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11. Bovine brucellosis

Causative agent 
- Brucella abortus


Differential diagnosis 
- Bovine campylobacteriosis
- Bovine salmonellosis - Trichomoniasis
- Akabane disease      - Bovine chlamydiosis
- Leptospirosis            - Mycological abortion


1. History taking 
- Introduction of cattle from infected herd
- Previous occurrence within the farm
- Multiple abortions at advanced pregnancy


2. Clinical examination 
- Abortion
- Retention of the placenta
- Asymptomatic in nonpregnant females
- Sterility
- Orchitis and epididymitis in bull


3. Serological tests 
Specimen: serum and milk
- Screening tests
  *Rose bengal plate test (RBPT)
antigen 0.03 ml + serum 0.03 ml mix and rock for 4
minutes and observe the agglutination
Any visible reaction is considered to be positive
  *Rapid plate test (RPT)
Drop serum 0.08, 0.04, 0.02 and 0.01 ml dilutions
on a glass plate in 1x1 inch squares and drop antigen 0.03 ml to each dilution then mix and rotate for 5-8 minutes
Observe for agglutination (any visible reaction is considered to be positive in each dilution)
- Confirmation tests
  Tube agglutination test (EDTA or 2 ME treatment
  Complement fixation test (CFT), ELISA


4. Necropsy 
- No significance in diagnosis
- Necrotizing placentitis and disseminated
  inflammatory reactions in aborted fetal tissues
  are characteristic changes
- Granulomatous lesions and focal necrosis in
  several organs


5. Histopathological observation 
- Granulomatous lesions
- "Brucella nodule" formation
- Immunohistochemistry : demonstration of
  intracellular Brucella organism

6. Bacterial isolation 
(All procedures must be done in biohazard cabinet)
Specimen :     aborted fetal tissues and contents of
                      stomach, small intestine and cecum from
                      aborted fetus, milk, samples of tissue
                      collected at post-mortem such as
                      supramammary and other lymph nodes
                      from female, testes and related lymph
                      nodes from male, visceral organs and
                      lochia
Medium   :      selective medium (agar 7.5 g, trypticase
                      soy broth 15 g, D.W. 500 ml, horse
                      serum 25 ml and Brucella selective
                      antibiotics 1 vial) biphasic medium
                      (castaneda medium)
Culture   :      lymph nodes and organs, grind in PBS,
                      inoculate on media and incubate at 37°C
                      under 5-10% CO2 condition for 5-7 days
- Characteristics of colony : raised convex, circular
  outline, transparent, smooth surface and slow
  growing, Gram negative coccobacilli or short rods
- Tentative identification : oxidase and urease tests
  are positive and prove agglutination test with
  monospecific antiserum

Differential characteristics of the species in genus Brucella
 
Growth on dye agar
 
Basic
  Thionin
CO2
H2S
fuchsin
 
Requirement
product
1:50,000
 
1:25,000
1:50,000
Br.melitensis
-
-
+
 
-
+
Br.abortus
d
d
+*
 
-
d
Br.suis
-
d
d
 
d
+
Br.neotomae
-
+
-
 
-
+
Br.ovis
+
-
+
 
+
+
Br.canis
-
-
-
 
+
+
*Br. abortus Type 3: +   d : difference by strains.

Control and Prevention 
-
Test and slaughter of reservoir of infection
- Quarantine for imported cattle
- Depopulation (Regular serum examination)
- Calfhood vaccination : Application the strain 19
  vaccine of Br. abortus in female young calves age
  3-8 months (1 time)


Precaution 
- Brucella sp. is a zoonotic agent
- Vaccine Br. abortus strain 19 is an attenuated
  strain and still capable of causing disease in
  humans. It must be handled under appropriate
  conditions
- Disinfectants : phenolic, iodophor, aldehyde-
  formulation, 2% medol, 2% lysol, 2% biogram
- Field personnel should handle the specimens
  under appropriate procedures


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