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== Introduction<br> ==
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(BRSV)
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Bovine Respiratory Syncitial Virus (BRSV) is a respiratory condition in cattle that is more serious than [[Bovine Parainfluenza - 3|PI-3]]. It replicates in nasal epithelium and then dispreses throughout the upper respiratory tract to the bronchial tree. Here, syncytia form and further spread into the bronchioles occurs. <br>
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====Pathogenesis====
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Outbreaks of RSV associated disease usually occur associated with winter housing and also during periods of stress such as mixing of calves and transport. The virus can contribute to calf enzootic pneumonia.<br>
*More serious than [[Bovine Parainfluenza - 3|PI-3]]
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*Causes [Respiratory Viral Infections - Pathology#Respiratory syncytial virus|respiratory infection]]
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*Replicates in nasal epithelium -> throughout upper respiratory tract -> bronchial tree
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*Syncytia form -> shed into bronchioles
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*Complications include [[Pulmonary Emphysema|emphysema]] and [[Pulmonary Oedema|oedema]], drop in milk yield in adult cattle
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====Epidemiology====
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Subclinical reinfections are important in spreading disease and more than 70% of cattle in the UK have antibodies to BRSV.<br><br>
**Subclinical reinfections are important in spreading disease
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**More than 70% of cattle in the UK have antibodies to BRSV
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====Diagnosis====
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*Diseased lung tissue from dead animals or centrifuged cells from lung lavage
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*Virus is too fragile for cell culture isolation (often inactivated in transport)
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*Antigen detection by ''' immunocytochemistry''' for intracytoplasmic viral inclusions containing labelled viral protein
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*Serology: 4-fold rise in ELISA antibody in paired serum samples from several animals
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====Control====
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*Improve husbandry as in [[Bovine Parainfluenza - 3 (PI-3)#Secondary Concerns|PI-3]]
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*Vaccines are available but not effective as need to stimulate [[Lymphocytes#Cytotoxic CD8+|cytotoxic T-cells]]
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====Secondary Concerns====
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<br>
*<small>'''Reference''': Bryson, 1999, Update on calf pneumonia, CPD Veterinary Medicine, 1,3, 90-95</small>
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== Signalment<br> ==
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This virus can occur as part of the calf pneumonia syndrome along with Parainflunza and Herpesvirus (IBR) as well as the bacteria Mannheimia, Mycoplasmas and Pasturella.<br>
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*Causative agent [[Paramyxoviridae|Respiratory syncytial virus (RSV)]], synonym: bovine RSV (BRSV)
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It can cause disease in adult cattle too however, it is more severe in young stock.<br>
*Outbreaks of RSV associated disease usually occur associated with winter housing
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*Gross pathology in severe cases
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**Cranioventral [[Atelectasis|atelectasis]] and consolidation
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**[[Pulmonary Emphysema|Interstitial emphysema]]
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***More prominent in the caudal lung lobes
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***Results from bronchoconstriction which results in airway obstruction - this constriction is thought to arise from [[Mast Cells|mast cell]] degranulation and histamine release
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*Histologically
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**[[Bronchitis#Acute bronchitis/bronchiolitis|Acute bronchiolitis]], characteristic of the bronchiolar response is the formation of syncytial giant cells  (formed by proliferating bronchiolar epithelial cells which may contain [[Cellular Inclusions|intracytoplasmic inclusion bodies]]), alveolar epithelium sometimes affected
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**Obstruction of bronchioles by exudate - these may later become obliterated by the fibrous tissue of organisation
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*May contribute to [[Respiratory Bacterial Infections - Pathology#Enzootic pneumonia of calves|Enzootic pneumonia of calves]]
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[[Category:Pneumovirinae]][[Category:Cattle Viruses]]
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<br>
[[Category:To_Do_-_Clinical/Viruses]]
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[[Category:Respiratory_Viral_Infections]]
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== Clinical Signs<br> ==
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Clinical signs include [[Pulmonary Emphysema|emphysema]] and [[Pulmonary Oedema|oedema]]. In adult cattle, you may see a drop in milk yield. <br>
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<br>
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== Diagnosis ==
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Often when in combination with other viral agents and bacteria then diagnosis is presumptive due to number of animal affected and the age and circumstances of these (housed etc). A dose of anitbiotics is usually given and an effect is often seen quickly.<br>
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If the animal has succumbed to the disease a post mortem can be performed to aid diagnosis. Diseased lung tissue from dead animals or centrifuged cells from lung lavage can be used for this. The virus is too fragile for cell culture isolation (often inactivated in transport). <br>
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Grossly on post mortem, one will see cranioventral atelectasis and consolidation, interstitial emphysema, which is more prominent in the caudal lung lobes. The results from bronchoconstriction which results in airway obstruction - this constriction is thought to arise from mast cell degranulation and histamine release. Histologically, one may see acute bronchiolitis, characteristic of the bronchiolar response is the formation of syncytial giant cells (formed by proliferating bronchiolar epithelial cells which may contain intracytoplasmic inclusion bodies) and the alveolar epithelium sometimes affected. The broncioles are often obstructed by exudate and these may later become obliterated by the fibrous tissue of organisation.<br>
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Antigen detection by '''immunocytochemistry''' for intracytoplasmic viral inclusions containing labelled viral protein can also be performed as well as serology. A 4-fold rise in ELISA antibody in paired serum samples from several animals is indicative of the disease.<br>
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<br>
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== Treatment and Control<br> ==
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Treatment with anibiotics is often used to treat secondary infections and lessen clinical signs and help the body focus on eliminating the virus. <br>
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It is important to try and improve husbandry as in [[Bovine Parainfluenza - 3 (PI-3)#Secondary_Concerns|PI-3]] in order to prevent the disease from occuring. Avoiding mixing of different aged calves is very important in the control of the disease, as is good hygiene.<br>
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Vaccines are available but not effective as need to stimulate [[Lymphocytes#Cytotoxic_CD8.2B|cytotoxic T-cells]].<br>
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<br>
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== References<br> ==
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<small>Bryson, 1999, Update on calf pneumonia, CPD Veterinary Medicine, 1,3, 90-95</small><br>Andrews, A.H, Blowey, R.W, Boyd, H and Eddy, R.G. (2004) Bovine Medicine (Second edition), Blackwell Publishing<br>Blood, D.C. and Studdert, V. P. (1999) Saunders Comprehensive Veterinary Dictionary (2nd Edition) Elsevier Science<br>Divers, T.J. and Peek, S.F. (2008) Rebhun's diseases of dairy cattle Elsevier Health Scieneces<br>Radostits, O.M, Arundel, J.H, and Gay, C.C. (2000) Veterinary Medicine: a textbook of the diseases of cattle, sheep, pigs, goats <br><br>
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[[Respiratory Bacterial Infections - Pathology#Enzootic_pneumonia_of_calves|<span style="display: none;" id="1300623605688E"> </span>]]<br>
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[[Category:Pneumovirinae]] [[Category:Cattle_Viruses]] [[Category:To_Do_-_Review]] [[Category:Respiratory_Viral_Infections]]
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<br>
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