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Presented by:
Roshan Paudel
Exam no:37
B.V.Sc & A.H

Synonyms
Bang’s Disease, Contagious Abortion, Enzootic Abortion, Sinking of the calf
In humans -Undulant fever, Malta or Mediterranean fever and Bang’s fever.
Brucellosis, a bacterial disease caused by members of the genus Brucella,
remains one of the most common zoonotic diseases worldwide, also
cause abortion which is common and rate varies from 30%-80%.
So this disease is very dangerous as it can affect man and also cause
large economic losses by decreasing milk yield and aborted fetus.
INTRODUCTION
 The presence of brucellosis in Nepal was first reported in 1977 by
Pyakurel & Mishra
 Pyakurel and Mishra studied the sero-epidemiology of brucellosis
in animals within Nepal and reported the highest prevalence
(22.64%) in buffaloes from Pokhara. In another study carried out by
Joshi reported a prevalence of 6.08% in humans, 8.70% in cattle, and
3.64% in sheep and goats
 The seroprevalence of brucellosis has been found to vary across
species of animals (17.60% in yak, nak and chauri, 10% in dogs,
8.70% in cattle and buffaloes, 3.64% in sheep and goats, and 7.18%
in pigs) and also across regions (1.49% to 5.36%) with highest
number of cases found in Solukhumbu (5.36%) and the lowest in
Pokhara (1.49%).
Epdiemology

 Brucella is a gram negative, non motile, non spore forming,
coccobacilli or small rod, intracellular organism
 Brucella abortus (Cattle)
 Brucella melitensis (Sheep and goat)
 Brucella Ovis (Sheep)
 Brucella susi(Pig)
 Brucella canis (Dog and other carnivorus)
ETIOLOGY

 Natural transmission occurs by ingestion of organisms, which
are present in large numbers in aborted fetuses, fetal
membranes, and uterine discharge
 Venereal transmission by infected bulls to susceptible cows
appears to be rare. Transmission may occur by artificial
insemination when Brucella-contaminated semen is deposited in
the uterus
 Brucellae may enter the body through mucous membranes,
conjunctivae, wounds, or intact skin in both people and animals
 In humans :ingestion of raw milk, unpastturized dairy product ,
rarely through uncooked meat
TRANSMISSION

Pathogenesis
Entry of Brucella sps
Proliferation in regional lymphnode
Acute lymphadenitis(lymph node is enlarged,hyperplastic)
Reaches the blood through thoraic duct and cause bacterima
Localization in organ
Reticulo-
endothelial cell
genital organs
organ rich in
erythriol,synovial
structure

Cattle and buffalo
Abortion at last trimester of pregnancy
 Retained placenta
 Endometritis
 Birth of dead and weak calves
 Respiratory distress and lung infections
 Low milk yield
 Orchitis and epididymitis in bull
CLINICAL SIGNS

 In Sheep and Goat
 Abortion and sterility
 Synovitis and orchitis
 In pig
 Osteomyelitis of lumbosacral vertebra.
 Hygromas swelling
 In Horse
 Poll evil and fistular wither
CLINICAL SIGNS

 High fever
 Malaise
 Anorexia
 sweating
 Arthralgia
 Fatigue
 Weight loss
 Depression
Clinical sign in Human

Aborted cow fetus with edema,
opaque and bleeding of placenta Hygroma
lesion
1. Placenta-
 Necrosis of cotyledons
 Inter cotyledonary chorion is oedematous and filled
with odorless, sticky, brownish exudates.
 Yellowish granular necrotic areas in cotyledons.
 Rest of chorion is opaque, thickened and leathery
2. Udder
 Induration of bovine mammary glands and
supramammary lymphnodes
3. Aborted fetous-
 Oedematous with serosanguineous fluid in body
cavities.
 Bronchopneumonia
 Fetal lymph nodes are hyperplastic and thymus
smaller than normal.
Figure: Brucellosis: thickened
placenta with white necrotic foci
on cotyledons

Diagnosis
Identification of Brucella from fetus, placenta, lymph nodes
and uterus
Morphology – Gram-negative coccobacilli, occur singly
but are found in pairs.
Growth – aerobic and require CO2 for growth, slow
growing (3-4 days) thiamine, nicotinamide and biotin are
required for growth 5 -10 % normal saline stimulate the
growth.

Diagnosis …..
PM findings:
Oedematous placenta
Pneumonia in foetus

Diagnosis…..
Biochemical tests:
 Lactose fermentation on Mac Conkey's agar negative
 Hemolysis in blood agar : negative
 Catalase positive
 Oxidase positive
 Urease positive
 Nitrate reduction positive
 Citrate utilization negative

Diagnosis…..
Brucella card test
 The Brucella strain is 1119-3. 0.03ml serum is mixed to 0.03 ml of
PAT antigen and shaken well. Agglutination occurs in positive
cases after 4 minutes.
Milk Ring Test
 0.03 ml of the antigen is added to 1 ml milk in a test tube and mixed
after incubation for 1 hour at 37ºC, presence of blue ring indicates
positive for the test.
CFT
Drawbacks of Serological Tests
 Vaccinated animals give positive reaction.
 Latent carriers gives negative result.

Differential Diagnosis
Trichomoniasis
 Abortion in early part of pregnancy(2-4 month)
 Trichomonas foetus in uterine exudate
Vibriosis
 Abortion in 5 to 6 months
 Pin point hemorrhage in placenta
 Caused by Campylobacter foetus

Differential diagnosis…
Leptospirosis
 Abortion in 6 months
 Yellowish brown cotyledon
 Caused by Lepto. pomona
Mycotic abortion
 Abortion in 2 to 7 months
 Caused by Aspergillus and Absidia
Listeriosis
 Abortion in 2 to 7months, Septicemia
 Caused by Listeria monocytogens

Treatment
Treatment is generally not successful. However, drugs such
as Sulphadiazine, streptomycin and chlortetracycline may be
tried.
Recommended treatment: rifamplicin(600-900 mg)+
doxycycline 200mg single dose for minimum 6 weeks

Control
Hygiene: proper disposal of aborted fetus / placenta,
disinfection of the area.
Infected cows should be isolated at parturition.

Control….
 Vaccination
 Brucella abortus strain 19 vaccines: It is a live freeze-dried vaccine.
 Dose is 5 ml S/C, immunity : 1 year.
 Calves between 3 to 6 month ages.
 Pregnant cow may abort.
 Local swelling and high fever for 2 to 3 days with reduction in production.

Control…..
 Br. abortus killed vaccine (strain 45 / 20) @ 5ml IM
 Live attenuated Rev 1 (Br. melitensis) vaccine is
given at an age of 4-8 months @ 2 ml S/C. It is
effective in male sheep but is virulent for humans
and the vaccine must be protected against accidental
self-inoculation
 Bang’s Method : Test and slaughter.

 Chakraborti,A. 2012. A Textbook of preventive
medicine. Kalyani publishers, India (5th edition).
 https://www.slideshare.net/Sujatamohapatra/bruc
ellosis-41409982
 https://www.msdvetmanual.com/reproductive-
system/brucellosis-in-large-animals/brucellosis-in-
cattle?query=brucella%20abortus
 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC
5425907/
Reference

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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
 

Brucellosis

  • 1. Presented by: Roshan Paudel Exam no:37 B.V.Sc & A.H
  • 2.  Synonyms Bang’s Disease, Contagious Abortion, Enzootic Abortion, Sinking of the calf In humans -Undulant fever, Malta or Mediterranean fever and Bang’s fever. Brucellosis, a bacterial disease caused by members of the genus Brucella, remains one of the most common zoonotic diseases worldwide, also cause abortion which is common and rate varies from 30%-80%. So this disease is very dangerous as it can affect man and also cause large economic losses by decreasing milk yield and aborted fetus. INTRODUCTION
  • 3.  The presence of brucellosis in Nepal was first reported in 1977 by Pyakurel & Mishra  Pyakurel and Mishra studied the sero-epidemiology of brucellosis in animals within Nepal and reported the highest prevalence (22.64%) in buffaloes from Pokhara. In another study carried out by Joshi reported a prevalence of 6.08% in humans, 8.70% in cattle, and 3.64% in sheep and goats  The seroprevalence of brucellosis has been found to vary across species of animals (17.60% in yak, nak and chauri, 10% in dogs, 8.70% in cattle and buffaloes, 3.64% in sheep and goats, and 7.18% in pigs) and also across regions (1.49% to 5.36%) with highest number of cases found in Solukhumbu (5.36%) and the lowest in Pokhara (1.49%). Epdiemology
  • 4.   Brucella is a gram negative, non motile, non spore forming, coccobacilli or small rod, intracellular organism  Brucella abortus (Cattle)  Brucella melitensis (Sheep and goat)  Brucella Ovis (Sheep)  Brucella susi(Pig)  Brucella canis (Dog and other carnivorus) ETIOLOGY
  • 5.   Natural transmission occurs by ingestion of organisms, which are present in large numbers in aborted fetuses, fetal membranes, and uterine discharge  Venereal transmission by infected bulls to susceptible cows appears to be rare. Transmission may occur by artificial insemination when Brucella-contaminated semen is deposited in the uterus  Brucellae may enter the body through mucous membranes, conjunctivae, wounds, or intact skin in both people and animals  In humans :ingestion of raw milk, unpastturized dairy product , rarely through uncooked meat TRANSMISSION
  • 6.  Pathogenesis Entry of Brucella sps Proliferation in regional lymphnode Acute lymphadenitis(lymph node is enlarged,hyperplastic) Reaches the blood through thoraic duct and cause bacterima Localization in organ Reticulo- endothelial cell genital organs organ rich in erythriol,synovial structure
  • 7.  Cattle and buffalo Abortion at last trimester of pregnancy  Retained placenta  Endometritis  Birth of dead and weak calves  Respiratory distress and lung infections  Low milk yield  Orchitis and epididymitis in bull CLINICAL SIGNS
  • 8.   In Sheep and Goat  Abortion and sterility  Synovitis and orchitis  In pig  Osteomyelitis of lumbosacral vertebra.  Hygromas swelling  In Horse  Poll evil and fistular wither CLINICAL SIGNS
  • 9.   High fever  Malaise  Anorexia  sweating  Arthralgia  Fatigue  Weight loss  Depression Clinical sign in Human
  • 10.  Aborted cow fetus with edema, opaque and bleeding of placenta Hygroma
  • 11. lesion 1. Placenta-  Necrosis of cotyledons  Inter cotyledonary chorion is oedematous and filled with odorless, sticky, brownish exudates.  Yellowish granular necrotic areas in cotyledons.  Rest of chorion is opaque, thickened and leathery 2. Udder  Induration of bovine mammary glands and supramammary lymphnodes 3. Aborted fetous-  Oedematous with serosanguineous fluid in body cavities.  Bronchopneumonia  Fetal lymph nodes are hyperplastic and thymus smaller than normal. Figure: Brucellosis: thickened placenta with white necrotic foci on cotyledons
  • 12.  Diagnosis Identification of Brucella from fetus, placenta, lymph nodes and uterus Morphology – Gram-negative coccobacilli, occur singly but are found in pairs. Growth – aerobic and require CO2 for growth, slow growing (3-4 days) thiamine, nicotinamide and biotin are required for growth 5 -10 % normal saline stimulate the growth.
  • 13.  Diagnosis ….. PM findings: Oedematous placenta Pneumonia in foetus
  • 14.  Diagnosis….. Biochemical tests:  Lactose fermentation on Mac Conkey's agar negative  Hemolysis in blood agar : negative  Catalase positive  Oxidase positive  Urease positive  Nitrate reduction positive  Citrate utilization negative
  • 15.  Diagnosis….. Brucella card test  The Brucella strain is 1119-3. 0.03ml serum is mixed to 0.03 ml of PAT antigen and shaken well. Agglutination occurs in positive cases after 4 minutes. Milk Ring Test  0.03 ml of the antigen is added to 1 ml milk in a test tube and mixed after incubation for 1 hour at 37ºC, presence of blue ring indicates positive for the test. CFT Drawbacks of Serological Tests  Vaccinated animals give positive reaction.  Latent carriers gives negative result.
  • 16.  Differential Diagnosis Trichomoniasis  Abortion in early part of pregnancy(2-4 month)  Trichomonas foetus in uterine exudate Vibriosis  Abortion in 5 to 6 months  Pin point hemorrhage in placenta  Caused by Campylobacter foetus
  • 17.  Differential diagnosis… Leptospirosis  Abortion in 6 months  Yellowish brown cotyledon  Caused by Lepto. pomona Mycotic abortion  Abortion in 2 to 7 months  Caused by Aspergillus and Absidia Listeriosis  Abortion in 2 to 7months, Septicemia  Caused by Listeria monocytogens
  • 18.  Treatment Treatment is generally not successful. However, drugs such as Sulphadiazine, streptomycin and chlortetracycline may be tried. Recommended treatment: rifamplicin(600-900 mg)+ doxycycline 200mg single dose for minimum 6 weeks
  • 19.  Control Hygiene: proper disposal of aborted fetus / placenta, disinfection of the area. Infected cows should be isolated at parturition.
  • 20.  Control….  Vaccination  Brucella abortus strain 19 vaccines: It is a live freeze-dried vaccine.  Dose is 5 ml S/C, immunity : 1 year.  Calves between 3 to 6 month ages.  Pregnant cow may abort.  Local swelling and high fever for 2 to 3 days with reduction in production.
  • 21.  Control…..  Br. abortus killed vaccine (strain 45 / 20) @ 5ml IM  Live attenuated Rev 1 (Br. melitensis) vaccine is given at an age of 4-8 months @ 2 ml S/C. It is effective in male sheep but is virulent for humans and the vaccine must be protected against accidental self-inoculation  Bang’s Method : Test and slaughter.
  • 22.   Chakraborti,A. 2012. A Textbook of preventive medicine. Kalyani publishers, India (5th edition).  https://www.slideshare.net/Sujatamohapatra/bruc ellosis-41409982  https://www.msdvetmanual.com/reproductive- system/brucellosis-in-large-animals/brucellosis-in- cattle?query=brucella%20abortus  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 5425907/ Reference