Bacterial Kidney Disease (BKD)

Overview

What is Bacterial Kidney Disease (BKD)?

Bacterial Kidney Disease (BKD) is a chronic bacterial infection affecting various fish species in aquaculture, including Atlantic salmon (Salmo salar), rainbow trout (Oncorhynchus mykiss), and other freshwater and marine fish. It is caused by the bacterium Renibacterium salmoninarum, leading to significant economic losses due to high mortality rates, reduced growth performance, and increased susceptibility to secondary infections 1 2 3.

Symptoms of Bacterial Kidney Disease

Common Symptoms

  • Physical Signs:

    • Swollen Kidney: Enlarged, pale, and granular kidneys upon internal examination 1 2.
    • Exophthalmia: Protruding or bulging eyes 1 2.
    • Skin Lesions: Ulcers or open sores on the skin 2 3.
    • Hemorrhages: Reddened areas on the skin, fins, and internal organs 1 2.
    • Abdominal Swelling: Distended abdomen due to fluid accumulation and enlarged organs 1 2.
  • Behavioral Changes:

    • Lethargy: Reduced activity and slow swimming 23.
    • Loss of Appetite: Decreased feeding behavior and significant weight loss 23.
    • Abnormal Swimming Patterns: Fish may swim erratically or in circles due to distress and weakness 2 3.

Progression of Symptoms

  • Early Stages: Subtle signs such as reduced feed intake and slight lethargy 2 3.

  • Advanced Stages: Pronounced physical symptoms, including swollen kidneys, skin lesions, and hemorrhages, leading to high mortality if not managed 1 2.

  • Impact on Fish Health: BKD severely compromises immune function and overall vitality, making fish susceptible to secondary infections and reduced growth rates 1 2.

Causes of Bacterial Kidney Disease

Etiology

  • Causative Agent: Renibacterium salmoninarum bacterium 1 2.

  • Transmission Methods:

    • Direct Contact: Spread between infected & healthy fish through close proximity 1 2.
    • Waterborne: The bacterium can spread through water, especially under conditions of poor water quality and high organic load 1 2.
    • Vertical Transmission: Infected broodstock can transmit the bacterium to their offspring through eggs 1 2.

Risk Factors

  • Environmental Factors: Poor water quality, high stocking densities, and stressful conditions can increase susceptibility to BKD 1 2.
  • Farm Management Practices: Ineffective biosecurity measures and lack of routine health monitoring can facilitate the spread of the bacterium 1 2.

Diagnosis

Diagnostic Methods

  • Clinical Examination: Observation of physical and behavioral symptoms indicative of BKD.

  • Laboratory Tests:

    • Bacterial Culture: Isolation and identification of Renibacterium salmoninarum from tissue samples. However, R. salmoninarum is slow-growing on bacteriological media, and samples may become overgrown by faster-growing microorganisms, making culture difficult 5 7.
    • PCR (Polymerase Chain Reaction): Detects bacterial DNA in tissue samples 5 7.
    • Histopathology: Microscopic examination of kidney and other tissues to assess the extent of damage and infection 7.
    • Fluorescent Antibody Test (FAT): Used for confirmatory identification 5.
    • Enzyme-Linked Immunosorbent Assay (ELISA): Quantifies the level of soluble antigen (p57) in kidney tissue 4 8.

Differential Diagnosis

  • Distinguishing BKD from Other Diseases: It is crucial to differentiate BKD from diseases with similar symptoms, such as Infectious Hematopoietic Necrosis (IHN) and other bacterial infections 8.

Treatment and Prevention

Treatment Options

  • Current Treatments:

    • Antibiotics: Erythromycin and sulfamethazine can control the disease while administered, but mortality often resumes when treatment is withdrawn 2.
    • Supportive Care: Improving water quality and reducing stress to support recovery.
  • Experimental Treatments: Research is ongoing into potential vaccines and alternative treatment methods.

Preventive Measures

  • Biosecurity Protocols:

    • Implementing strict biosecurity measures to prevent the introduction and spread of _Renibacterium salmoninarum 5.
    • Regular disinfection of equipment and facilities to minimize the risk of contamination 6.
  • Farm Management Practices:

    • Reducing stocking densities to decrease the risk of bacterial transmission 4.
    • Using water treatment systems to maintain optimal water quality 4.
    • Regular health monitoring and early detection programs to identify and manage outbreaks promptly 5.
    • Culling of infected broodstock and/or total hatchery depopulation followed by disinfection 5.

Case Studies

Real-World Examples

  • Notable Outbreaks:

    • Scotland (1933): First reported in wild Atlantic salmon populations in the rivers Spey and Dee 8.
    • Japan (1970s): BKD is believed to have been introduced with imports of Coho salmon eggs certified as infection-free 5.
  • Response Strategies and Outcomes:

    • Scotland: In 1997, when BKD was first diagnosed in a rainbow trout farm, the infected farm and a downstream farm were emptied, cleaned, disinfected, and restocked after a 60-day fallowing period. However, the disease reappeared the following year 5.
  • Lessons Learned: The importance of early detection, robust biosecurity, and coordinated response efforts in controlling BKD outbreaks.

Data Insights

Disease Impact by Country

Scotland

  • BKD Incidence in Scotland:

    • The prevalence of BKD in trout and salmon farms is low 7.
    • Between 1990 and 2002, BKD was not recorded in wild salmonids from Scotland, with the last recorded case in wild fish occurring in the 1960s 4.
  • Treatment Regimes:

    • All fish farms holding salmon or trout are inspected at least once a year for BKD 7.
    • Farms confirmed as infected with BKD are controlled by movement restrictions and must enter into an eradication program 7.

Research and References

Latest Research Findings

Recent studies on Bacterial Kidney Disease (BKD) have focused on various aspects of the disease, including its diagnosis, prevalence, and control. Here are some notable recent research findings:

  1. "Prevalence and diagnosis of bacterial kidney disease (BKD) in Scotland between 1990 and 2002"
    Authors: Bruno, D. W.
    Reference: Bruno, D. W. (2004). Prevalence and diagnosis of bacterial kidney disease (BKD) in Scotland between 1990 and 2002. Diseases of Aquatic Organisms, 59(2), 125-130.
    Link to study
  2. "BACTERIAL KIDNEY DISEASE"
    Authors: J.W. Warren
    Reference: Great Lakes Fishery Commission Special Publication 83-2, Chapter 21.
    Link to study
  3. "Report of the Scientific Committee on Animal Health and Animal Welfare on Bacterial Kidney Disease"
    Authors: Scientific Committee on Animal Health and Animal Welfare
    Reference: European Commission, Health & Consumer Protection Directorate-General.
    Link to study

Conclusion

Bacterial Kidney Disease (BKD) remains a significant challenge for aquaculture, necessitating diligent management and preventive measures. By implementing robust biosecurity protocols, balanced nutrition, and regular health monitoring, fish health managers and veterinarians can mitigate the impact of BKD and ensure the sustainability of aquaculture operations. This comprehensive guide aims to provide the necessary information and resources to effectively manage BKD and support the health and welfare of farmed fish.