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− | {{review}}
| + | #REDIRECT[[:Category:Integumentary System - Bacterial Infections]] |
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− | {{toplink
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− | |backcolour = FFCCCC
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− | |linkpage =Integumentary System - Pathology
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− | |linktext =Integumentary System
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− | |maplink = Integumentary System (Content Map) - Pathology
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− | |pagetype =Pathology
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− | |sublink1 = Skin Infectious - Pathology
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− | |subtext1 = SKIN INFECTIOUS
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− | }}
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− | <br>
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− | Cutaneous bacterial infections tend to be called '''pyodermas'''. They are superficial, deep and are common in dogs, but less common in other species.
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− | ===Superficial pyoderma===
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− | [[Image: Superficial pyoderma dog.jpg|100px|thumb|right|<small><center>Superficial pyoderma in a dog (Courtesy of Bristol BioMed Image Archive)</center></small>]]
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− | *Affects epidermis and upper infundibulum of hair follicles
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− | *No scarring when healed
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− | *Grossly:
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− | **Erythema
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− | **Alopecia
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− | **[[Skin Glossary - Pathology|Papules and pustules]]
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− | **[[Skin Glossary - Pathology|Crusts]]
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− | **[[Skin Glossary - Pathology|Epidermal collarettes]]
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− | *Microscopically:
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− | **Intraepidermal pustular dermatitis
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− | **Superficial suppurative folliculitis
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− | **Bacteria commonly not seen
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− | ===Impetigo===
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− | * = '''Superficial pustular dermatitis'''
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− | *Caused by coagulase-positive [[:Category:Staphylococcus species|''Staphylococcus'' spp.]]
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− | *Associated with:
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− | **Abrasions
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− | **Poor nutrition
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− | **Viral infections
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− | **Immunosuppression (often due to [[Adrenal Glands - Pathology#Adrenal Hyperfunction|hyperadrenocorticism]])
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− | *Grossly:
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− | **[[Skin Glossary - Pathology|Pustules -> crusts]], mostly in hairless skin
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− | *Microscopically:
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− | **Interfollicular neutrophilic subcorneal pustule
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− | ====Dermatophilosis====
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− | [[Image: Dermatophilosis in cow.jpg|100px|thumb|right|<small><center>Dermatophilosis in a cow (Courtesy of Bristol BioMed Image Archive)</center></small>]]
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− | *Caused by [[Dermatophilus congolensis|''Dermatophilus congolensis'']]
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− | *Affects cattle, horses, sheep mainly
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− | *More common in wet and warm weather
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− | *Transmotted from animal to animal
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− | *Lesions tend to form on dorsal back and extremities
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− | *Associated with skin trauma, prolonged wetting or [[Parasitic skin infections - Pathology#Parasitic| parasites]]
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− | ** -> penetration of zoospores
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− | *Bacteria proliferate in outer sheath of hair follicles and superficial epidermis
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− | *Gram-positive, filamentous branching organisms, subdivided longitudinally and transversly
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− | *Causing:
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− | **Acute inflammatory response -> neutrophil migration through dermis and epidermis -> formation of microabscesses
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− | **Further penetration of bacteria is thus prevented
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− | **Regenerated epidermis is invaded again by remaining organisms
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− | **Repeated reinfection -> multilaminated pustular crusts
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− | *Grossly:
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− | **[[Skin Glossary - Pathology|Papules, pustules, crusts]] may coalesce and mat the coat
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− | *Microscopically:
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− | **Hyperplastic superficial perivascular dermatitis
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− | **Multilaminated crusts, alternating keratin and inflammatory cell layers
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− | ====[[Greasy pig disease]]====
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− | ====Ovine fleece rot====
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− | *Caused by [[:Category:Pseudomonas and Burkholderia species|''Pseudomonas'']] and excessive moisture
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− | *Prediscposes to [[Parasitic skin infections - Pathology#Myiasis|myiasis]]
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− | ====Equine pastern folliculitis====
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− | * = '''Greasy heel'''
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− | *Secondary pyoderma
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− | *Affects caudal pastern and fetlock
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− | ===Deep pyoderma===
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− | *Less common than superficial pyoderma
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− | *Occurs mainly in dogs
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− | *Affects infundibulum, isthmic portion of hair follicles and surrounding dermis and subcutis
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− | *Heals with scarring
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− | *Local lymph nodes are often affected
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− | *Often secondary to immunosuppression, follicular hyperkeratosis or [[Parasitic skin infections - Pathology#Demodicosis|demodicosis]]
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− | *May also be a sequele to [[Bacterial skin infections - Pathology#Superficial pyoderma|superficial pyoderma]]
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− | *Grossly:
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− | **[[Skin Glossary - Pathology|Crusted papules, pustules, alopecia, abscesses, nodules, fistulas, ulcers, haemorrhagic bullae]]
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− | **In dogs may look similar to [[Skin Environmental - Pathology#Pyotraumatic dermatitis|pyotraumatic dermatitis]]
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− | *Microscopically:
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− | **Pyogranulomatous folliculitis and furunculosis
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− | **Nodular or diffuse dermatitis
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− | **Panniculitis
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− | *May involve a foreign bodey reaction to follicular contents and draining sinuses develop
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− | *If chronic, scarring and loss of adnexa
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− | *Bacteria often isolated include [[:Category:Staphylococcus species|''Staphylococcus'' spp.]], especially ''S. intermedius'' in dogs, [[Streptococci|''Streptococcus'' spp.]], ''[[Corynebacterium pseudotuberculosis]]'', [[:Category:Pseudomonas and Burkholderia species|''Pseudomonas'']], [[:Category:Pasteurella and Mannheimia species|''Pasteurella'']], [[Proteus|''Proteus'']], [[Escherichia coli|''E.coli'']]
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− | ====Staphylococcal folliculitis and furunculosis====
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− | *Occurs in dogs, horses, sheep and goats
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− | *Dogs:
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− | **Localised or generalised lesions
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− | **Affected areas include: muzzle, chin, bridge of nose, pressure points and interdigital areas
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− | **'''German Shepherd deep pyoderma'''
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− | ***Genetically predisposed
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− | ***Dorsal lumosacral, ventral adbomen and thigh areas
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− | *Horses:
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− | **Areas under tack ususlly involved
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− | *Goats:
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− | **Extremities, ventral abdomen, udder, medial thigh, perineum tend to be affected
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− | *Sheep:
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− | **Adults: face, limbs and teats
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− | **Lambs: [[Lips - Anatomy & Physiology|lips]] and perineum
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− | ====Subcutaneous abscesses====
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− | *Purulent exudate within dermis and subcutis
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− | *Commonly occurs in cats due to contamination of penetrating wounds
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− | *Surrounding wall of collagen and fibroblasts may develop
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− | *Common bacteria (often normal mouth flora)
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− | **[[Pasteurella multocida|''Pasteurella multocida'']], [[Fusobacterium|''Fusobacterium'' spp.]], [[Streptococci|beta - haemolytic streptococci]], [[Bacteroides|''Bacteroides'']]
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− | ====Bacterial granulomatous dermatitis====
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− | *Usually due to saprophytes
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− | *Grossly:
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− | **Diffuse or nodular lesions
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− | **May ulcerate and form drainage fistulas
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− | *Microscopically:
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− | **Macrophages +/- multinucleated giant cells
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− | **[[Necrosis - Pathology#Caseation Necrosis|Caseous necrosis]] and [[Neutrophils - WikiBlood|neutrophils]]
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− | *'''Mycobacterial granulomatous or pyogranulomatous lesions'''
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− | **Usually caused by ''[[Mycobacterium lepraemurium]]'' (feline leprosy) or other ''Mycobacteria''
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− | **Most commonly lesions appear on head, neck and legs
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− | *'''Botryomycosis'''
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− | **Granulomatous dermatitis caused by nonfilamentous bacteria
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− | **Usually [[:Category:Staphylococcus species|''Staphylococcus aureus'']]
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− | **Small, yellow granules are formed - sulfur granules
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− | ***Central bacteria surrounded by homogeneous eosinophilic material
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− | *Filamentous bacteria can also cause granulomas
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− | **''E.g.'' [[:Category:Actinomycetes|''Actinomyces'' and ''Nocardia'']], [[:Category:Actinobacillus species|''Actinobacillus'']]
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− | ===Bacterial pododermatitis===
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− | *Digital infections in ruminants
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− | *'''Contagious footrot'''
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− | **Usually caused by [[Bacteroides|''Bacteroides nodosus'']] together with [[Fusobacterium|''Fusobacterium necrophorum'']]
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− | **Moisture and trauma allow ''B. nodosus'' to enter -> aids bacterial penetration of epidermis -> ''F. necrophorum'' invades -> necrosis and inflammation
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− | **Grossly:
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− | ***Early lesions - red, moist, swollen, eroded interdigital skin
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− | ***Spreads to epidermal matrix of hoof -> separation of horn + malodorous exudate
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− | ***Regeneration attempted as germinal epithelium is not destroyed
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− | ***Chronic infections -> long , misshapen hoof
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− | **Benign footrot (scald)- only interdigital ski affected, slight separation of heel horn
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− | ***Mostly the type occuring in cattle
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− | *'''Necrobacillosis''' of the foot
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− | **Usually caused by [[Fusobacterium|''Fusobacterium necrophorum'']] with other bacteria
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− | **In sheep:
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− | ***'''Ovine interdigital dermatitis'''
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− | ****Acute necrotising dermatitis similar to benign footrot
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− | ***'''Foot abscesses'''
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− | ****Bulbular or lamellar
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− | ****Mostly in wet conditions and in heavy sheep
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− | **In cattle:
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− | ***'''Interdigital dermatitis and cellulitis'''
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− | ***Caused by ''F. necrophorum'' and [[Bacteroides|''Bacteroides melaninogenicus'']]
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− | ***Predisposed by trauma
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− | ***Grossly:
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− | ****Fissures, necrotic swollen edges in interdigital spaces
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− | ****Inflammation may spread to joint spaces
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− | ===Systemic bacterial infections===
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− | *[[Salmonella|'''Salmonellosis''']]
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− | **Capillary dilatation and congestion -> cyanosis of external ears and abdoman
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− | **Thrombosis -> necrosis of extremities
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− | *'''Erysipelas''' in pigs
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− | **Caused by [[Erysipelothrix rhusiopathiae|''Erysipelothrix rhusiopathiae'']]
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− | **Vasculitis, thrombosis, ischaemia -> cutaneous lesions - firm, raises, rhomboidal pink to dark purple areas
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− | *[[Clostridium novyi|''Clostridium novyi'']]
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− | **Severe cellulitis, toxaemia and death of young rams during breeding season (due to traumatised heads) - 'big head'
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− | *[[Streptococci|''Streptococcus equi'']]
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− | **In horses
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− | **Immune complex vasculitis -> [[Haemorrhage - Pathology#Purpura haemorrhagica|purpura]]
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