Topic 102 - Bovine tuberculosis (RED) Flashcards
What is bovine tuberculosis?
A chronic bacterial disease
Occurrence of bovine tuberculosis:
It is widespread !
We differentiate between:
1. Tuberculosis-free countries
2. Infected countries
What is special with the tuberculosis-free countries?
We can still find the disease in wild living ruminants, wild boars and badgers, all of these are reservoirs !
Causative agent of bovine tuberculosis:
Mycobacterium bovis
AND
Mycobacterium caprae
How is the bovine tuberculosis shed?
Shed by carrier animals via:
- Tracheal discharge ⭢ Most importantly in cattle
- Milk
- Faces
- Urine
- Semen
How susceptible is cattle to bovine tuberculosis?
VERY !!
Only need 10 bacteria to infect via aerosol
How does bovine tuberculosis infect?
- Most commonly via inhalation
But also:
2. Per os ⭢ Especially in calves
Rare forms:
3. Intra uterine
4. Per cutaneous
In case of bovine tuberculosis, we see different lesions. What are the nature of them influenced by?
- Agent, the bacterium itself
- Host resistance: Cellular and specific immunity
Which type of lesions can we see in case of bovine tuberculosis? And why?
- Tubercules ⭢ There is a balance between resistance and bacteria
- Proliferative lesions ⭢ Resistance of host is high
- Exudative lesions ⭢ Resistance of host is low, which makes and immediate reaction
Pathogenesis until tubercule formation in case of bovine tuberculosis:
- Bacilli and phagocyted by macrophages and dendritic cells
- The cells reaches the lymph nodes in order to eliminate the bacteria
- They are facultative bacteria, meaning they can replicate intracellularly
- Fusion of lysome with the phagosome is inhibited by the antiphagotic materials in the cell wall.
- Mycobacteria is released from dead macrophages and different mediators will be releases and this is the signal for the cellular immune reaction
- There is a tubercule formation
Pathogenesis of tubercule formation in case of bovine tuberculosis:
- The bacteria replicates in the macrophages, reaching a certain number
- The macrophages and dendritic cells are lysed.
- As a result of the cell lysis different mediators will be released attracting different inflammatory cells: histiocytes, lymphocytes, giant cells
- They will be collected around the bacteria
- There will be several layers of the tuberculum, and we can find plasma infiltrated in the middle
- Due to the plasma infiltration, coagulation necrosis happens, and different cells will encapsulated the necrosis
- Granulation tissue and fibrinocytes will be collected around and this will isolate the forming the tuberculum.
Name the mediators released due to the lysis:
ɣ-IFN = Gamma-interferon
TNF = Tumour necrosis factor
Timeline of pathogenesis of tuberculum in case of bovine tuberculosis:
1st week: 1st form of tubercule formation, the inflammation cells appear
2nd week: The 2nd layer of the tubercule is formed, coagulation necrosis happens
3rd week: Complete granulation tissue is formed
7th week: Calcification can happen. Calcium salt can be deposited and it can be examined post mortem
There are 3 different outcomes of pathogenesis of bovine tuberculosis, name them:
- Tubercule formation = Cellular immune response
- Exudative lesions
- Proliferative lesions
Pathogenesis of bovine tuberculosis, where the outcome is exudative lesions:
- The host has a poor cellular immune response.
- As the bacteria replicated, the host will try to prevent the spread and an immediate reaction is needed
- The area is infiltrated with plasma which contains high amount of lymphovytes.
- As a result of the plasma infiltration, there is a necrosis, due to the cells dying
Pathogenesis of bovine tuberculosis, where the outcome is proliferative lesions:
- The immunity of the host is better, and copes with the bacteria.
- There is a strong infiltration with cellular infiltration
- A strong granulation tissue will be produced and mainly proliferative lesions are seen
- There is NO plasma, NO necrosis and NO calcification
What is the pathogenesis of bovine tuberculosis influenced by?
- The immune state of the host
- If it is a first of a repeated infecion
The infection of bovine tuberculosis can change, there can be discontinous pathogenesis with different phases. Name them:
- Primary focus
- Early generalisation
- Post primary phase
- Exhaust phase Also called: Late generalisation
Pathogenesis of primary focus of bovine tuberculosis:
We find lesions at the site of entry and lesions in the regional lymph nodes.
The site of entry in cattle = Lungs
The site of entry ins pigs = alimentary tract
Pathogenesis of primary focus of bovine tuberculosis, outcome:
- If resistance is high = inactive state
- If resistance is low = early generalisation
⭢ There is a lympho-haematogenic dissemination, the bacteria gets into the lymphatic and blood system. The bacteria reaches all organs and we have the early generalisation
Pathogenesis of early generalisation of bovine tuberculosis:
- If resistance is good, we see tubercule formation
- If resistance is weak, we see mainly exudaive lesions
- The lesions can be: Acute or protracted tuberculosis
⭢ Acute = Miliary tuberculosis, where several small tubercules will be formed
⭢ Protracted tuberculosis = Fever, but larger tuberculi will be formed - We also see lesions in the lymph nodes
Pathogenesis of early generalisation of bovine tuberculosis, outcome:
The balance between the host and the agent is not stable, so the outcome can vary
- Can recover
- A longer or shorter inactive state can be reached
- Animal can die
- Progression can happen ⭢ animal enters 3rd phase
Pathogenesis of Post primary phase of bovine tuberculosis:
- There is a second spread of the bacteria, can come from a previous lesion or it can be exogenous = Post primary phase
- The animal is an allergic state, due to the early generalisation, and the immune system have already “met” the bacteria
- There is an immune response, preventing the inhibited spread of the bacteria.
- They can spread in the lungs, but not spread through the blood, not reaching the lymph nodes !!
- It replicates and can cause lesions in the lungs, but only through airborne infection - Causing infection via intra canalicular spread
- It is called organic tuberculosos, because this phase is limited to reacting in organs only
Pathogenesis of Post primary phase of bovine tuberculosis, outcome:
- Large lesions, frequently the resistance is low enough and extend the lesions
- We see necrotic and caseous lesions, and caverns are seen
- the original structure of the organs are sometimes unrecognisable and the outcome is late generalisation
Pathogenesis of Late generalisation of bovine tuberculosis:
- The resistance of the immune system is exhausted
- The immune system is not able to inhibit the generalisation of the agent and there is a lymphogenic spread
- The bacteria reaches the organs and standard lesions will develop
- The bacteria will reach the lymph nodes and fresh lesions is seen
- The animal will die
Incubation time for bovine tuberculosis:
Months, sometimes years
= because the replication is long
Clinical signs of bovine tuberculosis:
Not typical, especially not in the beginning.
There are different clinical signs in the different phases: