Fertility Problems and Abortion Flashcards

1
Q

Causes of SORP (suboptimal reproductive performance) (4)

A
  • Anoestrus/low ovulation rate
  • Fertilisation failure/low conception rate – male infertility/unsoundness, inappropriate ewe:ram ratio, unsuitable environment
  • Embryonic loss/early foetal death – severe undernutrition, low protein status (scab/fluke), persistent stress, Se/I deficiency, toxoplasmosis, border disease
  • Late foetal loss – abortion, pregnancy toxaemia
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2
Q

Causes of poor ram fertility

A
  • Testicular degeneration (testicle small compared to epididymis) /hypoplasia (everything is small)
  • Epididymitis
  • Traumatic injury to scrotal contents (orchitis)
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3
Q

Epididymitis

  • Causes (2)
  • CS (5)
  • Dx (3)
  • Tx
  • Px
A
  • UK: Gram negative pleomorphic bacteria (Actinobacillus seminis, Haemophilus somnus, Histophilus ovis) – ascending urogenital infection
  • Overseas: Brucella ovis – infection across mucous membrane → bacteraemia → localization in epididymis

CS:

  • Firm nodules in epididymis; testicular atrophy
  • Pain
  • Swelling
  • Lameness
  • inappetance during acute infection

Dx:

  • Palpable lesions
  • Leukocytes in semen
  • Bacterial culture of semen

Tx: cull

Px: Control in problem flocks – keep ram lambs in small groups; avoid confinement and unhygienic conditions

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4
Q

Testicular hypoplasia/degeneration (2)

A
  • Hypoplasia – usually inherited

* Degeneration/atrophy – secondary to e.g. systemic disease, inflammation of scrotum high environmental temperatures

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5
Q

Orchitis

  • cause
  • CS (4)
  • Tx (2)
A
  • trauma or infection (e.g. A. pyogenes, Brucella ovis)

CS:

  • unilateral – heat/pain/swelling
  • reduced testicular mobility
  • induration
  • degeneration of contralateral testicle

Tx:

  • systemic antibiotics
  • hemicastration
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6
Q

Aims of sheep reproduction (2)

A
  • Normal gestation length ~147 days (142-150)

* Aiming at <2% abortion

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7
Q

Infectious causes of abortion

  • Bacteria (5)
  • Protozoan (2)
  • Rickettsia (2)
  • Viral (1)
  • Fungae (2)
A

Bacterial:

  • Chlamydophila abortus (enzootic abortion)
  • Campylobacter (vibrosis)
  • Salmonella
  • Listeria monocytogens
  • Leptospira interrogans

Protozoan:

  • Toxoplasma gondii
  • Neospora caninum

Rickettsia:

  • Ehrlichia phagocytophilia (tick borne fever)
  • coxiella burnetii (Q fever)

Viral:
- border disease

Fungae

  • Aspergillosis fumigatus
  • calviceps purpurea
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8
Q

Non -infectious causes of abortion

A
  • Inadequate nutrition
  • Pregnancy toxaemia
  • Stress/poor handling
  • Vaccination
  • Transport
  • Dog worry
  • Pasteurellosis
  • Chronic fluke
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9
Q

Investigation of abortion (7)

A
  • history, assessment of environment & CS
  • lab investigation of whole foetus/placenta

– Piece of placenta (cotyledon + membranes)
– Foetal stomach contents (aseptically collected)
– Foetal thoracic/peritoneal fluids
– Fresh spleen
– Fixed (formalin) cotyledon, foetal liver, brain etc.

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10
Q

Measurements when abortion is confirmed

A
  • Isolation and marking of aborted ewes
  • Prompt disposal of products of abortion
  • Strict biocontainment
  • Strict hygienic precautions
  • Reduced stocking density
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11
Q

Chlamydial abortion

  • when
  • CS (2)
  • Dx (6)
A
  • last 3 weeks of pregnancy
  • apparently healthy – may stop eating, reddish vaginal discharge
  • Lambs freshly dead or alive (but often weak and unable to suckle)

Dx:
- Placentitis caused by intracellular replicative phase of bacteria
– Discoloration/necrosis of cotyledons
– Oedema/rough thickening of intercotyledonary membranes
– Yellow/pink pus-like exudate
- Confirmation by demonstration of large numbers of chlamydial elementary bodies in Ziehl-Neelsen stained smears of placental tissue
- Paired serology – if no aborted material

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12
Q

Chlamydial abortion

  • Transmission (3)
  • Outcomes (3)
  • Control (4)
A

Transmission:
– Aborted foetuses/placentae
– Vaginal discharges
– Live-born lambs

Outcomes:

  • late pregnant/ non pregnant: no immune response, abortion in last 3 weeks of next pregnancy
  • first half of pregnancy: abortion in last 3 weeks of same pregnancy
  • immune: may shed chlamydia in following lambings, surviving lamb aborts during first pregnancy

Control:
• Isolate aborted ewes + surviving lambs
• Remove products of abortion and contaminated bedding
• Antibiotic treatment of whole flock or in-contact ewes (10mg/kg long-acting oxytetracycline)
• Vaccination: Live attenuated vaccines, Need on-going challenge to keep up immunity

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13
Q

Toxoplasmosis

  • epidemiology
  • CS
A
  • Toxoplasma gondii
  • Intestinal parasite of cats – faecal shedding of oocysts for 8 days when first infected, then immune
  • IMH: sheep, birds, mice: tissue cysts in brain and muscle
  • Minimum infective dose for pregnant ewe ~200 oocysts
  • Oocysts survive up to 2 years in cool & moist environment
  • isolated from ram semen

CS:
– Early pregnancy – embryonic death/ resorption (barren ewes)
– Mid-pregnancy – foetal death (mummification); foetal growth retardation
– Late pregnancy – freshly dead lambs; weak live lambs

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14
Q

Toxoplasmosis

  • Dx (4)
  • Control (6)
A

Dx:
– Placenta – hyperaemic cotyledons, with small white foci of necrosis and calcification; (intercotyledonary membranes normal)
– Lamb – subcutaneous oedema; fibrinous exudate in pleural & peritoneal cavities
– Histology – cotyledons, foetal brain, heart, liver, lung, spleen
– Serology – foetal pleural/peritoneal fluid (IFAT)

Control:
• Rodent control
• Keep feed stores secure from cats
• Limit cat breeding-aim for a stable healthy cat population
• Sulphonamides (e.g. sulphadiazine) – no longer licensed for sheep in UK – Same with Monensin
• Decoquinate (Deccox 6%™) – medicate feed to give 2mg/kg body weight daily; last 14 weeks of pregnancy (if practical!)
• Vaccination (Toxovax™) – live vaccine; single dose at least 3 weeks before mating

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15
Q

Campylobacteriosis

  • causes (2)
  • pathogenesis
  • Cs (3)
A
  • Campylobacter fetus subsp. fetus
  • Campylobacter jejuni

Infection of pregnant ewes → bacteraemia → localization in placenta & foetus → acute necrotic inflammatory response → abortion 7-25 days after infection

CS:

  • Abortion in last 6 weeks of pregnancy
  • Placenta – inflamed, oedematous, may be covered by thick yellow-white exudate
  • Aborted foetuses – usually fresh, may contain serosanguinous exudate in body cavities
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16
Q

Campylobacteriosis

  • Dx (2)
  • Tx/Px (5)
A

Dx:

  • Smears from placenta and/or foetal stomach contents – Ziehl-Neelsen or Gram stain – small, paired, comma-shaped bacteria (“seagull”)
  • Bacterial culture of stomach contents to confirm

Tx/Px:

  • Immediate isolation of aborted ewes – treat with broad spectrum antibiotic
  • Safe disposal of products of abortion
  • Reduce environmental challenge – e.g. move fields, reduce stocking density
  • Aborted ewes immune; some become carriers
  • Vaccination widely used in e.g. USA & New Zealand (not available in UK)
17
Q

Salmonellosis

  • causes: UK (3)/ overseas (2)
  • sources
  • CS: motevideo (2)/ dublin (2)
  • Tx
A

UK:
• Salmonella enterica serotype Montevideo
• Salmonella enterica serotype typhimurium
• Salmonella enterica serotype Dublin

Overseas
• Salmonella enterica serotype abortus ovis
• Salmonella enterica serotype Brandenburg

Sources of infection: contaminated feed/ watercourses, carrier animals, wild birds – difficult to avoid

CS:
Salmonella Montevideo
- SE Scotland
- Abortions throughout second half of pregnancy

Salmonella Dublin

  • Infection via carrier cattle
  • Systemic illness & diarrhoea more frequent in ewes

Tx:
-S. montevideo – whole flock treatment with long acting oxytetracycline

18
Q

Border disease

  • agent
  • CS (3)
  • Dx (2)
  • Control
A
  • Pestivirus

CS:

  • < Day 60 – “hairy shaker” lambs; persistently infected
  • Days 60-85 – congenital defects – brain, musculoskeletal
  • > Day 85 – foetal immunity; normal lambs

Dx: (difficult)

  • Pestivirus antigen in foetal/lamb blood & tissues
  • Serology – ewes; aborted foetus

Control:
- Identify and cull persistently infected animals

19
Q

Schmallenberg virus

  • agent
  • foetal abnormalities (3)
  • spread (2)
  • Px
A
  • Orthobunya virus
  • Still birth

Foetal abnormalities:
– Arthrogryposis
– Twisted neck or spine
– Short lower jaw

  • Vector borne disease (midges)
  • Viraemia 2-5 days
  • Vaccination (Bovilis SBV – MSD)