Mammary Diseases Flashcards
inflammation of mammary gland
most infections due to bacterial infections
Mastitis
When does acute mastitis typically become chronic
around 2-4 weeks
Mastitis is typically caused by
bacteria (although some can be mycotic, algae)
Once mastitis occurs, what do you see
Heat
Pain
Swelling
Edema
Leukocytosis
T/F: the majority of the somatic cell count is made up of neutrophils
True- although other cells can be on there such as monocytes, RBC, etc
Uninfected cows have SCC of
<100,000 cells/mL
Infected cows have a SCC of
100,000 - 10 million _
What is the legal bulk tank SCC limit
US: 750,000 cells/mL
EU: 400,000 cells/mL
some markets want lower
SCC affects the ____ and ____
quantity and quality of milk being produced
when there is an increase in SCC but grossly milk is normal and you wouldnt be able to tell the cow is infected
Subclinical mastitis
when there is an increase in SCC and some changes in milk (taste, color, etc.)
Mild mastitis
when there is an increase in SCC, some changes in milk (taste, color, etc), and udder changes such as pain, redness, swelling, edema, etc.
Moderate mastitis
when there is an increase in SCC, some changes in milk (taste, color, etc), and udder changes such as pain, redness, swelling, edema, etc, and the cow is systmically ill (down, fever, etc)- endotoxemia
Severe mastitis
Why do we care about subclinical mastitis cows
they might not be systemically ill and no systemic signs but it reflects the amount of cows that do have clinical mastitis and they are carriers that can spread mastitis around
also decreased milk quality and quantity
subclinical mastitis losses
1) Reduced quality
2) Increased plasmin
- reduced cheese yield
- off flavors (increased pH, enzymes, lipase, proteases)
-Reduced shelf life
-coagulation proteins messed up (ropey milk)
T/F: increased SCC has reduced shelf life
true
What are the different categories of mastitis and what do you see in the cow
Subclinical: Increased SCC- milk has reduced quality, increased plasmin (reduced cheese yield, off flavors- increased pH, enzymes, lipase, proteases), reduced shelf life and coaogulation (ropey milk)
MIld: abnormal milk, elevated SCC
Moderate: abnormal milk, inflammed milk (red, hot, swollen, painful, loss of function), elevated SCC
Severe: abnormal milk and gland +/- animal
systemic signs of endotoxemia: fever, increased heart rate, weakness, dehydration, rumen stasis, shock
Endoxtemia signs in cattle
fever, increased heart rate, weakness, dehydration, rumen stasis, shock
How does the CMT test work
equal parts milk and detergent
detergent causes DNA to gell
pH colorimetric indicator
increased gel and purple color with increased SCC
Increasing loss with score
What are the different CMT scores?
0
Trace
1
2
3
What would the appearance of a CMT score 0 be
liquid- no precipiate
shows that there is <200,000 SC and 0% milk loss
What increases as CMT score increase
estimated SCC and milk loss
A CMT test with slight precipiate, disappears with movement
trace- 150,000 - 500,000 SCC and 3% milk loss
A CMT with distinct precipitate, doesnt gell with movement
1: 400,000 SCC-1.5 million ; 11% milk loss
A CMT with distinct gell formation but does not adhere to paddle
2: 800,000 - 5 million ; 26% milk loss
A CMT with strong gell formation and adheres to paddle
3: >5 million; 46%
What is the issue with CMT
you miss out on detecting subclinical mastitis cows because those are anything trace (150k -500k)
subclinical is greater than 100k
How does SCC differ from acute vs chronic mastitis
Acute: >10million
Chronic: 500k to 2million
decreases as the inflammatory cascade decreases
PMN cells are about 0-40% in normal milk, how does this change during mastitis
increases up to 90%
what should you do to identify the pathogen causing the mastitis
Milk culture
-exposure
-predicted response to treatment
What is milk conductivity
a method to detect mastitis in the parlor
increased conductivity seen with increased Na+, Cl- (which is also associated with inflammation)
handheld plus inline (automated)
Poor specificity- not picking up the subclinical carriers as much
How do you gather milk sample for culture
1) Start with clean teats- scrub the teat cleaner than alcohol wipes
Sterile procedure- dont let teat touch tube, watch for falling debris
2) Chill or freeze immediately
What is bulk tank culture useful for
Screening for specific contagious mastitis bacteria: expanding herd, biosecurity, search for cause of increasing SCC
Is string samples or bulk tank culture more sensitive
String Samples: In-line drip sample of subset of cows (string or pen- primarily look for cow source pathogens. Improves sensitivity over whole-herd BT culture
String Culture for mastitis
String Samples: In-line drip sample of subset of cows (string or pen- primarily look for cow source pathogens. Improves sensitivity over whole-herd BT culture
good start for culturing- more information
What are different metrics of milk quality
1) SCC: Grade A <750K but goal is <200K (premiums)
2) Freezing point: water contamination
3) Fat and protein (premiums)
To be considered grade A milk, the SCC needs to be
<750K, but the goal of most farms is <200K
What 4 metrics are included in routine bulk tank testing?
1) Standard plate count: indicates general cleanliness of milk harvest
2) Lab pasteurized count: indication of system cleaning and sanitation
3) Coliform count: indication of environmental contamination
4) Drug residue screen
indication of environmental contamination in milk, how dirty cows are when going to parlor
Coliform count
Indication of system cleaning and sanitation in milk
lab pasteurized count’
if increased look at equipment. needs to be cleaned ever 12 hours
indicates the general cleanliness of milk harvest
standard plate count
Different methods of antibiotic residue testing
1) diffusion test
2) double test
3) snap test
Causes of antibiotic residue violations is when the producer fails to
ID treated cows
observe withhold time
keep records
What happens when there are antbiotic residues in the milk
Dump milk for 2-3 days
Fines - pay for everyone else’s milk
Loss of permit
Bovine mastitis pathogens can either be
Contagious
Environmenta
in-between
What mastitis pathogens are purely contagous
1) Strep ag
2) Mycoplasma
What mastitis pathogens are purely environmental
1) Coliforms
2) T. pyogenes
3) Pseudomonas
4) Prototheca
5) Yeast
What bovine mastitis pathogens can be either contagious or environmental
Strep dysgalactia
Staph aureus
corynebacterium
strep uberis
Strep spp
Enterococcus
How are contagious mastitis pathogens best controlled
post-milking teat dipping is the single most effective practice to reduce incidence of contagious mastitis
T/F: cow is the only reservoir for Streptococcus agalactiae
True - rare human pathogen
The classic contagious mastitis is
streptococcus agalactiae
What pathogen is on your differential list if you are seeing a lot of subclinical mastitis cows but not necessarily sick cows
Streptococcus agalactiae- primarily subclinical
cow is only reservoir
How do you diagnose Strep. agalactiae
Susepct: open herd, bulk tank SCC clinbs rapidly after herd additions. few clinical cases are seen
Confirm with the CAMP test: gram +, small colonies, catalase -, CAMP +, esculin -, beta hemolytic
Streptococcus agalactiae is catalse + or -
Negative
Streptococcus agalactiae is CAMP + or o
CAMP +
T/F: Streptococcus agalactiae is beta-hemolytic
True- CAMP is the diagnostic test for this pathogen
Streptococcus agalactiae is esculin + or -
-
How do you differentiate between strep. and staph.
Staph is catalse +
Strep is catalse -
Strep is catalase ____ while staph is catalse ____
Strep: Catalase Negative
Staph: Catalase postive
How do you control for Streptococcus agalactiae?
biosecurity
test introduced cattle
ID and treat infected animal (>90% cure rate with drugs, 25% spont cure rate)
keep screening herd
post-milking teat dip
a respiratory pathogen that causes septicemia in calves common with localization in joints, mammary gland, otitis media
mycoplasma
How is mycoplasma mastitis spread
1) primarily cow to cow, highly contagious - respiratory
2) possible asymptomatic carriers
3) milkers spread on hands, treatment cannulas, milking equipment
Acute subclinical mycoplasma mastitis
-affects 1 or multiple quarters
-fresh cows: immunocompromised
-warm, firm, swollen
-poor response to treatment
-fine clots, tan secretion “sandy material”
-Progress to serous, clots, flakes, pus
-Febrile or no systemic signs
Chronic subclinical mycoplasma mastitis
Decent production with
Moderate to low SCC
Intermittent shedding
What mycoplasma species typically causes contagious mastitis
Mycoplasma bovis
-other mycoplasma species cause environmental
How do you control mycoplasma
segregate and/or cull $
-risk to cows following milking order, backflush systems in parlor
Post Dip and flush
No treatment
Special culture
vaccine? - low efficacy, may be cross protection
What is the most prevalent contagious mastitis agent if Strep. ag is controlled
Staphylococcus aureaus
How does Staphylococcus aureaus present
Chronic subclinical
Recurrent mild clinical
Rare gangrenous
Heifer IMI at calving
Microabscesses - hard to treat and lead to
Intermittent shedding
T/F: Straph aureus have low cure rate
True <40%: high abx resistant strains
How do you control for Staph. aureus
1) Segregate and/or cull: risk to cows following in milk order, backflush systems in parlor
2) Post DIP
Others:
Lactating therapy generally ineffective- extended pirlimycin regime for heifer (Pirsue) - not on market
Dry Cow Therapy? Teat Sealant?
Vaccine?
What is the differentiating test between Staph aureus from other species
Staph. aureaus is coagluase +
T/F: Staph agalact is coagulase +
False: only staph aureus is coagulase +
T/F: Staph aureus is coagulase +
true
What do you see when culturing Staph aureus
large cream-tan colonies
Gram +
Catalase +
Coagulase +
Double zone of hemolysis (a+b)
Coagulase negative Staph
normal flora of skin and teat orifice
opportunistic
increasing teat irritation or injury increases risk of infection
Elevated SCC or positive CMT
Freshening heifers suspect
What mastitis pathogens respond well to intra-mammary antibiotics
Coagulase negative Staph
How do you diagnose and treat coagulase negative Staph
Culture, aseptic technique
milking hygiene and protocols
Milking machinery
Post dipping
lactating vs dry cow therapy
a gram positive, club shaped bacteria that causes SCC to midly increase from 200,000 to 1 million
reduced milk production
spread in parlor at milking
post dipping and dry cow treatments recommended
Corynebacterium bovis
What do you think of with environmental mastitis
integrity of the teat end immune defenses along with the pre-milking teat dip and clean housing and hygenic milking practices
Pre-milk teat dip is for controlling _____ mastitis, while post-milk teat dip is for controlling _____ mastitis
Environmental ; Contagious
How do you control for environmental mastitis
1) Integrity of the teat end immune defenses
2) Pre-milking teat dip
3) Clean housing and hygenic milking practices
Environmental Strep mastitis
bedding is the primary source, esp straw
cow to cow transmission is possible (esp strp dysgalactia)
50% clinical- mild to moderate with 5-7 day clinical duration
Spontaneous cure is several weeks without treatment
Strep uberis refractory to treatment = Extended IMM cephapirin (8 days)
What Strep species cause environmental mastitis
Strep. uberis
Strep dysgalactiae
Strep bovis
Most environmental strep can be spontaneously treated, except for what species
Strep. uberis = refractory to treatment
Do extendend IMM cephapirin (8days)