskov and Ørskov (1984).

  1. Molecular identification of the suspected Salmonella and coli isolates and detection of virulence genes:

8.1. DNA extraction and amplification:

DNA extraction of Salmonella and E. coli isolates was done by QIAamp DNA Mini kit (Qiagen, Germany, GmbH). In brief, 200 µl of the sample suspension were incubated with 20 µl proteinase K and 200 µl lysis buffer, respectively at 56 °C for 10 min. Next, 200 µl of 100% ethanol were added to the lysate. Washing and centrifugation of samples were done according to the manufacturer’s instructions. Nucleic acid was eluted with 100 µl of the provided elution buffer. Primers used for E. coli and Salmonella in this work were provided by Metabion (Germany) as shown in tables 1 and 2 respectively.

Molecular identification of Salmonella isolates was performed using virulence genes hilA (Yang et al., 2014), fimA (Cohen et al., 1996), STn (Murugkar et al., 2003), invA (Oliveira et al., 2003), ssQ (Soto et al., 2006), spi4R (Sanchez-Jimenez et al., 2010), sopB (Soto et al., 2006) and mgtC (Sanchez-Jimenez et al., 2010) virulence genes for Salmonella (table 1).

  1. coli subjected for molecular identification using 16S rRNA gene (Tivendale et al., 2004) and virulence genes; Vt2e (Orlandi et al., 2006), Sta (Lee et al., 2008), STX2 (Dipineto et al., 2006), F41 (Franck et al., 1998), eaeA (Bisi-Johnson et al., 2011), STX1(Dipineto . 2006) (table 2).

 

Table (1): Salmonella Primers sequences, target genes, amplicon sizes, and cycling conditions.

Target gene

Primers sequences

Amplified segment

Primary

Denaturation

Amplification (35 cycles)

Final extension

Reference

Secondary denaturation

Annealing

Extension

hilA

CATGGCTGGTCAGTTGGAG

150 bp

94˚C

5 min.

94˚C

30 sec.

60˚C

30 sec.

72˚C

 30 sec.

72˚C

7 min.

Yang et al., 2014

CGTAATTCATCGCCTAAACG

invA

GTGAAATTATCGCCACGTTCGGGCAA

284 bp

94˚C

5 min.

94˚C

30 sec.

55˚C

30 sec.

72˚C

 30 sec.

72˚C

7 min.

 Oliveira et al., 2003

TCATCGCACCGTCAAAGGAACC

fimA

CCT TTC TCC ATC GTC CTG AA

85 bp

94˚C

5 min.

94˚C

30 sec.

50˚C

30 sec.

72˚C

 30 sec.

72˚C

7 min.

Cohen et al., 1996

TGG TGT TAT CTG CCT GAC CA

Stn

TTG TGT CGC TAT CAC TGG CAA CC

617 bp

94˚C

5 min.

94˚C

30 sec.

59˚C

40 sec.

72˚C

 45 sec.

72˚C

10 min.

Murugkar et al., 2003

ATT CGT AAC CCG CTC TCG TCC

ssaQ

GAATAGCGAATGAAGAGCGTCC

CATCGTGTTATCCTCTGTCAGC

677bp

95o c

2 min.

95oc

1 min.

58o c

1 min

72oc

1 min

72oc

5 min

Soto et al., 2006

sopB

GATGTGATTAATGAAGAAATGCC

GCAAACCATAAAAACTACACTCA

1170bp

95o c

2 min.

95o c

1 min.

53o c

1 min.

72o c

1 min.

72o c

5 min.

Soto et al., 2006

mgtC

TGACTATCAATGCTCCAGTGAA ATTTACTGGCCGCTATGCTGTTG

655bp

95o c

2 min.

95o c

1 min.

54o c

1 min.

72o c

1 min.

72o c

5 min.

Sánchez-Jiménez et a, 2010

spi4

GATATTTATCAGTCTATAACAGC

ATTCTCATCCAGATTTGATGTTG

1269bp

95o c

2 min.

95o c

1 min.

51o c

1 min.

72o c

1 min.

72o c

5 min.

Sánchez-Jiménez et a, 2010

 

Table (2): E. coli Primers sequences, target genes, amplicon sizes, and cycling conditions.

Target gene

Primers sequences

Amplified segment

Primary

Denaturation

Amplification (35 cycles)

Final extension

Reference

Secondary denaturation

Annealing

Extension

16S rRNA

GCTGACGAGTGGCGGACGGG

253 bp

94˚C

5 min.

94˚C

30 sec.

55˚C

30 sec.

72˚C

 30 sec.

72˚C

7 min.

Tivendale et al., 2004

TAGGAGTCTGGACCGTGTCT

Stx1

ACACTGGATGATCTCAGTGG

614 bp

94˚C

5 min.

94˚C

30 sec.

58˚C

40 sec.

72˚C

 45 sec.

72˚C

10 min.

Dipineto et al., 2006

CTGAATCCCCCTCCATTATG

Stx2

CCATGACAACGGACAGCAGTT

779 bp

94˚C

5 min.

94˚C

30 sec.

58˚C

40 sec.

72˚C

 45 sec.

72˚C

10 min.

CCTGTCAACTGAGCAGCACTTTG

eaeA

ATGCTTAGTGCTGGTTTAGG

248 bp

94˚C

5 min.

94˚C

30 sec.

51˚C

30 sec.

72˚C

 30 sec.

72˚C

7 min.

Bisi-Johnson et al., 2011

GCCTTCATCATTTCGCTTTC

STa

GAAACAACATGACGGGAGGT

229 bp

94˚C

5 min.

94˚C

30 sec.

57˚C

30 sec.

72˚C

 30 sec.

72˚C

7 min.

Lee et al., 2008

GCACAGGCAGGATTACAACA

Vt2e

CCAGAATGTCAGATAACTGGCGAC

322 bp

94˚C

5 min.

94˚C

30 sec.

57˚C

40 sec.

72˚C

 40 sec.

72˚C

7 min.

Orlandi et al., 2006

GCTGAGCACTTTGTAACAATGGCTG

F41

GCATCAGCGGCAGTATCT

380 bp

94˚C

5 min.

94˚C

30 sec.

50˚C

40 sec.

72˚C

 40 sec.

72˚C

7 min.

Franck et al., 1998

GTCCCTAGCTCAGTATTATCACCT

 

 

  • Analysis of the PCR Products:

At room temperature, the products of PCR were separated by electrophoresis on 1.5% agarose gel (Applichem, Germany, GmbH) in 1x TBE buffer using gradients of 5V/cm. For gel analysis a gene ruler 100 bp ladder (Fermentas, thermo, Germany), gelpilot 100 bp and 100 bp plus ladders (Qiagen, Gmbh, Germany), and Genedirex 50 bp DNA ladder RTU, Cat. No. DM012-R500 were used to determine the fragment sizes. The gel was photographed (Alpha Innotech, Biometra) and analyzed by computer software.

  1. Statistical Analysis:

The obtained data of hematobiochemical parameters were statistically analyzed to calculate mean, standard deviation, and P values≤ 0.5  using the independent sample T-test, SPSS program according to (Sendecor and Cochran, 1980).

RESULTS

Clinical examination:

The clinical examination of the eighty diarrhetic calves recorded anorexia in 75 calves (93.7%), staggering movement in 60 calves (75%), sunken eyes in 18 calves (22.5%), dehydration mild to moderate, diarrhea was detected in all examined calves (100%). The stool color varied from dark yellow to green with an offensive odor.

There was an increment in the levels of temperature, pulse rate, and respiratory rate in diarrhetic calves which were 39.7o c, 121beats/minute, and 40.7 breath/ minute, when compared to control calves which were 38.4oc, 94.6 beats/ minute, and 33.8 breath/minute; respectively at the level of P value≤ 0.5 (table 3).

 

 

Table 3: Clinical findings in diarrhetic and normal calves.

Parameters

Control

Diseased

Temperature o C

Pulse rate beats/minute

Respiratory rate breath/minute

38.4± 0.3

94.6± 6.4

33.8± 3.4

39.7±0.57**

121±3.3*

40.7± 2.3*

*Significant at P≤ 0.05     **Significant at P ≤0.001

Hematological results:

This work revealed a significant increase in the levels of total RBCs count, and Hb content which were 7.8± 1.4 x106/ml and 11.1±0.8 gm% when compared to the control group which were 6.5± 1 x106/ml and 8.4± 0.3; respectively. There was a significant increase in the level of total WBCs count, neutrophil percentage, and hematocrit value which were 14± 2.5103/ml, 71± 0.8and 35.3± 3.7 when compared to the control group which were 7.7± 1.1103/ml, 57± 0.9% and 30.4±1.5; respectively when P value ≤ 0.5 (table 4).

Table 4: Hematological in diarrhetic and normal calves.

                     Groups

Parameters

Control

Diseased

P value

RBCs count (106/ml)

Hematocrit value

Hb content (gm%)

WBCs count (103/ml)

Neutrophil %

6.5± 1

30.4±1.5

8.4± 0.3

7.7± 1.1

57± 0.9

7.8± 1.4*

35.3± 3.7*

11.1± 0.8**

14± 2.5**

71± 0.8**

0.029

0.045

0.001

0.001

0.001

*Significant at P≤ 0.05     **Significant at P ≤0.001

Biochemical results:

The result of the current study revealed that there was a significant decrease in the levels of total proteins, albumin, Na, and Cl in diseased calves which were (6± 0.1& 3± 0.2 g/dl), 123± 1.4 mmol/l& 77± 0.6 mg/l when compared to control one which was (7± 0.2& 3.8± 0.13 g/dl), 148± 15 mmol/l& 95.2± 0.9 g/dl; respectively while, there were a significant increase in ALT, AST, urea, creatinine and K level in diarrhetic calves which were (76.5± 0.8, 116.7± 1.6 u/l), (45±2, 1.6± 0.19 mg/dl) and 5.3± 0.09mmol/l when compared to control calves which were (61± 0.8, 84± 0.8 u/l), (26± 0.7, 0.5± 0.07mg/dl) and 4.5± 0.06 mmol/l; respectively and non-significant change in globulin level in diseased calves (3± 0.1  g/dl) when compared to control (3.2± 0.1 3g/dl) at the P value ≤ 0.05 as showed in (table 5).

Table 5: Biochemical examination

         Groups

Parameters

 

Control

 

Diseased

 

P value

Total proteins g/dl

Albumin g/dl

Globulin g/dl

7± 0.2

3.8± 0.13

3.2± 0.13

6± 0.1**

3± 0.2**

3±0.1

0.001

0.001

0.067

ALT u/l

AST u/l

61± 0.8

84± 0.8

76.5± 0.8**

116.7± 1.6**

0.001

0.001

Urea mg/dl

Creatinine mg/dl

26± 0.7

0.5± 0.07

45±2**

1.6± 0.19**

0.001

0.001

Na (mmol/l)

K (mmol/l)

Cl (mg/l)

148± 15

4.5± 0.06

95.2± 0.9

123± 1.4**

5.3± 0.09**

77± 0.6**

0.001

0.001

0.001

*Significant at P≤ 0.05     **Significant at P ≤0.001

Bacteriological examination:

Out of 80 collected fecal samples from diarrhetic calves; 72 bacterial isolates were recovered which included 22 Salmonella (27.5%) and 50 E. coli (62.5%).

Serotyping of isolated Salmonella species:

The 22 isolates of Salmonella were serotyped as 10 Salmonella Enteritidis (45.5%), 7 Salmonella Typhimurium (31.8%), 3 Salmonella Newport (13.6%) and 2 Salmonella Anatum (9.1%) (table 6).

 

Table 6: Serotyping of Salmonella species isolated from Friesian diarrhetic calves.

 

Identified strains

 

Group

Antigenic structure

 

Frequency (%)

H

O

Salmonella Enteritidis

Salmonella Typhimurium

Salmonella Newport

Salmonella Anatum

D1

B

C2

E1

g, m: 1, 7

i, 1, 2

e, h; 1,2

e, h: 1, 6

1, 9, 12

1, 4, 5, 12

6, 8

3, 10

10 (45.5%)

7 (31.8%)

3 (13.6%)

2 (9.1%)

 

Serotyping of E. coli strains:

Ten serogroups were identified. The serogroups were O26 (18%), O103 (18%), O127 (16%), O119 (14%), O86 (10%), O111 (8%), O157 (6%), O44 (4%), O158 (4%) and O78. (2%). The O26 and O103 were the most prevalent isolates (18%) each (table 7).

Table 7: Serotyping of E. coli strains isolated from Friesian diarrhetic calves.

Serogroup

No (%)

O 26

O 103

O 127

O 119

O 86

O 111

O 157

O 44

O158

O 78

9 (18%)

9 (18%)

8 (16%)

7 (14%)

5 (10%)

4 (8%)

3 (6%)

2 (4%)

2 (4%)

1 (2%)

 

Molecular identification of virulence genes of Salmonella and E. coli strains:

Molecular identification of Salmonella strains revealed that InvA, hilA, fimA, and sopB genes were detected in all Salmonella serovars (100%), mgtC (90%), ssaQ and stn (86%) each, and spi4R (81%) (table8).

Molecular identification of E. coli strains revealed that the 16SrRNA gene was detected in all identified E. coli strains (100%), Sta and eaeA (88%) each, Stx1(84%), Vt2e and F41(76%) each, Stx2 (64%) (table8).

Table 8: Virulence genes in identified Salmonella and E. coli

Virulence genes in identified Salmonella

Virulence genes in identified E. coli

Gene

Incidence

%

Gene

Incidence

%

InvA

hilA

fimA

sopB

mgtC

stn

ssaQ

spi4R

22

22

22

22

20

19

19

18

100%

100%

100%

100%

90%

86%

86%

81%

16SrRNA

eaeA

Sta

Stx1

Vt2e

F41

Stx2

 

50

44

44

42

38

38

32

100%

88%

88%

84%

76%

76%

64%

 

 

Figure (3): Gel electrophoresis and PCR amplification for Salmonella virulence genes. Lane (L): DNA marker, lane (P): positive control, lane (N): negative control, (bp) base pair.

(A): 1, 2, 3,4,5,6 lanes are positive for the InvA gene (284 bp). (B): 1, 2, 3,4,5,6 lanes are positive for hilA gene (150 bp). (C): 1, 2, 3,4,5,6 lanes are positive for fimA gene (85 bp). (D): 1, 2, 3,4,5,6 lanes are positive for sopB gene (1170 bp). (E): 1, 2, 3,4,5,6 lanes are positive for mgtC gene (655 bp). (F): 1, 2, 3,4,5,6 lanes are positive for ssaQ gene (677bp). (G): 1, 2, 3,4,5,6 lanes are positive for stn gene (617bp). (H): 3,4,5,6 lanes are positive, while 1,2 lanes are negative for the spi4R gene (1269 bp).

 

 

Figure (4): Gel electrophoresis and PCR amplification for E. coli virulence genes. Lane (L): DNA marker, lane (P): positive control, lane (N): negative control, (bp) base pair.

(A): 1, 2, 3,4,5,6 lanes are positive for16SrRNA gene (253 bp). (B): 1, 2, 3,4,5,6 lanes are positive for the Sta gene (229 bp). (C): 1, 2, 3,4,5,6 lanes are positive for eaeA gene (284 bp). (D): 1, 2, 3,4,5,6 lanes are positive for Stx1gene (614bp). (E): 2, 3,4,5,6 lanes are positive, while 1 lane is negative for Vt2e gene (322 bp). (F): 1,3,4,5,6 lanes are positive, while 2 lane is negative for F41gene (380 bp). (G): 1,2,3,4,6 lanes are positive, while 5 lane is negative for Stx2gene (779 bp).

                              

DISCUSSION

 Diarrhea causes high morbidity and mortality rates that can reach more than 50% of total calves' deaths. The clinical examination of the eighty diarrhetic calves in this study recorded anorexia in 75 calves (93.7%), staggering movement in 60 calves (75%), sunken eyes in 18 calves (22.5%), dehydration mild to moderate, diarrhea was detected in all examined calves (100%). The stool color varied from dark yellow to green with an offensive odor.

These results are nearly similar to that reported by Shehta et al. (2022) who proved the presence of staggering movement in 76%, anorexia in 94%, sunken eyes in 82%, dehydration in 76%, and diarrhea in 100% of examined calves. Also agreed with that mentioned by Ghanem et al. (2012), Constable et al. (2017), Özkan et al. (2011), and El-Seadawy et al. (2020).

Sunken eyes and dehydration due to high losses of electrolytes and water during diarrhea (Torche et al. 2020).

In this research, we isolated and identified Salmonella spp. and E. coli from diarrhetic calves. E. coli bacteria is able to adhere to the microvilli apical portion that fuse with one another and become atrophic leading to malabsorption and indigestion. In the case of Salmonella infection, there is an increase in stimulation of secretion of active chloride with inhibition of absorption of sodium which ends with the drawing of water tissue to the gut and by occurrence of diarrhea (Radostits et al., 2007).

The clinical examination of diarrhetic calves proved an increment in the temperature, pulse, and respiratory rate. These results agreed with that reported by Leal et al. (2008) Ghanem et al. (2012); Abdel Khalek et al. (2012) and Alsaad et al. (2012) and disagreed with that reported by Malik et al. (2012) who reported a non-significant change in temperature in calves suffering from diarrhea. 

Increased body temperature in diarrhetic calves may be attributed to microbial infection responsible for diarrhea. (Walter, 2012).

The increase in respiratory rate is considered a compensative polypnea in response to acidosis that happened to diarrheic calves to eliminate the excess of CO2 to the normal pH level. Tachycardia compensates for the hypovolemia that occurs due to dehydration happens to calves suffering from diarrhea (Scott et al., 2004) (Bleul and Gotz 2013).

The result of the current study revealed that there was a significant increase in the level of total RBCs count, and Hb content in diseased calves in comparison with the control group.  

 These results came in accordance with what was reported by Fatma et al. (2007) and Malik et al. (2012) who concluded that Hb was 12.5 and 11.5 g/dl and R.B.Cs count was 8x 106 and 8.5 million/ cm3 in diarrhetic calves when compared to healthy control which was 11and 10 g/dl and R. B.Cs was 6.5x 106 and 8 million/ cm3; respectively and disagreed with that reported by Shehta et al. (2022) who proved that RBCs count and Hb content in diarrhetic calves were 7.3x 106 / ml and 8.8g/dl decreased than control one which were 9x106 / ml and 11.4 g/dl; respectively.

The increase in the RBCs count may be related to hemoconcentration due to the water loss combined with diarrhea, hypovolemia, and hemoconcentration due to dehydration (Mostafa, 2018).

The increase in Hb content can be attributed to thirst and the decrease of water content in the vascular space of diarrhetic calves associated with dehydration (Singh et al., 2014). Hemoglobin is related to the rate of transported oxygen in the bloodstream of calves. This result agreed with previous studies (Fatma, 2007, Abdel Khalek, 2012 and Song et al., 2020) which were 11.4, 10.7, and 14 g/dl when compared to control calves which were 9.7, 10.3, and 11g/dl; respectively.

The obtained results of this study revealed an increase in the hematocrit value in diseased calves when compared to control ones. This result agreed with that illustrated by Song et al. (2020) and Shehta et al. (2022) who proved that the hematocrit value in diarrhetic calves was 44% and 37% when compared to control ones which was 31.7and 31.5%; respectively. Hematocrit gives information about the overall blood volume also, it increases at the first period of birth and then decreases with the calf's age (Malheu, 2007). Song (2020) concluded that the increase in the hematocrit value of calves with diarrhea means dehydration resulting from a high loss of moisture combined with diarrhea.

The results of this study revealed an increase in the total leukocytic count and absolute increase in neutrophils in diseased calves compared to control ones. These results are in accordance with those reported by Seifi et al. (2006) and Rasha et al. (2015) who proved an increment in the total leucocytic count and relative increase in neutrophil percentage. This result could be attributed to the body's defense mechanism against infection, inflammation lesions in the digestive system, or due to hemoconcentration due to dehydration combined with diarrhea. The neutrophil increased in case of bacterial infection such as E. coli infection (Akyuz et al., 2022).

Our results proved that there was a significant decrement in the concentrations of total proteins and albumin in diarrhetic calves when compared to healthy control ones. These results came in accordance with that reported by Shehta et al. (2022). This reduction may result from the increase of protein parameters excretion in the intestinal lumen with diarrhea (Constable et al., 2016 and Choi et al., 2021).

 There was a significant increase in the levels of ALT and AST in diarrhetic calves compared to healthy control ones. These results match that reported by Ghanem et al. (2012) who proved an increment in the levels of ALT and AST which were 78 and 124 Iu/l when compared to control ones which were 64 and 85 Iu/l. This result may be related to chronic inflammation of the gastrointestinal tract and affection of the liver of diarrhetic calves. (Chernecky and Berger, 2013). Liver enzymes may increase due to toxic effect of abnormal digestion or bacterial toxins (Ashraf, 2007).

There was a significant increase in the values of urea and creatinine in diarrhetic animals when compared to the healthy group. These results agreed with that reported by Ghanem et al. (2012) and Singh et al. (2014) who reported that there was a significant increase in urea and creatinine in diarrhetic calves when compared to control ones and also agreed with Santos et al. (2002) and Akyuz et al. (2022). Such increase in urea and creatinine levels may be due to a deficit in glomerular filtration rate (renal blood perfusion) thus decreasing urine formation or may be related to excessive urea production by body proteins catabolism in some toxic conditions (Ashraf, 2007). This increase in serum urea and creatinine was also related to dehydration due to diarrhea. Hypovolemia due to dehydration, excessive fluid loss, and decreased fluid intake lead to plasma solutes concentration with a proportionate increase in urea and creatinine (Dratwa-Chalupnik et al. 2012 and Singh et al., 2014).

Our results proved that there was a significant reduction in Na and Cl and there was a significant increase in K level in diarrheic calves when compared to control ones. These data agreed with that reported by Ghanem et al. (2012) and Singh et al. (2014).

This decrease in Na and Cl levels in diseased calves may be due to high loss of these ions associated with an increase in their intestinal secretion, diarrhea, and failure of reabsorption of gastric H+ and Cl- ions by the small intestine villi (Radiostitis et al., 2007).

The increase in the K concentration occurs due to increased potassium retention by diseased calves’ kidneys or cellular damage that happens in diarrhetic calves (Fisher et al. 1971).

Out of 80 fecal samples collected from diarrhetic calves; 72 isolates of bacteria were recorded which included 22 Salmonella (27.5%) and 50 E. coli (62.5%).

Salmonella was nearly similar to that proved by El-Azzouny et al. (2020) and Shehta et al. (2022) who proved that Salmonella prevalence in diarrhetic calves was 30% and 24%; respectively and more than those of other studies in Egypt (Seleim et al., 2004: 17.5% and Youssef and El-Haig, 2012: 18.66%) while higher than that reported by Haggag and Khaliel (2002) (4%) and Younis et al. (2009) (4.09%). On the contrary, this result was lower than that reported by Moussa et al. (2010) (43.53%).

The incidence of E. coli is nearly similar to that reported by Shehta et al. (2022): 62%, Osman et al. (2013): 63.6% and more than that reported by Azzam et al. (2006):5.4%, El-Shehedi et al. (2013): 35.83% and Hassan (2014): 50%.

Variations in the prevalence rates of E. coli and Salmonella in calves with diarrhea could be attributed to the species, geographical area, breeding system, environment, immunity status, age of calves, and hygienic measures during the management of calves and Enterohaemorrhagic E. coli (EHEC) mainly occurs due to ingestion of contaminated water and food (Cho and Yoon, 2014).

The 22 isolates of Salmonella were serotyped as 10 Salmonella Enteritidis (45.5%), 7 Salmonella Typhimurium (31.8%), 3 Salmonella Newport (13.6%) and 2 Salmonella Anatum (9.1%). In this study, Salmonella Typhimurium and Enteritidis were the most prevalent serotypes. These results came in accordance with that reported by Seleim et al., 2004; Younis et al., 2009; Moussa et al., 2010 and Youssef and El- Haig, 2012 in Egypt and reports from other countries by Smith-Palmer et al. (2003) in Scotland. On the contrary to previous results obtained by El-Seedy et al. (2016) who found that Salmonella Enteritidis was (60.9%) and Salmonella Typhimurium (30.4%). Reda and Mohamed. (2013) reported that Salmonella Anatum (8%) which is nearly similar to our result.

The frequency of isolation of Salmonella serovars differs from one area to another due to the differences in calves' hygienic measures and management in addition to the environmental and geographical differences (Veling et al., 2002).

Salmonella Enteritidis and Typhimurium are considered as non-host-adapted serovars and so they establish a “carrier state” in the recovered animals. Infection with a non-host-adapted Salmonella leads to transient shedding of bacteria for about 3–16 weeks. Contaminated water and food are the most common sources of infection. Approximately 40% of fish or bone meals may be contaminated with Salmonella. In some herd outbreaks, human sewage has also been a source of infection. Carcasses of birds and rodents also can spread infection (Donaldson et al., 2006).

The most prevalent serogroups of E. coli identified in our study were O26(18%), O103(18%), O127(16%), O119 (14%), O86 (10%), O111(8%) and O157 (6%).

These findings are nearly similar to that reported by Elseedy et al. (2020) who proved that the serogroups of E. coli isolates were O103 and O26 were the most prevalent groups (17.7% each) followed by O127 (14.6%) and O119 (13.6%). These findings were similar to those obtained by El-Shehedi et al. (2013) and Osman et al. (2013). Concerning other countries; Tamaki et al. (2005) in Japan concluded that the most common E. coli serotypes were O119, O111, O126, and O78 isolated from animals with diarrhea. Similarly, Badouei et al. (2010) reported that O26 (18.4%) serotypes from diseased and non-diseased calves were the most common serogroups. Fouad et al. (2022) proved that the most common serogroups of E. coli isolated from diarrhetic calves were O55 (14) followed by O25 (11) and O111 (10), O119 (8), O126 (8), O78 (5), O157 (3), O186 (2) and O128 (2).

Salmonella invA gene is one of the most famous PCR target sequences and its amplification has been known as an international standard used for detection of Salmonella (Malorny et al., 2003). It encodes a protein in the bacterial inner membrane that is responsible for the invasion of the host epithelial cells (Bell et al., 2016). The results of PCR applied on 22 isolates of Salmonella to determine the virulence invA gene revealed that all the Salmonella tested isolates showed positive results with PCR assay using oligonucleotide primer that amplified a 284 bp fragment and these results were matched with that obtained by Soliman (2014) and El-Seedy et al. (2016) who proved that the virulence invA gene recovered in all Salmonella serogroups.

The gene sopB was found in all isolates and these results agreed with that reported by El-Azzouny et al. (2020) who proved the presence of sopB in all isolates (100%).

Our results proved the presence of fimA in all isolates and stn in (86%) of isolates and these results were like that obtained by Chaudhary et al. (2015) who proved that out of 37 Salmonella isolates, all isolates contained virulence genes (fimA, stn, invA). Ownagh et al. (2023) proved that 50 fecal samples (11.90%) were positive for fimA, stn, and invA genes isolated from buffalo.

Our results proved the presence of ssaQ (86%), spi4R (81%), sopB (100%), and mgtC (90%). These data are nearly similar to Salama et al. (2023) who proved that most isolates of Salmonella had 5 virulence genes (invA, ssaQ, sopB, spi4R, and mgtC) with a percentage of 71.4%. It is known that invA and sopB are primarily responsible for calf diarrhea caused by Salmonella while ssaQ is responsible for the survival of the organism intracellularly.

Molecular identification of E. coli strains revealed that the 16SrRNA gene was detected in all identified E. coli strains (100%), Sta and eaeA (88%) each, Stx1(84%), Vt2e and F41(76%) each, Stx2 (64%)

Shiga-toxin producing E. coli is considered an important group of zoonotic human pathogens (Caprioli et al., 2005). These strains are carried in cattle without clinical signs and shed in their feces, which leads to their spread among cow herds (Tauxe, 1997). Shiga toxins can inactivate the host cell ribosomes and make inhibition of protein biosynthesis. The occurrence of the stx1, eaeA, and stx2 genes together have an epidemiological significance; the combination of these genes leads to an increment in the ability of E. coli to cause severe illness in humans (Kudva, et al. 1998).  These results are similar to that reported by El-Azzouny et al. (2020) who concluded that out of ten E. coli isolates examined by PCR, there were stx1: 8 (80%) and stx2: 9 (90%) while eaeA found in all isolates (100%). Salama et al. (2023) proved the presence of eaeA in all isolates (100%), stx1 (16.7%), and stx2 (11%) in isolates of E. coli, and these results were lower than that reported by Franz et al. (2007) who concluded that the low-input conventional Dutch dairy farms were positive for all Shiga toxin genes included stx1, stx2, and eaeA. Our results were higher than those reported by Nguyen et al. (2011) who proved that Shiga toxin genes were found in 177 isolates (51.3%) from calves with diarrhea in Vietnam.

Concerning the sta gene which was found in 88% of the E. coli isolates in this study. This gene is important for the occurrence of watery diarrhea in calves as it activates the guanylate-cyclase system in diseased calves. This result is higher than that published by Borriello et al. (2012) in Italy who concluded the absence of the sta gene in diarrheic buffalo calves with E. coli. Algammal et al. (2020) concluded that sta was found in 8.9%, 8% with It and f41, and 4% with It of E. coli isolates from calves at different farms in El-Sharqia Governorate, Egypt suffered from diarrhea. Beutin et al. (1989) studied hemolysin production of E. coli strains and found an association between enterohaemolysin and verotoxin production in 89% of E. coli strains belonging to nine different serotypes. A suggestion was raised that enterohaemolysins may complement the effects of Shiga toxins enhancing their virulence (Nataro and Kaper, 1998).

 According to our study, the vt2e gene was detected in 76% of all isolates. This result was higher than that illustrated by Bendary et al. (2022) who proved the absence of the vt2e gene in all isolates from calves.

The f41 gene is linked to the occurrence of diarrhea in calves and warrants an important function in the pathogenesis of enterotoxigenic E. coli (Bisi-Johnson et al., 2011). Our result is increased than that reported by Algammal et al. (2020) who concluded that the f41 gene was found in 10% with the It gene and in 3% with Itand sta genes of E. coli isolates from calves at different farms in El-Sharqia Governorate, Egypt which have diarrhea.

The variation in the presence of virulence genes, enterotoxin genes, and shiga toxin genes between studies and our results may be attributed to the size of the sample, the variation in handling of collected samples, the geographical origin of samples, the number of examined strains and the type of the virulence genes detected by PCR (Franz et al. 2007).

CONCLUSION

Diarrhea in calves is associated with multiple changes in the hemato-biochemical parameters that could be used as an important indicator of diarrhea. Salmonella and E. coli are important causes of diarrhea in calves which is with high morbidity and mortality rates. Molecular surveillance represents a rapid, sensitive, and reliable procedure that can effectively detect Salmonella and E. coli virulence genes.

RECOMMENDATIONS

After conducting this study, the following recommendations should be considered:

  • Improvement of clinical laboratory procedures for diagnosis of Salmonella and coli using specific and sensitive detection techniques to protect the consumers.
  • Implementation of hygienic and sanitation measures of farm animals.
  • Application of hygienic and control measures to prevent transmission of animal pathogens to humans through milk and meat.
  • Prompt treatment of calves suffering from diarrhea to avoid dehydration and death.
A.O. A. C. (2015). Official method of analysis. AOAC Int. Anlington, VA
Abdel Khalek R, Hayam E, Samy M, Tarek H, Allam A, and Wafaa M. (2012). Clinical and Laboratory Examinations of diarrhea and dehydration in newborn Friesian Calves with special reference to therapy with hypertonic and isotonic solution.  Life Sci J. 9(4):181-184.
Ahmed W, and Ghada M. (2007). Investigations of oxidant/antioxidant status and hemoglobin biophysical properties in buffalo calves with special reference to inferior preweaning vitality. Pakistan Journal of biological sciences. 10 (14): 2353 -2358.
Akyüz E, Sezer M, Kuru M, and Naseri M. (2022). Changes in Hematology, Some Clinical Biochemical Parameters and Mineral Levels in Neonatal Calves with Sepsis due to Diarrhea Van Vet J. 33 (1) 26-30.
Algammal M, El-Kholy A, and Riad E. (2020). Genes Encoding the Virulence and the Antimicrobial Resistance in Enterotoxigenic and Shiga-toxigenic E. coli Isolated from Diarrheic Calves. Toxins 12: 383-396.
Al-Saad K, AL-obaidi Q, and Hassan S. (2012) . Clinical, hematological and coagulation studies of bovine viral diarrhea in local Iraqi calves. Bulgarian journal of veterinary medicine. 15 (1): 44-50.
Ashraf N. (2007). Enzootic gram- negative bacteria associated with diarrhea in neonate in Egypt. PhD thesis. Faculty of Veterinary Medicine, Alexandria University.
Azzam R, Hassan W, Ibrahim M, and Khaled M. (2006). Prevalence of verocytotoxigenic E. coli O157: H7 in cattle and man in Beni- Sueif Government. Alex J Vet. 24 (1): 111–122.
Badouei M, Salehi T, Khorasgani M, Tadjbakhsh H, Brujeni G, and Nadalian M. (2010). Virulence gene profiles and intimin subtypes of Shiga toxin-producing Escherichia coli isolated from healthy and diarrhoeic calves. Vet Rec. 167(22):858–861.
Bell RL, Jarvis KG, and Ottesen AR (2016). Recent and emerging innovations in Salmonella detection: a food and environmental perspective. Microb Biotechnol. 9(3): 279-292.
Bendary M, Abd El-Hamid M, Alhomrani M, Alamri A, Elshimy R, Mosbah R, Bahnass M, Omar N, Al-Sanea M, and Elmanakhly A (2022). What Is behind the Correlation Analysis of Diarrheagenic E. coli Pathotypes? Biology. 11: 1004-1019.
Berber E, Canakoglu N, Sozdutmaz I, Simsek E, Sursal N, Ekinci G, Kok‑ kaya S, Arikan E, Ambarcioglu P, Goksu AG, and Keles I. (2021). Seasonal and age‑associated pathogen distribution in newborn calves with diarrhea admitted to ICU. Vet Sci 8:66.
Beutin, L., M. A. Montenegro, I. Ørskov, F. Ørskov, J. Prada,S. Zimmermann, and R. Stephan, (1989). Close association of verotoxin (Shiga-like toxin) production with enterohaemoly-sin production in strains of Escherichia coli. J. Clin. Micro-biol. 27, 2559–2564.
Bisi-Johnson M, Obi C, Vasaikar S, Baba K, and Hattori T. (2011). Molecular basis of virulence in clinical isolates of Escherichia coli and Salmonella species from a tertiary hospital in the Eastern Cape, South Africa. Gut Pathogens. 3:9.
Bleul U, and Gotz E. (2013). The effect of lactic acidosis on the generation and compensation of mixed respiratory‑metabolic acidosis in neonatal calves. Vet Rec. 172:528.
Borriello G, Lucibelli MG, and Pesciaroli M (2012). Diversity of Salmonella spp. serovars isolated from the intestines of water buffalo calves with gastroenteritis. BMC Vet Res 2012; 8: 201.
Breur J. (1996). Report on the symposium “drug effects in clinical chemistry methods”. Journal of Clinical Chemistry and Clinical Biochemistry, 34: 385-386.
Caprioli A, Morabito H, Bruge`re A, and Oswald E. (2005). Enterohaemorrhagic Escherichia coli: emerging issues on virulence and modes of transmission. Vet. Res. 36:289–311.
Chaudhary J, Nayak J, and Brahmbhatt M. (2015). Virulence genes detection of Salmonella serovars isolated from pork and slaughterhouse environment in Ahmedabad, Gujarat. Vet World. 8(1): 121-124.
Chernecky CC, and Berger B. (2013). Laboratory tests and diagnostic procedures‑E‑ book, 6th edn. St. Louis: Saunders; 2013. 
Cho Y, and Yoon K. (2014). An overview of calf diarrhea infectious etiology, diagnosis and intervention. Journal Vet. Sci. 15(1): 1-17.
Choi KS, Kang JH, Cho HC, Yu DH, and Park J. (2021). Changes in serum protein electrophoresis profiles and acute phase proteins in calves with diarrhea. Can J Vet Res Revue canadienne de recherche veterinaire. 85:45–50.
Cohen H, Mechanda S, and Lin W. (1996). PCR amplification of the fimA gene sequence of Salmonella Typhimurium, a specific method for detection of Salmonella spp. Appl Environ Microbiol. 62(12):4303-8.
Collee JG, Miles RS, and Watt B. (1996). Tests for the Identification of Bacteria. In: Collee JG, Marmion BP, Fraser AG, Simmons A, Eds, Mackie and McCartney practical medical microbiology, 14th ed. New York: Churchill Livingstone.
Constable P, Done S, and Gruenberg W. (2017). Veterinary medicine: A textbook of the diseases of cattle, sheep, pigs goats and horses. 11th ed. Edinburgh, Scotland: WB Saunders Company. Pp.399–434.
Constable PD, Hinchcliff KW, Done S, Stanley H, and Grünberg W. (2016). Veterinary medicine book: a textbook of the diseases of cattle, horses, sheep, pigs and goats. 11th edition ed: Elsevier Health Sciences; 2016.
Dipineto L, Santaniello A., Fontanella M, Lagos K, Fioretti A, and Menna L. (2006). Presence of Shiga toxin-producing Escherichia coli O157:H7 in living layer hens. Letters in Applied Microbiology. 43: 293–295.
Donaldson SC, Straley BA, Hegde NV, Sawant AA, DebRoy C, and Jayarao BM. (2006). Molecular epidemiology of ceftiofur-resistant Escherichia coli: isolates from dairy calves. Appl Environ Microbiol. 72(6):3940–8.
Dratwa-Chalupnık A, Herosımczyk A, Lepczyńskı A, and Skrzypcazk W. (2012). Calves with diarrhea and a water-electrolyte balance. Med Weter. 68 (1): 5-8.
El-Azzouny M, Ahmed M. Elhady, and Sally H. (2020). Factors affecting calf enteritis infection caused by Salmonella and E. coli. Assiut Vet. Med. J. 66: 30-41.
El‑Seadawy SA, El‑Attar H, El‑khaiat HM, and Helal M. (2020). Clinical and bio‑ chemical investigations on bacterial diarrhea in Egyptian buffalo calves. Benha Vet Med J 39:90–94.
El-Seedy F, Abed A, Yanni S, and Abd El-Rahman B. (2016). Prevalence of Salmonella and E. coli in neonatal diarrheic calves. beni-suef University Journal of basic and applied sciences. 5: 45–51.
El-Shehedi M, Eraqi M, and Ali A. (2013). Characterization of Escherichia coli from diarrheic calves with special reference to plasmid profile. J Am Sci. 9 (7): 1-8.
Fatma M, and Kawther H. (2007). Biochemical and bacteriological evaluation of different water supply used in farm animal and its effect on animal health. SCVMJ. XII (2): 225-238.
Fisher E, and Dela Fuente G. (1971). Water and electrolyte studies in new born calves with particular reference to the effect of diarrhea, Res. Vet. Sci. 13:315-322.
Fouad H, Saleh H, Elazazy H, Hamed A, and Samir S. (2022). Prevalence of pathogenic E. coli in diarrhoeic cattle calves and antibiotic resistance genes, KVMJ. 20 (1):12-18.
Franck S, Bosworth B, and Moon H. (1998). Multiplex PCR for Enterotoxigenic, Attaching and Effacing, and Shiga Toxin-Producing Escherichia coli Strains from Calves. J. of Clinical Microbiology. 1795–1797.
Franz E, Michel M, Oscar J, Aad J, and Ariena H. (2007). Prevalence of shiga toxin-producing Escherichia coli stx1, stx2, eaeA, and rfbE genes and survival of E. coli O157:H7 in manure from organic and low-input conventional dairy farms. Applied And Environmental Microbiology. 73(7): 2180–2190.   
Ghanem M, El‑Fkhrany S, Abd El‑Raof Y, and El‑Attar H. (2012). Clinical and haematobiochemical evaluation of diarrheic neonatal buffalo calves (Bubalas bubalis) with reference to antioxidant changes. Benha Vet Med J. 23:275–288.
Grimont P, and Weill F. (2007). Antigenic formulas of the Salmonella serovars. 9th ed. World Health Organization, Collaborating Centre for Reference and Research on Salmonella, Paris, France.
Haggag Y, and Khaliel S (2002). Public health importance of certain bacteria isolated from calves and small ruminants. 2nd Vet Cong, Fac Vet Med, Minufiya Univ, Egypt. 2(1): 173–184.
Hassan A. (2014). Some studies on bacteriological causes of enteritis in calves J Vet Adv. 4(5):503–7.
Hassan N, Sheikh GN, Shaheen M, and Willayat M. (2013). Hemato-biochemical and therapeutic studies on Escherichia coli associated with concurrent enteric infection in lambs, Veterinary World. 6(11): 870-873.
Holschbach C, and Peek S. (2018). Salmonella in dairy cattle. Vet Clin North Am Food Anim Pract. 34(1): 133-154.
Kargar M and Homayoon M. (2015). Prevalence of shiga toxins (stx1, stx2), eaeA and hly genes of Escherichia coli O157:H7 strains among children with acute gastroenteritis in southern of Iran. Asian Pacific Journal of Tropical Medicine.PP. 24-28.
Kudva I, Blanch K, and Hovde C. (1998). Analysis of Escherichia coli O157:H7 survival in ovine or bovine manure and manure slurry. Appl. Environ. Microbiol. 64:3166–3174.
Leal M, Cyrillo F, Mori C, Michima L, Nichi M, Ortolani E, and Benesi F. (2008). Modelo de indução de diarréia osmótica em bezerros holande‑ ses. Ciência Rural. 38:1650–1657 38.
Lee S, Kang S, Kang M, and Yoo H. (2008). Development of multiplex polymerase chain reaction assays for detecting enterotoxigenic Escherichia coli and their application to field isolates from piglets with diarrhea. J Vet Diagn Invest. 20:492–496.
Malheu J. (2007). Etude clinique, hématologique et biochimique de bovins issus de clonage somatique entre 4 mois et 24 mois (Clinical, haemato‑ logical and biochemical study of somatic cell cloned cattle between 4 to 24 months of age).
Malik S, Verma A, Kumar A, Gupta M, and Sharma S. (2012). Incidence of calf diarrhea in cattle and buffalo calves in Uttar Pradesh, India, Asian Journal of Animal and Veterinary Advances. 7:1049-1054.
Malorny B, Hoorfar J, and Bunge C (2003). Multicenter validation of the analytical accuracy of Salmonella PCR: towards an international standard. Appl Environ Microbiol 69(1): 290-296. 
Mitham, S and Rasha, M (2018). A comparative study of culture methods, API system and PCR assay for Salmonella detection isolated from human, cows and poultry in Iraq. Basrah Journal of Veterinary Research, 17(3), pp.210-222.
Mostafa D. (2018). Some biochemical and hematological constituents during diarrhea in buffalo calves. Master thesis, Degree M.V.Sc in Animal Medicine (Clinical Laboratory Diagnosis), South Valley University.
Moussa I, Ashgan M, Mahmoud M, Mohamed K, Al- Tess A. 2010. Rapid detection of Salmonella species in new-borne calves by polymerase chain reaction. Int J Gen Mol Biol. 62–6.
Muktar Y, Mamo G, and Belina D. (2015). A review on major bacterial causes of calf diarrhea and its diagnostic method. Journal of Veterinary Medicine and Animal health. 7(5): 173-185.
Murugkar H, Rahman H, and Dutta P. (2003). Distribution of virulence genes in Salmonella serovars isolated from man and animals. Indian J Med Res. 117:66-70.
Nataro, J. P., & Kaper, J. B. (1998). Diarrheagenic escherichia coli. Clinical microbiology reviews, 11(1), 142-201.
Nguyen T, Thanh T, and Vu-Khac H. (2011). Virulence factors in Escherichia coli isolated from calves with diarrhea in Vietnam. J. Vet. Sci. 12(2):159-164.
Nikkhah A, Alimirzaei M, and Kazemi H. (2023). Salmonellosis in Young Calves: A Perplexing Problem Beyond Diarrhea. Journal of Veterinary Physiology and Pathology. 2(2): 5-8.
Olivera S, Rodenbusch C, Ce M, Rocha S, and Canal C. (2003). Evaluation of selective and nonselective en-richment PCR procedures for Salmonella de-tection. Lett. Appl. Microbiol. 36: 217-221.
Orlandi P, Magalhães G, Matos N, Silva T, Penatti M, Nogueira P, and Pereira L. (2006). Etiology of diarrheal infections in children of Porto Velho (Rondonia, Western Amazon region, Brazil). Braz J Med Biol Res. 39(4): 507-517.
Ørskov F,and  Ørskov I. (1984). Serotyping of Escherichia coli. Methods in microbiology Vl. 14, Collaborative Centre for Reference and Research on Escherichia and Klebsiella, (WHO), Statens Seruminstitut, Copenhagen, Denmark.
 Osman K, Mustafa A, Elhariri M, and Abdelhamed G. (2013). The distribution of Escherichia coli serovars, virulence genes, gene association and combinations and virulence genes encoding serotypes in pathogenic E. coli recovered from diarrheic calves, sheep and goat. Transbound Emerg Dis. 60(1):69–78.
Ownagh A, Navid E, Peyman K, and Hossein T, (2023). Identification of Salmonella carriers by amplification of FimA, Stn and InvA genes and bacterial culture methods in fecal samples of buffalo Veterinary Research Forum. 14 (1) 21-28.
Özkan C, Altuğ N, Yűksek N, Kaya A, and Akgűl Y. (2011). Assessment of electro‑ cardiographic findings, serum nitric oxide, cardiac troponins and some enzymes in calves with hyperkaliemia related to neonatal diarrhoea. Revue de Médecine Vétérinaire. 162:171–176 33.
Radostits OM, Gay C, and Hinchcliffe K. (2007). Veterinary medicine - A textbook of the diseases of cattle, horses, sheep, pigs and goats. 10th ed. Philadelphia USA: W. B. Saunders Ltd 2007; 2065.
Raihan MM, Ansari ARMIH, Islam MZ, Das BC, Habib A, Belal SMSH, and Islam K. (2014). Prevalence and antimicrobial resistance profile of Escherichia coli and Salmonella isolated from diarrheic calves. J. Anim. Health Prod. 2 (1): 12 – 15.
Rasha M, Elshaima M, Noura E, and Yasmin H. (2015). Calf diarrhea in Sharkia province, Egypt: Diagnosis, Prevalence, virulence profiles and zoonotic potential of the causal bacterial agents. IJASVM. 3 (2) 71-87. 
Reda L, and Mohamed S. (2013). Bacteriological studies of Salmonella Typhimurium isolated from cow calves and lambs Assiut Vet. Med. J. Vol. 60 (140): 47-54.
Salama M, Waleed Y, Hams M, and Serageldeen S. (2023). Microbiological and molecular characterization of E. coli and Salmonella isolated from diarrheic calves. SVU- International Journal of Veterinary Sciences. 6(4): 1-14.
Sanchez-Jimenez M, CardonaCastro N, Canu S, and Rubino N. (2010). Distribution of pathogenicity islands among Colombian isolates of Salmonella. J. Infect. Dev. Countries. 4: 555-559.
Santos J, Renée M, Andreas J, and Garry A. ( 2003). Hematologic and serum biochemical changes in Salmonella ser Typhimurium-infected calves. AJVR. 63(8): 1145-1150.
Santos R, Renée M, Andreas J, and Garry A. (2002a). Hematologic and serum biochemical changes in Salmonella ser Typhimurium-infected calves. AJVR. 63(8): 1145-1150.
Santos R, Zhang S, and Tsolis R. (2002b). Morphologic and molecular characterization of Salmonella Typhimurium infection in neonatal calves. Vet Pathol. 39:200–215.
Scott P, Hall G, Jones P, and Morgan J. (2004). Calf diarrhea: In Bovine Veterinary Medicine. Diseases and Husbandry of Cattle.2nd ed. Black Well Publishing Company, Oxford, PP 185-213.
Seifi H, Mohri M, Shoorei E, and Farzaneh N. (2006). Using hematological and serum biochemical findings as prognostic indicators in calf diarrhea. Comp. Clin. Pathol. 15: 143–147.
Seleim R, Sahar R, Novert M, and Gobran R. (2004). Salmonella infection in calves: virulence proteins and its immunogenic properties. J Vet. 1-10.
Sendecor G, and Cochran W. (1980). Statistical Method. 7th ed., Iowa State Univ. Press, Ames, Iowa, USA.
Shehta A, El‑Zahar H, AbdelKereem M, Mustafa B, and Tarek S. (2022). Clinical, hematological and some biochemical alterations during diarrhea in Friesian calves naturally infected with E. coli and Salmonella Beni-Suef University Journal of Basic and Applied Sciences Beni-Suef Univ J Basic Appl Sci11:128.
Singh M, Gupta VK, Mondal DB, Bansal SK, Sharma DK, Shakya M, and Gopinath D. (2014). A study on alteration in Haemato‑biochemical parameters in Colibacillosis affected calves. Int J Adv Res. 2:746–750. 
Smith-Palmer A, Stewart WC, Mather H, Greig A, Cowden JM, and Reilly WJ. (2003). Epidemiology of Salmonella enterica serovars Enteritidis and Typhimurium in animals and people in Scotland between 1990 and 2001. Vet Rec. 153: 517–20.
Snedecor G, and Cochran W. (1994). Statistical Methods. 8th edn. Oxford and IBH. The Iowa State University Press, Ames, Iowa, USA.
Soliman H. (2014). Conventual and advanced technique for identification of bovine and ovine Salmonellae. PhD in Microbiology. Beni-Sueif Faculty, Egypt.
Song R, Jin-hee K, and Kwang-man P. (2020). Analysis of hematological changes in normal and diarrhea calves. Korean Journal of Veterinary Service. 41(3): 162-165.
Soto S, Rodriguez I, Rodicio M, Vila J, and Mendoza M. (2006). Detection of virulence determinants in clinical strains of Salmonella enterica serovar Enteritidis and mapping on macrorestriction profiles. J. Med. Microbiol. 55: 365-373.
Tamaki Y, Narimatsu H, Miyazato T, Nakasone N, Toma C, and Iwanaga M. (2005). The relationship between O antigens and pathogenic genes of diarrhea- associated E. coli. Jpn J Infect Dis. 58:65–9.
Tarabees, R. Younis G. and El-Khetaby H. (2021). Department of B serotypes, virulence factors and antibiograms of Escherichia coli isolated from diarrhetic calves in Egypt: A review. Journal of Current Veterinary Research. 2021 Apr 1; 3(1):10-22.
Tauxe R. (1997). Emerging foodborne diseases: an evolving public health challenge. Emerg. Infect. Dis. 3:425–434.
Taylor J, Rodenburg M, and Snider T. (2017). Comparison of a commercially available oral nutritional supplement and intravenous fluid therapy for dehydration in dairy calves. J Dairy Sci. 100:4839–4846.
Thabet A. (2023). Occurrence of non-typhoidal Salmonella (NTS) in New Valley and Assiut provinces. New Valley Veterinary Journal. 3(2): 1-12.
Tietz N. (1986). Textbook of clinical chemistry. WB Saunders, Philadelphia, 1271-1281.
Tietz N. (1990). Clinical guide to laboratory test. 2nd ed. Philadelphia. WB Saunders. Pp.566.
Tietz N. (1994). Fundamentals of Clinical Chemistry: 2nd ed. NW Tietz, editor. Pp.692.
Tivendale, K, Allen, J, Ginns, C, Crabb, B and Browning, G, (2004). Association of iss and iucA, but not tsh, with plasmid-mediated virulence of avian pathogenic Escherichia coli. Infection and immunity, 72(11), pp.6554-60.
Torche S, Boussena S, Beroual K, Guidoum BM, Kerrour M, and Moula N. (2020). Physiopathology of diarrhea in young calves: clinical signs and metabolic disturbances. J New Sci Agric Biotechnol. 76:4443–4451
Truitt LN, Vazquez KM, Pfuntner RC, Rideout SL, Havelaar AH, and Strawn LK. (2018). Microbial quality of agricultural water used in produce preharvest production on the Eastern Shore of Virginia. J Food Prot. 81(10):1661–72.
Vandeputte S, Detilleux J, Care S, Bradfer B, Guyot H, and Rollin F (2010). Evaluation of a Bovine Concentrated Lactoserum for Preventing Neonatal Diarrhea in Belgian Blue Calves. The Open Vet. Sci. J. 4: 36– 40.
Veling J, Barkema HW, van der Schans J, van Zijjderveld F, and Verhoeff J. (2002). Herd level diagnosis for Salmonella enterica subsp. Enterica serovars Dublin infection in bovine dairy herds. Prev Vet Med. 53:31–42.
Walter B. (2012). Diarrhea in calves and young cattle, lucrari Stiintifice-Seria Zootehnie. 57:19-22.
Wudu T, Kelay B, Mekomen H, and Tesfu K. (2008). Trict of Oromia, Ethiopia. Trop. Anim. Health Prod. 40:369-376.
Yang X, Brisbin J, Yu H, Wang Q, Yin F, Zhang Y, Sabour P, Sharif S,  and Gong  J. (2014). Selected Lactic Acid-Producing Bacterial Isolates with the Capacity to Reduce Salmonella Translocation and Virulence Gene Expression in Chickens. PLOS ONE. 9(4): 1-12.
Young D. (1990).  Effects of drugs on clinical laboratory tests. 3rd ed. 3: 6-12.
Young D. (2001). Effects of drugs on clinical lab. Tests, 4th ed. AACC. Press.
Younis E, Ahmed A, El-Khodery S, Osman S, and El-Naker Y. (2009). Molecular screening and risk factors of enterotoxigenic Escherichia coli and Salmonella spp. in diarrheic neonatal calves in Egypt. Res Vet Sci. 87: 373–9.
Youssef A, and El-Haig M. (2012). Herd problems and occupational zoonoses of Salmonella enterica serovars Typhimurium and Enteritidis infection in diarrheic cattle and buffalo calves in Egypt. Int J Bioflux Soc. 4 (3):118–123.