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Lumpy Jaw) in Cattle: a Case Report Dr ISSN 2321 3361 © 2020 IJESC Research Article Volume 10 Issue No.3 Clinical Management of Bovine Actinomycosis (Lumpy Jaw) in Cattle: A Case Report Dr. Wani Ab Ahad1, Surjeet Kumar2, Hashim A. Lone3, Raja Beghum4 Veterinary Assistant Surgeon1 Department of Animal Husbandry Kashmir1, 2, 3, 4 ICD Centre, Gadoora Ganderbal, J&K, India1, 2, 3, 4 Abstract: A cross breed Holstein Fresien male calf presented at ICD centre, Gadoora, Ganderbal, J&K with a swelling at mandibular region and leaking out pus contents and was diagnosed to be suffering from Bovine Actinomycosis/Lumpy Jaw/Big Jaw. The animal was treated for seven days and recovered successfully. The incidence of actinomycosis in cattle is higher as they are mainly fed with straw/Hay and ensilage. These kind of rough feeds injure the buccal mucosa of the animal and act as a predisposing factor for the occurrence of the disease. At field level successful treatment of actinomycosis in cattle can be done by parental administration of Penicillin in combination with Streptomycin along with oral administration of Potassium Iodide and daily dressing of wound with 2% Povidone Iodine. Keywords: Lumpy Jaw, mandibular, Holstein Fresien, Penicillin, Actinomycosis. I. INTRODUCTION buccal mucosa and there by predispose them to this infection. Then the organism is introduced to underlying soft tissues via Bovine Actinomycosis is a non contagious, chronic to penetrating wounds of the oral mucosa caused by straw or wires sub acute infectious inflammatory progressive pyogranulomatous or thorns in the grasses. Actinomycosis in cattle is manifested by osteomyelitis of the bony tissues of the head region. In case of chronic osteomyelitis and rarefaction of the bones particularly Lumpy jaw suppurative abscesses are more frequently seen in the mandibular and maxillary bones which results in facial the mandible, maxillae, teeth alveolus or other bony tissues in distortion. The alveoli of the roots of cheek teeth are frequently the head. The disease is caused by Actinomyces bovis in cattle involved leading to lose of teeth, making chewing difficult and Actinomyces israelii in humans. The disease is characterized (Radostits et al., 2007). by presence of pus in the mandibular or maxillary region or the affected sinuses containing sulfur granules having bacterial Which ultimately affects the feeding behavior of an animal. clumps (Hyland. V.C. et.al., 1993). The disease is also called as Sometimes ulceration occurs with or without tracts draining “lumpy jaw” in cattle and was first time described by LeBlanc in purulent discharges from the affected area. Due to the painful 1826 (Joyce, T.M., 1938). The disease has an effect on all chewing animal refuses to eat and weight losses are evident age groups, breeds, and sex of cattle. Actinomyces spp are leading to the economic losses in the livestock industry. normal flora of the gastrointestinal tract of ruminants P ulmonary actinomycosis cases in cattle has been also recorded and they gain entrance into tissues of oral mucosa by Biever et al.(1969). Diagnosis in Bovine actinomycosis can through abrasions and penetrating wounds caused by wires or be done on the basis of history and clinical signs but the nails or coarse hay or sticks or thorns. It is important to note demonstration of gram-positive rods inyello wish sulfur granules that Actinomyces bovis bacteria is of zoonotic importance and from aspirated purulent discharges as well as bacteriological has got human health significance (A rare zoonosis) as it causes culture and histopathology are confirmatory. The organism skin lesions, abscesses, bronchopneumonia and granulomas appears gram positive long filamentous rods to coccobacilliin in humans. The sternum, ribs, and the spinal column is also exudate from active lesions. affected in humans (Ruhräh J. VIII. 1899). Three cases of Pelvic II. CASE HISTORY AND OBSERVATION Actinomycosis have been also reported from Taiwan over the past 40 years. Pathological signs include inflammation of the A cross breed Holstein Fresien male calf presented at ICD fallopian tubes, ovaries and pyometra (Hsu C.T.et.al., 1988). centre, Gadoora, Ganderbal, J&K (Figure 1) with a history of Actinomyces bovis is a gram-positive, anaerobic, filamentous, unusual mastication andswelling at mandibular region, leaking non-motile, nonspore forming, non capsulated, non haemolytic, out pus contents. The animal had a hard, painless, diffused nonacid fast pleomorphic rods to coccobacilli bacteria, many swelling at the mandibular region with suppurative discharge. of which are filamentous or branching associated with Clinical examination of the animal revealed the involvement of ‘Actinomycosis/Lumpy Jaw’ in cattle. Actinomycosis has been mandible and soft tissues with yellowish suppurative discharge recorded from various parts of India (Choudhary, S.S., 2016). containing sulfur granules (Figure 2). The important parameters The incidence of disease in cattle is higher as they are mainly like rectal temperature, pulse, and respiratory rates were 102. fed with rough hay or ensilage. These type of feeds injure the 0°F, 82 beats/min and 27 breaths/min respectively. IJESC, March 2020 24868 http:// ijesc.org/ Figure 1 Figure 2 Figure 3 Figure 4 Figure.1. Clinical presentation of a calf at ICD Centre Gadoora Ganderbal with unilateral actinomycotic lesions in the mandible. Actinomycotic lesion appeared as hard swelling in the mandible. Figure.2. Latero Ventral view of Actinomycotic lesion in Calf. Figure.3. Dressing of actinomycotic lesion in the mandible of calf. Pus was removed and the lesion cavity was washed 3 times with normal saline solution and finally flushed with 2% povidone iodine solution. Figure.4. Complete recovery of calf after 12 days. III. TREATMENT AND DISCUSSION of actinomycotic lesions (Rhodes, C.S.et.al., 1973). Treatment of Bovine Actinomycosis with Streptomycin and Potassium Primarily the mandibular lesions we rewashed with normal Iodide at the rate of 6-10 gm/day orally for 7-10 days (Radostits saline followed by flushing with 2% povidone iodine solution. et al., 2000) have also been found effective. Oral administration Then the calf was treated with broad-spectrum antibiotic and of Potassium Iodide in combination with Penicillin and non-steroidal anti-inflammatory drugs for seven days. Injection Streptomycin or Oxytetracycline has also been found effective of penicillin and Streptomycin at the rate of 10 mg/kg body in treatment of actinomycosis in cows (Pal et al., 1994 and weight (Dicrystin-S) daily along with injection of Meloxicam Hussain 2006).Penicillin is the drug of choice for all clinical @0.2 mg/kg body weight (Melonex)and oral administration of forms of actinomycosis in humas (Dwivedi. G.et.al., 2018). Potassium Iodide 6 gram daily for 7 days and daily local Several years ago carcass affected with actinomycosis was dressing of wound in the mandibular region with Povidone condemned but at the present time carcass showing only Iodine (Betadine) (Figure 3). A gauze of povidone Iodine was localized lesions with no systemic lesions is passed for human inserted regularly for five days to destroy pyogenic membrane consumption (Connaway J.W.et.al., 1935). till the healing of wound was completed. Animal got cured in 12 days (Figure 4). Actinomycesbovis bacteria are sensitive to IV. CONCLUSION Penicillin, Streptomycin, Bacitracin, oxytetracycline and Cloxacin. Dicryst in- DS has also recorded sensitive (Murthy. G. Bovine Actinomycosis or lumpy jaw causes significant K and Dorairajan, 2008). Isoniazid has been successfully used in economic losses in livestock industry because of weakness of the treatment of actinomycosis in cattle as it arrested the growth the affected animal, decrease in the productive value of an IJESC, March 2020 24869 http:// ijesc.org/ animal and poor response to the daily clinical treatment as a [9]. Radostits, O.M., Gay, C.C., Blood, D.C. and Hinchcliff, result of late recovery by the animal. Abrasions or wounds in the K.W. 2007. Veterinary Medicine, 9th ed, pp. 1045-1046. oral cavity, caused by dry and coarse feeds fed to the animal are London: WB Saunders. believed to be the primary cause of entry of organism in to the animal. To prevent the occurrence of this disease, animals [10]. Radostits, O.M., Mayhew, I.G. and Houston, D.M. should be fed with smooth and water soaked straws to avoid 2000.Veterinary Clinical Examination and Diagnosis. W.B. damage to the buccal mucosa. Affected animals should be kept Saunders, London. in separate paddocks and should be fed separately. Also, the affected animals should not be allowed to graze in pastures [11]. Rhodes, C.S.,Watts,T.C. and Olson,S.M. 1973. Treatment along with healthy cattle to prevent the contamination of grass, of Bovine Actinomycosis with Isoniazid. Canadian Veterinary water, bedding and utensils by the animals. This will also help in Journalvol. 14, no. 9. prevention of infection to other healthy animals In conclusion, surgical intervention, through the removal of pus from the [12]. Ruhräh, J. VIII. 1899. Actinomycosis in Man with Special affected area along with washing with normal saline Reference to the Cases which have been observed in solution followed by flushing with 2% povidone iodine America. Annals of Surgery 30(6):722–746. solution and parenteral administration of broad-spectrum antibiotic (Penicillin and Streptomycin) and non-steroidal anti- inflammatory intramuscularly with oral administration of Potassium Iodide for five days is an effective method for the treatment of bovine actinomycosis in field conditions. V. REFERENCES [1]. Biever, L.J., Roberstad, G.W., Van, S.K, Scheetz, E.E. and Kennedy, G.F. 1969. Actinomycosis in a bovine lung. American Journal of Veterinary Research3:1068-1066. [2]. Choudhary, S. S., Bhanuprakash, A.G. and Mahendran, K. 2016. Therapeutic Management of Actinomycosis in a Calf. Intas Polivet Vol. 17 (II): 578-579 [3]. Connaway, J. W. and Uren, A.W. 1935. University of Missouri college of Agriculture experiment station. Bulletin: 357. [3]. Dwivedi, G., Gupta.
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