Contagious disease with high mortality up to 100% that affects cattle and buffalo. Early signs include small pinpoint areas of necrosis on the tongue, gums, and dental pad. Severe ocular discharge may become purulent. Clinical signs include high fever, dullness, depression, and death within 2-3 days in the per acute form. The acute form shows sudden fever, lacrimation, nasal discharge, and congested mucous membranes followed by raised gray or white necrotic foci on the mouth that increase in size and number and may detach, leaving raw erosions.