67. Causes of lameness in small ruminants (symptoms, characteristics, treatment) Flashcards

1
Q

Different diagnosis of lameness Non-infectious?

A

Differential diagnosis of lameness

• Non-infectious

o Trauma

o Laminitis

o Trace mineral deficiency

o Soil balling between the claws

o Interdigital hyperplasia

o Toe granuloma

o Inadequate hoof trimming

o Osteoarthritis

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2
Q

Differential diagnosis of infectious causes?

A

• Infectious

o Interdigital dermatitis

o Foot rot

o Contagious ovine digital dermatitis

o White line abscess, white line degeneration

o Pedal joint abscess (septic pedal arthritis)

o Infectious polyarthritis of young lambs (joint-ill)

o E. rhusiopathiae polyarthritis in growing lambs

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3
Q

Name the causes of Lameness in sheep?

A

Interdigital hyperplasia

Toe granuloma

Foot rot

Contagious ovine dermatitis

White line abscess

Septic pedal arthritis

Infectious Polyarthritis of lambs(Joint ill)

Osteoarthritis of older sheep

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4
Q

Interdigital hyperplasia?

A

Interdigital hyperplasia

  • A fold of skin grows in the interdigital space
  • First insignificant, but enlarges with age
  • Predisposes to further foot problems(especially interdigital dermatitis)
  • May be hereditary -> should be excluded from breeding!
  • Large lesions can be removed under local anaesthesia
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5
Q

Toe granuloma causes?

A

Toe granuloma

  • Strawberry-like growths of granulation tissue
  • Usually caused by over trimming the tip of the claw

o Profuse bleeding of the corium is followed by formation of granulation tissue

o A thin layer of horn can cover the growth later

  • Most animals remain lame even if the granuloma is covered by horn
  • Occasionally foreign body or chronic foot rot can also cause granuloma formation
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6
Q

Toe granuloma treatment and prevention and control?

A

Treatment:

• Careful excision with scalpel, followed by pressure bandaging for 3-5 days

Prevention/control

• Adequate hoof trimming

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7
Q

Interdigital dermatitis Cause?

A

Interdigital dermatitis (scald)

Cause:

  • Wet conditions cause loss of skin integrity, allowing F. necrophorum invasion
  • Restricted to the interdigital skin between the claws
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8
Q

Symptoms of interdigital dermatitis?

A

Symptoms:

  • Skin seems moist
  • Red/grey discoloration
  • Loss of hair
  • No horn separation ( foot rot)
  • Though the symptoms are relatively mild, it can cause severe pain
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9
Q

Treatment and Prevention/Control of Interdigital dermatitis?

A

Treatment:

  • Foot bathing
  • Antibiotics (local or parenteral)

Prevention/control

  • Impossible to eradicate (F. necrophorum is ubiquitous)
  • Adequate hoof care of the herd will minimize prevalence
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10
Q

Foot Rot Cause?

A

Foot rot

Cause:

• D. nodosus infection, usually following a F. necrophorum invasion of the skin

o F. necrophorum causes necrosis, therefore facilitates entry of D. nodosus

o D. nodosus produces protease and elastase, damaging the deep tissues of the Foot

o There are benign and virulent strains of D. nodosus

o D. nodosus can survive in the environment for up to 1 week

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11
Q

Symptoms of foot rot?

A

Symptoms:

  • Accumulation of discharge (typical, foul-smelling necrotic material)
  • Separation of the sole, sometimes the whole horn capsule is shed

o Begins at the posterior part of the axial side of the horn-skin junction

  • Regrowth of the horn can be abnormal
  • Severe lameness
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12
Q

Treatment of foot rot?

A

Treatment

  • Early detection is key
  • Separation of infected animals
  • Parenteral antibiotic therapy

o Penicillin-streptomycin at twice the licensed dose rate

o Long-acting oxytetracycline

o Tilmicosin

• Foot bathing

o Formalin should be avoided, as it irritates the tissues (could cause permanent damage)

o Every 2-3 days for 2-6 weeks

• Vaccination

o Limited protection for 6 months

• Therapeutic foot trimming (?)

o Removing diseased horn, only after healing commenced

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13
Q

Control/prevention of foot rot?

A

Control/prevention

  • Dry pasture/bedding
  • Farm biosafety
  • General hygiene of the handling systems
  • Vaccination
  • D. nodosus is hard to eradicate, so other areas of hoof care have to improve in order to decrease

risk of infection

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14
Q

Contagious ovine digital dermatitis cause?

A

Contagious ovine digital dermatitis

Cause:

• Not fully understood; in a lot of cases, Treponema vincentii could be isolated, but it can be found

on healthy hooves as well. It’s probably caused by multiple bacteria (different strains can be

detected at different phases).

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15
Q

Symptoms of Contagious ovine digital dermatitis?

A

Symptoms:

• Detachment of the horn on one or more claws

o Starts at the coronary band of the abaxial wall ( foot rot)

o Loss of hair above the coronary band, usually not present in the interdigital space (

interdigital dermatitis)

o Severe lameness

o In severe cases, necrosis and resorption of the 3rd phalanx can occur

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16
Q

Treatment of contagious ovine digital dermatitis?

A

Treatment

  • Footbaths
  • Parenteral antibiotic therapy
  • Bone resorption: bad prognosis
17
Q

White line abscess Cause?

A

White line abscess

Cause:

• Defect of the white line along the abaxial wall gets contaminated, pus formation follows If the pus

is not released by trimming, it will erupt at the coronary band

18
Q

Symptoms of white line abscess?

A

Symptoms

  • Lameness without any gross lesions; diagnostic foot trimming is needed to find the lesions
  • Abscesses show as a dark mark, which will release pus on further paring
  • If there was a previous episode of eruption at the coronary band, a horizontal crack forms in the

wall

19
Q

Treatment of white line abscess?

A

Treatment

  • Careful paring to release the pus
  • Local antibiotic treatment
20
Q

Cause of Septic Pedal Arthritis?

A

Septic pedal arthritis

Cause:

• In some cases of interdigital infection, bacteria can spread to the distal interphalangeal joint.

21
Q

Symptoms of septic pedal arthritis?

A

Symptoms:

  • In most cases only one joint is affected
  • Severe swelling, widening of the interdigital space
  • One or more discharging sinuses at the coronary band (abaxially)
  • Marked swelling of the drainage lymph node
22
Q

Treatment of septic pedal arthritis?

A

Treatment

  • Antibiotic therapy is useless
  • Joint lavage (?)
  • Amputation: good prognosis

o Adequate technique: through the 1st phalanx (not the joint)

o Adequate postoperative care: Bandage for 5-7 days, AB, NSAID, rest, clean bedding

23
Q

Joint ill Cause?

A

Infectious polyarthritis of lambs (joint ill)

Cause:

• Arthritis following bacteraemia. Most common pathogens are Streptococcus spp. and E.

rhusiopathiae. Entry point of infection: lungs, GI system, navel.

  • Lambs are infected in the neonatal period, symptoms occur at 5-10 days old
  • E. rhusiopathiae: Can cause lameness at 4-6 months, usually following docking/castration, and post

dipping lameness at all ages

24
Q

Joint ill symptoms?

A

Symptoms:

  • One or more joints are affected
  • Carpus>hock>fetlock>stifle joint
  • Atlanto-occipital joint -> tetraparesis
25
Q

Treatment of Joint ill?

A

Treatment:
• Acute phase: Antibiotics (penicillin derivatives) for 5 days, NSAID for 3 days; in case of tetraparesis:
dexamethasone
• Chronic cases: bad prognosis

26
Q

Osteoarthritis of older sheep Cause?

A

Osteoarthritis of older sheep

Cause:

  • Degenerative disease, usually following trauma
  • 2-5 years old sheep
27
Q

Symptoms of osteoarthritis?

A

Symptoms:

  • Elbow, stifle
  • Acute phase: classic signs of inflammation
  • Elbow: characteristic stance: hind legs positioned forward, head lowered
  • Reduced joint excursion (flexion)
  • Thickening of the synovial membrane
28
Q

Treatment of osteoarthritis?

A

Treatment: acute phase:

  • NSAID 3-5 days
  • po. phenylbutazone: off-label