A cohort study of bovine tuberculosis in cattle in South West England

Farm, cattle group and individual bovine risk factors for bovine tuberculosis (bTB) in cattle herds in the South West of England were explored. A cohort study using 148 well characterised cattle herds was conducted in SW England 2001-2004. The study was set up in areas affected by foot-and-mouth disease in 2001 and all farms were taking part in the Randomised Badger Culling Trial (RBCT). The use of a standard questionnaire and national data records from the skin intradermal cervical comparative tuberculin test (SICCT) and from the British Cattle Movement Service (BCMS) databases were combined. The two main statistical techniques used were survival analysis and multilevel logistic regression with random effects. Associations with the risk of herd breakdown with bTB were explored using survival analysis. The main factors associated with disclosure of reactor cattle were the purchase of cattle from markets and the storage of slurry and manure in close containment. In the investigation of the risk of an individual bovine animal becoming a reactor using multilevel logistic regression with random effects analysis, explanatory variables at herd, individual cattle and test levels, were explored. The potential exposure to reactor cattle in previous tests was the most significant finding as a risk for a bovine animal reacting at a current test. Only 9/19,027 cattle became reactors if they had not been exposed to a reactor animal previously. When the risk of an animal group having at least one reactor disclosed in the group was investigated using the location of the animal groups within the farm by monthly periods, the risk increased with the number of cattle in the groups when these were housed and with the presence of badgers in the fields when they were grazing. This thesis has provided a deep investigation into the risk factors that can affect the introduction and persistence of infection with M. bovis in cattle herds, and the importance that cattle play in these factors has been highlighted

A cohort study of bovine tuberculosis in cattle in South West England

Farm, cattle group and individual bovine risk factors for bovine tuberculosis (bTB) in cattle herds in the South West of England were explored. A cohort study using 148 well characterised cattle herds was conducted in SW England 2001-2004. The study was set up in areas affected by foot-and-mouth disease in 2001 and all farms were taking part in the Randomised Badger Culling Trial (RBCT). The use of a standard questionnaire and national data records from the skin intradermal cervical comparative tuberculin test (SICCT) and from the British Cattle Movement Service (BCMS) databases were combined. The two main statistical techniques used were survival analysis and multilevel logistic regression with random effects. Associations with the risk of herd breakdown with bTB were explored using survival analysis. The main factors associated with disclosure of reactor cattle were the purchase of cattle from markets and the storage of slurry and manure in close containment. In the investigation of the risk of an individual bovine animal becoming a reactor using multilevel logistic regression with random effects analysis, explanatory variables at herd, individual cattle and test levels, were explored. The potential exposure to reactor cattle in previous tests was the most significant finding as a risk for a bovine animal reacting at a current test. Only 9/19,027 cattle became reactors if they had not been exposed to a reactor animal previously. When the risk of an animal group having at least one reactor disclosed in the group was investigated using the location of the animal groups within the farm by monthly periods, the risk increased with the number of cattle in the groups when these were housed and with the presence of badgers in the fields when they were grazing. This thesis has provided a deep investigation into the risk factors that can affect the introduction and persistence of infection with M. bovis in cattle herds, and the importance that cattle play in these factors has been highlighted.EThOS - Electronic Theses Online ServiceGreat Britain. Dept. for Environment, Food & Rural Affairs (DEFRA) (SE3026)Biotechnology and Biological Sciences Research Council (Great Britain) (BBSRC)GBUnited Kingdo

A four year longitudinal sero-epidemiological study of bovine herpesvirus type-1 (BHV-1) in adult cattle in 107 unvaccinated herds in south west England

Background: Bovine herpesvirus type-1 (BHV-1) is an important pathogen of cattle that presents with a variety of clinical signs, including the upper respiratory tract infection infectious bovine rhinotracheitis (IBR). A seroepidemiological study of BHV-1 antibodies was conducted in England from 2002 – 2004: 29,782 blood samples were taken from 15,736 cattle from 114 herds which were visited on up to three occasions. Antibody concentration was measured using a commercial ELISA. Farm management information was collected using an interview questionnaire, and herd size and cattle movements were obtained from the cattle tuberculosis testing database and the British Cattle Movement Service. Hierarchical statistical models were used to investigate associations between cattle and herd variables and the continuous outcome percentage positive (PP) values from the ELISA test in unvaccinated herds. Results: There were 7 vaccinated herds, all with at least one seropositive bovine. In unvaccinated herds 83.2% had at least one BHV-1 seropositive bovine, and the mean cattle and herd BHV-1 seroprevalence were 42.5% and 43.1% respectively. There were positive associations between PP value, age, herd size, presence of dairy cattle. Adult cattle in herds with grower cattle had lower PP values than those in herds without grower cattle. Purchased cattle had significantly lower PP values than homebred cattle, whereas cattle in herds that were totally restocked after the foot-and-mouth epidemic in 2001 had significantly higher PP values than those in continuously stocked herds. Samples taken in spring and summer had significantly lower PP values than those taken in winter, whereas those taken in autumn had significantly higher PP values than those taken in winter. The risks estimated from a logistic regression model with a binary outcome (seropositive yes/no) were similar. Conclusion: The prevalence of BHV-1 seropositivity in cattle and herds has increased since the 1970s. Although the study population prevalence of BHV-1 was temporally stable during study period, the associations between serological status and cattle age, herd size, herd type, presence of young stock and restocked versus continuously stocked herds indicate that there is heterogeneity between herds and so potential for further spread of BHV-1 within and between herds

A four year longitudinal sero-epidemiology study of Neospora caninum in adult cattle from 114 cattle herds in south west England : associations with age, herd and dam-offspring pairs

Background: Neosporosis caused by the protozoan parasite Neospora caninum, is an economically important cause of abortion, stillbirth, low milk yield, reduced weight gain and premature culling in cattle. Consequently, a seroepidemiological study of N. caninum antibodies was conducted in England with 29,782 samples of blood taken from 15,736 cattle from 114 herds visited on three occasions at yearly intervals. Herds were categorised into lower (< 10%) and higher (≥ 10%) median herd seroprevalence. Hierarchical models were run to investigate associations between the sample to positive (S/P) ratio and herd and cattle factors. Results: Ninety-four percent of herds had at least one seropositive cow; 12.9% of adult cattle had at least one seropositive test. Approximately 90% of herds were seropositive at all visits; 9 herds (8%) changed serological status between visits. The median N. caninum seroprevalence in positive herds was 10% (range 0.4% to 58.8%). There was a positive association between the serostatus of offspring and dams that were ever seropositive. In the hierarchical model of low seroprevalence herds there was no significant association between S/P ratio and cattle age. There was a significantly lower S/P ratio in cattle in herds that were totally restocked after the foot-and-mouth epidemic of 2001 compared with those from continuously stocked herds and cattle purchased into these herds had a higher S/P ratio than homebred cattle. In the model of high seroprevalence herds the S/P ratio increased with cattle age, but was not associated with restocking or cattle origin. Conclusion: There were no strong temporal changes in herd seroprevalence of N. caninum but 90% of herds had some seropositive cattle over this time period. Vertical transmission from seropositive dams appeared to occur in all herds. In herds with a high seroprevalence the increasing S/P ratio in 2–4 year old cattle is suggestive of exposure to N. caninum: horizontal transmission between adult cattle, infection from a local source or recrudescence and abortions. Between-herd movements of infected cattle enhance the spread of N. caninum, particularly into low seroprevalence herds. Some restocked herds had little exposure to N. caninum, while in others infection had spread in the time since restocking

An Unusual Case of Radicular Pain Caused by Bilateral Lumbar Synovial Cyst: A Case Report and Review of the Literature

Introduction. Spinal synovial cysts (SSCs) constitute an uncommon degenerative lesion of the spine. They are usually asymptomatic but they may also cause symptoms of variable severity. SSCs are benign growths adjoining the facet joints that may induce low back pain, lumbar radiculopathy, and neurological deficit. There are different treatment options that range from conservative management to interventions like image-guided epidural steroid injection or direct cyst puncture and finally to open or endoscopic spinal canal decompression and spinal bone fusion with/without instrumentation. A discussion of current management options for this unusual disease is presented. Material and Methods. A 52-year-old female patient presented with low back pain and left leg pain. Plain radiography demonstrated instability at the L4-L5 level. Magnetic resonance images (MRIs) revealed a bilateral cystic lesion at the L4-L5 level with associated instability and degenerative disc disease at the level L5-S1. Initially, conservative treatment was performed by aspiration of the left cyst and infiltration with corticosteroids with improvement of the pain for 1 year. After this period, the radicular and the low back pain reoccurred. Results. Following leg pain recurrence, a hybrid L4-S1 fusion was performed. After surgery, there was clinical improvement and six months later, the patient returned to daily activities. The radiological study after five-year follow-up shows adequate implant position, without signs of loosening, compatible with solid fusion. Conclusion. After reviewing the literature, the optimal management for patients with symptomatic lumbar synovial cyst must be very individualized, which is essential to achieve a favorable outcome

Herd and individual animal risks associated with bovine tuberculosis skin test positivity in cattle in herds in south west England

The aim of this study was to investigate the cattle-exposure factors associated with the risk of a bovine animal reacting to a bovine tuberculosis (bTB) skin test at a whole herd test. There were 148 study farms enrolled. These were located in six counties of the south west of England in an area considered endemic for bovine tuberculosis (bTB): 24% were restocked after foot and mouth disease (FMD) in 2001; all farms were located within the Randomised Badger Culling Trial (RBCT) area. Data on cattle on these farms were sourced from the bTB Vetnet database from 1996 to 2004 and from the British Cattle Movement Scheme database. Individual animal records were created that included data on whether or not an animal became a reactor at a full-herd bTB test between 1 June 2001 and 19 August 2004, their prior exposure to cattle with bTB (defined by presence at a bTB test where at least one reactor was detected), whether the animal was homebred, the farm history of bTB and the farm restocking status. Data from 144 farms were used, 4 farms had no data. Cattle were more likely to react to the bTB skin test when they had been present at a previous bTB herd test (or tests) where other cattle had reacted to the skin test. This positively correlated with age and the number of bTB tests an animal had had. Cattle on restocked farms were less likely to react to the skin test compared with cattle on continuously stocked farms. These results highlight the likely importance of exposure to infected cattle at a previous test as a source of infection to cattle that subsequently became reactors and suggest that there was a lower risk of exposure to bTB to cattle in newly formed herds. (C) 2009 Elsevier B.V. All rights reserved

Alteraciones de las subclases de IgG en pacientes con anemia drepanocítica IgG subclasses alterations found in patients with sickle cell anemia

Se cuantificaron los niveles de IgG1, IgG2, IgG3 e IgG4 mediante inmunodifusión radial simple en un grupo de 46 pacientes con anemia drepanocítica (AD) (hemoglobina SS) en estado basal, 21 sin complicaciones clínicas y 25 con complicaciones clínicas referentes a número de infecciones, úlceras maleolares, crisis vasooclusivas, hepáticas y aplásticas, considerando como límite un año anterior a la toma de muestra de sangre. Se demostró un aumento significativo de IgG1 e IgG2 en el grupo de pacientes con complicaciones clínicas en comparación con el resto de los pacientes y controles normales. Se observó una correlación significativa entre el número de crisis vasooclusivas y las concentraciones de IgG1, IgG2 e IgG4. Nuestros resultados sugieren la posibilidad de que algunos fenómenos inflamatorios que pueden persistir en pacientes con AD en estado basal, fundamentalmente aquellos con historia anterior de complicaciones clínicas, pudieron provocar un aumento en la síntesis de IgG1 e IgG2A single radial immunodiffusion method was used to quantify IgG1, IgG2, IgG3 and IgG4 levels in a group of 46 patients with sickle cell anemia (hemoglobin SS) in basal state; 21 of them had no clinical complications and 25 had clinical complications refering to number of infections, melleolar ulcers, vasocclusive, hepatic and aplastic crises. One year before the blood-sample taking was set as the limit. A significant increase of IgG1 and IgG2 was observed in patients with clinical complications compared with the rest of patients and the normal controls. There was a significant correlation between the number of vasocclusive crises and the IgG1, IgG2 and IgG4 concentrations. Our results show the possibility that some inflammatory phenomena, which might persist in patients with sickle cell anemia in basal state- mainly in those with a history of clinical complications-, could cause an increased synthesis of IgG1 and IgG

Seroprevalence and epidemiological characteristics of Mycobacterium avium subsp paratuberculosis on 114 cattle farms in south west England

Between December 2002 and April 2006,114 cattle farms in the southwest of England were visited at least once, with 100 farms visited three times. A total of 29,782 serum samples were collected from 15,736 individually identified cattle. The sera were tested for the presence of antibodies against Mycobacterium avium subsp. paratuberculosis (MAP) using an indirect enzyme-linked immunosorbent assay (ELISA). The mean seroprevalence in herds sampled three times was 7.1%; 10.1% of cattle had at least one positive result. There were 78%, 75% and 75% dairy herds with at least one positive bovine at the first, second and third routine visits, respectively. In comparison, 44%, 42% and 46% suckler herds had at least one positive bovine for the first, second and third routine visits, respectively. In most herds (>90%), within herd seroprevalence of MAP remained stable over time. Markov chain Monte Carlo (MCMC) simulation methods were used to re-estimate the test sensitivity and specificity. The sensitivity results were 33.3% (95% CI, 28.8-37.8%), 34.5% (95% CI, 30.3-38.8%) and 34.8% (95% CI, 30.8-38.9%) for the first, second and third routine visits and the specificity results were 99.7% (95% CI, 99.3-99.9%), 99.8% (95% CI, 99.4-99.9%) and 99.7% (95% CI. 99.3-99.9%) for the first, second and third routine visits, respectively. The expected true prevalence was also estimated, 11 (21.1%) suckler herds and 1 (2.1%) dairy herd were predicted to be truly free from infection during the study period. The seroprevalence of antibodies against MAP increased with cattle age. There was a significantly higher seroprevalence of MAP in dairy breeds of cattle compared with suckler breeds of cattle. This was more pronounced in Channel Island breeds. Smaller dairy herds (= 100 cattle. In 8 (42%) of the 19 herds with >= 100 cattle born into the same herd, seropositive cattle were clustered by birth month whilst in the remaining herds clustering was not apparent. Daughters were significantly more likely to be MAP seropositive when born to a seropositive dam. (C) 2009 Elsevier B.V. All rights reserved