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Clinico-Pathological Investigation of Coccidiosis in Naturally Infected Sasso T44 Chickens

*Corresponding author: Dinku Yigezaw Mebratie, Department of Veterinary Pathobiology, University of Gondar, Gondar, Ethiopia. dinkuyigzaw@gmail.com
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Received: ,
Accepted: ,
How to cite this article: Mebratie DY, Kebede MC, Dagnaw GG, Demsseie Y, Yesuf M, Awoke BD, et al. Clinico-Pathological Investigation of Coccidiosis in Naturally Infected Sasso T44 Chickens. Res Vet Sci Med. 2025;5:9. doi: 10.25259/RVSM_4_2025
Abstract
Objectives:
Investigate the clinical and pathological effects of Coccidiosis in naturally infected Sasso T44 chickens. Clinico-pathological studies are important for accurate diagnosis of coccidiosis.
Material and Methods:
Exploratory study design was conducted from January 2023 to July 2023. A total of 30 naturally infected chickens were selected from a farm, and Hematological, biochemical, postmortem, parasitological, gross, and histopathological examination were done.
Results:
When observed, grossly severe hemorrhagic typhlitis, petechial hemorrhage, ballooned intestine, and thickened mucosa in the lower part of the small intestine and cecum were recorded. Histopathological investigations have also shown severe tissue destruction, hemorrhage, huge schizont and merozoite clusters in the tissue, and coccidian oocysts in the epithelium of crypt glands. The ilium villi had atrophied, the mucosa had completely detached, and the end of the rectal submucosa was hemorrhagic and blunt. Hematological findings revealed that it decreased total red blood cell count and packed cell volume. Macrocytic hypochromic anemia was detected. Monocytosis, lymphocytosis, heterophilia, and eosinophilia were discovered. Increased alanine aminotransferase and alkaline phosphatase activities, but total protein levels were decreased.
Conclusion:
This study concluded that Coccidiosis had a detrimental effect on Sasso T44 chickens, which was demonstrated by significant anemia, an increase in leukocyte counts, alteration of serum biochemical parameters, and numerous gross and microscopic abnormalities. Therefore, it is crucial to precisely implement prevention and control methods to reduce the death and loss caused by coccidiosis.
Keywords
Ayikel town
Clinical pathology
Coccidia
Histopathology
Sasso T44 breed
INTRODUCTION
The poultry industry in Ethiopia is primarily focused on chicken, with a limited presence of other poultry species.[1] The country’s chicken population is estimated at 56.06 million, comprising indigenous, hybrid, and exotic breeds.[2] Poultry farming significantly contributes to food security and the economy, with around 80% of Ethiopians relying on it as a source of income.[3] The poultry value chain offers significant job opportunities for entrepreneurs, particularly enhancing economic prospects for women. This sector has empowered many women by providing them with increased opportunities for employment and income generation.[4]
Ethiopian chicken rearing practices are categorized into three production systems based on various factors. There are large commercial, small-scale commercial, and village or backyard poultry production systems.[5] Efforts to improve poultry productivity have involved the importation of different breeds of exotic chickens and the introduction of improved layer-type chickens to smallholder farmers. Challenges with adopting exotic chicken breeds include a lack of sustainable supply, health issues, and problems with nutrition and predation.[6-9]
Among the different private suppliers involved in the sector, currently, Ethiochicken stands as one of the leading poultry companies in East Africa. The company specializes in producing and delivering improved breeds of day-old chickens and blended poultry feed to its customers. In Ethiopia, it distributes dual-purpose and layer chicken breeds, mostly the robust and multi-colored Sasso T44 breed. Sasso T44 is a dual-purpose type breed; it is easy to manage and productive in extensive scavenging and semi-intensive rearing conditions.[10,11]
However, the industry continuously faces challenges due to various factors such as infectious diseases, shortages of formulated feed, and farming equipment. The most prevalent poultry diseases in Ethiopia include Newcastle disease, infectious bursal disease, coccidiosis, and other parasitic disorders.[3,12,13] Coccidiosis, in particular, has a significant impact on poultry production, with a wide prevalence range and substantial economic costs for farmers.[14,15] Coccidiosis is a parasitic disease caused by the protozoan Apicomplexa called the genus Eimeria, which affects the intestinal tract of birds of all ages.[16,17] It is characterized by bloody diarrhea, weight loss, ruffled feathers, somnolence, huddling together, and production reduction.[16] Eight known species of Eimeria can affect chickens, such as Eimeria acervulina, Eimeria brunetti, Eimeria maxima, Eimeria mitis, Eimeria necatrix, Eimeria praecox, Eimeria mivati, and Eimeria tenella.[16,18] E. necatrix, E. maxima, and E. tenella are endemic in Ethiopia and affect all ages and breeds of chickens.[19]
Although Coccidia prevalence has been reported in various areas, limited data exist on the relationship to clinico-pathology. Understanding the clinical and pathological aspects of the diseases gives insight into the nature of the diseases and helps to design measurement approaches. Therefore, this study aimed to investigate the impact of Coccidia infection on Sasso T44 chickens by analyzing hematological, gross, and histopathological changes.
MATERIAL AND METHODS
Study area
The study was conducted in Ayikel town, Central Gondar zone, in the northwestern part of Ethiopia [Figure 1]. It is located 809 km far away from Addis Ababa and 56 km from Gondar town, at coordinates of 12° 33’ north latitudes and 37°04’ east longitudes. The altitude is 2146 m above sea level and receives an annual rainfall of 102.6 mm. It has an annual minimum and maximum temperature of 15.08°C and 26.92°C, respectively.

- Map of the study area.
Study animal and sample collection
An outbreak of intestinal diseases occurred in a flock aged 45 days old, with a total of 1000 chicks per flock kept in a deep litter management system at a small-scale poultry farm in Ayikel town, Ethiopia. Chickens were vaccinated against Newcastle disease, infectious bursal disease, and Marek’s disease in the hatchery, and boosted for Newcastle at the farm. However, no anticoccidial treatments were administered until the clinical signs appeared. Blood samples and intestinal tissues were collected from 30 severely ill chickens.
Study design and sample size
The exploratory study design was conducted from January 2023 to July 2023. A total of 30 clinically infected Sasso T44 chickens were purposively selected from a farm based on the manifested clinical signs. Chickens were selected without considering sex differences, and their ages and weights were similar.
Ethics approval
The ethical approval of the current study was granted on July 16, 2023, by the Institutional Ethical Review Board (IRB) of the College of Veterinary Medicine and Animal Sciences, University of Gondar, Ethiopia. This study is available at reference (Reference No: CVMAS.Sc.16.282028).
Clinical examination and recordings
Severely ill 30 chickens were carefully inspected for clinical symptoms and recorded. Then, for further hematological, postmortem, and parasitological examinations, chickens were taken to the University of Gondar, College of Veterinary Medicine and Animal Sciences, Veterinary Pathology Laboratory. The chickens were transported early in the morning to the laboratory using crates and keeping them well ventilated.
Gross pathological examination
After general and systemic physical examination, blood samples were collected for hematology and serum analysis. Necropsies were done after humanely euthanized through neck cutting and had a proper bleeding situation to mitigate misdiagnosis due to congestion. After arranging all the necessary sampling equipment, the carcass was opened caudo-cranially at the dorsal recumbent position. The gross morbid changes were observed and recorded carefully by systematic dissection. The intestinal segments were examined externally before opening the lumen. After opening the lumen, it is thoroughly examined for the presence of a lesion, then collected, and preserved at 10% buffered formalin for further histopathological testing.
Parasitological examination
Mucosal scrapings were taken from where the lesions were found: the upper (duodenum), middle (jejunum and ileum) intestine, the large intestine, and caecum. The scrapping is mounted on a glass slide, diluted with an equal amount of normal saline, and covered with a coverslip. The slides were examined under low (×10) and higher (×40) objectives for observing the oocysts. In addition to the mucosal scraping method, flotation techniques were used to check its presence in the feces taken directly from the rectum after opening it. Positive samples were further examined for species identification using sporulation. Eimeria oocysts were identified depending on the morphology, sporulation time, and color of the oocysts. Location and characteristics of the intestinal lesion and histopathological findings were also used in species identification. Intestinal contents were spread out in a shallow Petri dish with a 2.5% potassium dichromate solution for sporulation. The sporulation time was considered when 90% of the oocysts were sporulated.[20]
Histopathological examination
For histopathological examination, typical lesions were carefully taken, then fixed in 10% neutral buffered formalin for 24 h, dehydrated in ascending concentration of ethanol (70%, 80%, 95%, and 100%), cleared with xylene, embedded in paraffin, and sectioned of 4–5 µm with a microtome (SLEE, Germany). Paraffin tissue sections were deparaffinized using xylene and hydrated in descending concentration of ethanol (100%, 95%, 80%, and 70%). Finally, tissue sections were observed under a light microscope (×40) (Olympus, Japan) after staining with hematoxylin and eosin dye.[21]
Hematological evaluations
For hematology analysis, a 5 mL blood sample was collected by cardiac puncture using a 5 mL syringe of the total blood volume; 2 mL was maintained in tubes with ethylenediaminetetraacetic anticoagulant (10% Ethylenedinitrilotetraacetic acid K2) to perform hematology, and 3 mL was maintained in tubes without anticoagulant for biochemical analysis. Hematological parameters, including total erythrocytes and leukocytes, differential leukocyte count, packed cell volume (PCV), and hemoglobin (Hb) concentration, were measured manually according to methodology as described by.[22] The red blood cell indices [mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC)] were calculated from red blood cells (RBC), PCV, and Hb percentage, respectively.[23]
Serum biochemistry analysis
The serum biochemistry was analyzed in an automated machine. Blood samples in a plane vacutainer were centrifuged for 10 min at 3,000 rpm at 25°C to separate the serum samples. The concentrations of alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), total protein (TP), and creatinine were evaluated according to the manufacturer’s instructions in an automated machine (Nour General Hospital, Gondar, Ethiopia).
Data analysis
The collected data were coded and entered into a Microsoft Excel spreadsheet. Descriptive analysis was conducted to summarize hematological and biochemical values as mean ± standard deviation and for Eimeria species as proportion and counts. The mean data were interpreted by a comparison with the normal reference interval value. All statistical analyses were performed using Statistical Software for Data Science (STATA/MP) version 17.
RESULTS
Clinical examination
Clinical and physical examinations on suspected chickens were presented with bloody diarrhea, depression, weakness, anorexia, ruffled feathers, emaciation, and death [Figure 2].

- Clinical signs of chickens (a) huddling together, depression, ruffled feathers, and a mix of white and red diarrhea (blue arrow), and (b) red diarrhea, bloody diarrhea (orange arrow).
Gross pathological examination
E. tenella, E. maxima, and E. Brunetti were identified from different segments of the intestine. The results of the necropsy revealed severe hemorrhagic typhlitis and distended and petechial hemorrhages in several areas of the lower intestine. The caeca were highly inflated and petechial bleeding when viewed grossly without opening the gut. However, when the caecum’s mucous membrane was exposed, isolated hemorrhagic patches were also visible. It was common to find a thickened caecum that displayed necrosis and sloughing of the epithelium, an expansion of the caecum with clotted blood, hemorrhagic corrugated mucosa, and a dilatation of the caecum with consolidation [Figures 3 and 4].

- Gross lesion of Eimeria tenella-infected dual purpose Sasso chicken caeca, (a) congested and distended loop of left side ceca, (b) caecal core (sloughed mucosal surface joined to the bloody material), on removal of the material the underneath caecum was severely hemorrhagic due to E. tenella, (c) severe congestion, dilatation and filled with bloody contents with friable caecal wall and petechial hemorrhage looking grossly, and (d) severe hemorrhagic typhlitis with clotted blood in the mucosa of blind ceca.

- Gross lesion of Eimeria tenella, Eimeria brunetti, and Eimeria maxima infected dual Sasso T44 chicken intestine. (a) Necrotized and hemorrhagic blind ceca due to E. tenella, (b) Petechial hemorrhage, orange viscous mucous exudate in the lumen and thickened ilium mucosa due to E. maxima, (c) corrugated mucosa of cecum due to E. tenella, and (d) petechial hemorrhage in the rectum mucosa due to E. brunetti.
Parasitological examination
The presence of oocysts was confirmed using wet smears from mucosal scraping samples and the flotation technique by taking fecal material directly from the rectum. After confirming the presence of oocysts, sporulation was induced using a 2.5% potassium dichromate solution to check whether it was an Eimeria oocyst or other protozoal parasite by checking the number of sporocysts and sporozoites on it [Figure 5].

-
Eimeria oocyst identification by using different techniques, (a) Oocysts were identified by the fecal flotation technique at a magnification of 10x, (b) oocysts were identified under a magnification of 400x, (c) oocysts were determined using wet smears from cecal mucosal scraping at 40x magnification, (d) sporulated Eimeria oocyst contains four sporocysts, while each sporocyst is dizoic, i.e., it contains two sporozoites, four of which each have 2 sporozoites (400x).
Histopathological examination
Histopathologically examined intestinal tissue samples showed different developmental stages of Coccidia, including oocysts, schizonts, merozoites, macro-, and microgametes. The epithelial cells, the villi, and the crypts were highly necrotized and invaded with developmental stages of Coccidia and a high number of inflammatory cells. High numbers of inflammatory cells were also seen in the lamina propria. The mucosal layer was sloughed and eroded. Hemorrhages, congestion, edema, and dilation of intestinal glands were also observed [Figures 6 and 7].
![Histopathological changes in dual-purpose Sasso chickens due to E. tenella infection, (a) the lumens of crypts are filled with intact and degenerating oocysts (black arrow), and the epithelial cells of the crypts exhibit different developmental stages of E. tenella (black arrowhead: Chevron) and edema (blue arrow) (Hematoxylin and Eosin [H&E] stain 400x), (b) Large meronts containing merozoites (white arrow) (H&E stain 400x), (c) different stages of Schizonts in the cecal mucosa (down arrow) (H&E stain 600x), (d) different developmental stages in the mucosa of the cecum (notched right arrow), and filling of the lumen of the cecum with caseous debris (cecal core) (black arrowhead: Chevron) (H&E stain 1000x).](/content/122/2025/5/1/img/RVSM-5-9-g006.png)
- Histopathological changes in dual-purpose Sasso chickens due to E. tenella infection, (a) the lumens of crypts are filled with intact and degenerating oocysts (black arrow), and the epithelial cells of the crypts exhibit different developmental stages of E. tenella (black arrowhead: Chevron) and edema (blue arrow) (Hematoxylin and Eosin [H&E] stain 400x), (b) Large meronts containing merozoites (white arrow) (H&E stain 400x), (c) different stages of Schizonts in the cecal mucosa (down arrow) (H&E stain 600x), (d) different developmental stages in the mucosa of the cecum (notched right arrow), and filling of the lumen of the cecum with caseous debris (cecal core) (black arrowhead: Chevron) (H&E stain 1000x).

- Histopathological changes due to E. tenella, E. brunetti and E. maxima, (a) disintegration of the crypt gland due to E. tenella (white downward arrow) (H&E stain 1200x), (b) atrophy of the villi (black downward arrow) and hemorrhage in the mucosa of the ilium (upper arrow) due to E. maxima (H&E stain 500x), (c) blunt termination (upper black arrow) and hemorrhage in the submucosa of the rectum (left arrow) due to E. brunetti (H&E stain 500x), (d) microgametes (red arrow) and macrogametes (black arrow) in the submucosa of the cecum due to E. tenella (H&E stain 1500x).
Hematological analysis
Hematological results showed that total RBC count, PCV, and MCHC were decreased, but MCV was increased, resulting macrocytic hypochromic type of anemia. Total white blood cells (WBCs) were also increased in comparison with the normal reference value [Table 1].
| Variable | Mean±SD | Reference interval | Source |
|---|---|---|---|
| RBC (1×106 cells per microliter) | 1.93±0.23 | 2.5–3.5 | [24] |
| PCV (%) | 27.1±4 | 35–55 | [23] |
| Hb (g/dL) | 7.85±1.4 | 7–13 | [24] |
| MCV (fl) | 142±27 | 90–140 | [24] |
| MCH (pg) | 35.5±5.3 | 33–47 | [24] |
| MCHC (%) | 25.3±2.7 | 26–35 | [24] |
| Total WBC (×104 µL) | 3.41±6.1 | 1.2–3.0 | [25] |
| Lymphocytes (%) | 59.6±6 | 34 | [25] |
| Monocytes (%) | 6.4±2 | 2.8 | [25] |
| Eosinophils (%) | 9.4±2 | 0.3 | [25] |
| Heterophils (%) | 23±6.42 | 0–1 | [25] |
RBC: Red blood cells, WBC: White blood cells, PCV: Packed cell volume, Hb: Hemoglobin, MCV: Mean corpuscular volume, MCH: Mean corpuscular hemoglobin, MCHC: Mean corpuscular hemoglobin concentration, SD: Standard deviation
Serum biochemical analysis
Biochemical analysis results showed increased ALT and ALP values but decreased TP and creatinine values [Table 2].
| Variable | Mean±SD | Reference interval | Source |
|---|---|---|---|
| ALT (IU/L) | 30.14±8.72 | 20 | [25] |
| AST (IU/L) | 385.47±59.44 | 131–486 | [25] |
| ALP (IU/L) | 2371.28±1598.47 | 32–98 | [26] |
| Total protein (g/dL) | 3.73±0.46 | 3.9–7 | [27] |
| Creatinine (mg/dL) | 0.55±0.43 | 0.1–0.4 | [28] |
IU: International unit, ALT: Alanine aminotransferase, AST: Aspartate aminotransferase, ALP: Alkaline phosphatase, SD: Standard deviation
DISCUSSION
Coccidiosis is one of the main problems in poultry farming. Eimeria species is the main causative agent of coccidiosis, which widely occurs throughout Ethiopia. Heavy morbidity and mortality due to coccidiosis have significantly affected the poultry industry, especially in the intensive deep litter management system. Therefore, pathological investigation of coccidiosis is significant to be aware of its impacts and to take preventive measures.
In the current investigation, E. tenella, E. maxima, and E. brunetti were identified. Similarly, Lobago et al.[29] identified E. brunetti in the Kombolcha Poultry Multiplication and Research Center, Chanie et al., Jimolu, and Lobago et al.[29-31] reported E. tenella in Tiyo Woreda, Arsi Administrative Zone of Oromia Regional State, and Adamu et al.[32] found E. tenella and E. brunetti from a small-scale grill farm in Debre Zeit, Ethiopia. Postmortem examination revealed thicker, congested orange mucus and an edematous intestinal wall with petechial to severe bleeding. Enlarged and distended caecal pouch with clotted blood, caecal core, corrugated mucosa, and hemorrhagic typhlitis were also observed, which was consistent with the findings of Adamu et al. and Yohannes et al.[32,33]
Histopathologically, numerous oocytes, schizonts, gametocytes, and merozoites invaded the mucosal and submucosal layers, loss of enterocytes, hemorrhage, and necrosis of the mucosal layer, disintegration of mucosal glands, desquamation, and blunting of villi were observed. This result is supported by the reports of Sharma et al., Melkamu et al., and Shilpa Sood et al.[34-36] This led to hemorrhage of the intestine and reduced the efficiency of the small intestine for absorption of nutrients.
The pathological effects of E. tenella and E. maxima on poultry were studied by various researchers[32,37,38] which reported that the second generation schizont of E. tenella caused severe damage to the caecal glands, mucosa, and muscularis layer, resulting in tissue damage and bloody diarrhea. On the other hand, E. maxima was found to induce villous atrophy, epithelial cell proliferation, hemorrhage, and submucosal gland dilation, as observed by Sharma et al. and Zulpo et al.[34,39]
In the conducted study, it was found that coccidiosis caused by E. tenella, E. maxima, and E. brunetti resulted in a significant reduction in total blood cell count and PCV levels. This aligns with previous research by Habibi et al., Melkamu et al., Muhammad et al., and Umar et al.[36,40-43] In addition, the study indicated the presence of macrocytic normochromic anemia, contradicting previous findings of normocytic hyperchromic or normocytic hypochromic anemia.[43-45] The observed anemia may be attributed to severe hemorrhages, stimulating the release of immature erythrocytes by the bone marrow.
Higher values of MCV in present study indicated macrocytic anemia. This might be due to severe hemorrhages which stimulate bone marrow to release regenerative forms of immature erythrocytes in circulation. Higher values of MCV in the present study indicated macrocytic anemia. This might be due to severe hemorrhages which stimulate bone marrow to release regenerative forms of immature erythrocytes in circulation.
The differential WBC count on Dual Sasso breeds infected by E. tenella, E. maxima, and E. brunetti revealed increased numbers of lymphocytes, monocytes, eosinophils, and heterophils compared to the reference value indicated by Thrall et al.[25] These findings align with Adamu et al., El-Shazly et al., Khaligh et al., Melkamu et al., Oljira et al., and Umar et al.,[32,36,43,46-48] indicating an increment in peripheral blood leukocytes (PBL) in response to Eimeria species infection in chickens. However, in contrast, Nonkookhetkhong and Chalalai, Petrone et al., and Zulpo et al.[39,49,50] reported decreased eosinophil and heterophil counts in E. tenella-infected groups, primary infections showed biphasic increases in PBL numbers and significant changes in polymorphonuclear cells, lymphocytes, and monocytes counts.
The chicken’s increased lymphocyte count may be due to the induction of an immune response to infection, as lymphopoiesis increases as the first step of defense. Heterophils, a type of granulocytic leukocyte, act as the initial defense against pathogens. Heterophilia and monocytosis are linked to acute and chronic inflammatory responses, respectively. Eosinophilia is associated with parasitic infestation and is rarely reported in chickens, but may be linked to parasitism (e.g., mites, intestinal parasites, and parasites with tissue migration[22,51]).
The serum analysis in this study revealed elevated ALP and ALT levels, normal AST levels, and decreased protein levels compared to the normal reference values.[25] These findings align with El-Maksoud et al. and Melkamu et al.,[36,52] but contradict the findings of Adamu et al. and AL-Saegh.[32,37] It also argues with the finding of Patra et al.,[53] who reported that the ALP level was significantly reduced in the affected birds, which is indicative of damage to the bone marrow with severe growth depression, as ALP is known to rise during active growth.
The serum TP level is decreased, which is similar to the report of El-Maksoud et al., Freitas, and Hirani et al.,[52,54,55] who presented that a significant reduction in total serum protein different Eimeria species. The reduced TP level may be attributed to factors such as stress, liver alterations, and nutritional malabsorption. The study also suggests that increased ALP activities could be linked to excessive blood cell production in the bone marrow, while elevated ALT levels may indicate hepatocellular damage and metabolic alterations.
Availability of data and materials
All pertinent information is available within the manuscript.
Recommendations: 1. Conducting gross and histopathological lesion scores to measure the burden of infection. 2. Providing feed additive coccidiostats and vaccination. 3. Performing experimental studies to understand the pathogenesis and severity of coccidiosis in Sasso T44 chickens.
CONCLUSION
The study found that Eimeria infection severely affected Sasso chickens, causing extensive tissue damage, hemorrhage, and significant drops in red blood cell count and Hb levels.
Author contributions:
DYM and MC: Designed the study protocol and extracted, analyzed, and interpreted the data. DYM, MC, GGD, YD, MY, BD, BA, KAS, and AMB prepared the manuscript. All authors reviewed and approved the final version of the manuscript.
Ethical approval:
The research/study approved by the Institutional Ethics Committee at the College of Veterinary Medicine and Animal Sciences, University of Gondar, Ethiopia, number CVMAS. Sc.16.282028, dated 16th July 2023.
Declaration of patient consent:
Patient’s consent was not required as there are no patients in this study.
Conflicts of interest:
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation:
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
Financial support and sponsorship: Nil.
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