Sample records for clinical mastitis cases

  1. [Cases of clinical and subclinical mastitis due to "D" streptococci].

    Aleksieva, V; Todorov, D


    Cytologic and bacteriologic investigations were carried out with a total of 364 samples of cow milk and secretion from 11 farms taken from individual quarters of the udder that have reacted positively and strongly positively with the rapid mastitis test Bernburg. It was found that in 330 of the cases there were data of clinical and subclinical mastitis of varying etiology. In 43 of the cases the causative agent (as isolated in pure cultures) proved to be "D" streptococci, giving positive reaction as judged by Schermann's criteria--from 9 cases of clinical and 34 cases of subclinical mastitis. The cell count varied from 360 000 to more than 5 million per cub. cm. Detailed studies were carried out on the cultural and biochemical properties of 31 strains of "D" streptococci, 17 strains belonging to Str. faecalis var. zymogenes, 9 strains--to Str. faecalis var. faecalis, and 5 strains--to Str. faecalis var. liquefaciens.

  2. Case-control approach application for finding a relationship between candidate genes and clinical mastitis in Holstein dairy cattle.

    Bagheri, Masoumeh; Moradi-Sharhrbabak, M; Miraie-Ashtiani, R; Safdari-Shahroudi, M; Abdollahi-Arpanahi, R


    Mastitis is a major source of economic loss in dairy herds. The objective of this research was to evaluate the association between genotypes within SLC11A1 and CXCR1 candidate genes and clinical mastitis in Holstein dairy cattle using the selective genotyping method. The data set contained clinical mastitis records of 3,823 Holstein cows from two Holstein dairy herds located in two different regions in Iran. Data included the number of cases of clinical mastitis per lactation. Selective genotyping was based on extreme values for clinical mastitis residuals (CMR) from mixed model analyses. Two extreme groups consisting of 135 cows were formed (as cases and controls), and genotyped for the two candidate genes, namely, SLC11A1 and CXCR1, using polymerase chain reaction-single strand conformation polymorphism (PCR-SSCP) and polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP), respectively. Associations between single nucleotide polymorphism (SNP) genotypes with CMR and breeding values for milk and protein yield were carried out by applying logistic regression analyses, i.e. estimating the probability of the heterogeneous genotype in the dependency of values for CMR and breeding values (BVs). The sequencing results revealed a novel mutation in 1139 bp of exon 11 of the SLC11A1 gene and this SNP had a significant association with CMR (P G and these genotypes had significant relationships with CMR. Overall, the results showed that SLC11A1 and CXCR1 are valuable candidate genes for the improvement of mastitis resistance as well as production traits in dairy cattle populations.

  3. Clinical mastitis in Spanish dairy cows: incidence and costs

    Perez-Cabal, M. A.; Yaici, S.; Alenda, R.


    Clinical mastitis in Spanish dairy herds has been studied. Since April 2005 up to December 2006, in 25 Spanish herds 1,054 cases registered were available. Aims were to determine mastitis incidence and factors of risk, to analyze whether yield production has been affected, and to quantify mastitis costs along 2006. The 25% lactations were infected at least once with average recurrence of 1.64. Descriptive analysis showed that 29% of cases occurred within the first month after calving. Primiparous showed higher mastitis frequency at early and late lactation while in multiparous cases number was progressively decreasing since the first month. Multiparous were statistically more liable to mastitis than primiparous. Mastitis did not show effect on yield production. Mastitis costs included treatment products and discarded milk. Individual daily production at each case onset was estimated by using monthly official milking records. An average mastitis case cost was 73.93, cheaper in primiparous than in multiparous because of lower milk production. Average discarded milk represented 74% of total cost per case. Mastitis costs were 117 per infected cow and lactation. Then, annual economic losses due to mastitis were 3,190 per average herd, showing the concern of producers on selecting resistant animals as well as the importance of the implementation of systematic recording for clinical mastitis in Spanish dairy farms. Additional key words: genetic selection, udder health. (Author) 28 refs.

  4. [Recurrent clinical mastitis in dairy cattle - importance and causes].

    Grieger, A-S; Zoche-Golob, V; Paduch, J-H; Hoedemaker, M; Krömker, V


    Clinical mastitis as a frequently recurrent event can cause substantive economic loss on dairy farms. The reason for recurrent mastitis can be either a persistent infection of the bovine mammary gland by a mastitis pathogen or a reinfection of a quarter or udder after bacteriological cure. The virulence properties of a mastitis pathogen and the cure odds of an individual cow determine the development of persistent infections. Clinical episodes may alternate with periods without symptoms in the course of persistent infections. Strategies to reduce cases of recurrent mastitis have to include improved treatment concepts and measures to decrease new infection rates. The present literature review summarises the knowledge of definitions, frequencies, causes and effects of recurrent mastitis.

  5. Evidence of no protection for a recurrent case of pathogen specific clinical mastitis from a previous case.

    Cha, Elva; Hertl, Julia; Schukken, Ynte; Tauer, Loren; Welcome, Frank; Gröhn, Yrjö


    The objective of this study was to determine whether the occurrence of a previous case of pathogen-specific clinical mastitis (CM) protects Holstein dairy cows against a recurrent case. Pathogens studied were Escherichia coli, Staphylococcus aureus, Staphylococcus spp., Streptococcus spp., Klebsiella spp., and Trueperella pyogenes. A total of 40 864 lactations (17,265 primiparous and 23,599 multiparous) from 19 835 cows from 5 large, high milk producing New York State dairy herds were analysed. We estimated the effects of parity, calving diseases, milk yield, current season and number of CM cases in the previous lactation on the risk of a first CM case using generalised linear mixed models with a log link and Poisson error distribution. The aforementioned risk factors and the occurrence of previous cases of pathogen-specific CM within the current lactation were evaluated as risks for second and third cases of pathogen-specific CM. Cows with more CM cases in the previous lactation were at greater risk of pathogen-specific CM in the current lactation. Multiparous cows were at greater risk of a second CM case if they had suffered from a first CM case that was caused by the same pathogen as the second case. In contrast, a second CM case generally put cows at greater risk of a third case, irrespective of whether the third case was caused by the same or a different pathogen. Our results showed that a previous case of pathogen specific CM does not generally protect against a recurrent case.

  6. Patterns of clinical mastitis manifestations in Danish organic dairy herds

    Vaarst, Mette; Enevoldsen, Carsten


    Danish organic dairy production is characterized by a low input of antibiotics for udder treatment and a high input of other mastitis control procedures. A study was conducted in 14 organic dairy herds with the objectives of obtaining a comprehensive description of clinical mastitis cases...... and identifying characteristic patterns in these results. Clinical signs, inflammatory reactions and microbiological identifications were obtained from 367 cases of clinical mastitis occurring over 18 months. Cow characteristics and preincident values such as milk yield and somatic cell count were obtained...... for each cow. Signs of previous udder inflammation were present in two-thirds of the clinical mastitis cases. Severe local inflammatory reactions were found in 21% of the cases and some indication of generalized signs such as fever and reduced appetite were found in 35% of the cases. Logistic regression...

  7. Aetiology of clinical mastitis in six Somerset dairy herds.

    Bradley, A J; Green, M J


    Clinical mastitis was monitored in six Somerset dairy herds for one year. The herds all had three-month geometric mean bulk milk somatic cell counts of less than 250,000 cells/ml. Escherichia coli was the predominant pathogen isolated on all the farms and in all months of the year. Environmental pathogens accounted for 61.4 per cent of all cases of clinical mastitis and for 79.3 per cent of the mastitis cases in which an aetiological agent was identified. The mean annual incidence was 41.6 cases per 100 cows (range 14 to 75). Affected cows suffered a mean of 1.5 cases and 16.4 per cent of quarters suffered at least one repeat case. Mastitis due to E. coli was more severe than mastitis due to other causes and it tended to be more severe in early lactation and during the housing period. Mastitis was significantly more severe (grades 2 and 3) in the herd with the lowest bulk milk somatic cell count and in the herd which was kept indoors throughout the year than in the other four herds. Mastitis was fatal in 2.2 per cent of cases and resulted in the death of 0.6 per cent of the lactating cows.

  8. A peptide derived from human bactericidal/permeability-increasing protein (BPI) exerts bactericidal activity against Gram-negative bacterial isolates obtained from clinical cases of bovine mastitis

    Gram-negative bacteria are responsible for approximately one-third of the clinical cases of bovine mastitis and can elicit a life-threatening, systemic inflammatory response. Lipopolysaccharide (LPS) is a membrane component of all Gram-negative bacteria and is largely responsible for evoking the de...

  9. Genetic Architecture of clinical mastitis traits in dairy cattle

    Sahana, Goutam; Guldbrandtsen, Bernt; Lund, Mogens Sandø


    investigate the genetic architecture of clinical mastitis and somatic cell score traits in dairy cattle using a high density (HD) SNP panel. Mastitis, an inflammation of the mammary gland most commonly caused by bacterial infection, is a frequent disease in dairy cattle. Clinical mastitis and somatic cell...... mixed model analysis. After Bonferroni correction 12, 372 SNP exhibited genome-wide significant associations with mastitis related traits. A total 61 QTL regions on 22 chromosomes associated with mastitis related traits were identified. The SNP with highest effect explained 5.6% of the variance...... of the predicted breeding values for the first lactation clinical mastitis...

  10. An Unusual Case of Bilateral Granulomatous Mastitis

    C. A. Pistolese


    Full Text Available Idiopathic granulomatous mastitis (IGM is an uncommon benign disorder of the breast. At clinical examination, IGM is characterized by an inflammatory process of the breast, usually unilateral. Possible clinical findings are palpable mass with erythematous skin, pain, sterile abscesses, fistula and nipple retraction. Mammography and ultrasound findings are not specific for IGM. Magnetic resonance imaging (MRI is a useful tool for the differential diagnosis; it is also necessary to delineate the exact extension of the disease and to plan the correct treatment. Final diagnosis is histological. We described an unusual case of IGM with bilateral involvement in a patient with history of pacemaker implantation and IGM typical clinical symptoms. Mammography, ultrasound, and MRI examinations were performed to identify the inflammatory disorder and to plan the correct therapy. Imaging features were correlated with final histological diagnosis of IGM.

  11. Granulomatous lobular mastitis ,A case series.

    Ali Pourzand


    Full Text Available BACKGROUND: Granulomatous lobular mastitis (GLM is an inflammatory disease of the breast, which can mimic breast cancer in clinical and radiological findings. We conducted the present study in order to determine the diagnostic and other important aspects of this disease. METHODS: In this study, we reviewed the records of 38 patients with granulomatous lobular mastitis in order to describe the clinical, imaging, laboratory, pathologic, and treatment aspects of this disease. RESULTS: All of the patients’ ages were in the range of 22-62 years (mean age: 42 years. All of them had children, history of oral contraceptive pill (OCP usage, antibiotic therapy and mammoplasty. In physical examination, dimpling, edema, inflammation, ulcer, abscess, and firm mass were detected. Size of masses was in the range of 2 × 2 to 8 × 6 cm and their location, in most cases, was in the superior lateral quadrant or central region. In Ultrasonography, a hypoechoic fibroglandular mass and collection, and in pathologic findings, granulomatous reaction was reported. These patients were treated by antibiotics, corticosteroids, and surgery. CONCLUSIONS: GLM is a chronic inflammatory lesion of the breast which can mimic breast cancer. A history of child bearing, lactation, and OCP drug usage have suspicious roles in the formation of GLM. The most common clinical sign in these patients is a painful mass in the breast. We uncovered that clinical and radiological findings are not specific and sufficient for diagnosis of GLM. Therefore, for better diagnosis of this disease, usage of core, incisional, or excisional biopsy are recommended.

  12. Clinical analysis of 170 cases of non-lactation mastitis%非哺乳期乳腺炎170例临床诊治分析



      目的:探讨非哺乳期乳腺炎临床诊治.方法:2005年9月至2012年9月乳腺外科门诊接诊的170例非哺乳期乳腺炎,进行总结分析.结果:170例非哺乳期乳腺炎采取保守治疗21例,其中12例经保守治疗痊愈,7例保守治疗效果不佳进行手术治疗;158例手术中采取脓肿进行切开引流48例,肿块切除术91例,瘘管切开扩大引流术9例,瘘管及周围组织切除术10例;术后随访3-6个月131例术后痊愈,27例复发,复发率17.06%.结论:非哺乳期乳腺炎应积极采取手术治疗,手术过程中应注意将脓肿及肿块周围扩张导管、炎症组织切除,避免复发.%Objective: To investigate the clinical diagnosis and treatment of non-lactation mastitis. Methods: 170 cases of non-lactation mastitis from 2005 September to 2012 September outpatient breast surgery, were analyzed. Results: 170 cases of non-lactation mastitis in 21 cases of conservative treatment, of which 12 cases were cured by conservative treatment, 7 cases of conservative treatment for operation treatment; 158 cases of abscess incision and drainage operation was adopted in 48 cases, tumor resection in 91 cases, fistulotomy expand drainage in 9 cases, fistula and surrounding tissue resection 10 cases were folowed up for 3-6 months; 131 patients were healed, 27 cases of recurrence, the recurrence rate was 17.06%. Conclusion: non-lactation mastitis should take operation therapy, attention should be paid to the abscess and mass dilatation catheter, inflammatory tissue resection operation process, to avoid recurrence.

  13. Idiopathic Granulomatous Mastitis: A Case Report

    Mojtaba Varshochi


    Full Text Available Problem statement: Granulomatous Lobular Mastitis (GLM or autoimmune mastitis is a rare and benign disease which, except one case reported in an old man, is usually seen during pregnancy or lactation period. This disease was described for the first time by Kessler. Approach: Our case is a 34 year-old woman who has a child with a history of using OCP that primary complaint was swelling, heat and erythema in the right breast. She was diagnosed with mastitis and treated with antibiotics for one month, later on she had experienced stiffness in the breast and a mass was also palpable. The patient was performed surgical drainage and treated with wide spectrum antibiotics being diagnosed with abscess. After one month, a solid mass was palpable so, mammography was performed and the mass was surgically resected with a suspicion of tumor. Results: The pathology report revealed granulomatous mastitis with non caseified granuloma. For Anti-TB treatment was started as medication regime and after 40 days fistula with frequent secretions appeared. Antituberculosis medications stopped and other conditions resulting in none caseified granuloma. In microscopic view granulomatous mastitis along with abscess was reported. Corticosteroids were started and the mass became smaller gradually, the fistula also closed and secretions dried out. Conclusion: Granulomatous Lobular Mastitis is a benign inflammatory breast disease. Cause of disease is still unknown, but some factors have been suggested such as local autoimmune, reaction to the delivery, previous use of contraceptives and infectious causes. The best treatment proposed is corticosteroid therapy in which the mass dwindle and the fistula is closed and secretions dried. The case is now under treatment with corticosteroids and all her symptoms have improved.

  14. Mastitis

    Fazilet Erözgen


    Full Text Available Mastitis is an infectious or non-infectious breast disease associated with breast inflammation. It is observed most frequently during milk stasis (engorgement and lactation period (puerperal with superimposed infection. Most mastitides heal with simple self-help measures, however, sometimes antibiotherapy and abscess drainage may be required. Other than lactating period, mastitides are encountered in the presence of recurrent infections and abscess. Although various factors, such as smoking, diabetes, rheumatoid arthritis can at times be the root causes of mastitis, they are frequently observed in granulomatous mastitides. Treatment approaches not involving biopsy are disadvantageous and harmful in such cases which can be confused with breast cancer. Ultrasound-guided abscess drainage in patients with breast abscess and irrigation of the pouch with saline are the preferred treatment approach today. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 150-2

  15. Mastite bovina causada por Prototheca zopfii: relato de um caso Clinical bovine mastitis caused by Prototheca zopfii: a case study

    Maria Aparecida Vasconcelos Paiva Brito


    Full Text Available Um caso de mastite clínica causada por Prototheca zopfii em uma vaca de um rebanho leiteiro localizado na Zona da Mata do Estado de Minas Gerais foi estudado. O animal apresentou sinais clínicos nos quartos mamárias anteriores e queda acentuada na produção de leite. Após o diagnóstico inicial, o animal foi observado durante onze meses, do início da manifestação da doença até 12 dias após o parto. Exames microbiológicos do leite foram realizadas aos 7, 30, 39, 49, 65, 326 e 331 dias após o isolamento inicial, sendo os dois últimos exames realizados 7 e 12 dias após o parto. As amostras de P. zopfii isoladas apresentaram resistência in vitro a: ampicilina, canamicina, cefatoridina, enrofloxacina, estreptomicina, gentamicina, neomicina, oxacilina, penicilina, sulfonamidas e trimetoprim x sulfametoxazol. Foi avaliada a susceptibilidade in vitro das amostras de P. zopfii a um produto natural constituído de extrato de sementes de frutas cítricas, obtido comercialmente. A menor concentração que inibiu totalmente a alga foi 1:500. Recomendou-se um tratamento com a diluição a 1:200 do extrato em solução fisiológica estéril contendo timerosal a 1:30.000 como conservante, em doses diárias de 20ml, por via intramamária. O tratamento foi realizado inicialmente durante sete dias. Após este período houve redução, mas não a completa eliminação dos organismos do leite. Foi, então, recomendado mais um período de 15 dias de tratamento, de modo semelhante ao primeiro. Trinta e nove dias após o diagnóstico inicial não foi mais isolado P. zopfii do leite dos quartos afetados e a produção retornou a níveis semelhantes de antes da infecção. Amostras de leite naturalmente infectadas foram congelados a -20°C. Células viáveis de P. zopfii foram recuperadas de amostras mantidas até 38 dias nestas condições.A clinical case of mastitis caused by Prototheca zopfii in a cow from a dairy herd located in the region of Zona da

  16. [Relationship between residual milk and clinical mastitis in dairy cattle].

    Cording, F; Hoedemaker, M; Krömker, V


    Mastitis in cattle is an infection of the mammary gland caused by infection, toxins and/or trauma. Currently, it is assumed that there is a correlation between higher amounts of residual milk and the incidence of clinical mastitis. The amount of residual milk can be examined using different methods. Higher amounts of residual milk may result from an insufficient teat condition and individual detachment settings of milking units. To date, scientific literature has already discussed the relationship between high amounts of residual milk, undermilking and the occurrence of clinical mastitis. The present paper reviews the current status of knowledge regarding residual milk and risk of mastitis.

  17. Relationship between season, lactation number and incidence of clinical mastitis in different stages of lactation in a Holstein dairy farm

    Maede Moosavi; Abdolah Mirzaei; Mohsen Ghavami; Amin Tamadoد


    The aim of the present study was to compare the occurrence and duration of clinical mastitis in different seasons, stages of lactation period and parities in a Holstein dairy farm in Iran. A retrospective epidemiological survey from April 2005 to March 2008 was conducted on 884 clinical mastitis cases of 7437 lactations. Data of each case including calendar-date of mastitis onset, days in milk (DIM) of mastitis onset (early: 0-74 DIM; middle: 75-150 DIM, and late ≥ 150 DIM), duration of masti...

  18. Unusual outbreak of clinical mastitis in dairy sheep caused by Streptococcus equi subsp. zooepidemicus.

    Las Heras, Alfonso; Vela, Ana I; Fernández, Elena; Legaz, Emilio; Domínguez, Lucas; Fernández-Garayzábal, Jose F


    This work describes an outbreak of clinical mastitis affecting 13 of 58 lactating ewes due to Streptococcus equi subsp. zooepidemicus. S. equi subsp. zooepidemicus was isolated in pure culture from all milk samples. All the clinical isolates had identical biochemical profiles and antimicrobial susceptibility patterns and also exhibited indistinguishable macrorestriction patterns by pulsed-field gel electrophoresis, indicating that all cases of mastitis were produced by a single strain.

  19. Herpes Simplex Mastitis: Case Report and Review of the Literature

    Holly Brown


    Full Text Available The most common sites of herpes simplex virus (HSV infection are around the oral cavity and the genitalia. However, HSV can infect any skin or mucous membrane surface. One uncommon site of HSV infection is the breast. Reports of herpetic breast infections are predominantly cases of transmission from a systemically HSV-infected neonate to the mother during breast-feeding. A review of the literature identified only six reports suggesting HSV breast lesions acquired by means other than through an infected infant. Of these, only one report suggests HSV transmission to the breast from a male sexual partner. A second case of clinically unsuspected symptomatic herpes mastitis presumably acquired from sexual contact in a 46-year-old woman is presented. Herpes simplex type 1 was isolated by using polymerase chain reaction and restriction fragment length polymerization techniques. The purpose of this report is to alert physicians to HSV mastitis.

  20. Prevalence of clinical and subclinical mastitis and quality of milk on smallholder dairy farms in Tanzania

    R.H. Mdegela


    Full Text Available A cross sectional study was conducted during October and November 2006 on 69 smallholder dairy farms with lactating cows in Mvomero and Njombe districts Tanzania, to determine the prevalence of mastitis and to assess the milk quality on the study farms. Clinical mastitis was investigated using clinical changes of udder and milk at animal level. Cow-side California Mastitis Test (CMT and microbiological cultures were used to assess subclinical mastitis at quarter level. Milk quality was determined on bulk milk samples at herd level using alcohol and acidity tests, butter fat content, total solids, ash content as well as Delvotest® for antimicrobial residues. Overall prevalence of clinical mastitis at herd level in both districts was 21.7 % (n = 69. Based on CMT, prevalence of subclinical mastitis at animal level was 51.6 % (n = 91. Prevalence of bacterial isolates at animal level was 35.2 % (n = 91 while for fungal it was 16.7 % (n = 90. Based on CMT results, prevalence of subclinical mastitis at quarter level was 30 % (n = 353, while for bacteria and fungi it was 16 % and 6 % respectively. Contamination of milk with antimicrobial residues was 4.5 % (n =67. The milk quality parameters for most of the milk samples were within acceptable levels. Findings in this study have demonstrated high prevalence of subclinical mastitis that may contribute to low productivity of dairy cattle in both districts. About 20 % of CMT subclinical cases had no involvement of microbial pathogens that suggested the need for minimal interventions with antimicrobial agents. These findings call for use of udder disinfectants and improved milking hygiene as intervention strategies to control mastitis on the smallholder dairy farms in Tanzania.

  1. Prevalence of clinical and subclinical mastitis and quality of milk on smallholder dairy farms in Tanzania.

    Mdegela, R H; Ryoba, R; Karimuribo, E D; Phiri, E J; Løken, T; Reksen, O; Mtengeti, E; Urio, N A


    A cross sectional study was conducted during October and November 2006 on 69 smallholder dairy farms with lactating cows in Mvomero and Njombe districts Tanzania, to determine the prevalence of mastitis and to assess the milk quality on the study farms. Clinical mastitis was investigated using clinical changes of udder and milk at animal level. Cow-side California Mastitis Test (CMT) and microbiological cultures were used to assess subclinical mastitis at quarter level. Milk quality was determined on bulk milk samples at herd level using alcohol and acidity tests, butter fat content, total solids, ash content as well as Delvotest for antimicrobial residues. Overall prevalence of clinical mastitis at herd level in both districts was 21.7% (n = 69). Based on CMT, prevalence of subclinical mastitis at animal level was 51.6% (n = 91). Prevalence of bacterial isolates at animal level was 35.2% (n = 91) while for fungal it was 16.7% (n = 90). Based on CMT results, prevalence of subclinical mastitis at quarter level was 30% (n = 353), while for bacteria and fungi it was 16% and 6% respectively. Contamination of milk with antimicrobial residues was 4.5% (n = 67). The milk quality parameters for most of the milk samples were within acceptable levels. Findings in this study have demonstrated high prevalence of subclinical mastitis that may contribute to low productivity of dairy cattle in both districts. About 20% of CMT subclinical cases had no involvement of microbial pathogens that suggested the need for minimal interventions with antimicrobial agents. These findings call for use of udder disinfectants and improved milking hygiene as intervention strategies to control mastitis on the smallholder dairy farms in Tanzania.

  2. Blood antioxidant profile and lipid peroxides in dairy cows with clinical mastitis

    Rajesh Rathore


    Full Text Available Aim: To evaluate blood antioxidant profile and lipid peroxides in dairy cows with clinical mastitis. Materials and Methods: Twelve cases of clinical mastitis in cross-bred cows were selected based on physical examination of udder and milk, California Mastitis Test (CMT, Somatic Cell Count (SCC and confirmation by bacteriological examination of milk and requisite biochemical tests. Twelve lactating cows showing negative CMT reaction and SCC <2x105 cells/ml were considered as healthy control. Antioxidant parameters measured in blood were superoxide dismutase (SOD, catalase activities and reduced glutathione (GSH concentration. Erythrocytic lipid peroxidation (LPO was measured in terms of malondialdehyde (MDA production. Results: Significant (P<0.05 decrease in blood SOD and catalase activities, GSH concentration and an increase in erythrocytic lipid peroxides was observed in cows with clinical mastitis. Conclusion: It is concluded that there is a compromise in antioxidant defense of the body in dairy cows with clinical mastitis resulting in oxidative damage, therefore, necessitate the use of antioxidants and other protective compounds along with conventional therapy for mastitis control. [Vet World 2013; 6(5.000: 271-273

  3. Multiple trait genetic evaluation of clinical mastitis in three dairy cattle breeds.

    Govignon-Gion, A; Dassonneville, R; Baloche, G; Ducrocq, V


    In 2010, a routine genetic evaluation on occurrence of clinical mastitis in three main dairy cattle breeds-- Montbéliarde (MO), Normande (NO) and Holstein (HO)--was implemented in France. Records were clinical mastitis events reported by farmers to milk recording technicians and the analyzed trait was the binary variable describing the occurrence of a mastitis case within the first 150 days of the first three lactations. Genetic parameters of clinical mastitis were estimated for the three breeds. Low heritability estimates were found: between 2% and 4% depending on the breed. Despite its low heritability, the trait exhibits genetic variation so efficient genetic improvement is possible. Genetic correlations with other traits were estimated, showing large correlations (often>0.50, in absolute value) between clinical mastitis and somatic cell score (SCS), longevity and some udder traits. Correlation with milk yield was moderate and unfavorable (ρ=0.26 to 0.30). High milking speed was genetically associated with less mastitis in MO (ρ=-0.14) but with more mastitis in HO (ρ=0.18). A two-step approach was implemented for routine evaluation: first, a univariate evaluation based on a linear animal model with permanent environment effect led to pre-adjusted records (defined as records corrected for all non-genetic effects) and associated weights. These data were then combined with similar pre-adjusted records for others traits in a multiple trait BLUP animal model. The combined breeding values for clinical mastitis obtained are the official (published) ones. Mastitis estimated breeding values (EBV) were then combined with SCSs EBV into an udder health index, which receives a weight of 14.5% to 18.5% in the French total merit index (ISU) of the three breeds. Interbull genetic correlations for mastitis occurrence were very high (ρ=0.94) with Nordic countries, where much stricter recording systems exist reflecting a satisfactory quality of phenotypes as reported by the

  4. Costs of clinical mastitis with special reference to premature culling.

    Heikkilä, A-M; Nousiainen, J I; Pyörälä, S


    Bovine mastitis is an economic and a welfare problem on dairy farms. The objective of this study was to estimate the costs of clinical mastitis (CM), having a special focus on the cost variation related to culling decisions. A dynamic optimization model was developed to determine an optimal replacement time of a mastitic cow and to estimate the costs of CM, taking into account the risk of premature culling and the uncertainty in CM prevalence. Six lactations were analyzed at monthly periods for Ayrshire and Holstein-Friesian breeds. The estimates reflect Finnish production conditions where mastitis is treated only by veterinarians. Biological parameters of the model were adapted from the literature and the Finnish dairy herd health recording system. Field data were used to produce the risk parameters of culling due to mastitis on commercial dairy farms. The model recommended treating the cows with CM and keeping them in most cases until their fifth lactation. A cheaper (-20%) heifer transferred the optimum to the previous lactation and a more expensive (+20%) heifer to the following lactation. Conditional on optimal replacements, the average cost of CM of an Ayrshire (Holstein-Friesian costs in parentheses) cow was €485 (€458), varying from €209 (€112) to €1,006 (€946). The costs were at the highest when the occurrence of CM was at a top yield phase. In the scenario where the risk of culling due to mastitis was included in the model, the average cost of CM was €596 (€623). Disposing of a young cow at the end of her first lactation month caused the highest costs. The costs converted to figures per cow-year were €121 (€147) with optimal cullings and €155 (€191) in the current Finnish conditions. Thus, the increase in the costs of CM due to premature cullings was 28% (30%.) The main cost sources were long-term production losses regardless of the culling decisions. Premature culling formed 20% (23%) of the total costs. To decrease the costs of

  5. Risk factors associated with clinical mastitis in low somatic cell count British dairy herds.

    Peeler, E J; Green, M J; Fitzpatrick, J L; Morgan, K L; Green, L E


    A cross-sectional survey of dairy farms with low bulk milk somatic cell counts was carried out to assess the level of clinical mastitis and to quantify risk factors associated with the incidence rate of clinical mastitis. Questionnaires were sent to 3009 milk operations with an annual mean bulk milk somatic cell count of less than 100,000 cells/ml during 1997. A response rate was 61%. The mean incidence of clinical mastitis reported was 22.8 cases per 100 cows/yr. Negative binomial regression models were used to assess statistically significant risk factors associated with the incidence of clinical mastitis. The incidence increased when farmers reported that they had straw yard housing for milking cows (compared with cubicle housing), mucked out the calving area less frequently than once per month, kept cows standing in a yard after milking, always practiced postmilking teat disinfection, had greater than 50% replacement rate, had some cows that leaked milk on entry to the parlor, had some cows that leaked milk at other times, and foremilked before cluster attachment. The incidence of clinical mastitis was lower on farms when the gathering yard used before milking was scraped at least twice a day, cows were offered feed after both milkings, rubber gloves were not worn during milking, teat liners were changed after 6000 milkings, and the average dry period was less than 40 d. The study has identified areas of the environment in which efforts to improve hygiene should be focused.

  6. Prevalence of bacterial agents isolated from clinical cases of bovine mastitis in the dry period and the determination of their antibiotic sensitivity in Tabriz, Iran

    Samad Mosaferi; Reza Ghabouli Mehrabani; Mansoor Khakpoor; Nader Ghabouli Mehrabani; Amir Maleksabet; Faezeh Hamidi


    Objective: To determine the prevalence of mastitis-causing bacteria in the dry period and its antibiotic sensitivity. Methods: In this study, 852 dry cows were examined. A total of 30 cows with clinical mastitis symptoms were detected and their milk samples were collected. In order to purify the bacteria, brain heart infusion and blood agar media were applied and single colonies were used for Gram staining, oxidase and catalase testing, cultivating in O-F medium to determine the genus and species of bacteria. Then, antimicrobial susceptibility was tested by the agar disk diffusion method. Results: The prevalence of isolated bacteria was 2.46%, in which coagulase positive Staphylococcus, coagulase negative Staphylococcus, Streptococcus dysgalactiae, Streptococcus faecalis, Escherichia coli, Pseudomonas, Bacillus and yeast were (9/99)%, (6/66)%, (13/32)%, (3/33%), (6/66)%, (13/32)%, (9/99)% and (6/66)%, respectively. After tests of antibiotic susceptibility, the most and the least sensitivity were reported to enrofloxacin and ampicillin respectively. Conclusions: This study indicated that Streptococcus dysgalactiae is the most commonly isolated bacteria with the greatest sensitivity to enrofloxacin and tetracycline which can be used to treat mastitis in the dry period in Tabriz.

  7. Efficacy of extended cefquinome treatment of clinical Staphylococcus aureus mastitis

    Swinkels, J. M.; Cox, P.; Schukken, Y. H.; Lam, T. J G M


    Clinical Staphylococcus aureus mastitis is difficult to cure. Extended antimicrobial treatment is often advocated as a practical approach to improve cure rates; however, scientific evidence of this hypothesis is lacking. A multi-centered, nonblinded, randomized, positive-controlled clinical trial wa

  8. Somatic cell count distributions during lactation predict clinical mastitis

    Green, M.J.; Green, L.E.; Schukken, Y.H.; Bradley, A.J.; Peeler, E.J.; Barkema, H.W.; Haas, de Y.; Collis, V.J.; Medley, G.F.


    This research investigated somatic cell count (SCC) records during lactation, with the purpose of identifying distribution characteristics (mean and measures of variation) that were most closely associated with clinical mastitis. Three separate data sets were used, one containing quarter SCC (n = 14

  9. Occurrence of Clinical and Sub-Clinical Mastitis in Dairy Herds in the West Littoral Region in Uruguay

    Rivero R


    Full Text Available Twenty-nine dairy farms were selected to determine the incidence of clinical mastitis, prevalence of sub-clinical mastitis and bacterial aetiology in the West Littoral Region of Uruguay. In samples taken by the owner and frozen at -20°C during a week the incidence rate of clinical mastitis was determined as 1.2 cases per 100 cow-months at risk. Staphylococcus aureus was the most common isolated pathogen in 37.5% of 40 milk samples from clinical cases obtained in 1 month. No bacteria grew in the 32.5% of the total samples. A sub-sample including 1077 dairy cows from randomly selected farms was used to determine the prevalence of sub-clinical mastitis. These samples were taken on one visit to each farm. The prevalence was 52.4% on a cow basis and 26.7% on an udder quarter basis. In 55.1% of the quarters of the selected animals with more than 300 000 cells/ml there was no growth. The isolated pathogens from sub-clinical cases and their relative frequencies were: Staphylococcus aureus 62.8%, Streptococcus agalactiae 11.3%, Enterococcus sp. 8%, coagulase-negative staphylococci 7.4%, Streptococus uberis 6.4%, Streptococcus dysgalactiae 1.8%, Escherichia coli 1.5% and Staphylococcus hyicus coagulase-positive 0.6%.

  10. Cow-specific risk factors for clinical mastitis in Brazilian dairy cattle.

    Oliveira, C S F; Hogeveen, H; Botelho, A M; Maia, P V; Coelho, S G; Haddad, J P A


    Information related to mastitis risk factors is useful for the design and implementation of clinical mastitis (CM) control programs. The first objective of our study was to model the risk of CM under Brazilian conditions, using cow-specific risk factors. Our second objective was to explore which risk factors were associated with the occurrence of the most common pathogens involved in Brazilian CM infections. The analyses were based on 65 months of data from 9,789 dairy cows and 12,464 CM cases. Cow-specific risk factors that could easily be measured in standard Brazilian dairy farms were used in the statistical analyses, which included logistic regression and multinomial logistic regression. The first month of lactation, high somatic cell count, rainy season and history of clinical mastitis cases were factors associated with CM for both primiparous and multiparous cows. In addition, parity and breed were also associated risk factors for multiparous cows. Of all CM cases, 54% showed positive bacteriological culturing results from which 57% were classified as environmental pathogens, with a large percentage of coliforms (35%). Coagulase-negative Staphylococcus (16%), Streptococcus uberis (9%), Streptococcus agalactiae (7%) and other Streptococci (9%) were also common pathogens. Among the pathogens analyzed, the association of cow-specific risk factors, such as Zebu breed (OR=5.84, 95%CI 3.77-10.77) and accumulated history of SCC (1.76, 95%CI 1.37-2.27), was different for CM caused by Coagulase-negative Staphylococcus and S. agalactiae in comparison to CM caused by coliforms. Our results suggest that CM control programs in Brazil should specially consider the recent history of clinical mastitis cases and the beginning of the lactations, mainly during the rainy season as important risk factor for mastitis.

  11. Immunoprophylaxis of bovine mastitis

    Pavlović Vojislav


    Full Text Available Mastitis poses a major economic and health problem in herds of dairy cows. The many years of taking different approaches to treating mastitis have not resulted in an adequate solution, so that the problem of mastitis is still present and acute. The treatment of mastitis using antibiotics yields satisfactory results, but it implies substantial costs for treatment and losses in rejecting milk. Due to the above reasons, a new area of scientific research offers possibilities for finding new solutions to the ever present problem of mastitis - immunoprophylaxis. Vaccines against mastitis available at this time are still not sufficiently effective in general practice, and they are at the level of experimental vaccines. All barn vaccines which have been worked on so far have been significantly experimentally successful. The success is in a significant increase in the antibody titer in serum (but not in milk, as well as in reducing the incidence of clinical and subclinical mastitis cases among experimental and control animals. Nevertheless, it is still believed that immunoprophylaxis, as a method for preventing inflammation of the udder and the occurrence of mastitis, is still an insufficiently investigated field of scientific research. Many scientists are engaged on the problem of finding a vaccine against mastitis, but the coplexity of the mammary gland and the specific permeability of the blood-milk barrier do not permit these efforts to be as successful as they might be if this were not the case.

  12. Isolation and identification of bacterial causes of clinical mastitis in cattle in Sulaimania region

    S. A. Hussein


    Full Text Available A total of 51 cases of bovine clinical mastitis in Sulaimani district were investigated for their bacteriological causative agents; 76 milk samples were cultured on primary and selective media and the isolated bacteria were tested for their susceptibility to antimicrobial agents used in commercial intramammary infusion products. Eighty two bacterial isolates were obtained and further identified using biochemical tests. Escherichia coli was the most common bacteria followed by Staphylococcus aureus, Streptococcus agalactia and coagulase–negative staphylococci. Two other bacterial species (Pseudomonas aeruginosa and Streptococcucs uberis were also isolated but in a lower proportion. Antibacterial susceptibility testing showed that the use of florfenicol, cephalexin and gentamicin may be useful for the treatment of clinical mastitis cases in cows.

  13. Mastitis crónica granulomatosa idiopática: reporte de un caso Idiopathic chronic granulomatous mastitis: a case report

    Juan Takano


    Full Text Available La mastitis cónica granulomatosa idiopática es una enfermedad rara que se presenta en mujeres, preferentemente en edad reproductiva, con características clínicas, mamográficas, ecográficas y citológicas sugestivas de cáncer mamario. Se informa un caso de patología mamaria en paciente mujer de 35 años de edad, portadora de tumoración eritematosa, sensible, localizada en mama izquierda. La lesión fue tratada como "mastitis" con antibióticos y corticoides durante dos semanas. La persistencia de tumoración y sensibilidad, así como los controles mamográficos y ecográficos sugestivos de neoplasia, decidieron la extirpación quirúrgica. El diagnóstico histopatológico fue de mastitis crónica granulomatosa idiopática.Idiopathic chronic granulomatous mastitis is a rare disease in women at the reproductive life with clinic, mammographic, echographic and cytological characteristics suggestive of breast cancer. We report a case of breast pathology in a 35 years old woman who had a sensitiveness and eritematous tumor localized in the left breast. With the diagnosis of "mastitis", she was treated with antibiotics and corticoids for two weeks. Because the lesion and the sensitiveness persist and the mammographic and ecographic controls were suggestive of malignancy, the tumor was surgically removing. The histopathological diagnosis was idiopatic chronic granulomatous mastitis.

  14. Chronic mastitis in cows caused by Streptococcus dysgalactiae: Case report

    Cojkić Aleksandar


    Full Text Available Mastitis in dairy cows is an economically important disease because it makes up 38% of all diseases that occur in intensive cattle breeding. Mastitis affects milk production, either temporarily or permanently, depending on the course of infection and type of pathogen agent. Regular and timely therapy of mastitis based on the application antimicrobials, apart from prophylaxis, is very important for good health of breeding stock. This paper presents the case of repeated mastitis in a cow, Holstein-Friesian breed, 5 years old, which did not respond to antibiotic therapy. Milk samples from each separate quarter of the udder were collected under aseptic conditions and sent to the laboratory for further bacteriological tests, for isolation and identification of pathogens, as well as to test pathogen resistance to some antibiotics. On the basis of bacteriological examinations, there was confirmed the presence of Streptococcus dysgalactiae, which showed sensitivity to ampicillin, cloxacillin and augmentin, intermediate resistance to tetracycline and resistance to kotrimeksazol.(cotrimoxazole-proveriti [Projekat Ministarstva nauke Republike Srbije, br. TR 31085

  15. Relationship between teat-end callosity and occurrence of clinical mastitis

    Neijenhuis, F.; Barkema, H.W.; Hogeveen, H.


    A longitudinal study in 15 herds, with a total of 2157 cows, was conducted to examine the relationship between teat-end callosity (TEC) and the incidence of clinical mastitis. During the 1.5-yr study period, clinical mastitis was diagnosed by the farmers based on clinical signs. Teat-end callosity w

  16. Tuberculous mastitis simulating carcinoma of the breast in a young Nigerian woman: a case report.

    Sabageh, Donatus; Amao, Emmanuel Afolabi; Ayo-Aderibigbe A, Adebisi; Sabageh, Adedayo Olukemi


    Tuberculous mastitis is an uncommon disease even in countries where tuberculosis is highly endemic. It typically presents a diagnostic challenge masquerading as carcinoma or other primary disease of the breast. We report the case of a young multiparous Nigerian woman who presented with a tender left breast lump and enlargement of the left axillary lymph nodes for which a provisional diagnosis of carcinoma of the breast was made after clinical and radiological evaluation. The mass was pathologically diagnosed as tuberculous mastitis and anti-tuberculous therapy was instituted although she later absconded. This case shows that TM may present a diagnostic challenge on clinical, radiologic and microbiological investigation. Therefore, a high index of suspicion as well as FNAC and/or histological evaluation of tissue samples remain very important its diagnosis.

  17. Social influences on the duration of antibiotic treatment of clinical mastitis in dairy cows

    Swinkels, J.M.; Hilkens, A.; Zoche-Golob, V.; Krömker, V.; Buddiger, M.; Jansen, J.; Lam, T.J.G.M.


    Clinical mastitis of dairy cows is a visible inflammation of the udder, which is usually caused by bacteria and treated with antibiotics. Although pressure is increasing to reduce antibiotic usage in livestock in the European Union, feedback from the field suggests that clinical mastitis treatmen

  18. Social influences on the duration of antibiotic treatment of clinical mastitis in dairy cows

    Swinkels, J M; Hilkens, A; Zoche-Golob, V; Krömker, V; Buddiger, M; Jansen, J; Lam, T J G M|info:eu-repo/dai/nl/14686820X


    Clinical mastitis of dairy cows is a visible inflammation of the udder, which is usually caused by bacteria and treated with antibiotics. Although pressure is increasing to reduce antibiotic usage in livestock in the European Union, feedback from the field suggests that clinical mastitis treatment i

  19. Managerial and environmental determinants of clinical mastitis in Danish dairy herds

    Houe Hans


    Full Text Available Abstract Background Several management and environmental factors are known as contributory causes of clinical mastitis in dairy herd. The study objectives were to describe the structure of herd-specific mastitis management and environmental factors and to assess the relevance of these herd-specific indicators to mastitis incidence rate. Methods Disease reports from the Danish Cattle Data Base and a management questionnaire from 2,146 herds in three Danish regions were analyzed to identify and characterize risk factors of clinical mastitis. A total of 94 (18 continuous and 76 discrete management and production variables were screened in separate bivariate regression models. Variables associated with mastitis incidence rate at a p-value Results Three latent factors (quality of labor, region of Denmark and claw trimming, and quality of outdoor holding area were identified from 14 variables. Daily milk production per cow, claw disease, quality of labor and region of Denmark were found to be significantly associated with mastitis incidence rate. A common multiple regression analysis with backward and forward selection procedures indicated there were 9 herd-specific risk factors. Conclusion Though risk factors ascertained by farmer-completed surveys explained a small percentage of the among-herd variability in crude herd-specific mastitis rates, the study suggested that farmer attitudes toward mastitis and lameness treatment were important determinants for mastitis incidence rate. Our factor analysis identified one significant latent factor, which was related to labor quality on the farm.

  20. Protease activity measurement in milk as a diagnostic test for clinical mastitis in dairy cows

    Koop, G.; Werven, van T.; Roffel, S.; Hogeveen, H.; Nazmi, K.; Bikker, F.J.


    Due to the increasing use of automated milking systems, automated detection of clinical mastitis is becoming more important. Various in- or on-line diagnostic tests are in use, but generally suffer from false mastitis alerts. In this study, we explored a new diagnostic approach based on measureme

  1. Cow-specific risk factors for clinical mastitis in Brazilian dairy cattle

    Oliveira, C S F; Hogeveen, H; Botelho, A M; Maia, P V; Coelho, S G; Haddad, J P A


    Information related to mastitis risk factors is useful for the design and implementation of clinical mastitis (CM) control programs. The first objective of our study was to model the risk of CM under Brazilian conditions, using cow-specific risk factors. Our second objective was to explore which ris

  2. Risk factors and therapy for goat mastitis in a hospital-based case-control study in Bangladesh.

    Koop, Gerrit; Islam, Md Nurul; Rahman, Md Mizanur; Khatun, Momena; Ferdous, Jinnat; Sayeed, Md Abu; Islam, Shariful; Ahaduzzaman, Md; Akter, Sazeda; Mannan, Abdul; Hassan, Mohammad Mahmudul; Dissanayake, Ravi; Hoque, Md Ahasanul


    Bangladesh has a large population of goats, which contribute to the income, nutrition and welfare of the households of many families. Mastitis in goats has a low incidence, but is often very severe, making veterinary care necessary. The aim of this study was to identify seasonality and risk factors for goat mastitis in a hospital-based matched case-control study in a teaching veterinary hospital in Chittagong, Bangladesh and to describe the range of antimicrobial treatments applied in this situation. Cases of mastitis and controls were drawn from the hospital patient recording system, along with their risk factor status. Multiple imputation was applied to deal with the missing values in the data analysis. Mastitis occurred somewhat more in the rainy season, and comprised about 3% of all goats admitted to the hospital during January 2011-June 2014. Free-ranging farming system, poor body condition score and non-native goat breeds were significantly associated with case status. Treatment of clinical mastitis was variable and unsystematic, but the use of gentamicin was commonly recorded. The need for more prudent and evidence-based antimicrobial therapies is discussed.

  3. The effect of discontinuation of postmilking teat disinfection in low somatic cell count herds. I. Incidence of clinical mastitis.

    Lam, T J; van Vliet, J H; Schukken, Y H; Grommers, F J; van Velden-Russcher, A; Barkema, H W; Brand, A


    Results are described of a split-udder trial on the effect of discontinuation of postmilking teat disinfection on the incidence of clinical mastitis in seven dairy herds with a low bulk milk somatic cell count and a high incidence of clinical mastitis. Overall incidence of clinical mastitis was non-significantly lower (18%), whereas the incidence of the most prevalent pathogen associated with clinical mastitis, Escherichia coli, was significantly lower in quarters for which postmilking teat disinfection was discontinued. We concluded that discontinuation of postmilking teat disinfection may decrease the incidence of clinical Escherichia coli mastitis in herds for which standard mastitis prevention measures are executed adequately, bulk milk somatic cell count is low, and incidence of clinical mastitis is high. However, because an increase in intramammary infections with contagious pathogens may occur, care is recommended when advising discontinuation of postmilking teat disinfection.

  4. Risk factors for clinical mastitis in a random sample of dairy herds from the southern part of The Netherlands.

    Elbers, A R; Miltenburg, J D; De Lange, D; Crauwels, A P; Barkema, H W; Schukken, Y H


    The incidence of clinical mastitis in dairy cows was estimated in 171 randomly selected dairy herds from the southern part of The Netherlands. A total of 1103 quarter cases was reported. The mean annual incidence rate was 12.7 quarter cases/yr per 100 cows. The modeling incidence rate of clinical mastitis at the herd level indicated that a number of risk factors were associated with a higher rate of clinical mastitis: one or more cows that were leaking milk, one or more cows with trampled teats, no disinfection of the maternity area after calving, consistent use of post-milking teat disinfection, Red and White cattle (Meuse-Rhine-Yssel) as the predominant breed, and an annual bulk milk somatic cell count teats, no disinfection of the maternity area after calving, consistent use of post-milking teat disinfection, use of a thick layer of bedding in the stall, and the stripping of foremilk before cluster attachment. The following risk factors were associated with a higher rate of clinical mastitis caused by Staphylococcus aureus: Red and White cattle (Meuse-Rhine-Yssel) as the predominant breed, cows with trampled teats, the stripping of foremilk before cluster attachment, no regular disinfection of the stall, no regular replacement of stall bedding, and an annual bulk milk somatic cell count < 150,000 cells/ml.

  5. Epidemiological studies of clinical and subclinical ovine mastitis in Awassi sheep in northern Jordan.

    Lafi, S Q; al-Majali, A M; Rousan, M D; Alawneh, J M


    Forty-six Awassi sheep flocks selected by stratified random sampling were subjected to a cross-sectional study to determine the prevalence of intramammary infections, to assess the influence of flock size and parity on the prevalence of somatic cell count (SCC) and to identify major udder pathogens. Of the 3472 udder halves examined, 29.8% had over 10(6) SCC/ml and 0.03% had dry teats due to chronic mastitis. Flocks with 30-49 milking ewes (small flock size) were much younger (P or = 100 ewes (large). Pairwise analysis of the InSCC of both halves of the udders revealed significant mean differences for small and large flock size (P < 0.05), and for medium and large flock size (P < 0.001). Mean InSCC was lower (P < 0.05) in samples obtained from the left half compared with samples of the right half of the udder. Multiparous ewes had higher (P < 0.001) mean InSCC than primiparous ewes. Also, ewes with twin lambs had higher (P < 0.001) mean InSCC in the right half of the udder compared with single-lamb ewes. Samples collected in January (winter) had lower (P < 0.05) mean InSCC compared with samples collected in June. The most common organisms isolated from subclinical mastitis cases were coagulase-negative Staphylococci (17.8%), E. coli (13.6%), Streptococcus agalactiae (6.8%) and Staphylococcus aureus (6.8%). Of the 46 flocks, 20 were monitored monthly for 9 consecutive months to determine the incidence of clinical mastitis diagnosed by shepherds or/and sheep farmers with major pathogens. The incidence of clinical mastitis (expressed as the number of clinical cases per 100 ewe-months) were 2.1 +/- 1.9 (SD), 1.9 +/- 1.1, and 1.2 +/- 2.1 for small, medium and large flocks size strata, respectively. The overall population estimate was 1.7 +/- 0.02 cases per 100 ewe-months. The most-common clinical isolates were S. aureus (22% of all clinical isolates) and E. coli (14.2%).

  6. Association of Escherichia coli J5-specific serum antibody responses with clinical mastitis outcome for J5 vaccinate and control dairy cattle.

    Wilson, David J; Mallard, Bonnie A; Burton, Jeanne L; Schukken, Ynte H; Grohn, Yrjo T


    Dairy cattle in two commercial Holstein herds were randomly selected to be vaccinated twice with J5, at approximately 60 days and 28 days before the expected calving date, or to be untreated controls. Based on whether milk production changed following clinical mastitis or whether cows were culled or died within 30 days after onset, 51 mastitis cases were classified as severe or mild. J5-specific antibody responses were evaluated by enzyme-linked immunosorbent assay of all 32 severe and 19 mild cases. The amounts of J5-specific immunoglobulin M (IgM), IgG1, and IgG2 antibodies in sera from the 27 J5 vaccinates were compared with those of the 24 controls. At drying off (before J5 vaccination), all cows had similar amounts of J5-specific antibody. Immediately after calving (approximately 28 days after the second vaccination), J5 vaccinates had significantly higher production of J5-specific IgG1 and IgG2 than controls. When cows were tested following clinical mastitis, none of the three antibody classes differed significantly between the controls and the vaccinates. Vaccinates that contracted Escherichia coli mastitis had 75% less milk loss than controls. The cows that contracted clinical mastitis later in lactation, the unvaccinated controls, and those infected with E. coli had more milk loss following mastitis. The hazards of being culled for all reasons and of being culled for mastitis were significantly lower for J5 vaccinates. Vaccination with J5 was associated with protection against milk production loss and culling following clinical mastitis, and it was also significantly associated with changes in J5-specific IgM, IgG1, and IgG2 antibodies in sera of vaccinated cows.

  7. Mastitis in Ettawa Crossbred Goat (Pe Caused by Staphylococcus Aureus: Epidemiology, Clinical Signs, Pathogenesis, Diagnosis and Control

    Widodo Suwito


    Full Text Available Mastitis in Ettawa crossbred goat is commonly found and caused economic loss. Staphylococcus aureus is one of bacteria caused clinical mastitis or subclinical mastitis in Ettawa crossbred goat. The aim of this review was to provide an overview of clinical and subclinical mastitis in the Ettawa crossbred goat caused by S. aureus from epidemiological aspect, clinical symptoms, pathogenesis, diagnosis, treatment, prevention and control. Mastitis should be eliminated because it lead to death for the goats and lambs. In addition, S. aureus has greater risk for contamination in milk because it produces heat-stable toxin. Isolation and identification bacteria with total of somatic cell counts are important as a reference to determine the actions to decrease the occurrence of mastitis. Some preventive measures for mastitis include clean milking, dipping the teats with a disinfectant and antibiotic treatment during dry lactation.

  8. Bioeconomic modeling of intervention against clinical mastitis caused by contagious pathogens

    Hisham Beshara Halasa, Tariq


    , and Streptococcus dysgalactiae, and an environmental spread of Escherichia coli IMI in a 100-cow dairy herd during 1 quota year. The costs of clinical IMI, subclinical IMI, and intervention were calculated into the total annual net costs of IMI during lactation per scenario and compared with a default scenario......The objective of this study was to assess the epidemiologic and economic consequences of intervention against contagious clinical mastitis during lactation. A bioeconomic model of intramammary infections (IMI) was used to simulate contagious spread of Staphylococcus aureus, Streptococcus uberis...... transmission, number of IMI cases, and persistent subclinical IMI cases. Nonetheless, the high associated costs of culling bacteriologically unrecovered clinical IMI cows made the other scenarios with a long and intensive antibiotic treatment, but without culling, the most cost effective. The model...


    WANG Jiu; JIANG Hua


    In the present paper, the authors report their results about clinical treatment of 600 cases of mastitis with acupuncture plus TDP irradiation. Main points Tanzhong (CV 17), Quchi (LI L1) and Jiaji (EX-B 2) were punctured, supplemented with other acupoints according to the concrete symptoms and signs and TDP irradiation for 30min. For example, in the treatment of mastitis patients with high fever, bilateral Hegu (LI 4) and Taichong (LR 3)were punctured in combination with pricking blood and cupping methods. After 1 - 10 sessions of treatment (once daily), all the 600 cases were effective, with 510 cases (85%) being cured, 83 cases ( 13.8% ) remarkably effective,and with 7 cases ( 1.2 % ) effective.

  10. Genetic analysis of clinical mastitis data from on-farm management software using threshold models.

    Zwald, N R; Weigel, K A; Chang, Y M; Welper, R D; Clay, J S


    Producer-recorded clinical mastitis data from 77,791 cows in 418 herds were used to determine the potential for genetic improvement of mastitis resistance using data from on-farm management software programs. The following threshold sire models were applied: 1) a single-trait lactation model, where mastitis was recorded as 0 or 1 in first lactation only; 2) a 3-trait lactation model, where mastitis was recorded as 0 or 1 in each of the first 3 lactations, and 3) a 12-trait, lactation-segment model, where mastitis was recorded as 0 or 1 in each of 4 segments (0 to 50, 51 to 155, 156 to 260, and 261 to 365 d postpartum) in each of the first 3 lactations. Lactation incidence rates were 0.16, 0.20, and 0.24 in first, second, and third lactation, respectively, and incidence rates within various segments of these lactations ranged from 0.036 in late first lactation to 0.093 in early third lactation. Estimated heritability of liability to clinical mastitis ranged from 0.07 to 0.15, depending on the model and stage of lactation. Heritability estimates were higher in first lactation than in subsequent lactations, but estimates were generally similar for different segments of the same lactation. Genetic correlations between lactations from the 3-trait model ranged from 0.42 to 0.49, while correlations between segments within lactation from the 12-trait model ranged from 0.26 to 0.64. Based on the results presented herein, it appears that at least 2 segments are needed per lactation, because mastitis in early lactation is lowly correlated with mastitis in mid or late lactation. Predicted transmitting abilities of sires ranged from 0.77 to 0.89 for probability of no mastitis during the first lactation and from 0.36 to 0.59 for probability of no mastitis during the first 3 lactations. Overall, this study shows that farmer-recorded clinical mastitis data can make a valuable contribution to genetic selection programs, but additional systems for gathering and storing this

  11. Veterinary treatment strategies for clinical mastitis in dairy cows in Sweden.

    Persson Waller, K; Hårdemark, V; Nyman, A-K; Duse, A


    To evaluate if Swedish veterinary guidelines on use of antimicrobials in cases of clinical mastitis in dairy cows have been adopted by veterinary practitioners, their treatment strategies were evaluated in a cross-sectional study using a web-based questionnaire. Another aim was to study if the strategies differed among veterinarians due to year and country of exam, sex, region, numbers of mastitis cases per month, and postgraduate training in herd health using multivariable logistic regression models. In total, 267 of 741 (36 per cent) veterinarians contacted answered the questionnaire satisfactorily. Most considered bacteriological diagnostics important, but many veterinarians made treatment decisions without collecting information on antimicrobial susceptibility. Moreover, few veterinarians used measuring tape to assess bodyweight before dosing parenteral antimicrobials. Year of exam and postgraduate training were the veterinary demographic factors associated with most treatment routines. The questions associated with most demographic factors were if antimicrobial treatment is affected by knowledge on earlier udder pathogens in the herd, and how often NSAID and follow-up of treatment using milk somatic cell count are used. Overall, the veterinarians followed the Swedish guidelines rather well, but discrepancies in need for improvement were found.

  12. Breastfeeding practices and lactation mastitis.

    Foxman, B; Schwartz, K; Looman, S J


    Clinical impression suggests that lactation mastitis is associated with inexperienced nursers, improper nursing techniques, stress and fatigue. A pilot study was conducted to describe the frequency of self-reported breastfeeding practices during the first week post partum among 100 breastfeeding women delivering at a freestanding birthing center or participating in an early discharge program. Nine cases of lactation mastitis were identified from the survey population and an additional 8 from the target population for the survey. Seventeen controls matched by delivery date were identified from survey participants. The frequency of self-reported breastfeeding practices, the presence of fatigue and stress during the week prior to the mastitis date in the case was compared among cases and controls. In the first week post partum, most women fed their babies every 2-3 hr for approx. 20 min a feeding. The cradle or Madonna position was the most frequently used nursing position. Nine percent reported supplementing feedings with formula. Women with mastitis were more likely than controls to report a history of mastitis with a previous child. In the week prior to the mastitis date of the case, women with mastitis were more likely than controls to report breast or nipple pain and cracks or breast fissures. They were less likely to report being able to take a daytime nap. Future studies should focus on the relative importance of and interrelationships among these factors.

  13. Bovine Herpesvirus 4 infections and bovine mastitis

    Wellenberg, Gerardus Johannus


    Mastitis is an often occurring disease in dairy cattle with an enormous economic impact for milk producers worldwide. Despite intensive research, which is historically based on the detection of bacterial udder pathogens, still around 20-35% of clinical cases of bovine mastitis have an unknown aetiol

  14. Investigations of efficacy of intramammary applied antimicrobials and glucocorticosteroides in the treatment of subclinical and clinical mastitis in cows

    Vakanjac Slobodanka


    Full Text Available Inflammation of the mammary gland, mastitis in cows, presents one of the most acute problems in intensive dairy production, inflicting huge economic losses. In the course of one year, 80 samples were taken at investigated farms from udder quarters of cows with clinical mastitis and 160 samples from udder quarters of cows with subclinical mastitis. The efficacy of three preparations, A, B, and C, was examined in the treatment of clinical and subclinical mastitis in cows. The investigations indicate that antibiotic preparation A (neomycin, polimixine B, oleandomycin and prednisolone exhibited a greater efficacy in the treatment of clinical mastitis caused by Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus uberis and Micrococcus sp., but a smaller efficacy in the treatment of subclinical mastitis caused by Staphylococcus aureus. Preparation B (amoxicillin, clavulanic acid and prednisolone exhibited a higher efficacy in the treatment of clinical mastitis caused by Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus uberis and Micrococcus, but a weaker effect in the treatment of subclinical mastitis caused by Staphylococcus aureus. Preparation C (procaine penicillin G, streptomycin, neomycin sulfate and prednisolone acetate exihibited efficacy in the treatment of clinical and subclinical mastitis caused by Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus uberis, Micrococcus, Staphylococcus aureus and Esherichie coli. [Projekat Ministarstva nauke Republike Srbije, br. III 46002: Molekularno-genetička i ekofiziološka istraživanja u zaštiti autohtonih animalnih genetičkih resursa, očuvanju dobrobiti, zdravlja i reprodukcije gajenih životinja i proizvodnji bezbedne hrane

  15. Revisiting QTL Affecting Clinical Mastitis by High-Density GWAS and Resequencing in the Finnish Ayrshire Dairy Cattle

    Vilkki, Johanna; Iso-Touru, Terhi; Schulman, Nina F;

    Mastitis is the most common disease of dairy cattle, causing high economic losses each year. Studies to locate QTL affecting clinical mastitis and milk somatic cell counts have been carried out to increase our understanding of the disease. As part of the EU FP7 Quantomics project, we have used most...... recent genomic tools to characterize QTL affecting mastitis incidence in the Finnish Ayrshire cattle. Clinical mastitis diagnoses from -15 to 50 days and 51 to 300 days of first lactation and SCC (geometric mean of SCS observations between 5 to 170 days of first lactation) were included. In total, 1920...

  16. Randomized noninferiority clinical trial evaluating 3 commercial dry cow mastitis preparations: I. Quarter-level outcomes.

    Arruda, A G; Godden, S; Rapnicki, P; Gorden, P; Timms, L; Aly, S S; Lehenbauer, T W; Champagne, J


    The study objective was to compare the efficacy of 3 commercial dry cow mastitis formulations regarding quarter-level prevalence of intramammary infections (IMI) postcalving, cure of preexisting infections over the dry period, prevention of new infections during the dry period, and risk for a clinical mastitis case between calving and 100d in milk (DIM). A total of 1,091 cows (4,364 quarters) from 6 commercial dairy herds in 4 different states (California, Iowa, Minnesota, and Wisconsin) were enrolled and randomized to 1 of the 3 treatments at dry-off: Quartermaster (QT; 1,000,000 IU of procaine penicillin G and 1 g of dihydrostreptomycin; Pfizer Animal Health, New York, NY), Spectramast DC (SP; 500 mg of ceftiofur hydrochloride; Pfizer Animal Health), or ToMorrow Dry Cow (TM; 300mg of cephapirin benzathine; Boehringer Ingelheim Vetmedica Inc., St. Joseph, MO). Quarter milk samples were collected for routine bacteriological culture before dry cow therapy treatment at dry-off, 0 to 6 DIM, and 7 to 13 DIM and an on-farm record-keeping system was used to retrieve data on clinical mastitis cases. Noninferiority analysis was used to evaluate the effect of treatment on the primary outcome, risk for a bacteriological cure during the dry period. Multivariable logistic regression techniques were used to describe the effect of treatment on risk for presence of IMI postcalving and risk of a new IMI during the dry period. Cox proportional hazards regression was used to describe the effect of treatment on the risk and time for quarters to experience an episode of clinical mastitis between calving and 100 DIM. The overall crude quarter-level prevalence of infection at dry-off was 19.2%. The most common pathogen isolated from milk samples at dry-off was coagulase-negative Staphylococcus, followed by Aerococcus spp. and other Streptococcus spp. Noninferiority analysis showed no effect of treatment on risk for a cure between dry-off and calving [least squares means (LSM): QT=93




    Full Text Available The present study was undertaken to compare five laboratory diagnostic tests for sub-clinical mastitis in cattle and buffaloes and to compute cost, time taken by each test and its ranking for availability, adoptability, interpretability and sensitivity. There were 352 cases with each test type viz. California Mastitis Test (CMT, White Side Test (WST, White Side + Dye (WSTD, Surf Test and Surf + Dye, and 880 cases with each species type (cattle and buffaloes. Result scores (1760 for sub-clinical mastitis in each category of negative, trace, single positive, double positive and triple positive by species, and laboratory tests, were analyzed using nonparametric tests. Chi-square statistics showed that CMT was equally effective at both locations (farm vs. laboratory. Correlation further suggested that the association was highly significant. Moreover, cases in category of negative, trace and single positive strongly differed (P0.05. The study further suggested that CMT was the most sensitive test, followed by WST/WSTD and Surf/Surf + Dye. Although, the five tests showed slight discrepancy in the trace category reaction, a strong relationship of Surf Test to CMT, its low cost, easy availability and readily adoptable qualities should spur the relevant authorities to recommend the use of Surf test as a routine practice in dairy farming and add this test in the curriculum of diploma and degree programmes.

  18. Pathogen-specific incidence rate of clinical mastitis in Flemish dairy herds, severity, and association with herd hygiene.

    Verbeke, Joren; Piepers, Sofie; Supré, Karlien; De Vliegher, Sarne


    A one-year survey on clinical mastitis was conducted on 50 randomly selected commercial Flemish dairy herds to estimate the pathogen-specific incidence rate of clinical mastitis (IRCM). The severity of the cases and the potential associations with herd hygiene were studied. Participating producers sampled 845 cases and 692 dairy cows. The mean and median IRCM was estimated at 7.4 and 5.3 quarter cases per 10,000 cow-days at risk, respectively. A large between-herd variation was observed (range of 0-21.3). In general, the IRCM was lower in heifers compared with multiparous cows (2.9 vs. 11.0 quarter cases per 10,000 cow-days at risk). However, the overall IRCM in the first week after calving was higher in heifers compared with cows (43.4 vs. 31.6 quarter cases per 10,000 cow-days at risk). Streptococcus uberis (18.2% of the cases) and Escherichia coli (15.5%) were the most frequently isolated pathogens and no growth was observed in 19.9% of the cases. The majority of the cases (63.1%) were mild (only clots in milk). Moderate (hard quarter without general signs) and severe symptoms (systemic illness) were observed in 29.9 and 7.0% of the cases, respectively. Isolation of E. coli (vs. any other culture result) was more likely in moderate and severe cases compared with mild cases. Overall IRCM and E. coli IRCM were higher in dirty compared with clean herds based on udder hygiene scores (9.0 and 1.7 vs. 6.0 and 0.6 quarter cases per 10,000 cow-days at risk, respectively). This study broadens the knowledge on clinical mastitis in Flemish dairy herds and underlines the high risk of CM in early-lactation heifers, the role of the so-called environmental pathogens, and herd hygiene.

  19. Comparative proteomic changes of differentially expressed whey proteins in clinical mastitis and healthy yak cows.

    Li, X; Ding, X Z; Wan, Y L; Liu, Y M; Du, G Z


    Under the traditional grazing system on the Qinghai-Tibetan Plateau, the amount of milk in domesticated yak (Bos grunniens) with clinical mastitis decreases and the milk composition is altered. To understand the mechanisms of mammary gland secreted milk and disease infection, changes in the protein composition of milk during clinical mastitis were investigated using a proteomic approach. Milk whey from yak with clinical mastitis was compared to whey from healthy animals with two-dimensional gel electrophoresis using a mass spectrometer. Thirteen protein spots were identified to be four differentially expressed proteins. Increases in the concentrations of proteins of blood serum origin, including lactoferrin, were identified in mastitic whey compared to normal whey, while concentrations of the major whey proteins, casocidin-I, a-lactalbumin, and b-lactoglobulin, were downregulated in mastitic whey. These results indicated significant differences in protein expression between healthy yaks and those with clinical mastitis, and they may provide valuable information for finding new regulation markers and potential protein targets for the treatment of mastitis.

  20. Comparative analysis of agr groups and virulence genes among subclinical and clinical mastitis Staphylococcus aureus isolates from sheep flocks of the Northeast of Brazil.

    de Almeida, Lara M; de Almeida, Mayra Zilta P R B; de Mendonça, Carla L; Mamizuka, Elsa M


    Staphylococcus aureus is one of the most frequent mastitis causative agents in small ruminants. The expression of most virulence genes of S. aureus is controlled by an accessory gene regulator (agr) locus. This study aimed to ascertain the prevalence of the different agr groups and to evaluate the occurrence of encoding genes for cytotoxin, adhesins and toxins with superantigen activity in S. aureus isolates from milk of ewes with clinical and subclinical mastitis in sheep flocks raised for meat production The agr groups I and II were identified in both cases of clinical and subclinical mastitis. Neither the arg groups III and IV nor negative agr were found. The presence of cflA gene was identified in 100% of the isolates. The frequency of hla and lukE-D genes was high - 77.3 and 82.8%, respectively and all isolates from clinical mastitis presented these genes. The sec gene, either associated to tst gene or not, was identified only in isolates from subclinical mastitis. None of the following genes were identified: bbp, ebpS, cna, fnbB, icaA, icaD, bap, hlg, lukM-lukF-PV and se-a-b-d-e.

  1. Real-time polymerase chain reaction-based identification of bacteria in milk samples from bovine clinical mastitis with no growth in conventional culturing.

    Taponen, S; Salmikivi, L; Simojoki, H; Koskinen, M T; Pyörälä, S


    In more than 30% of milk samples from clinical and subclinical bovine mastitis, bacteria fail to grow even after 48 h of conventional culture. The "no-growth" samples are problematic for mastitis laboratories, veterinarians, and dairy producers. This study provides the first investigation of the bacteriological etiology of such samples, using a real-time PCR-based commercial reagent kit. The assay targets the DNA of the 11 most common bacterial species or groups in mastitis and the staphylococcal blaZ gene (responsible for penicillin resistance) and can identify and quantify bacterial cells even if dead or growth-inhibited. A study was made of 79 mastitic milk samples with no-growth bacteria in conventional culture, originating from cows with clinical mastitis. Of the 79 samples, 34 (43%) were positive for 1 (32 samples) or 2 (2 samples) of the target bacteria. The positive findings included 11 Staphylococcus spp. (staphylococci other than Staphylococcus aureus), 10 Streptococcus uberis, 2 Streptococcus dysgalactiae, 6 Corynebacterium bovis, 3 Staph. aureus, 1 Escherichia coli, 1 Enterococcus, and 1 Arcanobacterium pyogenes. The positive samples contained as many as 10(3) to 10(7) bacterial genome copies per milliliter of milk. This study demonstrates that in nearly half of the clinical mastitis cases in which conventional culture failed to detect bacteria, mastitis pathogens were still present, often in substantial quantities. The clearly elevated N-acetyl-beta-d-glucosaminidase activity values of the milk samples, together with clinical signs of the infected cows and quarters, confirmed the diagnosis of clinical mastitis and indicated that real-time, PCR-based bacterial findings are able to reveal bacteriological etiology. We conclude that all common mastitis bacteria can occur in large quantities in clinical mastitis samples that exhibit no growth in conventional culture, and that the real-time PCR assay is a useful tool for bacteriological diagnosis of such

  2. Addition of meloxicam to the treatment of clinical mastitis improves subsequent reproductive performance.

    McDougall, S; Abbeloos, E; Piepers, S; Rao, A S; Astiz, S; van Werven, T; Statham, J; Pérez-Villalobos, N


    the placebo [0.66 (standard error=0.04) versus 0.50 (standard error=0.06), respectively], although the proportion of glands from which no bacteria were isolated posttreatment did not differ between groups. No difference was observed in the somatic cell count between groups pre- or posttreatment. The proportion of cows that underwent artificial insemination by 21 d after the voluntary waiting period was unaffected by treatment. Treatment with meloxicam was associated with a higher proportion of cows conceiving to their first artificial insemination (0.31 versus 0.21), and a higher proportion of meloxicam-treated cows were pregnant by 120 d after calving (0.40 versus 0.31). The number of artificial inseminations required to achieve conception was lower in the meloxicam compared with control cows (2.43 versus 2.92). No difference was observed between groups in the proportion of cows pregnant by 200 d after calving or in the proportion of cows that were culled, died, or sold by 300 d after calving (17% versus 21% for meloxicam versus control, respectively). It was concluded that use of meloxicam, in conjunction with antimicrobial therapy, for mild to moderate cases of clinical mastitis, resulted in a higher probability of bacteriological cure, an increased probability of conception to first artificial insemination, fewer artificial inseminations, and a greater proportion of cows pregnant by 120 d in milk.

  3. Pathogen-Specific Effects of Quantitative Trait Loci Affecting Clinical Mastitis and Somatic Cell Count in Danish Holstein Cattle

    Sørensen, Lars Peter; Guldbrandtsen, Bernt; Thomasen, Jørn Rind;


    The aim of this study was to investigate whether quantitative trait loci (QTL) affecting the risk of clinical mastitis (CM) and QTL affecting somatic cell score (SCS) exhibit pathogen-specific effects on the incidence of mastitis. Bacteriological data on mastitis pathogens were used to investigate...... against coagulase-negative staphylococci and Strep. uberis. Our results show that particular mastitis QTL are highly likely to exhibit pathogen-specificity. However, the results should be interpreted carefully because the results are sensitive to the sampling method and method of analysis. Field data were...

  4. Isolation of nuc mutant isolates of Staphylococcus aureus from bovine clinical mastitis.

    Zastempowska, E; Orczykowska-Kotyna, M; Lassa, H


    Isolates of Staphylococcus aureus with a mutation in the nuclease (nuc) gene were recovered from cases of bovine mastitis in Poland. Three S. aureus isolates from cows in one herd had a 42 base pair duplication in the nuc gene. These isolates belonged to sequence type 97 (ST97) and clonal complex 97 (CC97). They had a different spa type and multiple-locus variable-number tandem-repeat fingerprinting (MLVF) subtype than a S. aureus isolate without the nuc mutation from the same herd. Isolation of nuc mutant S. aureus strains from cases of bovine mastitis may confound diagnostic PCRs based on detection of the nuc gene.

  5. Study on the association of BoLA-DRB3.2 alleles with clinical mastitis in Norwegian Red cows.

    Kulberg, S; Heringstad, B; Guttersrud, O A; Olsaker, I


    Genotyping of bovine leucocyte antigen DRB3.2 (BoLA-DRB3.2) in a total of 523 Norwegian Red (NR) cows from two groups selected for high protein yield and low clinical mastitis, respectively, identified 27 previously reported BoLA-DRB3.2 alleles across the groups. Significant differences in BoLA-DRB3.2 allele frequencies were found between the selection groups. Alleles *13, *18, *22 and *27 had a significantly higher frequency in cows selected for low clinical mastitis, while alleles *3, *9, *11 and *26 had a higher frequency in cows selected for high protein yield. Associations between BoLA-DRB3.2 alleles and clinical mastitis were analysed based on mastitis data from 741,072 first-lactation NR cows, of which 452 were genotyped. Alleles *22 and *26 were found to be associated with increased clinical mastitis, while alleles *7, *11, *18 and *24 had a favourable effect on mastitis resistance. Contradictory results from different studies investigating associations between BoLA-DRB3.2 alleles and mastitis indicate that future studies should focus on associations of mastitis with BoLA haplotypes rather than with single BoLA genes.

  6. Evaluation of Sialic Acid and Acute Phase Proteins (Haptoglobin and Serum Amyloid A in Clinical and Subclinical Bovine Mastitis

    S. Nazifi*, M. Haghkhah1, Z. Asadi, M. Ansari-Lari2, M. R. Tabandeh3, Z. Esmailnezhad and M. Aghamiri


    Full Text Available The present study was conducted to evaluate the concentrations of sialic acids (total, lipid bound and protein bound and their correlation with acute phase proteins (haptoglobin and serum amyloid A in clinical and subclinical mastitis of cattle. Thirty subclinical mastitic cows with positive California mastitis test (CMT test and no clinical signs of mastitis, 10 clinical mastitic cows and 10 healthy cows with negative CMT test and normal somatic cell count were selected. Milk and blood samples were collected after confirmation of clinical and subclinical mastitis by somatic cell count and bacterial identification. Serum haptoglobin (Hp, serum amyloid A (SAA, total sialic acid (TSA, lipid bound sialic acid (LBSA and protein bound sialic acid (PBSA were measured by validated standard methods. Haptoglobin and SAA increased significantly in both types of mastitis compared with control group (P<0.001. However, the ratio of HP/SAA was significantly different from the control group only in clinical mastitis. The results showed that TSA and LBSA were significantly different in control group compared with clinical and subclinical mastitis (P<0.001. Protein bound sialic acid did not change in subclinical mastitis in comparison with control group (P=0.86. There was positive correlation between LBSA and PBSA in clinical mastitis (r=0.72, P=0.02 whereas significant negative correlation was observed between LBSA and PBSA in subclinical mastitis (r=-0.62, P<0.001. Results also showed no correlation between Hp and SAA with each other or with any other parameters in study groups.

  7. Providing probability distributions for the causal pathogen of clinical mastitis using naive Bayesian networks

    Steeneveld, W.; Gaag, van der L.C.; Barkema, H.W.; Hogeveen, H.


    Clinical mastitis (CM) can be caused by a wide variety of pathogens and farmers must start treatment before the actual causal pathogen is known. By providing a probability distribution for the causal pathogen, naive Bayesian networks (NBN) can serve as a management tool for farmers to decide which t

  8. Associations between somatic cell count patterns and the incidence of clinical mastitis

    Haas, de Y.; Barkema, H.W.; Schukken, Y.H.; Veerkamp, R.F.


    Associations between clinical mastitis (CM) and the proportional distribution of patterns in somatic cell count (SCC) on a herd level were determined in this study. Data on CM and SCC over a 12-month period from 274 Dutch herds were used. The dataset contained parts of 29,719 lactations from 22,955

  9. Unusual ultrasonography findings of recurred mammary fibermatosis mimicking subareolar mastitis: A case report

    Sung, Hwa Sung; Kim, Young Seon; Bae, Young Kyung [College of Medicine, Yeungnam University, Daegu (Korea, Republic of)


    Fibromatosis, also known as an extra-abdominal desmoid tumor, rarely occurs in the breast and is often mistaken for carcinoma, clinically and radiologically. Desmoid tumor is a monoclonal myofibroblastic neoplasm which is locally aggressive, but rarely metastasizes. We herein report a case of a 64-year-old woman who experienced two episodes of recurrence of mammary fibromatosis. The mass was initially detected by screening mammography. It appeared as an irregularly shaped mass which was confined within the mammary zone. Recurrences were excised from the right breast 10 and 17 months later. The second recurrence occurred in the subareolar area accompanied by skin thickening and showed an anechoic component on ultrasonography, which mimicked subareolar mastitis with an abscess.

  10. Study on some characteristics of Staphylococci isolated from sheep sub clinical mastitis milk in Shahrekord, Iran

    Azizollah Ebrahimi


    Full Text Available Introduction: Staphylococci release a large number of enzymes. Some of these, such as coagulase, beta lactamase, hemolysins and biofilms are considered indices of pathogenicity. The aim of the current study was based on the isolation and identification of Staphylococcus aureus and coagulase negative Staphylococci (CNS strains from sheep sub clinical mastitis and examining their biofilm, beta lactamase, hemolysins production and antibiotic resistance pattern. Materials and methods: 55 Staphylococci strains were isolated from seventy cases of sheep subclinical mastitis. Thirty three were determined as Staphylococcus aureus (60% and 22 (40% as CNS. The hemolytic activity was evaluated by plating Staphylococci strains on 5% bovine blood agar. The biofilm assay was performed by using micro titer plates. Beta Lactamase production was detected by test tube iodometric technique and susceptibility to antimicrobial agents was determined for isolated strains by the disk diffusion method. Results: Twenty six (78.8% S. aureus strains were biofilm producers. For CNS (59.9% strains were positive in biofilm production. Two isolates (6.06%, of S. aureus were α, the same number β and 6 (18.2% isolates were ∂ hemolysin producers. Six isolates of CNS (27.27% were α and ten (45.45% ∂ hemolysin producers. Sixteen S. aureus (48.5% and five CNS (22.72% isolates were positive in beta lactamase production. The isolated Staphylococci show a low sensitivity pattern to methicillin and streptomycin. Discussion and conclusion: A high percentage of strains make α toxin that play a role in S. aureus biofilm formation. Twenty one out of 33 (63.63% isolated Staphylococci were biofilm producers that can have deleterious effects because biofilm formation is thought to play an important role in the survival of virulent strains of Staphylococci. Sixteen out of 33 (48.5% isolated S. aureus were positive in beta lactamase test, Excluding resistant to methicillin, all of these

  11. Clinical Diagnosis and Treatment of Periductal Mastitis and Granulomatous Mastitis%导管周围乳腺炎与肉芽肿性乳腺炎的临床鉴别与处理



    Objective To investigate the clinical identification and treatment of periductal mastitis(PDM)and granulomatous mastitis(GM).Methods From January 2012 to January 2015 in our hospital of non lactation mastitis patients,including 38 cases of the observation group(periductal mastitis patients), control group(38 cases with granulomatous mastitis),clinical differentiation and treatment methods of two groups were compared.Results Around granulomatous mastitis and mastitis in two patients compared with catheter in clinical manifestations and part of the distribution of lesions,the difference was statisticaly significant(P< 0.05).Conclusion Combined with pathological examination can improve the diagnosis of periductal mastitis and granulomatous mastitis rate,given the the combination and operation mode can achieve satisfactory results.%目的:探讨导管周围乳腺炎(PDM)与肉芽肿性乳腺炎(GM)的临床鉴别与处理方法。方法将2012年1月~2015年1月在我院就诊的非哺乳期乳腺炎患者,其中观察组38例(导管周围乳腺炎患者),对照组38例(肉芽肿性乳腺炎患者),对比两组患者的临床鉴别与处理方法。结果观察组患者的病灶全部位于乳晕2 cm以外,对照组患者病灶在乳晕2 cm以外者有31例,其余7例病灶位置在乳晕2 cm以内;两组相比差异具有统计学性(P<0.05);另外,观察组患者的临床症状主要表现为肿块并窦道和乳头内陷15.79%(6/38)、肿块并乳头内陷34.21%(13/38)、肿块并窦道10.53%(4/38)、单纯肿块21.05%(8/38)、脓肿18.42%(7/38),而对照组患者主要为肿块并窦道39.47%(15/38)和单纯肿块60.53%(23/38)两种症状;两组相比差异具有统计学意义(P<0.05)。结论结合病理学检查可提高导管周围乳腺炎和肉芽肿性乳腺炎的诊断率,给予联合用药及手术方式可以取得满意的效果。

  12. Mediation analysis to estimate direct and indirect milk losses due to clinical mastitis in dairy cattle.

    Detilleux, J; Kastelic, J P; Barkema, H W


    Milk losses associated with mastitis can be attributed to either effects of pathogens per se (i.e., direct losses) or effects of the immune response triggered by intramammary infection (indirect losses). The distinction is important in terms of mastitis prevention and treatment. Regardless, the number of pathogens is often unknown (particularly in field studies), making it difficult to estimate direct losses, whereas indirect losses can be approximated by measuring the association between increased somatic cell count (SCC) and milk production. An alternative is to perform a mediation analysis in which changes in milk yield are allocated into their direct and indirect components. We applied this method on data for clinical mastitis, milk and SCC test-day recordings, results of bacteriological cultures (Escherichia coli, Staphylococcus aureus, Streptococcus uberis, coagulase-negative staphylococci, Streptococcus dysgalactiae, and streptococci other than Strep. dysgalactiae and Strep. uberis), and cow characteristics. Following a diagnosis of clinical mastitis, the cow was treated and changes (increase or decrease) in milk production before and after a diagnosis were interpreted counterfactually. On a daily basis, indirect changes, mediated by SCC increase, were significantly different from zero for all bacterial species, with a milk yield decrease (ranging among species from 4 to 33g and mediated by an increase of 1000 SCC/mL/day) before and a daily milk increase (ranging among species from 2 to 12g and mediated by a decrease of 1000 SCC/mL/day) after detection. Direct changes, not mediated by SCC, were only different from zero for coagulase-negative staphylococci before diagnosis (72g per day). We concluded that mixed structural equation models were useful to estimate direct and indirect effects of the presence of clinical mastitis on milk yield.

  13. Characterization of Staphylococcus simulans strains isolated from cases of bovine mastitis

    Aarestrup, Frank Møller; Larsen, H. D.; Jensen, N. E.


    This study was conducted to characterize Staphylococcus simulans isolated from cases of bovine mastitis. A total of 134 isolates of S. simulans selected from 80 quarters from 61 cows or heifers in 37 different herds were characterized by EcoRI ribotyping. From 22 quarters two to seven consecutive......, where 76 paired or multiple isolates were at disposal, the same ribotype was constantly found in the same quarter. This study showed that S. simulans causing bovine mastitis could be divided into relatively large number of different types, but that two types predominated. More than one type could...

  14. Sub-clinical mastitis prevalent in dairy cows in Chittagong district of Bangladesh: detection by different screening tests

    Mukti Barua


    Full Text Available Aim: Mastitis is recognized as one of the most costly health disorder affecting dairy cows. An epidemiological study was carried out at some selected farms in Chittagong district of Bangladesh to determine the prevalence and risk factors of sub-clinical mastitis (SCM in dairy cows. Materials and Methods: For conducting the study, some dairy farms of Chittagong were selected from urban and periurban areas by stratified random sampling. A total of 444 quarter samples of 111 (56 from commercial dairy farms and 55 from backyards lactating dairy cows were considered. Sub-clinical mastitis (SCM was determined using three different indirect screening tests: California Mastitis Test (CMT, White Slide Test (WST and Surf Field Mastitis Test (SFMT. Sensitivity and specificity were also determined to measure the accuracy of those tests. Results: The prevalence of SCM by CMT, WST and SFMT were 32.43% (n=144, 33.56% (n=149 and 31.53% (n=140, respectively. Distribution of SCM in relation to different variables at quarter level and animal level was also recorded. The prevalence of SCM was significantly (P4 than others at quarter level. No significant difference (P>0.05 was found in relation to breed. Using CMT as a gold standard, sensitivity and specificity of WST and SFMT were also calculated at 95% confidence interval. The sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, positive predictive value, negative predictive value and disease prevalence by WST and SFMT were comparable. Conclusion: This study recommends that regular screening of sub-clinical mastitis will reduce the prevalence of sub-clinical mastitis. The most effective way to control sub-clinical mastitis is to take preventive measures such as regular cleaning of the floor, keeping the udder clean, milkman's cleanliness, dry cow therapy specially in high yielding dairy cows.

  15. Factors in Dry Period Associated with Intramammary Infection and Subsequent Clinical Mastitis in Early Postpartum Cows

    Leelahapongsathon, Kansuda; Piroon, Tipapun; Chaisri, Wasana; Suriyasathaporn, Witaya


    The objective of this study was to determine cow characteristics and farm management factors during the dry period associated with early postparturient intramammary infection (IMI) and subsequent clinical mastitis (CM). Data were collected three times: before drying off (P1), during the dry period (P2), and 5 to 14 days after calving (P3), using questionnaires and farm investigation. Milk samples were aseptically collected for bacterial identification at P1 and P3. Factors associated with IMI and CM were analyzed using multiple logistic regression models. The final model showed that IMI in early postpartum was significantly associated with full insertion of dry cow antibiotic, dry cows in barns with a combination of tie and free stalls, body condition score (BCS) in dry period and after calving, and milk yield before drying off. For IMI cows, factors significantly associated with clinical expression of mastitis were having daily barn cleaning, teat disinfected with alcohol before administration of dry cow therapy, BCS before drying off, milk yield before drying off, and days in milk at drying off. In conclusion, both cow and farm management factors are associated with the IMI rate and subsequent expression of clinical signs of mastitis in early postpartum cows. PMID:26949960

  16. Molecular epidemiology of an outbreak of clinical mastitis in sheep caused by Mannheimia haemolytica.

    Omaleki, Lida; Browning, Glenn F; Allen, Joanne L; Markham, Philip F; Barber, Stuart R


    The aetiology and epidemiology of outbreaks of clinical mastitis in sheep under extensive pastoral conditions are incompletely understood. The objective of this study was to conduct a detailed investigation of a clinical mastitis outbreak that affected more than 10% of 230 at-risk ewes on a sheep and grain producing property in south east Australia during drought conditions in 2009. Milk samples were collected aseptically from all affected ewes and plated on sheep blood agar for bacterial identification. M. haemolytica was isolated from 80% of the samples that yielded cultivable microorganisms and thus was the main microorganism responsible for the outbreak. Analysis of the restriction endonuclease cleavage patterns of the isolates using pulsed field gel electrophoresis revealed some evidence of clonality, suggesting the possibility of horizontal transmission, but there was also considerable diversity between the clusters of closely related isolates. Multilocus sequence typing of the M. haemolytica isolates revealed most of the isolates belonged to ST1 with no association between the PFGE and MLST fingerprints of the isolates. Resistance to neomycin, streptomycin and sulphafurazole was detected in some of the isolates, but they were all susceptible to penicillin, ampicillin, ceftiofur, amoxycillin/clavulanic acid, ciprofloxacin, tetracycline, erythromycin and trimethoprim. This is the first published record of a comparison of the strains of M. haemolytica involved in a clinical mastitis outbreak in sheep and demonstrates the importance of this pathogen in sheep production systems, particularly during adverse climatic conditions and increased stocking rate.

  17. Granulomatous Mastitis: A Rare Cause of Male Breast Lump

    Al Manasra, Abdel Rahman A.; Al-Hurani, Mohammad F.


    Background Mastitis is a common benign disorder of the female breast. It is frequently associated with tenderness, swelling and nipple discharge. We are describing an extremely rare case of an idiopathic granulomatous mastitis in the male breast. Only 1 previous case was reported. Case Report A 29-year-old male patient presented with a hard, painless lump in the right breast of 2 weeks duration. The patient underwent surgical excision with margin. The histopathologic findings were consistent with granulomatous mastitis. The case was reported as idiopathic granulomatous mastitis after exclusion of all known causes of the disease. Conclusion Granulomatous mastitis is rare in females and extremely rare in male breast tissue. Since this disease mimics breast cancer in its clinical picture and radiologic findings are usually not conclusive, surgical excision is recommended in all cases. PMID:27721777


    A. Z. Khan and G. Muhammad1


    Full Text Available The present study was designed to determine the quarter-wise comparative prevalence of mastitis in buffaloes and crossbred cows. Milk samples collected from 50 dairy buffaloes and 50 crossbred cows were tested for subclinical mastitis by Surf Field Mastitis Test. In addition, all milk samples were processed for isolation and identification of pathogens. In buffaloes, overall prevalence of subclinical mastitis was 27%, clinical mastitis 4% and blind quarters 10%. In crossbred cows, subclinical mastitis was observed in 36%, clinical mastitis in 5.5% and blind quarters in 8% quarters. Prevalence was higher (32% in hindquarters of crossbred cows than those of buffaloes (29%. Among the isolates, Staphylococcus aureus showed the highest (45% frequency, followed by Streptococcus agalactiae (23%, E. coli (18% and Bacillus spp. (14% in buffaloes. In case of crossbred cows, Staphylococcus aureus , Streptococcus agalactiae , E. coli and Bacillus spp. were isolated from 48, 30, 13 and 8% milk samples respectively.

  19. Characterization of persistent and transient Escherichia coli isolates recovered from clinical mastitis episodes in dairy cows.

    Fairbrother, Julie-Hélène; Dufour, Simon; Fairbrother, John Morris; Francoz, David; Nadeau, Éric; Messier, Serge


    Escherichia coli usually cause transient intramammary infections in dairy cows, but persistent intramammary infections have been observed. The objective of the study was to compare antimicrobial resistance and virulence genes found in persistent and transient E. coli isolated from clinical mastitis cases in a cohort of 91 Canadian dairy herds monitored over a 2-year period. Antimicrobial susceptibility was determined by broth microdilution and the presence of 27 virulence genes associated with extra-intestinal E. coli infections was determined by colony hybridization. Proportion of resistance in persistent E. coli ranged from 0.0% (enrofloxacin) to 27.8% (ampicillin and tetracycline). Proportion of resistance in transient E. coli ranged from 0.0% (enrofloxacin) to 16.8% (tetracycline). Odds of being classified as a persistent isolate increased by a factor of 1.6 (95% CI: 1.1, 2.4) for each aditional resistance observed (e.g. isolates resistant to four antimicrobial agents had 1.6 times higher odds of belonging to the persistent groups compared to isolates demonstrating resistance to three agents). Persistency was associated with higher odds of resistance to ampicillin (OR: 9.8, Pcoli isolates is associated with certain traits. Findings concerning iron-acquisition shed new light on the mechanisms of intramammary survival.

  20. Staphylococcus aureus from 152 cases of bovine, ovine and caprine mastitis investigated by Multiple-locus variable number of tandem repeat analysis (MLVA).

    Bergonier, Dominique; Sobral, Daniel; Feßler, Andrea T; Jacquet, Eric; Gilbert, Florence B; Schwarz, Stefan; Treilles, Michaël; Bouloc, Philippe; Pourcel, Christine; Vergnaud, Gilles


    Staphylococcus aureus is one of the main etiological agents of mastitis in ruminants. In the present retrospective study, we evaluated the potential interest of a previously described automated multiple loci Variable Number of Tandem Repeats (VNTR) Assay (MLVA) comprising 16 loci as a first line tool to investigate the population structure of S. aureus from mastitis. We determined the genetic diversity of S. aureus strains from cases of clinical and subclinical mastitis in dairy cattle (n = 118, of which 16 were methicillin-resistant), sheep (n = 18) and goats (n = 16). The 152 strains could be subdivided into 115 MLVA genotypes (including 14 genotypes for the ovine strains and 15 genotypes for the caprine strains). This corresponds to a discriminatory index (D) value of 0.9936. Comparison with published MLVA data obtained using the same protocol applied to strains from diverse human and animal origins revealed a low number (8.5%) of human-related MLVA genotypes among the present collection. Eighteen percent of the S. aureus mastitis collection belonged to clonal complexes apparently not associated with other pathological conditions. Some of them displayed a relatively low level of diversity in agreement with a restricted ecological niche. These findings provide arguments suggesting that specific S. aureus lineages particularly adapted to ruminant mammary glands have emerged and that MLVA is a convenient tool to provide a broad overview of the population, owing to the availability via internet of databases compiling published MLVA genotypes.

  1. The use of successive milking as a procedure for the elimination of infection on due to Prototheca spp in cases of bovine clinical mastitis. (A case report / Utilização de ordenhas sucessivas como procedimento para eliminação de infecção por prototheca spp de casos de mastite clínica bovina (relato de caso

    Márcia Kiyoe Shimada


    Full Text Available This work relates the case of two animals (Black and White Holstein from a bovine milking herd, from north of Paraná State, in which mastitis due Prototheca spp was diagnosed. As a procedure for the infection elimination, it was opted for the use of successive milking performed six times daily, during eight days. The animals were followed up through mycological cultures from milk Samples after 15, 30 and 60 days from the beginning of the procedure. The clinical signs regressed after three days and the mycologicai cultures were negative after the 15th day.O presente trabalho relata um caso de dois animais HPB de um rebanho bovino leiteiro, da região norte do Estado do Paraná, dos quais diagnosticou-se mastite clínica por Prototheca spp. Como procedimento para eliminação da infecção optou-se peta utilização de ordenhas sucessivas praticadas seis vezes diariamente durante oito dias. Os animais foram acompanhados através de culturas micológicas das amostras de leite após 15, 30 e 60 dias do inicio do procedimento. Os sinais clínicos regrediram após três dias, e a partir do 15° dia as culturas foram negativas.

  2. Clinical, Microbiological and Hematological Findings in Ovine Subclinical Mastitis

    Daniela Marina Mot


    Full Text Available Due to its richness in nutrients, milk represents a complete and balanced food that can be prepared from many other important products in human nutrition. But milk is also a medium of culture for numerous microorganisms. Although milk possesses antimicrobial mechanisms, in many cases it can be contaminated by endogenous or exogenous sources. This microorganism contamination of sheep milk and finished products depreciate its qualitative and produce severe food poisoning to consumers. In this study aimed a bacteriological control of five samples of milk haphazardly collected from six particular herds of sheep in the western part of the country. In parallel was carried out a clinical examination of the animal, insisting on mammary gland and examination of blood samples collected from the same animals. In laboratory was performed a bacteriological examination of milk samples and leucogram on blood samples. The identified bacterial species in milk samples were Staphylococcus epidermidis, Staphylococcus aureus, Streptococcus uberis, Enterococcus durans, Enterococcus faecium. Although it started from the idea that the animals were healthy, it was still identified in more than half of the subjects examined subclinical mammary gland infections.

  3. Clinical Diagnosis and Treatment of Granulomatous Mastitis%肉芽肿性乳腺炎临床诊治探讨



    Objective Discussion granulomatous mastitis clinical features, diagnosis and treatment related factors and mea-sures.Methods Retrospective analysis November 2013 - November 2014 in our hospital treated 52 cases of patients with granulomatous mastitis cases of clinical data, summarize the clinical and pathological features, diagnosis and treatment. Re-sults 52 cases of patients with granulomatous mastitis, reproductive history in 44 cases, 32 cases of milk product history, not breastfeeding postpartum 6 cases, 9 cases of congenital inverted nipple; all patients were multifocal pathology after surgery after resection were cured.Conclusion The main method of granulomatous mastitis onset may be related to their milk silta-tion, granulation mastitis treatment for surgery.%目的:探讨肉芽肿性乳腺炎临床特点,相关因素以及诊治措施。方法整群选取并回顾性分析2013年11月—2014年11月在该院住院治疗的52例肉芽肿性乳腺炎患者临床病例资料,总结其临床病理特征、诊断和治疗措施。结果52例肉芽肿性乳腺炎患者中有生育史者44例,积乳史者32例,产后未哺乳者6例,先天性乳头凹陷者9例;所有患者病理检查均为多灶性,经过手术切除治疗后均痊愈出院。结论肉芽肿性乳腺炎患者发病可能与其乳汁淤积有关,治疗肉芽乳腺炎的主要方法为手术治疗。

  4. Efficacy of standard vs. extended intramammary cefquinome treatment of clinical mastitis in cows with persistent high somatic cell counts

    Swinkels, Jantijn M.; Krömker, Volker; Lam, Theo J G M


    Extended duration of clinical mastitis (CM) treatment has been advocated, although results showing its higher efficacy compared with standard treatment are difficult to compare and seem conflicting. In a non-blinded, positively controlled clinical trial with systematic allocation, the efficacy of a

  5. Short communication: prevalence and antibiotic resistance of Staphylococcus aureus isolated from bovine clinical mastitis.

    Jamali, Hossein; Radmehr, Behrad; Ismail, Salmah


    The aims of this study were to determine the prevalence and antibiotic resistance of Staphylococcus aureus isolated from bovine clinical mastitis in Varamin, Tehran Province, Iran. All of the isolated Staph. aureus were identified by morphology and culture and confirmed using the API Staph identification system (bioMérieux, Marcy-l'Étoile, France). Antibiotic resistance genes were detected by PCR with oligonucleotide primers specific for each gene. Staphylococcus aureus was recovered from 43 of 207 (20.1%) bovine clinical milk samples. Using disk diffusion, methicillin-resistant Staph. aureus was detected in 5 of 43 (11.6%) samples. The pathogen showed high resistance against penicillin G (86%) and tetracycline (76.7%). The blaZ (penicillin) (86%), tetM (tetracycline), and ermC (erythromycin) genes (39.5% each) were the most prevalent antibiotic resistance genes. The findings of this study are useful for designing specific control programs for bovine clinical mastitis caused by Staph. aureus in this region of Iran.

  6. Detection of bovine leukocyte antigen DRB3 alleles as candidate markers for clinical mastitis resistance in Holstein x Zebu.

    Duangjinda, M; Buayai, D; Pattarajinda, V; Phasuk, Y; Katawatin, S; Vongpralub, T; Chaiyotvittayakul, A


    Bovine leukocyte antigen DRB3 alleles from Holstein x Zebu crossbred dairy cows (n = 409) were analyzed using the PCR-RFLP technique. Exon II of DRB3 was amplified using locus-specific primers (HLO30/HLO32), followed by digestion with 3 restriction enzymes (RsaI, BstyI, and HaeIII). Forty alleles were found with frequency ranging from 0.005 to 0.139. The most frequently detected alleles of Holstein x Zebu were DRB3*16, *51, *23, *11, *8, and *1, accounting for 61.12% of the alleles in the population. Detection of candidate alleles for clinical mastitis occurrence was performed by logistic regression. It was found that percentage of Holstein fraction in crossbred cows had a nonsignificant effect (P > 0.05). However, parity had a significant effect on mastitis occurrence. In addition, DRB3*1 and *52 were the most associated with the occurrence of clinical mastitis, whereas *15, *51, and *22 were associated with resistance in crossbred populations. This is the first report of association of DRB3*15 and *51 with mastitis resistance. The association was validated by examining the candidate alleles in another commercial population. Highly susceptible (n = 43) and resistant (n = 42) groups of Holstein x Zebu cows were investigated. The result confirmed that DRB3*1 and *52 could be considered as susceptibility alleles, whereas *15, *51, and *22 could be considered as resistant alleles in Holstein x Zebu raised under tropical conditions. In addition, allele effects on 305-d milk production were estimated by BLUP. It was shown that most alleles associated with high clinical mastitis occurrence were related to increased milk yield. This study revealed that allele DRB3*10 had the greatest effect on increasing milk yield with moderate resistance to clinical mastitis, which could be used as a potential marker for selection in dairy genetic evaluation.

  7. Effect of topical steroid treatment on idiopathic granulomatous mastitis: clinical and radiologic evaluation.

    Gunduz, Yasemin; Altintoprak, Fatih; Tatli Ayhan, Lacin; Kivilcim, Taner; Celebi, Fehmi


    Idiopathic granulomatous mastitis (IGM) is a rare inflammatory, noncaseating, chronic granulomatous benign disease. The etiology of IGM is still unknown. It is postulated to be an autoimmune localized response. The use of a course of oral steroids provides an important regression of breast mass and skin lesions. Topical corticosteroids are used to treat many skin diseases, but no study is available on the sole use of topical steroids for treating IGM. Eleven women with IGM were treated with topical steroid and evaluated using mammography, ultrasonography, and dynamic MRI. At the end of the 12th week, patients were clinically and radiologically evaluated for the regression of breast and skin lesions. Pre- and post-treatment time-intensity curve patterns (TICs) were also compared. During the topical steroid treatment, the inflammation signs in the affected breast had markedly disappeared, the fistulas had become inactive, and the fistula orifices and/or skin erosions had closed in nine patients. The median follow-up period was 17 months (range: 12-48 months). Recurrence was observed in two patients (2/11) at 5 and 8 months, which were treated again topically. The inflammatory findings of the breast skin completely resolved after 8 weeks of treatment, and no side effects or steroid-related complications occurred. In the pretreatment period, TICs from enhancing areas showed a Type 1 pattern in three cases, a Type 2 pattern in five cases, and a Type 3 pattern in three cases. After topical steroid treatment, TIC was not changed only in one patient (Type 2). Type 1 patterns were determined in seven cases and Type 2 patterns in two cases. In addition, in two patients, TICs were not determined due to complete healing. Our MRI findings showed that topical steroid therapy may be useful because it affects mammary parenchyma as well as mammary skin. Further studies with a greater number of patients are needed to determine the topical steroid therapy dosing and duration, and

  8. Optimal insemination and replacement decisions to minimize the cost of pathogen-specific clinical mastitis in dairy cows.

    Cha, E; Kristensen, A R; Hertl, J A; Schukken, Y H; Tauer, L W; Welcome, F L; Gröhn, Y T


    Mastitis is a serious production-limiting disease, with effects on milk yield, milk quality, and conception rate, and an increase in the risk of mortality and culling. The objective of this study was 2-fold: (1) to develop an economic optimization model that incorporates all the different types of pathogens that cause clinical mastitis (CM) categorized into 8 classes of culture results, and account for whether the CM was a first, second, or third case in the current lactation and whether the cow had a previous case or cases of CM in the preceding lactation; and (2) to develop this decision model to be versatile enough to add additional pathogens, diseases, or other cow characteristics as more information becomes available without significant alterations to the basic structure of the model. The model provides economically optimal decisions depending on the individual characteristics of the cow and the specific pathogen causing CM. The net returns for the basic herd scenario (with all CM included) were $507/cow per year, where the incidence of CM (cases per 100 cow-years) was 35.6, of which 91.8% of cases were recommended for treatment under an optimal replacement policy. The cost per case of CM was $216.11. The CM cases comprised (incidences, %) Staphylococcus spp. (1.6), Staphylococcus aureus (1.8), Streptococcus spp. (6.9), Escherichia coli (8.1), Klebsiella spp. (2.2), other treated cases (e.g., Pseudomonas; 1.1), other not treated cases (e.g., Trueperella pyogenes; 1.2), and negative culture cases (12.7). The average cost per case, even under optimal decisions, was greatest for Klebsiella spp. ($477), followed by E. coli ($361), other treated cases ($297), and other not treated cases ($280). This was followed by the gram-positive pathogens; among these, the greatest cost per case was due to Staph. aureus ($266), followed by Streptococcus spp. ($174) and Staphylococcus spp. ($135); negative culture had the lowest cost ($115). The model recommended treatment for

  9. Macrolide-lincosamide-resistant phenotypes and genotypes of Staphylococcus aureus isolated from bovine clinical mastitis.

    Wang, Yang; Wu, Cong-Ming; Lu, Li-Ming; Ren, Gao-Wa Na; Cao, Xing-Yuan; Shen, Jian-Zhong


    The present study aimed to determine the prevalence and mechanisms of macrolide-lincosamide (ML) resistance in 72 Staphylococcus aureus isolates from cows with clinical mastitis. Minimum inhibitory concentrations (MIC) of ML antibiotics were determined by the broth microdilution technique, inducible ML resistance phenotype by the D test, and ML resistance genes by PCR assay. The isolates showed a high level of resistance to erythromycin (93.1%), azithromycin (93.1%), spiramycin (41.7%), tylosin (40.3%), tilmicosin (27.8%), and clindamycin (36.1%). Macrolide-lincosamide MIC(90) values were > or = 128 mg/L. Inducible ML resistance (iML) phenotype was detected in 52.8% (38/72) of isolates. In erythromycin-resistant (ER-R) strains, methylase genes ermB and ermC, efflux gene msrA/msrB, and inactivating enzyme genes lnuA and mphC were present alone or in various combinations, with ermB and ermC genes predominating. This is the first report of ML resistance genes ermB, mrsA/mrsB and mphC in S. aureus isolated from bovine mastitis. The occurrence of high levels of resistance to ML antibiotics among the S. aureus isolates, and the high rate of iML phenotype, indicate that appropriate alternative antibiotics should be prescribed for treating bovine mastitis caused by S. aureus. Furthermore, significant differences in the conformations of lactone rings of 16- and 14-membered macrolides could explain why some isolates with a constitutive ML resistance (cML) phenotype were sensitive to 16-membered macrolides alone. The different interaction of the 16-membered macrolides with the 50S ribosomal subunit is also presumably the reason why the susceptibility results of tilmcosin differed from those of tylosin and spiramycin.

  10. Relationship between somatic cell count status and subsequent clinical mastitis in Dutch dairy cows.

    van den Borne, B H P; Vernooij, J C M; Lupindu, A M; van Schaik, G; Frankena, K; Lam, T J G M; Nielen, M


    High composite somatic cell counts (CSCC) in dairy cows may develop into clinical mastitis (CM), suggesting that prevention or intervention of high CSCC may prevent CM later in lactation. The objective of this study was to quantify the relationship between high CSCC in dairy cows and the first subsequent case of CM in the same lactation. Farmer-diagnosed cases of CM and test day CSCC measurements during 1 year of 13,917 cows in 196 randomly selected Dutch dairy herds were available for analysis. Cows were followed in 1 lactation from the first test day postpartum until CM, drying off, culling or end of study. Cox proportional hazards models with time-varying CSCC levels were used to estimate the effect of high CSCC (≥200,000cells/ml) on the time until the first case of CM. A shared frailty effect was included to adjust for clustering of cows within herds. The proportion of cows developing CM after a CSCC measurement was 11%. Primiparae with a high CSCC had a 4-fold higher hazard for subsequent CM than primiparae with a low CSCC; multiparae with a high CSCC had a 2-fold higher hazard than multiparae with a low CSCC. Additionally, multiparae with a low CSCC had a 2-fold higher hazard for CM occurrence than primiparae with a low CSCC. Increasing the threshold for high CSCC showed that the risk for CM increased. If the last CSCC before CM was low, CSCC information of 2 preceding test days was more predictive than CSCC information from only the last test day. When the last CSCC was high, CSCC information of 2 preceding test days did not have added predictive value. This study identified that approximately 25% of first subsequent CM cases after a CSCC measurement can potentially be prevented when cows are prevented to get high CSCC or when high CSCC cows are removed from the population. This corresponded with a decrease in the proportion of lactating cows with CM after a CSCC measurement from 11% to 7%.

  11. Pathogen group specific risk factors for clinical mastitis, intramammary infection and blind quarters at the herd, cow and quarter level in smallholder dairy farms in Jimma, Ethiopia.

    Tolosa, T; Verbeke, J; Ayana, Z; Piepers, S; Supré, K; De Vliegher, S


    A cross-sectional study on clinical mastitis, intramammary infection (IMI) and blind quarters was conducted on 50 smallholder dairy farms in Jimma, Ethiopia. A questionnaire was performed, and quarters of 211 cows were sampled and bacteriologically cultured. Risk factors at the herd, cow, and quarter level for clinical mastitis and (pathogen-specific) intramammary infection were studied using multilevel modeling. As well, factors associated with quarters being blind were studied. Eleven percent of the cows and 4% of the quarters had clinical mastitis whereas 85% of the cows and 51% of the quarters were infected. Eighteen percent of the cows had one or more blind quarter(s), whereas 6% of the quarters was blind. Non-aureus staphylococci were the most frequently isolated pathogens in both clinical mastitis cases and IMI. The odds of clinical mastitis was lower in herds where heifers were purchased in the last year [odds ratio (OR) with 95% confidence interval: 0.11 (0.01-0.90)], old cows (>4 years) [OR: 0.45 (0.18-1.14)], and quarters not showing teat injury [OR: 0.23 (0.07-0.77)]. The odds of IMI caused by any pathogen was higher in herds not practicing teat drying before milking (opposed to drying teats with 1 towel per cow) [OR: 1.68 (1.05-2.69)], cows in later lactation (>180 DIM opposed to ≤90 DIM) [OR: 1.81 (1.14-2.88)], cows with a high (>3) body condition score (BCS) [OR: 1.57 (1.06-2.31)], right quarters (opposed to a left quarter position) [OR: 1.47 (1.10-1.98)], and quarters showing teat injury [OR: 2.30 (0.97-5.43)]. Quarters of cows in herds practicing bucket-fed calf feeding (opposed to suckling) had higher odds of IMI caused by Staphylococcus aureus [OR: 6.05 (1.31-27.90)]. Except for BCS, IMI caused by non-aureus staphylococci was associated with the same risk factors as IMI caused by any pathogen. No access to feed and water immediately after milking [OR: 2.41 (1.26-4.60)], higher parity [OR: 3.60 (1.20-10.82)] and tick infestation [OR: 2.42 (1

  12. In vitro antimicrobial activity of Combretum molle (Combretaceae) against Staphylococcus aureus and Streptococcus agalactiae isolated from crossbred dairy cows with clinical mastitis.

    Regassa, Fekadu; Araya, Mengistu


    Following the rapidly expanding dairy enterprise, mastitis has remained the most economically damaging disease. The objective of this study was mainly to investigate the in vitro antibacterial activities of ethanol extracts of Combretum molle (R.Br.Ex.G.Don) Engl & Diels (Combretaceae) against antibiotic-resistant and susceptible Staphylococcus aureus and Streptococcus agalactiae isolated from clinical cases of bovine mastitis using agar disc diffusion method. The leaf and bark extracts showed antibacterial activity against S. aureus at concentrations of 3 mg/ml while the stem and seed extract did not show any bioactivity. Although both leaf and bark extracts were handled in the same manner, the antibacterial activity of the bark extract against the bacterial strains had declined gradually to a lower level as time advanced after extraction. The leaf extract had sustained bioactivity for longer duration. The susceptibility of the bacteria to the leaf extract is not obviously different between S. aureus and S. agalactiae. Also, there was no difference in susceptibility to the leaf extract between the antibiotic-resistant and antibiotic-sensitive bacteria. Further phytochemical and in vivo efficacy and safety studies are required to evaluate the therapeutic value of the plant against bovine mastitis.

  13. Evaluation of a polyherbal topical aerosol spray as a supportive therapy for clinical mastitis in dairy cows

    Ramasamy Selvam


    Full Text Available The present study was designed to evaluate the polyherbal topical aerosol spray Wisprec and reg; Advanced (M/S. Natural Remedies Private Limited, India as a supportive therapy for clinical mastitis in dairy cows. A total of 41 dairy cows suffering from clinical mastitis were selected, and Wisprec and reg; Advanced was sprayed on mastitis affected quarters of udder two times a day along with a parenteral antibiotic till complete recovery. The rectal temperature, pain on palpation of udder, swelling of udder, consistency of milk, recovery period and product satisfaction score were assessed to evaluate the efficacy of Wisprec and reg; Spray. Topical application of Wisprec and reg; Advanced Spray have shown a significant improvement (p<0.001 in alleviation of rectal temperature, pain on palpation of udder and swelling of udder, and the consistency of milk was restored to normal after 3 to 4 days of treatment. The results demonstrate that the Wisprec and reg; Advanced spray could be considered as an alternative to non-steroidal anti-inflammatory drugs (NSAIDs as a supportive therapy for clinical mastitis of dairy cows. [J Adv Vet Anim Res 2015; 2(3.000: 285-290

  14. The association between occurrence and severity of subclinical and clinical mastitis on pregnancies per artificial insemination at first service of Holstein cows.

    Fuenzalida, M J; Fricke, P M; Ruegg, P L


    The objective of this prospective study was to determine associations between occurrence and severity of clinical (CM) and subclinical mastitis (SM) during a defined breeding risk period (BRP, 3d before to 32d after artificial insemination) on pregnancies per artificial insemination at first service (P/AI1). Dairy cows (n=3,144) from 4 Wisconsin herds were categorized based on the occurrence of one or more CM or SM events during and before the BRP: (1) healthy, (2) mastitis before BRP, (3) SM during BRP, (4) chronic SM, (5) CM during BRP, or (6) chronic CM. Clinical mastitis cases were categorized based on etiology (gram-negative, gram-positive, and no growth) and severity (mild, moderate, or severe). Compared with healthy cows, the odds of pregnancy were 0.56, 0.67, and 0.75 for cows experiencing chronic CM, CM, or SM during the BRP, respectively. The occurrence of chronic SM was not associated with reduced probability of P/AI1. Compared with healthy cows, the odds of pregnancy were 0.71 and 0.54 for cows experiencing mild or moderate-severe cases of CM during the BRP, respectively. The odds of pregnancy for cows experiencing CM caused by gram-negative or gram-positive bacteria during the BRP were 0.47 and 0.59, respectively. The occurrence of CM that resulted in no growth of bacteria in cultured milk samples was not associated with reductions in P/AI1. Regardless of etiology, microbiologically positive cases of CM with moderate or severe symptoms were associated with substantial reductions in P/AI1. Etiology, severity, and timing of CM were associated with decreases in the probability of pregnancy at first artificial insemination. Severity of the case was more important than etiology; however, regardless of severity, microbiologically negative cases were not associated with reduced probability of pregnancy.

  15. Behavioral changes in freestall-housed dairy cows with naturally occurring clinical mastitis

    Fogsgaard, Katrine Kop; Bennedsgaard, Torben Werner; Herskin, Mette S


    after diagnosis and antibiotic treatment of mastitis. In the days before and after antibiotic treatment, the milking behavior, feeding, and activity were examined in 30 mastitic and 30 control Danish Holstein-Friesian cows kept in freestalls and milked by an automatic milking system. Sickness behavior...... was evident in the mastitic dairy cows and local clinical signs in the udder as well as behavioral changes persisted beyond the 3 d of antibiotic treatment. In the days before diagnosis and treatment, feed intake was reduced compared with the control animals. Although reduced by the antibiotic treatment......, this difference persisted until at least 10 d after diagnosis. Sick cows spent less time lying in the initial days after treatment, reversing to the level of the control cows within the 10 d posttreatment period. In the 48 h before antibiotic treatment, the mastitic cows showed increased restlessness during...

  16. Frequency, virulence genes and antimicrobial resistance of Listeria spp. isolated from bovine clinical mastitis.

    Jamali, Hossein; Radmehr, Behrad


    The aims of this study were to determine the prevalence, characteristics and antimicrobial resistance of Listeria spp. isolated from bovine clinical mastitis in Iran. Listeria spp. were detected in 21/207 bovine mastitic milk samples from dairy farms in Iran, comprising L. monocytogenes (n=17), L. innocua (n=3) and L. ivanovii (n=1). L. monocytogenes isolates were grouped into serogroups '4b, 4d, 4e', '1/2a, 3a', '1/2b, 3b, 7' and '1/2c, 3c'; all harboured inlA, inlC and inlJ virulence genes. Listeria spp. were most frequently resistant to penicillin G (14/21 isolates, 66.7%) and tetracyclines (11/21 isolates, 52.4%).

  17. Lactoferrin gene promoter variants and their association with clinical and subclinical mastitis in indigenous and crossbred cattle.

    Chopra, A; Gupta, I D; Verma, A; Chakravarty, A K; Vohra, V


    Lactoferrin (Lf) gene promoter was screened for the presence of single nucleotide polymphism in indigenous and crossbred cattle from North India and to evaluate its association with Mastitis. Study revealed the presence of genetic variation in regulatory region of bovine Lactoferrin gene using PCR-RFLP technique. Three genotypes namely GG, GH and HH were identified. A single nucleotide change, from guanine to adenine at 25th position was found to be significantly associated (pmastitis in indigenous Sahiwal and crossbred Karan Fries cattle maintained at organised herd of National Dairy Research Institute, Karnal. A non-significant association was observed between subclinical mastitis, somatic cell score (SCS), and GG genotype in Karan Fries cattle, however, a lower SCS was observed in animals having GG genotype. Overall a lower incidence of clinical mastitis was recorded in those animals having GG genotype of Lf in Sahiwal and Karan Fries (KF) cattle. The SNP identified in the promoter region may effect expression lactoferrin protein, which may lead to different levels of antibacterial and anti-inflammatory activity of Lf gene. Results from this study indicated the probable role played by Lactoferrin promoter to serve as candidate gene for mastitis susceptibility among indigenous and crossbred milch cattle.

  18. Dynamics of lingual antimicrobial peptide, lactoferrin concentrations and lactoperoxidase activity in the milk of cows treated for clinical mastitis.

    Kawai, Kazuhiro; Korematsu, Kiyoshi; Akiyama, Kiyoshi; Okita, Miki; Yoshimura, Yukinori; Isobe, Naoki


    The aim of the present study was to examine changes in innate immune factors in the milk of mastitic dairy cows treated with antibiotics. Cows in the antibiotics group (n = 13) were infused into the mammary gland with cefazolin on the sixth day after mastitis was diagnosed (the day of the mastitis diagnosis = day -6). The control group (n = 12) was not treated. Milk samples were collected once every 2 days from days -6 to 12 and somatic cell count (SCC), lingual antimicrobial peptide (LAP), and lactoferrin (LF) concentrations and lactoperoxidase (LPO) activity were measured. SCC and LF concentrations in the antibiotics group markedly decreased after the antibiotic treatment. When cows in the antibiotics group were divided according to SCC on day 0, LAP concentrations and LPO activity in cows with a lower SCC on day 0 (<5 × 10(6) cell/mL) were significantly higher and lower than those in cows with a higher SCC, respectively. These results suggest that LF concentration decreased with decrease in SCC after treatment and that LAP concentration and LPO activity differed depending on the severity of mastitis. This is the first report to reveal the dynamics of innate immune factor in milk of cows treated for clinical mastitis.

  19. Draft Genome Sequence of Staphylococcus simulans UMC-CNS-990, Isolated from a Case of Chronic Bovine Mastitis.

    Calcutt, Michael J; Foecking, Mark F; Hsieh, Hsin-Yeh; Perry, Jeanette; Stewart, George C; Middleton, John R


    Coagulase-negative staphylococci are frequently isolated from cases of subclinical bovine mastitis. Reported here is a draft genome sequence of Staphylococcus simulans UMC-CNS-990, an isolate recovered from a chronic intramammary infection of a Holstein cow. Unexpectedly, a cluster of genes encoding gas vesicle proteins was found within the 2,755-kb genome.

  20. Granulomatous lobular mastitis

    Fei Zhou; Li-Xiang Yu; Zhong-Bing Ma; Zhi-Gang Yu


    Granulomatous lobular mastitis is an unusual breast benign inflammatory disorder with unknown aetiology. It is generally emerged with the clinical symptoms of breast mass, abscess, inflammation and mammary duct fistula. The diagnosis is made by histopathology with a chronic non-necrotizing granulomatous inflammation in lobules of the breast tissue as the microscopic feature. Therapy of granulomatous lobular mastitis consists of surgical, medication treatment or combination of both, but now researches suggest that observational management is an acceptable treatment.

  1. Clinical study of prolactin in 228 cases plasma cell mastitis%浆细胞性乳腺炎228例泌乳素水平的临床研究

    陈莉颖; 陆德铭


    Objective To investigate the relationship between plasma cell mastitis and prolactin. Methods The relationship between the lesion area , degree of inverted nipple and prolactin level of 228 plasma cell mastitis patients were observed , as well as their prolactin level before and after treatment , to explore the factors that influence relapse. Results There was no significant statistical relationship between prolactin level and lesions area and degree of inverted nipple. Prolactin level before and after treatment were statistically different (t =2.347,P = 0.02). Menstrual status, nipple status, comorbidities, lesion area and prolactin level were considered, only prolactin level was related with disease recurrence (P = 0.038). Conclusion prolactin level could significantly reduced as the disease cured , but elevated prolactin may lead to relapse of the disease.%目的:探讨浆细胞性乳腺炎与泌乳素水平之间的关系。方法:观察228例浆细胞性乳腺炎的病灶范围、乳头凹陷程度与泌乳素水平的关系,治疗前后泌乳素水平的变化,以及探索影响疾病复发的因素。结果:泌乳素与浆细胞性乳腺炎的病灶范围、乳头凹陷程度并无明显关系,疾病治愈前后的泌乳素水平有统计学差异(t =2.347,P =0.02)。在月经状况、乳头情况、合并疾病、病灶大小及泌乳素水平因素中,仅泌乳素水平与疾病的复发有一定的关联(P =0.038)。结论:疾病治愈后,泌乳素水平有显著的降低,泌乳素的升高可能导致疾病的复发。

  2. Profile of patients with idiopathic granulomatous mastitis presenting to a university teaching hospital in UAE: A case series

    Manda Venkatramana


    Full Text Available Objective: To highlight the profile of five patients diagnosed as having idiopathic granulomatous mastitis by histopathological examination. Materials and Methods: This presentation is a case series of patients, diagnosed as idiopathic granulomatous mastitis by histopathological examination of excised specimens. The total number of cases included in the report was five females over a 4-year period from 2005 to 2009. Results: The mean age of the patients was 29.6 years and the duration of symptoms varied from 3 weeks to 4 months. All the patients presented with a palpable mass in the breast, and two patients had associated pain and one had a bloody nipple discharge. The average size of the excised mass was 3.8 × 3.1 cm. Four out of the five patients diagnosed to have breast abscess or segmental mastitis had taken a course of antibiotics. One patient had a persistent wound sinus which subsided with ATT and the rest of the patients had no post-operative complications. Conclusion: Idiopathic granulomatous mastitis is a relatively rare disease which mimics the common breast disorders in the reproductive age group including malignancy

  3. Evaluation of udder health parameters and risk factors for clinical mastitis in Dutch dairy herds in the context of a restricted antimicrobial usage policy.

    Santman-Berends, I M G A; Swinkels, J M; Lam, T J G M; Keurentjes, J; van Schaik, G


    Recently, many changes have been implemented in Dutch dairy herds. Herd sizes have increased and antimicrobial use has been reduced. Certain types of antimicrobials can only be used in specific circumstances, and the preventive use of antimicrobials in dry cows is prohibited. The aim of this study was to quantify clinical mastitis (CM), subclinical mastitis (SCM), and risk factors associated with CM in Dutch dairy herds in 2013, in the context of these changes. For this study, 240 dairy herds were randomly selected from farms that participated in test-day milk recording, used a conventional milking system, and agreed to participate in the study. Eventually, 233 Dutch dairy farmers had complete records of CM in their herds in 2013 and 224 of these farmers completed a questionnaire on management factors potentially associated with CM. All participating farmers gave consent to use their routinely collected herd data such as test-day records and cow identification and registration data. Clinical and subclinical mastitis incidence rate (CMI and SCMI, respectively) per 100 cows per year, subclinical mastitis prevalence, and average bulk tank milk somatic cell count were obtained for 2013. The risk factor analysis was conducted using a generalized linear model with a log link function and a negative binomial distribution on herd level in Stata 13.1. A median CMI of 28.6 per 100 cows at risk per year, SCMI of 70.1 per 100 cows at risk per year, SCM prevalence of 15.8%, and bulk tank milk somatic cell count of 171 × 10(3) cells/mL were observed in 2013. Factors that were significantly associated with a higher CMI were cleaning slatted floors only once per day compared with more than 4 times a day (i.e., mechanical), a higher percentage of Holstein Friesian cows present in the herd, treating less than 50% of the cows with CM with antimicrobials, postmilking teat disinfection, and treatment of cows with elevated somatic cell count with antimicrobials. The results of this

  4. Bilateral Antepartum Mastitis

    Peyman Alibeigi


    Full Text Available Antepartum mastitis is a rare condition, whereas postpartum orlactation mastitis is a common problem. This report introducesa case of complicated bilateral antepartum mastitis, which wastreated successfully by drain insertion and antibiotic therapy.The patient was a 23-year-old woman in the 23rd week of herfirst pregnancy. Her chief complaint was progressive swelling,redness and radicular pain in both breasts, which had beenstarted gradually from the 18th week of pregnancy. The patientwas admitted to hospital, and received oral and intravenous antibioticsempirically, which was not effective. The patient wastreated by drainage and oral antibiotic therapy. Based on theapproaches employed and the outcomes achieved it is suggestedthat early surgical insertion in the presence of fluid collection inantepartum mastitis will shorten hospitalization and course ofintravenous antibiotic therapy.Iran J Med Sci 2010; 35(4: 327-330.

  5. A case of Panton–Valentine leucocidin toxin‐positive Staphylococcus aureus‐mediated neonatal mastitis

    O’Connor, Ciara


    Introduction: Neonatal mastitis is an inflammatory condition of the breast frequently associated with Staphylococcus aureus. While Panton–Valentine leucocidin (PVL), a B‐pore‐forming cytotoxin, is commonly associated with enhanced virulence in community‐acquired methicillin‐resistant S. aureus isolates, this is the first report to our knowledge of neonatal mastitis caused by PVL‐positive S. aureus.\\r\

  6. Stochastic bio-economic modeling of mastitis in Ethiopian dairy farms.

    Getaneh, Abraham Mekibeb; Mekonnen, Sefinew Alemu; Hogeveen, Henk


    Mastitis is an inflammation of the mammary gland that is considered to be one of the most frequent and costly diseases in the dairy industry. Also in Ethiopia, bovine mastitis is one of the most frequently encountered diseases of dairy cows. However, there was no study, so far, regarding the costs of clinical mastitis and only two studies were reported on costs of subclinical mastitis. Presenting an appropriate and complete study of the costs of mastitis will help farmers in making management decisions for mastitis control. The objective of this study was to estimate the economic effects of mastitis on Ethiopian market-oriented dairy farms. Market-oriented dairy farming is driven by making profits through selling milk in the market on a regular basis. A dynamic stochastic Monte-Carlo simulation model (bio-economic model) was developed taking into account both clinical and subclinical mastitis. Production losses, culling, veterinarian costs, treatment, discarded milk, and labour were the main cost factors which were modeled in this study. The annual incidence of clinical mastitis varied from 0 to 50% with a mean annual incidence of 21.6%, whereas the mean annual incidence of subclinical mastitis was 36.2% which varied between 0 and 75%. The total costs due to mastitis for a default farm size of 8 lactating cows were 6,709 ETB per year (838 ETB per cow per year). The costs varied considerably, with 5th and 95th percentiles of 109 ETB and 22,009 ETB, respectively. The factor most contributing to the total annual cost of mastitis was culling. On average a clinical case costs 3,631 ETB, varying from 0 to 12,401, whereas a sub clinical case costs 147 ETB, varying from 0 to 412. The sensitivity analysis showed that the total costs at the farm level were most sensitive for variation in the probability of occurrence of clinical mastitis and the probability of culling. This study helps farmers to raise awareness about the actual costs of mastitis and motivate them to timely

  7. Recovery from Mastitis in Dairy Cows – Development of Behaviour, Milk Production and Inflammatory Markers in the Weeks during and after Naturally Occurring Clinical Mastitis

    Fogsgaard, Katrine Kop


    after bovine mastitis and to create a basis for future facilitation of recovery, the present thesis focussed on two selected aspects of recovery; a behavioural as well as an inflammatory aspect, aiming to 1) describe the behaviour of dairy cows in the days before, during and after antibiotic treatment...... and the infected cows were not fully recovered within eight weeks after antibiotic treatment. The presented combination of inflammatory as well as behavioural aspects of the recovery from bovine mastitis is new, and these results provide a more complete description of the recovery status of individual cows after...... of culling and death. Although mastitis has received significant scientific attention, one aspect of bovine mastitis has only been touched upon very briefly; the characterization of the recovery period and its potential for modulation. Hence, in order to increase the understanding of the recovery period...

  8. Update on bovine mastitis etiological, clinical and treatment aspects in Khartoum state, Sudan.

    Mohammed Salih R.R.


    Full Text Available This study was conducted in certain area at Khartoum State determine the causative agent of bovine mastitis and the susceptibility of different isolates to different antibiotics use for treatment of bovine mastitis. The total number of dairy cows, which were examined in 34 investigated farms, equals 500. The result as follows: 55% acute mastitis, 44% chronic mastitis and 1% gangrenous mastitis. The isolated genera were as follows: 74% Bacillus spp., 24% Staphylococcus spp., 1% Corynebacterium spp. and 1% Klebsiella spp. The isolated species were as follows: 31% Bacillus coagulans, 11% B. cereus, 9% B. subtilis, 9% B. licheniformis, 4% B. circulans, 2% B. lentus, 3% B. mycoides, 3% B. amyloliquefaciens, 2% B. megaterium, 16% Staphylococcus aureus, 8% Staphylococcus hyicus, 1% Corynebacterium spp. and 1% Klebsiella spp. Lastly, the sensitivity test was applied using different antibiotics were as follows: Hundred percent of isolates were sensitive for Chloramphenicol and Ciprofloxacin, 91.6% for Gentamycin and Piperacillin/ Tazobactam, 83.3% for Pefloxacin and Tetracycline, 75% for Amikacin and Ofloxacin, 66.6% for Ceftizoxime, 33.3% for Co-Trimoxazole and Cefotaxime and 16.6% for Ampicillin/ Sulbactam. This study was depended at routine works at microbiological laboratory.

  9. Effect of Solcoseryl on the clinical course of experimental Escherichia coli-endotoxin mastitis.

    Ziv, G; Jöchle, W


    Experimental Escherichia coli-endotoxin mastitis was induced in a single quarter in twenty-eight cows. The inflamed quarters of six of the cows were treated with 50 mg Solcoseryl infusion in an oil base starting 4-6 h after endotoxin infusion, and four additional infusions were given at 12-h intervals. The inflamed quarters of eight of the cows were similarly treated with 200 mg Solcoseryl whereas the remaining fourteen cows served as control. Solcoseryl treatment did not alter the systemic or local course of acute mastitis. Local reaction, as assessed by the California Mastitis Test (CMT), however, subsided considerably sooner in quarters treated with Solcoseryl, and the effect of Solcoseryl in hastening udder tissue repair processes appeared to be dose dependent. The 200 mg dose of Solcoseryl resulted in pre-endotoxin CMT scores as early as 6 days after endotoxin infusion.

  10. Mastitis therapy and antimicrobial susceptibility: a multispecies review with a focus on antibiotic treatment of mastitis in dairy cattle.

    Barlow, John


    Mastitis occurs in numerous species. Antimicrobial agents are used for treatment of infectious mastitis in dairy cattle, other livestock, companion animals, and humans. Mastitis is an economically important disease of dairy cattle and most mastitis research has focused on epidemiology and control of bovine mastitis. Antibiotic treatment of clinical and subclinical mastitis in dairy cattle is an established component of mastitis control programs. Research on the treatment of clinical and subclinical mastitis in other dairy species such as sheep and goats has been less frequent, although the general principles of mastitis therapy in small ruminants are similar to those of dairy cattle. Research on treatment of clinical mastitis in humans is limited and as for other species empirical treatment of mastitis appears to be common. While antimicrobial susceptibility testing is recommended to direct treatment decisions in many clinical settings, the use of susceptibility testing for antibiotic selection for mastitis treatments of dairy cattle has been challenged in a number of publications. The principle objective of this review is to summarize the literature evaluating the question, "Does antimicrobial susceptibility predict treatment outcome for intramammary infections caused by common bacterial pathogens?" This review also addresses current issues related to antimicrobial use and treatment decisions for mastitis in dairy cattle. Information on treatment of mastitis in other species, including humans, is included although research appears to be limited. Issues related to study design, gaps in current knowledge and opportunities for future research are identified for bovine mastitis therapy.

  11. Norwegian mastitis control programme

    Østerås O


    Full Text Available Abstract This paper describes the methods and results of the Norwegian Mastitis Control Program implemented in 1982. The program has formed an integral part of the Norwegian Cattle Health Services (NCHS since 1995. The NCHS also have specific programs for milk fever, ketosis, reproduction and calf diseases. The goal of the program is to improve udder health by keeping the bulk milk somatic cell count (BMSCC low, to reduce the use of antibiotics, to keep the cost of mastitis low at herd level and improve the consumers' attitude to milk products. In 1996, a decision was made to reduce the use of antibiotics in all animal production enterprises in Norway by 25% within five years. Relevant data has been collected through the Norwegian Cattle Herd Recording System (NCHRS; including health records since 1975 and somatic cell count (SCC data since 1980. These data have been integrated within the NCHRS. Since 2000, mastitis laboratory data have also been included in the NCHRS. Data on clinical disease, SCC and mastitis bacteriology have been presented to farmers and advisors in monthly health periodicals since 1996, and on the internet since 2005. In 1996, Norwegian recommendations on the treatment of mastitis were implemented. Optimal milking protocols and milking machine function have been emphasised and less emphasis has been placed on dry cow therapy. A selective dry cow therapy program (SDCTP was implemented in 2006, and is still being implemented in new areas. Research demonstrates that the rate of clinical mastitis could be reduced by 15% after implementing SDCTP. The results so far show a 60% reduction in the clinical treatment of mastitis between 1994 and 2007, a reduction in BMSCC from 250,000 cells/ml to 114,000 cells/ml, and a total reduction in the mastitis cost from 0.23 NOK to 0.13 NOK per litre of milk delivered to the processors, corresponding to a fall from 9.2% to 1.7% of the milk price, respectively. This reduction is attributed to

  12. Detection of quantitative trait loci in Danish Holstein cattle affecting clinical mastitis, somatic cell score, udder conformation traits, and assessment of associated effects on milk yield

    Lund, M S; Guldbrandtsen, B; Buitenhuis, A J;


    The aim of this study was to 1) detect QTL across the cattle genome that influence the incidence of clinical mastitis and somatic cell score (SCS) in Danish Holsteins, and 2) characterize these QTL for pleiotropy versus multiple linked quantitative trait loci (QTL) when chromosomal regions...... affecting clinical mastitis were also affecting other traits in the Danish udder health index or milk production traits. The chromosomes were scanned using a granddaughter design where markers were typed for 19 to 34 grandsire families and 1,373 to 2,042 sons. A total of 356 microsatellites covering all 29...... autosomes were used in the scan. Among the across-family regression analyses, 16 showed chromosome-wide significance for the primary traits incidence of clinical mastitis in first (CM1), second (CM2), and third (CM3) lactations, and SCS. Regions of chromosomes 5, 6, 9, 11, 15, and 26 were found to affect CM...

  13. Risk Factors for Chronic Mastitis in Morocco and Egypt

    Hanna N. Oltean


    Full Text Available Chronic mastitis is a prolonged inflammatory breast disease, and little is known about its etiology. We identified 85 cases and 112 controls from 5 hospitals in Morocco and Egypt. Cases were women with chronic mastitis (including periductal, lobular, granulomatous, lymphocytic, and duct ectasia with mastitis. Controls had benign breast disease, including fibroadenoma, benign phyllodes, and adenosis. Both groups were identified from histopathologically diagnosed patients from 2008 to 2011, frequency-matched on age. Patient interviews elicited demographic, reproductive, breastfeeding, and clinical histories. Cases had higher parity than controls (OR = 1.75, 1.62–1.90 and more reported history of contraception use (OR = 2.73, 2.07–3.61. Cases were less likely to report wearing a bra (OR = 0.56, 0.47–0.67 and less often used both breasts for breastfeeding (OR = 4.40, 3.39–5.72. Chronic mastitis cases were significantly less likely to be employed outside home (OR = 0.71, 0.60–0.84 and more likely to report mice in their households (OR = 1.63, 1.36–1.97. This is the largest case-control study reported to date on risk factors for chronic mastitis. Our study highlights distinct reproductive risk factors for the disease. Future studies should further explore these factors and the possible immunological and susceptibility predisposing conditions.

  14. IgG4 related sclerosing mastitis: expanding the morphological spectrum of IgG4 related diseases.

    Chougule, Abhijit; Bal, Amanjit; Das, Ashim; Singh, Gurpreet


    IgG4 related disease (IgG4RD) is a recently recognised condition characterised by mass forming lesions associated with storiform fibrosis, obliterative phlebitis, lymphoplasmacytic infiltrate rich in IgG4 positive plasma cells and elevated serum IgG4 levels. Although rare, mammary involvement has been reported as IgG4 related sclerosing mastitis, the morphological counterpart of a growing family of IgG4 related diseases. A total of 17 cases belonging to mass forming benign inflammatory breast lesions such as plasma cell mastitis, granulomatous lobular mastitis, non-specific mastitis and inflammatory pseudotumour were investigated as a possible member of IgG4 related sclerosing mastitis. Clinical, radiological, histopathological and immunohistochemistry findings were noted in all cases. Cases diagnosed as inflammatory pseudotumour showed all the histopathological features of IgG4RD along with increased number of IgG4 positive plasma cells and IgG4/IgG ratio >40%. However, only a few IgG4 positive cells were seen in plasma cell mastitis, granulomatous lobular mastitis and non-specific mastitis cases. These cases also did not fulfill the morphological criteria for the diagnosis of IgG4 related diseases. IgG4RD should be excluded in plasma cell rich lesions diagnosed on core biopsies by IgG4 immunostaining. This can avoid unnecessary surgery as IgG4 related diseases respond to simple and effective steroid treatment.

  15. Acute phase protein concentrations in serum and milk from healthy cows, cows with clinical mastitis and cows with extramammary inflammatory conditions

    Nielsen, B.H.; Jacobsen, S.; Andersen, P.H.; Niewold, T.A.; Heegaard, P.M.H.


    The concentrations of the two acute phase proteins, serum amyloid A and haptoglobin, in serum and milk were compared in 10 cows with clinical mastitis, 11 cows with extramammary inflammatory conditions and 10 clinically healthy control cows. The concentrations of both acute phase proteins were highe

  16. Identification of polymorphism in exons 7 and 12 of lactoferrin gene and its association with incidence of clinical mastitis in Murrah buffalo.

    Dinesh, Krishanender; Verma, Archana; Das Gupta, Ishwar; Thakur, Yash Pal; Verma, Nishant; Arya, Ashwani


    Lactoferrin gene is one of the important candidate genes for mastitis resistance. The gene is located on chromosome BTA 22 and consists of 17 exons spanning over 34.5 kb of genomic DNA. The present study was undertaken with the objectives to identify allelic variants in exons 7 and 12 of lactoferrin gene and to analyze association between its genetic variants and incidence of clinical mastitis in Murrah buffalo. The amplification of exons 7 and 12 of lactoferrin gene yielded amplicons of 232- and 461-bp sizes. PCR-restriction fragment length polymorphism (RFLP) analysis of 232-bp amplicon using BccI restriction enzyme revealed three genotypes (AA, AB, and BB) with frequencies of 0.62, 0.22, and 0.16, respectively. The frequencies of two alleles, A and B, were estimated as 0.73 and 0.27. Hpy188I-RFLP for 461-bp amplicon revealed polymorphism with three genotypes, CC, CD, and DD, with respective frequencies of 0.06, 0.39, and 0.56, whereas frequencies for C and D alleles were 0.25 and 0.75. The chi-square (χ(2)) analysis revealed a significant association between incidence of clinical mastitis and genetic variants of exon 7, and animals of AA genotype of exon 7 were found to be least susceptible to mastitis. The findings indicate potential scope for incorporation of lactoferrin gene in selection and breeding of Murrah buffaloes for improved genetic resistance to mastitis.

  17. Using sensor data patterns from an automatic milking system to develop predictive variables for classifying clinical mastitis and abnormal milk

    Kamphuis, A.; Pietersma, D.; Tol, van der R.; Wiedermann, M.; Hogeveen, H.


    Dairy farmers using automatic milking are able to manage mastitis successfully with the help of mastitis attention lists. These attention lists are generated with mastitis detection models that make use of sensor data obtained throughout each quarter milking. The models tend to be limited to using t




    Full Text Available This study was conducted to determine the effect of severity of sub-clinical mastitis on somatic cell count (SCC and lactose contents of milk in 100 apparently healthy dairy buffaloes. Surf Field Mastitis Test (SFMT was used to determine the severity of sub-clinical mastitis which was graded as Negative (N, Traces (T, mild clumping (P1, moderate clumping (P2 and heavy clumping (P3. Mean milk SCC (x 105 at SFMT scores N, T, P1, P2 and P3 were 2.06 + 1.09, 3.73 + 0.96, 9.69 + 4.05, 31.97 + 10.26 and 121.01 + 23.71 per ml, respectively. Using the same scoring, mean values of milk lactose were 5.10 + 0.09, 4.81 + 0.10, 4.66 + 0.08, 3.92 + 0.05 and 2.66 + 0.37 percent, respectively. Percent increases of mean SCC in T, P1, P2 and P3 groups with respect to N (control were 81.47, 370.51, 1451.71 and 5773.41, respectively. Percent decreases of mean lactose in T, P1, P2 and P3 groups with respect to N (control were 5.54, 8.52, 22.98 and 47.81, respectively. Statistical analysis indicated non-significant difference of mean SCC in N and T groups, while there was highly significant (P<0.01 difference in mean SCC among P1, P2 and P3 groups and also with respect to N. Similarly, there was a significant (P<0.05 difference of mean lactose among T, P1, P2 and P3 groups and also with respect to control/ negative group.

  19. Genome-wide association study using high-density single nucleotide polymorphism arrays and whole-genome sequences for clinical mastitis traits in dairy cattle.

    Sahana, G; Guldbrandtsen, B; Thomsen, B; Holm, L-E; Panitz, F; Brøndum, R F; Bendixen, C; Lund, M S


    Mastitis is a mammary disease that frequently affects dairy cattle. Despite considerable research on the development of effective prevention and treatment strategies, mastitis continues to be a significant issue in bovine veterinary medicine. To identify major genes that affect mastitis in dairy cattle, 6 chromosomal regions on Bos taurus autosome (BTA) 6, 13, 16, 19, and 20 were selected from a genome scan for 9 mastitis phenotypes using imputed high-density single nucleotide polymorphism arrays. Association analyses using sequence-level variants for the 6 targeted regions were carried out to map causal variants using whole-genome sequence data from 3 breeds. The quantitative trait loci (QTL) discovery population comprised 4,992 progeny-tested Holstein bulls, and QTL were confirmed in 4,442 Nordic Red and 1,126 Jersey cattle. The targeted regions were imputed to the sequence level. The highest association signal for clinical mastitis was observed on BTA 6 at 88.97 Mb in Holstein cattle and was confirmed in Nordic Red cattle. The peak association region on BTA 6 contained 2 genes: vitamin D-binding protein precursor (GC) and neuropeptide FF receptor 2 (NPFFR2), which, based on known biological functions, are good candidates for affecting mastitis. However, strong linkage disequilibrium in this region prevented conclusive determination of the causal gene. A different QTL on BTA 6 located at 88.32 Mb in Holstein cattle affected mastitis. In addition, QTL on BTA 13 and 19 were confirmed to segregate in Nordic Red cattle and QTL on BTA 16 and 20 were confirmed in Jersey cattle. Although several candidate genes were identified in these targeted regions, it was not possible to identify a gene or polymorphism as the causal factor for any of these regions.

  20. The effect of meloxicam on pain sensitivity, rumination time, and clinical signs in dairy cows with endotoxin-induced clinical mastitis.

    Fitzpatrick, C E; Chapinal, N; Petersson-Wolfe, C S; DeVries, T J; Kelton, D F; Duffield, T F; Leslie, K E


    The objectives of this study were to (1) evaluate the use of a pressure algometer and an automated rumination monitoring system to assess changes in pain sensitivity and rumination time in response to endotoxin-induced clinical mastitis and (2) evaluate the effect of the nonsteroidal antiinflammatory drug meloxicam on pain sensitivity and rumination time, as well as other clinical signs, in dairy cattle with endotoxin-induced clinical mastitis. Clinical mastitis was induced in 12 primiparous and 12 multiparous lactating dairy cows by intramammary infusion of 25 µg of Escherichia coli lipopolysaccharide (LPS) into 1 uninfected quarter. Immediately after, half the cows were injected subcutaneously with meloxicam (treated group) and half with the same volume of a placebo solution (control group). Pain sensitivity was assessed by measuring the difference in pressure required to elicit a response on the control and challenged quarter using an algometer 3 d before, immediately before, and at 3, 6, 12, and 24h after LPS infusion and either meloxicam or placebo injection. Rumination was continuously monitored from 2 d before to 3 d after LPS infusion using rumination loggers. Udder edema, body temperature, somatic cell score, and dry matter intake were also monitored to evaluate the occurrence and the duration of the inflammation after LPS infusion. In control animals, the difference in the pressure applied to the control and challenged quarters (control - challenged quarter) increased by 1.1 ± 0.4 kg of force 6h after LPS infusion compared with the baseline, suggesting an increase in pain sensitivity in the challenged quarter. Neither the LPS infusion nor the meloxicam treatment had an effect on daily rumination time. However, the rumination diurnal pattern on the day of LPS infusion showed an overall deviation from the baseline pattern. Cows spent less time ruminating in the hours following LPS infusion and more time ruminating later in the day. Meloxicam did not alter

  1. Clinical characteristics and persistence of bovine mastitis caused by different species of coagulase-negative staphylococci identified with API or AFLP

    Taponen, S.; Simojoki, H.; Haveri, M.;


    treatment. Mastitis due to P-lactamase-negative CNS was treated with penicillin G and that due to beta-lactamase-positive CNS with cloxacillin. Nineteen percent of the isolates were P-lactamase-positive. The bacterial cure rate for quarters treated with antimicrobials was high, 85.9%, as opposed to only 45......The coagulase-negative staphylococcal species causing mastitis in lactating cattle were identified and possible differences in the clinical characteristics or persistence of mastitis caused by different CNS were evaluated. The effect of antimicrobial treatment was also assessed. In addition, AFLP.......5% for untreated quarters. Bacterial cure rates for the most common CNS species or AFLP clusters were not statistically different. Further studies on identification of CNS species are needed....

  2. A comparative study on the blood and milk cell counts of healthy, subclinical and clinical mastitis Karan Fries cows

    Mohanned Alhussien


    Full Text Available Aim: The present study was aimed to study the use of cell counts as an early indicator of mammary health. Materials and Methods: Milk and blood cell counts were estimated from 8 healthy, 8 subclinical (SCM, and 8 clinically mastitis (CM groups of Karan Fries (KF cows. Results: Total leucocyte counts and neutrophil percent in blood and milk somatic cells and milk neutrophil percent of healthy cows increased significantly (p<0.05 in SCM cows and CM cows. Viability of blood and milk neutrophils was more in healthy cows, but decreased significantly (p<0.05 in SCM and CM cows. Significant (p<0.05 decrease were also observed in both the blood and milk lymphocytes and monocytes of SCM and CM cows. Phagocytic activity (PA of blood neutrophils also decreased significantly (p<0.05 in SCM cows. There was no difference between the PA of SCM and CM cows. Milk neutrophil percent was more in the SCM and clinically infected milk than in the blood of these cows. About 96-97% of the neutrophils had segmented nucleus in both healthy and subclinical milk, whereas, 2-3% were having band shaped or immature nuclei. There was a significant decrease in the segmented neutrophils, whereas, band neutrophils increase significantly to about 5% in the infected milk of mastitic cows. Viability of the milk neutrophils decreased more in case of subclinical and clinical milk as compared to that of blood. PA was found to be highest in the milk of healthy group of cows, but decreased significantly (p<0.05 in subclinically infected cows. However, there was no difference between the PA of milk neutrophils of SCM and CM cows. PA of milk was also found to be significantly lower in the milk of healthy cows when compared to that of blood neutrophils. Conclusion: This study indicated that percent neutrophils and their type in conjunction with milk somatic cell counts can be used as a more reliable indicator of mammary health in cows.


    M. A. Ali, *M. D. Ahmad, K. Muhammad and A. A. Anjum


    Full Text Available Six hundred lactating dairy buffaloes from four districts (Lahore, Sialkot, Narowal and Okara of Punjab, Pakistan were screened for subclinical mastitis using White Side Test and subsequent bacterial isolation. Overall prevalence of subclinical mastitis was 44% (264/600. It was the highest (58% in animals kept as individual holding at backyards followed by small holdings in periurban area (42% and the lowest at organized farms with reasonable good managemental conditions (32%. Two hundred thirty four bacterial isolates of nine genera i.e. Staphylococci, Escherichia, Streptococci, Pseudomonas, Salmonellae, Bacillus, Klebsiella, Enterococci and Corynebacterium species were identified. The highest prevalence was of Staphylococci (28.32% followed by Escherichia coli (16.18%, Pseudomonas (13.29%, Bacillus (12.42%, Streptococci (7.51%, Salmonellae (7.22%, Corynebacterium (6.64%, Klebsiella (5.20% and Enterococci (3.17%.

  4. Screening of bovine milk samples for sub-clinical mastitis and antibiogram of bacterial isolates

    Harini H. and Sumathi B.R.

    Full Text Available The study was undertaken to find out the incidence of subclinical mastitis (SCM and to assess the antibiotic sensitivity pattern of the causative organisms in lactating cows in and around Kanakapura taluk, Ramanagara district of Karnataka state. The prevalence of subclinical mastitis was assessed by the results of 3 different screening tests and bacteriological evaluation was done for the milk samples that were found positive. The predominant bacterial isolates recovered were Staphylococcus aureus (58% and Escherichia coli (23.5% followed by Staphylococcus epidermidis (8%, Streptococcus sp. (5.5%, Klebsiella sp. (3% and Bacillus sp. (2%. The in vitro antibiogram studies of bacterial isolates revealed higher sensitivity for ciprofloxacin (89%, ofloxacin (85%, enrofloxacin (82%, gentamicin (80% and chloramphenicol (75%, resistant to colistin, neomycin, streptomycin, penicillin and tetracycline. [Vet. World 2011; 4(8.000: 358-359

  5. Intramammary administration of platelet concentrate as an unconventional therapy in bovine mastitis: first clinical application.

    Lange-Consiglio, A; Spelta, C; Garlappi, R; Luini, M; Cremonesi, F


    Bovine udder infections induce a variety of changes in gene expression of different growth factors that may suggest their possible role in glandular tissue protection or repair processes. Growth factors and also chemokines and cytokines may act synergistically to increase the infiltration of neutrophils and macrophages to promote angiogenesis, fibroplasia, matrix deposition, and, ultimately, re-epithelialization. Considering the vast applications, typically in human medicine, of platelet concentrate (PC) and its ease of preparation, the aim of our study was to evaluate an alternative therapy to stimulate the regeneration of glandular tissue, administering a concentration in excess of the growth factors contained in the PC. In each one of the 3 farms examined in the trial, PC was prepared from donor cows in good health, free from infections, and with no records of medications administered during the previous 2 mo. The platelet produced in one farm was used only for treating the cows of the same farm in a heterologous way. A total of 229 mastitic quarters were divided in 3 groups: antibiotic group (treated with intramammary antibiotic), antibiotic and PC group (treated intramammarily with antibiotics in association with PC), and PC group (treated with intramammary PC alone). The diagnosis of mastitis was based on somatic cell count and bacteriological evaluation of the milk from the affected quarter. Platelet concentrate, alone or in association with antibiotic, was used for 3 consecutive days as an unconventional therapy in bovine acute and chronic mastitis. Our data show that the associated action of antibiotic and PC performed significantly better than the antibiotic alone, either for the recovery of the affected mammary quarters or for somatic cell count reduction. In the same way, the association antibiotic plus PC showed significantly fewer relapses compared with the antibiotic alone, either for acute or chronic mastitis. The treatment with only PC did not show

  6. Economic consequences of mastitis and withdrawal of milk with high somatic cell count in Swedish dairy herds

    Nielsen, C; Østergaard, Søren; Emanuelson, U


    no clinical mastitis (CM) while keeping the incidence of subclinical mastitis (SCM) constant and vice versa. Six different strategies to withdraw milk with high SCC were compared. The decision to withdraw milk was based on herd-level information in three scenarios: withdrawal was initiated when the predicted......% of the herd net return given the initial incidence of mastitis. Expressed per cow-year, the avoidable cost of mastitis was €55. The costs per case of CM and SCM were estimated at €278 and €60, respectively. Withdrawing milk with high SCC was never profitable because this generated a substantial amount of milk...... resulted in less negative effect on net return. It was concluded that the current milk-pricing system makes it more profitable for farmers to sell a larger amount of milk with higher SCC than to withdraw milk with high SCC to obtain payment premiums, at least in herds with mastitis incidences within...

  7. A case of non-lacrimal immunoglobulin G4 (IgG4)-related orbital disease with mastitis.

    Farooq, Tahir Ali; Mudhar, Hardeep; Sandramouli, S


    IgG4-related orbital disease is a recognised cause for orbital inflammation. As its awareness increases and diagnostic accuracy improves there will be an increased number of cases being identified. This unique case demonstrates for the first time, with histological evidence, a case of a non-lacrimal IgG4-related orbital disease with concurrent IgG4-related mastitis. We describe a 47 year old who presented with a supraorbital swelling and mass. This was initially successfully treated with oral steroids and was later excised on recurrence. Immunohistochemical and blood serum analysis confirmed IgG4-related orbital disease. On systemic enquiry she was found to have a mass of the breast, which was shown to be IgG4-related mastitis. She is currently asymptomatic with no sign of recurrence and is under long-term surveillance. This case highlights the importance of systemic work up in patients presenting with orbital foci of IgG4 disease.


    Paulo César Moreira


    Full Text Available

    There is an estimate that the mastitis in dairy herds causes production losses between 5 and 35%, equivalent from 85 to 500 million dollars per year. 231 milk samples from 231 cows on different stages of lactation, with clinic mastitis, from 35 farms of Goiânia, were analyzed in order to map the pathogens implicated in these process and to discover the microorganisms with major prevalence. All the samples had positive growth. The principal agents were Staphylococcus coagulase positive (32.90%, Streptococcus sp. (22.07%, Pseudomonas sp. (12.12%, Enterobacter sp. (10.38%, Corynebacterium sp. (8.65%, Escherichia coli (8.22%, Bacillus sp. (8.22%, Proteus sp. (6.49%, Klebsiella sp. (4.32% and Staphylococcus coagulase negative (3.46%. The Nocardia genus was isolated in 0.86% of the cases.

    KEY-WORDS: Bovine mastitis; etiology; isolated microorganisms.

    Estima-se que a presença de mastite bovina em rebanhos produtores provoque perdas de produção entre 5 e 35%, o que equivale de 85 a 500 milhões de dólares ao ano. Com o objetivo de mapear os patógenos envolvidos nesse processo e evidenciar os microrganismos com maior freqüência foram examinadas amostras de leite de 231 vacas, em diferentes estágios de lactação, que apresentaram sinais de mastite clínica e eram pertencentes a 35 propriedades rurais da bacia leiteira de Goiânia. Todas as amostras tiveram crescimento bacteriano positivo. Os principais agentes isolados foram o Staphylococcus coagulase positiva (32,90%, Streptococcus sp. (22,07%, Pseudomonas sp. (12,12%, Enterobacter sp. (10,38%, Corynebacterium sp. (8,65%, Escherichia coli (8,22%, Bacillus sp. (8,22%,

  9. The environmental impact of mastitis: a case study of dairy herds

    Hospido, Almudena [Department of Chemical Engineering, Institute of Technology, University of Santiago de Compostela, 15782 Santiago de Compostela (Spain)]. E-mail:; Sonesson, Ulf [Swedish Institute for Food and Biotechnology (SIK), PO Box 5401, SE-402 29 Goeteborg (Sweden)


    Mastitis is defined as an inflammatory reaction of udder tissue to bacterial, chemical, thermal or mechanical injury, which causes heavy financial losses and milk wastage throughout the world. Until now, studies have focused on the economic aspects from which perspective mastitis can generally be considered as the most serious disease in dairy cows; however, costs are not the only negative consequence resulting from the infection. The environmental impact is also significant; milk is discarded, which means lower efficiency and hence a greater environmental impact per produced liter of milk. Less milk is produced, which leads to an increased need for calf feed, and meat production is also affected. The main aim of this paper was to quantify the environmental impact of mastitis incidence. A standard scenario (representative of present-day reality in Galicia, Spain) and an improved scenario (in which mastitis incidence rate is reduced by diverse actions) have been defined and compared using Life Cycle Assessment (LCA) methodology. Among the impact categories studied, acidification, eutrophication and global warming were found to be the most significant environmental impacts. In all these categories, it was revealed that a decrease in mastitis incidence has a positive influence as the environmental impact is reduced. Even if the quantitative results cannot show a considerable decrease in the environmental burden, the impact cannot be regarded as negligible when the total consumption or total production of a region is considered. For example, the outcome of the proposed improvement measures for Spain's greenhouse gas emissions can be quantified as 0.06% of total emissions and 0.56% of emissions by the agricultural sector.


    Cotrino Badillo Victor


    Full Text Available In Colombia, the great diversity in management, methods of milking and breeds for milk production, makes very difficult to unify the rules for mastitis control; therefore the veterinarian’s job, according to the available resources in each herd is to advise the best procedures for both, milking routines and mastitis control. Influenced by the differences in management, the prevalence of each of the microorganisms that may cause mastitis varies from region to region and even from herd to herd within the same area. As a rule of thumb, the more basic the system, the less practices for mastitis control are present; this situation consequently leads to a high presentation of contagious mastitis by Streptococcus agalactiae. As the management improves, and dry cow therapy practices are implemented particularly in systems with milking machines, the mayor pathogen isolated is Staphylococcus aureus which is a regular resident in the skin. The number of cases caused by environmental microorganisms is very low, but maintains the clinical level of serious acute mastitis reported in dairy herds in other countries. Due to the indiscriminate and sometimes inappropriate use of antibiotics used for mastitis treatment, a high level of resistance to antibiotics has resulted to most of the antibiotics already in the market. It is imperative a close cooperation between the organizations for drug regulation and control, the pharmaceutical industry and the Veterinary medical profession to established rules and standards to safeguard this non-renewable resource.La diversidad en los sistemas de manejo, métodos de ordeño y aun de razas que se tienen en la producción de leche en Colombia, no permiten unificar las normas para el control de mastitis y será el veterinario quien, de acuerdo con los recursos disponibles en cada finca, establezca los procedimientos para el manejo del ordeño y el control de la mastitis. Influenciados por las diferencias de manejo, la

  11. A cross-sectional study of 329 farms in England to identify risk factors for ovine clinical mastitis.

    Cooper, S; Huntley, S J; Crump, R; Lovatt, F; Green, L E


    The aims of this study were to estimate the incidence rate of clinical mastitis (IRCM) and identify risk factors for clinical mastitis in suckler ewes to generate hypotheses for future study. A postal questionnaire was sent to 999 randomly selected English sheep farmers in 2010 to gather data on farmer reported IRCM and flock management practices for the calendar year 2009, of which 329 provided usable information. The mean IRCM per flock was 1.2/100 ewes/year (CI:1.10:1.35). The IRCM was 2.0, 0.9 and 1.3/100 ewes/year for flocks that lambed indoors, outdoors and a combination of both, respectively. Farmers ran a variety of managements before, during and after lambing that were not comparable within one model, therefore six mixed effects over-dispersed Poisson regression models were developed. Factors significantly associated with increased IRCM were increasing percentage of the flock with poor udder conformation, increasing mean number of lambs reared/ewe and when some or all ewes lambed in barns compared with outdoors (Model 1). For ewes housed in barns before lambing (Model 2), concrete, earth and other materials were associated with an increase in IRCM compared with hardcore floors (an aggregate of broken bricks and stones). For ewes in barns during lambing (Model 3), an increase in IRCM was associated with concrete compared with hardcore flooring and where bedding was stored covered outdoors or in a building compared with bedding stored outdoors uncovered. For ewes in barns after lambing (Model 4), increased IRCM was associated with earth compared with hardcore floors, and when fresh bedding was added once per week compared with at a frequency of ≤2 days or twice/week. The IRCM was lower for flocks where some or all ewes remained in the same fields before, during and after lambing compared with flocks that did not (Model 5). Where ewes and lambs were turned outdoors after lambing (Model 6), the IRCM increased as the age of the oldest lambs at turnout

  12. Mastitis occurrence and constraints to mastitis control in smallholder dairy farming systems in Uganda

    Byarugaba, D. K.; Nakavuma, J. L.; Vaarst, Mette;


    A study was conducted in the district of Jinja in Uganda to explore the pattern of mastitis including the occurrence of antibiotic resistant mastitis pathogens and to understand the constraints that limit effective control of mastitis in smallholder dairy farming systems.  A questionnaire...... was administered to 60 farmers to collect data regarding their farm circumstances and management of their farms and the risk factors to mastitis. Quarter milk samples were collected from the milking cows and screened for mastitis using the California Mastitis Test (CMT). The milk samples were cultured...... for isolation of pathogens and assessment of their susceptibility to commonly used antibiotics. A total of 172 milking cows were sampled corresponding to 688-quarter milk samples. The prevalence of CMT-positive cows was 61.3%, of which sub-clinical mastitis was 60.7%. The levels of hygiene on most of the farms...

  13. Effects of dry period length on clinical mastitis and other major clinical health disorders

    Enevoldsen, Carsten; Sørensen, J.T.


    Four, 7-, and 10-wk dry periods were randomly assigned to 366 dairy cows in eight herds. A multiple polytomous logistic regression analysis was conducted with the objective to reveal possible important effects of the dry period on the risk of contracting major clinical health disorders. Several...... calving intervals, the risk of occurrence of complications at calving decreased with the length of the dry period. This relation was reversed at longer calving intervals. Dry period lengths of approximately 7 wk appear to be associated with the lowest risk of clinical health disorders, but other factors...

  14. The association between farmers’ participation in herd health programmes and their behaviour concerning treatment of mild clinical mastitis

    Lind Ann-Kristina


    Full Text Available Abstract Background In Denmark, it has recently become mandatory for all dairy farmers with more than 100 cows to sign up for a herd health programme. Three herd health programmes are available. These differ in a number of aspects, including the frequency of veterinary visits and the farmer’s access to prescription drugs. The objective of this study was to investigate whether dairy farmers’ behavioural intentions, i.e. to call a veterinarian or start medical treatment on the day that they detect a cow with mild clinical mastitis (MCM, are different depending on the type of herd health programme. Methods A questionnaire survey based on the Theory of Planned Behaviour (TPB was conducted. TPB proposes that a person’s behavioural intention is strongly correlated with his or her actual behaviour. Three behavioural factors determine the behavioural intention: attitude, subjective norm and perceived behavioural control. Each of these factors is decided by a set of beliefs, each of which in turn is weighted by an evaluation: 1 the expected outcomes of performing the behaviour, 2 what a person believes that others think of the behaviour, and 3 the person’s perceived power to influence the behaviour. A set of statements about the treatment of MCM based on interviews with 38 dairy farmers were identified initially. The statements were rephrased as questions and the resulting questionnaire was distributed to 400 randomly selected Danish dairy farmers who use the two most restrictive herd health programmes, either Core or Module1, and to all 669 farmers with the least restrictive herd health programme, Module2. The association between intention and the herd health programme was modelled using logistic regression. Results The farmers with the Module2 herd health programme had a significantly higher behavioural intention to perform the behaviour, when compared to farmers with a more restrictive herd health programme (OR = 2.1, p Conclusion Danish dairy

  15. Long term effects of Escherichia coli mastitis.

    Blum, Shlomo E; Heller, Elimelech D; Leitner, Gabriel


    Escherichia coli is one of the most frequently diagnosed causes of bovine mastitis, and is typically associated with acute, clinical mastitis. The objective of the present study was to evaluate the long term effects of intramammary infections by E. coli on milk yield and quality, especially milk coagulation. Twenty-four Israeli Holstein cows diagnosed with clinical mastitis due to intramammary infection by E. coli were used in this study. Mean lactation number, days in milk (DIM) and daily milk yield (DMY) at the time of infection was 3.3 ± 1.3, 131.7 days ± 78.6 and 45.7 L ± 8.4, respectively. DMY, milk constituents, somatic cells count (SCC), differential leukocytes count and coagulation parameters were subsequently assessed. Two patterns of inflammation were identified: 'short inflammation', characterized by 15% decrease in DMY and >30 days to reach a new maximum DMY (n = 19). The estimated mean loss of marketable milk during the study was 200 L/cow for 'short inflammation' cases, and 1,500 L/cow for 'long inflammation' ones. Significant differences between 'short' and 'long inflammation' effects were found in almost all parameters studied. Long-term detrimental effects on milk quality were found regardless of clinical or bacteriological cure of affected glands.

  16. Co-infection of methicillin-resistant Staphylococcus epidermidis, methicillin-resistant Staphylococcus aureus and extended spectrum β-lactamase producing Escherichia coli in bovine mastitis--three cases reported from India.

    Bandyopadhyay, Samiran; Samanta, Indranil; Bhattacharyya, Debaraj; Nanda, Pramod Kumar; Kar, Debasish; Chowdhury, Jayanta; Dandapat, Premanshu; Das, Arun Kumar; Batul, Nayan; Mondal, Bimalendu; Dutta, Tapan Kumar; Das, Gunjan; Das, Bikash Chandra; Naskar, Syamal; Bandyopadhyay, Uttam Kumar; Das, Suresh Chandra; Bandyopadhyay, Subhasish


    Emergence of antimicrobial resistance among bovine mastitis pathogens is the major cause of frequent therapeutic failure and a cause of concern for veterinary practitioners. This study describes intra-mammary infection of methicillin-resistant Staphylococcus epidermidis (MRSE), methicillin-resistant Staphylococcus aureus (MRSA) and extended spectrum β-lactamase (ESBL) producing Escherichia coli in two Holstein Friesian crossbred cows with subclinical mastitis and one non-descript cow with clinical mastitis in two different districts of West Bengal, India. In total, three MRSE, one MRSA and three ESBL producing E. coli were isolated from these cases. Both the crossbreds were detected with MRSE (HFSE1 and HFSE2) and ESBL producing E. coli (HFEC1 and HFEC2), whereas, simultaneous infection of three pathogens viz. MRSA (NDSA1), MRSE (NDSE1) and ESBL producing E. coli (NDEC1) was found in the non-descript cow. The methicillin-resistant isolates possessed mecA gene and exhibited resistance to various antibiotics such as amikacin, tetracycline and glycopeptides. The ESBL producers were positive for blaCTX-M and blaTEM genes; in addition, HFEC1 and HFEC2 were positive for blaSHV and possessed the genes for class I integron (int1), sulphonamide resistance (sul1), quinolone resistance (qnrS) and other virulence factors (papC, iucD and ESTA1). All the ESBL producers exhibited resistance to a variety of antibiotics tested including third- and fourth-generation cephalosporins and were also intermediately resistant to carbapenems. This is the first ever report on simultaneous occurrence of MRSE, MRSA and ESBL producing E. coli in bovine mastitis indicating a major concern for dairy industry and public health as well.

  17. Periductal mastitis in a male breast

    Park, Chang Suk; Jung, Jung Im; Kang, Bong Joo; Lee, Ah Won; Park, Woo Chan; Hahn, Seong Tai [College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of)


    Periductal mastitis and mammary duct ectasia are now considered as separate disease entities in the female breast, and these two disease affect different age groups and have different etiologies and clinical symptoms. These two entities have very rarely been reported in the male breast and they have long been considered as the same disease as that in the female breast without any differentiation. We report here on the radiologic findings of a rare case of periductal mastitis that developed during the course of chemotherapy for lung cancer in a 50-year-old male. On ultrasonography, there was a partially defined mass with adjacent duct dilatation and intraductal hypoechogenicity, and this correlated with an immature abscess with a pus-filled, dilated duct and periductal inflammation on the pathologic examination.

  18. CT灌注成像在乳腺癌及乳腺炎诊断中的应用%Clinical application of CT perfusion in diagnosis of human breast carcinoma and mastitis

    佟咸利; 黎庶; 张汉国; 徐荣天


    Objective To investigate the value of CT perfusion in diagnosis of human breast carcinoma,acute and chronic mastitis.Methods CT perfusion images were performed in invasive breast carcinoma(18cases),acute mastitis(11cases) and chronic mastitis(8cases) confirmed pathologically in clinic.All images were transferred to a postprocessing GE AW 4.1 workstation using perfusion 3 body tumor perfusion software for subsequent analysis.The data of perfusion parameters was analyzed by paired samples t-test compared with contralateral normal breast tissue.Meanwhile,independent sample t-test was used statistically.Results The values of the surface permeability(PS),blood volume(BV) and blood flow(BF) were higher in breast carcinoma and acute mastitis than in the contralateral normal breast tissue(p<0.05).The values of PS and BV were higher,BF value was lower,in acute mastitis than in carcinoma(p <0.05).The values of PS,BV and BF were lower in chronic mastitis than in breast carcinoma(P<0.05),PS value was lower in the chronic mastitis than in the contralateral normal breast tissue but with no significant difference(P>0.05).Conclusion CT perfusion imaging can reflect the perfusion characteristics of breast lesions,and be a viable method for the diagnosis and differential diagnosis of the breast diseases.%目的 探讨CT灌注检查在乳腺癌和急、慢性乳腺炎症诊断中的应用价值.方法 对术后病理证实为浸润型乳腺癌(18例)、急性乳腺炎症(1 1例)、慢性乳腺炎(8例)的CT灌注检查资料,采用GEAW4.1工作站perfusion 3体部肿瘤灌注软件行图像后处理,得出各组病变的灌注参数,采用配对样本t检验与对侧正常乳腺组织的灌注参数进行比较,同时采用独立样本t检验对各组病变的灌注参数进行对照分析,以P<0.05作为差异具有统计学意义.结果 乳腺癌及急性乳腺炎症的表面通透性(PS)、血容量(BV)、血流量(BF)均高于对侧正常乳腺组织(P<0.05).急性

  19. Viral infections and bovine mastitis: a review

    Wellenberg, G.J.; Poel, van der W.H.M.; Oirschot, van J.T.


    This review deals with the role of viruses in the aetiology of bovine mastitis. Bovine herpesvirus 1, bovine herpesvirus 4, foot-and-mouth disease virus, and parainfluenza 3 virus have been isolated from milk from cows with clinical mastitis. Intramammary inoculations of bovine herpesvirus 1 or para

  20. Acute phase protein concentrations in serum and milk from healthy cows, cows with clinical mastitis and cows with extramammary inflammatory conditions

    Nielsen, B.H.; Jacobsen, S.; Andersen, P.H.


    The concentrations of the two acute phase proteins, serum amyloid A and haptoglobin, in serum and milk were compared in 10 cows with clinical mastitis, 11 cows with extramammary inflammatory conditions and 10 clinically healthy control cows. The concentrations of both acute phase proteins were...... higher in the serum and milk of the cows with mastitis than in the cows in the other two groups. Four of the cows with extramammary inflammatory conditions had serum amyloid A concentrations in serum above 100 mug/ml, but negligible concentrations in milk, indicating that a pathogen must be present...... in the mammary gland for serum amyloid A to accumulate in milk. The acute phase protein concentrations in milk increased significantly with increasing somatic cell count, suggesting that they may be indicators of the severity of an infection....

  1. 急性临床型奶牛乳房炎病原菌的分离鉴定与药敏试验%Identification and Antimicrobial Susceptibility of Pathogens Isolated from Clinical Mastitis

    王斌; 李旭廷; 黄伟; 曹良


    Identification,pathogenicity and antimicrobial susceptibility of the pathogens that were isolated from an acute clinical mastitis cow were proceeded in this study.This case of clinical mastitis was caused by Staphyloccocus aureus,Streptococcus dysgalactiae and Pseudomonas aeruginosa mixed infection.Staphyloccocus aureus and Pseudomonas aeruginosa showed stronger pathogenic to mice.The three bacteria strains had the high antibiotics resistance to the antibiotics used frequently in the veterinary clinical.%本文对一起群发性急性临床型奶牛乳房炎进行了病原分离鉴定、致病性及药敏试验,结果表明该乳房炎是由金黄色葡萄球菌、停乳链球菌和铜绿假单胞菌混合感染引起,其中金黄色葡萄球菌和铜绿假单胞菌对小鼠表现出较强的致病性,三株菌对兽医临床常用抗生素均表现出较强的耐药性。

  2. [The role of bacterial contamination of milking utensils and disinfecting solutions as a possible cause of clinical mastitis in dairy cows].

    Hässig, M; Sigrist, S M; Corti, S; Giezendanner, N; Stephan, R


    Various instruments and utensils used during milking as well as teat dip solutions were examined for contamination with coagulase-negative staphylococci (CNS). The goal of this study was to investigate the relationship between contaminated fomites and udder infection in dairy cows. A total of 344 cows from ten dairy farms with the highest rate of clinical mastitis among the farms serviced by the Ambulatory Clinic of the University of Zurich were included in the study. Each farm was visited five times. All lactating cows, with the exception of those undergoing antibiotic treatment, were examined immediately before milking using the California Mastitis Test (CMT). A milk sample was collected from positive quarters. Items used to clean the udder, which included wood wool, paper towels and disinfecting towels as well as the milker's hands and the teat dip cup were swabbed for bacteriological examination. Water samples, samples of teat dip and cleaning solutions were also collected and cultured. Our results demonstrate that cleaning and disinfecting solutions have the potential to transmit udder pathogens and cause clinical mastitis. The most common CNS isolated from quarter samples were S. saprophyticus, S. sciuri and S. chromogenes, and the most common CNS isolated from utensils, cleaning and disinfecting solutions were S. fleuretii, S. vitulus, S. equorum, S. sciuri, S. haemolyticus, S. succinus and S. saprophyticus.

  3. Investigation of the antibiotic resistance and biofilm-forming ability of Staphylococcus aureus from subclinical bovine mastitis cases.

    Aslantaş, Özkan; Demir, Cemil


    A total of 112 Staphylococcus aureus isolates obtained from subclinical bovine mastitis cases were examined for antibiotic susceptibility and biofilm-forming ability as well as genes responsible for antibiotic resistance, biofilm-forming ability, and adhesin. Antimicrobial susceptibility of the isolates were determined by disk diffusion method. Biofilm forming ability of the isolates were investigated by Congo red agar method, standard tube method, and microplate method. The genes responsible for antibiotic resistance, biofilm-forming ability, and adhesion were examined by PCR. Five isolates (4.5%) were identified as methicillin-resistant Staph. aureus by antibiotic susceptibility testing and confirmed by mecA detection. The resistance rates to penicillin, ampicillin, tetracycline, erythromycin, trimethoprim-sulfamethoxazole, enrofloxacin, and amoxicillin-clavulanic acid were 45.5, 39.3, 33, 26.8, 5.4, 0.9, and 0.9%, respectively. All isolates were susceptible against vancomycin and gentamicin. The blaZ (100%), tetK (67.6%), and ermA (70%) genes were the most common antibiotic-resistance genes. Using Congo red agar, microplate, and standard tube methods, 70.5, 67, and 62.5% of the isolates were found to be biofilm producers, respectively. The percentage rate of icaA, icaD, and bap genes in Staph. aureus isolates were 86.6, 86.6, and 13.4%, respectively. The adhesion molecules fnbA, can, and clfA were detected in 87 (77.7%), 98 (87.5%), and 75 (70%) isolates, respectively. The results indicated that Staph. aureus from sublinical bovine mastitis cases were mainly resistant to β-lactams and, to a lesser extent, to tetracycline and erythromycin. Also, biofilm- and adhesion-related genes, which are increasingly accepted as an important virulence factor in the pathogenesis of Staph. aureus infections, were detected at a high rate.

  4. Prevalence of coagulase-negative staphylococci in bovine mastitis in Zimbabwe

    T. Kudinha


    Full Text Available This study was carried out to determine the prevalence of coagulase-negative staphylococci in clinical and subclinical mastitis in commercial and small-scale farms in Zimbabwe. Thirty five quarter milk samples from clinical mastitis cases and 371 quarter milk samples from cows with subclinical mastitis were cultured for bacterial pathogens. The most frequent pathogens isolated in clinical mastitis were the enteric bacteria (31.4 %, followed by coagulase negative staphylococci (22.9 % and then Staphylococcus aureus (17.1 %, whereas in subclinical mastitis S. aureus (34.2 % and coagulase-negative staphylococci were (33.2 % the most common. Bacillus species were only isolated in milk samples from subclinical mastitis. Coagulase-negative staphylococci were observed in mixed infections with other bacteria in only 2.2 % of the 406 milk samples from clinical and subclinical mastitis where they were isolated together with Bacillus species in 6 of the 9 mixed infection cases. About 95 % of the milk samples from which 131 coagulase-negative staphylococci were isolated had correspondingly high somatic cell counts. The coagulase-negative staphylococci isolated most frequently were S. chromogenes (7.9 %, S. epidermidis (7.4 % and S. hominis (5.9 %. They were all associated with high somatic cell counts. All the coagulase-negative staphylococci isolates were susceptible to cloxacillin and erythromycin, and more than 90 %of the isolates were susceptible to neomycin, penicillin and streptomycin. The highest resistance was to tetracycline (17.6 %, followed by lincomycin (13.7 %. About 8 % of the isolates were resistant to both penicillin and streptomycin.

  5. Dutch dairy farmers' need for microbiological mastitis diagnostics.

    Griffioen, Karien; Hop, Geralda E; Holstege, Manon M C; Velthuis, Annet G J; Lam, Theo J G M


    Although several microbiological mastitis diagnostic tools are currently available, dairy farmers rarely use them to base treatment decisions on. In this study, we conducted a telephone interview among 195 randomly selected Dutch dairy farmers to determine their current use of and their need for microbiological diagnostics for clinical mastitis (CM), subclinical mastitis (SCM), and dry-cow treatment (DCT), followed by the test characteristics they consider important. A structured questionnaire was used, based on face-to-face interviews previously held with other farmers. The answers were registered in a database and analyzed using descriptive statistics and univariable and multivariable models. Antimicrobial treatment decisions for CM, SCM, and DCT were mainly based on clinical signs and somatic cell count. In case of CM, 34% of farmers indicated that they currently submit milk samples for bacteriological culture (BC). This would increase to 71% if an on-farm test resulting in treatment advice within 12 h were available. For SCM, use would increase from 22 to 55%, and for DCT, from 7 to 34%, if the same 12-h test were available. For CM and DCT, the preferred test outcome was advice on which antibiotic to use, according to 58 and 15% of the farmers, respectively. For SCM, the preferred test outcome was the causative bacterium for 38% of the farmers. Farmers who currently submit CM milk samples for BC were 13.1 times more likely to indicate, as the preferred test outcome, advice on which antibiotic to use, compared with farmers who do not currently submit CM milk samples for BC. Fourteen percent of the farmers indicated not being interested at all in microbiological mastitis diagnostics for CM. For SCM and DCT, 27 and 55%, respectively, were not interested in microbiological mastitis diagnostics. Regarding test characteristics that farmers considered important, reliability was most often indicated (44-51% of the farmers). Additionally, a preferred time-to-result of

  6. Neutrophil surface adhesion molecule and toll like receptor dynamics in crossbred cows suffering from Staphylococcus aureus subclinical and clinical mastitis

    Dilip Kumar Swain


    Conclusion: Host elicits stage specific expression of surface adhesion molecules and TLR2 and TLR4 as dynamic host innate immune response against Staphylococcal mastitis. [J Adv Vet Anim Res 2016; 3(2.000: 99-105

  7. Intramammary treatment with gentamicin in lactating cows with clinical and subclinical mastitis

    Thamires Martins


    Full Text Available Abstract The study evaluated the microbiological profile of milk samples collected before and after mastitis treatment with gentamicin and investigated biofilms production and antimicrobial susceptibility of Staphylococcus spp. isolated. The presence of gentamicin residues in milk after the recommended withdrawal period was also evaluated. Antimicrobial residues were analyzed by Delvotest® SP NT over a period of 12 days beginning after 24 hours the last gentamicin application. Some of Staphylococcus spp. isolates were biofilm producers (19.05%. Staphylococcus spp. showed high levels of resistance to neomycin (16.95%, penicillin G (10.17%, and ampicillin (10.17%. Multidrug resistance to all antibiotics tested was observed in 1.69% of the Staphylococcus spp. isolates. Among 1440 mammary quarter milk samples 24.95% presented gentamicin residues after the withdrawal period. Gentamicin residues were also detected in 3.8% of samples from calibrated glass recorder jar (n=383 4.1 days after treatment. The indiscriminate use of antibiotics may lead to the emergence of multidrug-resistant strains as well as increasing the risk of presence of residues of these drugs in milk. These problems affect the milk quality and may become a public health problem.

  8. Sub-clinical mastitis and associated risk factors on lactating cows in the Savannah Region of Nigeria

    Shittu Aminu


    Full Text Available Abstract Background Sub-clinical mastitis limits milk production and represents an important barrier to profitable livestock economics worldwide. Milk production from cows in Nigeria is not at optimum levels in view of many factors including sub-clinical mastitis. Results The overall herd-level prevalence rate for SCM was 85.33% (256/300 heads of cows while the quarter-level prevalence rate of SCM was 43.25% (519/1,200 quarters. The prevalence of SCM was 50.67%, 43.67%, 39.67% and 39.13% for the left fore-quarter, right hind-quarter, left hind-quarter and right fore-quarter, respectively. The Rahaji breed had the highest prevalence of SCM with 65.91% (29/44, while the White Fulani breed had the least with 32.39% (57/176. A total of 32.33% (97/300 had only one mammary quarter affected, 30.33% (91/300 had two quarters affected, 16.00% (48/300 had three quarters affected while 6.67% (20/300 had all the four quarters affected. A total of 53.00% had SCM in multiple quarters (159/300. The risk of SCM decreased significantly among young lactating cows compared to older animals (OR = 0.283; P P = 0.013; 95% CI = 1.557; 43.226. Improved sanitation (washing hands before milking will decrease the risk of SCM (OR = 0.173; P = 0.003; 95% CI = 0.054; 0.554. Conclusion SCM is prevalent among lactating cows in the Nigerian Savannah; and this is associated with both animal characteristics (age, breed and individual milk quarters and milking practices (hand washing.Good knowledge of the environment and careful management of the identified risk factors with improved sanitation should assist farm managers and veterinarians in implementing preventative programmes to reduce the incidence of SCM.

  9. Mastite granulomatosa idiopática: aspectos clínicos, radiológicos e ultra-sonográficos Idiopathic granulomatous mastitis: clinical, mammography and ultrasound findings

    Cristina Caetano Stefanon


    Full Text Available O objetivo deste estudo é descrever as características clínicas, mamográficas e ultra-sonográficas de três casos de mastite granulomatosa idiopática. Esta afecção pode simular câncer de mama nos exames clínico e mamográfico, porém os achados ultra-sonográficos de múltiplas imagens tubulares hipoecóicas, contíguas e confluentes em mulheres jovens com história de lactação recente sugerem o diagnóstico de mastite granulomatosa idiopática.The aim of this study is to describe the clinical, mammography and ultrasound findings of three cases of idiopathic granulomatous mastitis. This disease can mimic breast carcinoma on clinical and mammographic examinations. However, ultrasound examinations showing multiple clustered and often contiguous tubular hypoechoic lesions in young women with history of recent lactation suggest the diagnosis of idiopathic granulomatous mastitis.

  10. Bayesian integration of sensor information and a multivariate dynamic linear model for prediction of dairy cow mastitis.

    Jensen, Dan B; Hogeveen, Henk; De Vries, Albert


    Rapid detection of dairy cow mastitis is important so corrective action can be taken as soon as possible. Automatically collected sensor data used to monitor the performance and the health state of the cow could be useful for rapid detection of mastitis while reducing the labor needs for monitoring. The state of the art in combining sensor data to predict clinical mastitis still does not perform well enough to be applied in practice. Our objective was to combine a multivariate dynamic linear model (DLM) with a naïve Bayesian classifier (NBC) in a novel method using sensor and nonsensor data to detect clinical cases of mastitis. We also evaluated reductions in the number of sensors for detecting mastitis. With the DLM, we co-modeled 7 sources of sensor data (milk yield, fat, protein, lactose, conductivity, blood, body weight) collected at each milking for individual cows to produce one-step-ahead forecasts for each sensor. The observations were subsequently categorized according to the errors of the forecasted values and the estimated forecast variance. The categorized sensor data were combined with other data pertaining to the cow (week in milk, parity, mastitis history, somatic cell count category, and season) using Bayes' theorem, which produced a combined probability of the cow having clinical mastitis. If this probability was above a set threshold, the cow was classified as mastitis positive. To illustrate the performance of our method, we used sensor data from 1,003,207 milkings from the University of Florida Dairy Unit collected from 2008 to 2014. Of these, 2,907 milkings were associated with recorded cases of clinical mastitis. Using the DLM/NBC method, we reached an area under the receiver operating characteristic curve of 0.89, with a specificity of 0.81 when the sensitivity was set at 0.80. Specificities with omissions of sensor data ranged from 0.58 to 0.81. These results are comparable to other studies, but differences in data quality, definitions of

  11. Occurrence of lactational mastitis and medical management: A prospective cohort study in Glasgow

    Fitzpatrick Julie


    Full Text Available Abstract Background Lactational mastitis is a painful, debilitating condition that if inappropriately managed, may lead women to discontinue breastfeeding prematurely. The aim of this paper is to report the incidence of mastitis in the first six months postpartum in a Scottish population, its impact on breastfeeding duration and to describe the type and appropriateness of the support and management received by affected women from health professionals. Methods A longitudinal study of 420 breastfeeding women was undertaken in Glasgow in 2004/05. Participants were recruited and completed a baseline questionnaire before discharge from hospital. Cases of mastitis were reported either directly to the researchers or were detected during regular follow-up telephone interviews at weeks 3, 8, 18 and 26. Women experiencing mastitis provided further information of their symptoms and the management and advice they received from health professionals. Results In total, 74 women (18% experienced at least one episode of mastitis. More than one half of initial episodes (53% occurred within the first four weeks postpartum. One in ten women (6/57 were inappropriately advised to either stop breastfeeding from the affected breast or to discontinue breastfeeding altogether. Conclusion Approximately one in six women is likely to experience one or more episodes of mastitis whilst breastfeeding. A small but clinically important proportion of women continue to receive inappropriate management advice from health professionals which, if followed, could lead them to unnecessarily deprive their infants prematurely of the known nutritional and immunological benefits of breast milk.

  12. Clinical Case Registries (CCR)

    Department of Veterans Affairs — The Clinical Case Registries (CCR) replaced the former Immunology Case Registry and the Hepatitis C Case Registry with local and national databases. The CCR:HIV and...

  13. CTX-M-Type Extended-Spectrum β-Lactamase-Producing Klebsiella pneumoniae Isolated from Cases of Bovine Mastitis in Japan


    ABSTRACT Three Klebsiella pneumoniae isolates producing extended-spectrum beta-lactamase (ESBL) were obtained from three dairy cows with clinical mastitis in two farms in western Japan. Two of the 3 isolates from cows in different farms were able to transfer plasmids carrying the bla CTX-M-2 gene to Escherichia coli recipient. Pulsed-field gel electrophoresis (PFGE) patterns of the 2 isolates were different from each other, although restricted-fragment patterns of the two conjugative plasmids...

  14. Economic consequences of mastitis and withdrawal of milk with high somatic cell count in Swedish dairy herds.

    Nielsen, C; Ostergaard, S; Emanuelson, U; Andersson, H; Berglund, B; Strandberg, E


    The main aim was to assess the impact of mastitis on technical and economic results of a dairy herd under current Swedish farming conditions. The second aim was to investigate the effects obtained by withdrawing milk with high somatic cell count (SCC). A dynamic and stochastic simulation model, SimHerd, was used to study the effects of mastitis in a herd with 150 cows. Results given the initial incidence of mastitis (32 and 33 clinical and subclinical cases per 100 cow-years, respectively) were studied, together with the consequences of reducing or increasing the incidence of mastitis by 50%, modelling no clinical mastitis (CM) while keeping the incidence of subclinical mastitis (SCM) constant and vice versa. Six different strategies to withdraw milk with high SCC were compared. The decision to withdraw milk was based on herd-level information in three scenarios: withdrawal was initiated when the predicted bulk tank SCC exceeded 220 000, 200 000 or 180 000 cells/ml, and on cow-level information in three scenarios: withdrawal was initiated when the predicted SCC in an individual cow's milk exceeded 1 000 000, 750 000 or 500 000 cells/ml. The accuracy with which SCC was measured and predicted was assumed to affect the profitability of withdrawing milk with high SCC and this was investigated by applying high, low or no uncertainty to true SCC. The yearly avoidable cost of mastitis was estimated at €8235, assuming that the initial incidence of mastitis could be reduced by 50%. This cost corresponded to 5% of the herd net return given the initial incidence of mastitis. Expressed per cow-year, the avoidable cost of mastitis was €55. The costs per case of CM and SCM were estimated at €278 and €60, respectively. Withdrawing milk with high SCC was never profitable because this generated a substantial amount of milk withdrawal that was not offset by a sufficient increase in the average price per delivered kg milk. It had the most negative impact on net return when

  15. Occurrence of lactational mastitis and medical management

    Scott, Jane A.; Robertson, Michele; Fitzpatrick, Julie;


    BACKGROUND: Lactational mastitis is a painful, debilitating condition that if inappropriately managed, may lead women to discontinue breastfeeding prematurely. The aim of this paper is to report the incidence of mastitis in the first six months postpartum in a Scottish population, its impact...... questionnaire before discharge from hospital. Cases of mastitis were reported either directly to the researchers or were detected during regular follow-up telephone interviews at weeks 3, 8, 18 and 26. Women experiencing mastitis provided further information of their symptoms and the management and advice...... they received from health professionals. RESULTS: In total, 74 women (18%) experienced at least one episode of mastitis. More than one half of initial episodes (53%) occurred within the first four weeks postpartum. One in ten women (6/57) were inappropriately advised to either stop breastfeeding from...

  16. Test-day somatic cell score, fat-to-protein ratio and milk yield as indicator traits for sub-clinical mastitis in dairy cattle.

    Jamrozik, J; Schaeffer, L R


    Test-day (TD) records of milk, fat-to-protein ratio (F:P) and somatic cell score (SCS) of first-lactation Canadian Holstein cows were analysed by a three-trait finite mixture random regression model, with the purpose of revealing hidden structures in the data owing to putative, sub-clinical mastitis. Different distributions of the data were allowed in 30 intervals of days in milk (DIM), covering the lactation from 5 to 305 days. Bayesian analysis with Gibbs sampling was used for model inferences. Estimated proportion of TD records originated from cows infected with mastitis was 0.66 in DIM from 5 to 15 and averaged 0.2 in the remaining part of lactation. Data from healthy and mastitic cows exhibited markedly different distributions, with respect to both average value and the variance, across all parts of lactation. Heterogeneity of distributions for infected cows was also apparent in different DIM intervals. Cows with mastitis were characterized by smaller milk yield (down to -5 kg) and larger F:P (up to 0.13) and SCS (up to 1.3) compared with healthy contemporaries. Differences in averages between healthy and infected cows for F:P were the most profound at the beginning of lactation, when a dairy cow suffers the strongest energy deficit and is therefore more prone to mammary infection. Residual variances for data from infected cows were substantially larger than for the other mixture components. Fat-to-protein ratio had a significant genetic component, with estimates of heritability that were larger or comparable with milk yield, and was not strongly correlated with milk and SCS on both genetic and environmental scales. Daily milk, F:P and SCS are easily available from milk-recording data for most breeding schemes in dairy cattle. Fat-to-protein ratio can potentially be a valuable addition to SCS and milk yield as an indicator trait for selection against mastitis.

  17. Determining resistance to mastitis in a bovine subject comprises detecting the presence or absence of a genetic marker that is linked to a trait indicative of mastitis resistance


    The invention relates to a method for determining mastitis resistance in bovine subjects, wherein mastitis resistance comprise resistance to both sub-clinical and clinical mastitis. In particular, the method of the invention involves identification of genetic markers and/or Quantitative Trait Loc...

  18. Confirmation and fine-mapping of clinical mastitis and somatic cell score QTL in Nordic Holstein cattle

    Sahana, Goutam; Guldbrandtsen, Bernt; Thomsen, Bo;


    A genome-wide association study of 2098 progeny-tested Nordic Holstein bulls genotyped for 36 387 SNPs on 29 autosomes was conducted to confirm and fine-map quantitative trait loci (QTL) for mastitis traits identified earlier using linkage analysis with sparse microsatellite markers in the same...... population. We used linear mixed model analysis where a polygenic genetic effect was fitted as a random effect and single SNPs were successively included as fixed effects in the model. We detected 143 SNP-by-trait significant associations (P mastitis-related traits....... Among them, 21 SNP-by-trait combinations exceeded the genome-wide significant threshold. For 12 chromosomes, both the present association study and the previous linkage study detected QTL, and of these, six were in the same chromosomal locations. Strong associations of SNPs with mastitis traits were...

  19. A structural equation model to evaluate direct and indirect factors associated with a latent measure of mastitis in Belgian dairy herds.

    Detilleux, J; Theron, L; Beduin, J-M; Hanzen, C


    In dairy cattle, many farming practices have been associated with occurrence of mastitis but it is often difficult to disentangle the causal threads. Structural equation models may reduce the complexity of such situations. Here, we applied the method to examine the links between mastitis (subclinical and clinical) and risk factors such as herd demographics, housing conditions, feeding procedures, milking practices, and strategies of mastitis prevention and treatment in 345 dairy herds from the Walloon region of Belgium. During the period January 2006 to October 2007, up to 110 different herd management variables were recorded by two surveyors using a questionnaire for the farm managers and during a farm visit. Monthly somatic cell counts of all lactating cows were collected by the local dairy herd improvement association. Structural equation models were created to obtain a latent measure of mastitis and to reduce the complexity of the relationships between farming practices, between indicators of herd mastitis and between both. Robust maximum likelihood estimates were obtained for the effects of the herd management variables on the latent measure of herd mastitis. Variables associated directly (pteat disinfection; the presence of cows with hyperkeratotic teats, of cubicles for housing and of dirty liners before milking; the treatment of subclinical cases of mastitis; and the age of the herd (latent variable for average age and parity of cows, and percentage of heifers in the herd). Treatment of subclinical mastitis was also an intermediate in the association between herd mastitis and post-milking teat disinfection. The study illustrates how structural equation model provides information regarding the linear relationships between risk factors and a latent measure of mastitis, distinguishes between direct relationships and relationships mediated through intermediate risk factors, allows the construction of latent variables and tests the directional hypotheses

  20. Molecular characterization and combined genotype association study of bovine cluster of differentiation 14 gene with clinical mastitis in crossbred dairy cattle

    A. Sakthivel Selvan


    Full Text Available Aim: The present study was undertaken with the objectives to characterize and to analyze combined genotypes of cluster of differentiation 14 (CD14 gene to explore its association with clinical mastitis in Karan Fries (KF cows maintained in the National Dairy Research Institute herd, Karnal. Materials and Methods: Genomic DNA was extracted using blood of randomly selected 94 KF lactating cattle by phenolchloroform method. After checking its quality and quantity, polymerase chain reaction (PCR was carried out using six sets of reported gene-specific primers to amplify complete KF CD14 gene. The forward and reverse sequences for each PCR fragments were assembled to form complete sequence for the respective region of KF CD14 gene. The multiple sequence alignments of the edited sequence with the corresponding reference with reported Bos taurus sequence (EU148610.1 were performed with ClustalW software to identify single nucleotide polymorphisms (SNPs. Basic Local Alignment Search Tool analysis was performed to compare the sequence identity of KF CD14 gene with other species. The restriction fragment length polymorphism (RFLP analysis was carried out in all KF cows using Helicobacter pylori 188I (Hpy188I (contig 2 and Haemophilus influenzae I (HinfI (contig 4 restriction enzyme (RE. Cows were assigned genotypes obtained by PCRRFLP analysis, and association study was done using Chi-square (χ2 test. The genotypes of both contigs (loci number 2 and 4 were combined with respect to each animal to construct combined genotype patterns. Results: Two types of sequences of KF were obtained: One with 2630 bp having one insertion at 616 nucleotide (nt position and one deletion at 1117 nt position, and the another sequence was of 2629 bp having only one deletion at 615 nt position. ClustalW, multiple alignments of KF CD14 gene sequence with B. taurus cattle sequence (EU148610.1, revealed 24 nt changes (SNPs. Cows were also screened using PCR-RFLP with Hpy188I




    Full Text Available This study was conducted in certain area at Khartoum State (Eltebna, Falasteen, Shambat, Hilat Kuku, Elhalfaia, Elsamrab and The University of Khartoum farms in winter season to determine the type of mastitis and to compare between the incidence of mastitis caused by Stapylococcus spps and Bacillus spp. The total number of dairy cows, which were examined in 34 investigated farms, amounted to 500 animals, but the number of positive cows infected with mastitis were 100. The milk samples were collected from cows due to complain of owners from clinical cases of mastitis. Hundred milk samples were collected from apparent cases of mastitis. All mastitic cases were examined by visual examination and palpation of the udder: 55% acute mastitis, 44% chronic mastitis and 1% gangrenous mastitis were diagnosed. Milk samples were cultured in Blood agar and MacConkey´s agar for 24 hours at 37º C. The isolation of Bacillus spp. amounted 74% , these constituted 31% Bacillus coagulans, 11% B. cereus, 9% B. subtilis, 9% B. licheniformis, 4% B. circulans, 2% B. lentus, 3% B. mycoides, 3% B. amyloliquefaciens and 2% B. megaterium. The percentages of acute mastitis caused by B. coagulans was 14%, B. subtilis 8%, B. lichneformes 7% and 2% for every followed Bacillus spp. (B. cereus, B. circulans B. lentus, B. mycoides, B. amyloliquefaciens and B. megaterium. The percentage of chronic mastitis caused by Bacillus spp. were as follows: B. coagulans was 17%, B. cereus 9%, 2% for every Bacillus spp. (B. lichneformes, B. circulans and B. lentus and 1% for every followed Bacillus spp. (B. subtilis, B. mycoides, B. amyloliquefaciens and B. megaterium. Staph aureus and Staph hyicus amounted to 24% and the percentage of chronic mastitis caused by Staph aureus was 44% and that caused by Staph hyicus was 8%. The percentage of acute mastitis caused by each species of Staph was the same 24%. Other bacteria were isolated from mastitic cows Corynebaccterium spp. 1% and Klebsiella

  2. Lactational mastitis caused by Streptococcus lactarius.

    Tena, Daniel; Fernández, Cristina; López-Garrido, Beatriz; Pérez-Balsalobre, Mercedes; Losa, Cristina; Medina-Pascual, María José; Sáez-Nieto, Juan Antonio


    Human infections caused by Streptococcus lactarius have not been previously reported. In the present report, we describe a lactational mastitis caused by this organism. The infection occurred in a 28-year-old breast-feeding female, with a 10-days history of moderate pain on the right breast. The patient was cured after antibiotic treatment with levofloxacin for 21 days. Our case shows that S. lactarius should be considered as a cause of lactational mastitis. The introduction of molecular microbiology techniques can be extremely useful for knowing the implication of streptococci in lactational mastitis.

  3. Mastitis prevention and control practices and mastitis treatment strategies associated with the consumption of (critically important) antimicrobials on dairy herds in Flanders, Belgium.

    Stevens, M; Piepers, S; De Vliegher, S


    The main objectives of this study were to evaluate to what extent variations in herd-level antimicrobial consumption (AMC) can be explained by differences in management practices that are consistently effective in the prevention of (sub)clinical mastitis, on the one hand, and by differences in mastitis treatment strategies, on the other hand. Antimicrobial consumption data were obtained during 2012 and 2013 by "garbage can audits" and expressed as antimicrobial treatment incidences (ATI) for all compounds combined (total ATI) and for the critically important antimicrobials for human health separately. Data on mastitis prevention and control practices were obtained via face-to-face interviews performed during herd visits in March 2013. Some management practices and treatment strategies related to udder health were associated with the total AMC. However, the results demonstrated that implementing effective udder health management practices does not necessarily imply a low AMC and vice versa. Herds participating in a veterinary herd health management program and herds selectively drying off cows used fewer antimicrobials compared with herds not participating in such a program or applying blanket dry-cow therapy. Moreover, herds treating (some) (sub)clinical mastitis cases with intramammary homeopathic substances consumed fewer antimicrobials than herds not applying such homeopathic treatments. Besides these factors, no other direct association was found between effective udder health management practices on the one hand and AMC on the other hand. Also, the use of critically important antimicrobials was only associated with the way in which subclinical mastitis cases were treated. The latter indicates that the AMC of critically important antimicrobials is potentially driven by factors other than those included in this study such as those related to the "mindset" of the veterinarians and their farmers. Future research should therefore aim to unravel the reasoning of

  4. Mycoplasmal mastitis in dairy cows in the Moghan region of Ardabil State, Iran : short communication

    C. Ghazaei


    Full Text Available Mycoplasmas are an important and economically significant cause of mastitis in dairy cows in various parts of the world. The organisms are highly contagious, with the main reservoir of infection originating from cows with subclinical mastitis. In 1998 the 1st cases of bovine mastitis due to Mycoplasma bovis were diagnosed in Ardabil State, Iran. An investigation was carried out with the aim of establishing the extent of mycoplasma infections in dairy cows in Ardabil State. Milk samples obtained from 80 cows with clinical mastitis were cultured in the laboratory for the presence of mycoplasmas. Similarly, 48 bulk-tank milk samples were examined for the presence of mycoplasmas. A modified Hayflick broth was used to isolate the mycoplasmas and an immunoperoxidase test used for the species identification of the isolates. Mycoplasma bovis was isolated from 39 (48.75 % of the clinical mastitis samples and from 48 of the bulk-tank milk samples tested. This indicated that mycoplasma udder infections were more prevalent in dairy cows in Ardabil State than previously thought.

  5. Confirmation and fine-mapping of clinical mastitis and somatic cell score QTL in Nordic Holstein cattle.

    Sahana, G; Guldbrandtsen, B; Thomsen, B; Lund, M S


    A genome-wide association study of 2098 progeny-tested Nordic Holstein bulls genotyped for 36 387 SNPs on 29 autosomes was conducted to confirm and fine-map quantitative trait loci (QTL) for mastitis traits identified earlier using linkage analysis with sparse microsatellite markers in the same population. We used linear mixed model analysis where a polygenic genetic effect was fitted as a random effect and single SNPs were successively included as fixed effects in the model. We detected 143 SNP-by-trait significant associations (P mastitis-related traits. Among them, 21 SNP-by-trait combinations exceeded the genome-wide significant threshold. For 12 chromosomes, both the present association study and the previous linkage study detected QTL, and of these, six were in the same chromosomal locations. Strong associations of SNPs with mastitis traits were observed on bovine autosomes 6, 13, 14 and 20. Possible candidate genes for these QTL were identified. Identification of SNPs in linkage disequilibrium with QTL will enable marker-based selection for mastitis resistance. The candidate genes identified should be further studied to detect candidate polymorphisms underlying these QTL.

  6. Trends in diagnosis and control of bovine mastitis: a review.

    Deb, Rajib; Kumar, Amit; Chakraborty, Sandip; Verma, Amit Kumar; Tiwari, Ruchi; Dhama, Kuldeep; Singh, Umesh; Kumar, Sushil


    Mastitis (inflammation of mammary gland) is a most devastating disease condition in terms of economic losses occurring throughout the world. The etiological agents may vary from place to place depending on climate; animal species and animal husbandry and include wide variety of gram positive and gram negative bacteria; and fungi. They may be either contagious viz. Staphylococcus aureus; Streptococcus agalactiae or environmental viz. S. dysgalactiae, S. uberis, Corynebacterium bovis and Coagulase negative Staphylococcus. Conventional diagnostic tests viz. California Mastitis Test (CMT); R-mastitest and Mast-O-test methods are applied under field conditions; whereas somatic cell count and Bulk Tank Somatic Cell Count (BTSCC) are useful for early mastitis detection and detection of sub clinical or chronic mastitis respectively. In vitro culture based diagnosis require further study as they can detect only viable cells. The advent of Polymerase Chain Reaction (PCR) technology along with its various versions like multiplex and real time PCR has improved the rapidity and sensitivity of diagnosis. Circulating micro RNA (miRNA) based diagnosis; immune assay and proteomics based detection along with biochips and biosensors prove to be asset to diagnosticians for advanced diagnosis of this economically important condition. Improvement of milking hygiene; implementation of post-milking teat disinfection; regular control of the milking equipments; implementation of milking order; Improvement of bedding material are the general measures to prevent new cases of mastitis. The use of antibiotics (intramammary infusions; bacteriocins) and herbs (Terminalia spp.) are important for prophylaxis and therapeutics. Vaccines viz. cell based; Recombinant (staphylococcal enterotoxin type C mutant) or chimeric (pauA); live (S. uberis 0140J stain based) and bacterial surface extract based; DNA-based and DNA-protein based have greatly aided in management of bovine mastitis. Quorum sensing and

  7. Biofilm formation, hemolysin production and antimicrobial susceptibilities of Streptococcus agalactiae isolated from the mastitis milk of dairy cows in Shahrekord district, Iran

    Azizollah Ebrahimi


    Full Text Available Streptococcus agalactiae is a major contagious pathogen causing bovine sub-clinical mastitis. The present investigation was carried out to determine some phenotypic characteristics of the S. agalactiae strains isolated from bovine mastitis cases in dairy cows of Shahrekord in the west-center of Iran. One hundred eighty California mastitis test (CMT positive milk samples were bacteriologically studied. A total of 31 (17.2% S. agalactiae isolated. Twenty eight (90.3% of the isolates were biofilm producers. This finding may indicate the high potential of pathogenicity in isolated strains. Sixteen (51.6% isolates were α hemolysin producers. Only 19.3%, 22.5% and 29.0% of the isolates were sensitive to streptomycin, flumequine and kanamycin, respectively. None of these three agents is recommended for treatment of mastitis cases.

  8. 中药复方凝胶剂治疗奶牛乳房炎的临床药效学研究%Study on Clinical Effects of Compound Chinese Medicine Gels on Dairy Mastitis

    翁春玲; 武瑞


    Mastitis is one of the primary diseases in dairy industry, which have a large effect on the output of milk and dairy qualitative.This experiment researched the self-developed Chinese medicine gels through clinical pharmacodynamics study, so that the clinical treatment effect was confimed. Thus for prevention and cure cow mastitis in production, it can provide theoretical guidance and effective product. Experimental results showed that Chinese medicine gels agent had good curative effect on clinical mastitis and sub mastitis. The treatment efifciency of clinical mastitis was amount to 70%, and so as to sub mastitis, it can signiifcantly reduce somatic cell number, but had no signiifcant inlfuence on milk fat rate, milk protein rate and the content of lactose and dry matter.%乳房炎是危害奶牛业的主要疾病之一,严重影响产奶量和乳品质。本试验通过对自主研制的复方中药凝胶剂的临床药效学研究,确定其临床治疗效果,从而为生产中防治奶牛乳房炎提供理论指导和有效产品。试验结果表明:中药复方凝胶剂对临床型乳房炎和隐性乳房炎均具有较好的疗效。对临床型乳房炎的治疗有效率达70%,对隐性乳房炎可显著降低乳体细胞数,对乳脂率、乳蛋白率、乳糖含量及乳中干物质无任何显著影响。

  9. Standardized care plan of postpartum mastitis

    Maria Ángeles Carrasco García


    Full Text Available Introduction: Puerperal mastitis or mastitis Breastfeeding is a postpartum condition that represents one of the main reasons for abandoning breastfeeding. Mainly usually occurs between weeks 2 and 3 ª postpartum. The scientific evidence confirms that the stop breastfeeding before an attack of mastitis is not conducive to recovery and that of exclusive breastfeeding and no restrictions are effective measures to prevent milk stasis and the spread of infection.Objective: The main objective is to unify criteria for the care and integrated health care levels of care through continuity of care to promote breast-specific care to prevent the emergence of this disease.Methodology: Development of a standardized care plan to enable effective communication between professionals and implementation of quality care.Conclusions: The midwife and the nurse plays an important role in identifying those women with early-onset symptoms of postpartum mastitis in the middle, both in the maternity ward and in the primary care clinic.

  10. Gram-typing of mastitis bacteria in milk samples using flow cytometry.

    Langerhuus, S N; Ingvartsen, K L; Bennedsgaard, T W; Røntved, C M


    Fast identification of pathogenic bacteria in milk samples from cows with clinical mastitis is central to proper treatment. In Denmark, time to bacterial diagnosis is typically 24 to 48 h when using traditional culturing methods. The PCR technique provides a faster and highly sensitive identification of bacterial pathogens, although shipment of samples to diagnostic laboratories delays treatment decisions. Due to the lack of fast on-site tests that can identify the causative pathogens, antibiotic treatments are often initiated before bacterial identification. The present study describes a flow cytometry-based method, which can detect and distinguish gram-negative and gram-positive bacteria in mastitis milk samples. The differentiation was based on bacterial fluorescence intensities upon labeling with biotin-conjugated wheat germ agglutinin and acridine orange. Initially 19 in-house bacterial cultures (4 gram-negative and 15 gram-positive strains) were analyzed, and biotin-conjugated wheat germ agglutinin and acridine orange florescence intensities were determined for gram-negative and gram-positive bacteria, respectively. Fluorescence cut-off values were established based on receiver operating characteristic curves for the 19 bacterial cultures. The method was then tested on 53 selected mastitis cases obtained from the department biobank (milk samples from 6 gram-negative and 47 gram-positive mastitis cases). Gram-negative bacteria in milk samples were detected with a sensitivity of 1 and a specificity of 0.74, when classification was based on the previously established cut-off values. However, when receiver operating characteristic curves were constructed for the 53 mastitis cases, results indicate that a sensitivity and specificity of 1 could be reached if cut-off values were reduced. This flow cytometry-based technique could potentially provide dairy farmers and attending veterinarians with on-site information on bacterial gram-type and prevent ineffective

  11. Clinical Analysis of the Value of Fiberoptic Ductoscopy in Treating Acute Mastitis%纤维乳管镜治疗急性乳腺炎临床分析

    常江; 王颖


    Objective:To investigate the clinical curative effect of fiberoptic ductoscopy ( FDS) on acute mastitis during lactation .Methods:31 patients with acute mastitis during lactation were randomly divided into the treatment group (19 cases ) and the control group(12 cases).The treatment group was examined and treated by using FDS and the control group was treated with regular physiotherapy and antibiotics .Results: A-bout 79 % patients'masses disappeared and the temperature came back to normal after 24 hours in the treatment group , while the same curative effect in the control group was only 33 %.The difference was significant ( P <0.05).Conclusion: FDS can be used widely in treating the pa-tients with acute mastitis during lactation .%目的:探讨应用纤维乳管镜治疗哺乳期急性乳腺炎的临床价值。方法:将31例哺乳期急性乳腺炎患者随机分为纤维乳管镜治疗组19例和对照组12例。纤维乳管镜治疗组患者应用纤维乳管镜行乳管灌洗治疗,对照组患者进行常规理疗和抗生素治疗。结果:以治疗24 h为观察时间点,将患者乳房包块消失,体温恢复正常作为治疗有效的标准。纤维乳管镜组19例患者中有15例患者达到上述标准,达标率为79.0%,对照组12例患者中达标4例,达标率为33.0%,组间比较,差异具有统计学意义( P <0.05)。结论:纤维乳管镜可作为哺乳期急性乳腺炎患者的有效治疗措施,在临床上广泛应用。

  12. Risk factors and therapy for goat mastitis in a hospital-based case-control study in Bangladesh

    Koop, Gerrit; Islam, Md Nurul; Rahman, Md Mizanur; Khatun, Momena; Ferdous, Jinnat; Sayeed, Md Abu; Islam, Shariful; Ahaduzzaman, Md; Akter, Sazeda; Mannan, Abdul; Hassan, Mohammad Mahmudul; Dissanayake, Ravi; Hoque, Md Ahasanul


    Bangladesh has a large population of goats, which contribute to the income, nutrition and welfare of the households of many families. Mastitis in goats has a low incidence, but is often very severe, making veterinary care necessary. The aim of this study was to identify seasonality and risk factors

  13. A genome-wide association study for clinical mastitis in first parity US Holstein cows using a single-step approach and a genomic matrix re-weighting procedure

    Clinical mastitis (CM) is one of the health disorders with largest impacts on dairy farming profitability and animal welfare. Previous studies have consistently shown that CM is under genetic control but knowledge about regions of the genome associated with resistance to CM in US Holstein is lacking...

  14. Changing trends in mastitis

    Zadoks RN; Fitzpatrick JL


    Abstract The global dairy industry, the predominant pathogens causing mastitis, our understanding of mastitis pathogens and the host response to intramammary infection are changing rapidly. This paper aims to discuss changes in each of these aspects. Globalisation, energy demands, human population growth and climate change all affect the dairy industry. In many western countries, control programs for contagious mastitis have been in place for decades, resulting in a decrease in occurrence of ...

  15. Eosinophilic mastitis masquerading as breast carcinoma.

    Garg, M; Kumar, S; Neogi, S


    We report the sixth case of Eosinophilic Mastitis, presenting similarly enough to be confused with breast carcinoma. A 50 year old lady presented with a six month history of progressively enlarging asymptomatic breast lump, cough and breathlessness. Clinical examination, mammography and axillary lymphadenopathy suggested malignant disease. Ronchi were heard on chest auscultation. Needle cytology was twice inconclusive and Tru-cut biopsy showed acute on chronic inflammation. Blood investigations revealed significant peripheral eosinophilia. Open biopsy reported eosinophilic mastits, correlating with peripheral eosinophilia and pulmonary symptoms. The patient responded to conservative management. Eosinophilic infiltration of the breast is a rare manifestation of tissue involvement in peripheral eosinophilia. Asthma, Churgh-Strauss Syndrome and hyper-eosinophilic syndromes are associated. Importantly, if a clinically and radiologically malignant breast lump in asthmatic ladies with peripheral eosinophilia is not confirmed on cytology, this entity could be a diagnosis, potentially saving the patient from surgery.

  16. Effect of Infusions of Non-Antibiotic Antibacterials Alone and in Combination with Cephradine on Milk Yield of Buffaloes Affected with Clinical Mastitis

    M. Yousaf*, G. Muhammad1, M. Z. Khan2 and S. U. Rahman3


    Full Text Available The objective of the present study was to evaluate the effect of four non-antibiotic antibacterials alone or in combination with cephradine in buffaloes on milk yield of mastitis affected quarters. For this purpose, 270 clinically mastitic quarters were grouped in randomized pattern. Non-antibiotic antibacterials viz., 2.5% chlorpromazine (2 ml, 4% lidocaine (10 ml, 10% povidone-iodine (10 ml and 99.5% dimethylsulphoxide (20 ml alone and in combination with first generation cephalosporin (cephradine 500 mg were instilled into clinically mastitic quarters daily for five days. The group administered cephradine alone served as control. Mean milk yield (L/quarter per day was recorded before administration of treatment and over a period of 4 weeks post initiation of treatment. Among the 4 non-antibiotic antibacterials tested alone, chlorpromazine (CPZ showed significantly higher (P<0.05 recuperative effect on the milk yield of clinically mastitic quarters of dairy buffaloes. However, dimethylsulphoxide (DMSO when infused alone, further aggravated (P<0.05 the milk yield loss, indicating negative effect on milk yield improvement. Adjuncting cephradine with each of the non-antibiotic antibacterials, the lidocaine-cephradine group showed the highest effect (p<0.05 on net recovery of milk yield on day 28 post initiation of treatment. It was concluded that that CPZ can be used in clinical mastitis in buffaloes as a low cost alternative to expensive branded antibiotics. Further, the use of lidocaine with cepheradnie was superior to all other combination regimens in milk yield recovery.

  17. Invited review: Mastitis in dairy heifers: nature of the disease, potential impact, prevention, and control.

    De Vliegher, S; Fox, L K; Piepers, S; McDougall, S; Barkema, H W


    Heifer mastitis is a disease that potentially threatens production and udder health in the first and subsequent lactations. In general, coagulase-negative staphylococci (CNS) are the predominant cause of intramammary infection and subclinical mastitis in heifers around parturition, whereas Staphylococcus aureus and environmental pathogens cause a minority of the cases. Clinical heifer mastitis is typically caused by the major pathogens. The variation in proportions of causative pathogens between studies, herds, and countries is considerable. The magnitude of the effect of heifer mastitis on an individual animal is influenced by the form of mastitis (clinical versus subclinical), the virulence of the causative pathogen(s) (major versus minor pathogens), the time of onset of infection relative to calving, cure or persistence of the infection when milk production has started, and the host's immunity. Intramammary infection in early lactation caused by CNS does not generally have a negative effect on subsequent productivity. At the herd level, the impact will depend on the prevalence and incidence of the disease, the nature of the problem (clinical, subclinical, nonfunctional quarters), the causative pathogens involved (major versus minor pathogens), the ability of the animals to cope with the disease, and the response of the dairy manager to control the disease through management changes. Specific recommendations to prevent and control mastitis in late gestation in periparturient heifers are not part of the current National Mastitis Council mastitis and prevention program. Control and prevention is currently based on avoidance of inter-sucking among young stock, fly control, optimal nutrition, and implementation of hygiene control and comfort measures, especially around calving. More risk factors for subclinical and clinical heifer mastitis have been identified (e.g., season, location of herd, stage of pregnancy) although they do not lend themselves to the development

  18. Antibacterial Effect of Copper on Microorganisms Isolated from Bovine Mastitis

    Reyes-Jara, Angelica; Cordero, Ninoska; Aguirre, Juan; Troncoso, Miriam; Figueroa, Guillermo


    The antimicrobial properties of copper have been recognized for several years; applying these properties to the prevention of diseases such as bovine mastitis is a new area of research. The aim of the present study was to evaluate in vitro the antimicrobial activity of copper on bacteria isolated from subclinical and clinical mastitis milk samples from two regions in Chile. A total of 327 microorganisms were recovered between March and September 2013, with different prevalence by sample origin (25 and 75% from the central and southern regions of Chile, respectively). In the central region, Escherichia coli and coagulase negative Staphylococci (CNS) were the most frequently detected in clinical mastitis cases (33%), while in the southern region S. uberis, S. aureus, and CNS were detected with frequencies of 22, 21, and 18%, respectively. Antibiotic susceptibility studies revealed that 34% of isolates were resistant to one or more antibiotics and the resistance profile was different between bacterial species and origins of isolation of the bacteria. The minimum inhibitory concentration of copper (MIC-Cu) was evaluated in all the isolates; results revealed that a concentration as low as 250 ppm copper was able to inhibit the great majority of microorganisms analyzed (65% of isolates). The remaining isolates showed a MIC-Cu between 375 and 700 ppm copper, and no growth was observed at 1000 ppm. A linear relationship was found between the logarithm of viable bacteria number and time of contact with copper. With the application of the same concentration of copper (250 ppm), CNS showed the highest tolerance to copper, followed by S. uberis and S. aureus; the least resistant was E. coli. Based on these in vitro results, copper preparations could represent a good alternative to dipping solutions, aimed at preventing the presence and multiplication of potentially pathogenic microorganisms involved in bovine mastitis disease. PMID:27199953

  19. Antibacterial effect of copper on microorganisms isolated from bovine mastitis

    Angelica eReyes-Jara


    Full Text Available The antimicrobial properties of copper have been recognized for several years; applying these properties to the prevention of diseases such as bovine mastitis is a new area of research. The aim of the present study was to evaluate in vitro the antimicrobial activity of copper on bacteria isolated from subclinical and clinical mastitis milk samples from two regions in Chile. A total of 327 microorganisms were recovered between March and September 2013, with different prevalence by sample origin (25% and 75% from the central and southern regions of Chile, respectively. In the central region, E. coli and coagulase negative Staphylococci (CNS were the most frequently detected in clinical mastitis cases (33%, while in the southern region S. uberis, S. aureus and CNS were detected with frequencies of 22%, 21% and 18%, respectively. Antibiotic susceptibility studies revealed that 34% of isolates were resistant to one or more antibiotics and the resistance profile was different between bacterial species and origins of isolation of the bacteria.The minimum inhibitory concentration of copper (MIC-Cu was evaluated in all the isolates; results revealed that a concentration as low as 250 ppm copper was able to inhibit the great majority of microorganisms analyzed (65% of isolates. The remaining isolates showed a MIC-Cu between 375 and 700 ppm copper, and no growth was observed at 1000 ppm. A linear relationship was found between the logarithm of viable bacteria number and time of contact with copper. With the application of the same concentration of copper (250 ppm, CNS showed the highest tolerance to copper, followed by S. uberis and S. aureus; the least resistant was E.coli. Based on these in vitro results, copper preparations could represent a good alternative to dipping solutions, aimed at preventing the presence and multiplication of potentially pathogenic microorganisms involved in bovine mastitis disease.

  20. Prevalence and Characterization of Oxacillin Susceptible mecA-Positive Clinical Isolates of Staphylococcus aureus Causing Bovine Mastitis in India

    Mistry, Hiral; Sharma, Paresh; Mahato, Sudipta; Saravanan, R.; Kumar, P. Anand; Bhandari, Vasundhra


    Bovine mastitis caused by multidrug resistant Staphylococcus aureus is a huge problem reported worldwide, resulting in prolonged antibiotic treatment and death of livestock. The current study is focused on surveillance of antibiotic susceptibility along with genotypic and phenotypic characterization of the pathogenic S. aureus strains causing mastitis in India. One hundred and sixty seven milk samples were collected from mastitis-affected cows from different farms in India resulting in thirty nine isolated S. aureus strains. Antibiotic sensitivity profiling revealed the majority of the strains (n = 24) to be multidrug resistant and eleven strains showed reduced susceptibility to vancomycin (MICs = 2μg/ml). All strains were oxacillin sensitive, but 19 strains were positive for the mecA gene, which revealed the occurrence of oxacillin susceptible mecA positive strains (OS-MRSA) for the first time from India. Additionally, 32 strains were positive for the pvl gene, a virulence determinant; of these 17 were also OS-MRSA strains. Molecular characterization based on multilocus sequence typing (MLST), spa typing, agr typing and SCCmec classification revealed strains belonging to different groups. Moreover, strains showed spa types (t2526, t9602) and MLST sequence types, ST-72, ST-88 and ST-239 which have been earlier reported in human infections. The prevalence of OS-MRSA strains indicates the importance of including both the genetic and phenotypic tests in characterizing S. aureus strains. Increased genotypic variability with strain related to human infections and pvl positive isolates indicates a worrisome situation with the possibility of bilateral transfer. PMID:27603123

  1. Associations of soft flooring materials in free stalls with milk yield, clinical mastitis, teat lesions, and removal of dairy cows.

    Ruud, L E; Bøe, K E; Osterås, O


    The objective was to test if there was an association between free-stall base softness and milk yield, incidence of clinical mastitis (CM), teat lesions, and removal of cows. In a questionnaire sent to 1,923 dairy farms presumed to be using free-stall housing, farmers were asked for information regarding housing and stall base; for example, the year of installation and the product name or brand of their mats or mattresses. This information was merged with data for milk yield, CM, teat lesions, and removal of cows extracted from the Norwegian Dairy Herd Recording System for the years after installation of mats or mattresses. After exclusion of invalid contributions, the data set consisted of 29,326 lactations for milk yield distributed over 363 free-stalled herds in Norway. The farms were stratified into 5 categories according to the softness of the stall surface measured as millimeter impact of a sphere with a diameter of 120 mm at 2-kN load: 1=concrete, softness of 0mm; 2=rubber, softness of 1 to 8mm; 3=soft mats, softness of 9 to 16 mm; 4=multilayer mats, softness of 17 to 24 mm; and 5=mattresses, softness over 24 mm. Lactation curves were estimated as modified Wood's lactation curves using test-day data and mixed models with repeated measurements, adjusting for days in milk, parity, and softness of free-stall flooring. Herds on concrete free-stall bases yielded 6,727+/-146 kg of milk from 5 to 305 days in milk. In comparison, herds showed a decrease of 0.3% on rubber, an increase of 2.4% on soft mats, an increase of 4.5% on multilayer mats, and an increase of 3.9% on mattresses. Compared with concrete, the hazard ratio (HR) of CM was less on rubber, multilayer mats, and mattresses [HR=0.89 (0.79-0.99), 0.85 (0.73-0.996), and 0.80 (0.73-0.88), respectively]. Compared with concrete, the HR of teat lesions was less on rubber, soft mats, multilayer mats, and mattresses [HR=0.41 (0.26-0.65), 0.33 (0.24-0.44), 0.12 (0.04-0.38), and 0.47 (0.33-0.67), respectively]. The

  2. 奶牛酵母菌性乳腺炎的诊治%Diagnosis and Treatment of Yeast Mastitis in Dairy Cattle

    曹思军; 刘有旺; 朱瑞良


    [Objective] Study on the yeast mastiffs in dairy cattle cases which have been ineffectively treated by multiple antibiotics through traditional Chinese medicine prescription. [Method] The isolated pathogenic fungi from milk were used for drug sensitivity testing and the ones proved were clinically treated by self-made traditional Chinese medicine prescription "Ruxiaotang". [Result] 19 cases of 20 selected dairy cattle cases were diagnosed as yeast mastitis and cured with the except of a Candida tropicalis case. [Conclusion] The results provide a new reference for curing yeast mastitis.

  3. 男性浆细胞性乳腺炎3例%THE 3 Males Plasma Cell Mastitis

    胡康; 李艳


      Objective:Explore treatment for male plasma cell mastitis. Methods:Analysis of the 3 cases with literature review. Results:the male plasma cell mastitis is rare and complexity of clinical manifestations,diagnosis and treatment is difficult. Conclusion:For the male plasma cell mastitis,it is satisfactory results of extended resection with TCM physiotherapy.%  目的:探讨男性浆细胞性乳腺炎的治疗;方法:结合文献及我科收治病例进行分析;结果:男性浆细胞性乳腺炎少见,诊断与治疗较困难;结论:对于男性浆细胞性乳腺炎行扩大切除加用理疗能取得较满意的效果。

  4. 肉芽肿性乳腺炎的临床表现与X线及MRI诊断特点%The Clinical Radiographic Findings and Magnetic Resonance Imaging Features of 31 Patients with Granulomatous Mastitis

    朱丽萍; 贾文霄; 倪多; 李涌涛; 吴涛; 赵倩


    目的 探讨肉芽肿性乳腺炎(granulomatous mastitis,GM)的临床表现与X线及MRI诊断特点.资料与方法 对31例经病理证实的GM患者的临床表现与X线及MRI资料进行回顾性分析.结果 临床表现为乳房肿块短期内迅速增大,边缘不清与皮肤有粘连,部分伴有腋窝淋巴结肿大;钼靶X线表现呈多样性,病灶呈等密度或稍高于腺体密度结节状不规则影多见,部分显示局限性敛密影结构紊乱,边缘不清、毛糙分叶及不规则状;MRT1WI呈等或高信号,T2WI呈高信号,增强扫描病变呈片状强化,高于周围正常腺体,边缘呈渐进性强化.结论 GM临床表现缺乏特异性,与乳腺X线与MRI相结合有助于准确诊断.%Objective To explore the clinical radiographic findings and magnetic resonance imaging features of granulomatous mastitis. Materials and Methods The clinical radiographic findings and magnetic resonance imaging data from 31 patients with granulomatous mastitis proved by pathological results were analyzed retrospectively. Results The clinical findings of GM were quickly augmentation of lump in breast in short time, ill-defined margin and adherence to skin, some lesions often accompanied by intumesce of axillary nodes. The radiographic findings of GM demonstrated diversity. The lesions' density were found as isodense or higher than glands density with irregular tubercle. Some lesions of GM displayed as architeetual distortion of local asymmetric density, ill-defined margin, ruffled, lobulated and irregular. The MR signs of GM lesions included hyper or isointensity signal on T1 WI images, hyperintensity signal on T2 WI images. The granulomatous mastitis lesions appeared pathcy enhancement, which was higher than that of normal glands adjacent to tumor, the border appeared gradually enhancement. Conclusion Granulomatous mastitis has no specific clinical findings, combination molybdenum target radiography and magnetic resonance imaging is helpful for the

  5. CTX-M-type extended-spectrum β-lactamase-producing Klebsiella pneumoniae isolated from cases of bovine mastitis in Japan.

    Saishu, Nobukazu; Ozaki, Hiroichi; Murase, Toshiyuki


    Three Klebsiella pneumoniae isolates producing extended-spectrum beta-lactamase (ESBL) were obtained from three dairy cows with clinical mastitis in two farms in western Japan. Two of the 3 isolates from cows in different farms were able to transfer plasmids carrying the blaCTX-M-2 gene to Escherichia coli recipient. Pulsed-field gel electrophoresis (PFGE) patterns of the 2 isolates were different from each other, although restricted-fragment patterns of the two conjugative plasmids were similar to each other. Additionally, PCR-based replicon typing revealed that both the plasmids belonged to type Inc.T. These results suggest that ESBL-encoding genes can be distributed in bacteria on dairy farms through the plasmids.

  6. Treatment of mastitis in cattle.

    Royster, Erin; Wagner, Sarah


    The understanding of mastitis, its cause, and the rationale for treatment or nontreatment of mastitis under various circumstances continues to evolve. This article presents research-based evidence about the use or nonuse of drugs to treat mastitis. Nondrug factors involved in decision making about mastitis, including cow characteristics and the epidemiology of mastitis, are also briefly discussed. This article provides information that helps in the making of knowledgeable, evidence-based decisions about therapy for mastitis. Focus is primarily on the use of antimicrobial drugs.

  7. Genetic correlations between pathogen-specific mastitis and somatic cell count in Danish Holsteins

    Sørensen, Lars Peter; Mark, Thomas; Madsen, P.;


    _170) or 300 d (LASCC_300) after calving, and the mastitis traits were unspecific mastitis (all mastitis treatments, both clinical and subclinical, regardless of the causative pathogen) and mastitis caused by either Streptococcus dysgalactiae, Escherichia coli, coagulase-negative staphylococci (CNS......, especially for Strep. uberis, Strep. dysgalactiae, and CNS and, to a lesser extent, for Staph. aureus and E. coli. Data recording should preferably be improved, and economic weights for the pathogen-specific mastitis traits should be estimated before implementing an udder health index that includes pathogen....... uberis, and E. coli (r(a) = 0.54 to 0.69) and were lowest for Staph. aureus mastitis (r(a) = 0.44). The genetic correlation between LASCC_300 and the mastitis traits were generally smaller (r(a) = 0.47 to 0.69). Caution should be taken when interpreting the results, however, because some posterior...

  8. Kosten mastitis onderschat: Hoogste kostenpost bij mastitis is melkproductieverlies

    Huijps, K.; Lam, T.J.G.M.; Hogeveen, H.


    Mastitis kost geld. Maar hoeveel? Beduidend meer dan melkveehouders denken, zo blijkt uit recent onderzoek van het Uiergezondheidscentrum Nederland en de faculteit Diergeneeskunde onder 64 veehouders. Vooral het productieverlies bij subklinische mastitis kost veel euro’s

  9. Treatment of Acute Mastitis with Tuina

    FENG Yan-hua; HAN chou-ping


    目的:观察推拿手法治疗急性乳腺炎的临床疗效.方法:观察组32例采用推拿手法治疗,对照组16例采用外敷金黄散治疗.结果:推拿组总有效率为96.8%,对照组总有效率为87.4%,两组疗效比较有非常显著性差异(P<0.01),推拿组在治疗时间与次数方面与对照组比较,有非常显著性差异(P<0.01),结论:推拿手法治疗急性乳腺炎初期有较好疗效.%Objective: To observe the clinical effect of treating acute mastitis with tuina manipulation.Method: Tuina manipulation was applied to treat 32 cases in the observation group, while external Jinhuang san was applied to treat 16 cases in the control group. Result: The total effective rate in the observation group was 96.8% and the total effective rate in the control group was 87.4%. The therapeutic effect of the two groups had significant difference (P<0.01) and the treatment period and times between the two groups had significant difference as well (P<0.01). Conclusion: Tuina manipulation had better effect for acute mastitis.

  10. Association between Hyperprolactinemia and Granulomatous Mastitis.

    Nikolaev, Anatoly; Blake, Cassann N; Carlson, Diane L


    Granulomatous mastitis (GM) is a relatively uncommon inflammatory breast lesion with multiple suggested etiologies. Although most GM cases show association with lactation and pregnancy, a minority of cases have been linked to hyperprolactinemia caused by either dopamine antagonist medications or with intracranial lesions, such as pituitary adenoma. The goal of this study is to review the GM cases reported in the literature with a specific emphasis on those cases associated with hyperprolactinemia and prolactinomas and to identify cases of GM seen at the Cleveland Clinic Florida which demonstrate co-occurrences of GM and intracranial lesions. CoPath and Epic data bases at Cleveland Clinic Florida were searched for cases describing inflammatory breast lesions in patients with pituitary pathology. Chart reviews were conducted and pertinent medical history was extracted for case reports. H&E-stained paraffin-embedded sections retrieved from Cleveland Clinic Florida pathology storage were evaluated by light microscopy. Four cases showing a co-occurrence of GM and hyperprolactinemia were consequently identified. A prolactin-secreting pituitary adenoma was present in two of the three GM cases. The third case demonstrated a concomitant craniopharyngioma, which was also associated with a rise in serum prolactin. This phenomenon was presumably attributable to compression, resulting in compromised transport of dopamine to the adenohypophysis and subsequent disinhibition of prolactin secretion by lactotrophs. The fourth patient with GM had a similar history of elevated prolactin. Classical histopathological features of GM were found in all four cases, including noncaseating granulomas, multinucleated giant cells, epithelioid histiocytes, and chronic inflammation. Intriguingly, complete resolution of inflammatory breast lesions along with normalization of prolactin levels occurred following the surgical excision of the craniopharyngioma, suggesting that intracranial lesion

  11. Economic effects of bovine mastitis and mastitis management: A review.

    Halasa, T.; Huijps, K.; Osterás, O.; Hogeveen, H.


    Several studies have been published since 1990 on the economics of mastitis and mastitis management. However, hardly any of these studies has discussed the consistency of results with other studies. In the present paper, the economic factors associated with mastitis are explained, providing a framew

  12. Application Varied Imaging Technologies Diagnosis Plasma Cell Mastitis to Influcence Clinical Efficacy%应用多种影像技术术前诊断对浆细胞性乳腺炎疗效的影响

    路瑶; 孙宇


    目的:探讨应用磁共振、X线、超声多种技术术前诊断浆细胞性乳腺炎对临床治疗的指导意义。方法:回顾对比分析经病理确诊的43名浆细胞性乳腺炎患者的多种影像检查结果及临床疗效,主要分析术前准确诊断浆细胞性乳腺炎的重要性。结果:43例病例全部经病理证实为浆细胞性乳腺炎,术前检查诊断为普通炎症25例、乳腺癌6例、漏诊4例、术前即诊断为浆细胞性乳腺炎13例;手术后伤口不愈合19例,全部为术前误诊及漏诊病例。结论:浆细胞性乳腺炎术前难确诊、术后易复发,手术方式的选择非常重要,应用多种影像技术检查诊断的准确率与浆细胞性乳腺炎疗效密切相关。%Objective:Discuss about diagnosis plasma cell mastitis with MRI X -ray and Ultrasound to influcence clinical efficady . Methods:To compare 43 plasma cell mastitis patients'varied imaging manifestations and clinical efficacy .Analysis of the importance of the preoperative diagnosis .Results:All patients are diagnosised plasma cell mastitis by pathology .Pteoperative diagnosis results:20 common inflammatory,6 breast cancer ,9 missed and 13 patients were diagnosis plasma cell mastitis before operation .Conclusion:The plasma cell mastitis is a disease that preoperative diagnosis is difficult and postoperative recurrence ,application varid imaging technologies accurate di-agnosis plasma cell mastitis can curative effect of operation .

  13. Relatie tussen celgetal en mastitis

    Schepers, A.


    Het vóórkomen en de kosten van mastitis blijven hoog, ondanks de vele pogingen tot preventie van de ziekte. Mastitispreventie programma's zijn veelal gebaseerd op de positieve relatie tussen celgetal en het optreden van mastitis.

  14. Isolation and identification of main mastitis pathogens in Mexico

    H. Castañeda Vázquez


    Full Text Available The present work is a large epidemiological study aiming to detect the prevalence of subclinical mastitis and to investigate the major udder pathogens in Jalisco State, western Mexico. For this purpose, 2205 dairy cows, representing 33 Mexican dairy herds, were involved. Of 2205 cows, 752 mastitic animals were diagnosed and only 2,979 milk samples could be obtained for further investigation. All 2979 milk samples were subjected to California Mastitis Test (CMT to differentiate clinical cases from subclinical ones where 1996 samples (67 % reacted positively. Of these, 1087 samples (54.5% came from cows suffering from clinical cases of mastitis. Bacteriological identification of the causative agents revealed the presence of a major group of pathogens including the Coagulase negative staphylococci (CNS, S.aureus, S.agalactiae, Corynebacterium spp. and Coliform bacteria which were detected in 464 (15.6%, 175 (5.9%, 200 (6.8%, 417 (14% and 123 (4.1% of the 2927 investigated quarters, 295 (15.4%, 118 (15.7%, 111 (14.8%, 227 (30.2% and 109 (14.5% of the 752 examined cows and in 33 (100%, 22 (66.7%, 19 (57.6%, 30 (90.1% and 27 (81.8% of the 33 herds involved, respectively. Other pathogens could be detected in the investigated milk samples such as S. dysgalactiae (0.4%, S.uberis (0.37%, Bacillus spp. (1%, Nocardia spp. (0.6% und Candida spp. (0.1%. Meanwhile, others were present in a negligible ratio; including the Aerococcus viridans, and Enterococcus spp., Lactococcus lactis, S. bovis.

  15. Expanding Disease Spectrum Associated With Puerperal Mastitis

    Gregg L. McAdoo


    Full Text Available Background: Staphylococcus aureus and the β-hemolytic streptococci are the commonest causes of puerperal mastitis which tends to be a localized disease process. This report describes 2 cases attributable to these bacteria that resulted in extramammary involvement and augmented morbidity.

  16. Methicillin resistant S. aureus in human and bovine mastitis.

    Holmes, Mark A; Zadoks, Ruth N


    Staphylococcus aureus is a ubiquitous organism that causes a variety of diseases including mastitis in cattle and humans. High-level resistance of S. aureus to β-lactams conferred by a mecA gene encoding a modified penicillin binding protein (PBP2a) was first observed in the early 1960's. These methicillin resistant S. aureus (MRSA) have been responsible for both hospital acquired infections (HA-MRSA) and, more recently, community acquired MRSA (CA-MRSA). A small number of human MRSA mastitis cases and outbreaks in maternity or neonatal units have been reported which are generally the result of CA-MRSA. The establishment of the sequence type 398 (ST398) in farm animals, primarily pigs, in the early 2000's has provided a reservoir of infection for humans and dairy cattle, particularly in continental Europe, described as livestock-associated MRSA (LA-MRSA). Prior to the emergence of ST398 there were sporadic reports of MRSA in bovine milk and cases of mastitis, often caused by strains from human associated lineages. Subsequently, there have been several reports describing bovine udder infections caused by ST-398 MRSA. Recently, another group of LA-MRSA strains was discovered in humans and dairy cattle in Europe. This group carries a divergent mecA gene and includes a number of S. aureus lineages (CC130, ST425, and CC1943) that were hitherto thought to be bovine-specific but are now also found as carriage or clinical isolates in humans. The emergence of MRSA in dairy cattle may be associated with contact with other host species, as in the case of ST398, or with the exchange of genetic material between S. aureus and coagulase negative Staphylococcus species, which are the most common species associated with bovine intramammary infections and commonly carry antimicrobial resistance determinants.

  17. Diagnostic value of full-field digital mammography in mastitis%全数字化乳腺X线摄影对乳腺炎性疾病的诊断价值

    滕妍; 曹满瑞; 赵弘; 何健龙; 邹万娇


    Objective:To analyze the full-field digital mammography (FFDM) findings in mastitis and differentiation of mastitis from breast cancer. Methods: 39 cases of mastitis underwent mammography confirmed by surgical pathology were analyzed. Results:Of the 39 cases,26 were chronic mastitis,5 were plasma cell mastitis and 8 were granulomatous mastitis. The mammography showed mass in 17 cases,localized asymmetric density in 20 cases,focal architectural distortion in 2 cases, lymph modes consolidation in 7 cases,localized skin thickening in 12 cases,and indentation of nipple in 7 cases. Conclusion : Mammographic findings in combination with clinical manifestications will be helpful in improving diagnostic accuracy of mastitis.%目的:分析乳腺炎性疾病的全数字化乳腺X线摄影(FFDM)表现,提高该病与乳腺癌的鉴别诊断水平.方法:回顾性分析39例经穿刺或手术病理证实的乳腺炎性疾病的FFDM表现.结果:39例患者中,26例为慢性乳腺炎,5例为浆细胞性乳腺炎,8例为肉芽肿性乳腺炎.X线表现为肿块影17例,局部腺体非对称性致密影20例,结构扭曲2例.伴同侧腋下淋巴结致密影7例,局部或乳晕区皮肤增厚12例,乳头凹陷7例.结论:结合临床资料并细致分析乳腺炎性疾病的FFDM表现,有助于提高该病诊断与鉴别诊断水平.

  18. Prevalence and Distribution of Mastitis Pathogens and their Resistance against Antimicrobial Agents in Dairy Cows in Jordan

    Azmi D. Hawari


    Full Text Available The primary objective of this study was to determine the aetiology of bovine mastitis in ten herds of Holstein Friesian cow in Jordan, the prevalence of mastitis pathogens in dairy cows and their resistance to selected antimicrobial agents. Milk samples were collected from 220 lactating cows to determine the clinical and subclinical mastitis by white side test and confirmed by cultural tests. It was found that 138 quarters (15.7% had been diagnosed as clinical mastitis with definite gross pathological lesions and change in udder secretion, in addition to that 276 quarters (31.4% showed subclinical mastitis. The incidence of mastitis was found to be increased in older cows. Staphylococcus aurous was considered to be the most common cause of both clinical and subclinical mastitis and followed by coli forms, streptococcus spp., corynebacterium spp., proteus spp. and pseudomonas spp. Sensitivity tests were applied to different isolated strains using tertracycline, ampicillin, neomycin, erythromycin, penicillin G and sulphamethoxazol trimethoprim.

  19. Characterization of Staphylococcus caprae Clinical Isolates Involved in Human Bone and Joint Infections, Compared with Goat Mastitis Isolates.

    d'Ersu, J; Aubin, G G; Mercier, P; Nicollet, P; Bémer, P; Corvec, S


    Staphylococcus caprae is an emerging microorganism in human bone and joint infections (BJI). The aim of this study is to describe the features of S. caprae isolates involved in BJI (H for human) compared with those of isolates recovered in goat mastitis (A for animal). Fourteen isolates of each origin were included. Identifications were performed using a Vitek 2 GP ID card, tuf gene sequencing, and matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) Vitek MS. Molecular typing was carried out using pulsed-field gel electrophoresis (PFGE) and DiversiLab technology. The crystal violet method was used to determine biofilm-forming ability. Virulence factors were searched by PCR. Vitek MS technology provides an accurate identification for the two types of isolates compared to that of gold-standard sequencing (sensitivity, 96.4%), whereas the Vitek 2 GP ID card was more effective for H isolates. Molecular typing methods revealed two distinct lineages corresponding to the origin despite few overlaps: H and A. In our experimental conditions, no significant difference was observed in biofilm production ability between H and A isolates. Nine isolates (5 H isolates and 4 A isolates) behaved as weak producers while one A isolate was a strong producer. Concerning virulence factors, the autolysin atlC and the serine aspartate adhesin (sdrZ) genes were detected in 24 isolates (86%), whereas the lipase gene was always detected, except in one H isolate (96%). The ica operon was present in 23 isolates (82%). Fibrinogen-binding (fbe) or collagen-binding (cna) genes were not detected by using primers designed for Staphylococcus aureus or Staphylococcus epidermidis, even in low stringency conditions. Although S. caprae probably remains underestimated in human infections, further studies are needed to better understand the evolution and the adaptation of this species to its host.

  20. Effectiveness of Topical Curcumin for Treatment of Mastitis in Breastfeeding Women: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

    Raha Afshariani


    Full Text Available Objective: To determine the efficacy of topical curcumin in reducing breast inflammation in women suffering from lactational mastitis. Methods: A randomized double-blind, placebo-controlled study including 63 breastfeeding women with lactational mastitis were randomly assigned to receive curcumin topical cream, one pump every 8 hours for 3 days (n=32 or topical moisturizer as placebo (n=31. Using an index for severity of breast inflammation, all of the patients had moderate breast inflammation before entering the study. The outcome of treatment was evaluated using the same index at 24, 48 and 72 hours of starting the treatment. Results: There was no significant difference between two study groups regarding the baseline characteristics such as age (p=0.361 and duration of lactation (p=0.551. After 72-hour of therapy, patients in curcumin groups had significantly lower rate of moderate (p=0.019 and mild (p=0.002 mastitis. Patients in curcumin group had significantly lower scores for tension (p<0.001, erythema (p<0.001 and pain (p<0.001, after 72-hour of treatment. Conclusion: The results of the current study indicate that topical preparation of curcumin successfully decrease the markers of lactational mastitis such as pain, breast tension and erythema within 72 hours of administration without side effects. Thus, topical preparation of curcumin could be safely administered for those suffering from lactational mastitis after excluding infectious etiologies.

  1. Identification of Prototheca Zopfii from Bovine Mastitis

    F Zaini


    Full Text Available Background: The aim of this study was identification of the epidemiology of Prototheca zopfii species from the milk samples of dairy cattle in Isfahan, central Iran.Methods: Milk samples were obtained from 230 dairy cattle, 130 with and 100 without mastitis, in Isfahan. The samples were cultured in Prototheca Isolation Medium (PIM and Sabouraud's dextrose agar. All P. zopfii isolates were identified by morphological and biochemical methods. Then, as a confirmatory test they were examined by genotype-specific PCR.Results: Four P. zopfii strains (3.07% were isolated from the 130 samples of dairy cattle with clinical mastitis and there was no isolation from totally 100 samples of healthy bovines without mastitis. Specific PCR product (about 946 bp was detected in four isolates.Conclusion: It seems that P. zopfii genotype II plays a key role in affecting bovine mastitis that confirmed other previous studies. Our study was the first, which identified the Prototheca species by traditional and molecular methods in Iran and Middle East as well.

  2. Subclinical Mastitis in Dairy Animals: Incidence, Economics, and Predisposing Factors

    Mukesh Kr. Sinha


    Full Text Available A study was conducted to assess the incidence and economics of subclinical form of bovine mastitis in Central Region of India. Daily milk records of 187 animals during three seasons were collected and subjected to analysis. The economic loss due to reduction in yield, clinical expenses, and additional resources used were quantified and aggregated. The losses due to mastitis in monetary terms were estimated to be INR1390 per lactation, among which around 49% was owing to loss of value from milk and 37% on account of veterinary expenses. Higher losses were observed in crossbred cows due to their high production potential that was affected during mastitis period. The cost of treating an animal was estimated to be INR509 which includes cost of medicine (31.10% and services (5.47%. Inadequate sanitation, hygiene, and veterinary services were the main predisposing factors for incidence and spread of mastitis as perceived by the respondents.

  3. 乳痈的中医护理%Trditional Chinese Medical Care for Mastitis

    张淑娟; 严军虎


    乳痈是发生于乳房的一种急性化脓性疾病.文章主要论述了乳痈的发病机理、临床表现以及乳痈的辨证施护原则、护理要点,以及乳痈的预防.%Mastitis is a breast occurred in acute purulent diseases.This article discusses the pathogenesis of mastitis, clinical mastitis, and the principle of dialectical nursing, care points, and the prevention of mastitis.

  4. [Spiramycin and the antibacterial therapy of mastitis].

    Verheijden, J H; Vecht, U; van Leeuwen, W; van Miert, A S


    The Minimum Inhibitory Concentrations (MIC) for 18 strains of staphylococci isolated from the national randomized mastitis surveys were determined. The antibiotics used were penicillin-G, cloxacillin and spiramycin. On the basis of these findings in addition to literature data concerning clinical efficacy trials it is concluded, that spiramycin is indicated for the treatment of persistent chronic udder infections caused by peniciline-G resistant strains of Staphylococcus aureus.

  5. Unilateral mastectomy as an alternative treatment for gangrenous mastitis in a Saanen goat

    Ahmet Sabuncu


    Full Text Available A four-year-old Saanen goat, weighing 52 kg, was referred to the Department of Obstetrics and Gynaecology clinic with black discoloration of the left mammary gland. The goat’s general condition was not good upon initial examination. The goat was anorexic, lethargic, and febrile (rectal temperature of 40 °C with a palpably cold left mammary gland on which there was an accumulation of pus. Somatic cell count (SCC was measured as 820,000/ml in the milk sample collected from the infected gland, and Staphylococcus aureus was isolated. Gangrenous mastitis was diagnosed on the left mammary gland of the goat based on the clinical findings. To treat the condition, a unilateral mastectomy was performed successfully. The goat was fully recovered a week after surgery. This case aimed to establish a surgical approach of unilateral mastectomy as a treatment option for goats with gangrenous mastitis while allowing the other mammary gland to continue lactation. Thus, it can be concluded that unilateral mastectomy is a viable alternative treatment of goats with gangrenous mastitis.

  6. Cost estimation of heifer mastitis in early lactation by stochastic modelling

    Huijps, K.; Vliegher, de S.; Lam, C.; Hogeveen, H.


    Heifer mastitis, reflected by an elevated somatic cell count (SCC) in early lactation (SCCel), results in a decreased milk production, a higher risk for subclinical and clinical mastitis during lactation, and an elevated culling hazard. The aims of this study were to calculate the costs of heifer ma

  7. Mastitis in the lactating mink female (Mustela vison S.) and the development of "greasy kits"

    Clausen, T.N.; Dietz, Hans H.


    "Greasy kits" is the result ufa multifactorial disease complex with few known definitive aetiological factors. Mastitis has been hypothesized as a triggering factor although classical clinical signs of mastitis (rubor, tumor, dolor, calor) are rarely seen in lactating Danish mink Females. In this...

  8. Lumbar stenosis: clinical case

    Pedro Sá


    Full Text Available Lumbar stenosis is an increasingly common pathological condition that is becoming more frequent with increasing mean life expectancy, with high costs for society. It has many causes, among which degenerative, neoplastic and traumatic causes stand out. Most of the patients respond well to conservative therapy. Surgical treatment is reserved for patients who present symptoms after implementation of conservative measures. Here, a case of severe stenosis of the lumbar spine at several levels, in a female patient with pathological and surgical antecedents in the lumbar spine, is presented. The patient underwent two different decompression techniques within the same operation.

  9. A Case of Dairy Chronic Mastitis Treated by Traditional Chinese Medicine%一例中药治疗奶牛慢性乳房炎的病例



    一奶牛乳房炎病例,抗生素治疗无明显效果,经过中药治疗及加强护理,显著好转,本病例为奶牛慢性乳房炎的治疗提供了一种的思路。随着奶牛业的发展,中医药也将发挥愈来愈重要的作用。%A cow with mastitis had been cured by the Chinese Herbal Drugs,which the antibiotics had no curative effect on it.The cow was recovered by two ways:enhancing the physiological functions and inhibiting the bacterial infections.It offered a better nursing method for the dairy chronic mastitis.With the development of dairy industry,traditional chinese medicine became more and more important for the treatment of dairy cow mastitis.

  10. Staphylococcus aureus seroproteomes discriminate ruminant isolates causing mild or severe mastitis

    Le Maréchal Caroline


    Full Text Available Abstract Staphylococcus aureus is a major cause of mastitis in ruminants. In ewe mastitis, symptoms range from subclinical to gangrenous mastitis. S. aureus factors or host-factors contributing to the different outcomes are not completely elucidated. In this study, experimental mastitis was induced on primiparous ewes using two S. aureus strains, isolated from gangrenous (strain O11 or subclinical (strain O46 mastitis. Strains induced drastically distinct clinical symptoms when tested in ewe and mice experimental mastitis. Notably, they reproduced mild (O46 or severe (O11 mastitis in ewes. Ewe sera were used to identify staphylococcal immunoreactive proteins commonly or differentially produced during infections of variable severity and to define core and accessory seroproteomes. Such SERological Proteome Analysis (SERPA allowed the identification of 89 immunoreactive proteins, of which only 52 (58.4% were previously identified as immunogenic proteins in other staphylococcal infections. Among the 89 proteins identified, 74 appear to constitute the core seroproteome. Among the 15 remaining proteins defining the accessory seroproteome, 12 were specific for strain O11, 3 were specific for O46. Distribution of one protein specific for each mastitis severity was investigated in ten other strains isolated from subclinical or clinical mastitis. We report here for the first time the identification of staphylococcal immunogenic proteins common or specific to S. aureus strains responsible for mild or severe mastitis. These findings open avenues in S. aureus mastitis studies as some of these proteins, expressed in vivo, are likely to account for the success of S. aureus as a pathogen of the ruminant mammary gland.


    Luiz Antônio Franco da Silva


    Full Text Available

    It was verified the spectrum of susceptibilities/resistance of 76 samples of Staphylococcus coagulase positive and 51 samples of Streptococcus sp., isolated from milk of 231 cows presenting clinical mastitis. The diffusion method was used in plate of Kirby-Bauer, being tested ten active principles used in cases of clinical mastitis. Natural penicillin, chloranphenicol, tetraciclyne, kanamicyn, gentamicyn, nitrofurantoin, trimetopryn + sulfametoxazol, enrofloxacyn, perlimicyn and ceftiofur were tested. The samples of Staphylococcus coagulase positive presented a spectrum of larger resistance for the penicillin (78.9%, followed by trimetoprim + sulfametoxazol (59.2% and nitrofurantoin (57.8%. The largest susceptibility frequency was found in enrofloxacyn (96%, in perlimicyn (94% and in ceftiofur (94%. For the samples of Streptococcus sp. there was a profile resistance for penicillin (92%, chloranphenicol (74.5% and trimetoprim + sulfametoxazol (52%. A sensibility profile was also verified for enrofloxacyn (96%, ceftiofur (92% and perlimicyn (92%.

    KEY-WORDS: Bovine mastitis; resistance; susceptibilities.

    Verificou-se o espectro de sensibilidade/resistência de 76 cepas de Staphylococcus coagulase positiva e 51 cepas de Streptococcus sp., isolados do leite proveniente de 231 vacas que apresentaram mastite clínica. Utilizou-se o método de difusão em placa, segundo Kirby-Bauer, testando-se 10 princípios ativos: penicilina natural, cloranfenicol, tetraciclina, kanamicina, gentamicina, nitrofurantoína, trimetoprim + sulfametoxazol, enrofloxacina, perlimicina e ceftiofur. As cepas de Staphylococcus coagulase positiva apresentaram um espectro de resistência maior para a penicilina (78,9%, vindo a seguir trimetoprim + sulfametoxazol (59,2% e

  12. Identification of potential markers in blood for the development of subclinical and clinical mastitis in dairy cattle at parturition and during early lactation

    Moyes, Kasey; Larsen, Torben; Friggens, Nic;


    samples were collected weekly from 56 d before expected calving date through 90 d in milk (DIM). Blood was analyzed for several hormones, metabolites, and enzymes, and energy intake and energy balance were calculated. Veterinary treatment records and daily composite milk somatic cell counts were analyzed......Our objective was to identify specific blood markers as risk factors for the development of mastitis during early lactation. We used a subset of cows from a larger experiment that consisted of a total of 634 lactations from 317 cows. Cows were of 3 breeds and ranged from parity 1 to 4. Blood......, SM, or H cows during wk 2 through 13 of lactation. Data were adjusted for numerous fixed effects (e.g., parity, breed, season, and DIM) before statistical analysis. The time of mastitis (TOM) was recorded as the DIM in which the first rise in somatic cell count was observed and was recorded as TOM...

  13. Clinical case of toxocariasis chorioretinitis

    I. G. Pikhovskaia


    Full Text Available The clinical case of a toxocariasis chorioretinitis which is of interest for ophthalmologists is described. Insufficient knowledge of clinic and diagnostics of a lesion of eyes by Toxocara canis, their infrequent occurrence, similarity of the ophthalmologic picture with inflammatory diseases and eye neoplasms can be at the bottom of gross diagnostic mistake and wrong choice of treatment tactics.

  14. Clinical case of toxocariasis chorioretinitis

    I. G. Pikhovskaia


    Full Text Available The clinical case of a toxocariasis chorioretinitis which is of interest for ophthalmologists is described. Insufficient knowledge of clinic and diagnostics of a lesion of eyes by Toxocara canis, their infrequent occurrence, similarity of the ophthalmologic picture with inflammatory diseases and eye neoplasms can be at the bottom of gross diagnostic mistake and wrong choice of treatment tactics.

  15. Supernumerary Jawbone Tooth: Clinical Case

    Rivas Gutiérrez, Jesús; Carlos Sánchez, María Dolores


    Introduction: supernumerary teeth are dental development anomalies, alsoknown as hyperdontia or extra teeth. Their prevalence ranges between 0.3% and 3.8%.Their morphology may be normal or dismorphic and are associated to the etiology ofocclusal alterations. It is important to make an early diagnostic through a radiographicalstudy. Case presentation:this article presents a clinical case of a supernumerary tooth thatcaused rotation and crowding of the anterior bottom teeth, which was addressed...

  16. Economic impact of clinical mastitis in a dairy herd assessed by stochastic simulation using different methods to model yield losses

    Hagnestam-Nielsen, Christel; Østergaard, Søren


    losses was investigated by comparing the results obtained using the potential yield of mastitic cows, had they not developed CM, with those obtained using the yield of non-mastitic cows. The yearly maximum avoidable cost of CM at herd level was estimated at €14 504, corresponding to 6.9% of the net...... and the conventional modelling strategy, with the exception of the cost per case of CM. Similarities between the results obtained using the two methods were particularly evident when the mastitic cows' own yield level, had they not developed CM, was used as the reference for production in healthy cows when yield...

  17. A variety of gene polymorphisms associated with idiopathic granulomatous mastitis

    Destek, Sebahattin; Gul, Vahit Onur; Ahioglu, Serkan


    Idiopathic granulomatous mastitis (IGM) is a rare and chronic inflammatory disorder. IGM mimics breast cancer regarding its clinical and radiological features. Etiology of IGM remains unclarified. Our patient was 37-year-old and 14 weeks pregnant. There was pain, redness and swelling in the right breast. The mass suggestive of malignancy was detected in sonography. Serum CA 125 and CA 15-3 levels were high. Genetic analysis was performed for the etiology. methylenetetrahydrofolate reductase (MTHFR) C 677 TT, β-fibrinogen-455 G>A, plasminogen activator inhibitor (PAI)-1 5 G/5 G, angiotensin-converting enzyme (ACE) I/D mutation was found. IGM was diagnosed by cor biopsy. An association was also reported between breast cancer and mutations in MTHFR-C 677 T, PAI-1, ACE genes. Genetic polymorphisms may involve in the development of IGM as it was seen in our case. Further studies should be conducted to better clarify this plausible association. PMID:27619324

  18. Prevalence and etiology of subclinical mastitis in dairy ewes in two seasons in Semnan province, Iran.

    Narenji Sani, Reza; Mahdavi, Ali; Moezifar, Melika


    Twenty-one dairy ewe flocks selected by stratified random sampling were subjected to study the prevalence and etiology of subclinical intramammary infections and to assess the influence of parity on the prevalence of intramammary infections. Also, spontaneous cure rates were determined over study period. A total of 1192 milk samples were collected at 2 weeks after lambing until tenth-week postpartum. All flocks had hand milking; those which were classified by bacterial culture and California Mastitis Test (CMT) as positive were deemed to have glands with subclinical mastitis (SCM). Of 1192 halves examined, 791 samples were collected during spring and 401 samples were collected during summer. Prevalence rate of SCM in spring was 14.7 %; and spontaneous cure that occurred in this season was 88.8 %; coagulase-negative staphylococci (CNS) were the most common isolates (66.6 %). Samples collected in spring showed higher prevalence rate of SCM than summer samples. This rate was 8.9 % in summer. Spontaneous cure rate in this season was 69.4 %, and Staphylococcus aureus (72.2 %) was the most common isolates. SCM was seen at significantly lower rates in left half than in right one (p mastitis (defined as number of clinical cases per 100 ewe-months) was 0.21 and 0.74 in spring and summer, respectively. The isolates from clinical cases in spring were fungi and, from summer, were S. aureus. Also, S. aureus SCM cases were not significantly severe than other SCM cases. In conclusion, multiparous ewes were most at risk, and severity of infection was higher in summer.

  19. Métodos de detección de la mastitis bovina (Methods of detection of the bovine mastitis

    Bedolla, CC


    detection of the bovine mastitis that is used more commonly in the world. The bovine mastitis is the inflammation of the mammary gland caused by an infection by pathogens. Is one of the most frequent diseases of the production that affects the milk industry anywhere in the world. It can appear of clinical and subclinical way. The subclinical mastitis is long play and is much more frequent that the clinical mastitis. Within the methods that are used most frequently at field level to diagnose clinical mastitis, are the method of observation and palpation of udder and the physical tests, as the container of milking test, the black cloth test and cup test. The chemical tests, like the electrical conductivity of milk test, paper test of mastitis and whiteside test that they also serve to diagnose clinical and subclinical mastitis. The biological tests, as they are the California mastitis test, the Wisconsin test, the bacteriological diagnosis by the methods of isolation, culture, biochemical stain, tests and identification, the count of somatic cells by direct microscope and somaticell. Other methods used at the moment by their rapidity and effectiveness are the electronic ones like the fossomatic, the counter coulter and the, which mainly have a universal application in laboratories of control milk or dedicated to the diagnosis and investigation of the mastitis and the DeLaval cell counter. The methods of detection of mastitis are a tool that allows to identify the type of clinical infection or subclinical that can appear within a milk cattle ranch, reason why the method that is chosen to determine the tests will be essential to have a more precise diagnosis.

  20. Natural variation in biomarkers indicating mastitis in healthy cows

    Åkerstedt, Maria; Forsbäck, Linda; Larsen, Torben


    Dairy herds are expanding and, with increasing numbers of animals in each herd, there is a need for automatic recording of indicators in milk in order to detect mastitis, inflammation of the udder. A number of biomarkers for mastitis have been suggested over the years. Mastitis usually occurs...... in one of the four udder quarters and since it is now possible to milk each udder quarter separately in automated milking systems, it is important to evaluate the normal variation in the biomarkers at udder quarter level. This study evaluated the normal variations between milkings for some biomarkers...... in clinically healthy cows, determined by repeated somatic cell count and bacteriological analysis. The biomarkers studied were serum amyloid A (SAA), haptoglobin (Hp), lactate dehydrogenase (LDH), N-acetyl-β-d-glucosaminidase (NAGase) and alkaline phosphatase (AP), parameters that have been suggested...

  1. Therapeutic efficacy of Chymotrypsin in acute bovine mastitis

    Marco Leal G


    Full Text Available Objective. To evaluate the therapeutic efficacy of a proteolytic drug “chymotrypsin” combined with beta-lactam antibiotics in cows with acute mastitis. Material and Methods. Fourteen cows with acute mastitis. Three cows were treated with a beta-latam antibiotic (BLA and the other eleven cows were treated with chymotrypsin plus beta-lactam antibiotic (C+BLA. The response was evaluated according to the semiological findings, somatic cell count (SCC and a microbiological culture. Results. There was a therapeutic efficacy comparing the pre and post treatment period (SCC reduction, p<0.01 and a reduction of clinical signs in 84.7% of treated quarters in the first day of treatment (C+BLA compared with (BLA. Conclusions. Chymotrypsin improves the treatment of acute mastitis when is combined with BLA, controlling the infected mammary glands, compared with the group treated only with amoxicilina and clavulanic acid.




    Full Text Available Two hundred fore-milk samples collected from 200 mastitis quarters of buffaloes (clinically mastitis quarters n = 17, sub-clinically mastitis quarters n = 183 were subjected to microbiological examination. The diagnosis of sub-clinical mastitis was based on the results of Surf Field Mastitis Test (SFMT. A total of 214 isolates of 13 different microbial species were recovered. Staphylococcus aureus was the most frequently recovered bacterial species accounting for 49.53% of all the isolates, followed by Streptococcus agalactiae (23.83%, Staphylococcus hyicus (8.88%, Staphylococcus epidermidis (6.54%, Bacillus spp. (3.74%, Staphylococcus hominis (1.40%, Escherichia coli (1.40%, Staphylococcus xylosus (0.93%, Streptococcus dysgalactiae (0.93% and Corynebacterial spp. (0.93%. Yeast and prototheca each accounted for 0.47 percent of isolates. Two (0.93% isolates were identified as coagulase negative staphylococci species. In view of preponderance of the contagious pathogens (S. aureus, Str. agalactiae, it is recommended that mastitis control in the area of study should be based on contagious mastitis control practice.

  3. Associations between pathogen-specific cases of subclinical mastitis and milk yield, quality, protein composition, and cheese-making traits in dairy cows.

    Bobbo, T; Ruegg, P L; Stocco, G; Fiore, E; Gianesella, M; Morgante, M; Pasotto, D; Bittante, G; Cecchinato, A


    The aim of this study was to investigate associations between pathogen-specific cases of subclinical mastitis and milk yield, quality, protein composition, and cheese-making traits. Forty-one multibreed herds were selected for the study, and composite milk samples were collected from 1,508 cows belonging to 3 specialized dairy breeds (Holstein Friesian, Brown Swiss, and Jersey) and 3 dual-purpose breeds of Alpine origin (Simmental, Rendena, and Grey Alpine). Milk composition [i.e., fat, protein, casein, lactose, pH, urea, and somatic cell count (SCC)] was analyzed, and separation of protein fractions was performed by reversed-phase high performance liquid chromatography. Eleven coagulation traits were measured: 5 traditional milk coagulation properties [time from rennet addition to milk gelation (RCT, min), curd-firming rate as the time to a curd firmness (CF) of 20 mm (k20, min), and CF at 30, 45, and 60 min from rennet addition (a30, a45, and a60, mm)], and 6 new curd firming and syneresis traits [potential asymptotical CF at an infinite time (CFP, mm), curd-firming instant rate constant (kCF, % × min(-1)), curd syneresis instant rate constant (kSR, % × min(-1)), modeled RCT (RCTeq, min), maximum CF value (CFmax, mm), and time at CFmax (tmax, min)]. We also measured 3 cheese yield traits, expressing the weights of total fresh curd (%CYCURD), dry matter (%CYSOLIDS), and water (%CYWATER) in the curd as percentages of the weight of the processed milk, and 4 nutrient recovery traits (RECPROTEIN, RECFAT, RECSOLIDS, and RECENERGY), representing the percentage ratio between each nutrient in the curd and milk. Milk samples with SCC > 100,000 cells/mL were subjected to bacteriological examination. All samples were divided into 7 clusters of udder health (UH) status: healthy (cows with milk SCC cheese production was observed in the 2 UH status groups with the highest milk SCC (i.e., contagious IMI and culture-negative samples with high SCC), revealing a discrepancy

  4. Effects of clinical mastitis caused by gram-positive and gram-negative bacteria and other organisms on the probability of conception in New York State Holstein dairy cows.

    Hertl, J A; Gröhn, Y T; Leach, J D G; Bar, D; Bennett, G J; González, R N; Rauch, B J; Welcome, F L; Tauer, L W; Schukken, Y H


    The objective of this study was to estimate the effects of different types of clinical mastitis (CM) on the probability of conception in New York State Holstein cows. Data were available on 55,372 artificial inseminations (AI) in 23,695 lactations from 14,148 cows in 7 herds. We used generalized linear mixed models to model whether or not a cow conceived after a particular AI. Independent variables included AI number (first, second, third, fourth), parity, season when AI occurred, farm, type of CM (due to gram-positive bacteria, gram-negative bacteria, or other organisms) in the 6 wk before and after an AI, and occurrence of other diseases. Older cows were less likely to conceive. Inseminations occurring in the summer were least likely to be successful. Retained placenta decreased the probability of conception. Conception was also less likely with each successive AI. The probability of conception associated with the first AI was 0.29. The probability of conception decreased to 0.26, 0.25, and 0.24 for the second, third, and fourth AI, respectively. Clinical mastitis occurring any time between 14 d before until 35 d after an AI was associated with a lower probability of conception; the greatest effect was an 80% reduction associated with gram-negative CM occurring in the week after AI. In general, CM due to gram-negative bacteria had a more detrimental effect on probability of conception than did CM caused by gram-positive bacteria or other organisms. Furthermore, CM had more effect on probability of conception immediately around the time of AI. Additional information about CM (i.e., its timing with respect to AI, and whether the causative agent is gram-positive or gram-negative bacteria, or other organisms) is valuable to dairy personnel in determining why some cows are unable to conceive in a timely manner. These findings are also beneficial for the management of mastitic cows (especially those with gram-negative CM) when mastitis occurs close to AI.

  5. Mastitis diagnosis in ten Galician dairy herds (NW Spain) with automatic milking systems

    Castro, A.; Pereira, J.M.; Amiama, C.; Bueno, J.


    Over the last few years, the adoption of automatic milking systems (AMS) has experienced significant increase. However, hardly any studies have been conducted to investigate the distribution of mastitis pathogens in dairy herds with AMS. Because quick mastitis detection in AMS is very important, the primary objective of this study was to determine operational reliability and sensibility of mastitis detection systems from AMS. Additionally, the frequency of pathogen-specific was determined. For this purpose, 228 cows from ten farms in Galicia (NW Spain) using this system were investigated. The California Mastitis Test (CMT) was considered the gold-standard test for mastitis diagnosis and milk samples were analysed from CMT-positive cows for the bacterial examination. Mean farm prevalence of clinical mastitis was 9% and of 912 milk quarters examined, 23% were positive to the AMS mastitis detection system and 35% were positive to the CMT. The majority of CMT-positive samples had a score of 1 or 2 on a 1 (lowest mastitis severity) to 4 (highest mastitis severity) scale. The average sensitivity and specificity of the AMS mastitis detection system were 58.2% and 94.0% respectively being similar to other previous studies, what could suggest limitations for getting higher values of reliability and sensibility in the current AMSs. The most frequently isolated pathogens were Streptococcus dysgalactiae (8.8%), followed by Streptococcus uberis (8.3%) and Staphylococcus aureus (3.3%). The relatively high prevalence of these pathogens indicates suboptimal cleaning and disinfection of teat dipping cups, brushes and milk liners in dairy farms with AMS in the present study. (Author)

  6. Mastitis diagnosis in ten Galician dairy herds (NW Spain with automatic milking systems

    Angel Castro


    Full Text Available Over the last few years, the adoption of automatic milking systems (AMS has experienced significant increase. However, hardly any studies have been conducted to investigate the distribution of mastitis pathogens in dairy herds with AMS. Because quick mastitis detection in AMS is very important, the primary objective of this study was to determine operational reliability and sensibility of mastitis detection systems from AMS. Additionally, the frequency of pathogen-specific was determined. For this purpose, 228 cows from ten farms in Galicia (NW Spain using this system were investigated. The California Mastitis Test (CMT was considered the gold-standard test for mastitis diagnosis and milk samples were analysed from CMT-positive cows for the bacterial examination. Mean farm prevalence of clinical mastitis was 9% and of 912 milk quarters examined, 23% were positive to the AMS mastitis detection system and 35% were positive to the CMT. The majority of CMT-positive samples had a score of 1 or 2 on a 1 (lowest mastitis severity to 4 (highest mastitis severity scale. The average sensitivity and specificity of the AMS mastitis detection system were 58.2% and 94.0% respectively being similar to other previous studies, what could suggest limitations for getting higher values of reliability and sensibility in the current AMSs. The most frequently isolated pathogens were Streptococcus dysgalactiae (8.8%, followed by Streptococcus uberis (8.3% and Staphylococcus aureus (3.3%. The relatively high prevalence of these pathogens indicates suboptimal cleaning and disinfection of teat dipping cups, brushes and milk liners in dairy farms with AMS in the present study.

  7. Virulence Genes and PFGE Profiles of Staphylococcus aureus Isolated from Cows with Subclinical and Clinical Mastitis%乳房炎奶牛金黄色葡萄球菌毒素基因的检测及PFGE分型研究

    王新; 俞英; 韦艺媛; 张静; 周婷; 梁珍娟; 杨保伟; 席美丽; 夏效东; 孟江洪


    作者针对临床及亚临床乳房炎奶牛乳汁中金黄色葡萄球菌分离株的毒素基因进行检测和脉冲场凝胶电泳(PFGE)基因分型,比较2种类型乳房炎金黄色葡萄球菌分离株的差异.无菌法采集奶样,采用国际标准方法从中分离金黄色葡萄球菌,用多重PCR方法扩增nuc基因和mecA基因以确证金黄色葡萄球菌(SA)和耐甲氧西林金黄色葡萄球菌(MRSA).进一步用PCR方法检测SA的各种毒素基因(SEs、ETs、TSST 1和PVL基因等).利用限制性内切酶Sma Ⅰ对SA基因组DNA进行酶切和PFGE分析,最后利用BioNumerics软件进行聚类分析.结果:19.3%(23/119)的临床乳房炎奶样和14.8%(26/176)的亚临床乳房炎奶样确定为金黄色葡萄球菌阳性样品,分别从中分离鉴定出43株和26株金黄色葡萄球菌,其中临床乳房炎分离株中有5株为mecA基因阳性.临床乳房炎奶牛奶样中检测到SA的SEA、SEB、SED、SEJ和PVL毒素基因,检出率分别为3.8%(1株)、11.5%(3株)、19.2%(5株)、7.7%(2株)和31.2%(10株);亚临床乳房炎奶牛乳样中仅检测到SA的SEA和PVL毒力基因,检出率分别为7.0%(3株)和84.1%(37株).表明临床与亚临床乳房炎奶牛乳汁中SA菌株携带的毒素基因不一样,SEs可能是临床乳房炎菌株的重要致病基因,PVL可能是亚临床乳房炎菌株的重要致病基因.69株SA使用Sma Ⅰ酶切分型后,可分为7个大簇、50个基因型,来源相同的SA分型后大部分位于同一簇内.临床乳房炎奶牛乳汁中检测到MRSA菌株,PVL基因在亚临床乳房炎中的检出率为临床乳房炎的2.7倍.PFGE方法能较好的区分临床乳房炎和亚临床乳房炎的SA分离菌株.%The aim of the present study was to investigate toxin genes properties and PFGE profiles of S. aureus strains (SA) isolated from cows with subclinical mastitis and clinical mastitis.For this purpose, milk samples were sterilely collected from Chinese Holstein cows with

  8. Genome-Wide Association Study with Sequence Variants Identifies Candidate Genes for Mastitis Resistance in Dairy Cattle

    Sahana, Goutam; Guldbrandtsen, Bernt; Bendixen, Christian;

    Effect Predictor (VEP) vers. 2.6 using ENSEMBL vers. 67 databases. Candidate polymorphisms affecting clinical mastitis were selected based on their association with the traits and functional annotations. A strong positional candidate gene for mastitis resistance on chromosome-6 is the NPFFR2 which...

  9. Spatial patterns of recorded mastitis incidence and somatic cell counts in Swedish dairy cows: implications for surveillance

    Cecilia Wolff


    Full Text Available Clinical mastitis (CM is the most common veterinary treated disease in Swedish dairy cattle. To investigate if the distribution of veterinary registered cases of CM in Sweden follows that of the spatial distribution of cows with high somatic cell counts (SCCs, the spatial distribution of CM odds was estimated from available records and compared with udder health measures based on measurements of SCC derived from official milk recording. The study revealed areas with significantly lower odds for CM but with a high proportion of cows with a poor udder health score, suggesting an under-reporting of CM. We also found areas of significantly higher odds for CM despite a low proportion of cows with a poor udder health score, suggestive of over-treatment of mastitis. The results should enable targeted studies of reasons for discrepancies, e.g. farmers’ and veterinarians’ attitudes to mastitis treatment and disease recording in areas with a deficit or excess of registered CM cases. High quality disease records for dairy cattle are of interest not only for the dairy management but also for disease surveillance, monitoring of use of antibiotics and food safety purposes.

  10. Clinical effect of trichosanthes arctium lappa decoction combined with external application of mirabilite in the treatment of acute mastitis stagnation period%瓜蒌牛蒡汤加减联合芒硝外敷治疗急性乳腺炎郁滞期的临床观察



    目的:探讨瓜蒌牛蒡汤加减联合芒硝外敷治疗急性乳腺炎郁滞期的临床效果,进一步指导临床。方法选取2012年1月~2014年1月在本院门诊治疗的急性乳腺炎郁滞期患者60例,按照随机对照的原则,将患者分为观察组和对照组,每组各30例,观察组30例患者给予瓜蒌牛蒡汤加减联合芒硝外敷治疗,对照组30例患者给予单纯的硫酸镁湿热敷治疗,观察对比两组的临床治疗效果以及治疗时间。结果观察组治疗总有效率明显优于对照组,差异具有统计学意义(P<0.05),观察组的治疗时间明显少于对照组,差异具有统计学意义(P<0.05)。结论瓜蒌牛蒡汤加减联合芒硝外敷治疗急性乳腺炎郁滞期临床疗效显著,降低了脓肿的形成,有效的减轻患者的痛苦,保证母乳喂养率。%Objective To discuss the clinical effect of trichosanthes arctium lappa decoction combined with external application of mirabilite in the treatment of acute mastitis stagnation period for further clinical guide. Methods Choosing 60 patients with acute mastitis stagnation period from January 2012 to January 2014 in our hospital, outpatient treatment of patients, according to the principle of randomized controlled, the patients were divided into observation group and control group, 30 cases in each group, the observation group of 30 cases were treated with trichosanthes arctium lappa decoction combined with external application of mirabilite treatment, 30 cases in the control group were treated with magnesium sulfate wet compress simple treatment, the clinical therapeutic effect of two groups were compared and the treatment time. Results In observation group, the total efficiency of treatment was better than the control group, the difference was significant, with statistical significance(P<0.05), the treatment time of observation group was less than that of control group, the difference was significant, with

  11. 超声在非哺乳期乳腺炎和乳腺癌鉴别诊断中的临床应用价值%Clinical application value of ultrasound in the differential diagnosis of non-lactating mastitis and breast cancer



    Objective:To evaluate the clinical application value of ultrasound in the differential diagnosis of non-lactating mastitis (NLM) and breast cancer.Methods:The ultrasonographic characteristics of patients with breast cancer and patients with non-lactating mastitis were analyzed retrospectively.Results:The coincidence rate of ultrasound diagnosis of non-lactating mastitis was 80.0%.The coincidence rate of ultrasound diagnosis of breast cancer was 91.7%.Conclusion:The ultrasonographic manifestations of non-lactating mastitis was different from that of breast cancer.Ultrasound was the preferred method of examination in the differential diagnosis of non-lactating mastitis and breast cancer.%目的:评价超声在非哺乳期乳腺炎(NLM)和乳腺癌鉴别诊断中的临床应用价值。方法:回顾性分析乳腺癌患者和非哺乳期乳腺炎患者的超声声像图特点。结果:非哺乳期乳腺炎超声诊断符合率80.0%。乳腺癌超声诊断符合率91.7%。结论:非哺乳期乳腺炎和乳腺癌超声声像图表现不同。超声是非哺乳期乳腺炎和乳腺癌鉴别诊断的首选检查方法。

  12. Tylosin susceptibility of Staphylococci from bovine mastitis.

    Entorf, Monika; Feßler, Andrea T; Kadlec, Kristina; Kaspar, Heike; Mankertz, Joachim; Peters, Thomas; Schwarz, Stefan


    Although the 16-membered macrolide tylosin is commonly used for the treatment of bovine mastitis, little information is currently available about the susceptibility of mastitis pathogens to tylosin. In the present study, 112 Staphylococcus aureus and 110 coagulase-negative Staphylococcus (CoNS) spp. isolates from cases of bovine mastitis were tested by broth microdilution and agar disk diffusion with 30 μg tylosin disks. Susceptibility to erythromycin was tested by broth microdilution and disk diffusion using 15 μg disks. Both test populations showed bimodal distributions of minimal inhibitory concentrations (MICs) and zone diameters with eleven S. aureus and eight CoNS isolates showing tylosin MICs of ≥ 256 μg/ml and no zones of growth inhibition around the tylosin 30 μg disks. All 19 isolates with tylosin MICs of ≥ 256 μg/ml were also resistant to erythromycin. For six additional erythromycin-resistant isolates, tylosin MICs of 1-8 μg/ml were observed. One S. aureus and two CoNS isolates showed inducible macrolide resistance. PCR analysis of the 25 erythromycin-resistant staphylococcal isolates identified the resistance genes erm(A), erm(B), erm(C), erm(T), mph(C) and msr(A) alone or in different combinations. An excellent correlation between the results of the different tylosin susceptibility tests (broth microdilution versus disk diffusion) was seen for S. aureus and CoNS isolates. Since tylosin does not induce the expression of the aforementioned erm genes, isolates with an inducible resistance phenotype may - if only tylosin is tested - be falsely classified as tylosin-susceptible. Thus, erythromycin should be tested in parallel and tylosin should only be used for the treatment of infections caused by erythromycin-susceptible staphylococci.

  13. Association between a case study of asymptomatic ovine listerial mastitis and the contamination of soft cheese and cheese processing environment with Listeria monocytogenes in Portugal.

    Pintado, Cristina M B S; Grant, Kathie A; Halford-Maw, Robin; Hampton, Mike D; Ferreira, Maria A S S; McLauchlin, Jim


    For 5 months, the udders of milking ewes, raw ewe's milk, cheese, and the plant and environment of a cheese manufacturer in Portugal were investigated using standard methods for the presence of Listeria spp. An association between subclinical mastitis and Listeria monocytogenes in a single lactating sheep was investigated by visual inspection of udders for signs of inflammation, application of somatic cell counts, the California mastitis test, pH measurement to milk, and culture of L. monocytogenes and Staphylococcus spp. To track the routes of contamination by L. monocytogenes, 103 isolates were characterized by molecular serotyping and amplified fragment length polymorphism, and a selection was further tested by pulsed-field gel electrophoresis. This study provides molecular and epidemiological evidence tracking the persistence of a single L. monocytogenes strain causing a subclinical udder infection without obvious inflammation in a single ewe. This infection was the likely source of contamination of raw milk that was subsequently used to produce unpasteurised milk cheese and resulted in a single strain of this bacterium colonizing the processing environment and the final cheese product.

  14. Electrical conductivity of milk: ability to predict mastitis status.

    Norberg, E; Hogeveen, H; Korsgaard, I R; Friggens, N C; Sloth, K H M N; Løvendahl, P


    Electrical conductivity (EC) of milk has been introduced as an indicator trait for mastitis over the last decade, and it may be considered as a potential trait in a breeding program where selection for improved udder health is included. In this study, various EC traits were investigated for their association with udder health. In total, 322 cows with 549 lactations were included in the study. Cows were classified as healthy or clinically or subclinically infected, and EC was measured repeatedly during milking on each quarter. Four EC traits were defined; the inter-quarter ratio (IQR) between the highest and lowest quarter EC values, the maximum EC level for a cow, IQR between the highest and lowest quarter EC variation, and the maximum EC variation for a cow. Values for the traits were calculated for every milking throughout the entire lactation. All EC traits increased significantly (P < 0.001) when cows were subclinically or clinically infected. A simple threshold test and discriminant function analysis was used to validate the ability of the EC traits to distinguish between cows in different health groups. Traits reflecting the level rather than variation of EC, and in particular the IQR, performed best to classify cows correctly. By using this trait, 80.6% of clinical and 45.0% of subclinical cases were classified correctly. Of the cows classified as healthy, 74.8% were classified correctly. However, some extra information about udder health status was obtained when a combination of EC traits was used.

  15. B-mode and Doppler sonography of the mammary glands in dairy goats for mastitis diagnosis.

    Santos, V J C; Simplício, K; Sanchez, D; Coutinho, L; Teixeira, P; Barros, F; Almeida, V; Rodrigues, L; Bartlewski, P; Oliveira, M; Feliciano, M; Vicente, W


    This study aimed to evaluate the sonographic characteristics of the udder and teats and to determine the Doppler indexes of mammary artery in healthy and undergoing subclinical and clinical mastitis goats. Thirty animals among Saanen and Alpine Brown goats were arranged in three groups, healthy goats (HG), goats with subclinical mastitis (SMG) and goats with clinical mastitis (CMG). Using the B-mode, the sonographic characteristics (echotexture and echogenicity) and biometry (diameter and area of the udder cistern, diameter and area of the teat cistern and thickness of the teat wall) were evaluated. Using Doppler ultrasonography, the vascular indexes of the mammary artery were obtained. It was observed hyperechogenicity with solid component in the gland cistern when comparing animals with clinical mastitis and healthy mammary tissue. Regarding the echotexture of the breast tissue, there was heterogeneity in the mammary parenchyma on the three groups, for the milk, it was observed homogeneity for animals on HG and SMG and heterogeneity for animals on CMG. Grey-scale quantitative assessment revealed increase in echogenicity (mean value) for all the structures when comparing the three groups. Biometry did not reveal statistical difference between groups, for none of the evaluated structures. Doppler examination of the mammary artery showed the decrease of end diastolic velocity and raise of pulsatility index between groups. The association of B-mode and Doppler ultrasonography is useful for the evaluation of the udder of dairy goats with mastitis. It is a sensitive and specific method for the study of this disease. Doppler mode was unable to establish reliable criteria for diagnosis of subclinical mastitis. Moreover, the quantification of echogenicity is a useful technique for the evaluation of the milk in animals with mastitis; therefore, it is suggested that it can be used as complementary technique for the diagnosis of mastitis in goats.

  16. Use of on-farm data to guide treatment and control mastitis caused by Streptococcus uberis


    Treatment of mastitis is the most common reason for use of antimicrobial agents in dairy cattle. The responsible use of antimicrobials could be strengthened by knowledge of predictors for cure, which would help to tailor treatment decisions. Ideally, to allow for widespread uptake, this would be achieved using data that are routinely available. To assess whether this is feasible in practice, farmers were invited to submit milk samples from mastitis cases to their veterinary practice for bacte...

  17. 从风论治浆细胞性乳腺炎31例%38 Patients with Plasma Cell Mastitis Treated from Wind Theory

    郭宇飞; 蔡文敏


    目的:观察从风论治浆细胞性乳腺炎的临床疗效.方法:选择31例证属风湿夹杂的浆细胞性乳腺炎患者,该类患者均为2009年2月-2012年6月本院乳腺科住院病人,治疗以疏散风热、健脾理湿为原则,具体方法为口服消风散加减,并配合其他疗法,观察该类患者治疗前后疾病改善情况.结果:31例浆细胞性乳腺炎患者经过治疗后,治愈15例,显效10例,有效5例,无效1例,总有效率96.8%.结论:从风论治浆细胞性乳腺炎效果良好.%Objective:To observe the clinical effect of treating plasma cell mastitis from the wind theory.Methods:31 patients with plasma cell mastitis were selected from February 2009 to June 2012 in the hospital.The treatment principle was to disperse wind-heat and to strengthen spleen and eliminate damp.Modified Xiaofeng Powder and other treatments were used.The improvement in these patients was observed before and after treatment.Results:Among 31 cases of patients with plasma cell mastitis after treatment,15 cases were cured,10 cases were markedly effective,5 cases were effective,and 1 case was in vain.The total effective rate was 96.8%.Conclusion:The treatment from wind has good effect for treating plasma cell mastitis.

  18. [Congenital retinal folds in different clinical cases].

    Munteanu, M


    We present 12 clinical cases of congenital retinal folds with different etiologies: posterior primitive vitreous persistency and hyperplasia (7 cases),retinocytoma (1 case). retinopathy of prematurity (1 case), astrocytoma of the retina (1 case), retinal vasculitis (1 case), Goldmann-Favre syndrome (1 case). Etiopathogenic and nosological aspects are discussed; the congenital retinal folds are interpreted as a symptom in a context of a congenital or acquired vitreo-retinal pathology.

  19. Acute Escherichia coli mastitis in dairy cattle: diagnostic parameters associated with poor prognosis.

    Hagiwara, Seiichi; Mori, Kouichiro; Okada, Hiroyuki; Oikawa, Shin; Nagahata, Hajime


    This study aimed to identify the diagnostic characteristics associated with poor prognosis and mortality in dairy cows with acute clinical Escherichia coli mastitis. On 17 dairy farms, 24 dairy cows with acute E. coli mastitis that had received therapeutic treatment were categorized into 2 groups by outcome: 17 cows that recovered (survivors) and 7 cows that died or were euthanized (non-survivors). Two days after onset of acute E. coli mastitis, dysstasia was observed in non-survivors, but not in survivors. Compared with survivors, significantly increased hematocrit (HCT) values and non-esterified fatty acid (NEFA) concentrations, and significantly decreased antithrombin activity and platelet counts were found in non-survivors on days 2 and 3 after therapy. Dysstasia, associated with decreased antithrombin activity and platelet counts, and with increased HCT and NEFA concentrations, was considered to be the major prognostic indicator associated with high mortality after therapeutic treatment in acute E. coli mastitis.

  20. Fine Mapping QTL for mastitis resistance on BTA9 in three Nordic red cattle breeds

    Sahana, G; Lund, M S; Andersson-Eklund, L;


    A QTL affecting clinical mastitis and/or somatic cell score (SCS) has been reported previously on chromosome 9 from studies in 16 families from the Swedish Red and White (SRB), Finnish Ayrshire (FA) and Danish Red (DR) breeds. In order to refine the QTL location, 67 markers were genotyped over...... mastitis to be mapped to a small interval (BM4208 and INRA084. This QTL showed a pleiotropic effect on SCS in the DR and SRB breeds. Haplotypes associated with variations in mastitis resistance were identified. The haplotypes were predictive in the general population and can be used in marker......-assisted selection. Pleiotropic effects of the mastitis QTL were studied for three milk production traits and eight udder conformation traits. This QTL was also associated with yield traits in DR but not in FA or SRB. No QTL were found for udder conformation traits on chromosome 9...

  1. Application of the Support Vector Machine to Predict Subclinical Mastitis in Dairy Cattle

    Nazira Mammadova


    Full Text Available This study presented a potentially useful alternative approach to ascertain the presence of subclinical and clinical mastitis in dairy cows using support vector machine (SVM techniques. The proposed method detected mastitis in a cross-sectional representative sample of Holstein dairy cattle milked using an automatic milking system. The study used such suspected indicators of mastitis as lactation rank, milk yield, electrical conductivity, average milking duration, and control season as input data. The output variable was somatic cell counts obtained from milk samples collected monthly throughout the 15 months of the control period. Cattle were judged to be healthy or infected based on those somatic cell counts. This study undertook a detailed scrutiny of the SVM methodology, constructing and examining a model which showed 89% sensitivity, 92% specificity, and 50% error in mastitis detection.

  2. [Vertical fractures: apropos of 2 clinical cases].

    Félix Mañes Ferrer, J; Micò Muñoz, P; Sánchez Cortés, J L; Paricio Martín, J J; Miñana Laliga, R


    The aim of the study is to present a clinical review of the vertical root fractures. Two clinical cases are presented to demonstrates the criteria for obtaining a correct diagnosis of vertical root fractures.

  3. 哺乳期急性乳腺炎强化护理的临床研究%Clinical research on strengthening nursing care of patients with acute mastitis in lactation stage

    杨凯平; 李明; 徐红; 谢景红; 任艳军


    @@ 乳腺炎(mastitis)是发生于乳房组织的一种感染性或非感染性炎症性疾病.哺乳期急性乳腺炎(acute mastitis)多由金黄色葡萄球菌感染引起,如治疗延误易发展成乳腺脓肿(breast abscess)[1,2],发生率为3%~20%[3,4].

  4. Bovine Mastitis: Frontiers in Immunogenetics

    Kathleen eThompson-Crispi


    Full Text Available Mastitis is one of the most prevalent and costly diseases in the dairy industry with losses attributable to reduced milk production, discarded milk, early culling, veterinary services, and labor costs. Typically, mastitis is an inflammation of the mammary gland most often, but not limited to, bacterial infection, and is characterized by the movement of leukocytes and serum proteins from the blood to the site of infection. It contributes to compromised milk quality and the potential spread of antimicrobial resistance if antibiotic treatment is not astutely applied. Despite the implementation of management practises and genetic selection approaches, bovine mastitis control continues to be inadequate. However, some novel genetic strategies have recently been demonstrated to reduce mastitis incidence by taking advantage of a cow’s natural ability to make appropriate immune responses against invading pathogens. Specifically, dairy cattle with enhanced and balanced immune responses have a lower occurrence of disease, including mastitis, and they can be identified and selected for using the High Immune Response (HIR technology. Enhanced immune responsiveness is also associated with improved response to vaccination, increased milk and colostrum quality. Since immunity is an important fitness trait, beneficial associations with longevity and reproduction are also often noted. This review highlights the genetic regulation of the bovine immune system and its vital contributions to disease resistance. Genetic selection approaches currently used in the dairy industry to reduce the incidence of disease are reviewed, including the HIR technology, genomics to improve disease resistance or immune response, as well as the Immunity+TM sire line. Improving the overall immune responsiveness of cattle is expected to provide superior disease resistance, increasing animal welfare and food quality while maintaining favourable production levels to feed a growing

  5. Uveal effusion syndrome (clinical case

    Yu. A. Belyy


    Full Text Available The purpose — to evaluate the effectiveness of the posterior sclerectomy with the corneal trepan in a uveal effusion syndrome.Patients and methods. Patient 1. The man, 61 years, complained about a blindness of the right eye and the progressing decrease in vision of the left eye. According to data of examinations the diagnosis was: uveal effusion syndrome, detachment of the choroid, exudative retinal detachment, the complicated cataract of both eyes. Patient 2. The man, 62 years, with complaints to low vision of the right eye and a blindness of the left-hand eye. Diagnosis: uveal effusion syndrome, detachment of the choroid, exudative retinal detachment, the initial complicated cataract of the right eye. Subatrophy operated retinal detachment, complicated cataract, silicone into the vitreal cavity of the left eye. Both patients underwent trepanation posterior sclera. Results. The patient 1noted significant improvement of vision in both eyes at the last examination. Мisual acuity with correction was OD — 0,2, OS — 0.3. Intraocular pressure was normal, improvement of electrical sensitivity and lability was diagnosed. On ultrasound examination of the retina belonged, moderate swelling of the choroid remained. Patient 2. Visual acuity was 0,1 + 3,0 D at the time of the last inspection. According to the ultrasonic B-scan of the right eye retinal detachment decreased to 3,8 mm, moderate swelling of the choroid remained. The OСT has showed detachment of the neuroepithelium in the macula to 60 μm. In ultrasonic biomicroscopy circular, ciliochoroidal detachment to 0,15 mm was diagnised.Conclusion. Described clinical cases confirmed the almost complete recovery of patients with the uveal effusion syndrome. Sclerectomy with the use of corneal trepan is a technically simple procedure and helps to define the path of the outflow suprachoroidal fluid subtenon space.

  6. Probiotics and mastitis: evidence-based marketing?

    Amir, Lisa H; Griffin, Laura; Cullinane, Meabh; Garland, Suzanne M


    Probiotics are defined as live micro-organisms, which when administered in adequate amounts, confer health benefits on the host. Scientists have isolated various strains of Lactobacilli from human milk (such as Lactobacillus fermentum and Lactobacillus salivarius), and the presence of these organisms is thought to be protective against breast infections, or mastitis. Trials of probiotics for treating mastitis in dairy cows have had mixed results: some successful and others unsuccessful. To date, only one trial of probiotics to treat mastitis in women and one trial to prevent mastitis have been published. Although trials of probiotics to prevent mastitis in breastfeeding women are still in progress, health professionals in Australia are receiving marketing of these products. High quality randomised controlled trials are needed to assess the effectiveness of probiotics for the prevention and/or treatment of mastitis.

  7. Retrospective stuclies on lactation mastitis distribution in breast

    LI Jian-yi; ZHANG Yang; ZHANG Wen-hai; JIA Shi; GU Xi


    Objective To find out the factors which would be likely to affect the occurrence of lactation mastitis.Methods 216 patients with lactation mastitis,who met our grouping criteria,were chosen for survey and clinical data collection.Their age,time of onset,mode of delivery,post-partum colostrum time,mastering of breast-feeding skills,feeding habits,occurring site of their mastitis and other data were input into SPSS 17.0 software,respectively,to perform retrospective analysis.Results Patients' average age and their age of first breast-feeding were all 30 years old ; the average age of their first pregnancy were 27 years old.Their initial post-natal breast-feeding was about 2 to 4 days.The onset of incidence of mastitis was about 28 days post-natal.First,second and third pregnancy patients represented 1/3 of the total patients respectively.63.4% patients had cesarean delivery and only 36.6% patients had vaginal delivery; 91.7% were outpatients and 8.3% patients were inpatients.10.6% patients had abscess and 89.4% patients hadn't.The distribution ratio of inflammation in the upper outer,lower outer,lower inner and upper inner quadrants of the breast was 30.6%,48.1%,19%,2.3% respectively.If the mode of delivery is considered as a factor to investigate incidence time of mastitis and postpartum colostrums time,no significant difference between the two groups was found (P > 0.05).Our survey indicated that 79.2% patients did not have any knowledge of breastfeeding,8.8% patients got the breast-feeding knowledge from their mothers,11.6% patients got the breastfeeding knowledge from books or web resources,only 0.5% of the patients participated in the training of breast-feeding.76.9% patients never had breast massage,19% of patients had a few times of massage,2.8% of patients had occasional massage,and only 1.4% of patients had regular breast massage with the help of their family.85.6% patients didn't have their breasts emptied from breast

  8. Recurrent peroneal neuropathy in adolescent: clinical case

    V. A. Bulanova


    Full Text Available The clinical case of hereditary neuropathy with liability to pressure palsies (HNPP confirmed the results of DNA diagnostics is described. Clinical and electrophysiological features of the course of HNPP in adolescent is analyzed. Many various illnesses require exclusion in case of the foot extensor paresis.

  9. Recurrent peroneal neuropathy in adolescent: clinical case

    V. A. Bulanova; D. S. Druzhinin


    The clinical case of hereditary neuropathy with liability to pressure palsies (HNPP) confirmed the results of DNA diagnostics is described. Clinical and electrophysiological features of the course of HNPP in adolescent is analyzed. Many various illnesses require exclusion in case of the foot extensor paresis.

  10. 负压封闭引流治疗注射式隆乳产后并发急性乳腺炎的临床观察%Clinical Study on Vacuum Sealing Drainage for Acute Mastitis After Augmentation Mammaplasty With Injection



    Objective To study the clinical value of vacuum sealing drainage(VSD) for acute mastitis after augmentation mammaplasty with injection. Methods This was a prospective observational study with institutional ethics approval and written consent from each participant. From January 2008 to February 2012, a total of 58 cases of acute mastitis after augmentation mammaplasty with injection by polyacrylamide hydrogel (PAHD) were included in the study. They were randomly divided into VSD group(n = 29, VSD) and control group(n = 29, traditional incision and drainage) based on admission sequence mumber. There had no significant difference between two groups among average age, total number of unilateral and bilateral mastitis patients, primipara and by maternal, postoperative time after augmentation mammaplasty with injection, ect. (P>0. 05). Results Treatment courses of VSD and traditional incision and drainage were all well tolerated. There had significance difference between two groups among wound length, number of dressing changes, pain levels, phases of wound healing and data on the use of antimicrobial agents (P0. 05). Conclusions VSD is of many adtvantages in the treatment of augmentation mammaplasty with injection such as minimally invasive, mild pain, few recurrence and complications, etc. .%目的 探讨采用负压封闭引流(VSD),治疗注射式隆乳患者产后并发急性乳腺炎的临床疗效.方法 选择2008年1月至2012年2月于本科接受治疗的聚丙烯酰胺水凝胶(PAHG)注射式隆乳产后并发急性乳腺炎的58例患者为研究对象.按照入院顺序,将其随机分成VSD组(n=29,采用VSD治疗)和对照组(n=29,采用传统切开引流治疗)(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准,得到该委员会批准).两组患者的平均年龄,单侧及双侧乳腺炎患者例数,初产妇及经产妇例数及接受隆乳术后时间等比较,差异均无统计学意义(P>0.05).结果 两组患者

  11. Prevalência da mastite bovina causada por Prototheca zopfii em rebanhos leiteiros, na região norte do Paraná Prevalence of bovine mastitis due to Prototheca zopfii in dairy cattle in north Paraná, Brazil

    Laerte Francisco Filippsen


    Full Text Available Algas do gênero Prototheca têm sido relacionadas como agente etiológico na ocorrência de mastite bovina, entretanto, nenhum caso foi relatado no estado do Paraná. O presente trabalho objetivou determinar a prevalência desta alga, enquanto agente etiológico nas mastites bovinas, em rebanhos leiteiros, na região norte do Paraná. Foram visitadas 20 propriedades produtoras de leite e realizados exames clínicos e teste do CMT (California Mastitis Test em todos os animais em lactação. A alga Prototheca zopfii foi isolada de dois animais de uma das propriedades. Todas as cepas isoladas de Prototheca zopfii mostraram-se resistentes aos antimicrobianos testados.Prototheca has been reported as an etiological agent in the occurrence of bovine mastitis, although no case has been noticed in Paraná. The aim of this work was to determine the prevalence of this algae as an etiological agent of the bovine mastitis in dairy cattle in north Paraná. Clinical exams and CMT (California Mastitis Test were done in all lactation animals raised in 20 dairy farms. The algae Prototheca zopfii was found in two animals of one farm. All the Prototheca zopfii strains were resistent against the antimicrobial agents tested.

  12. Association of bovine leukocyte antigen (BoLA) DRB3.2 with immune response, mastitis, and production and type traits in Canadian Holsteins.

    Rupp, R; Hernandez, A; Mallard, B A


    Data collected from 328 Canadian Holsteins in a research herd at the University of Guelph were used to study associations among expression of bovine leukocyte antigen (BoLA) DRB3.2 alleles, immune response, mastitis resistance via somatic cell counts (SCC), and clinical mastitis, as well as to extend these results to production and type traits. Accordingly, groups of cows were evaluated in vivo for both the antibody-mediated immune response (AMIR) and the cell-mediated immune response (CMIR), which generally predominate in responses to extracellular and intracellular pathogens, respectively. Of note was that associations between BoLA DRB3.2 alleles and immune responses tended to be in the opposite sign for the 2 AMIR and CMIR traits examined. For example, alleles DRB3.2*3 and *24 were associated with higher AMIR but lower CMIR, whereas allele *22 was associated with lower AMIR but higher CMIR. This finding is in agreement with the hypothesis that both traits are genetically independent and represent opposing type 1 and type 2 immune responses. Additionally, BoLA DRB3.2*3 and *11 were associated with lower SCC, whereas alleles *22 and *23 were associated with higher SCC. Finally, allele DRB3.2*3 was also associated with less clinical mastitis, whereas allele *8 was associated with higher mastitis risk. Allele *3 was of particular relevance because it was associated with increased antibodies, as well as reduced mastitis and SCC. This could be due to an indirect relationship between the ability to produce a high antibody response and enhanced defense against intrammamary infections caused by extracellular pathogens. Consequently, the BoLA DRB3.2*3 allele should be investigated further as a candidate for resistance to some types of intramammary infections, the important caveat being its association with lower CMIR, particularly with one of the test antigens used to evaluate delayed-type hypersensitivity. The results of associations between BoLA DRB3.2 and production

  13. Effects of environmental modification on mastitis occurrence and hormonal changes in Holstein cows

    Juliana R.P. Arcaro


    Full Text Available The purpose of this research was to evaluate the effects of evaporative cooling in freestall on mastitis occurrence, milk production, and composition, as well as cortisol, T3 (triiodothyronine, and T4 (thyroxin levels in lactating dairy cows. Twenty-eight multiparous cows averaging 70 ± 10 day postpartum were used in four treatments from January to March 2003. The treatments were: Day (cooling from 7:00 a.m. to 7:00 p.m.; Night (cooling from 7:00 p.m. to 7:00 a.m.; 24-hour (cooling 24-hour; and Control (no cooling. Wired cup test was used for clinical mastitis diagnosis, and the California Mastitis Test (CMT was used to identify subclinical mastitis. Blood and milk samples were taken weekly for microbiological and hormonal analyses. The cortisol levels were higher than normal values in all treatment groups, suggesting stress conditions, but T3 and T4 levels remained normal in all groups. The occurrence of subclinical mastitis was lower in Day and Night groups than in Control and 24-hour groups. Regarding the microbiological analyses, in all groups the isolation of Corynebacterium sp. from milk samples increased while negative coagulase staphylococci (CNS declined as etiological agents of subclinical mastitis. However, in Day and 24-hour groups, coagulase positive staphylococci (CPS increased mainly Staphylococcus aureus (49.8% and 47.7% respectively. The Night group showed a decrease in subclinical mastitis occurrences. Our data indicate that all animals subjected to treatments presented high levels of cortisol, indicating a stress condition. The Night treatment presented a reduction in microbial isolation, suggesting a reduced susceptibility to mastitis.

  14. Bovine mastitis in the metropolitan area of Curitiba: antibiotic resistance and antimicrobial control of the infection

    José Luis Parada


    Full Text Available A study from cows with mastitis was performed and Staphylococcus aureus was the predominant pathogen in 46.4 % among 153 studied strains from 276 milk samples of infected cows. Antibiotic resistance of 71 S. aureus isolates was determined in order to search resistant strains to antibiotics of clinical interest, as well as to determine their degree of multi-resistance. It was found that 60% of the S. aureus strains presented resistance to β-lactams, but none to oxacillin, teicoplamin or vancomycin. On the other hand, with the aim of reducing the use of current antibiotics and their associated resistance, a new formulation was introduced. The antimicrobial compounds (P22-P32, demonstrated to be effective in 55% of the 76 mastitis cases studied. The use of P22-P32 reduced the number of somatic cell to less than 300,000 SCC/mL-1 in 75.2 % of milk samples analyzed, normalizing the milk quality, fat and lactose levels and increasing the volume of production in 10.1 %.

  15. Subclinical mastitis effects in some dairy herds in the Upper Chicamocha River (Boyacá Department

    Andrey Pinzón Trujillo


    Full Text Available The purpose of this work was to carry out a study about the effects of subclinical mastitis in cows of 34 dairy farms in the Upper Chicamocha region (Boyacá department.The farms are registered in the livestock farmers association of Boyacá (FABEGAN. This study was done with the aim to know about the infection status of cows and establish which are the principal etiologic agents associated with the disease and its relation with the milking routine. To this aim, applied comparison even tests for the productive variables to relate with the California Mastitis Test (CMT and the microbiological characterization, a blocks design under factorial 2 x 4 array to analyze the existence of significant differences between the mastitis grades, the sample season and its interaction, and blocks design under factorial 2 x 4 array to analyze the existence of significant differences among the mastitis subclinical grades, the sampling season and its interaction. 6616 quarters were submitted to the California Mastitis Test (CMT in two times and different season. The results did not show any significant differences between the two times of sampling. The positive samples according with CMT (CMT-2 and CMT-3 were submitted to microbiological tests where, in the most of the cases of mastitis, the presence of Streptococcus agalactiae and Staphylococcus aureus was detected. They are the main etiologic agents in the disease. The results indicate the close relation between the milking routine and mastitis. The deficient practices in the milking process are the cause of dissemination and prevalence of mastitis in farms.

  16. Probiotics for human lactational mastitis.

    Fernández, L; Arroyo, R; Espinosa, I; Marín, M; Jiménez, E; Rodríguez, J M


    The use of culture-dependent and -independent techniques to study the human milk microbiota and microbiome has revealed a complex ecosystem with a much greater diversity than previously anticipated. The potential role of the milk microbiome appears to have implications not only for short- and long-term infant health but also for mammary health. In fact, mammary disbiosis, which may be triggered by a variety of host, microbial and medical factors, often leads to acute, subacute or subclinical mastitis, a condition that represents the first medical cause for undesired weaning. Multiresistance to antibiotics, together with formation of biofilms and mechanisms for evasion of the host immune response, is a common feature among the bacterial agents involved. This explains why this condition uses to be elusive to antibiotic therapy and why the development of new strategies for mastitis management based on probiotics is particularly appealing. In fact, selected lactobacilli strains isolated from breast milk have already shown a high efficacy for treatment.

  17. Hubungan antara pH Susu dengan Jumlah Sel Somatik Sebagai Parameter Mastitis Subklinik

    M. Sudarwanto


    Full Text Available The aim of this research was to measure the relationship of the pH value to the somatic cell count as a parameter of sub clinical mastitis detection. Two hundreds quarter milk samples were used in this research and the test (the pH value, IPB-1 mastitis test and Breed method was done in parallel way. The results showed that 152 samples from 200 samples (76% tested with Breed method came from the herds which suffered from sub-clinical mastitis and with IPB-1 test showed that 145 (72.5% of the samples had positive reaction. Using pH meter, it showed that 44 samples (22 % had pH > 6.75, presumed suffered from sub-clinical mastitis and 2 samples (1% showed pH < 6.30 (6.25 and 6.28. At the same time, these two samples showed a negative reaction with IPB-1 test and had somatic cell count of 360,000/ml and 280,000/ml, each. It also showed that there was a close relationship between pH value and IPB-1 test. The conclusion of this research was that the measurement of pH value was not a sensitive method for detecting sub-clinical mastitis.

  18. Susceptibilities of bovine summer mastitis bacteria to antimicrobial agents.

    Jousimies-Somer, H; Pyörälä, S.; Kanervo, A


    The susceptibility to 9 antimicrobial agents of 32 aerobic bacterial isolates and to 10 antimicrobial agents of 37 anaerobic bacterial isolates from 23 cases of bovine summer mastitis (16 Actinomyces pyogenes isolates, 8 Streptococcus dysgalactiae isolates, 3 S. uberis isolates, 3 S. acidominimus isolates, 2 Streptococcus spp., 15 Peptostreptococcus indolicus isolates, 10 Fusobacterium necrophorum isolates, and 12 isolates of anaerobic gram-negative rods) was determined by the agar dilution m...

  19. Short communication: Outbreak of methicillin-resistant Staphylococcus aureus (MRSA)-associated mastitis in a closed dairy herd.

    Guimarães, F F; Manzi, M P; Joaquim, S F; Richini-Pereira, V B; Langoni, H


    Cows are probably the main source of contamination of raw milk with Staphylococcus aureus. Mammary glands with subclinical mastitis can shed large numbers of Staph. aureus in milk. Because of the risk of this pathogen to human health as well as animal health, the aim of this paper was to describe an outbreak of mastitis caused by methicillin-resistant Staph. aureus (MRSA), oxacillin-susceptible mecA-positive Staph. aureus (OS-MRSA), and methicillin-susceptible Staph. aureus (MSSA) on a dairy farm. Milk samples were obtained from all quarters, showing an elevated somatic cell count by the California Mastitis Test. The isolates were identified by phenotypic and genotypic methods. Staphylococcus spp. were isolated from 53% (61/115) of the milk samples, with 60 isolates identified as Staph. aureus (98.4%) and 1 isolate identified as Staphylococcus epidermidis (1.6%). The presence of the mecA gene was verified in 48.3% of Staph. aureus isolates. Of the Staph. aureus isolates, 23.3% were MRSA and 25.0% were OS-MRSA. The total of mastitis cases infected with MRSA was 12.2%. The detection of this large percentage of mastitis cases caused by MRSA and OS-MRSA is of great concern for the animals' health, because β-lactams are still the most important antimicrobials used to treat mastitis. In addition, Staph. aureus isolates causing bovine mastitis represent a public health risk.

  20. Using Disguised Clinical Case Material

    Kantrowitz, Judy L.


    When, why, and how clinicians decide to write about clients are ethical concerns. There are risks and potential clinical ramifications as well as responsibilities for how these decisions are made. On the basis of 141 interviews with psychoanalysts who have published in 3 major national and international psychoanalytic journals, the author explores…

  1. Stenting:84 Cases of Clinical Application

    GUANG Yongsong


    Objective To evaluate clinical application of therapeutic stenting. Methods 84 cases were managed with stents clinically, 136 procedures of intervention in all. The cases were suffering from portal hypertension of cirrhosis, stricture of inferior vana cava, superior vana cava syndrome, post- operative esophageal stricture, narrowig of femoral, common carotid, renal, superior mesentery arteries and biliary tract, etc. Results Therapeutic stenting achieves clinical effects completely different from conventional intemal medicine and surgery. Conclusion Therapeutic stenting is clinically unique, dramatically effective, with minor risks and worthy promoting.

  2. Occurrence of lactational mastitis and medical management

    Scott, Jane A.; Robertson, Michele; Fitzpatrick, Julie


    BACKGROUND: Lactational mastitis is a painful, debilitating condition that if inappropriately managed, may lead women to discontinue breastfeeding prematurely. The aim of this paper is to report the incidence of mastitis in the first six months postpartum in a Scottish population, its impact on b...

  3. Molecular characterization and expression profile of partial TLR4 gene in association to mastitis in crossbred cattle.

    Panigrahi, Manjit; Sharma, Arjava; Bhushan, Bharat


    Crossbred cattle are more prone to mastitis in comparison to indigenous cattle. Toll-like receptor 4 (TLR4) recognizes pathogen ligands, for example, lipopolysaccharide (LPS) endotoxin from Escherichia coli and mediates signaling to initiate innate and adaptive immune responses. Mutations in TLR4 can compromise the host immune response to certain pathogens, so it may be a potential candidate for marker assisted selection to enhance mastitis resistance in dairy cattle. Hence, in this study role of bovine TLR4 gene in mastitis resistance was investigated by association as well as expression profiling analysis in crossbred cattle. The animals were divided into mastitis affected and unaffected groups on the basis of history of animals and California Mastitis Test (CMT). PCR-SSCP and Sequence analysis revealed three genotypes of coreceptor binding region 1 (CRBR1) fragment of TLR4 gene namely AA, AB, and BB in both groups of cattle. The logistic regression model did not show any significant effect of these genotypes on the occurrence of clinical mastitis. Moreover, in vitro challenge of peripheral blood mononuclear cells (PBMCs) with LPS failed to show any association of the genotypes with TLR4 gene expression. In a nutshell, in the present study enough evidence was not found for association of the SNP variants of CRBR1 fragment of TLR4 gene with mastitis susceptibility in crossbred cattle.

  4. Response to somatic cell count-based selection for mastitis resistance in a divergent selection experiment in sheep.

    Rupp, R; Bergonier, D; Dion, S; Hygonenq, M C; Aurel, M R; Robert-Granié, C; Foucras, G


    A divergent selection experiment in sheep was implemented to study the consequences of log-transformed somatic cell score (SCS)-based selection on resistance to natural intramammary infections. Using dams and progeny-tested rams selected for extreme breeding values for SCS, we created 2 groups of ewes with a strong divergence in SCS of approximately 3 genetic standard deviations. A survey of 84 first-lactation ewes of both the High and Low SCS lines indicated favorable responses to SCS-based selection on resistance to both clinical and subclinical mastitis. All clinical cases (n = 5) occurred in the High SCS line. Additionally, the frequency of chronic clinical mastitis, as detected by the presence of parenchymal abscesses, was much greater in the High SCS line (n = 21) than in the Low SCS line (n = 1). According to monthly milk bacteriological examinations of udder halves, the prevalence of infection was significantly greater (odds ratio = 3.1) in the High SCS line than in the Low SCS line, with predicted probabilities of 37 and 16%, respectively. The most frequently isolated bacteria responsible for mastitis were staphylococci: Staphylococcus auricularis (42.6% of positive samples), Staphylococcus simulans, Staphylococcus haemoliticus, Staphylococcus xylosus, Staphylococcus chromogenes, Staphylococcus lentus, Staphylococcus warneri, and Staphylococcus aureus. The incidence of positive bacteriology was greater in the High SCS line (39%) than in the Low SCS line (12%) at lambing, indicating that High SCS line ewes were especially susceptible to postpartum subclinical mastitis. Negativation of bacteriological results from one sampling time point to the next was markedly different between lines after weaning (e.g., 41 and 84% in the High and Low SCS lines, respectively). This result was consistent with differences in the duration of infection, which was much greater in the High SCS line compared with the Low SCS line. Finally, ewes from the High SCS line consistently

  5. Using Clinical Cases to Teach General Chemistry

    Dewprashad, Brahmadeo; Kosky, Charles; Vaz, Geraldine S.; Martin, Charlotte L.


    A clinical study was designed and used to show the relationship of health and medicine, in a typical clinical scenario, where many chemical principles are involved and that an integrated knowledge of chemistry and biology is essential to the understanding, diagnosing and treating of illnesses. A case study would be a positive learning experience…

  6. Correlative Analysis of Full-field Digital Mammography and MRI Findings of Breast non-lactation Mastitis%非哺乳期乳腺炎X线摄影及磁共振表现照研究

    滕妍; 郭吉敏; 曹满瑞; 张方璟; 刘炳光; 何健龙


    mastitis, and 1 case appeared malignant calcification which could final diagnosis. Conclusion It is difficult to distinguish non-lactation mastitis and breast cancer in clinical and iconography at times. X-ray mammography in combination with MRI could supply more iconography information, and improve the diagnosis accurate rate of these diseases.

  7. Isolation, Identification and Drug Susceptibility Test of Dairy Clinical Mastitis Pathogenic Bacteria%临床型乳房炎病原菌的分离鉴定及药敏试验

    陈松; 杨建辉; 李铁拴


    本研究无菌采集唐山市某奶牛场临床型乳房炎病牛的奶样30份,对奶样进行了病原菌的分离培养、生化鉴定及药敏试验。从30份奶样中共分离到8种156株细菌,其中金黄色葡萄球菌58株(37.2%)、大肠杆菌17株(10.9%)、表皮葡萄球菌1(1株(6.4%)、无乳链球菌38株(24.4%)、乳房链球菌15株(9.6%)、停乳链球菌16株(10.3%)、克雷伯氏菌1株(0.6%)、变形杆菌1株(0.6%)。结果表明,葡萄球菌、链球菌为主要病原菌,其次是大肠杆菌,占总菌数的98.7%(154/156);药敏试验结果表明,主要致病菌对中药组方1(M、G)(蒲公英、连翘、瓜蒌、通草、川芎、土贝母、芙蓉叶、金银花、王不留行、当归)、中药组方2(G)(黄芪、党参、当归、通草、川芎、白术、木通、甘草、王不留行、路路通)、中药复方黄连乳腺炎注射液(M)、新霉素呈高度敏感。%30 milk samples of clinical dairy cow mastitis were collected from a dairy cow farm of Tangshan area, and the isolation, culture and biochemical identification of pathogenic bacteria, and drug susceptibility test were carried out in this study. The results showed that 156 bacteria and 8 species were isolated from30 samples, including 58 Staphylococ-cus aureus (37.2%), 17 Escherichia Coli (10.9%), 10 Staphylococcus epidermidis 6.4%),38 Streptococcus uberis(24.4%), 15 Streptococcus mastitidis(9.6%), 16 Streptococcus dysgalactiae (10.3%), 1 Klebsiella(0.6%), 1 Bacillus termo (0.6%). Staphylococci and Streptococcus were the main bacteria for causing cow clinical mastitis. The second pathogens were Streptococcus, accounted for 98.7% (154/156). The drug susceptibility test showed that the most sensitive antibiotics to pathogenic bacteria were TCM formula l(dandelion, fructus forsythiae, Snakegourd Fruit, Ricepaperplant Pith

  8. [Herpetic encephalitis: a clinical case].

    Dryhant, L P; Sereda, V H; Kushpiĭ, O V; Tkachenko, V V; Kravchuk, N A; Inhula, N I; Sizina, A V; Sachko, Iu Iu; Andrusenko, A S; Tytenko, Iu I; Babirad, A M


    An example of diagnostics and treatment of patient is in-process made with herpetic encephalitis. It is well-proven in researches, that a herpetic encephalitis is 11.5% among sharp encephalitises. Morbidity is sporadic, some researchers specify on an increase its spring. An infection can be passed tiny and pin a way. Seasonal vibrations are not incident to the herpetic encephalitis. Two peaks of morbidity are on 5-30 years and age more senior 50 years. More than in 95% cases the virus of simple herpes of type serves as an exciter of herpetic encephalitis 1. A characteristic triad of herpetic encephalitis is the sharp feverish beginning, development of cramps of dzheksonovskogo type and violation of consciousness, developing usually after a brief respirator infection. Sometimes sudden development of cramps and loss of consciousness is preceded a fever. Example of such development of disease is made an in our work.

  9. 奶牛乳房炎的综合防治%Comprehensive Prevention and Treatment of Mastitis in Dairy Cows



    The cow mastitis is bovine mammary tissue of an inflammatory changes, according to the different clinical manifestations can be divided into two major categories of clinical mastitis and subclinical mastitis. According to statistics, clinical cow mastitis incidence rate of about 30%, and recessive mastitis incidence rate reaches as high as 70%. Therefore, the disease called cow "occupational disease". Mastitis is one of the four disease cows and harms to the cow the largest of a disease, serious impact on the cow's milk and dairy products quality, and a threat to human health.%奶牛乳房炎是奶牛乳腺组织发生的一种炎性变化,按临床表现不同可分为临床型乳房炎和隐性乳房炎两大类.据统计,临床型奶牛乳房炎的发病率约30%,而隐性奶牛乳房炎的发病率高达70%,因此,该病被称为奶牛的"职业病".奶牛乳房炎是奶牛的四大疾病之一,也是对奶牛危害最大的一种疾病,严重影响了奶牛的产奶量和乳品质量,进而威胁人的健康.

  10. An outbreak of acute bovine mastitis caused by Klebsiella pneumoniae in a dairy herd

    Silva N.


    Full Text Available An outbreak of coliform mastitis is described in a dairy herd from the State of Rio de Janeiro, Brazil. During a four-month period 14 fatal cases of Klebsiella pneumoniae-related mastitis were observed in a herd of 104 lactating cows. The symptoms included peracute enterotoxemia in which the cows died 6 to 12 h after the detection of mastitis by CMT. Staphylococcus aureus and Streptococcus agalactiae Streptococcus agalactiae were also isolated although could not be associated with cases of acute fatal mastitis. Milking practices were also evaluated. The milking machine was being used correctly and adequate precautions for hygiene and pre-milking and post-milking teat dipping were used. The organism was sensitive to gentamicin. Therapy for acute toxic mastitis required early action for the treatment of infections, involving corticosteroids and fluid therapy. The use of a Klebsiella vaccine produced from the microorganisms isolated from the herd, associated with hygiene measures, resulted in the control of the outbreak.

  11. 陆德铭分期辨治外吹乳痈经验%LU De-ming's Experience in Treating Postpartum Mastitis by Stage

    胡升芳; 陈红风


    The article summarizes experience of professor LU in treating postpartum mastitis by stage, it will be three phases of postpartum mastitis, it' s in the early treatment in order to clear, the most important means of postpartum mastitis by hand, postpartum mastitis into abscess during treatment, mainly through external; postpartum mastitis during the pyosis changing needs comprehensive treatment of various means. Combination of internal and external treatment, clinical received good results.%总结陆师分期辨治外吹乳痈经验,陆师将外吹乳痈分三期,乳痈初期内治以通为顺,外治最重手法排乳;乳痈成脓期偏外治;乳痈溃脓期多变证需多种手段综合治疗.内外治相结合,临床收到良好效果.

  12. Research progress on plasma cell mastitis%浆细胞性乳腺炎的研究进展

    胡颖恺(综述); 徐红(审校)


    目前浆细胞性乳腺炎(plasma cell mastitis, PCM)的始发因素尚不明确,发病机制仍处于探索,各期的临床表现大相径庭。对于PCM治疗仍然以手术治疗为主,但是保守治疗正逐步发展起来,笔者就近年来对于PCM的病因及诊疗发展做一综述。%At present, initiating factor of plasma cell mastitis is still unclear, and pathogenesis is still in the exploration status, clinical manifestations for all stages are different. Now operative treatment is the main type of treatment for plasma cell mastitis, but conservative treatment is developing. The author reviewed the development of the etiology, diagnosis and treatment in plasma cell mastitis in the recent years.

  13. Integrated case learning: teaching clinical reasoning.

    Radomski, Natalie; Russell, John


    Learning how to 'think like doctors' can be difficult for undergraduate medical students in their early clinical years. Our model of collaborative Integrated Case Learning (ICL) and simulated clinical reasoning aims to address these issues. Taking a socio-cultural perspective, this study investigates the reflective learning interactions and practices of clinical thinking that emerged in the ICL environment. We also explore how third year medical students perceived their ICL experiences in relation to the clinical situations encountered in the hospital setting. The context for the inquiry is a rural Clinical School in North West Victoria, Australia. We used a qualitative case study methodology following eight third-year medical students over an academic year. Individual and group interviews were conducted, together with observations and document/artefact analysis. Data was analysed using content and narrative methods. The ICL program was well received. Findings suggest that the group-based, simulated clinical reasoning process appears to help undergraduate medical students to rehearse, articulate and question their clinical decision-making pathways. We argue that the ICL process offers a professionally challenging, but supportive group learning 'space' for students to practise what it might mean to 'think', 'talk' and 'perform' like doctors in real settings. The ICL environment also appears to create a connective bridge between the 'classroom' and clinical practice.

  14. Value of acid-fast stain test in the diagnosis of non-lactational mastitis%抗酸染色对非哺乳期乳腺炎的诊断价值

    林文毅; 刘泽宇; 韩晓蓉; 王世凤; 胡志敏; 赖娜; 王敏; 余波


    目的:探讨抗酸染色对非哺乳期乳腺炎的诊断价值。方法回顾性分析2014年2~12月在成都市妇女儿童中心医院经临床确诊的54例非哺乳期乳腺炎患者的临床资料,并收集患者的乳腺组织标本,包括33例导管周围乳腺炎(PDM)和21例肉芽肿性乳腺炎(GM)。对所有组织标本进行常规病理检查和抗酸染色,以便查找非结核性分支杆菌。 PDM 与 GM 抗酸染色阳性率的比较采用χ2检验。结果54例非哺乳期乳腺炎患者的主要临床表现为乳房肿块、迁延不愈的脓肿、窦道以及乳房红肿。镜下病理表现:在33例 PDM 组织标本中,28例(84.8%)可见扩张导管,24例(72.7%)可见脓肿形成,11例(33.3%)可见大量中性粒细胞浸润,24例(72.7%)可见大量浆细胞、淋巴细胞浸润,并有24例抗酸染色阳性,阳性率约为72.7%;而在21例 GM 组织标本中,18例(85.7%)可见肉芽肿结构,12例(57.1%)可见微脓肿结构,全部 GM 组织标本均可见中性粒细胞、淋巴细胞等炎细胞浸润,并有2例抗酸染色阳性,阳性率约为9.5%。 PDM 患者抗酸染色阳性率明显高于 GM 患者(χ2=20.534,P<0.001)。结论抗酸染色可作为鉴别 PDM 与 GM 的一种手段,并可为临床上运用异烟肼、利福平、乙胺丁醇“三联”药物治疗 PDM 提供病理依据,值得临床推广。%Objective To explore the value of acid-fast stain test in the diagnosis of non-lactational mastitis. Methods We retrospectively analyzed the clinical data of 54 cases of non-lactational mastitis (including 33 cases of pathologically diagnosed periductal mastitis and 21 cases of granulomatous mastitis) in Chengdu Women and Children’s Central Hospital from February to December in 2014. All histological specimens were pathologically detected and acid-fast stain was conducted to look for the acid-fast bacilli. The acid-fast stain positive rates were compared between periductal mastitis group and

  15. Diagnosis and Prevention of Cow Mastitis%奶牛乳房炎的诊断与防治



    乳房炎是国际性的难题,也是成年奶牛最易患的一种疾病。奶牛乳房炎分为2种:隐性乳房炎和临床型乳房炎。奶牛一旦感染乳房炎,则会给养殖户造成巨大的经济损失。文中对乳房炎的病原、诊断和预防措施等进行了分类阐述,旨在为今后预防该病的发生提供参考。%Mastitis is an international problem, but also the most susceptible disease to an adult dairy cow. Bovine mastitis is divided into two kinds: sub-clinical mastitis and clinical mastitis. Once dairy cow infected mastitis, it will cause huge economic losses. The pathogen, diagnosis and prevention mea-sures of mastitis were classified elaborat-ed, aims to provide a reference for the prevention of the disease in the future.

  16. Bacterial analysis of breast milk: a tool to differentiate Raynaud's phenomenon from infectious mastitis during lactation.

    Delgado, Susana; Collado, M Carmen; Fernández, Leonides; Rodríguez, Juan M


    Lactational Raynaud's syndrome may be misdiagnosed as infectious mastitis on the basis of the breast pain. The objective of this work was to elucidate if microbiological analysis of milk may contribute to the differentiation of both conditions. Ten lactating women clinically diagnosed by Spanish lactation consultants were included in the study. Of these, five suffered from mastitis and the remaining five suffered from Raynaud's syndrome. Breast milk samples were inoculated on diverse culture media. Seventy isolates were selected and identified by 16S rDNA PCR sequencing. Parallel, PCR-DGGE and quantitative real-time PCR were used to assess the presence of bacterial DNA in the samples. Neither bacteria nor yeasts could be detected in the milk samples provided by the women suffering from Raynaud's syndrome. In contrast, large numbers of bacteria were isolated from those with infectious lactational mastitis. Globally, the levels of bacterial DNA were significantly higher in the milk of mastitis-suffering women. Bacteriological analysis of milk can be an useful tool to facilitate the differential diagnosis between the infectious mastitis and Raynaud's syndrome during lactation.

  17. [Implementation of mastitis prevention and control programmes on Flemish dairy farms].

    Piepers, S; Van Brempt, H; Supré, K; Passchyn, P; De Vliegher, S


    Mastitis prevention and control programmes were developed in the 1960s and have since been adopted with considerable success. Our data for a convenience sample of 45 Flemish dairy farms demonstrate that the well-known "five-point prevention and control programme" is still not, or not adequately, implemented. For example, only 18% of the dairy farmers prestripped their cows and wiped the teats using single-use dry towels before attaching the milking units. Although about 70% of the farms practised post-milking teat disinfection (dipping or spraying), 40% of the farmers did this inadequately. On only one farm were cows with clinical mastitis treated both locally and parenterally for at least 3 days, and on only 7% of the dairy farms was the udder health status of the herd systematically monitored. According to the dairy farmers, the extra labour and stress caused by udder health problems were the most troublesome aspects of mastitis. On the basis of this study, it can be concluded that bovine practitioners in the Flemish region should critically evaluate the mastitis management of their clients (farmers) and motivate them to implement an efficient mastitis prevention programme.

  18. Enige speenpuntvereelting verkleint kans op mastitis

    Neijenhuis, F.


    Koeien die in de tweede of derde maand van de lactatie klinische mastitis kregen vertoonden meer speenpuntvereelting. Een goede afstelling van de melkmachine, de juiste tepelvoering, een goede voorbehandeling en het afnamemoment zijn belangrijke factoren voor de speenconditie.

  19. Trematode infections in pregnant ewes can predispose to mastitis during the subsequent lactation period.

    Mavrogianni, V S; Papadopoulos, E; Spanos, S A; Mitsoura, A; Ptochos, S; Gougoulis, D A; Barbagianni, M S; Kyriazakis, I; Fthenakis, G C


    Objective was to investigate if trematode infections predispose ewes to mastitis and/or metritis. We used 80 trematode-infected ewes: primigravidae in group P-A and multigravidae in M-A remained untreated, primigravidae in P-B and multigravidae in M-B were drenched with netobimin and multigravidae in M-C were given rafoxanide. We collected faecal samples for parasitological examination, blood samples for β-hydroxybutyrate concentration measurement and uterine content, teat duct material and milk samples for bacteriological examination. We found significant differences in blood β-hydroxybutyrate concentrations between M-A, M-B and M-C during pregnancy (P ⩽ 0.002). We did not observe significant differences between groups regarding development of metritis (P>0.83). We found that for M-A, M-B and M-C ewes, respectively, median time to first case of mastitis was 5.75, 21 and 6.75 days after lambing (P = 0.003) and incidence risk of mastitis was 0.308, 0.069 and 0.222 (P = 0.047). We postulate that trematode infections predispose ewes to mastitis; perhaps, increased β-hydroxybutyrate blood concentrations adversely affect mammary cellular defences. This is the first report associating parasitic infections with mastitis in sheep.

  20. External quality assurance system (EQAS) for identification of mastitis pathogens in Denmark from 2006 to 2011

    Karlsmose, Susanne; Kunstmann, L.; Rundsten, Carsten Friis


    an internal quality control strain, i.e. including the same strain of Streptococcus agalactiae in all iterations of the proficiency test, served to gauge the bias caused by the year-to-year variation in the selection of test strains. A total of 73% of all uploaded results over the years were correct......Bovine mastitis is the most common and costly dairy cattle disease. Mastitis is most frequently caused by bacterial species, and to ensure optimal treatment and control strategies, proper quality assured diagnosis and identification of the causative agent is important. With the aim to assess......, with the internal quality control strain exhibiting a statistically significant ascending trend from 54% correct identifications in 2006 to 91% in 2011 (p-value=0.0082; n=13).Even if specifics were not recorded as regards the laboratory methods employed at the veterinary clinics for identification of mastitis...

  1. Subclinical mastitis in cattle in Algeria: Frequency of occurrence and bacteriological isolates

    Radhwane Saidi


    Full Text Available The present study was carried out to determine the prevalence of subclinical mastitis in cattle in eighteen herds in the center region of Algeria. Milk samples were collected from 560 quarters of 140 cows free of clinical mastitis. The samples were subjected to California Mastitis Test (CMT and the positive samples were analysed by bacteriological culture and Speed ​​Mam® Color. The overall quarter prevalence was 28.77% whilst animal prevalence was 28.57%.Bacteriological analysis showed that there was a wide range of bacteria that cause these infections. Staphylococcus aureus (40% was found to be the most prevalent organism followed by Streptococcus spp. (12.5%, Enterobacteriaceae (2.5%, Pseudomonas spp. (2.5%, Staphylococcusaureus + Streptococcus spp. (12.5%, Streptococcus spp.+ Escherichia coli (7.5%, S. aureus + Mycoplasma spp.(7.5%, and S. aureus +Streptococcus spp.+ E. coli (5%.

  2. In Vitro Antimicrobial Activity of Plant-Derived Diterpenes against Bovine Mastitis Bacteria

    Rodrigo C. S. Veneziani


    Full Text Available We evaluated the antibacterial activity of three diterpenes isolated from natural sources against a panel of microorganisms responsible for bovine mastitis. ent-Copalic acid (CA was the most active metabolite, with promising MIC values (from 1.56 to 6.25 µg mL−1 against Staphylococcus aureus (ATCC and clinical isolate, Staphylococcus epidermidis, Streptococcus agalactiae, and Streptococcus dysgalactiae. We conducted time-kill assays of CA against S. aureus, a commensal organism considered to be a ubiquitous etiological agent of bovine mastitis in dairy farms worldwide. In the first 12 h, CA only inhibited the growth of the inoculums (bacteriostatic effect, but its bactericidal effect was clearly noted thereafter (between 12 and 24 h. In conclusion, CA should be considered for the control of several Gram-positive bacteria related to bovine mastitis.

  3. Staphylococcal aureus Enterotoxin C and Enterotoxin-Like L Associated with Post-partum Mastitis

    Franck, Kristina T.; Gumpert, Heidi; Olesen, Bente; Larsen, Anders R.; Petersen, Andreas; Bangsborg, Jette; Albertsen, Per; Westh, Henrik; Bartels, Mette D.


    Denmark is a low prevalence country with regard to methicillin resistant Staphylococcus aureus (MRSA). In 2008 and 2014, two neonatal wards in the Copenhagen area experienced outbreaks with a typical community acquired MRSA belonging to the same spa type and sequence type (t015:ST45) and both were PVL and ACME negative. In outbreak 1, the isolates harbored SCCmec IVa and in outbreak 2 SCCmec V. The clinical presentation differed between the two outbreaks, as none of five MRSA positive mothers in outbreak 1 had mastitis vs. five of six MRSA positive mothers in outbreak 2 (p enterotoxin C and enterotoxin-like L only in isolates from outbreak 2. Enterotoxin C and enterotoxin-like L carrying S. aureus are associated with bovine mastitis and our findings indicate that these may also be important virulence factors for human mastitis. PMID:28223977

  4. Fine mapping of quantitative trait loci for mastitis resistance on bovine chromosome 11

    Schulman, N F; Sahana, G; Iso-Touru, T;


    Quantitative trait loci (QTL) affecting clinical mastitis (CM) and somatic cell score (SCS) were mapped on bovine chromosome 11. The mapping population consisted of 14 grandsire families belonging to three Nordic red cattle breeds: Finnish Ayrshire (FA), Swedish Red and White (SRB) and Danish Red......, each affecting one trait; or one QTL affecting a single trait. A QTL affecting CM was fine-mapped. In FA, a haplotype having a strong association with a high negative effect on mastitis resistance was identified. The mapping precision of an earlier detected SCS-QTL was not improved by the LDLA analysis...

  5. 急性乳腺炎患者术后护理研究%Postoperative Nursing in Patients With Acute Mastitis



    目的:对急性乳腺炎患者术后的护理措施以及护理效果进行全面分析。方法选取2014年10月~2015年4月在我院接受手术治疗的44例急性乳腺炎患者,分析其临床和护理资料,对急性乳腺炎术后的全面护理措施,进行系统化的总结。结果44例在术后采用全方位护理,治愈效果良好,平均住院时间为(14.3±2.7)d,进行为期半年的术后随访工作,所有患者均未出现严重的后遗症或并发症。结论对急性乳腺炎患者进行系统、优质的术后护理,可有效提高急性乳腺炎的治愈效果和预后。%Objective Summariz the nursing experience in 44 cases of acute mastitis.Methods Selected 44 cases of patients with acute mastitis from October 2014 to April 2015 in our hospital, retrospectively analyzed the clinical data and nursing data, comprehensive nursing care for acute mastitis postoperative nursing measures were concluded.Results 44 patients after surgery were in strict accordance with the doctor's advice for all-round care, cure effect was good, the average hospitalization time was (14.3±2.7) d, for patients with postoperative follow-up for half a year, all of the patients had no severe sequela or complications. ConclusionPatients with acute mastitis receiving system quality postoperative nursing care can effectively improve the effect of acute mastitis treatment and prognosis.

  6. Inflammatory mediators in mastitis and lactation insufficiency.

    Ingman, Wendy V; Glynn, Danielle J; Hutchinson, Mark R


    Mastitis is a common inflammatory disease during lactation that causes reduced milk supply. A growing body of evidence challenges the central role of pathogenic bacteria in mastitis, with disease severity associated with markers of inflammation rather than infection. Inflammation in the mammary gland may be triggered by microbe-associated molecular patterns (MAMPs) as well as danger-associated molecular patterns (DAMPs) binding to pattern recognition receptors such as the toll-like receptors (TLRs) on the surface of mammary epithelial cells and local immune cell populations. Activation of the TLR4 signalling pathway and downstream nuclear factor kappa B (NFkB) is critical to mediating local mammary gland inflammation and systemic immune responses in mouse models of mastitis. However, activation of NFkB also induces epithelial cell apoptosis and reduced milk protein synthesis, suggesting that inflammatory mediators activated during mastitis promote partial involution. Perturbed milk flow, maternal stress and genetic predisposition are significant risk factors for mastitis, and could lead to a heightened TLR4-mediated inflammatory response, resulting in increased susceptibility and severity of mastitis disease in the context of low MAMP abundance. Therefore, heightened host inflammatory signalling may act in concert with pathogenic or commensal bacterial species to cause both the inflammation associated with mastitis and lactation insufficiency. Here, we present an alternate paradigm to the widely held notion that breast inflammation is driven principally by infectious bacterial pathogens, and suggest there may be other therapeutic strategies, apart from the currently utilised antimicrobial agents, that could be employed to prevent and treat mastitis in women.

  7. Proteomic Analysis to Elucidate the Antibacterial Action of Silver Ions Against Bovine Mastitis Pathogens.

    Kang, Seog Jin; Cho, Yong Il; Kim, Ki Hyun; Cho, Eun Seok


    Silver ions act as a powerful, broad-spectrum antimicrobial agent and are known to kill over 650 different kinds of pathogens. We investigated the protein expression pattern and identity after silver ion treatment in Escherichia coli and Staphylococcus aureus, which are primarily responsible for the majority of bovine mastitis cases using proteomics. Two-dimensional electrophoresis showed that silver ion treatment significantly reduced 5 spot's density in E. coli and S. aureus, respectively. We identified 10 proteins (alkyl hydroperoxide reductase C22 subunit, phosphoglucomutase, fructose-1-phosphate kinase, putative carbamoyl transferase, alpha-galactosidase, carbamate kinase, ornithine transcarbamoylase, fumarate hydratase class II, alcohol dehydrogenase, and conserved hypothetical protein) by matrix-assisted laser desorption ionization time of flight (MALDI-TOF). These results demonstrated that silver ions have bactericidal effects through energy deprivation, inhibition of DNA replication, and accumulation of oxidants in bovine mastitis pathogens and suggested that silver ions can be applied for the treatment of bovine mastitis.

  8. Risk factors associated with prevalence and major bacterial causes of mastitis in dromedary camels (Camelus dromedarius) under different production systems.

    Ahmad, Sibtain; Yaqoob, Muhammad; Bilal, Muhammad Qamar; Muhammad, Ghulam; Yang, Li-Guo; Khan, Muhammad Kasib; Tariq, Muhammad


    A cross-sectional study was conducted in desert environment of Jhang (Pakistan) from November 2008 to October 2009 on she-camels kept under pastoralist conditions to determine the prevalence of mastitis, impact of risk factors, and isolate the dominant mastitis-causing bacteria on total of 150 lactating she-camels by using clinical examination and surf field mastitis test. From the 150 she-camels examined, 69 (46%) were positive for mastitis at animal level, 12 (8%) clinical, and 57 (38%) subclinical. Age, parity number, stage of lactation, breed, production system, hygiene of milking process, and presence of lesion on udder/teat were found significantly associated (p<0.05) with the prevalence of mastitis in she-camels. There was the lowest prevalence (33.33%; 15 of 45) of mastitis in she-camels of 5-7 years of age, while the highest (80%; 12 of 15) in the animals aged between 14 to 16 years. Stage of lactation significantly affected (p<0.05) and was found to be associated with the prevalence of mastitis being the highest (54.55%; 18 of 33) during the initial stage of lactation (0 to 1 month) followed by last 2 months (10-12 months) as 54.17% and mid-stages (1-3 and 3-10 months) of lactation as 28.57% (6 of 21) and 37.50% (9 of 24), respectively. According to breed of camels, it was noted that the prevalence of mastitis affected significantly (p<0.05) being the highest in crossbred (Desi × Mareecha) as 51.39% (37 of 72) followed in order by Mareecha and Desi as 43.14% and 37.04%, respectively. Staphylococcus (42.19%) and Streptococcus (15.63%) genera were the dominant isolates identified. Good hygiene in milking process, milking clinically infected she-camels at last, culling chronic mastitis carriers, treating clinically infected she-camels, and dry period therapy could reduce the prevalence of contagious mastitis in the study area.

  9. Prevalence of some mastitis causes in dromedary camels in Abu Dhabi, United Arab Emirates

    A.A. Al-Juboori1


    Full Text Available The present study was designed to determine the prevalence of different types of mastitis in camels in U.A.E. and to identify the causative microorganisms and their sensitivity to different antimicrobial agents. From 162 lactating she-camels, 630 milk samples were collected from different cities in Abu Dhabi Emirate/UAE. The overall prevalence of mastitis was 18.52% (7.94% on quarter basis, the prevalence of clinical and sub clinical mastitis was found to be 24.70% and 11.67% on animal basis, respectively; it being 9.70% and 5.86% on quarter basis, respectively. The hind quarters were more frequently affected than the fore quarters. Bacteriological examination of milk samples revealed that Staphylococcus was the chief etiological agents both in clinical and sub clinical mastitis (41.67% in camels, followed by Streptococcus spp. (21.67%, Enterobacter spp. (15.00%, C. pyogenes (10.00%, Micrococcus spp. (5.00%, Pasteurells spp. (5.00% and Pseudomonas aeruginosa (1.66%. Most of the Staphylococcus spp., Streptococcus spp. and C. pyogenes strains were sensitive to carbenicillin, gentamycin, kanamycin, and erythromycin, but resistant to colistin and sulphamethoxazole. Other pathogens like Enterobacter, Micrococcus, Pasteurella spp. and Ps. aeuroginosa isolates showed variable sensitivities to the antimicrobials.

  10. Frequency and Antimicrobial Susceptibility of Coagulasenegative Staphylococci Isolated from Bovine Mastitis in Dairy Farms from Tolima, Colombia

    María del Pilar Sánchez Bonilla


    Full Text Available Objective: To determine the antimicrobial presence and susceptibility of the coagulase-negative staphylococci group (ECN, for its initials in Spanish in some cattle farms from Tolima, Colombia. Materials and methods: Using the California test for the diagnosis of mastitis (CMT, for its initials in Spanish, 484 quarters belonging to 121 cows from five small production ranches from a region of central Tolima were evaluated. CMT positive samples were cultivated for bacterial isolation. The ECN found were tested for susceptibility to the antibiotics. The results were analyzed with descriptive statistics. Results: 252 (52% quarters did not show any type of reaction to the CMT, nor did they show any clinical signs of mastitis, therefore they were considered free of the disease. From the quarters, 73 (15% turned positive for CMT and bacteriological culture. From these, 36 strains of ECN were isolated (7.4% of the total of quarters; S. aureus-ECP, 28 (5.8%; Streptococcus spp., 6 (1.2%.; Escherichia coli, 2 (0.4%, and Klebsiella pneumoniae, 2 (0.2%. The clinical and subclinical mastitis in the quarter occurred in 1.4% and 13.6%, respectively. In 5 (1.0% of the quarters, clinical mastitis caused by ECN was found and subclinical mastitis in 31 (6.4%. 61% of the ECN strains were resistant to penicillin, and 58%, to tetracycline; 97% were sensitive to cefoperazone. Conclusion: The ECN group, considered a global emergent of mastitis, is evidenced with high frequency in ranches from Tolima, Colombia, causing clinical and subclinical mastitis with varied response to antimicrobials.

  11. Aspectos clínicos e características do leite em ovelhas com mastite induzida experimentalmente com Staphylococcus aureus Clinical aspects and characteristics of the milk in sheep with mastitis experimentally induced with Staphylococcus aureus

    Rogério A. Santos


    Full Text Available Este trabalho teve por objetivo estudar os aspectos clínicos e as características físico-químicas do leite em ovelhas com mastite induzida experimentalmente com Staphylococcus aureus. Foram utilizados dez animais da raça Santa Inês, com peso médio de 30 kg, fêmeas, primíparas recém-paridas, mantidos em apriscos e clinicamente sadios. Após se estabelecer os padrões de normalidade para as variáveis estudadas, os animais foram inoculados experimentalmente numa mama com uma cepa de S. aureus, empregando-se o inóculo de 1,0x10(4ufc/ml, enquanto a outra serviu como controle. As observações clínicas e laboratoriais foram realizadas nos intervalos de 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 168, 180, 288 e 336 horas após a inoculação do agente etiológico (PI. Todos os animais apresentaram manifestações clínicas sistêmicas e nas glândulas inoculadas, observadas com mais intensidade a partir de 24 horas após a inoculação. Alterações significativas (PThe objective was to study the clinical aspects and the physical-chemical characteristics of the milk in sheep with mastitis experimentally induced with Staphylococcus aureus. For such, were used 10 Santa Inês primiparity ewes, weighing 30 kg, clinically healthy and housed in a stall. After establishing the normality patterns for the studied variables, the animals were inoculated into one teat of the udder with an inoculum of 1.0x10(4ufc/ml of S. aureus, while the other gland served as control. The clinical observations were accomplished in intervals of 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 168, 180, 288 and 336 hours after the inoculation of the agent (PI. All the animals presented clinical systemic manifestations, and in the inoculated glands with more intensity from 24 hours on after the inoculation. There were significant alterations (P<0.05 in the production and physical-chemical composition of the milk in relation to the controls, with reduction of volume

  12. Dentine in a capsule: Clinical case reports

    Mallikarjuna Kenchappa


    Full Text Available Biodentine TM , a calcium silicate based material has been popular now and can be used as an alternative to mineral trioxide aggregate (MTA due to superior physical and biologic properties. It has been known by several terms as Biodentine, dentin substitute, and RD 94. It has varied clinical applications such as apexification, apexogenesis, pulpotomy, internal resorption, root perforation repair, retrograde filling, pulp capping procedure, and dentin replacement. This article describes the clinical case reports using Biodentine in apexification, apexogenesis, pulpotomy, and root perforation repair.

  13. Association of the amino acid motifs of BoLA-DRB3 alleles with mastitis pathogens in Japanese Holstein cows.

    Yoshida, Tatsuyuki; Mukoyama, Harutaka; Furuta, Hiroki; Kondo, Yasuko; Takeshima, Shin-nosuke; Aida, Yoko; Kosugiyama, Motoaki; Tomogane, Hiroshi


    The association of the polymorphism of bovine leukocyte antigen (BoLA-DRB3) genes, identified by the polymerase chain reaction sequence-based typing (PCR-SBT) method, with resistance and susceptibility to mastitis caused by Streptococci, coagulase-negative Staphylococci, Escherichia coli and Staphylococcus aureus was investigated. Blood samples for DNA extraction were collected from 170 Holstein cows (129 mastitis and 41 healthy cows) from 5 districts in Chiba prefecture, Japan. Susceptibility or resistance to the mastitis-causing pathogens was thought to vary by the presence of amino acid substitutions at the 9, 11, 13, and 30 positions. DRB3*0101 and DRB3*1501 had amino acid motifs of Glu(9), Ser(11), Ser(13), and Tyr(30), and they were considered to have susceptibility to all 4 mastitis pathogens. In contrast, DRB3*1101 and DRB3*1401 had amino acid motifs of Gln(9), His(11), Gly(13), and His(30) in these positions, and they also had Val(86), so these alleles were considered to have resistance to Streptococcal and coagulase-negative Staphylococcal mastitis. However, in the case of Escherichia coli mastitis, amino acid substitutions at the 9, 11, 13, and 30 positions had little effect, but rather substitutions at the 47, 67 positions of pocket 7, and at the 71, 74 positions of pocket 4, Tyr(47), Ile(67), Ala(71), and Ala(74), were associated with resistance. This motif was present in DRB3*1201.

  14. Graves Disease And Down Sindrome : Clinical Case

    Scrinic Olesea


    Full Text Available Introduction: Pacients with Down’s syndrome present an increase revalence of autoimune endocrine disorders. We communicate the case of 14 years and 6 months old pacient known with Down syndrome admitted in Endocrinology department with suspicion of hyperthyroidism, the diagnosis being confirmed by hormonal dosage. The particularity of the case consists in: symptomatology onset during puberty, clinical evolution with mild symptoms, without ocular involvement, morphological and functional remission obtained relatively soon after the initiation of antithyroid therapy, lack of posttherapy side effects, favorabile evolution under the “block and replace” therapy

  15. Proteomic analysis reveals protein expression differences in Escherichia coli strains associated with persistent versus transient mastitis

    Escherichia coli is a leading cause of bacterial mastitis in dairy cattle. Typically this infection is transient in nature, causing an infection that lasts 2-3 days. However, in a minority of cases, E. coli has been shown to cause a persistent intramammary infection. The mechanisms that allow for...

  16. Use of on-farm data to guide treatment and control mastitis caused by Streptococcus uberis.

    Samson, Olivier; Gaudout, Nicolas; Schmitt, Ellen; Schukken, Ynte Hein; Zadoks, Ruth


    Treatment of mastitis is the most common reason for use of antimicrobial agents in dairy cattle. The responsible use of antimicrobials could be strengthened by knowledge of predictors for cure, which would help to tailor treatment decisions. Ideally, to allow for widespread uptake, this would be achieved using data that are routinely available. To assess whether this is feasible in practice, farmers were invited to submit milk samples from mastitis cases to their veterinary practice for bacteriological culture. Among 624 culture-positive samples, 251 were positive for Streptococcus uberis. Using cow-level data, cases were classified as severe, first nonsevere, repeat, or subclinical. Additional data were collected at the cow level [somatic cell count (SCC), parity, lactation stage, milk yield, fat and protein contents, treatment] and at the herd level (housing, bedding, premilking teat disinfection, postmilking teat disinfection). Severe cases were overrepresented among heifers and animals in early lactation, and repeat cases were overrepresented in cows with 3 or more lactations. The probability of cure was higher among first- and second-parity animals than among older cows, and was higher in animals with a single elevated cow-level SCC than in animals with multiple high SCC records. Results obtained in the current study are similar to those previously described for Staphylococcus aureus mastitis. Thus, routinely available cow-level information can help to predict the outcome of antimicrobial treatment of the most common causes of gram-positive mastitis.

  17. Clinicobiochemical investigations of gangrenous mastitis in does: immunological responses and oxidative stress biomarkers

    Wael M.EL-DEEB


    A total of 50 does were used to determine selected hematological and biochemical parameters with special references to oxidative stress markers,acute phase protein profiles,and proinfiammatory cytokines in healthy and gangrenous mastitis affected does.Animals were divided into two equal groups represented as clinically healthy (control) and diseased groups,respectively.The bacteriological examination of milk samples from diseased does revealed many types of bacterial infection.The isolated bacteria were Staphylococcus aureus (N=23/25),Escherichia coli (N=11/25),and Clostridium perfringens (N=4/25).There was a significant increase in the levels of β-hydroxybutyrate,non-esterified free fatty acids,tdglyceride,low density lipoprotein cholesterol (LDL-C),aspartate aminotransferase,and alanine aminotransferase and a significant reduction in the levels of glucose,cholesterol,and high density lipoprotein cholesterol (HDL-C) in does with gangrenous mastitis compared to healthy does.Moreover,there was a significant increase in the levels of malondialdehyde and uric acid with a significant decrease in the levels of reduced glutathione,super oxide dismutase,and catalase in does with gangrenous mastitis compared to healthy does.In addition,there was a significant increase in the haptoglobin,serum amyloid A,fibrinogen,interleukin 6 (IL-6),IL-1β,and tumor necrosis factor-α (TNF-α) in does with gangrenous mastitis compared to healthy ones.Conclusively,oxidative stress biomarkers,acute phase proteins,and proinflammatory cytokines play an essential task as biomarkers for gangrenous mastitis in does.Mastitis may be considered as one of the ketotic stressors in does after parturition.

  18. Effect of mastitis on luteal function and pregnancy rates in buffaloes.

    Mansour, Mohamed Mohsen; Hendawy, Amin O; Zeitoun, Moustafa M


    The aim of this study was to investigate the effects of mastitis on CL development and function and pregnancy rate in buffaloes. Sixty-six buffaloes (Bubalus bubalus) reared in a commercial farm at El-Beheira governorate, north of Egypt were used in this study. According to the visual observation of milk, physical examination of the udder and actual somatic cell count in milk, buffalo cows were divided into three groups: without mastitis (W), n = 23; subclinical mastitis (SC), n = 18; and clinical mastitis (C), n = 25. All buffalo cows were synchronized by double dose of PGF2α (11-day interval) and inseminated by frozen-thawed semen of fertile bull. Mean CL diameter was ultrasonically examined on Days 5, 9, 12, 16, 21, and 25 after artificial insemination (AI). Blood samples were taken on the days of ultrasonography for progesterone (P4) assay. Results indicated that pregnancy rates were lower (P Pregnancy rates reduced to 60.87%, 44.45%, and 16.00% in W, SC, and C, respectively, at Day 45 after insemination. Thus, the embryonic loss was 8.7%, 11.11%, and 12.00 % in W, SC, and C cows, respectively. Pregnancy rates decreased between 44.32% and 50.51% when mastitis occurred during Day -15 before to Day +30 after AI, compared with 59.22% in the uninfected cows. The diameter of CL was greater (P pregnancy rate. Accordingly, incidence of mastitis revealed suppression to both CL diameter and function leading to significant reduction in pregnancy outcome of buffalo cows.

  19. Antimicrobial susceptibility of methicillin-resistant Staphylococcus pseudintermedius isolated from veterinary clinical cases in the UK.

    Maluping, R P; Paul, N C; Moodley, A


    Staphylococcus pseudintermedius is a leading aetiologic agent of pyoderma and other body tissue infections in dogs and cats. In recent years, an increased prevalence of methicillin-resistant S. pseudintermedius (MRSP) has been reported. Isolation of MRSP in serious infections poses a major therapeutic challenge as strains are often resistant to all forms of systemic antibiotic used to treat S. pseudintermedius -related infections. This study investigates the occurrence of MRSP from a total of 7183 clinical samples submitted to the authors' laboratories over a 15-month period. Identification was based on standard microbiological identification methods, and by S. pseudintermedius-specific nuc polymerase chain reaction (PCR). Methicillin resistance was confirmed by PBP2a latex agglutination and mecA PCR. Susceptibility against non-beta-lactam antibiotics was carried out using a disc-diffusion method according to Clinical and Laboratory Standards Institute (CLSI) guidelines. In addition, susceptibility to pradofloxacin--a new veterinary fluoroquinolone--was also investigated. SCCmec types were determined by multiplex PCR. Staphylococcus pseudintermedius was isolated from 391 (5%) samples and 20 were confirmed as MRSP from cases of pyoderma, otitis, wound infections, urinary tract infection and mastitis in dogs only. All 20 isolates were resistant to clindamycin and sulphamethoxazole/trimethoprim. Nineteen were resistant to chloramphenicol, enrofloxacin, gentamicin, marbofloxacin and pradofloxacin; additionally, seven isolates were resistant to tetracycline. Fifteen isolates carried SCCmec type II-III, four isolates had type V and one harboured type IV. To date, only a few scientific papers on clinical MRSP strains isolated from the UK have been published, thus the results from this study would provide additional baseline data for further investigations.

  20. [Resistance patterns of ovine mastitis pathogens].

    Winter, P; Höflechner, A; Baumgartner, W


    For control of the udder health status of milk sheep the minimal inhibitory concentration of mastitis causing pathogens to 12 different chemotherapeutics was determined by means of Sensititre microplate method. 73 staphylococci- and 8 streptococci-strains was examined. Following staphylococci-strains were found: S. aureus (11), S. epidermidis (34), S. chromogenes and S. xylosus (6 each), S. hyicus and S. warneri (each 5) as well as S. sciuri and S. simulans (3 each). MIC-values to penicillin, amoxycillin and ampicillin of 2 penicillinase-positive S. aureus-strains were more than 4.0 micrograms/ml. The remaining isolates and the major part of coagulase-negative staphylococci displayed MIC-values up to 1.0 microgram/ml to beta-lactamantibiotics except cloxacillin. Against cephalosporines, cephalexin excluded, and aminoglycosides very low MIC-values concerning staphylococci were observed. In case of spiramycin MIC-levels more or less than 8.0 micrograms/ml were determined. Streptococci exhibited MIC-values in the range of 0.06 to 0.5 microgram/ml against beta-lactamantibiotics with exclusion of cloxacillin, cefoperazone and cefquinome and spiramycin as well.

  1. Clinical crown lengthening - a case report.

    Lipska, Weronika; Lipski, Marcin; Lisiewicz, Małgorzata; Gala, Andrzej; Gronkiewicz, Krzysztof; Darczuk, Dagmara; Chomyszyn-Gajewska, Maria


    Maintaining healthy parodontium during teeth restoration procedures is an indispensable condition for obtain- ing regular functionning and esthetics. Thus, the knowledge of correct anatomy and the influence of filling and complement on paradontium tissue is vital. Difficulty in maintaining appropriate gingival biological width (GBW) is a frequent problem encountered in this type of reconstruction. Preservation of unchanged biological width conditions predictible treatment result and, what is more, lack of inflammatory lesions in marginal parodontium. The ideal situation for parodontium is localizing the filling/complement border supragingivaly, which is at least 3 mm from alveolar process edge. In the case, when the above conditions are impossible to fulfil, elongation of clinical crown is a metod of choice. The effect is possible to achieve by surgical treatment or combined orthodontic - surgical treatment. Surgical treatment is faster and preferred procedure for indirect reconstruction, where achieving high clinical crown is necessary. Three clinical cases of performing method of surgical clinical crown elongation were presented in the article. Performing the described procedure enables correct tooth crown reconstruction and, what is most important, keeping individual toothing.

  2. Impact of intramammary treatment on gene expression profiles in bovine Escherichia coli mastitis.

    Anja Sipka

    Full Text Available Clinical mastitis caused by E. coli accounts for significant production losses and animal welfare concerns on dairy farms worldwide. The benefits of therapeutic intervention in mild to moderate cases are incompletely understood. We investigated the effect of intramammary treatment with cefapirin alone or in combination with prednisolone on gene expression profiles in experimentally-induced E. coli mastitis in six mid-lactating Holstein Friesian cows. Cows were challenged with E. coli in 3 quarters and received 4 doses of 300 mg cefapirin in one quarter and 4 doses of 300 mg cefapirin together with 20 mg prednisolone in another quarter. At 24 h (n = 3 or 48 h (n = 3 post-challenge, tissue samples from control and treated quarters were collected for microarray analysis. Gene expression analysis of challenged, un-treated quarters revealed an up-regulation of transcripts associated with immune response functions compared to un-challenged quarters. Both treatments resulted in down-regulation of these transcripts compared to challenged, un-treated quarters most prominently for genes representing Chemokine and TLR-signaling pathways. Gene expression of Lipopolysaccharide Binding Protein (LBP, CCL2 and CXCL2 were only significantly down-regulated in cefapirin-prednisolone-treated quarters compared to un-treated controls. Down-regulation of chemokines was further confirmed on the basis of protein levels in milk whey for CXCL1, CXCL2 and CXCL8 in both treatments with a greater decrease in cefapirin-prednisolone-treated quarters. The data reveal a significant effect of treatment on cell recruitment with a more pronounced effect in cefapirin-prednisolone treated quarters. Provided a rapid bacteriological clearance, combination therapy may prevent neutrophil-induced tissue damage and promote recovery of the gland.

  3. 乳房炎对中国荷斯坦牛测定日泌乳性能及体细胞数变化的影响%Effects of Mastitis on Test-day Milk Performance and the Variation of SCC of Chinese Holstein

    毛永江; 陈莹; 陈仁金; 常玲玲; 施雪奎; 杨章平; 梁祥焕; 尹召华


    have more serious effects than sub-clinical mastitis infected by only one pathogen on the test-day milk yield and SCC in milk. These findings provide dairy producers with more information in which pathogen-specific sub-clinical mastitis cases should receive treatment and how to manage these cows.

  4. Mastitis

    ... t treated promptly. A culture of your breast milk might help guide your doctor in determining the best antibiotic for you, especially if your infection is severe. A rare form of breast cancer — inflammatory breast cancer — also can cause redness and ...

  5. Interleukin-6 in quarter milk as a further prediction marker for bovine subclinical mastitis.

    Sakemi, Yoko; Tamura, Yutaka; Hagiwara, Katsuro


    Subclinical mastitis (SM) is a major concern in the dairy industry because it causes economic losses and can lead to clinical mastitis. The mechanisms of the onset and progression of SM are not fully understood, and a new procedure for the detection and appropriate prediction of SM leading to clinical mastitis is necessary for dairy cow management. Inflammatory cytokines such as interleukin (IL)-6 are known to be present in inflamed mammary glands at the onset of mastitis, and IL-6 concentrations correlate with the levels of inflammation. In this study, the detection of IL-6 was examined for the evaluation for the future prediction of SM in 77 quarter milk samples from 20 cows. IL-6 concentrations in quarter milk were measured by sandwich ELISA, and the data were compared with milk somatic cell count (SCC) levels to diagnose SM. Average IL-6 concentration was significantly higher in SM quarter milk (207·0 ± 441·6 pg/ml) than in healthy control quarter milk (12·6 ± 33·4 pg/ml, P<0·01). Results of the cross-tabulation table show that SM prediction accuracy based on IL-6 concentration was almost equal or superior to SM prediction accuracy based on SCC. The detection of IL-6 in milk indicated SM earlier than did the detection of elevated SCC. Thus, the detection of IL-6 in milk could be a future prediction marker for SM.

  6. Changes in thermal nociceptive responses in dairy cows following experimentally induced Escherichia coli mastitis

    Klaas Ilka C


    Full Text Available Abstract Background Mastitis is a high incidence disease in dairy cows. The acute stage is considered painful and inflammation can lead to hyperalgesia and thereby contribute to decreased welfare. The aim of this study was to examine changes in nociceptive responses toward cutaneous nociceptive laser stimulation (NLS in dairy cows with experimentally induced Escherichia coli mastitis, and correlate behavioral changes in nociceptive responses to clinical and paraclinical variables. Methods Seven Danish Holstein-Friesian cows were kept in tie-stalls, where the E. coli associated mastitis was induced and laser stimulations were conducted. Measurements of rectal temperature, somatic cell counts, white blood cell counts and E. coli counts were conducted. Furthermore, scores were given for anorexia, local udder inflammation and milk appearance to quantify the local and systemic disease response. In order to quantify the nociceptive threshold, behavioral responses toward cutaneous NLS applied to six skin areas at the tarsus/metatarsus and udder hind quarters were registered at evening milking on day 0 (control and days 1, 2, 3, 6 and 10 after experimental induction of mastitis. Results All clinical and paraclinical variables were affected by the induced mastitis. All cows were clinically ill on days 1 and 2. The cows responded behaviorally toward the NLS. For hind leg stimulation, the proportion of cows responding by stepping was higher on day 0 than days 3 and 6, and the frequency of leg movements after laser stimulation tended to decrease on day 1 compared to the other days. After udder stimulation, the proportion of cows responding by stepping was higher on day 1 than on all other days of testing. Significant correlations between the clinical and paraclinical variables of disease and the behavioral responses toward nociceptive stimulation were found. Conclusions Changes in behavioral responses coincide with peaks in local and systemic signs of E

  7. Experience of surgery in the treatment of plasmacellular mastitis%外科手术治疗浆细胞乳腺炎诊疗体会



    Objective:To explore the clinical curative effect of surgery in the treatment of plasmacellular mastitis.Methods:120 cases of patients with plasmacellular mastitis were divided into two groups randomly.The control group was given fiberoptic ductoscopy interventional therapy.The observation group was given surgical treatment.The curative effect and recurrence of the two groups were compared.Results:The effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant (P<0.05).The recurrence rate of the observation group was significantly lower than that of the control group,and the difference was statistically significant (P<0.05).Conclusion:Surgery in the treatment of plasmacellular mastitis had significant clinical effect and lower recurrence rate.%目的:探讨外科手术治疗浆细胞乳腺炎的临床治疗效果。方法:收治浆细胞乳腺炎患者120例,随机分为两组。对照组给予乳管镜介入治疗,观察组给予外科手术治疗,比较两组治疗效果及复发情况。结果:观察组治疗有效率明显高于对照组,差异具有统计学意义(P<0.05)。观察组复发率明显低于对照组,差异具有统计学意义(P<0.05)。结论:外科手术治疗浆细胞乳腺炎的临床效果显著,术后复发率较低。

  8. [Subclinical mastitis in sheep milked mechanically].

    Vitkov, M


    Studied were the occurrence and the etiologic structure of subclinical mastitis of ewes with which mechanical milking was practiced. It was found that as many as 21,9 per cent of the animals responded positively after the Bernburg test. Eight per cent out of the 875 ewes studied were affected with subclinical mastitis. Etiologically, Staphylococcus aureus and Staph. epidermidis were found to take part in the incidence of the disease. Predisposing factors contributing to the outbreak of this type of mastitis were the traumatic injuries of the udder due to the so-called blind milking and the individual deviations in the morphology of the mammary gland. Secretory troubles were found in 11.7 per cent of the sheep.

  9. The clinical case for proton beam therapy

    Foote Robert L


    Full Text Available Abstract Over the past 20 years, several proton beam treatment programs have been implemented throughout the United States. Increasingly, the number of new programs under development is growing. Proton beam therapy has the potential for improving tumor control and survival through dose escalation. It also has potential for reducing harm to normal organs through dose reduction. However, proton beam therapy is more costly than conventional x-ray therapy. This increased cost may be offset by improved function, improved quality of life, and reduced costs related to treating the late effects of therapy. Clinical research opportunities are abundant to determine which patients will gain the most benefit from proton beam therapy. We review the clinical case for proton beam therapy. Summary sentence Proton beam therapy is a technically advanced and promising form of radiation therapy.

  10. 针刺加拔罐疗法治疗哺乳期急性乳腺炎80例%Acute Mastitis Treated by Acupuncture Combined with Cupping for Inlactational Women:Analysis of 80 Cases

    王婕; 尚秀葵


    目的:观察针刺加拔罐治疗哺乳期急性乳腺炎的疗效。方法:80例确诊患者运用体针配合拔罐或走罐治疗,每周3次,10次为一疗程。结果:痊愈58例,好转17例,无效5例,总有效率为93.75%。结论:针刺加拔罐疗法对于治疗哺乳期急性乳腺炎有显著疗效。%Objective:To observe the effect of acupuncture combined with cupping in treating lactational women with acute mastitis .Methods:80 lactational women of acute mastitis were treated by body acupuncture combined with cup retaining or cup moving for three times a week with ten times as a course .Results:58 patients were cured .17 patients were improved .5 patients were invalid and the total effective rate was 93 .75%.Conclusion:The treatment of acupuncture combined with cupping has a remarkably curative effect on acute mastitis in lacta-tional women .

  11. Subclinical mastitis in machine milked dairy farms in Punjab: prevalence, distribution of bacteria and current antibiogram

    Abdul Q. Mir


    Full Text Available Aim: Mastitis, a complex disease, even at subclinical stage has a major economic impact on the dairy industry. The disease pattern at machine milking which has recently been introduced in Indian system is to be studied. Therefore the present study was conducted to see the prevalence, distribution and sensitivity pattern of bacteria at subclinical level in machine milked dairy farms in Punjab state. Materials and Methods: The study involved 10 machine milked dairy cow herds in Ludhiana, Patiala, Moga, Bathinda and Ferozpur districts of Punjab. A total 218 HF × Sahiwal cross-bred dairy cow in milk were studied. About 872 quarter foremilk samples were collected to observe the prevalence of disease, distribution of udder pathogens and antibiotic sensitivity pattern. Results: Prevalence of specific subclinical mastitis was 57.80 % and 30.73% on animal and quarter basis respectively. In specific subclinical mastitis Staphylococci (41.04% were the main organisms while in case of latent infections Corynebacteria (36.81% were found to be chief isolates. Erythromycin, Enrofloxacin and Gentamicin were found to be most sensitive, and Streptomycin was found to be the least sensitive in vitro antibiotic. Conclusion: Staphylococci were the main organisms in specific subclinical mastitis while Corynebacteria were found to be chief isolates in case of latent infections. Erythromycin, Enrofloxacin and Gentamicin were found to be most sensitive, and Streptomycin was found to be the least sensitive in vitro antibiotic.

  12. Avaliação da efetividade de um programa de controle de mastite bovina em fazendas produtoras de leite B do estado de São Paulo Evaluation of the effectiveness of a mastitis control program in grad B milk farms of the state of São Paulo

    L.F. Laranja


    Full Text Available O objetivo do trabalho foi correlacionar a adoção ou não de seis práticas de manejo, higiene e terapia que compõem um Programa de Controle de Mastite com os coeficientes indicadores da prevalência e dinâmica de incidência da doença. O estudo foi desenvolvido em 7 fazendas produtoras de leite B no Estado de São Paulo durante um período de 11 meses (Março/91 a Fevereiro/92 envolvendo 1683 vacas. As medidas de controle analisadas foram as seguintes: 1 Tratamento de vacas secas, 2 Tratamento das mastites clínicas, 3 Bom manejo da ordenha, 4 Bom funcionamento do equipamento de ordenha, 5 Descarte/segregação de vacas com mastite crônica, 6 Bom conforto e higiene na área de permanência dos animais. Para fins de avaliação da prevalência e dinâmica da incidência de mastite foram analisados os coeficientes: % DE VACAS CMT ++/+ + + ,% DE NOVAS INFECÇÕES E % DE INFECÇÕES CRÔNICAS. Os resultados demonstraram que o Programa de Controle de Mastite que envolvia as 6 práticas analisadas, conhecido como Programa dos 6 pontos, mostrou-se bastante efetivo no controle da doença.The present work aimed to establish relationships between management practices, hygiene and therapy, that are components of a Mastitis Control Program with indication coefficients of prevalence and incidence of mastitis. Data were collected from seven grade "B" milk producing dairy farms, during eleven months (March/91 to February/92, comprising 1,683 lactating cows. Management, hygiene therapy practices evaluated, that are included in a Mastitis Control Program were: 1 Intramammary antibiotic treatment of all dry cows, 2 Instant treatment of clinical mastitis cases, 3 Proper milking management, with special emphasis on teat dipping after milking, 4 Good working condition of milking equipment, 5 Culling/segregation of cows with chronic mastitis, 6 Good hygiene conditions and confort for the cows in the management area. The coefficient used for mastitis prevalence

  13. Adult-onset Still's disease: Clinical cases

    G. R. Imametdinova


    Full Text Available The annual incidence of adult-onset Still's disease (AOSD worldwide is 0.16 cases per 100,000 persons. Its leading symptoms are joint involvement, fever, skin rash, and neutrophilic leukocytosis in the absence of rheumatoid factor and anticyclic citrullinated peptide antibodies in serum and synovial fluid. In its initial stage, there may be monoarthritis more commonly of the wrist, hip, or knee. Then the lesion assumes the pattern of oligo- or polyarthritis. Musculoskeletal involvement appearing as arthralgia, arthritis, and myalgia is noted in all patients. In the majority of patients, articular involvement progresses and destructive polyarthritis develops. Symmetric involvement of the carpophalangeal and distal interphalangeal joints is frequently detected. Skin lesion manifests itself as maculopapular or roseolous rashes on the chest, back, shoulders, occasionally on the legs, or in the areas of mechanical irritation. A sore throat with the signs of pharyngitis is a characteristic early symptom of the disease. There may be involvements of the liver, cardiovascular system, lung, as well as lymphadenopathy, or splenomegaly. The chronic course of the disease is more frequently noted.The paper describes two cases of AOSD. One case demonstrates that the physician has no experience in diagnosing and managing patients with AOSD, resulting in the misinterpretation of the increase in disease activity when the subclinical doses of methotrexate (MT are used, which has been regarded as a therapeutic complication. The use of the adequate dose of MT could achieve a clinical and laboratory remission and discontinue glucocorticoids (GC.In the other case of recurrent AOSD and mild clinical symptoms, the unreasonable use of high GC doses gave rise to adverse reactions.

  14. Adult-onset Still's disease: Clinical cases

    G. R. Imametdinova


    Full Text Available The annual incidence of adult-onset Still's disease (AOSD worldwide is 0.16 cases per 100,000 persons. Its leading symptoms are joint involvement, fever, skin rash, and neutrophilic leukocytosis in the absence of rheumatoid factor and anticyclic citrullinated peptide antibodies in serum and synovial fluid. In its initial stage, there may be monoarthritis more commonly of the wrist, hip, or knee. Then the lesion assumes the pattern of oligo- or polyarthritis. Musculoskeletal involvement appearing as arthralgia, arthritis, and myalgia is noted in all patients. In the majority of patients, articular involvement progresses and destructive polyarthritis develops. Symmetric involvement of the carpophalangeal and distal interphalangeal joints is frequently detected. Skin lesion manifests itself as maculopapular or roseolous rashes on the chest, back, shoulders, occasionally on the legs, or in the areas of mechanical irritation. A sore throat with the signs of pharyngitis is a characteristic early symptom of the disease. There may be involvements of the liver, cardiovascular system, lung, as well as lymphadenopathy, or splenomegaly. The chronic course of the disease is more frequently noted.The paper describes two cases of AOSD. One case demonstrates that the physician has no experience in diagnosing and managing patients with AOSD, resulting in the misinterpretation of the increase in disease activity when the subclinical doses of methotrexate (MT are used, which has been regarded as a therapeutic complication. The use of the adequate dose of MT could achieve a clinical and laboratory remission and discontinue glucocorticoids (GC.In the other case of recurrent AOSD and mild clinical symptoms, the unreasonable use of high GC doses gave rise to adverse reactions.

  15. 昆明地区奶牛临床型乳房炎病原菌分离鉴定及药敏试验%Isolation,identification and drug sensitivity of pathogen causingbovine clinical mastitis in Kunming area

    刘燕; 荀来武; 杨玉艾; 王桂瑛


    对昆明地区多个奶牛场的奶牛临床型乳房炎病原菌进行分离、鉴定,从114份乳样中共分离出细菌13种305株,经培养特性、染色镜检、生化鉴定等,鉴定出金黄色葡萄球菌63株,占20.66%;表皮葡萄球菌26株,占8.52%;无乳链球菌53株,占17.38%;停乳链球菌23株,占7.54%;乳房链球菌19株,占6.23%;乳链球菌14株,占4.59%;粪链球菌15株,占4.92%;化脓链球菌14株,占4.59%;大肠杆菌48株,占15.74%;真菌12株,占3.93%。分别对分离菌株进行17种药物的敏感性试验,除真菌外,所有菌株对庆大霉素、新霉素、环丙沙星、诺氟沙星、林可霉素、乳肿康均高度敏感,对临床常用的青霉素、链霉素、鱼腥草等具有较强的耐药性。%305 strains of pathogen causing bovine clinical mastitis in Kunming area was isolated from 114 milk samples and belonged to 13 species after cultivation,staining identification and biochemical test.Among these pathogen,Staphylococcus aureus was 63 strains(20.66%),Staphylococcus epidermidis was 26 strains(8.52%),Streptococcus agalactiae was 53 strains(17.38%),Streptococcus dysgalactiae was 23 strains(7.54%),Streptococcus uberis was 19 strains(6.23%),Streptococcus lactis was 14 strains(4.59%),Streptococcus faecium was 15 strains(4.92%),Streptococcus pyogenes was 14 strains(4.59%),Escherichia coli was 48 strains(15.74%)and the fungus was 12 strains(3.93%).Drug sensitive test showed that all bacteria except the fungus were sensitive to Gentamicin,Neomycin,Ciprofloxacin,Norfloxacin,Lincomycin etc.,and resistant to Penicilin,Streptomycin and Houttuynia cordata.

  16. Clinical Approach in Orbital Cellulitis Cases: Case Series

    Altan Atakan Özcan


    Full Text Available Pur po se: To evaluate the etiological factors, diagnosis, follow-up and treatment procedures in cases of orbital cellulitis. Ma te ri al and Met hod: A retrospective review was performed on medical records of patients with orbital cellulitis treated between 2009 and 2011 in our clinic. The patients were studied for age, ophthalmologic examination features, laboratory and radiology results, treatment modalities and the response to these treatments. Re sults: Eleven patients (7 male, 4 female having an average age of 9.7 years (6 months-25 years participated in the study. All patients had eyelid oedema, hyperemia and ocular pain; with chemosis in 3, gaze restriction in 6, relative afferent pupillary defect and proptosis in 4 cases. Orbital cellulitis was observed to occur secondary to paranasal sinusitis in 10 patients (90.9% and 1 patient had only history of superior respiratory tract infection. Sinus infection was localized in ethmoid and maxillary sinuses in all except one case. Laboratory tests showed leukocytosis in 8 patients. Surgical drainage was performed in 7 of 8 patients with abscess formation observed with radiological imaging. The remainder of the patients were followed with sole medical treatment. All patients recovered without any vision loss or life-threatening complication. Dis cus si on: Orbital cellulitis cases must be followed with radiologic imaging for any complication that may occur and patients with abscess should be evaluated for surgical drainage besides antimicrobial treatment.(Turk J Ophthalmol 2012; 42: 284-7


    Rodrigo Prado Martins


    Full Text Available This study aims to verify the prevalence and infectious etiology of bovine mastitis in dairy farms of the microregion of Cuiabá, state of  Mato Grosso, Brazil. One hundred eight cows belonging to herds from this microregion were examined. Afterwards, 279 milk samples from mastitic mammary quarters were submitted to microbiological examinations. Among the examined animals, 85.2% were carriers of mastitis in one mammary quarter at least. The percentile of mammary quarters affected by clinical and subclinical mastitis was 5.8 and 65% respectively. Corynebacterium sp. (27.6% and Staphylococcus aureus (21.5% were the major causative agents among the subclinical infections. Among the clinical cases, S. aureus (44.0% and Corynebacterium sp. (12.0% were more frequently isolated. Although the high prevalence of S. aureus and Corynebacterium sp. as mastitis causatives confirms the results obtained in studies developed in other Brazilian regions, the low prevalence of the genus Streptococcus in the cases analyzed disagrees to those records.

    KEY WORDS: Cuiabá-MT, bovine mastitis, microorganisms.
    Este trabalho teve como objetivo verificar a prevalência e etiologia infecciosa da mastite bovina em propriedades leiteiras da microrregião de Cuiabá, estado de Mato Grosso. Foram examinadas 108 vacas pertencentes a rebanhos desta microrregião. Em seguida, submeteram-se 279 amostras de leite provenientes de quartos mamários mastíticos a provas microbiológicas. Dos animais examinados, 85,2% eram portadores de mastite em pelo menos um quarto mamário. O percentual de quartos mamários afetados pela mastite clínica e subclínica foi de 5,8 e 65%, respectivamente. Quanto à etiologia, nos casos de mastite subclínica os agentes causais mais isolados foram Corynebacterium spp. (27,6% e Staphylococcus aureus (21,5%. Dentre os casos de mastite clínica, isolaram-se com maior freqüência S. aureus (44,0% e Corynebacterium spp. (12,0%. Embora a

  18. Clinical applications of CO2 lasers: clinical cases

    Sinibaldi, Kenneth R.


    The most common surgery performed in our clinic with the CO2 laser is the cutting and vaporization of neoplasms associated with the head and neck, in particular, the squamous cell carcinoma in the cat. A majority of the tumors are malignant and 50% are metastatic at the time of presentation for surgery. Experience has taught us that early detection and removal with the CO2 laser affords the best prognosis. To date, roughly 100 cases have been treated with the CO2 laser. The success rate in the dog is not as rewarding as in the cat. Most cases were done with 5 - 10 watts of power continuous or pulsed wave, using a 125 mm or 50 mm handpiece. The laser beam was focused or defocused to adjust for cutting, vaporization, and coagulation. No post-op care of the wounds was recommended. Other small neoplasms in and around the ears, head, and neck can also be removed easily with the CO2 laser.

  19. Staphylococcal aureus Enterotoxin C and Enterotoxin-Like L Associated with Post-partum Mastitis.

    Franck, Kristina T; Gumpert, Heidi; Olesen, Bente; Larsen, Anders R; Petersen, Andreas; Bangsborg, Jette; Albertsen, Per; Westh, Henrik; Bartels, Mette D


    Denmark is a low prevalence country with regard to methicillin resistant Staphylococcus aureus (MRSA). In 2008 and 2014, two neonatal wards in the Copenhagen area experienced outbreaks with a typical community acquired MRSA belonging to the same spa type and sequence type (t015:ST45) and both were PVL and ACME negative. In outbreak 1, the isolates harbored SCCmec IVa and in outbreak 2 SCCmec V. The clinical presentation differed between the two outbreaks, as none of five MRSA positive mothers in outbreak 1 had mastitis vs. five of six MRSA positive mothers in outbreak 2 (p < 0.02). To investigate if whole-genome sequencing could identify virulence genes associated with mastitis, t015:ST45 isolates from Denmark (N = 101) were whole-genome sequenced. Sequence analysis confirmed two separate outbreaks with no sign of sustained spread into the community. Analysis of the accessory genome between isolates from the two outbreaks revealed a S. aureus pathogenicity island containing enterotoxin C and enterotoxin-like L only in isolates from outbreak 2. Enterotoxin C and enterotoxin-like L carrying S. aureus are associated with bovine mastitis and our findings indicate that these may also be important virulence factors for human mastitis.

  20. Horizontal gene transfers link a human MRSA pathogen to contagious bovine mastitis bacteria.

    Thomas Brody

    Full Text Available BACKGROUND: Acquisition of virulence factors and antibiotic resistance by many clinically important bacteria can be traced to horizontal gene transfer (HGT between related or evolutionarily distant microflora. Comparative genomic analysis has become an important tool for identifying HGT DNA in emerging pathogens. We have adapted the multi-genome alignment tool EvoPrinter to facilitate discovery of HGT DNA sequences within bacterial genomes and within their mobile genetic elements. PRINCIPAL FINDINGS: EvoPrinter analysis of 13 different Staphylococcus aureus genomes revealed that one of the human isolates, the hospital epidemic methicillin-resistant MRSA252 strain, uniquely shares multiple putative HGT DNA sequences with different causative agents of bovine mastitis that are not found in the other human S. aureus isolates. MRSA252 shares over 14 different DNA sequence blocks with the bovine mastitis ET3 S. aureus strain RF122, and many of the HGT DNAs encode virulence factors. EvoPrinter analysis of the MRSA252 chromosome also uncovered virulence-factor encoding HGT events with the genome of Listeria monocytogenes and a Staphylococcus saprophyticus associated plasmid. Both bacteria are also causal agents of contagious bovine mastitis. CONCLUSIONS: EvoPrinter analysis reveals that the human MRSA252 strain uniquely shares multiple DNA sequence blocks with different causative agents of bovine mastitis, suggesting that HGT events may be occurring between these pathogens. These findings have important implications with regard to animal husbandry practices that inadvertently enhance the contact of human and livestock bacterial pathogens.

  1. Fatores de risco associados à mastite bovina causada por Prototheca zopfii Risk factors associated with bovine mastitis caused by Prototheca zopfii

    Aline Artioli Machado Yamamura


    milk cans, and herds with somatic cells count over 5x105cel mL-1. The samples collected consisted of: milk, water, soil, manure and swabs of teat cup rubbers. Prototheca spp. was isolated from mammary quarters with clinical and subclinical mastitis of milk samples in one herd and from the environment and cows in four herds. Out of 383 cows examined, Prototheca spp. was isolated in 20 (5.2% cows with mastitis, and 18 of them were characterized as P. zopfii. In four herds when Prototheca spp. was identified from mammary quarters and environment the agent was isolated from the following samples: water in the waterers, puddled water in the stalls and the milking parlour, supply, sewage, cow pen and pasture soil, teat cup rubbers and manure from calves and swines. The risk factors associated with P. zopfii mastitis consisted of: pasture system, pasture and silage feeding, use of milking machine in stalls, cow pen without fresh feed after milking, raising of swines near bovine housing, existence of dogs, cats and rodents, absence of teats hygienization with water, use of pre-immersion devices with return and without change of antiseptic, calves fed with milk of clinical mastitis cases and the Holstein breed.

  2. Analysis of Diagnosis and Treatment of Plasma Cell Mastitis%浆细胞性乳腺炎诊治分析

    曹辉; 田力平; 王新昇


      目的探讨浆细胞性乳腺炎(plasma cell mastitis,PCM)的诊断和治疗方法,提高对该病的诊治水平。方法回顾性分析60例术前或术后诊断为浆细胞性乳腺炎患者的临床资料,总结其诊断与治疗方法。结果60例患者中,术前诊断为浆细胞乳腺炎28例,占46.7%,其中22例术后确诊为浆细胞乳腺炎,另6例术前诊断为浆细胞乳腺炎,术后快速病理提示乳腺癌2例,乳腺小叶增生2例,乳腺纤维瘤2例。其余32例中术前误诊为乳腺其它疾病,术后均确诊为浆细胞乳腺炎。结论该病临床表现较复杂,易误诊为乳腺癌、乳腺纤维瘤、炎性包块等,需采用快速冰冻切片法及常规病理切片确诊,手术治疗是该病的最佳方案。%Objective To explore the diagnosis of plasma cell mastitis and treatment methods,improve the level of realization of the disease.Methods A retrospective analysis of 60 cases of plasma cell mastitis with clinical data before or after surgery,summarize the methods of diagnosis and treatment.Result Among 60 cases,there are 28 cases diagnosed plasma cell mastitis before operation with the percentage of 46.7%.22 of the 28 cases make a definite diagnosis as plasma cell mastitis after operation,the left diagnosed as other diseases such as 2 cases of breast cancer,2 cases of fibroadenoma of breast and 2 cases of hyperplasia of mammary gland flocculus after operation.32 of the 60 cases diagnose plasma cell mastitis after operation,that misdiagnose other breast diseases before operation.Conclusion The clinical feature of this disease is sophisticated,with misdiagnoses like breast cancer,fibroadenoma of breast,and inflammatory lump.The only way to make a definite diagnosis is the rapid frozen section and routine pathology.Operation is the optimal treatment program.

  3. Coexistence of lobular granulomatous mastitis and ductal carcinoma: a fortuitous association?

    Limaiem, F; Khadhar, A; Hassan, F; Bouraoui, S; Lahmar, A; Mzabi, S


    A 77-year-old female patient with a medical history significant for hypertension and epilepsy presented with right breast pain of 6-months duration. Examination revealed a hard sub-areola tender mass with irregular borders associated with mild right nipple retraction. Mammography showed a 2.2 x 2.4 cm stellate mass of the right breast. Ultrasound-guided core biopsies of the tumour were performed. Pathological examination revealed a grade II infiltrating ductal carcinoma. The patient underwent right radical mastectomy with homolateral axillary lymphadenectomy. Histological examination of the surgical specimen revealed grade II infiltrating ductal carcinoma concomitant with granulomatous lobular mastitis. To the best of our knowledge, the coexistence of granulomatous lobular mastitis and ductal carcinoma has been described only twice in the English language literature. The theory that chronic inflammation leads to cancer is well documented. Whether our patient had developed cancer from granulomatous lobular mastitis or otherwise is a matter of debate until more cases are encountered and more research is done in the area of breast cancer pathogenesis with regards to it arising from granulomatous lobular mastitis.

  4. IL-6/STAT3 signaling pathway is activated in plasma cell mastitis.

    Liu, Yang; Zhang, Jian; Zhou, Yu-Hui; Jiang, Yi-Na; Zhang, Wei; Tang, Xiao-Jiang; Ren, Yu; Han, Shui-Ping; Liu, Pei-Jun; Xu, Jing; He, Jian-Jun


    Plasma cell mastitis (PCM), a particular type of mastitis, mainly occurs in females at nonpregnant and nonlactating stages. The infiltration of abundant plasma cells and lymphocytes is the hallmark of the disease. The incidence rate of PCM increased gradually and its pathogenesis remained unclear. In this study, we investigated the expression of IL-6/STAT3 signaling pathway, which is vital not only for the differentiation of plasma cells but also for survival of plasma cells and T lymphocytes, in 30 PCM cases, 10 acute mastitis cases and 10 normal breast tissues by immunohistochemical analysis. IL-6 level was significantly higher in PCM patients than in acute mastitis patients or normal group. The positive rate of IL-6 and p-STAT3 staining in PCM samples was 93.3% (28/30) and 70% (21/30), respectively, and there was a significant positive association between IL-6 and p-STAT3 staining (r=0.408, P=0.025). In PCM group, the rate of nipple retraction was 40% (12/30). Significantly higher IL-6 expression was found in PCM patients with nipple retraction than in other PCM patients. However, no significant difference in IL-6 or p-STAT3 staining was detected between PCM patients experiencing recurrence and other PCM patients. In addition, Bcl-2 level was higher in PCM patients than in acute mastitis patients or normal group, but there was no difference in Bcl-2 immunostaining between PCM patients experiencing recurrence and other PCM patients. These indicate that IL-6/STAT3 signaling is activated in PCM and may play an important role in the pathogenesis of PCM.

  5. Peptidoglycan Hydrolases for Control of Mastitis Pathogens

    Bovine mastitis results in annual losses between $1.7 billion and $2 billion in the United States alone. Among the most relevant causative agents of this disease are Streptococcus agalactiae (Group B; GBS) and Streptococcus dysgalactiae (Group C; GCS) streptococci as well as Staphylococcus aureus. ...

  6. [Occurrence and etiology for subclinical mastitis in cows].

    Filev, F


    Studied were a total of 16,571 cows on 89 farms by means of the Bernburg test. Milk was sampled from the positively reacting quarters of the udder by taking 18,047 samples intended for bacteriologic investigation. The demonstration of mastitis streptococci was carried out on "TKT" agar Merk, of pathogenic staphylococci, hemolytic streptococci, and Corinebacteria--on dextrose agar Oxoid containing 7.5% citrated calf blood. The isolated hemolytic streptococcus bacteria from the two nutrient media were differentiated through the CAMP test as well as serologically by the precipitation agar gel and Difco sera. The pathogenicity of Staphylococcus bacteria, in addition through hemolysis, was tested by the use of plasma coagulase with citrated rabbit plasma. In 53.95% of the cases there were secretory lesions due to Sc. agalactiae (6.23%) to Sc. dysgalactiae (5.69%) to Sc. uberis (8.47%), to Staph. aureus (2.44%), to hemolytic streptococci of the C, G and L groups (0.28%), to Sc. viridans (0.03%), to Corynebacterium pyogenes (0.41%), and catarrhal mastitis (30.4%). Some of the causative agents, such as Sc. agalactiae, Staph. aureus, and others have proved of epidemiologic importance to humans.

  7. Multiple malignant tumors – a clinical case

    Daciana N. Chirilă


    Full Text Available Objective: We present a clinical case of an old woman who suffered at different ages surgical excisions for three different primarymalignant tumors. The patient is now 86 years old. She was diagnosed at the age of 35 with a malignant tumor of the corpus uteri, and thenwhen she was 78 with a basocellular carcinoma of the nose skin and at 81 she was diagnosed with an ascendant large bowel adenocarcinoma.Despite the occurrence of three different tumors she is alive five years later and cancer-free, but suffering because of other medical diseasesincluding diabetes, hypertension, myocardial ischemia and migraines. Conclusion: a patient diagnosed with a cancer and who survive from itmust be submitted to periodically medical controls because of the possibility to develop several other cancers. With an increasing survival inpatients after malignant tumors therapy, there is an increased risk to develop other cancers as the patients are getting older.

  8. La rutina de ordeño y su rol en los programas de control de mastitis bovina The milking routine and its role in mastitis control programmes

    J. Kruze


    a goal to be achieved in every dairy herd. The risk of intramammary infection and transmission of mastitis pathogens,mainly contagious organisms, is higher during milking. Consequently, agood milking routine and udder preparation greatly reduces the risk ofinfection, being specially important the hygiene and the milking machineinducing factors. A good milking routine involves a number of procedures which must be properly and carefully practised at every single milking. These procedures can be summarised as follows: provide cows with a clean environment, free of stress; check foremilk using a strip-cup to detect clinical mastitis and stimulate milk let-down; wash and thoroughly dry the surface of the teats with an individual disposable paper towel to reduce the spread of mastitis pathogens and to avoid milk contamination during milking; attach the teat cups within 1 minute after initiating udder preparation to get the maximum effect of oxytocin; check and adjust the milking units, as needed, to avoid air admission and prevent liner slip; shut off the vacuum before detaching the milking units to prevent impact; disinfect teats after milking with a safe and effective teat dip to destroy mastitis pathogens remaining on the teat. In some herds, other optional measures can be added to this routine, mainly teat disinfection before milking (predipping and disinfection of clusters between cows during milking

  9. Mastitis Pathogens with High Virulence in a Mouse Model Produce a Distinct Cytokine Profile In Vivo

    Johnzon, Carl-Fredrik; Artursson, Karin; Söderlund, Robert; Guss, Bengt; Rönnberg, Elin; Pejler, Gunnar


    Mastitis is a serious medical condition of dairy cattle. Here, we evaluated whether the degree of virulence of mastitis pathogens in a mouse model can be linked to the inflammatory response that they provoke. Clinical isolates of Staphylococcus aureus (S. aureus) (strain 556 and 392) and Escherichia coli (E. coli) (676 and 127), and laboratory control strains [8325-4 (S. aureus) and MG1655 (E. coli)], were injected i.p. into mice, followed by the assessment of clinical scores and inflammatory parameters. As judged by clinical scoring, E. coli 127 exhibited the largest degree of virulence among the strains. All bacterial strains induced neutrophil recruitment. However, whereas E. coli 127 induced high peritoneal levels of CXCL1, G-CSF, and CCL2, strikingly lower levels of these were induced by the less virulent bacterial strains. High concentrations of these compounds were also seen in blood samples taken from animals infected with E. coli 127, suggesting systemic inflammation. Moreover, the levels of CXCL1 and G-CSF, both in the peritoneal fluid and in plasma, correlated with clinical score. Together, these findings suggest that highly virulent clinical mastitis isolates produce a distinct cytokine profile that shows a close correlation with the severity of the bacterial infection. PMID:27713743

  10. Efeito da suplementação de vitamina A sobre a incidência de mastite em vacas da raça Holandesa Effect of vitamin A on incidence of mastitis in Holstein cows

    J.J. Paschoal


    Full Text Available This experiment was designed to evaluate the influence of prepartum vitamin A supplementation on incidence of mastitis in Holstein cows. Forty two cows were randomly distributed into blocks according to the parity and divided in two treatments: control and supplemented with 180,000IU vit.A/day. The supplementation started 30 days before probable parturition date up to parturition. The Tamis test was performed weekly for clinical mastitis detection, and milk samples were collected for somatic cell counts. Vitamin A treatment decreased the incidence of clinical mastitis (P<0.05, however no effect on milk somatic cell count was observed.

  11. Concepts of Causality in Psychopathology: Applications in Clinical Assessment, Clinical Case Formulation and Functional Analysis

    Haynes, S.H.; O'Brien, W.H.; Kaholokula, J.K.; Witteman, C.L.M.


    This paper discusses and integrates concepts of causality in psychopathology, clinical assessment, clinical case formulation and the functional analysis. We propose that identifying causal variables, relations and mechanisms in psychopathology and clinical assessment can lead to more powerful and e

  12. 临床型乳房炎奶牛与健康奶牛嗜中性粒细胞差异蛋白质组的表达分析%Differential expression analysis of proteins in neutrophils between clinical mastitis and healthy dairy cows

    刘开东; 柳楠; 杜立新; 魏彩虹; 张莉; 路国彬; 赵福平; 刘积凤


    Neutrophils provide the first line of defense against invading pathogens and have been reported to play a key role in bovine mammary immune. To examine the differential expression of proteins in neutrophils between clinical mastitis and healthy dairy cows, a 2-dimensional electrophoresis gel map with high repeatability was constructed for bovine neutrophils. From this map, seven differentially expressed proteins were identified by MALDI-TOF MS_which are believed to be involved in pathways such as cell metabolism, oxidative stress, and inflammatory reaction. The differentially expressed proteins identified in this study may provide the basis for bovine mastitis resistance breeding research.%嗜中性粒细胞是防止病原入侵的第一道防线,且已有研究表明嗜中性粒细胞在奶牛乳腺免疫中发挥着关键作用.文章运用双向凝胶电泳方法对临床型乳房炎奶牛与健康奶牛嗜中性粒细胞差异表达蛋白质组进行分析,成功获得分辨率较高、重复性较好的奶牛嗜中性粒细胞双向电泳凝胶图谱,并通过MALDI-TOF MS 鉴定获得差异表达的蛋白质7 种,主要涉及细胞代谢、氧化应激、炎症反应等相关蛋白通路.实验获得的临床型乳房炎奶牛与健康奶牛嗜中性粒细胞差异表达蛋白有望为今后奶牛乳房炎的抗病育种研究提供理论依据.

  13. Antimicrobial Susceptibility of Streptococcus agalactiae Isolated from Dairy Cows with Clinical Mastitis in Tongliao City of Inner Mongolia%内蒙古通辽市某奶牛场乳房炎无乳链球菌的分离、鉴定及药敏试验



    旨在调查引起内蒙古通辽地区奶牛乳房炎发生的优势病原菌。采用常规方法对采集自该地区某奶牛场的3份临床型乳房炎患牛奶样进行优势致病菌的分离鉴定,采用纸片扩散法(K-B法)评价分离菌对兽医临床常用抗菌药物的敏感性。结果表明,从3份乳样中共分离到14株菌,经生化试验鉴定为无乳链球菌;药敏试验结果表明,分离菌对链霉素及磺胺嘧啶表现出较强的耐药性,而卡那霉素、庆大霉素及麦迪霉素对分离菌则表现出较好的抑菌效果。%The aim of the present study was to determine the dominant species of bacteria associated with bovine mastitis in Tongliao City of Inner Mongolia. Three quarter milk samples were collected from dairy cows with clinical mastitis and were used to isolate pathogenic bacteria by conventional method. The antimicrobial susceptibility test of the isolates was conducted using Kirby-Bauer disk diffusion method. The results revealed that a total of 14 strains were isolated from the 3 samples and they were subsequently phenotypically identified as Streptococcus agalactiae. While reduced susceptibility to streptomycin and sulfadiazine were observed, kanamycin, gentamicin and midecamycin are found as susceptible drugs for the isolated Streptococcus strains.

  14. Idiopathic granulomatous mastitis with erythema nodosum and polyarthritis

    J. Alungal


    Full Text Available A 25 year-old woman presented with a painful mass in the left breast, polyarthritis and erythema nodosum. Fine needle aspiration cytology led to a diagnosis of granulomatous mastitis. Oral prednisolone rapidly improved the arthritis and the erythema nodosum. Granulomatous mastitis is a very rare, chronic inflammatory disease and only ten patients with granulomatous mastitis with erythema nodosum and polyarthitis have been described.

  15. Using Clinical Gait Case Studies to Enhance Learning in Biomechanics

    Chester, Victoria


    Clinical case studies facilitate the development of clinical reasoning strategies through knowledge and integration of the basic sciences. Case studies have been shown to be more effective in developing problem-solving abilities than the traditional lecture format. To enhance the learning experiences of students in biomechanics, clinical case…

  16. Antibacterial susceptibility profiles of subclinical mastitis pathogens isolated in Batna and Setif Governorates (East of Algeria

    Mamache Bakir

    Full Text Available Sub-clinical mastitis is a main pathology of dairy husbandry because it is not clinically recognized by the owners and the veterinarians. For this reason, its economic loss is usually underestimated in milk production. This study has been undertaken in order to evaluate the epidemiologic situation of sub-clinicalmastitis in Batna and Setif governorates (East of Algeria. For this purpose, a detailed bacteriological study of all bacterial strains isolated from sub-clinical mastitis followed by a study of their antibacterial susceptibility profiles has been undertaken. 89 bacterial strains distributed as follows were studied: 27 strains of staphylococci among which 23 were coagulase-negative staphylococci (CNS that are generally incriminated in sub-clinical mastitis. 39 strains of streptococci among which 10 were Lactococcus lactis ssp lactis strains. 23 strains of enterobacteria represented mainly by Escherichia coli (E.coli. All these bacterial strains were isolated from cow milk of 3 different farms. The antibacterial susceptibility profiles have revealed a susceptibility of the isolated strains to a large number of antibiotics mainly to the Neomycin, the Cephalexin and the Spiramycin. [Vet. World 2011; 4(12.000: 537-541

  17. Intramammary expression and therapeutic effect of a human lysozyme-expressing vector for treating bovine mastitis


    To develop a gene therapy strategy for treating bovine mastitis, a new mammary-specific vector containing human lysozyme (hLYZ) cDNA and kanamycin resistance gene was constructed for intramammary expression and clinical studies. After one time acupuncture or intracisternal infusion of healthy cows with 400 μg of the p215C3LYZ vector, over 2.0 μg/ml of rhLYZ could be detected by enzymatic assay for about 3 weeks in the milk samples. Western blotting showed that rhLYZ secreted into milk samples from the vector-injected cows had molecular weight similar to that of the natural hLYZ in human colostrums.Twenty days after the primary injection, the quarters were re-injected with the same vector by quarter acupuncture and even higher concentrations of rhLYZ could be detected. Indirect competitive ELISA of milk samples showed that the vector injection did not induce detectable humoral immune response against hLYZ. Clinical studies showed that twice acupuncture of quarters with the p215C3LYZ vector had overt therapeutic effect on clinical and subclinical mastitis previously treated with antibiotics, including disappearance of clinical symptoms and relatively high microbiological cure rates. These data provide a solid rationale for using the vector to develop gene therapy for treating bovine mastitis.

  18. Bovine mastitis outbreak in Japan caused by methicillin-resistant Staphylococcus aureus New York/Japan clone.

    Hata, Eiji


    Many methicillin-resistant Staphylococcus aureus (MRSA) strains are multidrug-resistant; consequently, infectious diseases involving MRSA are recognized as troublesome diseases not only in human health care but also in animal health care. A bovine mastitis case caused by MRSA isolates of the New York/Japan clone (NJC), which occurred in Japan in 2005, was monitored in the current study. Isolates of the NJC are typical of hospital-acquired MRSA in Japan. The genetic backgrounds of these strains differ from those of bovine-associated S. aureus, which are typically of clonal complex (CC)97, CC705, and CC133. Moreover, the NJC isolates in this bovine outbreak possessed a β-hemolysin-converting bacteriophage and an immune evasion cluster, as found in the NJC isolates from humans, so it is possible that this clone was introduced into the dairy herd by a human carrier. Most bovine intramammary infections (IMIs) caused by the NJC isolates in our study were asymptomatic, and obvious clinical signs were recognized in only the first 3 infected cows. Of a total of 78 cows, 31 cows were MRSA carriers, and these carrier cows were detected by testing the milk of all lactating cows at 1-month intervals. These S. aureus carrier cows were culled or the infected quarter was dried off and no longer milked. Both IMI and mastitis caused by MRSA were completely eradicated after 5 months. Genotyping data suggested that exchanging of the staphylococcal cassette chromosome mec (the determining factor in methicillin resistance) occurred easily between MRSA and methicillin-sensitive S. aureus in the udders of carrier cows. This case study demonstrates an effective procedure against the spread of MRSA in a dairy herd, and highlights the risk of emergence of new MRSA strains in a dairy herd.

  19. Research progress in the treatment for mastitis%乳腺炎治疗研究进展

    张玥; 符刚


    乳腺炎常见于哺乳期妇女,尤其是初产妇。明确病因是有效治疗的基础,中西医对乳腺炎的认识均有独特的理论体系,并就病因理论进行大量科研和临床实践。在长期临床实践中总结出众多治疗乳腺炎的方法,主要有以按摩为主的手法治疗、中医中药、西药、手术、仪器器械等的治疗及联合治疗方法,这些方法各有特点,具有治疗彻底,损伤小和不易复发的优势。查阅近5年治疗乳腺炎的相关文献,对治疗该症的各种方法做综述。%Mastitis is common in lactation women,especially in the primipara. To clear the etiology of mastitis is the basis for effective treatment. There is unique theoretical system for the understanding of mastitis in both traditional Chinese medicine and Western medicine. A lot of scientific research on the causes of mastitis and clinical practice has been carried out. In the long-term clinical practice,there were many treatments for mastitis,such as,massage technique treatment,treatment of traditional Chinese medicine, Western medicine treatment,surgical treatment and instrument treatment,and some combined treatment methods. These methods have their own characteristics,with advantages of thorough treatment,less damage and low recurrence rate. This study reviewed nearly five years of related literature for the treatment of mastitis.

  20. Occurrence of subclinical mastitis in dairy does in Duhok, Iraq

    Balqees A. Ali


    Full Text Available California mastitis tests (CMT and white side test (WST were used to determine the occurrence rate of subclinical mastitis in dairy does in Duhok province of Iraq. The rate of subclinical mastitis was 40.5% and 37.5% by CMT and WST respectively. The Staphylococcus aureus was the most prevalent isolate with 72.38% followed by Klebsiella spp. (29.79% and Escherichia coli (27.65%. This is the first report on subclinical mastitis report in Duhok area of Iraq.

  1. Evaluation of antibacterial effect of some Sinai medicinal plant extracts on bacteria isolated from bovine mastitis

    Gamil S. G. Zeedan


    Full Text Available Aim: Bovine mastitis is the most economically important disease affecting dairy cattle worldwide from an economic, diagnostic and public-health point of view. The present study aimed to isolate and identify of bacteria causes mastitis in dairy cows and to evaluate the antibacterial activities of some selected medicinal plants extracts comparing antibiotics used in the treatment of mastitis in Egypt. Materials and Methods: A total of 203 milk samples of dairy cows were collected during the period from February to June 2013 at different Governorates in Egypt. The use clinical inspection and California mastitis test examination were provided efficient diagnostic tool for detection of clinical, subclinical mastitis and apparently normal health cattle. The collected milk samples were cultured on Nutrient, Blood agar, Mannitol salt, Edward’s and MacConkey agar plates supporting the growth of various types of bacteria for their biochemical studies and isolation. The antimicrobial activity of plants extracts (Jasonia montana and Artemisia herb albawith different solvent (ethanol, petroleum ether, chloroform and acetonewere studied in vitro against isolated bacteria from mastitis by paper desk diffusion and minimum inhibitory concentration method (MIC. Results: The prevalence of clinical, subclinical mastitis and normal healthy animals were 34.50%, 24.7% and 40.8% respectively. The major pathogens isolated from collected milk samples were Escherichia coli (22.16%, Staphylococcus aureus (20.19%, Streptococcus spp. (13.3%, Streptococcus agalactiae (12.8%, Streptococcus dysgalactia (0.5%, Pasteurella spp. (2.45%, Klebsiella spp. (1.47%and Pseudomonas spp. (0.45%. The highest antibacterial activity of J. montana plant extracted with acetone solvent against S. agalactiae, E. coli, S. aureus, Klebsiella spp and coagulase-negative Staphylococci with zone of inhibition values ± standard deviation (SD, ranging from 4.33±0.57 to 25.6±0.60 mm. The MIC values

  2. Ameloblastoma: Our clinical experience with 68 cases

    Benjamin Fomete


    Full Text Available Introduction: In this environment, previous workers have reported on the challenges of managing large sized ameloblastoma of the jaws with less than adequate facilities. The aim of this review is to present the management of 68 cases of ameloblastoma with emphasis on surgical care. Materials and Methods: Retrospective survey of case notes of patients with histopathologic diagnosis of ameloblastoma (using the criteria of Barnes et al., 2005 seen between January 2006 and August 2010 at the Maxillofacial Unit, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Nigeria was undertaken. Data collected includes histopathological diagnosis, age, gender, clinical information on site of lesion, form of intubation and surgical procedure performed. Results: Out of 94 patients, 68 with histological diagnosis of ameloblastoma (59 mandibular and 9 maxillary were operated within the study period. The remainder (26 was not treated in hospital. Among 68 patients treated, more were males (38 than females (30, giving a male to female ratio of 1.3:1. The age range was between 14 and 74 years (mean-standard deviation. The duration of the symptoms ranged from 7 months to 24 years, most were follicular ameloblastoma (n = 13 followed by acanthomatous type (n = 7. Endotracheal intubation was the most common (n = 55 followed by fiber optic laryngoscopy (n = 8. The surgical approach most used was extended Risdon with intraoral (n = 24 followed by extended Risdon with lip split and intraoral (n = 17. Segmental resection (en block formed the bulk of our procedures (n = 22 followed by subtotal mandibulectomy (n = 16. Conclusion: The treatment of ameloblastoma remains controversial. Its destructive nature has left patients with wide defects difficult to reconstruct.

  3. Investigation of body and udder skin surface temperature differentials as an early indicator of mastitis in Holstein Friesian crossbred cows using digital infrared thermography technique

    Sathiyabarathi, M.; Jeyakumar, S.; Manimaran, A.; Pushpadass, Heartwin A.; Sivaram, M.; Ramesha, K. P.; Das, D. N.; Kataktalware, Mukund A.; Jayaprakash, G.; Patbandha, Tapas Kumar


    Aim: The objective of this study was to investigate the ability of infrared thermography (IRT) technique and its interrelationship with conventional mastitis indicators for the early detection of mastitis in Holstein Friesian (HF) crossbred cows. Materials and Methods: A total of 76 quarters of lactating HF crossbred (Bos indicus × Bos taurus) cows (n=19) were monitored for body temperature (i.e., eye temperature) and udder skin surface temperature (USST) before milking using forward-looking infrared (FLIR) i5 camera. Milk samples were collected from each quarter and screened for mastitis using Somatic Cell Count (SCC), Electrical Conductivity (EC), and California mastitis test. Thermographic images were analyzed using FLIR Quick Report 1.2 image analysis software. Data on body and USST were compiled and analyzed statistically using SPSS 16.0 and Sigmaplot 11. Results: The mean±standard deviation (SD) body (37.23±0.08°C) and USST (37.22±0.04°C) of non-mastitic cow did not differ significantly; however, the mean USST of the mastitis-affected quarters were significantly higher than the body temperature and USST of unaffected quarters (p37.61°C. Conclusion: It is concluded that infrared thermal imaging technique could be used as a potential noninvasive, quick cow-side diagnostic technique for screening and early detection of SCM and clinical mastitis in crossbred cows. PMID:28096610

  4. Investigation of body and udder skin surface temperature differentials as an early indicator of mastitis in Holstein Friesian crossbred cows using digital infrared thermography technique

    M. Sathiyabarathi


    Full Text Available Aim: The objective of this study was to investigate the ability of infrared thermography (IRT technique and its interrelationship with conventional mastitis indicators for the early detection of mastitis in Holstein Friesian (HF crossbred cows. Materials and Methods: A total of 76 quarters of lactating HF crossbred (Bos indicus × Bos taurus cows (n=19 were monitored for body temperature (i.e., eye temperature and udder skin surface temperature (USST before milking using forward-looking infrared (FLIR i5 camera. Milk samples were collected from each quarter and screened for mastitis using Somatic Cell Count (SCC, Electrical Conductivity (EC, and California mastitis test. Thermographic images were analyzed using FLIR Quick Report 1.2 image analysis software. Data on body and USST were compiled and analyzed statistically using SPSS 16.0 and Sigmaplot 11. Results: The mean±standard deviation (SD body (37.23±0.08°C and USST (37.22±0.04°C of non-mastitic cow did not differ significantly; however, the mean USST of the mastitis-affected quarters were significantly higher than the body temperature and USST of unaffected quarters (p37.61°C. Conclusion: It is concluded that infrared thermal imaging technique could be used as a potential noninvasive, quick cowside diagnostic technique for screening and early detection of SCM and clinical mastitis in crossbred cows.

  5. 奶牛乳房炎的防治技术%Control Techniques of Cow Mastitis



    The etiology, characteristics of incidence, clinical symptoms, preven-tion and treatment measures of cow mastitis were introduced to provide a ref-erence for the prevention and treatment of reiter's disease.%对奶牛乳房炎的发病原因、发病特点、临床症状、防治措施进行了总结,为该病的预防及治疗提供参考。

  6. [Neonatal Dengue. Presentation of clinical cases].

    Romero-Santacruz, Edith; Lira-Canul, Janeth Jaqueline; Pacheco-Tugores, Fredy; Palma-Chan, Adolfo Gonzalo


    Dengue is an infectious disease caused by a flavivirus, with four serotypes, transmitted by the mosquito Aedes aegypti. In Mexico it is a public health problem, especially in the region of central and southeast of the country. The disease can be asymptomatic or present serious forms and even death. It is confirmed by detection of the NS1 Antigen; IgM antibodies, polymerase chain reaction and virus isolation. The vertical transmission to de newborn has been little studied. 7 cases in neonates from November to December 2011 are reported. All patients were male, obtained by caesarean section between 34 and 40 weeks of gestation, whose mothers were enrolled with fever and symptoms associated with dengue disease and serology positive for dengue. Six with positive AgNS1 and one positive IgM; one mother died. All the newborns had positive serology for dengue, 4 with positive AgNS1 and 3 positive IgM. The clinical features of the newborn ranged from asymptomatic to one serious dengue fever, shock and hemorrhage. The symptomatic 6 attended with thrombocytopenia, changes in temperature and unspecific disturbance. The severity of mothers conditioned disrepair product at birth, but not with subsequent gravity of the new born. Vertical trasmission of dengue should be suspected in risk areas, to maintain vigilance and to give early treatment. Also is neccesary promote the realization of specific diagnostic and therapeutic guidelines to the neonatal period.

  7. Treating plasma cell mastitis and granulomatous mastitis in TCM%浆细胞性乳腺炎与肉芽肿性乳腺炎的异同探讨及中医治疗体会

    王玉; 周颖; 李琼; 刘胜


    目的:探讨浆细胞性乳腺炎及肉芽肿性乳腺炎在病因、发病机制、临床表现、传统医学与西医对疾病的认识和治疗方面的异同,总结“清消法”的临床治疗体会。方法:对近几年浆细胞性乳腺炎与肉芽肿性乳腺炎相关文献及其治疗文献进行梳理与归纳总结。结果:“清消法”治疗浆细胞性乳腺炎及肉芽肿性乳腺炎,效果显著,患者治愈后不宜复发,且疮面收口后乳房疤痕较小,极大程度地保护了乳房外观,满足了现代女性对治愈疾病和保持乳房良好外观的双重需要。结论:中医治疗此类疾病的方法日益丰富,且复发率低、损伤范围小,因此中医治疗浆细胞性乳腺炎和肉芽肿性乳腺炎具有极大的优势。%Objective: To investigate difference between plasma cell mastitis and granulomatous mastitis, including pathogenesis, clinical symptoms, medical theories and therapies; clinical experience of the Qing Xiao therapy was summarized. Methods: Literatures about plasma cell mastitis and granulomatous mastitis were summarized. Results: The Qing Xiao therapy on plasma cell mastitis and granulomatous mastitis shows a significant effect, with less recurrence and scar of breast, could cure disease and maintain good appearance of the breast. Conclusion: TCM on plasma cell mastitis and granulomatous mastitis showed definite advantage.

  8. Mammary Gland Pathology Subsequent to Acute Infection with Strong versus Weak Biofilm Forming Staphylococcus aureus Bovine Mastitis Isolates: A Pilot Study Using Non-Invasive Mouse Mastitis Model

    Gogoi-Tiwari, Jully; Williams, Vincent; Waryah, Charlene Babra; Costantino, Paul; Al-Salami, Hani; Mathavan, Sangeetha; Wells, Kelsi; Tiwari, Harish Kumar; Hegde, Nagendra; Isloor, Shrikrishna; Al-Sallami, Hesham; Mukkur, Trilochan


    Background Biofilm formation by Staphylococcus aureus is an important virulence attribute because of its potential to induce persistent antibiotic resistance, retard phagocytosis and either attenuate or promote inflammation, depending upon the disease syndrome, in vivo. This study was undertaken to evaluate the potential significance of strength of biofilm formation by clinical bovine mastitis-associated S. aureus in mammary tissue damage by using a mouse mastitis model. Methods Two S. aureus strains of the same capsular phenotype with different biofilm forming strengths were used to non-invasively infect mammary glands of lactating mice. Biofilm forming potential of these strains were determined by tissue culture plate method, ica typing and virulence gene profile per detection by PCR. Delivery of the infectious dose of S. aureus was directly through the teat lactiferous duct without invasive scraping of the teat surface. Both bacteriological and histological methods were used for analysis of mammary gland pathology of mice post-infection. Results Histopathological analysis of the infected mammary glands revealed that mice inoculated with the strong biofilm forming S. aureus strain produced marked acute mastitic lesions, showing profuse infiltration predominantly with neutrophils, with evidence of necrosis in the affected mammary glands. In contrast, the damage was significantly less severe in mammary glands of mice infected with the weak biofilm-forming S. aureus strain. Although both IL-1β and TNF-α inflammatory biomarkers were produced in infected mice, level of TNF-α produced was significantly higher (p<0.05) in mice inoculated with strong biofilm forming S. aureus than the weak biofilm forming strain. Conclusion This finding suggests an important role of TNF-α in mammary gland pathology post-infection with strong biofilm-forming S. aureus in the acute mouse mastitis model, and offers an opportunity for the development of novel strategies for reduction of

  9. Pulmonary mycoses among the clinically suspected cases of pulmonary tuberculosis

    Tshering Ongmu Bhutia; Luna Adhikari


    Background: This study was carried with the main objectives: (1) to find out the occurrence of pulmonary mycoses in clinically suspected pulmonary tuberculosis cases at central referral hospital, Tadong, Sikkim. (2) To find out the various fungi causing pulmonary mycoses in clinically suspected pulmonary tuberculosis cases. Methods: 200 clinically suspected pulmonary tuberculosis cases who visited the department of microbiology for the diagnostic microscopic examination of sputum sample f...

  10. Bovine mastitis caused by gram negative bacteria in Mosul

    S. Y. A. Al-Dabbagh


    Full Text Available A total of 90 milk samples were collected from cows with clinical and subclinical mastitis from different areas in Mosul city, in a period from October 2009 to June 2010, for the detection of gram negative bacteriological causative agents. The bacteria were identified using morphological, cultural and biochemical characteristics. thirty tow (35.3% gram negative bacterial isolates were obtained from the total count which included 14 isolates (15.5% for Escherichia coli, 7 isolates (7.7% for Klebsiella spp, 4 isolates (4.4% for Pseudomonas aeruginosa, 3 isolates (3.3% for Enterobacter aerogenes ,2 isolates for Serratia marcescens and one isolates (1.1% for each of Aeromonas hydrophila and Pasteurella multocida. Results of antibiotic sensitivity test indicated that most of these isolates were sensitive to Ciprofloxacin following by Gentamycin and Cotrimoxazole, while most of these organisms were resistant to Ampicillin, the isolates showed different percentages of sensitivity to Doxycycline, Tetracycline, Neomycin and Chloramphenicol.

  11. Non-puerperal mastitis masking pre-existing breast malignancy: Importance of follow-up imaging

    An, Jin Kyung; Woo, Jeong Joo; Lee, Seung A [Eulji General Hospital, Eulji University School of Medicine, Seoul (Korea, Republic of)


    Mastitis is an inflammatory condition of the breast with common symptoms of pain, swelling, erythema, warmth, and fever. Diagnosis of mastitis is easily made on the basis of typical symptoms and ultrasonographic findings, such as diffusely increased echogenicity of the parenchyma and subcutaneous fat, or skin thickening. However, when it occurs in women middle-aged or older, associated malignancy should be considered. In our cases, we detected irregular hypoechoic malignant masses after the disappearance of inflammatory changes. Therefore, when non-puerperal women have inflammatory signs on their breast, follow-up imaging should be performed. In particular, in the case of persistent or growing palpability after the recovery of breast inflammation, percutaneous core biopsy and short-term follow-up with ultrasonography should be considered to exclude the associated malignancy.

  12. Latex allergy in dentistry: clinical cases report

    Raggio, D.P.; Camargo, L.B.; Naspitz, G.M.C.C.; Politano, G.T.; Bonifacio, C.C.; Mendes, F.M.; Kierstman, F.


    Generally natural rubber latex (NRL) allergy is detected after some exposition to the material. As NRL is commonly found in different materials used daily in dental clinic, the allergy can be manifested in the pediatric dentistry clinic. The first clinical manifestation can be smooth but also severe




    Full Text Available ABSTRACT: Chikungunya virus is no stranger to the Indian sub- continent. Since its first isolation in Calcutta [1] in 1963, there have been several reports of chikung unya virus infection in different parts of India [2], [3], [4]. The last outbreak of chikungunya virus infection o ccurred in India in 1971. Subsequently there has been no activ e or passive surveillance carried out in the country and therefore, it ‘seemed’ that the virus h ad ‘disappeared’ from the subcontinent [5] However, recent reports of large scale outbreaks of fever caused by chikungunya virus infection in several parts of Southern India have confirmed th e re-emergence of this virus. It has been estimated that over 1,80,000 cases have occurred in India since December 2005 [6] Andhra Pradesh (AP was the first state to report this dise ase in December 2005, and one of the worst affected (over 80,000 suspected cases . Over 12% of patients who contract chikungunya virus infection develop chronic joint symptoms [7] . OBJECTIVE: To test the efficacy of chloroquine in reducing the pain of chikungunya induced arthritis a s compared to paracetamol. METHODOLOGY: A Randomized Clinical Trial was carried out in a c ommunity attached to urban health centre of PESIMSR, Kuppam during August 2006. Among the 132 cases of arthritis, 86 persons were selected based on their availability and consent to participate. They were divided into two randomly assigned groups namely Cat egory–1(Chloroquine group and Category–2 ( Paracetamol group. Chloroquine tablet -155 mg and Paracetamol tablet - 500 mg were administered as a single dose to the two groups respectively. The groups were followed up for 8 days and the results were analyzed. STATISTICAL ANALYSIS: Analysis was carried out by using S.P.S.S. package. Asymptoic test statistic an d X 2 MH (Chi square test were used to evaluate the effect of the drugs. RESULTS OF THE STUDY: The decrease of pain in chikungunya arthritis cases was

  14. Imaging Findings in Patients with Granulomatous Mastitis



    Full Text Available Background Granulomatous mastitis (GM is a rare inflammatory breast disease that may mimic the clinical characteristics and radiologic imaging findings of breast carcinoma. Considering the importance of making a correct diagnosis, careful radiologic evaluations and recognition of imaging features are necessary. Objectives The aim of this study was to review the radiological findings and diagnostic value of the imaging in GM. Patients and Methods This retrospective study involved a total of 29 patients who were diagnosed with GM between 2009 and 2013 and who underwent mammography (MG and/or ultrasound (US examination in addition to magnetic resonance imaging (MRI before diagnosis. Results Among 14 patients over 35 years of age who underwent MG imaging, focal asymmetric, ill-defined nodular, or diffusely increased densities were detected in nine (64.3%, two (14.3%, and one (7.1% subjects, respectively, while there were no pathological findings in two (14.3% patients. In the overall group of 29 patients, US showed heterogeneous hypoechoic lesions with tubular extensions in 16 (55.2%, well-demarcated heterogeneous hypoechoic lesions in eight (27.6%, parenchymal heterogeneous appearance in three (10.3%, and a heterogeneous hypoechoic lesion with irregular margins in one (3.4%, with another (3.4% patient having normal US findings. MRI findings included lesions consistent with solitary or multiple separate or confluent abscesses with marked peripheral ring enhancement in 25 (86.2% patients, accompanied by intensity changes suggesting edematous inflammation in the peripheral parenchyma, as well as non-mass-like heterogeneous segmental and regional contrast enhancement. Four (13.8% patients had non-mass-like segmental and regional contrast enhancement only. A histopathological diagnosis of GM was established in all patients with biopsy. Conclusion GM presents with a wide range of conventional radiological findings, hampering the diagnosis. In patients

  15. Pérdidas económicas ocasionadas por la mastitis bovina en la industria lechera - Economic causalties inflicted by the bovine mastitis in the milk industry

    Bedolla, CC;


    Full Text Available ResumenEl objetivo del presente trabajo fue hacer una revisión bibliográfica sobre las pérdidas económicas que ocasiona la mastitis bovina en la industria lechera en el Mundo, en México y Michoacán. La mastitis es considerada la enfermedad infecciosa más costosa de las vacas lecheras debido a que induce a una disminución en la producción del 4 al 30% de leche y baja su calidad, además de incrementar los costos del cuidado de la salud del hato y un desecho prematuro de animales genéticamente mejorados. En el documento, se hace una descripción de los conceptos concernientes a la mastitis bovina, su clasificación, características de la enfermedad tanto en su forma de presentación clínica y subclínica en el ganado bovino lechero, así mismo se hace referencia a las pérdidas económicas que ésta ocasiona tanto en la industria lechera a nivel mundial, como en México y en el Estado deMichoacán; finalmente, se aborda lo relacionado a los costos de prevención, tratamiento y control de la enfermedad. Se concluye que las pérdidas económicas que ocasiona la mastitis bovina a la industria lechera son considerables, esto en base a diversos estudios reportados por diferentes autores.summaryThe objective of the present paper was to make a revision of literature on the economic causalties that the bovine mastitis in the milk industry in the World inflicts, in Mexico and Michoacan. The mastitis is considered infectious the disease more expensive of the milk cows because it induces to a diminution in the production from the 4 to 30% of low milk and his quality, besides to increase the costs of the care of the health of the cattle ranch and a premature animal remainder genetically improved. In the document, a description of the concepts concerning the bovine mastitis, its classification,characteristics of the disease as much in its form of clinical and subclinical presentation in the milk bovine cattle becomes, also reference to the economic

  16. Pituitary Adenoma and Hyperprolactinemia Accompanied by Idiopathic Granulomatous Mastitis

    Sebahattin Destek


    Full Text Available Idiopathic granulomatous mastitis (IGM is a rare chronic inflammatory disease of the breast, and its etiology remains not fully elucidated. IGM is observed more often in patients with autoimmune disease. Hyperprolactinemia is observed during pregnancy, lactation, and a history of oral contraceptive use. A 39-year-old patient with no history of oral contraceptive use presented with complaints such as redness, pain, and swelling in her left breast. Ultrasound and magnetic resonance imaging (MRI revealed a suspicious inflamed mass lesion. Core biopsy was performed to exclude breast cancer and to further diagnose. The breast abscess was drained and steroids were given for treatment. In order to monitor any progression during the three months of treatment, hormone levels were routinely examined. Prolactin level was above the reference range, and pituitary MRI revealed a pituitary prolactinoma. After treatment with prolactin inhibitors, IGM also improved with hyperprolactinemia. This report emphasizes attention to hyperprolactinemia in cases of IGM diagnosis and treatment.

  17. Pituitary Adenoma and Hyperprolactinemia Accompanied by Idiopathic Granulomatous Mastitis

    Destek, Sebahattin; Ahioglu, Serkan; Serin, Kursat Rahmi


    Idiopathic granulomatous mastitis (IGM) is a rare chronic inflammatory disease of the breast, and its etiology remains not fully elucidated. IGM is observed more often in patients with autoimmune disease. Hyperprolactinemia is observed during pregnancy, lactation, and a history of oral contraceptive use. A 39-year-old patient with no history of oral contraceptive use presented with complaints such as redness, pain, and swelling in her left breast. Ultrasound and magnetic resonance imaging (MRI) revealed a suspicious inflamed mass lesion. Core biopsy was performed to exclude breast cancer and to further diagnose. The breast abscess was drained and steroids were given for treatment. In order to monitor any progression during the three months of treatment, hormone levels were routinely examined. Prolactin level was above the reference range, and pituitary MRI revealed a pituitary prolactinoma. After treatment with prolactin inhibitors, IGM also improved with hyperprolactinemia. This report emphasizes attention to hyperprolactinemia in cases of IGM diagnosis and treatment. PMID:28321344

  18. Efficacy of a new premilking teat disinfectant containing a phenolic combination for the prevention of mastitis.

    Oliver, S P; Gillespie, B E; Lewis, M J; Ivey, S J; Almeida, R A; Luther, D A; Johnson, D L; Lamar, K C; Moorehead, H D; Dowlen, H H


    A teat disinfectant containing a phenolic combination was evaluated in a natural exposure study in two dairy research herds. Premilking teat disinfection was compared with a negative control using a split-udder experimental design. In both herds, premilking and postmilking teat disinfections with the phenolic combination were significantly more effective in preventing new intramammary infection (IMI) than was postmilking teat disinfection only. Clinical mastitis and new IMI by Streptococcus uberis, Streptococcus dysgalactiae, Gram-negative pathogens, and coagulase-negative Staphylococcus species were significantly lower in quarters of cows with teats predipped and postdipped than in quarters with teats postdipped only. No chapping or teat skin irritation was observed. Premilking teat disinfection with the phenolic combination in association with good udder preparation and postmilking teat disinfection can further reduce the occurrence of new IMI by numerous mastitis pathogens during lactation.

  19. Prevalence and aetiology of subclinical mastitis in goats

    Igor Štoković


    Full Text Available The study was conducted in 2006 on 20 French alpine goat farms in Croatia. Milk samples were taken from each udder half, for the mastitis test and the bacteriological test, 2120 samples in total. Subclinical mastitis was diagnosed in 211 out of 1060 goats, or in 20% of the studied population. Mastitis of one udder half was diagnosed in 84% of the affected population, while mastitis of both udder halves was diagnosed in 16% of the affected goats. A positive mastitis test reaction was identified in 605 samples (28%, and the pathogenic bacterium was isolated from 244 of these samples (36%. From 22 samples (1.5% which were negative to mastitis test, pathogenic bacteria, namely S. aureus (21 samples and Streptococcus D (1 sample, were isolated. Staphylococcus aureus was isolated from 72% mastitis test positive samples, coagulase-negative staphylococci in 16%, other bacteria were isolated from a smaller number of samples: Streptococcus D (6%, Bacillus spp. (2%, and E. coli (2%. The results of the study lead to the conclusion that the subclinical mastitis in goats has a prevalence of 20% on average which increases with higher lactation number. Staphylococcus aureus is the primary causative agent of the inflammations.

  20. Comparative erythromycin and tylosin susceptibility testing of streptococci from bovine mastitis.

    Entorf, Monika; Feßler, Andrea T; Kaspar, Heike; Kadlec, Kristina; Peters, Thomas; Schwarz, Stefan


    Tylosin, a 16-membered macrolide, is - besides other indications - used for the treatment of bovine mastitis. So far, there is only limited information available on the tylosin susceptibility of streptococci isolated from mastitis. The aim of the present study was to comparatively investigate 303 streptococci from bovine mastitis, including 101 Streptococcus agalactiae, 100 Streptococcus dysgalactiae and 102 Streptococcus uberis, for their tylosin and erythromycin susceptibility by broth microdilution and agar disk diffusion. Both tests followed the recommendations of the Clinical and Laboratory Standards Institute (CLSI). For erythromycin, the results were interpreted using the CLSI-approved clinical breakpoints. Moreover, erythromycin-resistant isolates were tested for the presence of macrolide resistance genes and for inducible macrolide resistance. In general, both testing methods showed a good correlation for the three streptococcal species, although for the erythromycin susceptibility testing 11 S. uberis isolates fell into the very major error category. All but one of the erythromycin-resistant isolates harbored at least one macrolide resistance gene, with the erm(B) gene being most common. Moreover, single isolates of S. agalactiae and S. dysgalactiae proved to be inducibly macrolide-resistant. Since inducible macrolide resistance can easily switch to constitutive resistance, tylosin should not be used for the treatment of infections caused by inducibly resistant streptococci.

  1. Treating 40 cases of acute mastitis with the self-made Tongru Xiaoyong decoction%自拟通乳消痈汤治疗急性乳腺炎40例

    高永昌; 刘团霞


    Objective: To observe the effect of the Tongru Xiaoyong decoction on treating acute mastitis. Methods: Tongru Xiaoyong decoction of oral combine with massage and intravenous infusion of antibiotic. To be divided into the observation group and the control group. Results:The cure rate and efficiency of the observation group are better than the control group.%  目的:观察通乳消痈汤治疗急性乳腺炎(外吹乳痈)的临床效果。方法:用通乳消痈汤口服,配合乳房按摩,抗生素静滴,分观察组和对照组。结果:治愈、有效率观察组明显优于对照组。

  2. Pseudomonas aeruginosa mastitis in two goats associated with an essential oil-based teat dip.

    Kelly, E Jane; Wilson, David J


    Pseudomonas aeruginosa is an opportunistic pathogen that has been associated with mastitis in dairy animals, including goats. Often, the environmental sources of the bacteria are water-related (such as hoses and muddy pastures). Mastitis attributable to P. aeruginosa was identified in 2 goats in a small herd. Efforts were made to identify environmental sources of the pathogen. Multiple samples from the goats' environment were cultured, including water from the trough, bedding, the hose used to wash udders, and the teat dip and teat dip containers. The bacterium was isolated from the teat dip and the teat dip container. The teat dip consisted of water, liquid soap, and several drops of essential oils (including tea tree, lavender, and peppermint). This case illustrates a potential problem that may arise as a result of the use of unconventional ingredients in teat dips. The use of alternative products by goat producers is likely to increase in the future.

  3. Criptococose mamária manifesta após corticoterapia Cryptococcal mastitis after corticosteroid therapy

    Sória Ramos-Barbosa


    Full Text Available Descrevemos caso de criptococose mamária em paciente de 46 anos em uso de corticoterapia. A micose foi diagnosticada por histopatologia e detecção de antígenos criptocócicos. Destacamos o dilema diagnóstico do granuloma sarcóide e a rara manifestação de mastite criptocócica.We described a case of cryptococcal mastitis in a 46 years old female patient receiving corticosteroids for sarcoidosis. There was radiological pulmonary deterioration and a cystic lesion was found in the left breast.The mycosis was diagnosed by histopathology and cryptococcal antigens. We emphasized the sarcoid granuloma diagnostic's dilemma an the rare manifestation of cryptococcal infection as mastitis.

  4. Lupus mastitis in systemic lupus erythematosus: a rare condition requiring a minimally invasive diagnostic approach.

    Lucivero, G; Romano, C; Ferraraccio, F; Sellitto, A; De Fanis, U; Giunta, R; Guarino, A; Auriemma, P P; Benincasa, M; Iovino, F


    Breast involvement is a rare event in SLE patients. The most frequent presentation is lupus panniculitis with skin erythema, tenderness, and parenchymal nodules. However, when breast masses are detected in SLE patients without significant superficial inflammation, it is mandatory to rule out breast carcinoma. Here, we report the case of a 47-year-old woman with an 18-year-long history of SLE, who presented with a suspicious breast mass. Since surgical trauma has been reported to be able to exacerbate breast inflammation in lupus mastitis, an ultrasound-guided minimally invasive Mammotome biopsy was performed to obtain tissue samples for histological and immunohistochemical examinations. Histology was consistent with lupus mastitis. The patient was already on mycophenolate mofetil and hydroxychloroquine. At the latest follow-up visit 6 years later, no progression of the breast lesion was observed.

  5. 复方中药膏剂治疗临床型奶牛乳房炎效果研究%Effect of Herbal Compound Ointment on Treatment of Clinical Cows Mastitis

    欧德渊; 黄璐; 王彬; 禾彩红; 施云刚


    Objective: We used herbal ointment instead of antibiotics to produce antibiotic -free milk. Methods: Traditional Chinese medicine was crushed into paste and made into the ointment, which then directly applied on the breasts of suffering cattle. Direct nipple administration was conducted in antibiotic treatment group. Results: ( 1 ) Ichthyol could be used as oil and water miscible emulsifier; (2) The efficacy of herbal ointment was significandy higher than the antibiotic group, and there was no recurrence during the observation period. Conclusion: The herbal ointment can be a useful treatment of cow mastitis, and has broad prospects.%目的:使用中药软膏剂替代抗生素,生产无抗奶。方法:中药粉碎成浆,制成软膏剂,直接涂抹于患牛乳房上,抗生素治疗组直接乳头给药。结果:(1)鱼石脂可作为油水互溶的乳化剂;(2)中药软膏剂疗效显著优于抗生素组,在观察期中无复发。结论:中药软膏剂能很好地治疗奶牛乳房炎,具有广阔的应用前景。

  6. 临床型乳房炎对泌乳高峰期奶牛生产性能、体况评分和血清生化指标的影响%Effect of Clinical Mastitis on Productive Performance, Body Condition Score Variation and Serum Biochemical Indexes in Cows at Peak Lactation

    覃春富; 王加启; 孙鹏; 卜登攀; 易渺; 姜士凯; 张佩华


    本试验旨在研究临床型乳房炎对泌乳高峰期奶牛生产性能、体况评分和血液生化指标的影响。选用来自同一牛场的1~3胎、产后57d、患有临床型乳房炎的8头荷斯坦牛作为研究对象,以另外8头健康奶牛作为对照,记录每天采食量和产奶量,每周进行2次体况评分和乳成分分析,分析其产后9~11周内生产性能和体况变化,于产后第77天晨饲前采集颈静脉血样,检测血清白蛋白、葡萄糖、25-羟基维生素D3、总钙和β-羟丁酸水平。结果表明,临床型乳房炎患牛产奶量呈线性下降(R2=0.96),体况评分呈线性升高(R2=0.88);患病牛干物质采食量、饲料转化率、产奶量、4%乳脂肪校正乳产量、能量校正乳产量、牛奶乳酸含量和冰点显著降低(P0.05)。试验结果提示,临床型乳房炎可降低泌乳高峰期奶牛采食量、产奶量、饲料转化率和牛奶品质,提高奶牛体况评分,使血清相关生化指标出现异常。%This study evaluated the effects of clinical mastitis (CM) on productive performance, body condition score (BCS) and serum nutrition metabolism related biochemical indexes of cows at peak lactation. Eight Holstein cows without mastitis and another eight diagnosed with CM were used in this study. All cows were from the same farm and with the same days in milk (57 DIM) and similar parities (1~3). Dry matter intake and milk yield were recorded daily, BCS and milk compositions were analyzed twice weekly. On 77 DIM, serum was obtained via jugular vein before morning feeding for the analysis of albumin, glucose, 25 hydroxyvitamine D3 [25(OH)D3], total calcium and beta hydroxybutyric acid (BHBA) content. The result showed that in cows with CM, BCS increased (R2=0.88) and milk yield decreased (R2=0.96) linearly by DIM. Dry matter intake, milk yield, 4.0% fat corrected milk yield, energy corrected milk yield, feed conversion rate, milk lactose composition

  7. Heartworm disease in dogs: unusual clinical cases.

    Venco, L; Kramer, L; Genchi, Claudio


    Two unusual cases of heartworm infection are described, including one of spontaneous rupture of cardiac chambers, most likely due to the progressive increase in pressure within the right ventricle caused by Dirofilaria immitis infection. Another case report describes persistent left cranial vena cava, which interfered with the surgical removal of heartworm via the left jugular vein.

  8. 非哺乳期乳腺炎的诊治分析%The Diagnosis and Treatment of Non-lactation Mastitis

    王先明; 吴恢升; 陈伟财; 王敏; 宋淑芬


    Based on plasma cell mastitis and idiopathic granulomatous lobular mastitis. To nonlactation mastitis of etiology and pathology, clinical manifestations, diagnosis and treatment were discussed. Nonlactation mastitis diagnosis and medical history, clinical manifestation and pathological auxiliary examination carries on the comprehensive analysis. Grasp and analysis of different types of nonlactation mastitis characteristics and evolution law. Adopt the principle of individualized treatment.%本文以浆细胞性乳腺炎和特发性肉芽肿性小叶乳腺炎为例,对非哺乳期乳腺炎的病因和病理、临床表现、诊断及治疗进行探讨.非哺乳期乳腺炎性疾病的诊断,要对病史、临床表现和病理学等辅助检查进行综合分析,掌握和分析不同类型非哺乳期乳腺炎性疾病的特点与演变规律,治疗应采取个体化的原则.

  9. The moral case for the clinical placebo.

    Gold, Azgad; Lichtenberg, Pesach


    Placebos are arguably the most commonly prescribed drug, across cultures and throughout history. Nevertheless, today many would consider their use in the clinic unethical, since placebo treatment involves deception and the violation of patients' autonomy. We examine the placebo's definition and its clinical efficacy from a biopsychosocial perspective, and argue that the intentional use of the placebo and placebo effect, in certain circumstances and under several conditions, may be morally acceptable. We highlight the role of a virtue-based ethical orientation and its implications for the beneficent use of the placebo. In addition, the definitions of lying and deception are discussed, clarified and applied to the clinical placebo dilemma. Lastly, we suggest that concerns about patient autonomy, when invoked as a further argument against administering placebos, are extended beyond their reasonable and coherent application.

  10. [Proliferative diabetic retinopathy -- therapeutic approach (clinical case)].

    Burcea, M; Muşat, Ovidiu; Mahdi, Labib; Gheorghe, Andreea; Spulbar, F; Gobej, I


    We present the case of a 54 year old pacient diagnosed with neglected insulin dependent diabetes and proliferative diabetic retinopathy. Surgery was recommended and we practiced posterior vitrectomy, endolaser and heavy silicone oil endotamponade. Post-operative evolution was favorable.

  11. Leiomyoma cellulare in postoperative material: clinical cases


    Introduction: Leiomyoma in one of the most common benign endometrial cancers. Location of the myoma in the cervix and the area of the broad ligament of the uterus is rare. Leiomyoma cellulare (LC) occurs in about 5.0% of leiomyoma cases. Aim of the research: To determine the occurrence of LC among 294 cases of myomas as well as myomas and uterine endometriosis, found in postoperative examinations. Material and methods: Patients were qualified for the surgery based on a gynaecolog...

  12. [Clinical cases and historical-medical didactics].

    Berti, Giuseppina Bock


    The discovery of remarkable documents dating back to the thirties and coming from the Policlinico Surgical Clinic of Milan, offers the possibility to be read in a historical clue too and to compare the constant discordances with the clinical contemporary practice. The aim is to point out the relationship between yesterday knowledges and critical today interpretations. The analysis can be suggested because certainly instructive and formative, also within the historical-medical didactics students of the courses of degree in Medicine and Nursing since the first match with the Medical Faculty.

  13. Mastitis and related management factors in certified organic dairy herds in Sweden

    Hansson Ingrid


    Full Text Available Abstract Background Mastitis is one of the major threats to animal health, in organic farming as well as conventional. Preliminary studies of organic dairy herds have indicated better udder health in such herds, as compared to conventional herds. The aim of this paper was to further study mastitis and management related factors in certified organic dairy herds. Methods An observational study of 26 certified organic dairy herds in mid-eastern Sweden was conducted during one year. A large-animal practitioner visited the herds three times and clinically examined and sampled cows, and collected information about general health and management routines. Data on milk production and disorders treated by a veterinarian in the 26 herds, as well as in 1102 conventional herds, were retrieved from official records. Multivariable logistic regression was used to assess associations between herd type (organic vs. conventional and incidence of disorders. Results The organic herds that took part in the study ranged in size from 12 to 64 cows, in milk production from 3772 to 10334 kg per cow and year, and in bulk milk somatic cell counts from 83000 to 280000 cells/ml. The organic herds were found to have a lower incidence of clinical mastitis, teat injuries, and a lower proportion of cows with a high somatic cell count (as indicated by the UDS, Udder Disease Score compared to conventional herds. The spectrum of udder pathogenic bacteria was similar to that found in other Swedish studies. Treatment of mastitis was found to be similar to what is practised in conventional herds. Homeopathic remedies were not widely used in the treatment of clinical mastitis. The calves in most of these organic herds suckled their dams for only a few days, which were not considered to substantially affect the udder health. The main management factor that was different from conventional herds was the feeding strategy, where organic herds used a larger share of forage. Conclusion Udder

  14. Risk factors associated with the antimicrobial resistance of Staphylococcus aureus isolated from bovine mastitis

    Daniele C. Beuron


    Full Text Available The objective of this study was to evaluate herd management practices and mastitis treatment procedures as risk factors associated with Staphylococcus aureus antimicrobial resistance. For this study, 13 herds were selected to participate in the study to evaluate the association between their management practices and mastitis treatment procedures and in vitro antimicrobial susceptibility. A total of 1069 composite milk samples were collected aseptically from the selected cows in four different periods over two years. The samples were used for microbiological culturing of S. aureus isolates and evaluation of their antimicrobial susceptibility. A total of 756 samples (70.7% were culture-positive, and S. aureus comprised 27.77% (n=210 of the isolates. The S. aureus isolates were tested using the disk-diffusion susceptibility assay with the following antimicrobials: ampicillin 10mg; clindamycin 2μg; penicillin 1mg; ceftiofur 30μg; gentamicin 10mg; sulfa-trimethoprim 25μg; enrofloxacin 5μg; sulfonamide 300μg; tetracycline 30μg; oxacillin 1mg; cephalothin 30μg and erythromycin 5μg. The variables that were significantly associated with S. aureus resistance were as follows: the treatment of clinical mastitis for ampicillin (OR=2.18, dry cow treatment for enrofloxacin (OR=2.11 and not sending milk samples for microbiological culture and susceptibility tests, for ampicillin (OR=2.57 and penicillin (OR=4.69. In conclusion, the identification of risk factors for S. aureus resistance against various mastitis antimicrobials is an important information that may help in practical recommendations for prudent use of antimicrobial in milk production.

  15. Features of the diagnostic methods to identify the sheep subclinical mastitis in according to infectious etiology

    Eliane Vale Tanaka


    value of 300 000 cells/ml of milk to the screening of the positive and negative samples. A total of 125 samples were negative in the microbiological examination, of which 102 were presented as CMT-negative and 23 were positive to the CMT. Among the positive samples for microbiological analyzes, 12 were negative to the CMT. Thirty-four samples were positive for mastitis after the SCC, from a total of 118. SCC showed greater sensitivity than the CMT for identifying cases of ovine mastitis to the most classes of micro-organisms (67.0% vs. 50.0% for CPS; 80.0% vs. 71.4 % for CNS; and 87.5% vs. 55.6% for other micro-organisms, except for coliforms (85.7% vs. 90.0%, probably by the least amount of results for SCC when compared to CMT. The CMT was more efficient in the diagnosis of mastitis for all classes of micro-organisms (80.0% vs. 79.9% for CPS, 82.0% vs. 71.5% for CNS, 82.2% vs. 72.0 % for coliforms, and 80.0% vs. 72.2% for other micro-organisms due to greater specificity when compared with SCC (81.6% vs. 71.2%. It is concluded that the test SCC offered so far, better diagnostic sensitivity for detection of ovine mastitis for most micro-organisms, providing greater security for the screening of cases in the herd which, in the future, may facilitate the effectiveness of disease control measures.

  16. Optoelectronic and photonic sensors of mastitis in cow milk

    Borecki, M.; Niemiec, T.; Korwin-Pawlowski, M. L.; Kuczyńska, B.; Doroz, P.; Urbańska, K.; Szmidt, M.; Szmidt, J.


    Mastitis is the inflammation of the mammary gland in animals under the influence of micro-organisms causing functional disorder of udder. Mastitis causes a variety of qualitative changes in the milk, which classified as mastitis milk, has a reduced value. A number of chemical procedures and lab instruments were developed to test for mastitis, of which the widest used are the California mastitis test and the somatic cell counter. This work presents the progress in development of new photonic sensors of mastitis using a conductometer, a spectrometer and a capillary head with local heating with improved measuring procedures. We showed that the significant increase in mastitis detection sensitivity is achieved by measuring the whey acidic instead of milk. The whey can be obtained from milk in a relatively simple and inexpensive chemical process. We correlated the conductivity measurement and the measurement of the number of somatic cells in the milk. The application of the measurement of optical transmission absorption in whey instead of the classic milk measurement increases the resolution of resistance measuring more than 3 times. However, the application of the method of capillary phase-transition to whey examination increases the resolution of measurement 15 times. The changes in resistance and time of the phase transitions are linearly correlated with the number of somatic cells.

  17. Combined Treatment of Non-lactation Mastitis%非哺乳期乳腺炎的综合治疗

    吴雪英; 宋传贵


    常见的非哺乳期乳腺炎主要包括浆细胞性乳腺炎和肉芽肿性小叶性乳腺炎,临床常见为肿块伴随炎症性表现,易反复发作并形成经久不愈的窦道或瘘管,目前还没有最佳的单一治疗方法,以外科手术为主的综合治疗仍是该类疾病治疗首选,本文就相关治疗进行探讨.%The common non—lactation mastitis mainly consists of plasma cell mastitis and granu-lomatous tabular mastitis. Common clinical manifestations of the non—lactation mastitis often present as inflammatory mass. It's easy to relapse frequently and often forms the sinus or fistula. As to single treatment on it, there is no best standard yet at present. Comprehensive treatment based on surgical excision is still considered as optimal treatment mode. We will discuss the related treatment as below.

  18. Single nucleotide polymorphisms in immunity-related genes and their association with mastitis in Chilean dairy cattle.

    Carvajal, A M; Huircan, P; Lepori, A


    Mastitis remains a major cattle disease with great global economic implications. Various approaches are currently employed in attempts to improve understanding of mastitis resistance and develop phenotypic markers for use in breeding programs (e.g., somatic cell score), including QTL discovery, wide-genome association studies, and identification of candidate genes related to immune function. This study evaluated three single nucleotide polymorphisms contained in Toll-like receptor 4 (TLR4) and lactoferrin (LF) genes associated with mastitis traits: TLR4 P-226, TLR4 2021, and LF P-28. Genotyping was performed by restriction fragment length polymorphism-polymerase chain reaction (PCR) and high-resolution melting quantitative PCR from genomic DNA of four dairy cattle breeds (Holstein, Jersey, Montbeliarde, and Overo Colorado) previously classified as healthy, with clinical or with subclinical mastitis. The high-resolution melting quantitative PCR allowed genotyping of each locus and resulted in allele frequencies indicating that all loci were in Hardy-Weinberg equilibrium. The TT genotype of TLR4 2021 was significantly associated with the healthy condition, but no associations with somatic cell score were evident. Further studies are therefore necessary in order to confirm the results of this investigation.

  19. Evaluation of a lysostaphin-fusion protein as a dry-cow therapy for Staphylococcus aureus mastitis in dairy cattle.

    Hoernig, K J; Donovan, D M; Pithua, P; Williams, F; Middleton, J R


    This study evaluated the efficacy of a recombinant lysostaphin fused to a protein transduction domain (rLYS-PTD) as a dry-cow therapy for the treatment of experimentally induced chronic, subclinical Staphylococcus aureus mastitis. Twenty-two Holstein dairy cows were experimentally infected with Staph. aureus in a single pair of diagonal mammary quarters approximately 45d before dry off. Staphylococcus aureus-infected mammary quarters of cows were randomly assigned to 1 of 2 treatment groups at dry off: (1) 279mg of rLYS-PTD in 50mL of vehicle (n=11 cows; 22 quarters) or (2) 50mL of vehicle solution (n=11 cows; 22 quarters) by intramammary infusion. All cows were followed for 30d postpartum to determine cure rates using bacteriologic culture, somatic cell counts, and clinical mastitis scores. No cures were recorded in either the treatment or control groups. Milk somatic cell count, bacterial colony counts, and mastitis scores did not significantly differ between treatment groups. In conclusion, rLYS-PTD was not an effective dry-cow therapeutic for chronic, subclinical Staph. aureus mastitis at the tested dose and formulation.

  20. Congenital dislocation of the patella - clinical case

    Pedro Miguel Sá


    Full Text Available ABSTRACT Congenital patellar dislocation is a rare condition in which the patella is permanently dislocated and cannot be reduced manually. The patella develops normally as a sesamoid bone of the femur. This congenital dislocation results from failure of the internal rotation of the myotome that forms the femur, quadriceps muscle and extensor apparatus. It usually manifests immediately after birth, although in some rare cases, the diagnosis may be delayed until adolescence or adulthood. Early diagnosis is important, thereby allowing surgical correction and avoiding late sequelae, including early degenerative changes in the knee. A case of permanent dislocation of the patella is presented here, in a female child aged seven years.

  1. Osteonecrosis caused by Bisphosphonates: a clinical case



    SUMMARY The osteonecrosis of the maxillares caused by bisphosphonates (OMB) either wrongly known or not reconised in earlier times became nowadays very important among the dentists and maxillo-facials surgeons because of the potential serious consequences that might bring in the oral cave of the patients, who are suffering already for their base condition. The goal of our work was to verify if a deep treatment and an attentive observation with a close follow-up can bring to the resolution of serious cases of ostenecrosis of the maxillares by bisphosphonantes. Although without a statistic value our case report put the basis for a chance to execute wider casistic studies. PMID:23285372

  2. Clinical analysis of 22 cases with Hashimoto's encephalopathy

    Xiao-yan GE


    Full Text Available Objective To investigate the clinical presentations of Hashimoto's encephalopathy (HE, so as to improve the diagnosis and treatment of this disease. Methods A retrospective analysis was performed on clinical features, laboratory findings, imaging profiles, treatment and outcomes of 22 patients with HE who were admitted to our hospital between June 2010 and September 2013.  Results Clinical symptoms were mainly acute or subacute cognitive impairment (9 cases, psychiatric symptoms (6 cases, seizures (5 cases, ataxia (5 cases, stroke-like episodes (6 cases, tremor (1 case, myoclonus (2 cases and disturbance of consciousness (3 cases. Marked increase was found in serum anti-thyroid peroxidase (anti-TPO antibody level (19 cases and anti-thyroglobulin (anti-TG antibody level (20 cases. Twenty-one cases were treated with glucocorticoids, and one patient was treated only with general neurotrophic therapy, such as ganglioside. Except for 4 cases showed bad response to steroids, the rest patients had an obvious improvement. Conclusions Hashimoto's encephalopathy is an encephalopathy with the presence of elevated antithyroid antibodies, and most patients showed good response to steroids. So early diagnosis and treatment is particularly important for improving prognosis. This disease should be considered as an important differential diagnosis for encephalopathy of unknown etiology, and screening for serum antithyroid antibodies should be performed as initial screening test. doi: 10.3969/j.issn.1672-6731.2014.07.008




    105 North American and European cases of Lyme carditis, being documented and in part published in the period 1977-1990, are reviewed and compared. The male: female ratio was 3:1, as well in Europe as in the USA. Transient atrioventricular block is the most frequent manifestation of Lyme carditis, wi

  4. Strategies for diagnosis, control, and prevention of mastitis

    Cotrino Badillo, Victor


    La diversidad en los sistemas de manejo, métodos de ordeño y aun de razas que se tienen en la producción de leche en Colombia, no permiten unificar las normas para el control de mastitis y será el veterinario quien, de acuerdo con los recursos disponibles en cada finca, establezca los procedimientos para el manejo del ordeño y el control de la mastitis. Influenciados por las diferencias de manejo, la prevalencia de cada uno de los microorganismos causantes de mastitis varía de región a reg...

  5. Bacteriocins - exploring alternatives to antibiotics in mastitis treatment.

    Pieterse, Reneé; Todorov, Svetoslav D


    Mastitis is considered to be the most costly disease affecting the dairy industry. Management strategies involve the extensive use of antibiotics to treat and prevent this disease. Prophylactic dosages of antibiotics used in mastitis control programmes could select for strains with resistance to antibiotics. In addition, a strong drive towards reducing antibiotic residues in animal food products has lead to research in finding alternative antimicrobial agents. In this review we have focus on the pathogenesis of the mastitis in dairy cows, existing antibiotic treatments and possible alternative for application of bacteriocins from lactic acid bacteria in the treatment and prevention of this disease.

  6. Bacteriocins: exploring alternatives to antibiotics in mastitis treatment

    Reneé Pieterse


    Full Text Available Mastitis is considered to be the most costly disease affecting the dairy industry. Management strategies involve the extensive use of antibiotics to treat and prevent this disease. Prophylactic dosages of antibiotics used in mastitis control programmes could select for strains with resistance to antibiotics. In addition, a strong drive towards reducing antibiotic residues in animal food products has lead to research in finding alternative antimicrobial agents. In this review we have focus on the pathogenesis of the mastitis in dairy cows, existing antibiotic treatments and possible alternative for application of bacteriocins from lactic acid bacteria in the treatment and prevention of this disease.

  7. Disruption of the sigS gene attenuates the local innate immune response to Staphylococcus aureus in a mouse mastitis model.

    Peton, Vincent; Breyne, Koen; Rault, Lucie; Demeyere, Kristel; Berkova, Nadia; Meyer, Evelyne; Even, Sergine; Le Loir, Yves


    Staphylococcus aureus (S. aureus) is a major pathogen involved in ruminant mastitis and present worldwide. Clinical signs of S. aureus mastitis vary considerably and are largely dependent on strain-specific factors. A comparison of two S. aureus strains that reproducibly induced either severe (O11) or mild (O46) mastitis in ewes revealed that the transcriptional regulator sigS was mutated in O46 (Le Maréchal et al., 2011. PLoS One. 6 (11) e27354. doi:10.1371/journal.pone.0027354). In the present paper, we analysed the sigS sequence in 18 other S. aureus strains isolated from goat or ewe mastitis and found a 4-bp deletion similar to that of the O46 sigS gene in three strains associated with subclinical ewe mastitis. This sigS gene was disrupted in strain O11 (O11ΔsigS), so our aim was to investigate its involvement in the severity of infections in the context of mastitis. The wild type (wt) and mutant strains were then characterized in vitro to determine the involvement of sigS in the response S. aureus under various stress conditions, and assess its influence on the cytotoxicity of the pathogen, its invasive capacity and biofilm formation. The strains were compared in vivo in an experimental mouse mastitis model in which clinical signs and cytokine production were evaluated at 24h post-infection. While no significant differences in the effect on bacterial growth between O11 and O11ΔsigS were observed either in vitro or in vivo, a significantly weaker in vivo production of interleukin (IL)-1α, IL-1β, and Tumor Necrosis Factor (TNF)-α was measured in the mammary glands infected with the mutant strain, suggesting that infection with O11ΔsigS induced an attenuated local innate immune response. These results suggest an impact of sigS disruption on S. aureus pathogenesis in a ruminant mastitis context. This disruption is probably involved in, and may partly explain, the milder symptoms previously observed in S. aureus O46-induced mastitis in ewes.

  8. Clinical waste incinerators in Cameroon--a case study

    Mochungong, Peter Ikome Kuwoh; Gulis, Gabriel; Sodemann, Morten


    Incinerators are widely used to treat clinical waste in Cameroon's Northwest Region. These incinerators cause public apprehension owing to purported risks to operators, communities and the environment. This article aims to summarize findings from an April 2008 case study....

  9. [Paraffinomas: history, clinical features and treatment. A case report].

    Mounios-Perchenet, A S; Le Fourn, B; Hepner-Lavergne, D; Pannier, M


    One case of paraffinoma is reported on a 60 years old man following injections of paraffin fourty years ago. The authors recalled with this observation history of paraffin, clinical aspect and surgical treatment of the paraffinoma.

  10. Facilitating case studies in massage therapy clinical education.

    Baskwill, Amanda


    The integration of evidence into reflective health care practice has been on the rise in recent years and is a phenomenon that has affected all health care professions, including massage therapy. Clinical case studies are a research design that follows one patient or subject, making the studies ideal for use in clinical practice. They are valuable for communicating information from clinical practice to the broader community. Case studies have face validity that may be more valuable to individual practitioners than homogeneous randomized controlled trials, as the practitioner may recognize a complex patient in the case report. At Humber College, Student Massage Therapists (SMTs) create, conduct, and communicate results of a clinical case study prior to graduation. This article describes the process and experience.

  11. Etiology and Comprehen-sive Prevention and Con-trol Technology of Cow Mastitis%奶牛乳房炎的病因及综合防治技术

    俞步清; 尹召华; 张宜辉


    Mastitis was one of the most common diseases in cow, including clinical mastitis and subclinical mastitis, which led to severe losses to develop-ment of dairy industry. The aetiological agent, detection ,comprehensive preven-tion and control technology were summa-ried to provide reference for further study on prevention and control of cow mastitis.%乳房炎是奶牛养殖中最常见的疾病之一,可分为临床型乳房炎和隐性乳房炎两种,其发生对奶业发展造成了严重的阻碍。文中从发病原因、检测与综合防治技术等方面对奶牛乳房炎进行了综述,以期为进一步研究奶牛乳房炎防治提供参考。

  12. Knee osteoarthrosis secondary to ochronosis -clinical case,

    Andreia Maria da Silva Martins Ferreira


    Full Text Available Alkaptonuria is a rare metabolic disease in which a deficiency of the enzyme homogentisate dioxygenase causes an accumulation of homogentisic acid. Ochronosis consists of excessive deposition of homogentisic acid in the connective tissue and presents as a chestnut brown or black pigmentation. With aging, the accumulation of pigments from homogentisic acid in the joints causes osteoarthrosis. There is no specific treatment for the disease and the approach is symptomatic. Arthroplasty is the solution for severe cases of osteoarthrosis caused by this pathological condition and presents results comparable to those from patients with primary osteoarthrosis. Here, the case of a 67-year-old patient who underwent several arthroplasty procedures because of osteoarthrosis caused by this rare pathological condition is presented. The last surgical intervention consisted of total right knee arthroplasty.

  13. Clinical competence : General ability or case-specific?

    Wimmers, Paul F.; Splinter, Ted A. W.; Hancock, Gregory R.; Schmidt, Henk G.


    Background: Before the 1970s, research into the development of clinical competence was mainly focused on general problem-solving abilities. The scope of research changed when Elstein and colleagues discovered that individual ability to solve clinical problems varies considerably across cases. It was

  14. Teaching clinical reasoning: case-based and coached.

    Kassirer, Jerome P


    Optimal medical care is critically dependent on clinicians' skills to make the right diagnosis and to recommend the most appropriate therapy, and acquiring such reasoning skills is a key requirement at every level of medical education. Teaching clinical reasoning is grounded in several fundamental principles of educational theory. Adult learning theory posits that learning is best accomplished by repeated, deliberate exposure to real cases, that case examples should be selected for their reflection of multiple aspects of clinical reasoning, and that the participation of a coach augments the value of an educational experience. The theory proposes that memory of clinical medicine and clinical reasoning strategies is enhanced when errors in information, judgment, and reasoning are immediately pointed out and discussed. Rather than using cases artificially constructed from memory, real cases are greatly preferred because they often reflect the false leads, the polymorphisms of actual clinical material, and the misleading test results encountered in everyday practice. These concepts foster the teaching and learning of the diagnostic process, the complex trade-offs between the benefits and risks of diagnostic tests and treatments, and cognitive errors in clinical reasoning. The teaching of clinical reasoning need not and should not be delayed until students gain a full understanding of anatomy and pathophysiology. Concepts such as hypothesis generation, pattern recognition, context formulation, diagnostic test interpretation, differential diagnosis, and diagnostic verification provide both the language and the methods of clinical problem solving. Expertise is attainable even though the precise mechanisms of achieving it are not known.

  15. Clinical Competence: General Ability or Case-Specific?

    Wimmers, Paul F.; Splinter, Ted A. W.; Hancock, Gregory R.; Schmidt, Henk G.


    Background: Before the 1970s, research into the development of clinical competence was mainly focused on general problem-solving abilities. The scope of research changed when Elstein and colleagues discovered that individual ability to solve clinical problems varies considerably across cases. It was concluded that problem solving abilities are…

  16. Cardial myxoma associated with clinical weakness and thorombocytopenia: case report

    Mahmoud Hosseinzadeh Maleki


    Full Text Available Atrial myxomas is the most prevalent benign heart tumor which is presented with a wide variety of symptoms. We introduce a case who suffered left atrial myxoma associated with clinical weakness and thorombocytopenia. The clinical symptoms of the patient rapidly disappeared one week after cardial myxoma resection.

  17. Brazilin plays an anti-inflammatory role with regulating Toll-like receptor 2 and TLR 2 downstream pathways in Staphylococcus aureus-induced mastitis in mice.

    Gao, Xue-jiao; Wang, Tian-cheng; Zhang, Ze-cai; Cao, Yong-guo; Zhang, Nai-sheng; Guo, Meng-yao


    Mastitis, which commonly occurs during the postpartum period, is caused by the infection of the mammary glands. The most common infectious bacterial pathogen of mastitis is Staphylococcus aureus (S. aureus) in both human and animals. Brazilin, a compound isolated from the traditional herbal medicine Caesalpinia sappan L., has been shown to exhibit multiple biological properties. The present study was performed to determine the effect of brazilin on the inflammatory response in the mouse model of S. aureus mastitis and to confirm the mechanism of action involved. Brazilin treatment was applied in both a mouse model and cells. After brazilin treatment of cells, Western blotting and qPCR were performed to detect the protein levels and mRNA levels, respectively. Brazilin treatment significantly attenuated inflammatory cell infiltration and inhibited the expressions of TNF-α, IL-1β and IL-6 in a dose-dependent manner. Administration of brazilin in mice suppressed S. aureus-induced inflammatory injury and the production of proinflammatory mediators. This suppression was achieved by reducing the increased expression of TLR2 and regulating the NF-κB and MAPK signaling pathways in the mammary gland tissues and cells with S. aureus-induced mastitis. These results suggest that brazilin appears to be an effective drug for the treatment of mastitis and may be applied as a clinical therapy.

  18. 用凡士林药膏控制奶牛隐性乳房炎的试验研究%Experimental Study of Mastitis in Dairy Cattle

    吴周良; 刘自增


    Dairy mastitis has a serious impact on the milk yield and quality, significantly reducing the economic efficiency of dairy farming. Using positive individuals in Subclinical Mastitis Screening Test in a large dairy farm in Tianjin, vaseline ointment medicinal efficacy was studied. The result shows that the vaseline ointment can effectively control the development of subclinical mastitis, prevent the change to clinical mastitis, more suitable to be used to strengthen the prevention of dairy mastitis especially in the cold and dry weather in the fall and winter.%奶牛乳房炎严重影响奶产量和乳品质,显著降低奶牛养殖的经济效益.本试验以天津某大型奶牛场隐性乳房炎普查阳性个体为试验对象,对凡士林药膏的药用疗效进行了研究.结果显示,凡士林药膏可以有效控制隐性乳房炎的发展,阻止其向临床型乳房炎转变,较适宜在秋冬季节对奶牛乳房炎进行加强防治.

  19. Dental Fusion: Report on a Clinical Case

    Colorado Vélez, Carlos


    Fusion is defined as the partial or complete union of two or more teeth during their development; it can occur between normal teeth or between a normal tooth and a supernumerary tooth. This anomaly can be unilateral or bilateral and can affect any teeth, although deciduous teeth are more frequently damaged. It can also affect the patient’s appearance, cause changes in the dental arch space, lead to cavities and affect periodontal structures. This article presents the case of 13-year-old who c...

  20. [Disseminated sporotrichosis - clinical case and discussion].

    Barroso Pereira, João Cláudio; Grijó, Amorita; Ribeiro Machado Pereira, Rosângela; Noel S Oliveira, Andreza; de Andrade, Ana Cláudia; Ferreira, Ana Cláudia M; Corrêa Brant Machado, Christiane; Veiga Coutinho, Débora; Vale Rios, Danilo; Pereira Pires, Bárbara


    The authors report a case of a patient with a prior history of alcohol abuse who developed nodules and ulcerated skin lesions on his trunk and lower extremities along the line of the lymphatic draining area. The patient's X-ray showed reticular nodular intersticial infiltrates at the lung bases. There was a positive culture of supraclavicular lymph node for Sporothrix schenckii. After specific treatment using mainly potassium iodide, there was regression of cutaneous lesions and lung infiltrates. The authors present a discussion on the deseases' forms of presentation, highlighting the lung involvement ans further discuss the diagnosis and treatment of sporotrichosis.

  1. Comparing the effectiveness of a clinical registry and a clinical data warehouse for supporting clinical trial recruitment: a case study.

    Weng, Chunhua; Bigger, J Thomas; Busacca, Linda; Wilcox, Adam; Getaneh, Asqual


    This paper reports a case study comparing the relative efficiency of using a Diabetes Registry or a Clinical Data Warehouse to recruit participants for a diabetes clinical trial, TECOS. The Clinical Data Warehouse generated higher positive predictive accuracy (31% vs. 6.6%) and higher participant recruitment than the Registry (30 vs. 14 participants) in a shorter time period (59 vs. 74 working days). We identify important factors that increase clinical trial recruitment efficiency and lower cost.

  2. Clinical Analysis of 45 Cases of Caesarean Scar Pregnancy

    Hong SHI; Ai-hua FANG; Qin-fang CHEN


    Objective To summarize the clinical characteristics of caesarean scar pregnancy and to investigate its treatment.Methods Clinical case records of 45 cases of caesarean scar pregnancy from June 2003 to September 2007 were reviewed.The characteristics and management of cases were analyzed.Results The women's average age was 32.8±5.1 years.All cases had amenorrhoea.and 27 cases had vaginal bleeding from spotting to morderate.Seven cases were misdiagnosed as normal early intrauterine pregnancy or inevitable miscarriage before dilation and curettage(D & C).In case of massive bleeding,caesarean scar pregnancy was diagnosed after D & C.Bleeding was controlled and uterus was conserved in 6 cases,and 1 case underwent hysterectomy because of uncontrollable bleeding.The remaining 38 cases had ultrasound scan,which indicated scar pregnancy before primary treatment.Eight cases were primarily treated with dilation and curettage,in which only 2 cases had slight bleeding in the operation and no further treatment.Nineteen cases were primarily treated with dilation and curettage after uterine artery which 17 cases needed no further treatment and had no complications.The success rate was 89.4%(17/19).Eleven cases were primarity treated with trichosanthin 1.2 mg intramuscular.No one encountered massive bleeding,but 7 cases of these 11 cases needed extra treatment.Conclusion Caesarean scar pregnancy must be cautious of,especially in cases of inevitable miscarriage.Dilation and curettage followed uterine artery embolization can be used as the primary treatment for caesarean scar pregnancy.

  3. Antimicrobial resistance and molecular epidemiology of streptococci from bovine mastitis

    Rato, Márcia G.; Bexiga, Ricardo; Florindo, Carlos;


    Streptococcus agalactiae (Group B Streptococcus, GBS), Streptococcus dysgalactiae subsp. dysgalactiae (Group C Streptococcus, GCS) and Streptococcus uberis are relevant mastitis pathogens, a highly prevalent and costly disease in dairy industry due to antibiotherapy and loss in milk production. T...

  4. Antiepleptic drug interactions: a clinical case demonstration.

    Tesfaye, Hundie; Klapková, Eva; Tesfayeová, Alena; Komárek, Vladimír


    Epilepsy is a serious health disorder affecting both paediatric and adult population worldwide. Due to difficulties in identifying its aetiology, initial management is often guided by empiric therapy measures. Symptomatic control requires the use of antiepileptic drugs (AEDs), many of which have the potential for adverse drug interactions. Children are especially susceptible to drug interactions and frequently exhibit atypical adverse events, which may require special care. Aim. To demonstrate a case of a 15 year old girl suffering from refractory epilepsy with underlying focal cortical dysplasia (FCD), whose seizure deterioration was most probably associated with drug-drug interactions between prescribed common antiepileptic drugs, namely valproic acid, phenobarbital or the prodrug primidon and carbamazepine.

  5. Molecular detection and sensitivity to antibiotics and bacteriocins of pathogens isolated from bovine mastitis in family dairy herds of central Mexico.

    León-Galván, Ma Fabiola; Barboza-Corona, José E; Lechuga-Arana, A Arianna; Valencia-Posadas, Mauricio; Aguayo, Daniel D; Cedillo-Pelaez, Carlos; Martínez-Ortega, Erika A; Gutierrez-Chavez, Abner J


    Thirty-two farms (n = 535 cows) located in the state of Guanajuato, Mexico, were sampled. Pathogens from bovine subclinical mastitis (SCM) and clinical mastitis (CLM) were identified by 16S rDNA and the sensitivity to both antibiotics and bacteriocins of Bacillus thuringiensis was tested. Forty-six milk samples were selected for their positive California Mastitis Test (CMT) (≥3) and any abnormality in the udder or milk. The frequency of SCM and CLM was 39.1% and 9.3%, respectively. Averages for test day milk yield (MY), lactation number (LN), herd size (HS), and number of days in milk (DM) were 20.6 kg, 2.8 lactations, 16.7 animals, and 164.1 days, respectively. MY was dependent on dairy herd (DH), LN, HS, and DM (P antibiotics tested in this study.

  6. Triploid pregnancies, genetic and clinical features of 158 cases

    Joergensen, Mette W; Niemann, Isa; Rasmussen, Anders A


    OBJECTIVE: The purpose of this study was to analyze the correlation between the genetic constitution and the phenotype in triploid pregnancies. STUDY DESIGN: One hundred fifty-eight triploid pregnancies were identified in hospitals in Western Denmark from April 1986 to April 2010. Clinical data...... than MMP cases (P XYY. Molar phenotype was seen only in PPM cases. However, PPM cases with a nonmolar phenotype were...

  7. Clinical analysis of 9 cases of anti-NMDAR encephalitis

    Yun-xia CHEN


    Full Text Available Objective  To explore the pathogenesis and clinical features of anti-N-methyl-D-aspartate receptor (NMDAR encephalitis. Methods  The clinical characteristics of 9 patients with anti-NMDAR encephalitis in Department of Neurology, Army General Hospital of Chinese PLA from October 2013 to October 2015, were retrospectively analyzed. And by literatures review, the pathogenesis, clinical feature, diagnosis, treatments and prognosis of this disease were summarized. Results  The average age of the 9 patients (3 men and 6 women was 39 years, 5 of them had precursor nonspecific infection. The initial symptom of neurologic system was mental-behavior disorder in all the 6 females, or epilepsy in all the 3 males. Mental-behavior disorder existed in all the 9 cases during the disease course, including 7 cases of epilepsy, 8 cases of consciousness disturbance, 5 cases of involuntary movement, and 3 cases of inadequate ventilation. The anti-NMDAR antibodies were positively detected from the cerebrospinal fluid and blood of all the 9 cases. After gamma globulin and hormone therapy, 8 cases were cured or better, and only 1 case invalid. A six months follow-up found that 8 cases were independent with eusemia and 1 case got disability. Conclusions  The clinical characteristics of anti-NMDAR encephalitis are mental-behavior disorder, or epilepsy upon the basis of a precursor infection, with positive anti-NMDAR antibodies detected from the cerebrospinal fluid and blood. Gamma globulin and hormone therapy may help th e clinical recovery. DOI: 10.11855/j.issn.0577-7402.2016.09.13

  8. Assessment of an extraction protocol to detect the major mastitis-causing pathogens in bovine milk.

    Cressier, B; Bissonnette, N


    Despite all efforts to control its spread, mastitis remains the most costly disease for dairy farmers worldwide. One key component of better control of this disease is identification of the causative bacterial agent during udder infections in cows. Mastitis is complex, however, given the diversity of pathogens that must be identified. Development of a rapid and efficient bacterial species identification tool is thus necessary. This study was conducted to demonstrate the feasibility of bacterial DNA extraction for the automated molecular detection of major mastitis-causing pathogens directly in milk samples to complement traditional microbiological identification. Extraction and detection procedures were designed and optimized to achieve detection in a respectable time frame, at a reasonable cost, and with a high throughput capacity. The following species were identified: Staphylococcus aureus, Escherichia coli, Streptococcus uberis, Streptococcus agalactiae, Streptococcus dysgalactiae, and Klebsiella spp. (including Klebsiella oxytoca and Klebsiella pneumoniae). The detection procedure includes specific genomic DNA amplification by multiplex PCR for each species, separation by capillary electrophoresis, and laser-assisted automated detection. The specificity of the primers was assessed with a panel of bacteria representing mastitis-negative control species. The extraction protocol comprised multiple steps, starting with centrifugation for fat removal, followed by heating in the presence of a cation exchange resin to trap divalent ions. The analytical sensitivity was 100 cfu/mL for milk samples spiked with Staph. aureus, Strep. dysgalactiae, and E. coli, with a tendency for K. pneumoniae. The detection limit was 500 cfu/mL for Strep. uberis and Strep. agalactiae. The overall diagnostic sensitivity (95.4%) and specificity (97.3%) were determined in a double-blind randomized assay by processing 172 clinical milk samples with microbiological characterization as the

  9. Mastite Puerperal: Estudo de Fatores Predisponentes Puerperal Mastitis: Study of Predisposing Factors

    Acilegna do Nascimento Sales


    Full Text Available Objetivos: conhecer as características clínicas e bacteriológicas da mastite, classificação e tratamento. Métodos: as pacientes foram inquiridas sobre dados pessoais, pré-natal, atendimento no parto, no puerpério e quadro clínico. A mastite foi classificada pelos critérios de Vinha. Nos casos que evoluíram para abscesso, foi realizada análise bacteriológica, utilizando-se o meio de cultura caldo de enriquecimento Tryptone Soya Broth. Resultados: das 70 lactantes, 57% eram primíparas, 57% com idade entre 20 e 29 anos e 51% com 1º grau incompleto. A renda era menor que um salário mínimo em 63% dos casos. Exerciam atividade domiciliar sem apoio em 66% dos casos. Em 50%, as mamas não foram examinadas. No pré-natal não tiveram orientação sobre aleitamento e ordenha em respectivamente 50% e 58% dos casos. Em 63% o parto não foi em hospitais Amigos da Criança. Ocorreu ingurgitamento em 46% e fissura mamilar em 47% dos casos. Na classificação citada: 44% eram do tipo lobar, 39% ampolar e 17% glandular. No material de cultura houve crescimento de Staphylococcus aureus em 55%. Conclusões: fatores como baixa escolaridade, baixa renda, atividade familiar sem apoio, primiparidade e falta de orientação são fatores de risco para o aparecimento da mastite.Purpose: to investigate clinical and bacteriological aspects, follow-up and treatment of mastitis in our clinic. Methods: this study was performed at Cleriston Andrade General Hospital. Patients were interviewed regarding personal data, prenatal care, care received during delivery and puerperium and clinical aspects. Their mastitides were classified by Vinha's criteria. The patients with abscesses had them drained for bacteriological study. Culture medium Tryptone Soya Broth was used. Results: seventy nursing mothers were interviewed; 57% of them had given birth for the first time, 57% were between 20 and 29 years old, 51% had not finished elementary school, 63% had income less

  10. Pulmonary mycoses among the clinically suspected cases of pulmonary tuberculosis

    Tshering Ongmu Bhutia


    Full Text Available Background: This study was carried with the main objectives: (1 to find out the occurrence of pulmonary mycoses in clinically suspected pulmonary tuberculosis cases at central referral hospital, Tadong, Sikkim. (2 To find out the various fungi causing pulmonary mycoses in clinically suspected pulmonary tuberculosis cases. Methods: 200 clinically suspected pulmonary tuberculosis cases who visited the department of microbiology for the diagnostic microscopic examination of sputum sample for acid fast bacilli were included in this cross sectional study, carried out under the department of microbiology, Sikkim Manipal institute of medical sciences, over one year. Smears of sputum samples were examined microscopically for acid fast bacilli and fungal elements. Sputum samples were also plated onto different fungal culture media. Results: Out of 200 patients, various types of pathogens were detected in 54 (27% patients. Fourteen (7% patients were positive only for AFB, while fungus as a primary etiological agent was detected in 16(8% patients. Fungus as a secondary etiological agent was detected in 4 (2% patients [AFB with fungus in 2 (1%, AFB with fungus and bacteria in 1 (0.5% and bacteria with fungus in 1 (0.5% patient]. Conclusion: Pulmonary mycosis can be a primary infection in non- tuberculosis cases or co-infection in pulmonary tuberculosis cases. Investigation for fungal cause in clinically suspected cases of pulmonary tuberculosis will prevent misdiagnosis and mistreatment of cases. [Int J Res Med Sci 2015; 3(1.000: 260-268

  11. Asteroid hyalosis: clinical review of 58 cases

    José Nuno Vargas Galveia


    Full Text Available OBJECTIVE: Understand the behavior, functional repercussion and relationship with epidemiological factors of asteroid hyalosis (AH and retrospective observational case series. METHODS: Fifty-eight patients diagnosed with AH (24 women and 34 men were studied. All patients were submitted to a thorough ophthalmological examination. RESULTS: We observed a statistical association between the presence of AH and male sex (p=0,042. An increase in prevalence of this pathology was observed with increasing age. We determined an odds ration of 5,24 of a patient over 50 years old having AH, when compared to patients bellow this threshold. Eighty-six percent of patients had unilateral vitreous deposits. We measured a lower IOP in the affected eye, with the difference being in average 2,68 ± 1,45 mmHg (p=0,037. We observed no statistical association between AH and age related macular degeneration, diabetes or glaucoma. Five eyes were submitted to facoemulsification combined with pars plana vitrectomy with an average gain of 7 lines (Snellen in visual acuity (p=0,03. CONCLUSION: In our sample a clear association between AH, ageing and male sex was observed. The majority of patients had unilateral vitreous deposits. Vitrectomy in association with facoemulsification is a safe and effective intervention in this group of patients.

  12. The National Mastitis Council: A Global Organization for Mastitis Control and Milk Quality, 50 Years and Beyond.

    Middleton, John R; Saeman, Anne; Fox, Larry K; Lombard, Jason; Hogan, Joe S; Smith, K Larry


    The National Mastitis Council was founded in 1961 based on the desire of a forward-thinking group of individuals to bring together "all forces of organized agriculture in the United States to combat, through every practical device, the mastitis threat to the Nation's health and food safety". What started as a small organization focused on mastitis of dairy cattle in the United States has grown into a global organization for mastitis and milk quality. Over the last 50-plus years the concerted efforts of the membership have led to the synthesis and dissemination of a considerable body of knowledge regarding udder health, milk quality, and food safety which has improved dairy cattle health and well-being and farm productivity.

  13. A review of the factors affecting the costs of bovine mastitis : review article

    K.R. Petrovski


    Full Text Available Mastitis is one of the most prevalent production diseases affecting the dairy cattle industry worldwide. Its occurrence is associated with direct and indirect losses and expenditures. When estimating the cost of mastitis to the dairy industry the cost of the control programmes must be added. The direct losses of mastitis are the only costs obvious to the farmer. The difference between the costs of mastitis on one side and the benefits of mastitis control on the other side will give us a picture of the economic efficacy of the mastitis control programme. Continuing education of the farmer is needed for better mastitis control programmes. This article is an attempt to review briefly all relevant factors included in the economics of bovine mastitis and to illustrate the authors' view of some of the costs.

  14. Non-specific granulomatous or tuberculous mastitis

    Gurjit Singh


    Full Text Available The significance of breast tuberculosis is due to rare occurrence and mistaken identity with breast cancer and pyogenic breast abscess. A 70-year-old woman presented with a gradually increasing swelling in the right breast involving the outer upper quadrant since 6 months. Examination of the axilla revealed no lymphadenopathy. FNAC from the lump was inconclusive. Straw-colored discharge from the FNAC site was negative for acid-fast bacilli on Z-N staining and on culture. Modified radical mastectomy was done since malignancy could not be ruled out. Histopathology showed features of granulomatous mastitis. Lymph nodes recovered from the specimen showed caseation necrosis. Anti-tubercular treatment was given to the patient, and she has remained asymptomatic over 1 year of follow-up so far. Extrapulmonary tuberculosis occurring in the breast is extremely rare and is uncommon even in countries where the incidence of pulmonary and extrapulmonary tuberculosis is high.

  15. 原料乳和临床乳房炎金黄色葡萄球菌毒力基因检测及药敏分析%Characterization of toxin genes and antimicrobial susceptibility of Staphylococcus aureus isolated from raw milk and milk of clinical mastitis

    张静; 于三科; 王新; 孙全才


    乳房炎加以重视。%A total of 101 Staphylococcus aureus isolates from raw milk(44 isolates) and milk of clinical mastitis(57 isolates) were tested,for the prevalence of nine enterotoxin and four other exotoxin genes by polymerase chain reaction and antimicrobial susceptibility testing by the agar dilution method.It shows that in the 44 strains of S.aureus from raw milk,84.09% were positive for one or more toxin genes,84.09% isolates harbored PVL gene,52.27% isolates harbored one or more SE genes,and sea(56.82%) was the most common pattern,mecA,ETs,TSST-1 sei and sej genes were not detected.Resistance was most frequently observed to trimethoprim(100%),followed by cefoxitin(86.36%),chloramphenicol(11.36%),erythromycin(4.55%),oxacillin(2.27%),cefoperazone(2.27%) and gentamicin(6.82%).All S.aureus isolates from raw milk were susceptible to amikacin,ciprofloxacin and vancomycin.Of the 57 strains of S.aureus from milk of clinical mastitis,78.95% were positive for one or more toxin genes,28.07% isolates harbored PVL gene,77.19% isolates harbored one or more SE genes,and sea(47.37%) was the most common pattern,10.53% mecA gene was detected,ETs,TSST-1 and seh genes were not detected.Resistance was most frequently observed to erythromycin(100%),followed by trimethoprim(71.93%),chloramphenicol(28.07%),gentamicin(26.07%),ciprofloxacin(24.56%),cefoxitin(19.30%) and oxacillin(7.02%).All isolates of S.aureus from milk of clinical mastitis were susceptible to amikacin,cefoperazone,vancomycin and tetracycline.Many S.aureus isolates from raw milk and milk of clinical mastitis contained different multiple resistance and various toxin genes,MRSA was only isolated from cows with clinical mastitis.Our results may provide useful information for assessment of the possible risk posed to milk products.

  16. [Clinical analysis of 410 cases of drug eruption].

    Mo, Bao-han


    An clinical analysis was conducted among a cohort of 410 patients drug eruption with treated in our department from January 1995 to December 2001. We found that the common drugs likely to lead to anaphylactic reactions included cephalosporins, ampicillin types, antipyretic analgesic types, rabies vaccine, sulfonamides, tetracyclines types, etc. The drug eruption mostly presents diverse clinical features resembling the rashes as seen in cases of scarlet fever, measles, urtica, or mucosal edema or ulceration.

  17. Development of intramammary delivery systems containing lasalocid for the treatment of bovine mastitis: impact of solubility improvement on safety, efficacy, and milk distribution in dairy cattle

    Wang W


    Full Text Available Wen Wang,1 Yunmei Song,1 Kiro Petrovski,2 Patricia Eats,2 Darren J Trott,2 Hui San Wong,2 Stephen W Page,3 Jeanette Perry,2 Sanjay Garg11School of Pharmacy and Medical Science, University of South Australia, Adelaide, SA, Australia; 2School of Animal and Veterinary Sciences, University of Adelaide, Adelaide, SA, Australia; 3Luoda Pharma Pty Ltd, Caringbah, NSW, AustraliaBackground: Mastitis is a major disease of dairy cattle. Given the recent emergence of methicillin-resistant Staphylococcus aureus as a cause of bovine mastitis, new intramammary (IMA treatments are urgently required. Lasalocid, a member of the polyether ionophore class of antimicrobial agents, has not been previously administered to cows by the IMA route and has favorable characteristics for development as a mastitis treatment. This study aimed to develop an IMA drug delivery system (IMDS of lasalocid for the treatment of bovine mastitis.Methods: Minimum inhibitory concentrations (MICs were determined applying the procedures recommended by the Clinical and Laboratory Standards Institute. Solid dispersions (SDs of lasalocid were prepared and characterized using differential scanning calorimetry and Fourier transform infrared spectroscopy. IMDSs containing lasalocid of micronized, nano-sized, or as SD form were tested for their IMA safety in cows. Therapeutic efficacy of lasalocid IMDSs was tested in a bovine model involving experimental IMA challenge with the mastitis pathogen Streptococcus uberis.Results: Lasalocid demonstrated antimicrobial activity against the major Gram-positive mastitis pathogens including S. aureus (MIC range 0.5–8 µg/mL. The solubility test confirmed limited, ion-strength-dependent water solubility of lasalocid. A kinetic solubility study showed that SDs effectively enhanced water solubility of lasalocid (21–35-fold. Polyvinylpyrrolidone (PVP-lasalocid SD caused minimum mammary irritation in treated cows and exhibited faster distribution in milk than

  18. Clinical and pathological analysis of 20 cases of hemochromatosis

    Li LIANG


    Full Text Available Objective To investigate the clinical and pathological characteristics of hemochromatosis(HC,and provide references for HC diagnosis and treatment.Methods Liver specimens were obtained via needle biopsy from 20 cases of HC.Histological specimens were stained with haematoxylin eosin.Pathological changes of liver tissues were analyzed together with the clinical data.Results Ten cases of hereditary hemochromatosis(HHC and 10 cases of secondary hemochromatosis(SHC were randomly selected.Fatigue(18/20,hepatomegalia(18/20 and splenomegalia(17/20were the common clinical manifestations.The 20 HC cases characterized by iron overload and fibrosis may be divided into HHC type(17 cases and non-HHC type(3 cases according to the region of iron deposition.All the 10 cases of HHC showed HHC type,while 7 of the 10 SHC cases showed HHC type,and the other 3 SHC cases showed non-HHC type.Steatosis,eosinophile granulocyte infiltration and vacuolus nucleus were also observed frequently in the liver tissues of HC,and their distribution coincided with the region of iron deposition.Statistically,fibrosis was significantly associated with iron deposition and serum iron in HHC patients(P < 0.05,but not associated with steatosis and duration of HHC.Additionally,fibrosis was not associated with iron deposition,serum iron,steatosis and duration of SHC in SHC patients.Conclusions The final diagnosis of HC depends mainly on histological changes in liver tissues.Meanwhile,it is necessary to distinguish HHC from SHC according to case history and biochemical detection.HHC might be a metabolic disease with multi-organ damage due to the disruption of homeostasis by iron overload.To avoid multi-organ failure,patients with HHC should be diagnosed and treated as early as possible.

  19. Schizencephaly: clinical and imaging features in 30 infantile cases.

    Denis, D; Chateil, J F; Brun, M; Brissaud, O; Lacombe, D; Fontan, D; Flurin, V; Pedespan, J


    Schizencephaly is an uncommon structural disorder of cerebral cortical development, characterized by congenital clefts spanning the cerebral hemispheres from the pial surface to the lateral ventricles and lined by cortical gray matter. Either an antenatal environmental incident or a genetic origin could be responsible for this lesion which occurs between the third and fourth month of gestation. We report the clinical and cranial imaging features of 30 children, of whom 15 had unilateral and 15 had bilateral lesions. Their ages at the time of the first presentation ranged from 1 month to 10 years. They were thoroughly studied from clinical, epileptical, imaging and electroencephalographic (EEG) viewpoints. Five patients were investigated by cranial computed tomography (CT), eight by cranial magnetic resonance (MR) imaging, and 17 by both methods. The clinical features consisted of mild hemiparesis in 17 cases (57%), 12/17 were related to a unilateral phenotype (80% of all unilateral forms) and 5/17 to a bilateral phenotype. A tetraparesis was present in nine cases, all of which were due to a bilateral cleft. Bilateral forms were significantly associated with tetraparesis, whereas unilateral forms were associated with hemiparesis. Mental retardation was observed in 17 cases (57%), and was observed significantly more often in bilateral clefts (80%). When both hemispheres are involved, an absence of reorganization of the brain function between the two hemispheres leads to severe mental deficits, in addition to the cerebral anomaly itself. Eleven patients had seizures (seven from unilateral and three from bilateral forms). The degree of malformation was not related to the severity of epilepsy. Migration disorders, such as dysplasia or heterotopia, were observed in 30% of cases and are also important etiopathogenetic factors. The septum pellucidum was absent in 13 cases (43%), with septo-optical dysplasia in two cases. Corpus callosum dysgenesis was noted in 30% of cases

  20. Longitudinal Analysis of Somatic Cell Count for Joint Genetic Evaluation of Mastitis and Recovery Liability

    Welderufael, Berihu Gebremedhin; de Koning, D J; Janss, Luc;

    Abstract Text: Better models of genetic evaluation for mastitis can be developed through longitudinal analysis of somatic cell count (SCC) which usually is used as a proxy for mastitis. Mastitis and recovery data with weekly observations of SCC were simulated for daughter groups of 60 and 240 per...

  1. MRI for clinically suspected pediatric appendicitis: case interpretation

    Moore, Michael M.; Brian, James M.; Methratta, Sosamma T.; Hulse, Michael A.; Choudhary, Arabinda K.; Eggli, Kathleen D.; Boal, Danielle K.B. [Penn State Milton S. Hershey Medical Center, Division of Pediatric Radiology, Department of Radiology, Hershey, PA (United States)


    As utilization of MRI for clinically suspected pediatric appendicitis becomes more common, there will be increased focus on case interpretation. The purpose of this pictorial essay is to share our institution's case interpretation experience. MRI findings of appendicitis include appendicoliths, tip appendicitis, intraluminal fluid-debris level, pitfalls of size measurements, and complications including abscesses. The normal appendix and inguinal appendix are also discussed. (orig.)

  2. First Description of NOD2 Variant Associated with Defective Neutrophil Responses in a Woman with Granulomatous Mastitis Related to Corynebacteria ▿

    Bercot, Béatrice; Kannengiesser, Caroline; Oudin, Claire; Grandchamp, Bernard; Sanson-Le Pors, Marie-José; Mouly, Stéphane; Elbim, Carole


    We report the first case of granulomatous mastitis due to Corynebacterium kroppenstedtii linked to strongly impaired neutrophil responses to Nod2 agonist and a single nucleotide polymorphism within the NOD2 gene (SNP13 [Leu1007fsinsC]) in a heterozygous state. These findings provided the first demonstration of impaired Nod2 function associated with corynebacterial infection.

  3. Pseudobulbar Paralysis Treated by Acupuncture - Clinical Observation in 36 Cases



    @@Pseudobulbar paralysis is a kind of common clinical syndromes of cerebral vascular diseases, which is manifested as dyslalia, dysphagia and choking. By several-year clinical observations, 36 cases were treated with satisfactory therapeutic effects as reported in the following. Clinical Data Of 36 in-patients, there were 24 males and 12 females, aged from 44 to 81 years, averaging 64.92 years. Of 36 cases, 24 were at the acute stage and 12 at the recovery stage. All the cases were diagnosed as cerebral vascular diseases by cranial CT scan and MRI, of which, 4 were cerebral infarction, 26 lacunar cerebral infarction, 5 cerebral hemorrhage and 1 mixed type. Of 36 cases, 15 were the first attack of wind-stroke, 15 the second attack, 5 the third attack and 1 the forth attack. There were 26 patients with hypertension among 36 cases, of which, 8 patients suffered from hypertension within 10 years, 6 for more than 10 years, 9 for more than 20 years and 3 for more than 30 years. All the 36 cases were associated with dysphagia and agreeable to Standard on Diagnosis and Evaluation of Therapeutic Effects of Wind-stroke issued by the State Scientific Committee 85-919-01-01, 1995.

  4. Friedreich's ataxia: clinical and molecular study of 25 Brazilian cases

    Albano Lilian M. J.


    Full Text Available INTRODUCTION: Friedreich's ataxia is a neurodegenerative disorder whose clinical diagnostic criteria for typical cases basically include: a early age of onset (< 20 or 25 years, b autosomal recessive inheritance, c progressive ataxia of limbs and gait, and d absence of lower limb tendon reflexes. METHODS: We studied the frequency and the size of expanded GAA and their influence on neurologic findings, age at onset, and disease progression in 25 Brazilian patients with clinical diagnosis of Friedreich's ataxia - 19 typical and 6 atypical - using a long-range PCR test. RESULTS: Abnormalities in cerebellar signs, in electrocardiography, and pes cavus occurred more frequently in typical cases; however, plantar response and speech were more frequently normal in this group when the both typical and atypical cases were compared. Homozygous GAA expansion repeats were detected in 17 cases (68% - all typical cases. In 8 patients (32% (6 atypical and 2 typical, no expansion was observed, ruling out the diagnosis of Friedreich's ataxia. In cases with GAA expansions, foot deformity, cardiac abnormalities, and some neurologic findings occurred more frequently; however, abnormalities in cranial nerves and in tomographic findings were detected less frequently than in patients without GAA expansions. DISCUSSION: Molecular analysis was imperative for the diagnosis of Friedreich's ataxia, not only for typical cases but also for atypical ones. There was no genotype-phenotype correlation. Diagnosis based only on clinical findings is limited; however, it aids in better screening for suspected cases that should be tested. Evaluation for vitamin E deficiency is recommended, especially in cases without GAA expansion.

  5. Retrospective Clinical Analysis of 38 Cases of Pulmonary Embolism

    Ruiyun Liang; Wei Zhang; Wei Wu; Shanping Jiang; Zhiqiang Lü


    To investigate the clinical feature of acute pulmonary embolism.Methods Retrospective clinical analysis was performed according to the data of 38 cases of pulmonary embolism.Results There were ground diseases and predisposing factors in 36 cases of pulmonary embolism among 38 cases,the ratio was 94.7 %,among the total predisposing factors,tumor,cardiovascular disease,venous thrombosis of lower extremity,smoking and long-term bed were common.There was no specificity in clinical feature,physical sign and rout chest X ray,electrocardiography,and their appearances were diversified.There were specificity and sensitivity in echocardiogram (UCG) and D-dimer to some extent.But,the final diagnosis must depend on some special examinations,such as selective pulmonary arteriography,CTPA,MRA and so on.Conclusions The special examinations must be done to make a definite diagnosis to confirm pulmonary embolism when the high risk factors and ground diseases are existing.It is necessary to some cases when the clinical feature can not be explained by other diseases.

  6. Fahr’s Disease – about a clinical case

    Joana Alexandre


    Full Text Available Fahr’s disease is a rare neuropsychiatric disorder with calcification of the basal nucleus. Its symptoms include movement disorders, dementia and affective disorders. The diagnosis is made with brain image particulary CAT or MRI. The authors describe a clinical case of Fahr’s disease, which presented initially with affective symptoms.

  7. Clinical Case Studies in Psychoanalytic and Psychodynamic Treatment

    Willemsen, Jochem; Della Rosa, Elena; Kegerreis, Sue


    This manuscript provides a review of the clinical case study within the field of psychoanalytic and psychodynamic treatment. The method has been contested for methodological reasons and because it would contribute to theoretical pluralism in the field. We summarize how the case study method is being applied in different schools of psychoanalysis, and we clarify the unique strengths of this method and areas for improvement. Finally, based on the literature and on our own experience with case study research, we come to formulate nine guidelines for future case study authors: (1) basic information to include, (2) clarification of the motivation to select a particular patient, (3) information about informed consent and disguise, (4) patient background and context of referral or self-referral, (5) patient's narrative, therapist's observations and interpretations, (6) interpretative heuristics, (7) reflexivity and counter-transference, (8) leaving room for interpretation, and (9) answering the research question, and comparison with other cases. PMID:28210235

  8. Breast lumps: A 21-year single-center clinical and histological analysis

    Gabriel E Njeze


    Full Text Available Objective: To review the presentation and histological diagnosis of breast lumps of patients seen in Trans Ekulu Hospital Enugu Southeastern Nigeria from 1993 to 2013 in a period of 21 years. Materials and Methods: This is a retrospective study covering a period of 21 years. Case notes of patients containing clinical information and their histology reports were studied. Results: Only 38% of the patients came within 3 months of finding lumps in their breast. One hundred and thirty-seven patients (83% had benign disease, i.e., fibroadenoma, mammary dysplasia, cysts, adenomas, tuberculosis, phyllodes tumor, mastitis, and lipoma. Only 16.9% i.e., 28 patients had breast cancer, out of which two females were in their 20s, and three were males. Conclusions: Benign breast diseases, i.e., fibroadenoma, fibroadenosis, cysts, adenomas, tuberculosis, phyllodes, mastitis, and lipoma are the commoner breast diseases in our locality.

  9. Etiologia e perfil de sensibilidade de bactérias isoladas de ovelhas com mastite na região nordeste do estado do Pará Etiology and antimicrobial susceptibilities of bacteria isolated from sheep with mastitis in northeastern Pará, Brazil

    Natália da Silva e Silva


    relação a Escherichia coli, 66,7% dos isolados mostraram-se resistentes à ampicilina, cefalotina, florfenicol e tetraciclina. A mastite está presente em ovelhas no estado do Pará, havendo a necessidade de estimar, em estudos futuros, as perdas econômicas causadas por essa enfermidade. O CMT apresentou resultados satisfatórios, podendo ser recomendado como teste de triagem para o diagnóstico de casos individuais de mastite subclínica em ovinos, uma vez que apresentou boa relação com o exame microbiológico. No antibiograma foi observado que a maioria dos agentes isolados apresenta-se sensível aos diferentes antimicrobianos testados, sendo os antibióticos com melhor eficiência o florfenicol e a cefoxitina.The objective of this paper was to study the etiology of mastitis in sheep at northeastern Pará, and to establish the sensitivity of isolated bacteria to antibiotics. A total of 176 Santa Inês nursing sheep kept in semi-intensive system from seven properties were examined. The mammary gland was clinically examined and the milk was submitted to the Caneca Telada Test, the California Mastitis Test (CMT, bacteriological examinations and antibiograms. Out of the 352 mammary halves (176 sheep, 5.9% (21/352 had clinical mastitis and by the CMT test, 7.39% (26/352 had subclinical mastitis and 86.64% (305/352 mammary halves did not have mastitis. Most of the animals with mastitis were in the second third of the lactation period, had less kids and more lactation periods. The following bacteria were isolated from the clinical mastitis Staphylococcus spp. coagulase negative (42,9%; Staphylococcus aureus (9.52%; Streptococcus spp. (4.76% and Escherichia coli (4.76%. Were observed associations of Staphylococcus aureus and Streptococcus spp. (4,76%; Staphylococcus spp. coagulase negative nonhemolytic, Staphylococcus spp. coagulase negative hemolytic and Staphylococcus spp. coagulase negative non hemolytic pigment (4.76%. Already in subclinical mastitis the bacteria

  10. Imaging features of rare mastitis%少见乳腺炎的影像学诊断

    罗东林; 丁俊涛; 贾颖; 文亚渊; 陈金萍; 徐琰


    目的 总结分析少见乳腺炎的B超、钼靶及磁共振的影像学特点,结合病理结果及文献复习探讨这三种影像学检查的诊断价值.方法 回顾性分析第三军医大学第三附属医院2000年1月至2009年6月所有经病理检查确诊并行影像学检查的24例少见乳腺炎,包括一般资料、影像学检查特点、病理结果、诊断符合率.结果 24例中乳腺导管扩张并慢性炎14例,肉芽肿性小叶炎3例,慢性化脓性炎6例,乳腺结核1例;行B超检查13例,诊断符合率为77%,行钼靶检查12例,诊断符合率25%,行MRI检查3例,诊断符合率100%.结论 少见乳腺炎大多在影像学上无特异性表现,但仍有其异于其他乳腺肿块的特点,MRI检查较B超及钼靶检查更准确,联合多种检查手段可以提高诊断符合率.%Objective To summarise the imaging features of rare mastitis and explore the diagnostic value of ultrasound, mammography and MRI for rare mastitis. Methods The record of 24 patients diagnosed as rare mastitis in our hospital from Jan. 2000 to Jun. 2009 was reviewed, including clinical manifestations, pathological results, imaging diagnosis and diagnostic accurate rate. Results Of the 24 patients, 14 patients were ductal ectasia with chronic mastitis, 3 granulomatous mastitis, 6 chronic abscess and 1 mammary tuberculosis. 13 patients underwent ultrasonic scan, 12 patients underwent mammography and 3 patients underwent MRI, with the diagnostic accurate rate 77%, 25% and 100% respectively. Conclusions There are no special imaging manifestations for most rare mastitis, however, some differential characteristics still exist. MRI has a higher accuracy compared to ultrasound and mammography. The combination of multiple imaging methods can improve diagnostic accuracy.

  11. Isolation and characterization of a virulent bacteriophage SPW specific for Staphylococcus aureus isolated from bovine mastitis of lactating dairy cattle.

    Li, Longping; Zhang, Zhiying


    Mastitis in dairy cattle continues to be an economically important disease. However, control is complicated by a high prevalence of resistance to antibiotics. Phage therapy, therefore, is considered as an alternative way of controlling bacterial infections and contaminations. In this study, we have described isolation and characterization of a highly virulent phage SPW from wastewater of dairy farm, which possesses a strong lytic capability against mastitis-associated Staphylococcus aureus, the most important pathogen in bovine clinical and subclinical mastitis. The phage SPW produced large, round and clear plaques on bacterial culture plates. TEM showed phage SPW has an icosahedral head 62.5 nm in diameter and long tail of 106 nm, head and tail were held together by a connector of 18 ± 1.5 nm long and can be classified as a member of the Myoviridae family. Restriction analysis indicated that phage SPW was a dsDNA virus with an approximate genome size of 65-69 kb. One-step growth kinetics showed a short latency period of about 10-15 min and a rise period of 50 min and a relatively small burst size was 44 ± 3 phages particles/infected cell. Moreover, adsorption rates were not influenced by calcium ions and phage SPW was relatively stable in a wide range of temperature and pH values, and resistant to chloroform and isopropanol. The optimal multiplicity of infection (MOI) was 0.01. When phage SPW was used to infect five other clinically isolated pathogenic isolates, it showed relatively wide spectrum host range. Phage SPW was capable of eliciting efficient lysis of S. aureus, revealing it potentially as an effective approach to prophylaxis or treatment of S. aureus-associated mastitis in dairy cows.

  12. A case of hyperprolactinemia in patient with metastatic breast cancer: clinical case presentation

    L. K. Dzeranova


    Full Text Available The described clinical case illustrates the importance of careful medical care and follow-up for oncology patients which can prevent high degree of tumor dissemination in case of the disease progression and improve survival rate and quality of life.

  13. Hypertensive thalamic hemorrhage. Clinical symptoms and outcomes in 40 cases

    Munaka, Masahiro; Nishikawa, Michio; Hirai, Osamu; Kaneko, Takaaki; Watanabe, Syu; Fukuma, Jun; Handa, Hajime


    In the past six years, we have had experience with 40 patients with hypertensive thalamic hemorrhages, as verified by CT scan at our hospital within 24 hours. These patients were classified into the following three groups according to the location of the bleeding point and the size of the hematoma: (1) anteromedial (4 cases), (2) posterolateral (16 cases), and (3) massive (20 cases). The (1) and (2) hematomas were small (less than 3 cm in diameter), while those in (3) were large (more than 3 cm in diameter). Twenty cases (50% of all the thalamic hematomas) were small hematomas. The characteristic clinical symptoms of the anteromedial type were a mild disturbance of consciousness and thalamic dementia, while those of the posterolateral type were motor and sensory disturbance, and thalamic aphasia, respectively. Twenty cases (50%) were large hematomas. The clinical symptoms of these cases were mainly consciousness disturbance; 7 of them expired. Based on this experience, it may be considered that the patients whose hematoma size was larger than 3 cm had a poor prognosis and that the patients with the posterolateral type had a poor functional diagnosis.

  14. Treatment of subclinical mastitis through the mineral homeopathic supplement in the diet of lactating milking cows: case study. Tratamiento de la mastitis subclínica mediante suplementación de la dieta de vacas lecheras en lactación: estudio de caso. Tratamento de mastite subclínica por meio de suplementação mineral homeopática da dieta de vacas leiteiras em lactação: estudo de caso.

    Carlos Massambani; Êrica Cristina Vieira; Zilda Cristina Gazim; Cláudia Ribeiro Martins


    The present work results from experimental research conducted in a dairy establishment in the city of Perobal, Paraná. It was tested a homeopathic treatment in 32 animals with symptoms of subclinic mastitis detected previously by the California Mastitis Test (CMT).The remedies were prepared according to the Hahnemannian method for the decimal scale and divided in 4 groups according to their pathogenetic action: Group A (Phytolacca D30, Urtica ureus D3, Asa foetida D6); Group B (Phytolacca D12...

  15. Relationship between mastitis causative pathogens and somatic cell counts in milk of dairy cows

    Sharaf Eldeen Idriss


    Full Text Available Milk somatic cell count is a key component of national and international regulation for milk quality and an indicator of udder health and of the prevalence of clinical and subclinical mastitis in dairy herds. The objective of this study was to evaluate the presence of mastitis pathogens in milk samples differed by somatic cell count (SCC in microbiologically positive samples. Also frequency of distribution of samples differed by SCC were studied in non infected samples as well. The milk samples were collected from individual quarters from the dairy farms located in Nitra region with problematic udder health of herd for SCC and bacteriological analysis. Totally, 390 milk samples were examined, and 288 (73.85% positive milk samples were detected. Four SCC groups of samples (400×103 /ml were used to identify presence of microorganisms in positive samples. The most frequently isolated pathogens in samples with high SCC >400×103 /ml according to year were Coagulase-negative Staphylococci (29.11 % in 2012, followed by Staphylococcus aureus (28.0% in 2010, yeasts (24.05% in 2012, Escherichia coli (22.78% in 2012, Bacillus sp. (20% in 2010 and Pseudomonas aerugenosa (11.88% in 2011. Coagulase-negative Staphylococci (66.67% were the predominantly identified in the samples with low SCC <100×103 cells/ml, followed by Bacillus spp (50%, Entrococcus spp. (33.33% and Staphylococcus aureus (16.67% and E. coli (16.67%. The results of this study indicated that the SCC of individual milk samples corresponded with the health status of the udder of dairy cows represented by presence of mastitis microorganisms in milk. However, the contamination of milk samples could be also connected with low SCC. On the ohter side the samples with high SCC were found out without presence of microorganism. The further study is needed to identify the reason of high SCC in milk from negative samples.

  16. Crescentic glomerulonephritis: A clinical and histomorphological analysis of 46 cases

    Ruchika Gupta


    Full Text Available Background: Crescentic glomerulonephritis (CrGN, defined as crescents involving more than 50% of the glomeruli, includes pauci-immune, immune complex-mediated and anti-glomerular basement membrane disease. Objectives: The present study was aimed at evaluating the various clinical, biochemical and histological parameters in CrGN with respect to these categories and clinical outcome. Materials and Methods: Renal biopsies diagnosed as CrGN between Jan 2008 and Feb 2010 were included. Clinical and laboratory parameters were retrieved along with the therapeutic approach and clinical outcome, wherever available. Renal biopsy slides were evaluated for various glomerular, tubulo-interstitial and arteriolar features. Appropriate statistical tests were applied for significance. Results: A total of 46 cases of CrGN were included; majority (71.7% of cases were pauci-immune (PI while 28.3% were immune complex-mediated (IC. Among clinical features, gender ratio was significantly different between PI and IC groups (P = 0.006. The various histological parameters, including proportion of cellular crescents, tuft necrosis and Bowman′s capsule rupture, were similar in both the groups. Four unusual associations, including idiopathic membranoproliferative glomerulonephritis (MPGN, multibacillary leprosy, acute lymphoblastic leukemia and C1q nephropathy were detected. Adequate follow-up information was available in 21 (46% of the patients. Of these, 11 (52.4% were dialysis-dependent at the last follow-up. Adult patients required renal replacement therapy more frequently than pediatric cases (P = 0.05. Presence of arteriolar fibrinoid necrosis also showed association with poor clinical outcome (P = 0.05. Conclusions: Crescentic glomerulonephritis remains one of the main causes of acute renal failure with histological diagnosis. Immunohistologic examination is essential for accurate classification into one of the three categories. This condition should be considered

  17. Neuroacanthocytosis. A clinical, haematological and pathological study of 19 cases.

    Hardie, R J; Pullon, H W; Harding, A E; Owen, J S; Pires, M; Daniels, G L; Imai, Y; Misra, V P; King, R H; Jacobs, J M


    Nineteen cases are described, including 12 cases from three different families and 7 nonfamilial cases, in which multisystem neurological disease was associated with acanthocytosis in peripheral blood and normal plasma lipoproteins. Mild acanthocytosis can easily be overlooked, and scanning electron microscopy may be helpful. Some neurologically asymptomatic relatives with significant acanthocytosis were identified during family screening, including some who were clinically affected. The mean age of onset was 32 (range 8-62) yrs and the clinical course was usually progressive but there was marked phenotypic variation. Cognitive impairment, psychiatric features and organic personality change occurred in over half the cases, and more than one-third had seizures. Orofaciolingual involuntary movements and pseudobulbar disturbance commonly caused dysphagia and dysarthria that was sometimes severe, but biting of the lips or tongue was rarely seen. Chorea was seen in almost all symptomatic cases but dystonia, tics, involuntary vocalizations and akinetic-rigid features also occurred. Two cases had no movement disorder at all. Computerized tomography often demonstrated cerebral atrophy. Caudate atrophy was seen less commonly, and nonspecific focal and symmetric signal abnormalities from the caudate or lentiform nuclei were seen by magnetic resonance imaging in 3 out of 4 cases. Depression or absence of tendon reflexes was noted in 13 cases and neurophysiological abnormalities often indicated an axonal neuropathy. Sural nerve biopsies from 3 cases showed evidence of a chronic axonal neuropathy with prominent regenerative activity, predominantly affecting the large diameter myelinated fibres. Serum creatine kinase activity was increased in 11 cases but without clinical evidence of a myopathy. Postmortem neuropathological examination in 1 case revealed extensive neuronal loss and gliosis affecting the corpus striatum, pallidum, and the substantia nigra, especially the pars

  18. Pemphigus : A clinical study of 109 cases from Tripoli, Libya

    Shafi M


    Full Text Available From 1981 to 1992, 109 cases (90 females and 19 males of pemphigus were seen in the Department of Dermatology, Central Hospital Tripoli, Libya. Age of onset of the disease varied from 17 to 85 years, while duration of the disease at the time of presentation varied from 3 days to 13 days. On the basis of clinical features and routine histological findings the cases were divided into various subtypes as : pemphigus foliaceus 65 cases, pemphigus vulgaris 34 patients, pemphigus erythematosus 5, herpetiform pemphigus 3 and vegetans type 2 cases. Three of our patients had diabetes mellitus preceding pemphigus, while 12 patients developed steroid induced diabetes. Significant secondary bacterial infection occurred in all cases at some stage of the disease while oral candidiasis occurred in 15 cases. Eczema herpeticum was seen in 4 patients, while 2 had extensive tinea corporis. One of 4 patients of pemphigus vulgaris had complete shedding of nail and 1 female patient had alternate phases of pemphigus foliaceus and generalized pustular psoriasis. The features in our cases of pemphigus foliaceus were somewhat similar to Brazilian pemphigus foliaceus and we had more cases of pemphigus foliaceus, almost exclusively affecting females.


    N. V. Fedorova


    Full Text Available Objective – a description of clinical cases of impulsive­compulsive disorders in Parkinson,s disease. The first clinical case. Patient N., 75 years old, suffering for 15 years from Parkinson,s disease, akinetic­rigid form of the disease, stage 4 by Hyun–Yar. Since 2009, he received levodopa/carbidopa 250/25 mg 5 times/day (daily dose of 1250 mg of levodopa; pramipexole 3.5 mg per day (daily dose 3.5 mg, amantadine sulfate 100 mg 5 times/day (daily dose 500 mg. While taking antiparkinsonian drugs the patient developed behavioral disorders such as dopamine disregulatory syndrome combined with punding, hypersexuality and compulsive shopping accompanied by visual hallucinations. The total equivalent dose of levodopa was 1600 mg per day. The second clinical case. Patient R., 52 years old, suffers from Parkinson,s disease about 5 years, a mixed form. She complained of slowness of movement, tremor in her left hand, sleep disturbances, poor mood. The clinic was appointed piribedil 50 mg 3 times per day. Despite the fact that the patient took only one of dopaminergic drugs in a therapeutic daily dose, she developed impulsive­compulsive disorder as hyper­ sexuality, compulsive shopping and binge eating. Results. In the first clinical case for correction of behavioral disorders in patients with Parkinson,s disease levodopa/carbidopa dose was reduced to 750 mg per day (3/4 Tab. 4 times a day; added to levodopa/benserazide dispersible 100 mg morning and levodopa/benserazide 100 mg before sleep (total dose of levodopa of 950 mg per day. Amantadine sulfate and pramipexole were canceled. It was added to the therapy of atypical neuroleptic clozapine dose 6,25 mg overnight. After 3 months marked improvement, regressed visual hallucina­ tions, improved family relationships, background mood became more stable. The patient continue to sing karaoke, but this hobby has be­ come less intrusive. In the second clinical event correction impulsive

  20. Technological advances in bovine mastitis diagnosis: an overview.

    Duarte, Carla M; Freitas, Paulo P; Bexiga, Ricardo


    Bovine mastitis is an economic burden for dairy farmers and preventive control measures are crucial for the sustainability of any dairy business. The identification of etiological agents is necessary in controlling the disease, reducing risk of chronic infections and targeting antimicrobial therapy. The suitability of a detection method for routine diagnosis depends on several factors, including specificity, sensitivity, cost, time in producing results, and suitability for large-scale sampling of milk. This article focuses on current methodologies for identification of mastitis pathogens and for detection of inflammation, as well as the advantages and disadvantages of different methods. Emerging technologies, such as transcriptome and proteome analyses and nano- and microfabrication of portable devices, offer promising, sensitive methods for advanced detection of mastitis pathogens and biomarkers of inflammation. The demand for alternative, fast, and reliable diagnostic procedures is rising as farms become bigger. Several examples of technological and scientific advances are summarized which have given rise to more sensitive, reliable and faster diagnostic results.

  1. Crown lengthening: basic principles, indications, techniques and clinical case reports.

    Yeh, Simon; Andreana, Sebastiano


    Sometimes, in order to properly restore teeth, surgical intervention in the form of a crown-lengthening procedure is required. Crown lengthening is a periodontal resective procedure, aimed at removing supporting periodontal structures to gain sound tooth structure above the alveolar crest level. Periodontal health is of paramount importance for all teeth, both sound and restored. For the restorative dentist to utilize crown lengthening, it is important to understand the concept of biologic width, indications, techniques and other principles. This article reviews these basic concepts of clinical crown lengthening and presents four clinical cases utilizing crown lengthening as an integral part of treatments, to restore teeth and their surrounding tissues to health.

  2. Requiring case management meetings to be conducted outside the clinic.

    Strickler, David Charles


    In this Open Forum a psychiatric health care consumer recounts his experience with his state's requirement to hold case management meetings outside of the clinic. Over time, the author found that meeting elsewhere amounted to being put on public display, and he felt embarrassed and powerless to change the situation. Requiring people with psychiatric disorders to meet outside a clinical setting may violate the Health Insurance Portability and Accountability Act and human rights. This New Hampshire state policy needs to be changed because it undermines treatment and reinforces the stigma that many consumers already feel because of their disability.

  3. Which preventive measures against mastitis can increase the technical efficiency of dairy farms?

    Hansson, H; Szczensa-Rundberg, M; Nielsen, C


    The aim of this paper was to explore if, and in that case how, various preventive measures against mastitis influenced the whole-farm economic outcome, measured as technical efficiency, of a sample of specialised dairy farms in Sweden. In particular, the paper aimed at analysing whether a change to preventive measures applied by fully efficient farms would be a way for inefficient farms to become fully efficient. First, technical efficiency was assessed for each farm in the sample based on farm-level accounting data and the data envelopment analysis. In a second step, the effects of preventive measures against mastitis (collected through a mail questionnaire) on technical efficiency were assessed with logistic regression. Keeping cows in a loose-housing barn, stimulating udders manually during milking, and having cows standing on clean bedding during milking were found to significantly increase the probability of a farm being fully efficient. Once the farmer considers the somatic cell count (SCC) to be too high, undertaking measures such as contacting a veterinarian, checking overall hygiene routines, and culling cows with high SCC were found to significantly increase the probability of a farm being fully efficient. Thus, these measures may be plausible targets for advisory services aimed at assisting farmers to become fully efficient, especially if they are confirmed in future studies. Several common preventive measures against mastitis, that is, choice of bedding material, frequency of cleaning stalls, pre-milking, post-milking teat disinfection, applying a milking order based on the SCC of cows, and milking high-SCC cows with a separate cluster, were found to have no statistically significant effect on farm economic outcome. However, these measures may still be valuable for non-economic goals, such as increased animal welfare, and the results imply that they can be implemented without negative impact on the economic performance of the farm.

  4. Biosecurity and mastitis in intensive dairy production

    Boboš Stanko


    Full Text Available Newly purchased animals that enter a herd with high milk production can be infected with pathogens of the mammary gland and are a potential risk of infection to the cows on the farm. This risk cannot be avoided entirely, but it can be minimized by taking biosecurity measures that should be written as a policy developed for biosecurity oversight of veterinary service: when older cows are purchased, they should be bought with complete lactations and SCC records, and bacterial examination of milk from the udder quarters must be negative for pathogens of the udder; newly purchased cows should come from herds in which the geometric mean somatic cell count is less than 200,000. The herd must have individual cow SCC recorded at least bimonthly for the previous 6 months; the herd must not have had any history of Strep. agalactiae infection in the last 2 years, the herd should be BVDV-free or vaccinated, and the herd owner must be honest and willing to provide all this information. Our country has accepted the standards for milk quality and hygienic properties that comply with EU standards. The proposed biosafety measures presented in this paper enable the determination of the health status of the herd and the biosecurity level of mastitis in commercial farming in intensive dairy production. [Projekat Ministarstva nauke Republike Srbije, br. TR-31034

  5. [Clinical single case study (n-of-1 trial)].

    Speich, R


    We conducted a single case (N-of-1) randomized trial in two patients. In the first case with bronchiolitis obliterans after lung transplantation a beneficial effect of inhaled steroids could be documented. The second patient suffered from symptoms compatible with HIV-associated M. Addison improving after cortisone, but the adrenocortical function was normal. Because the patient required the cortison treatment to be continued, we performed a n-of-1 trial which demonstrated the inefficacy of cortisone. This experience underscores the feasibility and usefulness of N-of-1 randomized clinical trials in medical practice.

  6. Cervical Paraganglioma Mimicking Thyroid Nodule: A Rare Clinical Case

    Berna İmge Aydoğan


    Full Text Available Objective. Paraganglioma is a rare neuroendocrine tumor. When it is located in the neck, it is commonly misdiagnosed as other thyroid neoplasms. Case Report. We report a case of cervical paraganglioma in a 55-year-old female. Patient was admitted to our clinic with goiter and neck pain. Thyroid ultrasonography revealed a 20 mm solitary, heterogeneous nodule located in the upper pole of left thyroid lobe. Fine needle aspiration cytology was nondiagnostic. She underwent left lobectomy and histopathology showed paraganglioma. Discussion. Cervical paragangliomas should be considered in the differential diagnosis of thyroid nodules.

  7. Mastitis bovina causada por Staphylococcus coagulasa negativos

    Bonetto, César C.


    El presente Trabajo de Tesis se desprende como una línea de investigación del grupo de la UNRC dedicado al estudio de la problemática de la mastitis bovina tanto en aspectos básicos como aplicados con estudios genéticos, epidemiológicos y de virulencia de los principales microorganismos involucrados en la mastitis bovina. Staphylococccus coagulasa negativo (SCN) es un grupo bacteriano formado por varias especies que por lo general eran considerados flora oportunista de la piel y age...

  8. Clinical and histologic features of 64 cases of steatocystoma multiplex.

    Cho, Soyun; Chang, Sung-Eun; Choi, Jee-Ho; Sung, Kyung-Jeh; Moon, Kee-Chan; Koh, Jai-Kyoung


    Steatocystoma multiplex (SM) shares many clinical features and may show overlapping histopathological features with eruptive vellus hair cyst (EVHC). Clinical data and pathologic features of 64 patients with SM were evaluated in detail. Most of the cases were sporadic, with an average onset age of 26 years and distribution on the arms, chest, axillae, and neck. All cases exhibited eosinophilic cuticle and lack of granular layer, and 17-42% displayed vellus hair, hair follicles, keratin, and smooth muscle components within the cavity, in the wall, or adjacent to it. The results of this study add further evidence to the hypothesis that SM is a hamartomatous condition and that SM and EVHC are variants of one disorder which originates in the pilosebaceous duct.

  9. An SLE patient with prolactinoma and recurrent granulomatous mastitis successfully treated with hydroxychloroquine and bromocriptine.

    Zhang, L-N; Shi, T-Y; Yang, Y-J; Zhang, F-C


    Granulomatous mastitis (GM) is a rare benign mammary lesion in which autoimmunity and hyperprolactinemia are considered possible etiological factors. GM has a high frequency of relapse and may lead to chronic ulceration and fistula if not treated properly. Here we report a case of a 22-year-old systemic lupus erythematosus (SLE) patient with three years' disease duration, stable on prednisone and hydroxychloroquine, who was found to have prolactinoma and recurrent GM after she discontinued medication on her own accord. The patient subsequently recovered and remained free of GM relapse under treatment of prednisone, hydroxychloroquine and bromocriptine. Though autoimmune disorders and prolactinoma were reported in GM, a coexisting condition of SLE, prolactinoma, and granulomatous mastitis has rarely been observed in one patient. We suggest our case as an illustrative example of the complex interaction between autoimmunity, neuroendocrine dysfunction, and manifestations in the breast: Immunological disturbances in the background of SLE, coupled with elevated prolactin levels secondary to a prolactinoma, may have predisposed the patient to the development of GM. The mammary lesion recovered and maintained free of relapse under immunosuppressive and antiprolactinemic therapy.

  10. Mastite em pequenos ruminantes no Brasil Small ruminant mastitis in Brazil

    Rodolfo de M. Peixoto


    higher frequency of subclinical cases. In Brazil there are few studies about epidemiologic aspects of mastitis in small ruminants. In the other hand, the disease has growing in importance in meat producing small ruminants, mainly sheep. The mastitis caused by staphylococci is the most prevalent in small ruminants. The zoonotic importance of some milk pathogens such as Staphylococcus aureus emphasizes the importance of the elimination this bacteria by carriers between goat and sheep milk farms. Some diagnostic techniques need more standardization, especially those used in goats that demonstrated some peculiarities. Mastitis control strategies will be discussed include the management of the females and their offspring, milking procedures and vaccination protocols.

  11. Tattoo-Associated Skin Reactions — Clinical Cases

    Fekete GyL


    Full Text Available Tatooing has been practiced for thousands of years. It has become a common practice for people of Western countries in the last 10-20 years, where approximately 3-5% of the population has at least one tattoo. Various pigmented substances introduced into the skin may cause the occurrence of adverse irritative, immunological, infectious or other reactions of the skin. We present three clinical cases with adverse reactions after tattooing.

  12. Early Onset Marfan Syndrome: Atypical Clinical Presentation of Two Cases

    Ozyurt Abdullah


    Full Text Available Early onset Marfan Syndrome (eoMFS is a rare, severe form of Marfan Syndrome (MFS. The disease has a poor prognosis and most patients present with resistance to heart failure treatment during the newborn period. This report presents two cases of eoMFS with similar clinical features diagnosed in the newborn period and who died at an early age due to the complications related to the involvement of the cardiovascular system.


    Azmi D. Hawari


    Full Text Available The primary objective of this study was to establish data on mastitis in Awassi Sheep in Al-Balqa Province of Jordan. Milk samples were collected from 260 lactating ewes that selected randomly from eight flocks. California Mastitis Test (CMT gave result with 220 milk samples; 122 samples (55.5% showed positive CMT. Infection with some bacterial species was associated with positive CMT. About 26% of the ewes revealed clinical signs of mastitis. The highest percentage of bacterial count, which range from 3×102 to <3.0 103 cfu mL-1 was founded in the milk samples. The most predominant bacteria isolated were Staphylococcus aureus, Streptococcus agalactiae, Streptococcus spp., Escherichia coli, Corynebacterium spp. and Coagulase negative Staphylococci. Sensitivity tests were applied to different isolated strains., Gentamycim, Ampicillin and Tetracycline were the most effective antimicrobial agents against the bacterial isolates.

  14. Prevention and Control of Primiparity Cow Mastitis%初产母牛乳腺炎的防制

    徐倩倩; 郭时金; 张颖; 王艳萍; 张志美; 沈志强


    Mastitis is a multiple factor disease,influenced by circumstance,pathogenic bacteria and animal condition,morbili-ty rate of primiparity cow mastitis is much higher than the adult cows. As to the character of primiparity cow,the paper analyze several factors, which contains health supervision, application of nipple aquaseal, vaccine control, antepartum milk, control of fly,milk of mastitis cow.udder dropsy and synthetic manage,and intend to provide reference to clinical cure.%乳腺炎是一种多病因疾病,同时受到环境、病原菌及动物自身条件的影响,初产母牛乳腺炎的发病率要高于经产母牛,针对初产母牛的特点,作者从卫生管理、乳头密封剂的应用、疫苗控制、产前挤奶、蝇的控制、乳腺炎母牛乳汁的饮用、乳房水肿的防控、综合管理等方面对其进行了多角度的分析,以其为临床治疗提供参考.

  15. Evaluation of a postmilking teat disinfectant containing a phenolic combination for the prevention of mastitis in lactating dairy cows.

    Oliver, S P; Lewis, M J; Gillespie, B E; Ivey, S J; Coleman, L H; Almeida, R A; Fang, W; Lamar, K


    A trial was conducted for 12 months in a herd of 120 Holstein cows in order to determine the efficacy of a teat disinfectant, which contained a phenolic combination, for the prevention of bovine intramammary infections during lactation. Postmilking teat disinfection was compared to a negative control using a split-udder experimental design. The percentage of quarters newly infected by mastitis pathogens was 45% lower in mammary glands with teats that had been dipped in the experimental teat disinfectant after milking than it was in undipped controls. New infections caused by Streptococcus uberis, Staphylococcus aureus, coagulase-negative Staphylococcus species, and Corynebacterium bovis were significantly lower in mammary glands with teats that had been dipped in the experimental teat disinfectant than in undipped controls. No statistical differences in the incidence of clinical mastitis between treatment groups were observed. No irritation or chapping of teats dipped in the experimental teat disinfectant were observed. The results of this study suggest that the experimental teat disinfectant containing a phenolic combination is an effective postmilking teat disinfectant for use in the prevention of new intramammary infections by both contagious and environmental mastitis pathogens.

  16. [Outbreak of subclinical mastitis due to beta hemolytic group L streptococci (S. dysgalactiae ssp. equisimilis) in an Austrian dairy herd].

    Baumgartner, Martina; Giffinger, Friederike; Hoppe, Jan Christoph; Spergser, Joachim


    This study is reporting an outbreak of subclinical mastitis due to beta-hemolytic group L streptococci in an Austrian dairy herd with a history of high somatic cell count. At the first survey 16 of 33 lactating cows (28 quarters of 132) were cultured positive for beta-hemolytic, CAMP and esculin negative cocci that grew on Columbia blood agar with small grey catalase negative colonies. With the commercial API 20 Strep system (bioMerieux, F) isolates were classified as members of streptococci group L. All tested strains (eight of 28) produced acid from ribose, lactose, trehalose, amidon and glycogen; they hydrolysed hippurate and showed beta-glucuronidase, beta-galactosidase, alkaline phosphatase, leucinaminopeptidase and arginindehydrolase activity. Isolates were sensitive to bacitracin but resistant to tetracycline. Using phenotypic characterisation as well as sequence analysis of the 16S-23S intergenic spacer region of a representative strain, recovered isolates were identified as Streptococcus (S.) dysgalactiae ssp. equisimilis. Mastitis was characterized by normal milk secretions and absence of clinical abnormalities but high elevations of somatic cell count. Based on the characteristics of the strains and on the observations during the first herd survey, contagious transmission during milking as a result of poor milking hygiene was assumed. The mastitis was controlled through implementation of a strict hygiene protocol including use of single-use udder towels, post milking teat desinfection and cluster disinfection between milking cows in combination with antibiotic treatment of infected udders.

  17. Deciphering Transcriptome and Complex Alternative Splicing Transcripts in Mammary Gland Tissues from Cows Naturally Infected with Staphylococcus aureus Mastitis

    Jiang, Qiang; Yang, Chun Hong; Zhang, Yan; Sun, Yan; Li, Rong Ling; Wang, Chang Fa; Zhong, Ji Feng; Huang, Jin Ming


    Alternative splicing (AS) contributes to the complexity of the mammalian proteome and plays an important role in diseases, including infectious diseases. The differential AS patterns of these transcript sequences between the healthy (HS3A) and mastitic (HS8A) cows naturally infected by Staphylococcus aureus were compared to understand the molecular mechanisms underlying mastitis resistance and susceptibility. In this study, using the Illumina paired-end RNA sequencing method, 1352 differentially expressed genes (DEGs) with higher than twofold changes were found in the HS3A and HS8A mammary gland tissues. Gene ontology and KEGG pathway analyses revealed that the cytokine–cytokine receptor interaction pathway is the most significantly enriched pathway. Approximately 16k annotated unigenes were respectively identified in two libraries, based on the bovine Bos taurus UMD3.1 sequence assembly and search. A total of 52.62% and 51.24% annotated unigenes were alternatively spliced in term of exon skipping, intron retention, alternative 5′ splicing and alternative 3ʹ splicing. Additionally, 1,317 AS unigenes were HS3A-specific, whereas 1,093 AS unigenes were HS8A-specific. Some immune-related genes, such as ITGB6, MYD88, ADA, ACKR1, and TNFRSF1B, and their potential relationships with mastitis were highlighted. From Chromosome 2, 4, 6, 7, 10, 13, 14, 17, and 20, 3.66% (HS3A) and 5.4% (HS8A) novel transcripts, which harbor known quantitative trait locus associated with clinical mastitis, were identified. Many DEGs in the healthy and mastitic mammary glands are involved in immune, defense, and inflammation responses. These DEGs, which exhibit diverse and specific splicing patterns and events, can endow dairy cattle with the potential complex genetic resistance against mastitis. PMID:27459697

  18. Antimicrobial susceptibility, virulence genes, and randomly amplified polymorphic DNA analysis of Staphylococcus aureus recovered from bovine mastitis in Ningxia, China.

    Wang, Dong; Zhang, Limei; Zhou, Xuezhang; He, Yulong; Yong, Changfu; Shen, Mingliang; Szenci, Otto; Han, Bo


    Staphylococcus aureusis the leading pathogen involved inbovine mastitis, but knowledgeabout antimicrobial resistance, virulence factors, and genotypes of Staphylococcus aureus resulting in bovine mastitis in Ningxia, China, is limited. Therefore, antimicrobial susceptibility, virulence gene, and randomly amplified polymorphic DNA (RAPD) analyses of Staph. aureus were carried out. A total of 327 milk samples from cows with clinical and subclinical mastitis in 4 regions of Ningxia were used for the isolation and identification of pathogens according to phenotypic and molecular characteristics. Antimicrobial susceptibility against 22 antimicrobial agents was determined by disk diffusion. The presence of 8 virulence genes in Staph. aureus isolates was tested by PCR. Genotypes of isolates were investigated based on RAPD. Results showed that 35 isolates obtained from mastitis milk samples were identified as Staph. aureus. The isolates were resistant to sulfamethoxazole (100%), penicillin G (94.3%), ampicillin (94.3%), erythromycin (68.6%), azithromycin (68.6%), clindamycin (25.7%), amoxicillin (11.4%), and tetracycline (5.7%). All of the isolates contained one or more virulence genes with average (standard deviation) of 6.6±1.6. The most prevalent virulence genes were hlb (97.1%), followed by fnbpA, hla, coa (94.3% each), nuc (85.7%), fnbpB (80%), clfA (77.1%), and tsst-1 (40%). Nine different gene patterns were found and 3 of them were the dominant gene combinations (77.1%). Staphylococcus aureus isolates (n=35) were divided into 6 genotypes by RAPD tying, the genotypes III and VI were the most prevalent genotypes. There was greatvariation in genotypes of Staph. aureus isolates, not only among different farms, but also within the same herd in Ningxia province. The study showed a high incidence of Staph. aureus with genomic variation of resistance genes, which is matter of great concern in public and animal health in Ningxia province of China.

  19. Clinical findings in two cases of atypical scrapie in sheep: a case report

    Chaplin Melanie


    Full Text Available Abstract Background Atypical scrapie is a recently recognised form of transmissible spongiform encephalopathy of sheep that differs from classical scrapie in its neuropathological and biochemical features. Most cases are detected in apparently healthy sheep and information on the clinical presentation is limited. Case presentation This report describes the clinical findings in two sheep notified as scrapie suspects and confirmed as atypical scrapie cases by immunohistochemistry and Western immunoblotting. Although both sheep displayed signs suggestive of a cerebellar dysfunction there was considerable variation in the individual clinical signs, which were similar to classical scrapie. Conclusion Any sheep presenting with neurological gait deficits should be assessed more closely for other behavioural, neurological and physical signs associated with scrapie and their presence should lead to the suspicion of scrapie.

  20. Biomarkers in differentiating clinical dengue cases: A prospective cohort study

    Gary Kim Kuan Low


    Full Text Available Objective: To evaluate five biomarkers (neopterin, vascular endothelial growth factor-A, thrombomodulin, soluble vascular cell adhesion molecule 1 and pentraxin 3 in differentiating clinical dengue cases. Methods: A prospective cohort study was conducted whereby the blood samples were obtained at day of presentation and the final diagnosis were obtained at the end of patients’ follow-up. All patients included in the study were 15 years old or older, not pregnant, not infected by dengue previously and did not have cancer, autoimmune or haematological disorder. Median test was performed to compare the biomarker levels. A subgroup Mann-Whitney U test was analysed between severe dengue and non-severe dengue cases. Monte Carlo method was used to estimate the 2-tailed probability (P value for independent variables with unequal number of patients. Results: All biomarkers except thrombomodulin has P value < 0.001 in differentiating among the healthy subjects, non-dengue fever, dengue without warning signs and dengue with warning signs/severe dengue. Subgroup analysis for all the biomarkers between severe dengue and non-severe dengue cases was not statistically significant except vascular endothelial growth factor-A (P < 0.05. Conclusions: Certain biomarkers were able to differentiate the clinical dengue cases. This could be potentially useful in classifying and determining the severity of dengue infected patients in the hospital.

  1. Onchomycosis – a clinical and mycological study of 75 cases

    Neerja Puri


    Full Text Available Onychomycosis or fungal infection of the nails is a common disease, especially in older persons. A mycological study of onchomycosis was undertaken in 75 patients. The nails were judged to be infected by their clinical appearance. There were a total of 75 suspected cases of onychomycosis. Of these 75 cases 22.6% were positive by direct microscopy and 33.3% were culture positive. Of these 75 cases, 18 were males (24% and 57 (76 % were females, male to female ratio being. The commonest age group was 31-40 years followed by 21-30 years. The finger nails were more frequently involved. i.e. 45 (60 %, followed by toe nails 30 (40 % and both in 18 (24% cases. Ratio of finger nail to toe nail infection was 1.5:1. Distal and lateral subungual onychomycosis (DLSO was the commonest clinical pattern (76% followed by total dystrophic onychomycosis (18.66% and then superficial white onychomycosis (4% and proximal subungual onychomycosis (1.33%. The most common fungal isolates were dermatophytes of which 44% were Trytophyton rubrum, 4% were Trytophyton mentagrophytes. Non dermatophyte moulds constituted 16% of the fungus isolates. Onychomycosis was found to be the commonest in housewives (52%, followed by serviceman / businessman (32% followed by farmers (8% and labourer and student 4% each.


    Santos, Cláudia; Pereira, Alexandre; Sousa, Marco; Trigeuiros, Miguel; Silva, César


    Distal radioulnar arthroplasty is an attractive solution for treating various pathological conditions of the distal radioulnar joint because it allows restoration of stability, load transmission and function. The main indications are: radioulnar impingement after partial or complete resection of the distal ulna; and degenerative, inflammatory or post-traumatic arthritis of the distal radioulnar joint. The authors present three clinical cases of distal radioulnar pathological conditions: two patients with post-traumatic sequelae and one case of distal radioulnar impingement after a Sauvé-Kapandji operation. The three cases were treated surgically with a metallic prosthesis to replace the distal ulna (First Choice - Ascension®). The first two were treated with a resurfacing prosthesis and the last one with a modular prosthesis. All of the patients had achieved pain relief and increased movement of the distal radioulnar joint after one year of postoperative follow-up. PMID:27047827

  3. Dual cusped protostylid: Case report and clinical significance

    Preeti Bhattacharya


    Full Text Available Protostylids are superstructures on maxillary or mandibular molars, which have rarely been reported in literature, and the significance of their presence has also been underestimated. The dental practitioners may easily misdiagnose a tooth, with such conical tubercles as malformed tooth. Interestingly, this is neither a malformation nor an anomaly but rather an important morphological trait of an individual. Once in a while, one may come across such a distinct morphological trait without being able to diagnose. To the authors' best knowledge, only one similar case has been reported previously, and the second such case internationally. Bearing all such facts in mind, the authors attempt to educate the readers towards the existence of such a trait so that it can be identified and studied in larger numbers. Hence, it is the authors' endeavor to report an unusual case of dual cusped maxillary protostylid along with its clinical significance.

  4. Clinical Study on Acute Pancreatitis in Pregnancy in 26 Cases

    Cheng Qihui


    Full Text Available Aim. This paper investigated the pathogenesis and treatment strategies of acute pancreatitis (AP in pregnancy. Methods. We analyzed retrospectively the characteristics, auxiliary diagnosis, treatment strategies, and clinical outcomes of 26 cases of patients with AP in pregnancy. Results. All patients were cured finally. (1 Nine cases of 22 mild acute pancreatitis (MAP patients selected automatic termination of pregnancy because of the unsatisfied therapeutic efficacy or those patients’ requirements. (2 Four cases of all patients were complicated with severe acute pancreatitis (SAP; 2 cases underwent uterine incision delivery while one of them also received cholecystectomy, debridement and drainage of pancreatic necrosis, and percutaneous jejunostomy. One case had a fetal death when complicated with SAP; she had to receive extraction of bile duct stones and drainage of abdominal cavity after induced abortion. The other one case with hyperlipidemic pancreatitis was given induced abortion and hemofiltration. Conclusions. The first choice of MAP in pregnancy is the conventional therapy. Apart from the conventional therapy, we need to terminate pregnancy as early as possible for patients with SAP. Removing biliary calculi and drainage is supposed to be considered for acute biliary pancreatitis. Lowering blood lipids treatment should be applied to hyperlipidemic pancreatitis or given to hemofiltration when necessary.

  5. Sweet syndrome: Clinical and Laboratory Findings of 31 Cases

    Serap Güneş Bilgili


    Full Text Available Background and Design: Sweet syndrome is an inflammatory disease characterized by the abrupt onset of pain, red papules and plaques, fever, neutrophilic leukocytosis, and dermal neutrophilic infiltrate. There are not enough data about Sweet syndrome in Turkey. In this article, we studied clinical, laboratory, histopathological, and epidemiological characteristics of patients, who presented to our clinic, and compared the findings with the literature. Materials and Methods: All patients diagnosed with Sweet syndrome in our clinic between 2005 and 2011 were included in the study. The epidemiological, clinical, and laboratory findings were retrospectively evaluated. Results: A total of 31 patients with Sweet’s syndrome - 24 female (77.4%, 7 male (22.6%; aged 23-82 years – included in the study. The average age of the patients was 48 years. Cutaneous lesions were most frequently localized in the upper extremity. Conjunctivitis was the common systemic manifestation, followed by fever, arthralgia, and myalgia. The most common trigger factor was infections of the upper respiratory tract. In histopathological evaluations of skin biopsies, dense neutrophil infiltration compatible with Sweet syndrome was detected in the dermis. Also, findings of vasculitis were determined in 3 patients. Discussion: The clinical and laboratory findings in our study are mostly similar to those reported in the literature. We found evidence of vasculitis in 10% of cases, therefore, we think the presence of vasculitis does not necessarily rule out the diagnosis of Sweet syndrome

  6. ACTH adenomas transforming their clinical expression: report of 5 cases.

    Zoli, Matteo; Faustini-Fustini, Marco; Mazzatenta, Diego; Marucci, Gianluca; De Carlo, Eugenio; Bacci, Antonella; Pasquini, Ernesto; Lanzino, Giuseppe; Frank, Giorgio


    OBJECT Adrenocorticotropic hormone (ACTH) adenomas have been recognized as a more aggressive and invasive subtype of pituitary adenomas. An additional and clinically relevant peculiarity of these tumors is their ability to modify their clinical expression from a silent form to Cushing disease or vice versa. The aim of this study was to review a series of patients with pituitary adenomas and analyze the clinical implications of the transformation of clinical expression in 5 cases that showed this phenomenon. METHODS The authors retrospectively reviewed a series of patients with pituitary adenoma and collected clinical, biohumoral, and neuroradiological data of those who presented with a transformation from silent ACTH adenomas to functioning tumors or vice versa. In all the cases, preoperative assessment consisted of brain MRI, ophthalmological examination, and complete baseline endocrinological investigation. In patients with clinical and/or biochemical findings suspicious for Cushing syndrome, a low-dose dexamethasone suppression test was performed to rule in or out this diagnosis. Endocrinological evaluations were repeated 1 month after surgery, 3 months after surgery, and every 6 months or annually thereafter. Ophthalmological evaluations and brain MRIs were repeated after 3 months and then every 6 or 12 months thereafter. RESULTS Five patients (2 men and 3 women) included in this series had corticotropic tumors that showed transformation from an endocrinologically silent form to manifest Cushing disease and vice versa. The mean age at presentation was 40 years (range 18-51 years). In 3 of these patients, a transformation from silent to functioning ACTH adenoma with manifest Cushing disease occurred. In 1 patient, the authors observed the transition from a functioning to a silent adenoma with spontaneous resolution of hypercortisolism. Another patient's silent adenoma "shifted" to a functioning adenoma and then regressed back to a silent form with spontaneous

  7. Arcanobacterium pyogenes: Virulence factors, importance in mastitis etiology and therapeutic (impossibilities

    Milanov Dubravka


    Full Text Available Arcanobacterium pyogenes is an opportunistic pathogen, a causative agent of suppurative infections of organs and tissues in economically important livestock species. Most frequently this bacteria is isolated from inflamed lung lesions in pigs and cattle, in samples of uterine mucus of cows with endometritis and milk from cows with clinical mastitis. A. pyogenes possesses a number of virulence factors: cholesterol-dependent cytolysin (pyolysin, two neuraminidases, several proteases, extracellular matrix-binding proteins, DNases, fimbriae. The virulence factors are well studied in laboratory conditions, but the role of these factors in the pathogenesis of A. pyogenes infections remains to be elucidated. Lately, the ability of A. pyogenes to form biofilm in vivo has also been implicated as a virulence factor and a possible cause of therapeutic failure. Despite the fact that A. pyogenes milk isolates in cows with mastitis in vitro are very sensitive to β-lactam drugs and tetracycline, experience has shown that therapy is usually ineffective, prognosis is poor and the affected quarter is lost for milk production.

  8. Relationship between Somatic Cell Counts, Mastitis and Milk Quality in Ettawah Grade and PESA Goats

    Molefe PETLANE


    Full Text Available Mastitis is a bacterial disease that leads to increased somatic cell counts and reduced milk quality in dairy goats. Reduction in quality is manifested through a reduction in fat, protein, lactose content and an increase in milk somatic cell counts and salts content. Thus mastitis affects productivity of animals and hence their economic value. The aim of this study was to analyze the effects of somatic cell counts (SCC and mastitis on milk quality in PE and PESA. On-Farm mastitis tests were performed on 38 lactating dairy goats and milk samples were collected from both mastitis positive and healthy animals from which quality parameters were measured using a milko tester while bacterial isolation and enumeration were done following standard protocols. Data was analyzed descriptively and the results showed that somatic cell counts and somatic cell score correlate positively with mastitis (P < 0.05. Lactose and fat content decreased with severity of mastitis in both breeds whereas in PESA protein content increased with mastitis. Salt content increases with mastitis in both breeds. S. aureus was the most isolated bacteria and associated with high SCC whereas E. coli was poorly isolated. The study concludes that mastitis leads to increased SCC and reduced milk quality in dairy goats.

  9. Bacterial species and their associations with acute and chronic mastitis in suckler ewes.

    Smith, E M; Willis, Z N; Blakeley, M; Lovatt, F; Purdy, K J; Green, L E


    Acute mastitis in suckler ewes is often detected because of systemic signs such as anorexia or lameness, whereas chronic mastitis, characterized by intramammary abscesses with no systemic disease, is typically detected when ewes are inspected before mating. The aims of the current study were to identify the species and strains of culturable bacteria associated with acutely diseased, chronically diseased, and unaffected mammary glands to investigate whether species and strains vary by state. To investigate acute mastitis, 28 milk samples were obtained from both glands of 14 ewes with acute mastitis in one gland only. To investigate chronic mastitis, 16 ovine udders were obtained from 2 abattoirs; milk was aspirated from the 32 glands where possible, and the udders were sectioned to expose intramammary abscesses, which were swab sampled. All milk and swab samples were cultured aerobically. In total, 37 bacterial species were identified, 4 from acute mastitis, 26 from chronic mastitis, and 8 from apparently healthy glands. In chronic mastitis, the overall coincidence index of overlap of species detected in intramammary abscesses and milk was 0.60, reducing to 0.36 within individual glands, indicating a high degree of species overlap in milk and abscesses overall, but less overlap within specific glands. Staphylococcus aureus was detected frequently in all sample types; it was isolated from 10/14 glands with acute mastitis. In 5 ewes, closely related strains were present in both affected and unaffected glands. In chronic mastitis, closely related Staphylococcus aureus strains were detected in milk and abscesses from the same gland.

  10. Resistance of Causing Bacteria of Bovine Mastitis in Regard to Common Antimicrobials

    Darío Martínez Pacheco


    Full Text Available The bacteria develop resistence against to the common antimicrobians, which is a limitant in the control and treatment of infectious diseases. In the sistems of production of bovine milk, one problem that affects the quantity and quality of the produced milk, is the mastitis, which in most cases has a bacterian origen. Addition to correct milking routine is used many antibacterial agents that for pharmacokinetics and pharmacodynamics reasons are the first selection for this disease. Some cases the use of antibacterial agents is effective, while in other cases do not, due to the development of bacterial resistence. Recently, it has been possible to identify different mechanisms of resistence developed by bacteria. This has allowed pharmacology researchers to create new drugs or to modify existing, seeking to decrease the inefficacy caused by the mutation of the bacteria as an adaptative response mechanism. Therefore,the objective of this review is to offer an updated document on resistance mechanisms identified.

  11. Running a postmortem service - a business case and clinical experience

    Cohen, Marta C.; Whitby, Elspeth; Fink, Michelle A.; Collett, Jacquelene M.; Offiah, Amaka C. [Western Bank, Academic Unit of Child Health, Sheffield Children' s NHS Foundation Trust, University of Sheffield, Sheffield (United Kingdom)


    The purpose of the postmortem examination is to offer answers to explain the cause and manner of death. In the case of perinatal, infant and paediatric postmortem examinations, the goal is to identify unsuspected associated features, to describe pathogenic mechanisms and new conditions, and to evaluate the clinical management and diagnosis. Additionally, the postmortem examination is useful to counsel families regarding the probability of recurrence in future pregnancies and to inform family planning. Worldwide the rate of paediatric autopsy examinations has significantly declined during the last few decades. Religious objections to postmortem dissection and organ retention scandals in the United Kingdom provided some of the impetus for a search for non-invasive alternatives to the traditional autopsy; however, until recently, imaging studies remained an adjunct to, rather than a replacement for, the traditional autopsy. In 2012, Sheffield Children's Hospital National Health Service Foundation Trust set up the service provision of minimally invasive fetal, perinatal and neonatal autopsy, while a postmortem imaging service has been running in Melbourne, Australia, since 2008. Here we summarise the essentials of a business case and practical British and Australian experiences in terms of the pathological and radiologic aspects of setting up a minimally invasive clinical service in the United Kingdom and of developing a clinical postmortem imaging service as a complementary tool to the traditional autopsy in Australia. (orig.)

  12. Lichenoid sarcoidosis: a case with clinical and histopathological lichenoid features.

    Garrido-Ruiz, Maria C; Enguita-Valls, Ana B; de Arriba, Marta González; Vanaclocha, Francisco; Peralto, Jose Luis Rodriguez


    Sarcoidosis is a chronic multisystemic granulomatous disease of unknown etiology, characterized by the formation of noncaseating granulomas in the involved organs. Cutaneous involvement is about 25% with different clinical expressions, the lichenoid pattern being one of the rarest types of cutaneous sarcoidosis. Lichenoid sarcoidosis clinically manifests with multiple scale papules involving extensive skin areas, especially the trunk, limbs, and face mimicking a lichen planus. Although diverse histologic patterns have been previously related, a lichenoid granulomatous infiltrate involving the dermo-epidermal junction has never been reported in lichenoid sarcoidosis. We report a case of a 43-year-old woman presenting with skin-colored pruritic papules, slightly scaling in trunk, extremities, and ears. These symptoms condition continued to expand and worsen for several years. The patient was otherwise in good health with no lymphadenopathies. Histopathologic examination of a skin biopsy showed an upper dermal granulomatous infiltrate of epithelioid cells, without necrosis, distributed in a lichenoid pattern with many cytoid bodies. We consider this may be the first case presenting a characteristic microscopic granulomatous lichen-like pattern in the setting of a clinically lichenoid type of sarcoidosis.

  13. Sickness behavior in dairy cows during Escherichia coli mastitis

    Fogsgaard, Katrine Kop; Røntved, Christine Maria; Sørensen, Peter


    d before (d −2 and −1) to 3 d (d 0, 1, and 2) after experimental intramammary challenge with Escherichia coli. Effects of experimentally induced mastitis on behavior were examined in 20 primiparous Danish Holstein-Friesian cows, all 3 to 6 wk after calving and kept in tie stalls. After evening...

  14. Dutch dairy farmers' need for microbiological mastitis diagnostics

    Griffioen, Karien; Hop, Geralda E; Holstege, Manon M C; Velthuis, Annet G J; Lam, Theo J G M


    Although several microbiological mastitis diagnostic tools are currently available, dairy farmers rarely use them to base treatment decisions on. In this study, we conducted a telephone interview among 195 randomly selected Dutch dairy farmers to determine their current use of and their need for mic

  15. Electrical Conductivity of milk: ability to predict mastitis status

    Norberg, E.; Hogeveen, H.; Korsgaard, I.R.; Friggens, N.C.; Sloth, K.H.M.N.; Lovendahl, P.


    Electrical conductivity (EC) of milk has been introduced as an indicator trait for mastitis over the last decade, and it may be considered as a potential trait in a breeding program where selection for improved udder health is included. In this study, various EC traits were investigated for their as

  16. Multiple Breed Validation of Five QTL Affecting Mastitis Resistance

    Vilkki, Johanna; Dolezal, Marlies A; Sahana, Goutam

    the estimated effect: creating stop gain/loss, affecting splice site or RNA structure (RNAsnp), predicted disruptiveness (SIFT), occurring in miRNA or miRNA target site, or in UTR or ncSNP overlapping with a GERP element. Their effects on mastitis traits were estimated in new validation samples from Finnish...

  17. Rapid Mastitis Detection assay on porous nitrocellulose membrane slides

    Mujawar, L.H.; Moers, A.P.H.A.; Norde, W.; Amerongen, van A.


    We have developed a rapid mastitis detection test based on the immobilization of tag-specific antibody molecules, the binding of double-tagged amplicons, and as a secondary signal a conjugate of black carbon nanoparticles having molecules of a fusion protein of neutrAvidin and alkaline phosphatase a

  18. Rapid mastitis detection assay on porous nitrocellulose membrane slides

    Mujawar, Liyakat Hamid; Moers, Antoine; Norde, Willem; van Amerongen, Aart


    We have developed a rapid mastitis detection test based on the immobilization of tag-specific antibody molecules, the binding of double-tagged amplicons, and as a secondary signal a conjugate of black carbon nanoparticles having molecules of a fusion protein of neutrAvidin and alkaline phosphatase a

  19. Mastitis diagnostics and performance monitoring: a practical approach

    Lam, T.J.G.M.; Olde Riekerink, R.; Sampimon, O.C.; Smith, H.E.


    In this paper a review is given of frequently used mastitis diagnostic methods in modern dairy practice. Methods used at the quarter, cow, herd and regional or national level are discussed, including their usability for performance monitoring in udder health. Future developments, such as systems in

  20. An approach for immunodiagnosis of clinical cases of filariasis.

    Gupta, P K; Raychaudhury, C; Bandopadhyay, A K; Ghosh, D K


    In this communication an immunodiagnostic approach has been adopted for detection of antigen and antibody in amicrofilaeamic Mf(-) patients by countercurrent immuno electrophoresis (CCIE) and immunodiffusion (ID). Using Setaria cervi and Immune Complex (IC) antigens, out of fifteen clinical cases the number of positive patients in CCIE were twelve and ten respectively. Sixty percent of the Mf(-) cases were positive in antigen detection against both the homologous and heterologous antibody. In ID nine Mf(-) cases gave precipitin bands against S. cervi antigen while with IC antigens ten patients were positive. In similar experiments, it was found that out of fifteen Mf(-) cases nine and eleven patients were positive in antigen detection against microfilaraemic Mf(+) sera and S. cervi antibody respectively. All the Mf(+) cases were positive in both antibody and antigen detection. From the standpoint of immunodiagnosis the data were analysed by two-way analysis of variance study and a newly developed system using Binomial distribution. The sera from the control group were negative in all the immunodiagnostic tests.

  1. Survey of marbofloxacin susceptibility of bacteria isolated from cattle with respiratory disease and mastitis in Europe.

    Kroemer, S; Galland, D; Guérin-Faublée, V; Giboin, H; Woehrlé-Fontaine, F


    A monitoring programme conducted in Europe since 1994 to survey the marbofloxacin susceptibility of bacterial pathogens isolated from cattle has established the susceptibility of bacterial strains isolated before any antibiotic treatment from bovine mastitis and bovine respiratory disease (BRD) cases between 2002 and 2008. Minimum inhibitory concentration (MIC) was determined by a standardised microdilution technique. For respiratory pathogens, Pasteurella multocida and Mannheimia haemolytica isolates (751 and 514 strains, respectively) were highly susceptible to marbofloxacin (MIC≤0.03 µg/ml for 77.39 per cent of the strains) and only 1.75 per cent of M haemolytica strains were resistant (MIC≥4 µg/ml). Histophilus somni isolates (73 strains) were highly susceptible to marbofloxacin (0.008 to 0.06 µg/ml). Mycoplasma bovis MIC (171 strains) ranged from 0.5 to 4 µg/ml. For mastitis pathogens, the majority of Escherichia coli isolates were highly susceptible to marbofloxacin (95.8 per cent of 617 strains). Staphylococcus aureus and coagulase-negative staphylococci (568 and 280 strains) had a homogenous population with MIC centred on 0.25 µg/ml. Streptococcus uberis and Streptococcus dysgalactiae (660 and 217 strains) were moderately susceptible with MIC centred on 1 µg/ml. Marbofloxacin MIC for these various pathogens appeared stable over the seven years of the monitoring programme and was similar to previously published MIC results.

  2. Histopathological and clinical traps in lichen sclerosus: a case report.

    Brănişteanu, Daciana Elena; Brănişteanu, Daniel Constantin; Stoleriu, Gabriela; Ferariu, Dan; Voicu, Cătălina Maria; Stoica, Loredana Elena; Căruntu, Constantin; Boda, Daniel; Filip-Ciubotaru, Florina Mihaela; Dimitriu, Andreea; Radu, Cezar Doru


    Lichen sclerosus et atrophicus and limited systemic scleroderma (acrosclerosis) are inflammatory skin diseases that ultimately evolve into two distinct modes of atrophic scar formation, but which can easily be confused clinically. They are very rarely associated. The literature has reported cases in which lichen sclerosus was associated with various forms of scleroderma, but often with localized morphea. The characteristic histopathological picture of lichen sclerosus includes a thin epidermis, with orthohyperkeratosis and vascular degeneration in the basal layer, loss of elastic fibers, and band-like inflammatory infiltrate in the papillary dermis, while systemic sclerosis is characterized by excessive deposition of collagen in the dermis, accompanied by reduction in adnexal structures and their entrapment in collagen, and the presence of perivascular lymphocytic inflammatory infiltrate. We present the case of a 40-year-old female patient clinically diagnosed with systemic scleroderma and lichen sclerosus involving the genital mucosa. Physical examination in conjunction with laboratory findings (elevated antinuclear, anti-Scl-70, anti-SSA antibodies and immunogram) induced the supposition of the coexistence of lichen sclerosus and systemic scleroderma, fact confirmed by pathological examination. Systemic therapy with corticosteroids, immunosuppressive and phlebotropic drugs, peripheral vasodilators and other tropic adjuvants and topically potent topical corticosteroids was initiated. The course was favorable under therapy, the hardened skin slightly regaining elasticity, relief of itching and disappearance of lichen sclerosus lesions. Our case reaffirms the uncommon association of these two disorders. The importance of history, physical and laboratory examinations in making a diagnosis of certainty in emphasized.

  3. Examining an ethical dilemma: a case study in clinical practice.

    Narrigan, Deborah


    When clients and health care providers differ in their understanding of what is right or wrong, an ethical dilemma may arise. Such dilemmas occur in everyday clinical practice. Health care providers have the professional responsibility to analyze these dilemmas. A clinical case study of an ethical dilemma that occurred in a cross-cultural context is examined. The language of the client and provider differed, and no interpreter service was available. Given these conditions, the provider's ethical dilemma was whether, and if so how, to give safe, satisfying care that respected the needs of a client with limited English proficiency. Measuring the morality of the provider's decisions and actions using Rawls' ethical theory of social justice finds deficits. A 10-step Bioethical Decision-Making Model by Thompson is used to demonstrate one method for analyzing the moral dimension of a clinical scenario focusing on the decisions and actions taken by a midwife. Scrutinizing ethically challenging clinical encounters will result in better understanding of the moral dimensions of practice.

  4. Mastitis Bovina: Resistencia a antibióticos de cepas de Staphylococcus aureus asiladas de leche (Bovine Mastitis: Antimicrobial resistance of Staphylococcus aureus strains isolated from milk

    Pellegrino, MS


    Full Text Available ResumenLa mastitis bovina es considerada la enfermedad infecciosa del ganado lechero de mayor impacto económico mundial, siendo Staphylococcus aureus el principal agente patógeno en muchos países.SummaryBovine mastitis is a frequent cause of economic loss in worldwide dairy herds, being Staphylococcus aureus the main etiological agent in many countries.

  5. Mastitis Bovina: Resistencia a antibióticos de cepas de Staphylococcus aureus asiladas de leche (Bovine Mastitis: Antimicrobial resistance of Staphylococcus aureus strains isolated from milk)

    Pellegrino, MS; Frola, ID; Odierno, LM; Bogni, CI


    ResumenLa mastitis bovina es considerada la enfermedad infecciosa del ganado lechero de mayor impacto económico mundial, siendo Staphylococcus aureus el principal agente patógeno en muchos países.SummaryBovine mastitis is a frequent cause of economic loss in worldwide dairy herds, being Staphylococcus aureus the main etiological agent in many countries.

  6. [Root resorption associated to orthodontic treatment: a clinical case].

    Houb-Dine, Afaf; Rerhrhaye, Mariam; Ismaili, Zouheir; Rerhrhaye, Wiam


    Root resorption associated to orthodontic treatment is of multiple etiologies and a non intentional iatrogenic side effect which exists in almost all the orthodontic treatment. This clinical case of an apparently healthy patient illustrates the occurrence during the orthodontic treatment of a root resorption interesting the left central incisor, victims of previous traumatism and presenting a moderate periodontal attachment loss. The orthodontic treatment was carried out with light and continuous forces and a per-orthodontic periodontal maintenance in respect of periodontal requirements. As soon as the root resorption on the left central incisive was diagnosed, the active orthodontic treatment was interrupted in order to stabilize the lesion and a regular clinical and radiological monitoring was established.

  7. Clinical Management of Two Root Resorption Cases in Endodontic Practice

    Jozef Mincik


    Full Text Available Root resorption is a pathological process involving loss of hard dental tissues. It may occur as a consequence of dental trauma, orthodontic treatment, and bleaching, and occasionally it accompanies periodontal disease. Although the mechanism of resorption process is examined in detail, its etiology is not fully understood. Wide open apical foramen is more difficult to manage and the root canal may often overfill. In this report we present two cases of root resorption and describe means for its clinical management. We conclude that useful measure of a success or failure in managing root resorption is the persistence of the resorption process. It is a clear sign of an active ongoing inflammatory process and shows the clinical need for retreatment.

  8. Alopecia areata: Clinical presentation, diagnosis, and unusual cases.

    Finner, Andreas M


    Alopecia areata (AA) is a nonscarring hair loss disorder with a 2% lifetime risk. Most patients are below 30 years old. Clinical types include patchy AA, AA reticularis, diffuse AA, AA ophiasis, AA sisiapho, and perinevoid AA. Besides scalp and body hair, the eyebrows, eyelashes, and nails can be affected. The disorder may be circumscribed, total (scalp hair loss), and universal (loss of all hairs). Atopy, autoimmune thyroid disease, and vitiligo are more commonly associated. The course of the disease is unpredictable. However, early, long-lasting, and severe cases have a less favorable prognosis. The clinical diagnosis is made by the aspect of hairless patches with a normal skin and preserved follicular ostia. Exclamations mark hairs and a positive pull test signal activity. Dermoscopy may reveal yellow dots. White hairs may be spared; initial regrowth may also be nonpigmented. The differential diagnosis includes trichotillomania, scarring alopecia, and other nonscarring hair loss disorders such as tinea capitis and syphilis.

  9. Case report medical eponyms: an applied clinical informatics opportunity.

    Baskaran, L N Guptha Munugoor; Greco, P J; Kaelber, D C


    Medical eponyms are medical words derived from people's names. Eponyms, especially similar sounding eponyms, may be confusing to people trying to use them because the terms themselves do not contain physiologically descriptive words about the condition they refer to. Through the use of electronic health records (EHRs), embedded applied clinical informatics tools including synonyms and pick lists that include physiologically descriptive terms associated with any eponym appearing in the EHR can significantly enhance the correct use of medical eponyms. Here we describe a case example of two similar sounding medical eponyms--Wegener's disease and Wegner's disease-- which were confused in our EHR. We describe our solution to address this specific example and our suggestions and accomplishments developing more generalized approaches to dealing with medical eponyms in EHRs. Integrating brief physiologically descriptive terms with medical eponyms provides an applied clinical informatics opportunity to improve patient care.

  10. Photonuclear reactions with Zinc: A case for clinical linacs

    Boztosun, I; Karakoç, M; Özmen, S F; Çeçen, Y; Çoban, A; Caner, T; Bayram, E; Saito, T R; Akdoğan, T; Bozkurt, V; Kuçuk, Y; Kaya, D; Harakeh, M N


    The use of bremsstrahlung photons produced by a linac to induce photonuclear reactions is wide spread. However, using a clinical linac to produce the photons is a new concept. We aimed to induce photonuclear reactions on zinc isotopes and measure the subsequent transition energies and half-lives. For this purpose, a bremsstrahlung photon beam of 18 MeV endpoint energy produced by the Philips SLI-25 linac has been used. The subsequent decay has been measured with a well-shielded single HPGe detector. The results obtained for transition energies are in good agreement with the literature data and in many cases surpass these in accuracy. For the half-lives, we are in agreement with the literature data, but do not achieve their precision. The obtained accuracy for the transition energies show what is achievable in an experiment such as ours. We demonstrate the usefulness and benefits of employing clinical linacs for nuclear physics experiments.

  11. Surgical treatment for progressive prostate cancer: A clinical case

    E. I. Veliev


    Full Text Available In spite of its existing standards, the treatment of patients with progressive prostate cancer (PC remains a matter of debate. Ensuring that the patients have good quality of life is also relevant. The paper describes a clinical case of a patient with progressive PC after hormone therapy, brachytherapy, salvage prostatectomy, enucleation of the testicular parenchyma, and salvage lymphadenectomy. A phallic prosthesis and an artificial urinary sphincter have been implanted to improve quality of life. The results of preoperative examination and the technological features of surgical interventions are given.

  12. Case reports and clinical guidelines for managing radix entomolaris

    Thomas, Bejoy J.; Nishad, A.; Paulaian, Benin; Sam, Jonathan Emil


    Knowledge about the external and internal anatomy of the tooth is essential for successful dental practice. Anomalies in the tooth are often encountered which poses difficulties in dental treatments. As like any other tooth, mandibular first molars are also prone for anatomic malformations. One such anatomic variation is the presence of extra root distolingually. This distolingual root is called radix entomolaris (RE). The presence of an additional root can lead to difficulties during endodontic therapy. This article is a report of two cases describing the management of the first mandibular molars with an RE and clinical guidelines for its management. PMID:27829770

  13. [Management of onychocryptosis in primary care: A clinical case].

    Zavala Aguilar, K; Gutiérrez Pineda, F; Bozalongo de Aragón, E


    Onychocryptosis (ingrown toenail) is a condition commonly seen in Primary Care clinics. It is uncomfortable and restrictive for patients and has a high incidence in males between second and third decades of life. It is of unknown origin, with a number of predisposing triggering factors being involved. Treatment depends on the stage of the ingrown nail and the procedures may range from conservative to minor surgery that can be performed by the Primary Care physician in the health centre. We report the case of a 25-year onychocryptosis that did not respond to conservative management, and was extracted with partial matricectomy of the nail.

  14. [Odontogenic keratocyst in dentigerous position. A clinical case].

    Tamashiro-Higa, Tetsuji; Mosqueda-Taylor, Adalberto


    Cysts that may develop in the maxillo-mandibular region and adjacent tissues may be of odontogenic origin, non-odontogenic origin, pseudocysts, cysts associated with the maxillary sinus and those developed from the soft tissues. These may vary as to their histogenesis, frequency, behavior and treatment. This article presents the clinical case of an 18-year-old female patient with an initial radiographic diagnosis of dentigerous cyst, which after exploratory punction and surgical removal under general anesthesia yielded a final diagnosis of odontogenic keratocyst. The patient's evolution was satisfactory with a 2-year radiographic control, without evidence of recurrence.

  15. Quantifying Degree of Mastitis from Common Trends in a Panel of Indicators for Mastitis in Dairy Cows

    Højsgaard, S; Friggens, N C


    for such data and a corresponding method for estimating the DOI from a panel of indicators. An empirical proof of concept is provided. Using DOI, there was a significant difference between the DOI of mastitic and healthy control cows beginning 5 d before the mastitic cows were treated for mastitis....

  16. Methodology of integration of a clinical data warehouse with a clinical information system: the HEGP case.

    Zapletal, Eric; Rodon, Nicolas; Grabar, Natalia; Degoulet, Patrice


    Clinical Data Warehouses (CDW) can complement current Clinical Information Systems (CIS) with functions that are not easily implemented by traditional operational database systems. Here, we describe the design and deployment strategy used at the Pompidou University Hospital in southwest Paris. Four realms are described: technological realm, data realm, restitution realm, and administration realm. The corresponding UML use cases and the mapping rules from the shared integrated electronic health records to the five axes of the i2b2 CDW star model are presented. Priority is given to the anonymization and security principles used for the 1.2 million patient records currently stored in the CDW. Exploitation of a CDW by clinicians and investigators can facilitate clinical research, quality evaluations and outcome studies. These indirect benefits are among the reasons for the continuous use of an integrated CIS.

  17. Odontogenic calcificant cystic tumor: a report of two clinical cases.

    Reyes, Daniel; Villanueva, Julio; Espinosa, Sebastián; Cornejo, Marco


    Odontogenic Calcificant Cystic Tumor (OCCT) is an infrequent injury. It arises from odontogenic epithelial rests present in the maxilla, jaw or gum. Gorlin and col. described the OCCT for first time as an own pathological entity in 1962. Clinically, the OCCT represents 1% of the odontogenic injuries. It is possible to be found from the first decade to the eighth decade. It affects in same proportion the maxilla and the jaw, being the most common in the dented zones, with greater incidence in the first molar area. Two case reports of OCCT in two different ages, both in female individuals, one at 5 years old and the other at 35 years old are presented. Enucleation of the tumor was the treatment chosen. The purpose of this article is to present a review of the literature related to these two cases of OCCT and its treatment, putting an emphasis on its aetiology, biological behaviour and treatment.

  18. [Experience in thyroglossal duct pathology: clinical case series].

    Cieri, Patricio; Udaquiola, Julia E; Calello, Santiago E; Libero, Daniel H


    The thyroglossal duct cyst pathology represents the second cause of bening cervical anomalies in childhood. Diagnosis is mainly clinical. Sistrunk (1920) proposed a surgical technique that is still considered the gold standard for definitive treatment of this condition. A retrospective study was made including patients who underwent surgery for thyroglossal duct cyst pathology in our department between June 2008 and August 2015. In this period, we performed 54 procedures in 45 patients (39 primary cases). Median age was 4.7 years; 14/39 patients (31.1%) had pre-operative infection. All patients were studied with neck ultrasound. A Sistrunk's procedure was performed in all cases. The global recurrence rate was 17.8% (8/45).

  19. Clinical Analysis of 21 Cases of Primary Breast Malignant Lymphoma

    Liming Wang; Haizeng Zhang; Yongfu Shao


    OBJECTIVE To explore the clinico-pathological characteristics, diagnosis,treatment, and prognosis factors for primary breast malignant lymphoma (PBL).METHODS The clinical data from 21 cases of PBL were retrospectively analysed.RESULTS There were 19 females and 2 males with a median age of 37 years.All cases had diffuse non-Hodgkin lymphoma from B-cell lineage. The overall 5-year survival rate was 62.50% for the whole group and 81.82% for stage Ⅰ and Ⅱ diseases.CONCLUSION The prognosis of PBL is related to the stage and treatment modality. Operation combined with chemoradiotherapy is the best treatment method. Local resection should be the first surgical treatment.

  20. [Chondrosarcoma of the upper jaw. Apropos of a clinical case].

    Smatt, V


    Initially it has been a tendency to place chondrosarcoma in the general category of osteogenic sarcoma. Jaffe et Lichtenstein claimed that the concept of chondrosarcoma as a separate entity has a firm clinical and histological basis. Chondrosarcomas may arise in peripheral long and flat bones. The maxillary location is very rare, it represents about 0,7% of the whole body. 40 well documented instances are yet counted in the literature. Reporting a personnal case, the author proceeds to a comparative study between the three varieties of maxillary sarcomas, evokes the special histogenesis in this location, he reminds the interest of bone electrocoagulation as curative treatment, and discusses the difficulty in making a prognosis 3 years after surgery without local recurrence or metastasis in this case.