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| *In addition may have similar nodules in [[Lungs Inflammatory - Pathology#Infectious causes of pneumonia|lungs]], '''lymph nodes''' and '''cutaneous lymphatics''' | | *In addition may have similar nodules in [[Lungs Inflammatory - Pathology#Infectious causes of pneumonia|lungs]], '''lymph nodes''' and '''cutaneous lymphatics''' |
| *Clinical signs: fever and head/ neck lymphadenitis, [[Nasal Cavity Inflammatory - Pathology#Infectious causes of rhinitis|rhinitis]] | | *Clinical signs: fever and head/ neck lymphadenitis, [[Nasal Cavity Inflammatory - Pathology#Infectious causes of rhinitis|rhinitis]] |
| + | |
| + | *Largely eradicated but sporadic cases in Middle East, India, China |
| + | *Pathogenesis: |
| + | **Transmited by ingestion of food/water contaminated by nasal discharge of infected ''Equidae''; occasionally via inhalation or skin wounds |
| + | **Organism invades nasopharyngeal mucosa and spreads to other tissues via lymphatics |
| + | **Presence of ''B. mallei'' in host causes hypersensitivity reaction |
| + | *Clinical infections: |
| + | **Acute septicaemic form with fever, mucopurulent nasal discharge and respiratory signs; death within weeks |
| + | **Chronic disease more common: |
| + | ***Nasal form: [[Nasal Cavity Inflammatory - Pathology#Infectious causes of rhinitis|rhinitis]]; ulcerative nodules develop on mucosa of nasal septum and lower part of turbinates; purulent blood-stained nasal discharge; regional lymphadenitis |
| + | ***Respiratory form: respiratory distress; granulomatous lesions throughout lungs |
| + | ***Cutaneous form (farcy): lymphangitis; nodules along lymphatic vesselsof limbs; ulcers develop and discharge pus |
| + | ***May die after several months or recover and shed organisms from respiratory tract or skin |
| + | **Carnivores may contract disease by eating infected carcasses |
| + | *Diagnosis: |
| + | **Specimens include discharges from lesions and blood for serology |
| + | **Grows on media containing 1% glycerol; most strains are non-lactose fermenters on MacConkey agar |
| + | **Complement fixation and agglutination |
| + | **Serology |
| + | **Mallein test: mallein injected intradermally below lower eyelid; local swelling and discharge indicates positive reation |
| + | *Treatment/control: |
| + | **Test and slaughter policy where disease exotic |
| + | **Disinfection of contaminated areas using formalin or an iodophor |
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| [[Category:Horse]] | | [[Category:Horse]] |
| [[Category:Respiratory_Bacterial_Infections]] | | [[Category:Respiratory_Bacterial_Infections]] |
| + | [[Category:To_Do_-_Clinical]] |