Blackhead disease (also known simply as blackhead) is a commercially important avian disease that affects chickens, turkeys and other poultry birds. The disease carries a high mortality rate and primarily affects the liver and cecum. It is a form of histomoniasis which is transmitted by the protozoan parasite Histomonas meleagridis. The protozoan is in turn transmitted by the nematode parasite Heterakis gallinarum. H. meleagridis resides within the eggs of H. gallinarum, so birds ingest the parasites along with contaminated soil or food. Earthworms can also act as a paratenic host. A characteristic symptom of the infection is the development of cyanotic (bluish) discoloration on the head, giving rise to the common name of the disease, "blackhead".