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104 Cards in this Set

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What is the predilection site of Tritrichomonas foetus?
the prepuce and uterus, however other resources list the vagina, and vulva as well.
What is the parasitic class and family of T. foetus?
Class: Zoomastigophorasida (another source said sarcomastigophora)
Family: Trichomonadidae
What is the description of T. foetus?
Pear-shaped, single nucleus, four flagella (three free anterior, and one undulating membrane which extends to a free form in the posterior), axostyle (hyaline rod with a seletal function
What type of movement does T. foetus exhibit?
rolling, jerky movements
What is the host and life cycle of T. foetus?
Host: cow
Life cycle: reproduce by longitudinal binary fission. NO sexual stages are known and there are no cysts.
What is the primary mode of transmission of T. foetus?
coitus
What is the pathogenesis of T. foetus in BULLS?
Bull: shortly after infection a preputial discharge assoicated with small nodules on the preputial and penile membranes may develop. Organism present in small numbrers in the preputial cavity of bulls, with some concentration in the fornix and around the glans penis. Chronically infected bull shows no gross lesions. The organism does not appear to penetrate the epithelium, and there is no observable changes in semen quality attributed to the organism. Considered a chronic carrier due to the deepening of the epithelial crypts of the penis and prepuce as the bull ages (more suitable microaerophilic environment).
What is the pathogenesis of T.foetus in COWS?
Cow: initial lesion is a vaginitis, which can be followed in animals that become pregnant by invasion of the cervix and uterus; sequelae includes placentitis leading to early embryonic abortion, uterine discharge and pyometra. *Abortion before the fourth month of pregnancy is the most common followed by recovery. Fetal membranes may be retained leading to a purulent endometritis, a persistent uterine discharge and anoestrus; infrequently the corpus luteum is retained and the cervical seal remians closed, when a massive pyometra develops which visually stimulates the appearance of pregnancy. Some cases a normal, full-term calf is born.
What are the clinical signs of T. foetus?
Bull: no clinical signs once infection is established
Cow: early abortion, purulent endometritis or a closed pyometra, some cases may become permentaly sterile, usually recovers and generally becomes immune for that breeding season after infection or abortion.
How is the diagnosis of T. foetus made?
Tentative diagnosis is based on clinical history, early abortion, repeated returns to service, irregular oestrous cycles. Difinitive diagnosis: demonstration of organisms in placental fluid, stomach contents of aborted fetus, uterine washings, pyometra discharge or vaginal mucus..
At what time is T. foetus in the highest concentration in the vaginal mucus?
12-20 days post infection, the number of organisms vary according to the phase of the oestrus cycle, being highest 3-7 days after ovulation.
What are the pathologic lesions associated with T. foetus?
COWS:cervicitis and endometritis leading to infertility, abortion or pyometra. may be copious mucopurlent discharge or intermittent discharge due to the mild lesions of the cervix and endometrium. Abortions occur in the first half of pregnancy. No specific fetal lesions. Pyometra, when it develops may be copious with watery exudates containing floccules which may be brownish and sticky and contain swarms of trichomonads.
BULLS: no lesions noted
What are the important epidemiologic facts associated with T. foetus?
Bulls once infected remain so permanently. Transmission is through coitus. From the vagina the infection reaches the uterus via the cervix to produce a low-grade endometritis. Intermittently the organisms are flushed into the vagina, often within 2-3 days before oestrus. Cows tend to have a self-limiting infection and appear to develop a sterile immunity.
What is the treatment for T. foetus?
The disease is self-limiting in the female only symptomatic treatment and sexual rest for 3 months is normally necessary. Culling the cow is also a possibility especially the ones showing clinical signs and are open. In the bull, slaughter is the best policy, although dimetridazole orally or intravenously has been reported as effective; however it is not labeled for the use in food animals in the US.
How is T. foetus controlled?
Through test and slaughter of bulls, AI with non-infected bulls, and replacement stock being virgins or young (tested negative), with BSE.
What is the prevalence of T. foetus?
The organism has a greater prevalence in Bos taurus bulls than bulls of Bos indicus origin. Out of the Bos taurus bulls the highest prevealence was in the Brangus bulls and lowest being in Braford bulls, both of which are B taurus/B indicus cross breeds.
How long and when does the immune reaction begin in a cow that has been exposed to T. foetus?
The cow eliminates the infection generally within 1-4 months. The female response begins to eliminate the infection within 8-10 weeks after exposure in unvaccinated females. (For this reason cultures from females are best performed before the infection is potentially eliminated by the immune response.)
What are the four factors involving prevention and control of T. foetus?
Recognize the disease challenge (Dx and surveillance), know when and why a challenge occurs (pathogenesis), lower (or eradicate) the challenge (management), and raise the resistance to the specific disease challenge (immunology)
What is a potential treatment for T. foetus?
nitroimidazole derivatives, such as dimetridazole, ipronidazole, and metronidazole. No effective approved medication for the use in US.
How can poor nutritional states affect fertility in dairy cattle?
When dry matter intake is reduced, results in negative energy balance and many assoicated disorders. The negative energy balance inhibits secretion of gonadotropins (LH and FSH). Stress is also increased during this state and leads to epinephrine secretion which stimulates corticosteroid secretion, leading to reduced LH secretion.
Is T. foetus a reportable disease and if so in what time period are you to report the disease?
Yes! It is of a regulatory importance and must be reported within two days of discovery.
What are the common names of Brucella abortus infection?
Undulant Fever, Contagious Abortion, Bang's Disease
What are the bacterial characteristics of Brucella abortus?
Gram Negative
Coccobacillus or short rod
facultative intracellular pathogen
usually single but sometimes seen in pairs or small groups
*Chlamydophila abortus and Coxiella burnetii appear similiar
Not truely acid fast but they are resistant to decolorization by weak acids, and stain red against a blue background (H&E)
What is the importance of B. abortus?
It has a major public health concern! (ZOONOTIC) In humans can be a serious debilitating and sometimes chronic disease that may affect a variety of organs. B. abortus could be used in a bioterrorist attack. Wildlife hinders the eradification of the disease within the US.
Most spp. of Brucella are primarily associated with a specific host. What is the specific hosts of Brucella abortus?
cattle, bison, water buffalo, african buffalo, elk, and camels
However, has been reported in equine, sheep, goats, chamois, pigs, raccoons, opossums, dogs, coyotes, foxes, wolves and other spp.
What is the prevelence/distribution of B. abortus?
Found worldwide except Japan, Canada, some European countries, Australia, New Zealand and Israel where it has been eradicated. Eradification is nearly complete in US herds however it can still be found in wildlife hosts which is hindering the complete eradification process.
What is the transmission of B. abortus?
Transmitted by contact with the placenta, fetus, fetal fluids and vaginal discharges from infected animals. Also found in milk, urine, semen, feces and hygroma fluids. Shedding in milk is life long and may be intermittent. Veneral transmission seems to be most common.
What is the human transmission?
occupational hazord most common, drinking unpasturized milk or dairy products, contamination of mm and abraded skin.
What is the incubation period for B. abortus?
abortions and stillbirths usually occur two to five months after infection. Incubation is longer when animals are infected during early gestation becuase reproductive losses typically occur during the second half of gestation.
What are the clinical signs of B. abortus?
abortions or stillbirths during the second half of gestation, weak calves that may die soon after birth, placenta may be retained and secondary metritis can occur, lactation may be decreased, epididymitis, seminal vesiculitis, orchitis or testicular abscesses are sometimes seen in bulls, infertility occurs occasionally in both sexes, arthritis, systemic signs do not usually occur in uncomplicated infections, nonpregnant females usually asymptomatic.
What are the post-partum lesions of B. abortus?
granulamatous inflammatory lesions in repro tract, udder, supramammary lymph nodes, other lymphoid tissues, and sometimes joints and synovial membranes.
mild to severe endometritis, placenta usually thickened and edematous, and may have exudate on its surface, intercotyledonary region is typically leathery, with a wet appearance and focal thickening. Autolyzed or have variable amts of subcutaneous edema and bloodstained fluid in the body cavities. Bulls: one or both sacs of the scrotum may be swollen due to orchitis, epididymitis or abscesses. Tunica vaginalis may be thickened and fibrous and adhesions may be present.
What is the morbidity and mortality of B. abortus?
abrotion rate varies from 30-80%. in heds wehre this organism is endemic only sporadic symptoms occur and cows may abort their first pregnancies.
How is B. abortus diagnosed? (clinically and lab)
Clinically the organism should be suspected in any case of abortion! Laboratory tests to confirm a diagnosis would include: microscopic examination with modified Ziehl-Neelsen method, serology (presumptive diagnosis) ie. ELISA, agglutination tests; Brucella milk ring test (BRT) (screening test), brucellin allergic skin test
Definitive Dx: demonstration of the organism cultured from the animal, PCR
What are the differential diagnosis of B. abortus?
Trichomoniasis, Campylobacteriosis (formerly called vibriosis),leptospirosis, listeriosis, infectious bovine rhinotracheitis, and various mycoses
How is B. abortus controlled?
test-and-slaughter programs, quarantine of suspected or positive animals, vaccination, disinfectants readily kill the organism
Is B. abortus a reportable disease and if so in what time period must it be reported?
Yes! It is considered of regulatory importance and therefore requires reporting within two days of discovery.
What is the predilected tissues for B. abortus?
udder, uterus, lymph nodes, testicles, and accessory sex glands, epididymis
What is the incubation period for B abortus?
it is variable and ranges from 3 weeks to 90 days or more
What is the classifying system for B. abortus when referring to states?
States are classified as free, class A, class B, or class C.
What is the relevance of the classification and cattle trafficing in regards to B. abortus?
interstate trafficking from free states without testing is allowed however, cattle moving from non-free states must be tested before crossing state lines.
What is the pathogenesis of B. abortus?
initial replication whithin the regional lymph nodes, invades the uterus during second trimester due to hematogenous spread, bacteria first appear in phagosomes of erythrophagocytic trophoblasts within the placenta, replication occurs in the rER of chroionic trophoblasts, preferential replication in chorioallantoic trophoblasts has been attributed to their erythritol content, placental inflammation spreads throughout the allantochorion to involve additional cotyeldons with resultant chorioallantoic ulceration, necrosis of trophoblasts and ulcerative endometritis. Fetal death results from placental disruption and endotoxemia.
What is neosporosis caused by?
It is caused by the protozoan parasite, Neospora caninum.
What is the life cycle of Neospora caninum?
The coccidian parasite has three different stages (oocyst, tachyzoite, and the tissue cyst containing numerous bradyzoites). Sporulate in teh environment in 24 hours; sporulated oocysts contain 2 sporocysts containing each 4 sporozoites.The tachyzoite is the pathogenic stage; it multiplies by endodygeny in many cell types (neural cells, hepatocytes, macrophages, fibroblasts, endothelial cells, myocytes...).
What is the intermediate and final host of Neospora caninum?
The dog!
What are some of the animal spp Neospora caninum has been found?
Major abortificant in cattle. observed as well in horses, sheep, goat, black tail deer, rhinoceros, water buffaloes, coyotes, red foxes, and camels. These are considered the intermediate host.
How is Neospora caninum transmitted?
The parasite can be transmitted horizontally (ie. through the ingestion of oocysts shed in the environment by the final host) or vertically from an infected cow to her offspring. Vertical route is the major route of transmission in cattle and is extremely efficient as the rate of transmission is very unlikely to occur. Lactogenic transmission was achieved experimentally but there is no evidence that it occurs under natural conditions.
What is the clinical signs associated with Neospora caninum in cattle?
abortificant agent and the abortion is the only clinical sign and can occur from the thrid month of pregnancy and onwards. Most of the abortions take place during the 5th and 6th week of gestation. The fetus is either resorbed, autolysed, mummified, stillborn, born alive with clincial signs, or born normal but chronically infected. (calves: neurologic signs, underwieght, or unable to rise, flexion or hyperextension of forelegs, hindlegs or both, ataxia, decreased patellar reflexes, loss of conscious proprioception, exophthalmia or asymmetrical appearance of the eyes)
What is the peak prevelence of Neospora caninum in California?
The peak is observed in automn and winter.
When is the peak antibody titer in an infected fetus with Neospora caninum?
around 6-7 months of gestation; titers decline til two months post-calving
How is Neospora caninum diagnosed in cattle?
maternal and fetal sera ideally combined with the examination of fetal tissues. tissues that should be sampled include brain, heart, liver and placenta. ELISA, indirect immunofluorescence techniques, agglutination test. PCR is also possible.
What are the predilected tissues for Neospora caninum?
Brain, Heart, Liver, Placenta, and Muscle
What are some potential parasitic differentials for Neospora caninum?
Toxoplasma gondii (not considered an abortificant in cattle), and Sarcocystis spp. (rare in cattle)
How is neospora caninum controlled in cattle?
very few control measures are available; advisable not to breed seropositive heifers born to seropositive mothers; seropositive animals should be culled; embryo transfer from seropositive valuable cows to seronegative cows is an option under some circumstances; vaccination (unable to prevent vertical transmission)
What is the agent that causes Leptospirosis?
caused by various spp of Leptospira, a spirochete in the family Leptospiraceae, order Spirochaetales.
What is the predominant serovars in the US for Lepto?
L. canicola, L. grippotyphosa, L. hardjo, L. icterohaemorrhagiae and L. pomona.
What is the transmission of Lepto?
directly between hosts or indirectly in the environment: ingested in contaminated food or water, spread in aerosolized urine or water, direct contact with the skin, aborted or stillborn fetus, vaginal fluids and discharge, male repro organs, etc.
What animal spp tend to be susceptible to Lepto infection?
ALL mammals (ZOONOTIC)! disease is rare in cats, and less common in sheep than cattle.
What serovars of Lepto infect cattle?
hardjo, pomona, grippotyphosa, canicola and icterohaemorrhagiae
What is the primary resevoir hosts for most Lepto serovars?
Wild animals, particularly rodents ( in resevoir hosts tends to be asymptomatic, mild or chronic)
What is the incubation period of lepto?
4-12 days in dogs, abortions usually occur 3-10 weeks after infection in cattle, and 15-30 days after infection in pigs
What are the general clinical signs of Lepto infection?
asymptomatic, mild, or severe, and acute or chronic.
related to kidney disease, liver disease, or reproductive dysfunction.
What are the clinical signs of Lepto infection in cattle?
acute: mainly in calves and include fever, anorexia, conjunctivitis, and diarrhea
jaundice, hemoglobinuria, anemia, pneumonia, or signs of meningitis (incoordination, salivation and muscle rigidity)
adult cattle: fever and depression are often transient and milder; abortions (late term) and decreased infertility, decreased milk yield, retained placentas, milk may be thick blood tinged or yellow, mammary inflammation
What diagnostic tests are done to confirm Lepto infection?
culture, detection of antigens or nucleic acids, or serology
found in milk, blood, csf, thoracic or peritoneal fluids, urine, liver, brain, and kidney.
Culture may take upto 13-26 weeks! IFA, PCR, DNA probes
*most commonly used serologic tests are the microscopic agglutination test (MAT) and ELISAs
What is the indicated treatment for Lepto infections?
tetracyclines, penicillin/ampicillin, dihydrostreptomycin, streptomycin and the fluoroquinolones
What are the preventative methods of Lepto?
vaccinations are available for pigs, cattle and dogs.
prevent disease but do not completely prevent infection or the shedding of the organisms. Immunity is largly serovar specific.
prevention of contact with wildlife, particularly rodents
good biosecurity (quarantine new cattle, etc.)
What are the post-mortem lesions in cattle with Lepto infections?
in acute cases: anemia, icterus, hemoglobinuria, submucosal and subserosal hemorrhages, kidneys swollen and contain petechiae and ecchymoses, become pale over time. liver sometimes swollen, minute foci of necrosis. ulcers and hemorrhages on mucosa of the abomasum. petechiae can also be seen in other organs in some fulminating infecgtions. Pulmonary edema and emphysema are rare but have been reported.
what is the major pathogenesis of Lepto infection?
it hangs out in the kidneys and causes destruction of RBC's
What is the agent that causes Campylobacteriosis (vibriosis)?
veneral disease of cattle caused by Campylobacter fetus subspecies fetus.
How is Campylobacteriosis characterized?
infertility with an increased number of services necessary for conception; early embryonic death most common and late abortions from 4 months gestation to term are occasionally observed
What are the clinical signs of Campylobacteriosis?
early embryonic death, late term abortions, endometritis, vague or intermittent infertility, proglonged period prior to conception
How is Campylobacteriosis transmitted?
Under natural breeding conditions bulls transmit it from one female to another. female-to-female transmission highly unlikely, however bull-to-bull possible when penned together and riding behavior occurs. Organism hangs out in the prepuce but does not effect sperm qualitiy or breeding ability. (Bulls are carriers for upto 18 weeks)
What is the only practical method of confirming Campylobacteriosis infection?
Blood tests are not reliable, and therefore bacteriological exmaination of aborted fetuses appears to be the only practical method of diagnosis. (cultures taken from the vaginal or cervical mucus and samples taken from the sheath of the penis are also used)
What is a method of controlling Campylobacteriosis?
AI using antibiotic treated sperm. Another way is to maintain clean, unexposed herd by use of virgin bulls.
Vaccine available.
What is the major fetal lesion experienced with Campylobacteriosis lesions?
placentitis, fibrinous serostitis, bronchopneumonia
What type of virus is responsible for infectious bovine rhinotracheitis (IBR)?
It is a bovine herpes virus; the disease is also called "red nose" and works in association with PI3 (parainfluenza Type 3 virus)
What are the clinical signs of IBR?
pregnant cows the virus invades the placenta and fetus via the dam's blood stream, often causing abortion, temperature increases, loss of appetite and depression, accelerated respiration, accompanied by deep, moist coughing, excessive clear nasal discharge and inflamed muzzle ('red nose') Infected animals are carriers and shed the virus for life.
How is IBR transmitted?
when the animal is breathing or coughing sprays contaminated droplets into the air, feed, or water.
What is the pathogenesis of BVDv?
suppresses an animal's immune system by reducing the number of WBC's in teh spllen and lymph nodes and allowing other viral and bacterial diseases to establish themselves and spread.
What are the clinical signs of BVDv?
fever, profuse diarrhea, ulcers in the mouth, loss of appetite, coughing, profuse salivation, nasal discharge, erosions beneath the muzzle's roughened, dry, crust, inflammation of the eyes, and humped-up appearance and painful walking if feet become infected. Reproductive failure and immunosuppression (abortions depend on time of infection: abortion, fetal mummification, birht defects, congenital malformations usually of CNS, and eyes)
What is the major fetal lesions of IBR (bovid herpes virus I)?
multifocal necrosis with intranuclear inclusions (liver, lung, spleen, kidney)
usually causes abortion in 5-9 months of gestation
How is Herpesvirus I (IBR) confirmed?
histopathology, virus isolation, FA test of frozen kidney
BVDV causes what stage of abortion and what are the major fetal lesions?
Any stage of gestation!
anomalies of skeletal, nervous, cardiovascular, respiratory or other systems.
What kind of virus is BVDv?
It is a pestivirus! Very similar to Broaders virus in sheep and goats).
How is BVDv diagnosed?
Pathology, FA test on fetal tissues, fetal serology (virus neutralization, ELISAs), serologic survey in herd
What are the reproductive effects of bovine herpesvirus I (IBR)?
infectious pustular vulvovaginitis (IPV), embryonic death, abortion, stillbirth, and birht of weak calves
What is the history and clinical signs of Bovine Herpes virus I (IBR)?
abortion after 4 months gestation
history of infertility within the herd
rare instances infected fetuses are carried to term but are stillborn or die in the first week of life
How do you diagnose IBR?
autolysis usually abscures any lesions on the fetus, placenta grossly normal, presence of microscopic foci of necrosis with eosinophilic intranuclear inclusions and lack of inflammation in fetal tissues (liver, lung, thymus, or adrenal glands), viral isolation of placenta or fetal lung, fluroescent antibody test (FA), maternal titer (seldom of diagnostic value)
What is the pathophysiology of IBR?
intrauterine inoculation of Herpesvirus around the time of breeding induces necrotizing endometritis and oophoritis; death of fetus at this stage results from necrotic CL because the zona pellucida protects the embryo from viral infection until hatching occurs at 8-9 days of gestation; cytocidal infection of trophoblast can also induce early embryonic death, later half of gestation fetal death occurs from necrosis in multiple organs and aboriton usually occurs 2 weeks to 4 months after infection
How is IBR controlled or prevented?
umbiquitious; abortion rates vary from 5-60% but usually <25% in beef herds and more sporadic in dairy; no lashing effection fertility; controlled via vaccination
What type of virus causes bluetounge abortion?
orbivirus that results in early embryonic death, abortion, and fetal anomalies
Reoviridae family and is double stranded RNA virus
What is the etiology of bluetounge abortion?
arthropodborne viral disease; clilnical disease usually restricted to sheep, other ruminants may show disease.
What are the clinical signs of bluetounge virus?
reproductive syndromes and bluetounge per se, a vasculitic disease of several organ systems (cattle and goats rarely show signs); transient fever, edema of face, lips muzzle and ears, excessive salivation, hyperemia of the oral mucosa, profuse serous discharge that becomes mucopurulent after a few days, leaving crusts around the nostrils and muzzle, tounge may become cyanotic but infrequent finding, oral lesions, pulmonary edema, lamenss, stiffness, cardiomyopathy
reproductive signs: abortions, stillbirths, weak, live "dummy lamb" births, early embryonic wastage and decreased reproductive efficiency may be more important in cattle
what is the incubation peroid for bluetounge virus?
3-8 days
What would the differential diagnoses be with bluetounge virus?
BVDv, Malignant Catarrhal Fever, Vesicular Disease, Rinderpest, photosensitization, bovine papular stomatitis, and infectious bovine rhinotracheitis, difficult to distinguish from foot-and-mouth disease and vesicular stomatitis
What is the pathophysiology of Bluetounge virus?
capable of reproducing in a variety of mammalian cells; vasculitis caused by infection of vascular endothelial cells, results in edema and necrosis of epithelial surfaces, in bulls the virus can cause inflammation and degenerationof the seminiferous tubules
teratogenic effects appear to be caused by general disruptions of organogeneisis by viral infection of the developing fetus; development may require previous sensitization operating through IgE mediated hypersensitivity reactions
What type of virus is caused by BVDv?
pestivirus which causes early embryonic death, fetal anomalies or abortion
what are the clinical signs associated with BVDv?
abortion can occur at any stage of gestation
history of repeated breeding and a recent episode of febrile disease prior to onset of abortion
How is BVDv diagnosed?
Via clinical findings: mummified, autolyzed, or fresh and have a variety of dysplastic lesions, including cerebellar hypoplasia, cerebral malformations and cataracts, brachygnathia, arthrogrposis, alopecia, thymid hypoplasia, and intrauterine growth restriction; virus isolation from fetal tissue is seldom successful (viral antigen may be detected by FA test on kidney, lung, or lymph node
ELISA
what is the pathophysiology of BVDv?
shed in most body secretions; in seronegative cows exposure at the time of breeding prevents conception, placental attachment at approx. 35 days gestation seemingly must precede fetal infection, during the first four months of gestation infection usually causes fetal death and abortion; fetuses infected with noncytopathic strains between 42 and 125 days gestation are likely to be persistently infected are typically seronegative at birth and subsequently shed BVDv continuously, development of mucosal disease comes later in life from superinfection with cytopathic BVDv; fetuses infected b/n 75-150 days gestation are at risk for the development of dysplastic lesions; fetuses affected after 100 days gestation usually mount an immune response, clear the infection and survive but may develop teratologic effects in the brain, skin or bronchioles, fetuses infected aftero 150 days usually recover w/o dysplastic lesions
What is the etiologic agent of epizootic bovine abortion (foothill abortion)and where is the disease found (location)?
syndrome of late abortions in cattle in the foothills bordering the central valley of CA; once thought to be caused by Chlamydia psittaci but has never been cultured, now it is thought that it is caused by an unknown spirochete passed by a tick vector
What are the clinical signs associated with epizootic bovine aboriton (EBA)?
late abortions or delivery of weak calves; 5-6 months gestation is typical abortion time; older native cows shows no clinical signs
How is EBA diagnosed?
Mainly diagnosed via pathology of the fetus: three month period needed for full development of pathologic changes in the fetus; superficial cervical lymph nodes are enlarged, the spleen is enlarged the thymus is slightly smaller than normal, and the liver may be enlarged and nodular, histologically: loss of thymic cortical lymphocytes; remaining lymphoctyes are enlarged and poorly diff.; folicular hyperplasia, histocytosis, vasculitis, necrosis, and pyogranulomas occur in lymph nodes and spleen,
What is the pathophysiology of EBA?
infection is transmitted by the soft grounding tick (Ornithodorus coriaceus); disease can be transmitted also by fresh or frozen fetal tissue; transformation and proliferation of fetal lymphocytes and macrophages occur by 50 dyas but are not severe enough for diagnosis until 100 days post exposure to the tick vector, IgG and IgM are depositied in vascular lesions, but increased in fetal serum immunoglobulin is not detectable until at least 80days post exposure; repeated superinfection maybe required for fetal death because it takes 90 days for fetal lesion to develop; infection after 6 months unlikely to cause abortion
What is Dourine?
causes valvular discharge, or urtheral discharge, intermittent pyrexia, wt. loss, progresses to plagues on the skin and depigmentation, may also have neurological manifestations.
etiology: Trympanosoma equiperidium