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Necrotic enteritis and coccidiosis: differential diagnosis

Published: July 14, 2021
By: PlusVet Animal Health
Necrotic enteritis and coccidiosis: differential diagnosis - Image 1
Enteric diseases are one of the most important problems in the poultry industry because of high economic losses. In recent years, due to increasing resistance to antibiotics and coccidiostats, together with the ban of antibiotic growth promoters, necrotic enteritis and coccidiosis emerged as the most worrisome digestive diseases in the poultry industry.
The two diseases are closely related and sometimes happen simultaneously, as we talked about in a previous blog, making the diagnosis complicated. A correct diagnosis is key to choose a successful treatment. The table below aims at helping with the differential diagnosis.
Necrotic enteritis and coccidiosis: differential diagnosis - Image 2
Whenever you need help in making a proper diagnose, our Analysis Laboratory is here to serve!

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Teresa M. Agulles Teixidó
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Zahed Abbasi
Toyoor Barekat co
4 de octubre de 2021

Hi to all:
In good husbandry management, both diseases have to be prevented. For coccidiosis, it includes inducing good immunity by vaccination or by using coccidiostat in rotation or shuttle program, and when there are clinical signs and mortality, treatment is the only way to be done. Depending on the region of intestine affected and drug sensitivity.
For necrotic enteritis, disease management practice includes coccidiosis prevention, gut health management, and if there is mortality, antibiotic affecting gram positive must be used. But when the coccidiosis predisposes to necrotic enteritis management, the condition is complicated and treatment of coccidiosis is the priority.

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Dr Charles Ibe
2 de octubre de 2021

I think the keyword here is extreme biosecurity. For coccidiosis, extreme humidity is the predisposing factor. In high humid climate for open housing ,vaccination or strategic medications will go a long way in cutting the life cycle of coccidia. Pre and probiotic is good as regards necrotic enteritis but this is effective at the build up or initializing or lag phases.

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DR.R.N.Sreenivas Gowda
Karnataka Veterinary, Animal and Fisheries Sciences University
31 de julio de 2021
Coccidiosis and Coccidias are two terms used in practice, the former cause disease outbreak and the later is presence of cocci organisms waiting for an opportunity to cause disease.- Sub- clinical infection. Coccidiosis predisposes the necrotic enteritis. Often treating Necrotic enteritis without treating Coccidiosis will cause heavy mortality. Treat coccidiosis and Necrotic enteritis together give good results.
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DR.R.N.Sreenivas Gowda
Karnataka Veterinary, Animal and Fisheries Sciences University
31 de julio de 2021
Coccidiosis and Coccidias is are two terms used in practice, the former cause disease outbreak and the later is presence of cocci organisms waiting for an opportunity to cause disease.- Sub- clinical infection. Coccidiosis predisposes the necrotic enteritis. Often treating Necrotic enteritis without treating Coccidiosis will cause heavy mortality. Treat coccidiosis and Necrotic enteritis together give good results.
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Teresa M. Agulles Teixidó
PlusVet Animal Health
29 de julio de 2021
When a customer complains that the treatment against necrotic enteritis is not effective, we make an analysis of the feces and often we find out that the birds have subclinical coccidiosis. Once the coccidiosis is treated, the problem goes away in a few days. It is very important to understand the link between these two diseases.
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Nisar Muhammad Khan
18 de junio de 2022
Hello to all respected Experts In my 20 years carrier, for the first time I am facing a trigonal attack of coccidiosis, necrotic enteritis plus fowl typhoid problem at the same in my golden mix chicken of 45 days. Using Medicine like Anticoc super florphenicol together but all in vein facing a moderate but continuous mortality of 70 to 85 birds per day from the last 10 days .From today I started a medicine containing (florphenicol 10 %, Neomycin 15 %,oytetracycline 20%,?)plus Anticoc super as I had stopped Anticoc super after 3days use . please help me and correct me in the treatment of this at Trigonal attack. Thanks a lot.
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Dr. Atul Deshmukh
12 de octubre de 2021
Threat of Coccidiosis is always there in poultry field all over the world. As per Ancient Ayurvedic Science there are so many plant extracts those act against many Bacteria, Virus ,Protozoa's and Parasites. Our Indian kitchen provide everyday medicine for Human health. The Plant extracts in different form and concentration have very good results in Animal health too. Rainy, humid or Hot and humid climatic conditions are predisposing factors to cause cocci and NE in poultry. Preventing these diseases is better than Treating both the disease at a time as its an alarming situation of loss making business. Many chemical have adverse reactions when get contact with ruptured lumen of intestine will lead to another complications too. No doubt the chemicals are good as they give quick results but increasing the chance of getting microbial resistance so using good Phytochemicals for prevention and treatment in combination with chemical is always a best option in any disease condition.
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Kasame Trakullerswilai
Saha Farms
13 de agosto de 2021
many factors may concern for diff dx ; age ,climate ,mortality,coccidiostat or vaccine used,
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Yusuf Ibrahim
5 de agosto de 2021
What is the best practice in terms of drug choice for treating Coccidiosis and Necrotic Enteritis concurrently?
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