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43 Cards in this Set

  • Front
  • Back

What is the causative agent of Lumpy Jaw?

Actinomyces bovis


(and Actinomyces viscosus)

Describe the lesion caused by Actinomyces bovis.

Localized pyogranulomatous infection, usually in the jaw.


Causes proliferation of connective tissue, usually with several abscesses.


Also causes osteomyelitis.

Describe the pathogenesis of Actinomyces bovis.

Bacterium gains entry via a break in the oral mucosa, usually by trauma from sharp items in feed, dental disease, or tooth eruption.


Invasion > granulomatous abscesses > osteomyelitis


NO spread to regional LNs

What are the clinical signs of actinomycosis?

Hard, immovable, bony mass


(Usually on the horizontal ramus of the mandible)


Early: painless


Progression: becomes painful, due to misaligned teeth and difficult mastication


Loss of body condition


Swelling may break and discharge (sticky honey fluid with sulfur granules)

What are some differential diagnoses for a swollen jaw on a cow?

Wooden tongue


Abscess/foreign body


Osteomyelitis (other organisms)


Tooth root abscess


Fracture


Tumour

How do you diagnose actinomycosis?

Smear of exudate (gram-positive club-shaped rods and colonies)


(Difficult to culture)

How can you treat actinomycosis? What's the prognosis?

Tx: Sodium iodide IV with concurrent antibacterial therapy (penicillin, LA oxytetra)


Note: don't treat late preg cows!




Prog: depends on chronicity and extent. Moderate/good prognosis to arrest progression, but unlikely to resolve lesion (the bone is all holey!)

How can you control actinomycosis?

Avoid mucosal trauma


If outbreak, examine forage or pasture for traumatic items > softer diet

What causes Wooden Tongue?

Actinobacillus lignieresii

Describe the pathogenesis of Actinobacillus lignieresii.

Gains entry via a break in the mucosa (usually trauma, foreign material, teeth)


Results in granulomatous abscesses


Often spread to regional lymph nodes (unlike Actinomycosis).

What are the clinical signs of Wooden Tongue?

1. Glossal actinobacillosis (most common) - dysorexia, salivation, chewing, difficult prehension, swollen, hard tongue


2. Cutaneous actinobacillosis - swellings on external nares, cheeks, skin, eyelids, etc


3. Lymphadenitis - enlargement of the submaxillary, parotid, or retropharyngeal nodes

How can you diagnose actinobacillosis?

Smear of exudate - gram negative club-like rosettes


Full thickness excision biopsy - will see multiple abscesses in the deep dermis with distinct club-rosette


Bacterial culture

How can you treat actinobacillosis? What's the prognosis?

Prognosis is good if treated on time, and usually permanent.


Tx: sodium iodide IV with concurrent antibacterial therapy (streptomycin, LA oxytetra, sulfonamide)

What are some differences between lumpy jaw and wooden tongue?

Regional lymph node involvement (yes in WT, no in LJ)


Response to tx (permanent in WT, lesions remain in LJ)


Gram staining (WT = g-, LJ = g+)


Organism (obviously) (WT = Actinobacillus lignieresii, LJ = Actinomyces bovis)


Location of lesion (sometimes) (WT usually tongue, if on jaw it is moveable masses. LJ is immobile masses on jaw.)

What is the most common organism causing ringworm in cattle?

Trychophyton verrucosum


(Also often T. mentagrophytes)

Describe the epidemiology of ringworm.

Zoonotic - affects all species


Contagious via direct and indirect contact, so can have an "outbreak"


Nutritional status of host plays a role


Common in young animals in an indoors group (eg post-weaned calves)


Fungal spores can remain viable for years

Describe the pathogenesis of ringworm.

Fungus attacks keratinized tissues, usually the stratum corneum and hair fiber. Results in exudation and alopecia.

What are the clinical signs of ringworm?

Heavy, grey-white crust raised above the skin


Roughly circular lesions (2-3cm or larger)


Non-pruritic


Usually on head, neck, perineum

What's your main (broad) differential for ringworm?


How can you diagnose ringworm?

Ddx: sarcoptic, chorioptic, or psoroptic mange (but they'll be pruritic!)




Dx: See spore and mycelia in skin scraping or fungal culture (often not done in cattle)

How can you treat ringworm?

Spontaneous recovery in 2-4 months


(questionable efficacy) debridement; copper, iodine, other solutions


(do not recommend systemic treatment)

How can you control and prevent ringworm?

Isolate affected animals


Clean environment


Adequate nutrition (supplement with Vit A)


(Vxs available elsewhere)

What causes cow warts?

Bovine papillomavirus


Note: 10 different ones identified, each with a different site of predilection (eg esophagus, cutaneous)

Describe the epidemiology of bovine papillomavirus.

Transmission by direct contact or fomite


Mostly in young animals (6mo - 2yrs) but risk of teat warts (BPV-1) increases with age

What is the pathogenesis seen with papillomatosis?

Benign hyperproliferative lesions of the epithelium and underlying dermis

What are the clinical signs of bovine papillomatosis?

Grey-white, hairless, dry, raised or pedunculated lesions


May have few or a large, coalescing mass of warts

How can you diagnose papillomatosis?

Usually by clinical examination only


Can perform biopsy


DNA analysis for virus ID

How can you treat bovine papillomatosis? What's the prognosis?

Prognosis is good - usually spontaneously regress.


Typically no treatment required; can crush or pinch off.


Surgical removal/cryosurgery (esp if on teats or penis)


Vaccine available - may speed regression/recovery

How can you prevent and control papillomatosis?

Segregate affected animals


Discard/disinfect contaminated equipment


Vaccines are available, but depend on virus type

What causes pinkeye? What's the other name for pinkeye?

Moraxella bovis


Disease also known as infectious bovine keratoconjunctivitis

Describe the epidemiology of infectious bovine keratoconjunctivitis.

Endemic and/or epidemic


Young cattle most susceptible


Transmission by flies or fomites


Exposure to ultraviolet light or dust results in increased susceptibility

Describe the pathogenesis of Moraxella bovis.

Bacterium attaches to corneal epithelium and causes corneal ulceration via cytotoxins.


Corneal ulcer progresses to corneal edema and corneal neovascularization.

How can you diagnose Moraxella bovis?

Fluorescein for corneal ulcer


Culture (improve sensitivity by hydrating swab with sterile water)

Describe the prognosis and treatment for Moraxella bovis.

Prognosis: often self-limiting, and prognosis is good if treated on time (less chance of scarring)


Tx: systemic treatment is best. Topical not recommended, subconjunctival less effective than systemic.


Temporarily suture third eyelid across the globe for several days (tarsorrhaphy) in advanced cases.

What drugs can you use to systemically treat for Moraxella bovis?

Tulathromycin


Oxytetracycline


Florfenicol

How can you control and prevent pinkeye?

Control the fly population (long-acting insecticides)


Provide shade


Avoid corneal irritation


Segregate affected animals


Vx - available, but not necessarily effective

What's the other name for cancer eye? What causes it?

Bovine ocular squamous cell carcinoma


Would you believe it's caused by... cancer?!?!?


Neoplasm of the conjunctiva or cornea

Describe the epidemiology of bovine ocular squamous cell carcinoma.

One of the most common bovine neoplasms.


More common in beef (sunlight exposure) and white-faced cattle with unpigmented faces (especially Herefords).


Usually in animals greater than 5yo

What are the steps in the pathogenesis of cancer eye?

1. Plaque


2. Keratoma


3. Papilloma


4. Squamous cell carcinoma


Steps 1-3 are nonmalignant.

Describe the clinical signs of cancer eye.

Invasive - involves entire orbit and local soft tissue and bone. Foul-smelling with necrosis.


Metastatic - involves nearby lymph node (parotid) and viscera. Occurs later in course of disease.

How can you confirm diagnosis of cancer eye?

Biopsy


Can differentiate one of the benign precursors from the malignant carcinoma.

What's the prognosis of cancer eye?

Steps 1-3 (nonmalignant) - up to 80% spontaneously regress.


Step 4 (malignant) - rarely regresses; metastasis is unlikely (higher if eyelid), but third eyelid lesions are more likely to aggressively invade orbit and bone. Recurrence after excision is common.

How can you treat cancer eye?

Superficial keratectomy; dissection of tissue with 2-3mm margin.


Excision of the lesion (eyelid)


Enucleation (more advanced lesions)

How can you control and prevent cancer eye?

Select for animals with periocular pigment. Don't breed affected animals! Moderately heritable.


Provide shade.