JPH06219957A - Agent for treatment of cryptostridium disease - Google Patents

Agent for treatment of cryptostridium disease

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Publication number
JPH06219957A
JPH06219957A JP4105450A JP10545092A JPH06219957A JP H06219957 A JPH06219957 A JP H06219957A JP 4105450 A JP4105450 A JP 4105450A JP 10545092 A JP10545092 A JP 10545092A JP H06219957 A JPH06219957 A JP H06219957A
Authority
JP
Japan
Prior art keywords
cryptostridium
symptom
diarrhea
miyairi
agent
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP4105450A
Other languages
Japanese (ja)
Other versions
JP2696186B2 (en
Inventor
Noboru Narasaki
▲昇▼ 楢崎
Kiyoshi Takahashi
清志 高橋
Yoshihiko Ueda
義彦 上田
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Miyarisan KK
Original Assignee
Miyarisan KK
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Filing date
Publication date
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Priority to JP4105450A priority Critical patent/JP2696186B2/en
Publication of JPH06219957A publication Critical patent/JPH06219957A/en
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Publication of JP2696186B2 publication Critical patent/JP2696186B2/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Abstract

PURPOSE:To improve the excretion of ootid of the protozoon of Cryptostridium from human, other mammals and birds, improve the diarrhea and dehydration symptom and prevent the turning of the local symptom to constitutional symptom by orally administering Miyairi bacterium. CONSTITUTION:An agent for the treatment of cryptostridium disease containing Miyairi bacterium [Clostridium butyricum (FERM P-1467)] as main agent. The excretion of the ootid of cryptostridium can be promoted to minimize the parasitism of sporozoid by the administration of Miyairi bacterium. The shrunken or destructed intestinal villus can quickly be restored by the action of butyric acid generated by the proliferation of Miyairi bacteria in the intestines. The agent is effective for improving the diarrhetic symptom and preventing the turning of the diarrhetic symptom to the constitutional symptom occurring in infant animals and babies having incomplete immunological function and patient of immunological function insufficiency.

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【産業上の利用分野】本発明は、クリプトストリジウム
症の治療剤に関する。
FIELD OF THE INVENTION The present invention relates to a therapeutic agent for cryptostridia.

【0002】[0002]

【従来の技術】クリプトストリジウム症は、アピコンプ
レックス門・胞子虫綱・コクシジウム亜綱・真コクシジ
ウム目・アイメリア亜目・クリプトストリジウム科・ク
リプトストリジウム属に属する微小な原虫が、ヒトその
他の哺乳動物、鳥類、爬虫類などを共通宿主として寄生
し、多頻度の下痢とそれに伴う激しい脱水症状を呈する
感染症として知られている。
2. Description of the Related Art Cryptostridia is a small protozoa belonging to the genus Apicomplexa, sporozoa, subfamily Coccidia, order Coccidia, suborder Eimeria, subfamily Cryptostridia, and genus Cryptostridia. It is known as an infectious disease that parasitizes mammals, birds, reptiles, etc. as a common host and exhibits frequent diarrhea and associated severe dehydration.

【0003】クリプトストリジウム感染による発症機序
は、クリプトストリジウム・オーチスチが腸管に達する
と生活環を開始し、虫体(スポロゾイド)の寄生によっ
て腸粘膜上の微繊毛が萎縮・破壊されることから、吸収
不全性の下痢が惹起されるとされる。
The mechanism of Cryptostridium infection is that the life cycle of Cryptostridium ortis reaches the intestinal tract, and the microfilaments on the intestinal mucosa are atrophied and destroyed by parasitism of parasites (sporozoids). Therefore, it is considered that malabsorption diarrhea is caused.

【0004】免疫機能が正常なヒトや哺乳動物では、感
染は一過性に終息するが、一過性とはいえ1〜2週間に
及ぶ激しい下痢のため、患者・患畜は著しい脱水・全身
衰弱を来す。免疫機能が未完全な1月令未満の子牛や5
才以下の幼児、AIDSなどの後天性免疫不全患者、臓
器移植のため免疫機能抑制剤投与中の患者では、下痢は
長期にわたり、感染部位は腸管に留まらず、食道から胃
の全消化管、胆嚢・胆管などの分泌器官、呼吸器系にま
で及び、死の転機をとるケースも多く報告されている。
In humans and mammals with normal immune functions, the infection is transiently terminated, but severe diarrhea for 1 to 2 weeks, although transient, causes severe dehydration and general weakness in patients and animals. Come on. 5 calves under 5 months with imperfect immune function
In infants under the age of age, patients with acquired immunodeficiency disorders such as AIDS, and patients receiving immunosuppressive drugs for organ transplantation, diarrhea is prolonged and the infected site does not remain in the intestinal tract, but the entire digestive tract from the esophagus to the stomach and gallbladder. -Many cases have been reported to reach the turning point of death, extending to the secretory organs such as the bile duct and the respiratory system.

【0005】クリプトストリジウム症に対して、現在ま
で数多くの予防・治療処理が施されてきたが、いずれの
薬剤にも効果がみられず、現在有効な治療剤はないとさ
れている。
Although many preventive / therapeutic treatments have been applied to cryptostridia disease to date, none of the drugs have any effect and it is said that there is no effective therapeutic agent at present.

【0006】[0006]

【発明が解決しようとする課題】本発明は、ミヤイリ菌
を投与することによってクリプトストリジウム・オーチ
ストの排出を早め、虫体(スポロゾイド)の寄生を最小
限に留めると共に、ミヤイリ菌の腸管内増殖によって生
成される酪酸の作用で、萎縮・破壊された腸粘膜微繊毛
の早期恢復を促して下痢症状を改善すると共に、免疫機
能未完全な幼畜・幼児・免疫機能不全患者にみられる全
身症状への転機を阻止するものである。
DISCLOSURE OF THE INVENTION The present invention aims at accelerating the excretion of Cryptosporidium oocysts by administering Mycobacterium leprae, minimizing parasitism of parasites (sporozoids), and proliferating the intestinal tract of Mycobacterium leprae. By the action of butyric acid produced by lactic acid, it promotes early recovery of atrophied and destroyed intestinal mucosa microvilli and improves diarrheal symptoms, and systemic symptoms observed in babies, infants and patients with immunodeficiency who have imperfect immune function. To prevent the turning point.

【0007】[0007]

【課題を解決するための手段】本発明の開発の手段とし
て、乳用オス初生子牛を用いてミヤイリ菌投与試験を実
施した。通常、子牛の下痢発症時には哺乳の停止(断
食)、抗生物質・抗菌剤その他の止痢剤の投与、脱水症
治療のための電解質液の経口投与等の処置が行なわれる
が、前述のようにクリプトストリジウム症には現在有効
な治療剤がないため、抗生物質・抗菌剤の注射あるいは
経口投与、電解質液の経口投与は逆に副作用による下痢
症状の進行を促し、死の転機を来すため、栄養を維持す
るための少量の哺乳を続けるのみで、子牛の免疫機能発
現による自然治療を待つのが最善であると言われる。し
かし、哺乳期における子牛の下痢は、その後の発育に及
ぼす影響が大きく、成牛期での産乳能力・肥育効率も悪
く廃用を早めることになる。
[Means for Solving the Problems] As a means for developing the present invention, a test for administration of B. miyalii was carried out using male primal calves for dairy animals. Usually, when diarrhea occurs in calves, treatments such as stopping feeding (fasting), administration of antibiotics / antibacterial agents and other antidiarrheal agents, and oral administration of electrolyte solution for treatment of dehydration are performed. Since there is currently no effective therapeutic agent for cryptostridia, injection or oral administration of antibiotics / antibacterial agents and oral administration of electrolyte solution, on the contrary, accelerate the progress of diarrhea due to side effects and lead to death. Therefore, it is said that it is best to wait for the natural treatment by expressing the immune function of the calf by only continuing a small amount of feeding to maintain nutrition. However, diarrhea of calves in the lactating period has a great influence on the subsequent development, and the milk-producing ability and the fattening efficiency in the adult period are poor, and the discontinuation is accelerated.

【0008】ミヤイリ菌は、Clostridium Butyricum MI
YAIRI の学名で分類される酪酸菌の特殊株微工研:微生
物受託番号:第1467号であり、腸内病原性細菌感染
時における腸内菌叢の不均衡、吸収・分泌機能の低下、
下痢の発症などの腸管機能の異常を正常に戻す作用を持
ち、また、芽胞菌であるため抗生物質・抗菌剤投与時の
副作用、例えば菌交替症としてのClostridium Difficil
e 起因性の偽膜性大腸炎・吸収分泌異常発症の予防およ
び抑制剤としてヒトにも広く投与されている。本発明
は、上記ミヤイリ菌を用いて、上記クリプトストリジウ
ム症の治療剤を提供するものである。
[0008] Mycobacterium leprae is Clostridium Butyricum MI
Special strain of butyric acid bacteria classified by scientific name of YAIRI: Microorganisms Research Institute: Microbial Accession No .: 1467, imbalance of intestinal flora, decrease in absorption / secretion function at the time of intestinal pathogenic bacterial infection,
It has the effect of restoring abnormalities of intestinal tract function such as the onset of diarrhea to normal. In addition, since it is a spore bacterium, side effects during administration of antibiotics / antibacterial agents, such as Clostridium Difficil
It is widely administered to humans as a prophylactic and suppressive agent for e-induced pseudomembranous colitis and abnormal absorption and secretion. The present invention provides the above-mentioned therapeutic agent for Cryptostridia using the Mycobacterium leprae.

【0009】試験1−1 乳用オス子牛10頭を用いて、試験区5頭・対照区5頭
とした。出生直後から初乳哺乳量を通常の半分量、日量
3リットルとして初乳免疫獲得量を制限し、冷凍保存し
ていたクリプトストリジウム・オーチストを別のオス子
牛1頭に予めカテーテルで経口投与して感染発症させ、
排泄された糞中オーチストを精製し、1頭当たり25×
106 /30mlのオーチストをそれぞれ5日令時にカ
テーテルで経口投与して実験的に感染発症させた。試験
期間はクリプトストリジウム・オーチスト経口投与の5
日令から8週令までとした。試験区の5頭にはミヤイリ
菌製剤(4×107 /g)を日量10gとして代用乳ま
たは電解質液に混合して、1日2回に分けて投与し、対
照区の5頭には慣行の止痢剤(ベルベリン及びクレオソ
ート製剤)を指示の用量・用法により投与経口した。
Test 1-1 Ten male dairy calves were used to make 5 test groups and 5 control groups. Immediately after birth, the amount of colostrum fed was reduced to half the usual amount and the daily dose was 3 liters to limit the amount of colostrum immunity obtained, and cryopreserved Cryptostridium oocysts were orally administered to another male calf in advance with a catheter. Administration to cause infection
Purify excreted fecal orchest, 25 x per head
10 6/30 ml of the Ochisuto oral administration to infected develop experimentally by catheter during 5 days old, respectively. Oral administration of Cryptostridium oocyst is 5
From the age of 8 to 8 weeks. Five animals in the test group were mixed with milk substitute or electrolyte solution in a daily dose of 10 g of the Myxomycetes preparation (4 × 10 7 / g), and the mixture was administered twice a day. Conventional antidiarrheal agents (berberine and creosote formulations) were administered orally at the indicated dose and usage.

【0010】下痢症状が重度の場合は代用乳の哺乳を止
め(断食)、脱水症予防処置として電解質液を日量とし
て2リットル×2回、経口投与した。下痢が恢復した場
合は、代用乳を規定の1/3量から順次増量して給与し
た。
When the diarrhea symptom was severe, feeding of the milk replacer was stopped (fasting), and as a preventive measure against dehydration, an electrolyte solution was orally administered at a daily dose of 2 liters × 2 times. When the diarrhea was relieved, the milk substitute was gradually increased from the prescribed 1/3 amount and fed.

【0011】調査項目は、糞中オーチスト数:ウィス
コンシン変法により算出。糞の性状:硬便・1、正常
便・2、軟便・3、泥状便・4、水様便・5の5段階に
分類する便スコアで、朝夕2回の飼料給与時に観察して
記録。飼料摂取量:給与した人工乳から残餌量を朝の
給与前に差し引いて算出。体重:5日令および各週令
に(7日令を除く)夕方の哺乳前に測定して記録。供
試牛の外貌および活力:肉眼で観察記録。斃死事故:
斃死発見時の日令を記録、の6項目とした。
The survey items were calculated by the number of fecal oocysts: modified Wisconsin method. Fecal characteristics: Hard stool ・ 1, normal stool ・ 2, soft stool ・ 3, mud stool ・ 4, watery stool ・ 5 stool scores, observed and recorded twice daily in the morning and evening . Feed intake: Calculated by subtracting the amount of residual food from the fed artificial milk before feeding in the morning. Weight: Recorded at 5 days of age and each week (excluding 7 days of age) before feeding in the evening. Appearance and vitality of test cows: Recorded with the naked eye. Death accident:
Record the date of death upon death, which is the 6 items.

【0012】次に、各項目についての調査結果を表で示
す。
Next, the results of the survey for each item are shown in a table.

【表1】 [Table 1]

【0013】供試牛の外貌および活力。 試験区では導入時から試験終了まで特に異常は認められ
なかった。対照区では2頭に脱水症による憔瘠・活力低
下・皮毛の光沢減少が認められた。恢復した3頭のうち
1頭に3〜4週令の間にやや活力の低下がみられたが、
2頭には特に異常をみなかった。
Appearance and vitality of the test cow. No abnormalities were found in the test plot from the time of introduction to the end of the test. In the control group, two dogs were found to have dry mouth, decreased vitality, and reduced luster of the hair due to dehydration. One of the three recuperated animals showed a slight decrease in vitality during the 3-4 week old period,
No abnormalities were found in the two animals.

【0014】斃死事故。 試験区では全頭が恢復したが、対照区のうち1頭は26
日令で、他の1頭は32日令で、それぞれ憔瘠衰弱によ
り斃死した。
A fatal accident. All animals recovered in the test area, but one in the control area was 26
The other one was 32 days old and died due to weakness.

【0015】試験1−2 通常の管理下で哺育中に激しい下痢症状を示し、抗生物
質・抗菌剤の投与でも症状が改善されなかったメス2頭
・オス4頭の糞便を検査したところ、クリプトストリジ
ウムのオーチストが認められたので、直ちに抗生物質・
抗菌剤の投与を中心し、ミヤイリ菌製剤(4×107
g)5gを電解質液2リットルに混合し、1日2回(日
量として10g)投与したところ、メス1頭・オス3頭
は5日目から、メス1頭・オス1頭は7日目から糞中に
オーチストが認められなくなり、食欲も回復したので、
ミヤイリ菌製剤 1日10gを2週令まで続け、6週令
までは6gとし、8周令の離乳までは2g投与したとこ
ろ、以降は下痢症状もなく、順調な発育成績を得た。
Test 1-2 Feces of 2 females and 4 males who showed severe diarrhea during lactation under normal control and whose symptoms were not improved by administration of antibiotics and antibacterial agents were examined. Stridium oocysts were found, so antibiotics and
Focusing on the administration of antibacterial agents, the formulation of Miyali bacteria (4 × 10 7 /
g) 5g was mixed with 2 liters of electrolyte solution and administered twice a day (10g as daily dose). One female and three males from the fifth day, one female and one male on the seventh day. Since the orchest was no longer recognized in the feces and the appetite was restored,
The Mycobacterium leprae preparation 10 g per day was continued until 2 weeks of age, 6 g until 6 weeks of age, and 2 g was administered until weaning at 8 weeks of age. Thereafter, diarrhea symptoms did not occur, and favorable growth results were obtained.

【0016】試験1−3 クリプトストリジウム症汚染牛舎において、出生当日か
らミヤイリ菌製剤(4×107 /g)日量2gを朝夕に
分けて初乳に混合して投与し、5日令以降は常乳に混合
して投与し、3週令から8周令まで1日1gとして投与
を続けた処、初症はなく、予防効果が顕著であった。
Test 1-3 In a cow house contaminated with cryptostridia, from a day of birth, a daily dose of 2 g of a Mycobacterium leprae preparation (4 × 10 7 / g) was divided into morning and evening and mixed with colostrum, and administered after 5 days of age. Was mixed with normal milk and administered at a dose of 1 g per day from 3 weeks to 8 weeks, and there was no initial symptom, and the preventive effect was remarkable.

【0017】ヒトを含む哺乳動物の出生直後では、小腸
上皮組織の構造が極めて特異的であり、すなわち粘膜細
胞上の微繊毛の発達が疎で短く、陥入像が認められる。
管構造が複雑に入り込み、大小の空胞が形成されてい
る。このような構造によって腸管内の高分子物質の取り
込みがみられ、初乳中のガンマー・グロブリン(抗体伝
達蛋白質)の取り込みを可能にするばかりか、細菌類の
非選択的通過を可能にさせる。芽胞体・偏性嫌気菌であ
るミヤイリ菌(Clostridium Butyricum MIYAIRI)が新生
動物の小腸粘膜組織内に取り込まれた場合、組織内での
増殖によって不測な影響を与えるかどうかを調べるため
に、試験1−3の実施に当たっては、予め乳用オス子牛
6頭を用い、出生後6時間以内に初乳にミヤイリ菌製剤
1gを混合して第1回目の投与をしたのち、3週令まで
1日2g,8週令の離乳時まで1日1gの投与を続けた
ところ、全く異常を認められなかった。この予備試験の
のちに試験1−3を実施した。
Immediately after the birth of mammals including humans, the structure of the intestinal epithelial tissue is extremely specific, that is, the development of microcilia on mucosal cells is sparse and short, and an invaginated image is observed.
The tubular structure penetrates intricately, forming large and small vacuoles. Due to such a structure, uptake of a high molecular substance in the intestinal tract is observed, and not only the uptake of gamma-globulin (antibody transfer protein) in colostrum but also the non-selective passage of bacteria is possible. To investigate whether Clostridium Butyricum MIYAIRI, a spore-bearing obligate anaerobic bacterium, is incorporated into the small intestinal mucosal tissue of newborn animals to investigate whether it has an unexpected effect on the growth in the tissue 1 In carrying out -3, 6 male calves for dairy cows were used in advance, and within 6 hours after birth, the colostrum was mixed with 1 g of the Mycobacterium spp. When the dose of 2 g, 1 g per day was continued until weaning at the age of 8 weeks, no abnormality was observed. Tests 1-3 were performed after this preliminary test.

【0018】(ヒトでの臨床例)上記試験1−1を実施
中に、たまたま試験に係った職員1名が、微熱を伴う激
しい腹痛と多頻度の下痢症状を示し、入院する事態を生
じた。直ちに糞便検査を行なったところ糞中にクリプト
ストリジウム・オーチストを検出、クリプトストリジウ
ム症と診断された。入院2日目(発病後3日目)の午後
からミヤイリ菌製剤(4×107 /g)を日量12g
(1日3回に分服)を経口投与したところ、投与後4日
目からの検便ではオーチストは検出されなくなり、水様
性の下痢から普通下痢に好転し、9日目以降は軟便とな
り、入院17日目(発病後18日目)で退院することが
出来た。幸いに、免疫機能正常者の感染であったが、ク
リプトストリジウム・オーチスト検出後の投与薬剤は、
補液(入院後10日目まで点滴投与)の他はミヤイリ菌
製剤のみであり、正常免疫機能者の症例としてもオーチ
ストの排出が極めて短時日であったことから、ヒトのク
リプトストリジウム症に対してもミヤイリ菌の有効性が
認められる。
(Clinical Example in Human) During the above-mentioned Test 1-1, one staff member who happened to be involved in the test accidentally presented with severe abdominal pain accompanied by slight fever and frequent diarrhea and was hospitalized. It was Immediately after fecal examination, Cryptostridium oocysts were detected in the feces, and the patient was diagnosed with cryptostridia. From the afternoon of the 2nd day of hospitalization (the 3rd day after the onset of illness), the daily dose of 12g of the Miyali bacterium preparation (4 × 10 7 / g)
Oral administration of (divided three times a day), no oocysts were detected in the stool test from the 4th day after administration, watery diarrhea improved to normal diarrhea, and loose stools from the 9th day onwards. I was able to be discharged from the hospital on the 17th day (18th day after the illness). Fortunately, it was an infection of a person with a normal immune function, but the drug administered after detection of Cryptostridium oocyst was:
Except for fluid replacement (drip administration until 10th day after hospitalization), only Miyariiri preparations were used, and even in cases of normal immune function patients, oocysts were excreted in a very short time. Also, the effectiveness of Miyairi bacteria is recognized.

【0019】なお、ニワトリなどの鳥類におけるクリプ
トストリジウム症に対しても有効である。その場合、例
えばエサの中にミヤイリ菌末を0.5%(重量)混入す
る方法などによって投与する。
It is also effective against cryptostridia in birds such as chickens. In that case, for example, it is administered by a method in which 0.5% (by weight) of B. millet powder is mixed in the feed.

【0020】急性、亜急性、慢性のいずれの毒性も認め
られない。(応用薬理第34巻、第2号215〜221
頁、223〜237頁、同第33巻第4号683〜69
4頁参照)
No acute, subacute, or chronic toxicity is observed. (Applied Pharmacology Vol. 34, No. 2 215-221.
Pp. 223-237, Vol. 33, No. 4, 683-69.
(See page 4)

【0021】[0021]

【発明の効果】家畜では、クリプトストリジウム症の潜
在的蔓延率は、2〜3週令の子牛で81%に認められる
と報告されている(アメリカ・オハイオ州)。感染は動
物からヒト、汚染された環境からヒトへと宿主を共通し
ており、生水・生野菜のみならず、塩素消毒によっても
クリプトストリジウムのオーチストは死滅せず、またオ
ーチストが極めて微小なため、霧状となっての空気感染
もありうる。
EFFECTS OF THE INVENTION In domestic animals, the potential prevalence of cryptostridia is reported to be 81% in calves aged 2-3 weeks (Ohio, USA). Infection has a common host from animals to humans and from polluted environments to humans. Not only raw water and raw vegetables, but chlorine disinfection does not kill Cryptosporidium oocysts, and the oocysts are extremely small. Therefore, there is a possibility of airborne infection as a mist.

【0022】平成2年度のエイズ・サーベランスの調査
では、日本におけるAIDS患者は600名以下に留ま
っているが、世界的な蔓延の状況や、今後の医学界で全
国的に手術が行なわれようとしている臓器移植患者への
免疫抑制剤の投与、さらには先進諸国では5才以下の幼
児への院内感染・保育所内での感染症としてクリプトス
トリジウム症は問題になっており、その対策は重要視さ
れている。免疫不全患者へのクリプトストリジウム症は
問題になっており、その対策は重要視されている。免疫
不全患者へのクリプトストリジウム虫体(スポロゾイ
ド)の寄生は消化管に留まらず、分泌器官から呼吸器に
及び死への転機を斉らすことから、ミヤイリ菌の投与に
よるクリプトストリジウム・オーチストの早期排出やミ
ヤイリ菌が腸管内で生成する酪酸による小腸微繊毛の早
期回復による症状の好転は、医学・獣医学上での効果と
して極めて大きいものがある。
According to the AIDS surveillance survey conducted in FY 1990, the number of AIDS patients in Japan was less than 600. However, the worldwide epidemic situation and the future of medical treatment in the medical community are likely to cause surgery. Administration of immunosuppressive drugs to patients with organ transplantation, and in developed countries, cryptostridia is becoming a problem as a nosocomial infection for infants under the age of 5 and an infection in nursery schools. Has been done. Cryptostridia is a problem in immunocompromised patients, and its countermeasures are regarded as important. Parasitism of Cryptostridium parasites (sporozoids) in immunodeficient patients does not stop in the digestive tract, but also causes the turning points from the secretory organs to the respiratory organs and to death. The early excretion of erythrocytes and the improvement of symptoms due to the early recovery of small intestinal microvilli due to butyric acid produced in the intestinal tract of Mycobacterium leprae are extremely effective in medical and veterinary medicine.

─────────────────────────────────────────────────────
─────────────────────────────────────────────────── ───

【手続補正書】[Procedure amendment]

【提出日】平成4年5月20日[Submission date] May 20, 1992

【手続補正1】[Procedure Amendment 1]

【補正対象書類名】明細書[Document name to be amended] Statement

【補正対象項目名】全文[Correction target item name] Full text

【補正方法】変更[Correction method] Change

【補正内容】[Correction content]

【書類名】 明細書[Document name] Statement

【発明の名称】 クリプトストリジウム症治療剤Patent application title: Cryptostridia treatment agent

【特許請求の範囲】[Claims]

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【産業上の利用分野】本発明は、クリプトストリジウム
症の治療剤に関する。
FIELD OF THE INVENTION The present invention relates to a therapeutic agent for cryptostridia.

【0002】[0002]

【従来の技術】クリプトストリジウム症は、アピコンプ
レックス門・胞子虫綱・コクシジウム亜綱・真コクシジ
ウム目・アイメリア亜目・クリプトストリジウム科・ク
リプトストリジウム属に属する微小な原虫が、ヒトその
他の哺乳動物、鳥類、爬虫類などを共通宿主として寄生
し、多頻度の下痢とそれに伴う激しい脱水症状を呈する
感染症として知られている。
2. Description of the Related Art Cryptostridia is a small protozoa belonging to the genus Apicomplexa, sporozoa, subfamily Coccidia, order Coccidia, suborder Eimeria, subfamily Cryptostridia, and genus Cryptostridia. It is known as an infectious disease that parasitizes mammals, birds, reptiles, etc. as a common host and exhibits frequent diarrhea and associated severe dehydration.

【0003】クリプトストリジウム感染による発症機序
は、クリプトストリジウム・オーチスチが腸管に達する
と生活環を開始し、虫体(スポロゾイド)の寄生によっ
て腸粘膜上の微絨毛が萎縮・破壊されることから、吸収
不全性の下痢が惹起されるとされる。
[0003] The mechanism of Cryptostridium infection is that the life cycle begins when Cryptosporidium ortis reaches the intestinal tract, and microvilli on the intestinal mucosa are atrophied and destroyed by parasitism of the parasite (sporozoid). Therefore, it is considered that malabsorption diarrhea is caused.

【0004】免疫機能が正常なヒトや哺乳動物では、感
染は一過性に終息するが、一過性とはいえ1〜2週間に
及ぶ激しい下痢のため、患者・患畜は著しい脱水・全身
衰弱を来す。免疫機能が未完全な1月令未満の子牛や5
才以下の幼児、AIDSなどの後天性免疫不全患者、臓
器移植のため免疫機能抑制剤投与中の患者では、下痢は
長期にわたり、感染部位は腸管に留まらず、食道から胃
の全消化管、胆嚢・胆管などの分泌器官、呼吸器系にま
で及び、死の転機をとるケースも多く報告されている。
In humans and mammals with normal immune functions, the infection is transiently terminated, but severe diarrhea for 1 to 2 weeks, although transient, causes severe dehydration and general weakness in patients and animals. Come on. 5 calves under 5 months with imperfect immune function
In infants under the age of age, patients with acquired immunodeficiency disorders such as AIDS, and patients receiving immunosuppressive drugs for organ transplantation, diarrhea is prolonged and the infected site does not remain in the intestinal tract, but the entire digestive tract from the esophagus to the stomach and gallbladder. -Many cases have been reported to reach the turning point of death, extending to the secretory organs such as the bile duct and the respiratory system.

【0005】クリプトストリジウム症に対して、現在ま
で数多くの予防・治療処理が施されてきたが、いずれの
薬剤にも効果がみられず、現在有効な治療剤はないとさ
れている。
Although many preventive / therapeutic treatments have been applied to cryptostridia disease to date, none of the drugs have any effect and it is said that there is no effective therapeutic agent at present.

【0006】[0006]

【発明が解決しようとする課題】本発明は、ミヤイリ菌
を投与することによってクリプトストリジウム・オーチ
ストの排出を早め、虫体(スポロゾイド)の寄生を最小
限に留めると共に、ミヤイリ菌の腸管内増殖によって生
成される酪酸の作用で、萎縮・破壊された腸粘膜微絨毛
の早期恢復を促して下痢症状を改善すると共に、免疫機
能未完全な幼畜・幼児・免疫機能不全患者にみられる全
身症状への転機を阻止するものである。
DISCLOSURE OF THE INVENTION The present invention aims at accelerating the excretion of Cryptosporidium oocysts by administering Mycobacterium leprae, minimizing parasitism of parasites (sporozoids), and proliferating the intestinal tract of Mycobacterium leprae. By the action of butyric acid produced by lactic acid, it promotes early recovery of atrophied and destroyed intestinal mucosa microvilli to improve diarrheal symptoms, and systemic symptoms observed in babies, infants and patients with immunodeficient imperfect immune function. To prevent the turning point.

【0007】[0007]

【課題を解決するための手段】本発明の開発の手段とし
て、乳用オス初生子牛を用いてミヤイリ菌投与試験を実
施した。通常、子牛の下痢発症時には哺乳の停止(断
食)、抗生物質・抗菌剤その他の止痢剤の投与、脱水症
治療のための電解質液の経口投与等の処置が行なわれる
が、前述のようにクリプトストリジウム症には現在有効
な治療剤がないため、抗生物質・抗菌剤の注射あるいは
経口投与、電解質液の経口投与は逆に副作用による下痢
症状の進行を促し、死の転機を来すため、栄養を維持す
るための少量の哺乳を続けるのみで、子牛の免疫機能発
現による自然治療を待つのが最善であると言われる。し
かし、哺乳期における子牛の下痢は、その後の発育に及
ぼす影響が大きく、成牛期での産乳能力・肥育効率も悪
く廃用を早めることになる。
[Means for Solving the Problems] As a means for developing the present invention, a test for administration of B. miyalii was carried out using male primal calves for dairy animals. Usually, when diarrhea occurs in calves, treatments such as stopping feeding (fasting), administration of antibiotics / antibacterial agents and other antidiarrheal agents, and oral administration of electrolyte solution for treatment of dehydration are performed. Since there is currently no effective therapeutic agent for cryptostridia, injection or oral administration of antibiotics / antibacterial agents and oral administration of electrolyte solution, on the contrary, accelerate the progress of diarrhea due to side effects and lead to death. Therefore, it is said that it is best to wait for the natural treatment by expressing the immune function of the calf by only continuing a small amount of feeding to maintain nutrition. However, diarrhea of calves in the lactating period has a great influence on the subsequent development, and the milk-producing ability and the fattening efficiency in the adult period are poor, and the discontinuation is accelerated.

【0008】ミヤイリ菌は、Clostridium Butyricum MI
YAIRI の学名で分類される酪酸菌の特殊株微工研:微生
物受託番号:第1467号であり、腸内病原性細菌感染
時における腸内菌叢の不均衡、吸収・分泌機能の低下、
下痢の発症などの腸管機能の異常を正常に戻す作用を持
ち、また、芽胞菌であるため抗生物質・抗菌剤投与時の
副作用、例えば菌交替症としてのClostridium Difficil
e 起因性の偽膜性大腸炎・吸収分泌異常発症の予防およ
び抑制剤としてヒトにも広く投与されている。本発明
は、上記ミヤイリ菌を用いて、上記クリプトストリジウ
ム症の治療剤を提供するものである。
[0008] Mycobacterium leprae is Clostridium Butyricum MI
Special strain of butyric acid bacteria classified by scientific name of YAIRI: Microorganisms Research Institute: Microbial Accession No .: 1467, imbalance of intestinal flora, decrease in absorption / secretion function at the time of intestinal pathogenic bacterial infection,
It has the effect of restoring abnormalities of intestinal tract function such as the onset of diarrhea to normal. In addition, since it is a spore bacterium, side effects during administration of antibiotics / antibacterial agents, such as Clostridium Difficil
It is widely administered to humans as a prophylactic and suppressive agent for e-induced pseudomembranous colitis and abnormal absorption and secretion. The present invention provides the above-mentioned therapeutic agent for Cryptostridia using the Mycobacterium leprae.

【0009】試験1−1 乳用オス子牛10頭を用いて、試験区5頭・対照区5頭
とした。出生直後から初乳哺乳量を通常の半分量、日量
3リットルとして初乳免疫獲得量を制限し、冷凍保存し
ていたクリプトストリジウム・オーチストを別のオス子
牛1頭に予めカテーテルで経口投与して感染発症させ、
排泄された糞中オーチストを精製し、1頭当たり25×
106 /30mlのオーチストをそれぞれ5日令時にカ
テーテルで経口投与して実験的に感染発症させた。試験
期間はクリプトストリジウム・オーチスト経口投与の5
日令から8週令までとした。試験区の5頭にはミヤイリ
菌製剤(4×107 /g)を日量10gとして代用乳ま
たは電解質液に混合して、1日2回に分けて投与し、対
照区の5頭には慣行の止痢剤(ベルベリン及びクレオソ
ート製剤)を指示の用量・用法により投与経口した。
Test 1-1 Ten male dairy calves were used to make 5 test groups and 5 control groups. Immediately after birth, the amount of colostrum fed was reduced to half the usual amount and the daily dose was 3 liters to limit the amount of colostrum immunity obtained, and cryopreserved Cryptostridium oocysts were orally administered to another male calf in advance with a catheter. Administration to cause infection
Purify excreted fecal orchest, 25 x per head
10 6/30 ml of the Ochisuto oral administration to infected develop experimentally by catheter during 5 days old, respectively. Oral administration of Cryptostridium oocyst is 5
From the age of 8 to 8 weeks. For 5 animals in the test group, the bacillus miyali preparation (4 × 10 7 / g) was mixed with milk substitute or electrolyte solution at a daily dose of 10 g, and the mixture was administered twice a day. Conventional antidiarrheal agents (berberine and creosote formulations) were administered orally at the indicated dose and usage.

【0010】下痢症状が重度の場合は代用乳の哺乳を止
め(断食)、脱水症予防処置として電解質液を日量とし
て2リットル×2回、経口投与した。下痢が恢復した場
合は、代用乳を規定の1/3量から順次増量して給与し
た。
When the diarrhea symptom was severe, feeding of the milk replacer was stopped (fasting), and as a preventive measure against dehydration, an electrolyte solution was orally administered at a daily dose of 2 liters × 2 times. When the diarrhea was relieved, the milk substitute was gradually increased from the prescribed 1/3 amount and fed.

【0011】調査項目は、糞中オーチスト数:ウィス
コンシン変法により算出。糞の性状:硬便・1、正常
便・2、軟便・3、泥状便・4、水様便・5の5段階に
分類する便スコアで、朝夕2回の飼料給与時に観察して
記録。飼料摂取量:給与した人工乳から残餌量を朝の
給与前に差し引いて算出。体重:5日令および各週令
に(7日令を除く)夕方の哺乳前に測定して記録。供
試牛の外貌および活力:肉眼で観察記録。斃死事故:
斃死発見時の日令を記録、の6項目とした。
The survey items were calculated by the number of fecal oocysts: modified Wisconsin method. Fecal characteristics: Hard stool ・ 1, normal stool ・ 2, soft stool ・ 3, mud stool ・ 4, watery stool ・ 5 stool scores, observed and recorded twice daily in the morning and evening . Feed intake: Calculated by subtracting the amount of residual food from the fed artificial milk before feeding in the morning. Weight: Recorded at 5 days of age and each week (excluding 7 days of age) before feeding in the evening. Appearance and vitality of test cows: Recorded with the naked eye. Death accident:
Record the date of death upon death, which is the 6 items.

【0012】次に、各項目についての調査結果を表で示
す。
Next, the results of the survey for each item are shown in a table.

【表1】 [Table 1]

【0013】供試牛の外貌および活力。 試験区では導入時から試験終了まで特に異常は認められ
なかった。対照区では2頭に脱水症による憔瘠・活力低
下・皮毛の光沢減少が認められた。恢復した3頭のうち
1頭に3〜4週令の間にやや活力の低下がみられたが、
2頭には特に異常をみなかった。
Appearance and vitality of the test cow. No abnormalities were found in the test plot from the time of introduction to the end of the test. In the control group, two dogs were found to have dry mouth, decreased vitality, and reduced luster of the hair due to dehydration. One of the three recuperated animals showed a slight decrease in vitality during the 3-4 week old period,
No abnormalities were found in the two animals.

【0014】斃死事故。 試験区では全頭が恢復したが、対照区のうち1頭は26
日令で、他の1頭は32日令で、それぞれ憔瘠衰弱によ
り斃死した。
A fatal accident. All animals recovered in the test area, but one in the control area was 26
The other one was 32 days old and died due to weakness.

【0015】試験1−2 通常の管理下で哺育中に激しい下痢症状を示し、抗生物
質・抗菌剤の投与でも症状が改善されなかったメス2頭
・オス4頭の糞便を検査したところ、クリプトストリジ
ウムのオーチストが認められたので、直ちに抗生物質・
抗菌剤の投与を中止し、ミヤイリ菌製剤(4×107
g)5gを電解質液2リットルに混合し、1日2回(日
量として10g)投与したところ、メス1頭・オス3頭
は5日目から、メス1頭・オス1頭は7日目から糞中に
オーチストが認められなくなり、食欲も回復したので、
ミヤイリ菌製剤 1日10gを2週令まで続け、6週令
までは6gとし、8周令の離乳までは2g投与したとこ
ろ、以降は下痢症状もなく、順調な発育成績を得た。
Test 1-2 Feces of 2 females and 4 males who showed severe diarrhea during lactation under normal control and whose symptoms were not improved by administration of antibiotics and antibacterial agents were examined. Stridium oocysts were found, so antibiotics and
The administration of the antibacterial agent was stopped, and the Miyali bacterium preparation (4 × 10 7 /
g) 5g was mixed with 2 liters of electrolyte solution and administered twice a day (10g as daily dose). One female and three males from the fifth day, one female and one male on the seventh day. Since the orchest was no longer recognized in the feces and the appetite was restored,
The Mycobacterium leprae preparation 10 g per day was continued until 2 weeks of age, 6 g until 6 weeks of age, and 2 g was administered until weaning at 8 weeks of age. Thereafter, diarrhea symptoms did not occur, and favorable growth results were obtained.

【0016】試験1−3 クリプトストリジウム症汚染牛舎において、出生当日か
らミヤイリ菌製剤(4×107 /g)日量2gを朝夕に
分けて初乳に混合して投与し、5日令以降は常乳に混合
して投与し、3週令から8週令まで1日1gとして投与
を続けた処、発症はなく、予防効果が顕著であった。
Test 1-3 In a cow house contaminated with cryptostridia, from a day of birth, a daily dose of 2 g of a Mycobacterium leprae preparation (4 × 10 7 / g) was divided into morning and evening and mixed with colostrum, and administered after 5 days of age. Was mixed with normal milk and was administered at a dose of 1 g per day from 3 weeks old to 8 weeks old, and there was no onset, and the preventive effect was remarkable.

【0017】ヒトを含む哺乳動物の出生直後では、小腸
上皮組織の構造が極めて特異的であり、すなわち粘膜細
胞上の微繊毛の発達が疎で短く、陥入像が認められる。
管構造が複雑に入り込み、大小の空胞が形成されてい
る。このような構造によって腸管内の高分子物質の取り
込みがみられ、初乳中のガンマー・グロブリン(抗体伝
達蛋白質)の取り込みを可能にするばかりか、細菌類の
非選択的通過を可能にさせる。芽胞体・偏性嫌気菌であ
るミヤイリ菌(Clostridium Butyricum MIYAIRI)が新生
動物の小腸粘膜組織内に取り込まれた場合、組織内での
増殖によって不測な影響を与えるかどうかを調べるため
に、試験1−3の実施に当たっては、予め乳用オス子牛
6頭を用い、出生後6時間以内に初乳にミヤイリ菌製剤
1gを混合して第1回目の投与をしたのち、3週令まで
1日2g,8週令の離乳時まで1日1gの投与を続けた
ところ、全く異常を認められなかった。この予備試験の
のちに試験1−3を実施した。
Immediately after the birth of mammals including humans, the structure of the intestinal epithelial tissue is extremely specific, that is, the development of microcilia on mucosal cells is sparse and short, and an invaginated image is observed.
The tubular structure penetrates intricately, forming large and small vacuoles. Due to such a structure, uptake of a high molecular substance in the intestinal tract is observed, and not only the uptake of gamma-globulin (antibody transfer protein) in colostrum but also the non-selective passage of bacteria is possible. To investigate whether Clostridium Butyricum MIYAIRI, a spore-bearing obligate anaerobic bacterium, is incorporated into the small intestinal mucosal tissue of newborn animals to investigate whether it has an unexpected effect on the growth in the tissue 1 In carrying out -3, 6 male calves for dairy cows were used in advance, and within 6 hours after birth, the colostrum was mixed with 1 g of the Mycobacterium spp. When the dose of 2 g, 1 g per day was continued until weaning at the age of 8 weeks, no abnormality was observed. Tests 1-3 were performed after this preliminary test.

【0018】(ヒトでの臨床例)上記試験1−1を実施
中に、たまたま試験に係った職員1名が、微熱を伴う激
しい腹痛と多頻度の下痢症状を示し、入院する事態を生
じた。直ちに糞便検査を行なったところ糞中にクリプト
ストリジウム・オーチストを検出、クリプトストリジウ
ム症と診断された。入院2日目(発病後3日目)の午後
からミヤイリ菌製剤(4×107 /g)を日量12g
(1日3回に分服)を経口投与したところ、投与後4日
目からの検便ではオーチストは検出されなくなり、水様
性の下痢から普通下痢に好転し、9日目以降は軟便とな
り、入院17日目(発病後18日目)で退院することが
出来た。幸いに、免疫機能正常者の感染であったが、ク
リプトストリジウム・オーチスト検出後の投与薬剤は、
補液(入院後10日目まで点滴投与)の他はミヤイリ菌
製剤のみであり、正常免疫機能者の症例としてもオーチ
ストの排出が極めて短時日であったことから、ヒトのク
リプトストリジウム症に対してもミヤイリ菌の有効性が
認められる。
(Clinical Example in Human) During the above-mentioned Test 1-1, one staff member who happened to be involved in the test accidentally presented with severe abdominal pain accompanied by slight fever and frequent diarrhea and was hospitalized. It was Immediately after fecal examination, Cryptostridium oocysts were detected in the feces, and the patient was diagnosed with cryptostridia. From the afternoon of the 2nd day of hospitalization (the 3rd day after the onset of illness), the daily dose of 12g of the Miyali bacterium preparation (4 × 10 7 / g)
Oral administration of (divided three times a day), no oocysts were detected in the stool test from the 4th day after administration, watery diarrhea improved to normal diarrhea, and loose stools began on day 9 and later. I was able to be discharged from the hospital on the 17th day (18th day after the illness). Fortunately, it was an infection of a person with a normal immune function, but the drug administered after detection of Cryptostridium oocyst was:
Except for fluid replacement (drip administration until 10th day after hospitalization), only Miyariiri preparations were used, and even in cases of normal immune function patients, oocysts were excreted in a very short time. Also, the effectiveness of Miyairi bacteria is recognized.

【0019】なお、ニワトリなどの鳥類におけるクリプ
トストリジウム症に対しても有効である。その場合、例
えばエサの中にミヤイリ菌末を0.5%(重量)混入す
る方法などによって投与する。
It is also effective against cryptostridia in birds such as chickens. In that case, for example, it is administered by a method in which 0.5% (by weight) of B. millet powder is mixed in the feed.

【0020】急性、亜急性、慢性のいずれの毒性も認め
られない。(応用薬理第34巻、第2号215〜221
頁、223〜237頁、同第33巻第4号683〜69
4頁参照)
No acute, subacute, or chronic toxicity is observed. (Applied Pharmacology Vol. 34, No. 2 215-221.
Pp. 223-237, Vol. 33, No. 4, 683-69.
(See page 4)

【0021】[0021]

【発明の効果】家畜では、クリプトストリジウム症の潜
在的蔓延率は、2〜3週令の子牛で81%に認められる
と報告されている(アメリカ・オハイオ州)。感染は動
物からヒト、汚染された環境からヒトへと宿主を共通し
ており、生水・生野菜のみならず、塩素消毒によっても
クリプトストリジウムのオーチストは死滅せず、またオ
ーチストが極めて微小なため、霧状となっての空気感染
もありうる。
EFFECTS OF THE INVENTION In domestic animals, the potential prevalence of cryptostridia is reported to be 81% in calves aged 2-3 weeks (Ohio, USA). Infection has a common host from animals to humans and from polluted environments to humans. Not only raw water and raw vegetables, but chlorine disinfection does not kill Cryptosporidium oocysts, and the oocysts are extremely small. Therefore, there is a possibility of airborne infection as a mist.

【0022】平成2年度のエイズ・サーベランスの調査
では、日本におけるAIDS患者は600名以下に留ま
っているが、世界的な蔓延の状況や、今後の医学界で全
国的に手術が行なわれようとしている臓器移植患者への
免疫抑制剤の投与、さらには先進諸国では5才以下の幼
児への院内感染・保育所内での感染症としてクリプトス
トリジウム症は問題になっており、その対策は重要視さ
れている。免疫不全患者におけるクリプトストリジウム
症ではクリプトストリジウム虫体(スポロゾイド)の寄
生は消化管に留まらず、分泌器官から呼吸器に及び死へ
の転機を斉らすことから、ミヤイリ菌の投与によるクリ
プトストリジウム・オーチストの早期排出やミヤイリ菌
が腸管内で生成する酪酸による小腸微絨毛の早期回復に
よる症状の好転は、医学・獣医学上での効果として極め
て大きいものがある。
According to the AIDS surveillance survey conducted in FY 1990, the number of AIDS patients in Japan was less than 600. However, the worldwide epidemic situation and the future of medical treatment in the medical community are likely to cause surgery. Administration of immunosuppressive drugs to patients with organ transplantation, and in developed countries, cryptostridia is becoming a problem as a nosocomial infection for infants under the age of 5 and an infection in nursery schools. Has been done. In cryptosporidiosis in immunodeficient patients, the parasitism of Cryptostridium parasites (sporozoids) is not limited to the digestive tract, and the secretory organs are distributed to the respiratory organs and to the death. Improving symptoms due to early excretion of Stridium oocysts and early recovery of microvilli of the small intestine due to butyric acid produced in the intestinal tract of Mycobacterium leprae are extremely significant in terms of medical and veterinary medicine.

Claims (1)

【特許請求の範囲】[Claims] 【請求項1】 ミヤイリ菌を主剤とするクリプトストリ
ジウム症治療剤。
1. A therapeutic agent for Cryptostridium disease, which comprises Miyairi bacteria as a main ingredient.
JP4105450A 1992-03-31 1992-03-31 Cryptostridiosis treatment Expired - Lifetime JP2696186B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP4105450A JP2696186B2 (en) 1992-03-31 1992-03-31 Cryptostridiosis treatment

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP4105450A JP2696186B2 (en) 1992-03-31 1992-03-31 Cryptostridiosis treatment

Publications (2)

Publication Number Publication Date
JPH06219957A true JPH06219957A (en) 1994-08-09
JP2696186B2 JP2696186B2 (en) 1998-01-14

Family

ID=14407930

Family Applications (1)

Application Number Title Priority Date Filing Date
JP4105450A Expired - Lifetime JP2696186B2 (en) 1992-03-31 1992-03-31 Cryptostridiosis treatment

Country Status (1)

Country Link
JP (1) JP2696186B2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2005841A1 (en) * 2006-03-31 2008-12-24 Nippon Paper Chemicals Co., Ltd. Composition for beverage or food

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2005841A1 (en) * 2006-03-31 2008-12-24 Nippon Paper Chemicals Co., Ltd. Composition for beverage or food
EP2005841A4 (en) * 2006-03-31 2009-09-30 Nippon Paper Chemicals Co Ltd Composition for beverage or food

Also Published As

Publication number Publication date
JP2696186B2 (en) 1998-01-14

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