Cattle - Respiratory Dz Flashcards
Describe the epidemiology of fungal rhinitis in cattle and common fungi implicated.
- Rare.
- No age/breed/sex predisposition.
- More common in warm, wet climates.
- Rhinosporidium, helminthosporidium, dreschslera rostrata, aspergillus, phycomycetes, stachybotrys, bipolaris; also nocardia bacteria.
List the clinical signs of fungal rhinitis in cattle.
- Stridor.
- Dyspnoea.
- Mucopurulent nasal discharge.
- +/- epistaxis.
- +/- open-mouth breathing.
How is fungal rhinitis diagnosed in cattle?
Histo: granulation tissue with eosinophils, mononuclear cells, sporangia, hyphae, filamentous bacteria.
How is fungal rhinitis treated in cattle?
- Surgical debulking.
- Sodium iodide (NB overdose –> cough, scaly skin, excessive lacrimation).
Describe the pathophysiology of allergic rhinitis/Enzootic Nasal Granuloma of cattle and sheep.
Type I (IgE) hypersensitivity to pollen/fungi etc –> ongoing reaction exposure –> tissue damage by mast cell factors –> chronic epithelial, duct, goblet cell hyperplasia, mucus hypersecretion and granulomatous inflammation (type IV hypersensitivity).
Is there a breed or age predisposition for Enzootic Nasal Granuloma in cattle?
- Channel island breeds (Guernsey, Jersey, Alderney) and Friesians.
- 6mo to 2yo.
Describe the clinical signs of Enzootic Nasal Granuloma in cattle and sheep.
- Sneezing.
- Nasal pruritis.
- Dyspnoea.
- Stertor.
- Profuse bilateral nasal discharge.
- +/- facial swelling, tachypnoea, hyperpnoea, ulceration of nasal mucosa, lacrimation, chemosis.
- Granulomas: multiple, firm, white, raised, 1-2mm.
How is Enzootic Nasal Granuloma in cattle and sheep diagnosed?
- Endoscopy.
- Biopsy.
- Culture.
- Antigen detection/serology to rule out bacterial, viral or fungal infection.
- Inc eosinophils in nasal secretions.
Describe the treatment of Enzootic Nasal Granuloma in cattle and sheep.
- Remove allergens.
- Anti-histamines.
- Meclofenamic acid.
- Steroids.
List the neoplasias that have been reported to occur in the nasal passages of cattle.
- Osteomas.
- Osteosarcomas.
- Squamous cell carcinomas.
- Neuroblastomas.
- Haemangiosarcomas.
- Ethmoid adenocarcinoma: endemic pattern, 6-9yo, unilateral, viral origin? Mets in LN and lung.
List clinical signs of nasal neoplasia in cattle.
- Inspiratory dyspnoea.
- Stridor.
- Nasal discharge.
- Epistaxis.
- Halitosis.
- Decreased airflow through nares.
- Open-mouth breathing.
- Distortion of facial bones.
- NB not typically treated.
Describe the lesion seen in congenital cystic nasal turbinate disease of cattle.
Nasal conchae lack communication with nasal cavity and fill with fluid.
Describe the clinical signs and diagnosis of congenital cystic nasal turbinates in cattle.
- Stridor.
- Tachypnoea.
- Decreased air flow.
- Exercise intolerance.
- Open-mouth breathing.
- Palpation.
- Endoscopy.
- Rads –> large, smooth, cystic ventral conchae.
Describe the treatment of congenital cystic nasal turbinates in cattle.
- Sx: bilateral dorsal lateral nasal bone flaps.
- Sx: transnasal removal with gigli wire.
Describe the signalment and aetiology of sinusitis in ruminants.
- Cattle > sheep or goats.
- Usually frontal (dehorning) or maxillary (tooth).
- Other causes: injury, extension of actinomyces or nasal neoplasia, resp viruses (MCF, IBR, PI3), sinus cysts, lymphoma, oestrus ovis.
Describe the clinical signs of sinusitis in cattle.
- Acute or chronic.
- Anorexia.
- Lethargy.
- +/- fever.
- Dehorning site discharging pus.
- Unilateral or bilateral nasal discharge.
- Stridor.
- Foul breath.
- Head held at an angle.
- +/- frontal bone distortion, exophthalmus, neuro signs.
Describe the diagnosis of sinusitis in cattle.
- Clinical signs and history.
- Percussion (dull sounds or pain).
- Radiographs.
- Sinus centesis (Steinmann pin).
Describe treatment of sinusitis in cattle.
- Sinus trephination (1 or 2 sites).
- Lavage.
- +/- remove tooth.
- If systemic signs: NSAIDs, ABs (penicillin for Trueperella - dehorning, oxytet for pastuerella - not dehorning).
Describe the aetiology of pharyngeal trauma, abscesses, cellulitis and granulomas in cattle.
- Trauma: balling gun, dose syringe, specula, stomach tube, rough stemmy feeds, grass awns, brias, FBs.
- T. pyogenes, Actinobacillus, Pastuerella, Bordatella. Fusobacterium necrophorum, Streptococcus.
List the clinical signs of pharyngeal trauma, abscesses, cellulitis and granulomas in cattle.
- Inspiratory dyspnoea with stertor.
- Extended head and neck.
- Ptyalism.
- Quidding.
- Pain or swelling.
- Regurgitation through nostrils.
- Mucopurulent to blood nasal discharge with fetid odour.
- Cough.
- Bloat.
- Palpable swelling in the pharyngeal area.
- If severe dz: depression, fever, anorexia, dehydration, forestomach stasis.
Describe the diagnosis of pharyngeal trauma, abscesses, cellulitis and granulomas in cattle.
- Oral exam.
- Endoscopy.
- Rads.
- CBC: neutrophilia, +/- metabolic acidosis due to saliva loss.
List the treatment of pharyngeal trauma, abscesses, cellulitis and granulomas in cattle.
- Drain abscess into pharynx and lavage.
- Drain externally.
- ABs.
- NSAIDs.
- Tracheotomy.
- IVFT.
- Feed through rumenostomy.
- Good Px.
Describe the epidemiology and pathophysiology of Necrotic Laryngitis (aka Calf Diphtheria).
- Feedlot cattle.
- Young (3-18mo); >30 days on feed.
- URT infection –> laryngeal contact ulcers or H. somni infection –> damage to laryngeal mucosa –> invasion of F. necrophorum –> acute to chronic infection of laryngeal mucosa and cartilages.
- Worldwide distribution, occur year-round but more common in Autumn and Winter.
Describe the clinical signs of Necrotic Laryngitis in cattle.
- Acute onset moist, painful cough.
- Severe inspiratory dyspnoea, stertor, head and neck extended.
- Salivation/frequent swallowing or sipping water.
- Anorexia, fever, hyperaemic MMs.
- Bilateral fetid nasal discharge.
- Un-treated die in 2-7d.
- Recovered may become roarers, get aspiration pneumonia or be poor doers.
Describe the treatment and prognosis of Necrotic Laryngitis.
- ABs: oxytetracycline, penicillin, TMPS.
- NSAIDs (1 dose steroid if severe swelling).
- +/- tracheotomy.
- Nursing care.
- Px good if dx early and aggressive tx, otherwise poor.
Describe lesions found at necropsy of cattle that have died from Necrotic Laryngitis.
- Vocal processes and medial angles of arytenoids.
- Acute: oedema, hyperaemia, swelling, discharge around necrotic ulcer.
- Chronic: focus of necrotic cartilage surrounded by purulent exudate with tract to mucosal surface; arytenoid rotated into lumen or cavities.
Describe laryngeal papillomatosis of feedlot cattle.
- Common disease.
- Papovavirus enters via laryngeal ulcers.
- CSx: sterterous respiration, cough.
- Lesion: sessile to pedunculated, yellow, frond-like, 1-10mm growths on vocal processes or arytenoids.
- Tx: usually not indicated; may remove surgically.
Describe the aetiology of tracheal collapse and stenosis in cattle.
- Infrequently reported.
- Unknown aetiology; potential causes incl trauma (roping, dystocia), tracheostomies, congenital defects.
Describe the clinical signs of tracheal collapse and stenosis in cattle.
- BAR –> tachypnoea, tachycardia, mucosal hyperaemia, dyspnoea exacerbated by exercise/excitement, stertor, ‘honking’ cough.
- Lack of response to tracheostomy, NSAIDs, ABs.
Describe the diagnosis of tracheal collapse and stenosis in cattle.
- Endoscopy.
- Rads: dorsoventral flattening in caudal cervical or cranial thoracic trachea most common; can be lateral.
- Necropsy: dorsally or laterally flattened trachea.
Describe the treatment and prognosis of tracheal collapse and stenosis in cattle.
- Px poor.
- Surgery reported to enable survival to slaughter.
Describe the aetiology and pathogenesis of tracheal oedema syndrome (aka Honker Cattle) of feedlot cattle.
- Extensive oedema and haemorrhage of dorsal wall of trachea.
- Acute and chronic form; unknown if related.
- Proposed aetiologies: URT viruses, bacteria e.g. P. multocida or H. somni, feedbunk trauma, fat, mycotoxins, hypersensitivity reaction.
Describe the clinical presentation of the acute form of tracheal oedema syndrome in cattle.
- Heavy feedlot cattle in last 2/3 feeding period.
- Summer.
- Subclinical: sudden death.
- Dyspnoea, guttural inspiratory sounds, open mouth breathing, extending head and neck, cyanosis, recumbency, death.
Describe the clinical presentation of the chronic form of tracheal oedema syndrome in cattle.
- Lighter cattle (130-400kg).
- +/- Hx of IBR/pneumonia.
- Continuous deep, hacking cough.
- +/- unthrifty.
Describe treatment and prognosis of tracheal oedema syndrome in cattle.
- Acute: steroids, oxygen, decrease stress.
- Chronic: no tx.
- Px: poor.
Describe necropsy findings in cattle that have died from tracheal oedema syndrome.
- Acute: dorsal oedema up to 5cm thick, caudal half of trachea; mucosal, submucosal and peritracheal oedema +/- haemorrhage.
- Chronic: hyperaemia of mucosa in caudal third of trachea; +/- thin layer mucopurulent exudate; +/- fibre-like projections and polyps.
List the infectious pathogens which contribute to he Bovine Respiratory Disease Complex.
- Bovine Herpesvirus-1 (BHV-1).
- Bovine Respiratory Syncytial Virus (BRSV).
- Bovine Viral Diarrhoea Virus (BVDV).
- Bovine Parainfluenza 3 Virus (PI3).
- Bovine Coronavirus (BCoV).
- Adenovirus.
- Viruses of unknown clinical sig: Bovine Rhinitis Virus, Bovine Reovirus, Calicivirus, Influenza.
- Mannheimia haemolytica.
- Pastuerella multicodia.
- Histophilus somni.
- Mycoplasma bovis.
- Biberstenia trehalosi.
- Trueperella pyogenes.
- Bacteria w unknown clinical sig: Chlamydial organisms.
Describe the Bovine Herpesvirus-1 (BHV-1).
- Family: Herpesviridae.
- Subfamily: alpha.
- Enveloped DNA virus.
List the diseases caused by BHV-1.
- Infectious Bovine Rhinotracheitis (IBR).
- Conjunctivitis.
- Infectious pustular vulvovaginitis.
- Balanoposthitis.
- Encephalomyelitis.
- Mastitis.
List the clinical signs of IBR in cattle.
- Can be mild to severe (influence of type-1 interferon genotype??)
- ‘Red nose’: hyperaemic muzzle.
- Pustules on nasal mucosa –> diphtheritic membranes.
- Conjunctivitis +/- corneal opacity.
- Pyrexia.
- Anorexia.
- Dec milk prod.
- Tachypnoea.
- Ptyalism.
- Cough.
- Nasal discharge (serous to mucopurulent).
- Harsh bronchovesicular sounds; referred tracheal noise.
- +/- secondary bacterial pneumonia.
- +/- abortion.
Describe the pathophysiology of IBR.
- Transmitted via aerosol and direct contact.
- BHV-1 surface glycoproteins interact w heparin sulfate proteoglycans and other host cell proteins –> enter resp epi cells and neighbouring epi cells via intracellular bridges.
- Invade lymphocytes and monocytes –> extra-respiratory infections.
- Latency in trigeminal ganglia and tonsils mediated by latency-related transcript (prevents apoptosis, re-activates shedding).
- Disease mechanisms:
i) Direct injury of infected URT/bronchial epi cells –> inflammation and susceptibility to secondary infection.
ii) Immunosuppression: dysfunction of neuts, lymphs, macro incl dec neut chemotaxis, dec mitogen-induced blastogenesis of lymphocytes, dec expression of MHC-1 molecules, inc apoptosis of lymphs, mono.
Describe the epidemiology of IBR.
- Widespread.
- Adult cattle are reservoir.
- Increased attack rate and fatality in feedlot cattle.
- Historically first few weeks after entry, now seeing late outbreaks (mutation not covered by current vacc?).
- Not important in epizootic pneumonia of calves.
Describe necropsy findings in animals that have died from IBR.
- Rhinitis, laryngitis, tracheobronchitis.
- Mucosa congested or haemorrhagic.
- Pustular lesions –> plaques on resp. ocular, repro mucosa.
- +/- oesophageal lesions.
- Neonates: systemic dz w necrotic foci in all organs.
- NB intranuclear inclusion bodies NOT common feature of BHV-1 infections.
How is IBR diagnosed in cattle?
- Virus isolation, IFA, PCR from nasal and conj swabs.
- Paired serology (Ab titre).
Describe treatment and prevention of IBR in cattle.
- Decrease stress.
- Ensure access to food and water.
- +/- NSAIDs.
- +/- ABs (if evidence of secondary infection).
- +/- vaccination (outbreak).
- IN/IM vaccines are widely available; protect from infection in challenge studies but few field trials; inactivated for preg cows and neonates, MLV others –> immunity in 2-3d therefore must induce CMI.
- Management essential in prevention e.g. dec co-mingling, dec stress.
Describe the Bovine Respiratory Syncytial Virus (BRSV).
- Family: Paramyxoviridae.
- Subfamily: Pneumovirina.
- Enveloped RNA virus.
- Recent change in BRSV G glycoprotein reported in Europe, likely secondary to antigenic pressure from vaccination.
List the clinical signs of BRSV infection in cattle.
- Inapparent to severe; CSx limited to resp tract.
- Fever, depression, inappetence.
- Tachypnoea.
- Ptyalism.
- Cough.
- Nasal/lacrimal discharge.
- Inc bronchovesicular sounds +/- wheezes/crackles in mid- to dorsocaudal lungfields.
- +/- absent dorsal BV sounds (ruptured bullae).
- Late infection: pronounced dyspnoea, inc expr effort, open-mouth breathing, +/- s/c emphysema.
Describe the epidemiology of BRSV infection in cattle.
- 60-80% US cattle have Abs assoc w seroconversion.
- High morbidity, low mortality (0-20%).
- Adult cattle believed to be reservoir.
- Tranmission: aerosol, direct contact, fomites.
- Incubation period: 3-5 days.
Describe the pathogenesis of BRSV infection in cattle.
- Infects cells of nasal, tracheal, bronchial epi +/- alveolar and circulating macrophages.
- Epi cells fuse –> multinucleated cells (syncytia) –> slough into lumen –> phagocytosed by neut/alv macro.
- Bronchitis, bronchiolitis, alveolitis +/- AIP.
- Infected macro have dec function, dec phagocytosis, dec prod chemotactic factors.
Describe the role of the immune response in BRSV infection in cattle.
- Severity of dz is related to humoral and CM immunity.
- CSx most notable mast cell degran –> bronchoconstriction, pulmonary oedema.
- Vaccine-enhanced dz is rare but is reported w inactivated and MLV vaccines (vacc is still recommended as rare).
Describe necropsy findings in cattle that have died from BRSV infection.
- Neutrophilic to mononuclear bronchitis, broncheolitis, alveolitis +/- syncytial cells.
- AIP –> dorsocaudal lungs heavy, rubbery, emphysema.
- Histo: alveolar epi hyperplasia, hyaline membranes, interstitial inflamm cells, haemorrhage, oedema.
Outline diagnosis of BRSV in cattle.
- Virus does not survive well, therefore not virus iso.
- PCR, IHC, IFA of nasal swabs, TTW or BALF, lung tissue; less likely to be found 10-15d post-infection.
- Seroconversion: ELISA or VN Abs.
Describe treatment and prevention of BRSV infection in cattle.
- Goal: decrease resp inflamm and prevent secondary bacterial infection.
- NSAIDs; steroids if severe resp distress/AIP.
- Antibiotics.
- InO2, furosemide if required.
- IN/IM vaccines available.
Describe the Bovine Viral Diarrhoea Virus (BVDV).
- Family: Flaviviridae.
- Genus: Pestivirus.
- Enveloped RNA virus.
Describe the respiratory disease causes by BVDV infection in cattle.
- Some strains cause mild pneumonia.
- Importance is as a co-infector in BRDC e.g. w M. haemolytica, M. bovis, BHV-1, BRSV.
Describe the pathogenesis of BVDV in BRDC infections.
- Suppresses immune resp to co-infecting agents.
- Suppresses immune resp to vacc against other BRDC pathogens.
- Infects the resp tract and enhances pathogenicity of co-infectors.
Describe the Bovine Parainfluenza-3 Virus (PI3).
- Family: Paramyxoviridae.
- Subfamily: Paramyxovirinae.
- Enveloped RNA virus.