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Table 1 Meerkat (Suricata suricatta) case details

From: Melioidosis fatalities in captive slender-tailed meerkats (Suricata suricatta): combining epidemiology, pathology and whole-genome sequencing supports variable mechanisms of transmission with one health implications

Case No.

Date of death

Sex, Age

Pathology diagnoses

B. pseudomallei positive culture1

Suspected route of exposure

1

Mar. 18, 2015

Male, 3 yrs.

Liver: Multifocal intrahepatic portal suppurative thrombosis and random multifocal suppurative hepatitis

Lung: Single large suppurative focus contiguous with suppurative venous thrombus; random multifocal suppurative pneumonia

Bone marrow (femur), spleen, lung

Ingestion (portal lesion)

2

April 23, 2016

Female, 10 mos.

Stomach: Transmural haemorrhagic, suppurative gastritis with adjacent cranial mesenteric suppurative peritonitis with fibroplasia

Liver: Multifocal intrahepatic portal suppurative thrombosis and random multifocal suppurative hepatitis

Lung: Multifocal suppurative pneumonia, often associated with haemorrhage and septic thrombosis

Cranial mesentery, lung, spleen

Ingestion (gastric and portal lesions)

3

April 26, 2016

Male, 10 mos.

Skin: Multifocal severe, ulcerative, suppurative deep dermatitis and cellulitis with associated fibroplasia (left forearm and left hind foot). Right scrotum open and draining necrohaemorrhagic exudate

Liver: Random multifocal suppurative hepatitis

Lung: Multifocal suppurative pneumonia, variably associated with haemorrhage and septic thrombosis

Left hind foot lesion, lung, spleen

Cutaneous (forearm and hind foot lesions)

4

July 13, 2016

Female, 12 mos.

Skin: Unhealed distal tail amputation with associated suppurative deep dermatitis, fibrosis and bone remodelling; Focal ulcerative dermatitis (dorsal to left eye); Bilateral dorsal carpal epidermal hyperplasia and hyperkeratosis.

Left stifle: Suppurative arthritis

Liver and lung: Random multifocal suppurative hepatitis and pneumonia

Kidney: Segmental pyelonephritis

Lung, spleen, liver

Cutaneous (tail amputation lesion)

5

July 25, 2016

Male, 12 mos.

Skin: Multifocal subacute to chronic, ulcerative, suppurative dermatitis (most severely involving the scrotum and perineum, more superficially involving the bridge of nose, above left eye, left ear pinna, tail, dorsal aspects both carpi and all feet, scrotum and perineum)

Liver and lung: Random multifocal suppurative hepatitis and pneumonia

Lung, spleen positive.

Perineal/scrotal swab negative

Cutaneous (multiple chronic skin lesions)

6

Sept. 21, 2016

Male, 15 mos.

Liver: Multifocal portal suppurative thrombosis with associated fibroplasia

Lung: Random multifocal suppurative pneumonia

Skin: Mild multifocal erosive dermatitis (ventral scrotum, medial hind foot)

Liver, lung, spleen

Ingestion

(portal lesion)

7

Oct. 7, 2016

Female,

3 yrs.

Intestine: Segmental transmural necrotising, suppurative enteritis with regional suppurative lymphadenitis

Lumbar vertebral column: Multifocal suppurative thrombosis and osteomyelitis with extension into vertebral canal

Femur: Suppurative osteomyelitis extending to periosteum with associated fibrosis

Lung: Random multifocal suppurative pneumonia

Blood, liver, lung positive.

Rectal and throat swabs negative

Ingestion (suppurative enteritis with regional suppurative lymphadenitis)

8

Oct. 23, 2016

Female, 16 mos.

Skin: Ulcerative, necrotising, suppurative deep dermatitis and cellulitis (left tarsal region)

Vertebral column: Multifocal suppurative osteomyelitis

Lung: Random multifocal suppurative pneumonia

Liver: Extrahepatic portal vein suppurative phlebitis and thrombosis with associated fibroplasia. Liver otherwise too decomposed to assess

Left tarsal lesion swab, liver, lung, rectal swab, throat swab

Ingestion (portal lesion) or cutaneous (tarsal lesion)

  1. Signalment, history, pathological findings and B. pseudomallei culture results from the eight meerkat cases. 1Unless otherwise specified, the tissues noted as culture positive are all the tissues for which culture was attempted.