Actinobacillosis: (Wooden Tongue)

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Actinobacillosis

(Wooden Tongue)
Introduction
• Actionbacillosis also called as “wooden tongue” is sporadically occurring
specific infectious disease
• Effects softer tissues (lymph nodes, tongue, lungs, and deeper layers of skin)
• Rarely involve upper GIT including esophagous, rumen and reticulum
• Characterized by presence of granulomas with pus containing small, hard yellow
to white granules
• Manifests as Chronic pyogranulomatous inflammatory condition
Etiology
• Caused by gram negative bacteria belonging to genus Actinobacillus
• Actinobacillus lignieresii is responsilble for “wooden tongue”
• Normal inhabitant of upper GIT of ruminants
• Becomes opportunistic pathogen-once penetrated deeper soft tissue
through integumental or mucosal break
Host Range
• Effects mostly cattle, buffaloes and sheep
• Also occur in horse, dogs and chickens
• In horses and humans it is associated with animal bite
Distribution
• Worldwide distribution
• Usually occurs sporadically preferentially in areas with copper deficiency
or pastures with spiny bushes
• Common in sheep-raising countries
Transmission
• Normal inhabitant of oral cavity and rumen
• Enters tissue of the mouth through epithelial damage associated with
rough fodder e.g. containing sharp stems and thorns where it multiplies
locally
• Discharging abscess contaminate pasture and pathogen survive for many
days
Clinical Signs
• In cattle, tongue is mainly affected “wooden tongue”and lymph nodes of
head and neck
• Characteristic leision is granuloma of tongue with discharge of pus to
exterior
• Infection usually begins as an acute inflammation with sudden onset of;
• Inability to eat and drink
• Drooling of saliva
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• Enlargement and abscessation of local lymph nodes head and neck which
are firm at palpation
• Later on, abscess rupture and discharge yellowish creamy pus containing
granules
• Occasionally, lungs, rumen, udder or other internal organs may be effected
• In sheep, tongue is not commonly involved, but abscess formation at
lymph node and skin of the face, lips, nose, jaw and neck may be seen
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Pathogenesis
• Local infection by the organism causes an acute inflammatory reaction and the
subsequent development of granulomatous lesions in which necrosis and
suppuration occur, often with the discharge of pus to the exterior.
• Spread to regional lymph nodes with ensuing lymphadenitis is usual
• Lingual involvement in cattle causes interference with prehension and
mastication because of acute inflammation in the early stages and
• distortion of the tongue at a later stage.
• Visceral involvement is recorded and is identical with that described under
actinomycosis.
Risk Factors
• When animals graze abrasive pasture species or pastures with spiny awns
• Transmission may be enhanced by infected discharges contaminating these
pastures or feeds
• Higher prevalence of this disease in cattle in areas of copper deficiency
Zoonotic Implication
• Rarely associated with human disease
• Has been isolated from bite wounds inflicted by horses and ruminants
Treatment
• Iodides are standard treatment
• Oral or intravenous iodides can be used
• Potassium iodide 6-10 g/day for 7-10 days given orally to cattle is effective
• Treatment must be discontinued when symptoms iodism develop e.g lacrimation, anorexia, coughing,
and appearance of dandruff
• Sodium iodide 70 mg/kg can be given IV AS 10% or 20% solution in one dose to both cattle and sheep
• Occasionally animal show distress, including restlessness, dyspnea, tachycardia, and staggering dring
injections of sodium iodide
• Abortion occasionally occurs following treatment of heavily pregnant cows with sodium iodide
Postmortem Findings
• Necropsy examination is not usually performed in cattle affected by the
disease
• In sheep, lymphangitis and abscesses containing thick, tenacious, yellow-
green pus occur around the local lesion
• Typical club colonies are visible on staining sections of affected
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Diagnosis
• Clinical signs
• PM findings
Differential Diagnosis
• Foreign bodies in the mouth
• Esophageal obstruction
• Tuberculosis
• Cutaneous lymphosarcoma
Control and Prevention
• No vaccine is available
Risk can be reduced by:
• Not grazing animals on poor quality, spiny bushes and coarse fodders
• Early recognition and prompt treatment
• Isolation of diseases animals from healthy ones, as more transmission of
organisms can occur from discharging wounds
• Proper disposal of dead animals with disease
Thank You!