Disease of the oral cavity and the oesophagus in ruminants Flashcards
Stomatitis
Classification
Morphological
Course of disease
Etiological (non-infectious agents)
Etiological (infectious agents)
Stomatitis
Morphological classification
- Simple stomatitis (stomatitis simplex, s. catarrhalis), e.g. mild physical - chemical causes
- Ulcerative st. (s. ulcerosa, s. erosiva), e.g. satratoxicosis
- Necrotic st. (s. necroticans, s. gangraenosa; noma), e.g. necrobacillosis
- Purulent st. (s. purulenta, s. phlegmonosa, s. apostematosa), e.g. bacterial stomatitis
(actinobacillosis) - Membranous st. (s. pseudomembranacea, s. crouposa, s. diphteroides), e.g. soor
(candidiasis) - Papular st. (s. papulosa), e.g. bovine papular stomatitis
- Vesicular st. (s. vesiculosa), e.g. FMD, soremouth
Stomatitis
Course of disease
o Acute
o Subacute
o Chronic
Stomatitis
Etiological classification (non-infectious agents)
o Physical causes: sharp plants, tooth abnormalities, foreign bodies
o Chemical causes: irritant chemicals (e.g. fertilizers), drugs (e.g. chloral hydrate),
acids, alkalis
o Toxicoses: e.g. chronic mercury or furazolidone toxicosis, satratoxicosis (Stachybotris
atra)
Stomatitis
Etiological classification (infectious agents)
o Bacteria: e.g. necrobacillosis (Fusobacterium necrophorum ssp. n.) actinobacillosis (Actinobacillus lignieresii), tongue actinomycosis (Actinomyces /C. bovis, A/C/. israeli), gum, bone
o Viruses:
▪ Bovine: FMD (aphthovirus), BVD (pestivirus), BPS (parapoxvirus), BMC
(herpesvirus), infectious rhinotracheitis (herpesvirus), vesicular stomatitis
(vesiculovirus), rinderpest (morbillivirus)
▪ Sheep, goat: FMD, soremouth=contagious ecthyma (parapoxvirus), blue
tongue (orbivirus), peste de petits ruminantes (morbillivirus)
o Fungi: moniliasis, candidiasis = soor (C. albicans)
Stomatitis
Clinical signs
- General symptoms (in severe stomatitis) o Anorexia, depression, fever
- Local symptoms
- Halitosis (foetor ex ore)
- Salivation
- Disorders of eating (drinking, sucking, chewing)
- Morphological alterations (see at the morphological classification)
Stomatitis
Diagnosis
• Symptomatic diagnosis: type of stomatitis
• Etiological diagnosis:
o History, typical morphological lesions
o General and other organic symptoms
o Additional laboratory examinations
• A TTENTION
o Fever, drooling, endemic onset: FMD!!!
o Drooling, CNS signs: RABIES!
o DO NOT MANIPULATE IN THE MOUTH
Stomatitis
Treatment of stomatitis
- Treatment and elimination of the cause if possible
- Diet (good quality hay, molasses, bran), peroral/intravenous fluid
- Local therapy: 0,1 % AgNO3 solution, 2 % borax, polividon iodide, mild oxidative
disinfectants, camomile tea - Increasing of general resistance and protection of the epithelium: Vitamin A
- Local or parenteral antimicrobial treatment for 5-10 days
Esophageal obstruction; choke (obturatio oesophagi)
Aetiology
• feeding history: solid (piece) of food, getting rid of the animal, hunger
Esophageal obstruction; choke (obturatio oesophagi)
Pathogenesis
• Obturation (anatomical predilections)→spasm→pain
• Regurgitation, drooling, (wall necrosis) + bloat→(suffocation)
perioesophagitis, perforation
Esophageal obstruction; choke (obturatio oesophagi)
Mechanism of misswallowing and regurgitation
I. Respiration
II. Swallowing
III. Misswallowing
Esophageal obstruction; choke (obturatio oesophagi)
Clinical signs
- Peracute, acute course
- Restlessness (colic like behaviour !!! )
- Retching, salivation, regurgitation
- Visible, palpable mass in the jugular groove
- Rapid bloat (within hours), enlargement of the flanks (left side!)
Esophageal obstruction; choke (obturatio oesophagi)
Diagnosis
• History, solid mass in the jugular groove, esophageal tubing, (endoscopy)
Esophageal obstruction; choke (obturatio oesophagi)
Differential diagnosis
• Diseases with salivation, dysphagia, acute bloat (see next table)
Esophageal obstruction; choke (obturatio oesophagi)
Treatment
• Spasmolytics, analgesics (metamizol = dipyrone, flunixin meglumine)
• Sedation (xylazine)
• Trocarisation if necessary
• Removal of the foreign body:
o by hand
o by using a rubber tube or a special tube (+ oil, water)
o via surgery