Caseous lymphadenitis

This disease is widely distributed throughout the world. It is found in North and South America, Australia, New Zealand, Europe, Asia and Africa. Caseous lymphadenitis causes considerable economic harm, because skins and carcasses have to be condemned. It seriously affects reproduction efficiency, wool, meat and milk production. Particularly in Australia, one of the largest producers of meat and wool. Studies have found CL incidence in commercial goat herds as high as 30%. == Cause ==

The causative organism of caseous lymphadenitis is Corynebacterium pseudotuberculosis. Once successfully established within the host, this pathogen will circumvent the immune system with ease. As a result, it causes chronic infection that may last for most or all of an animal's life, although it is seldom lethal. == Signs ==

It manifests itself predominantly in the form of large, pus-filled cysts on the neck, sides and udders of goats and sheep. Abscesses can also develop on internal organs. == Pathogenesis and transmission ==

The disease is highly contagious. When abscess rupture, releases it huge numbers of bacteria onto the skin and wool and it results to the consequent contamination of the surrounding environment. Neighboring animals may then be infected by the bacteria through immediate physical contact with the affected individual or indirectly via already contaminated fomites. Diagnostics Culture remains the gold standard for diagnosis in small ruminants. Synergistic hemolysis inhibition testing, as done for equine species has the ability to generate false positive results when applied to small ruminants. Occurrence in other species Corynebacterium pseudotuberculosis has also been isolated from occurring in other species such as deer, cattle, pigs, hedgehogs, laboratory mice, camels, horses, and humans. In only three species; sheep, goats and horses, it is recognized as a specific disease syndrome. The biotype of Corynebacterium pseudotuberculosis affecting horses and cattle is distinguishable from the biotype that infects small ruminants based on its ability to reduce nitrate in vitro. The equine and bovine strains can reduce nitrate, whereas the small ruminant strains typically do not. == Treatment and vaccination ==

Treatment of affected animals consists of the drainage of abscesses, followed by cleansing and chemical cauterization, usually with 10% iodine, or even removal of the affected superficial lymph nodes. Also there is antibiotic therapy, which can be used as a treatment. Despite the fact that C. pseudotuberculosis is sensitive in vitro to almost all antibiotics that have been tested, antibiotic therapy is not very efficient. The most effective way of controlling caseous lymphadenitis is still a topic of discussion. Vaccination is the primary remedy for the control of the disease in several countries, whereby immunisation reduces the spread of infection, leading to a gradual decline in incidence of the disease. However, proprietary caseous lymphadenitis vaccine is still not available, which would be a complete protection against the disease. == References ==