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===Pathology===
 
===Pathology===
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Findings at post mortem depend on the route of entry of the organism, whether it became generalised or not and the stage of the disease.
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One or more lymph nodes will display the chacteristic granulomatous tubercules. In the respiratory form the mediastinal and bronchial lymph nodes are affected, with lesions in the lungs.
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If the mycobacteria disseminated from the primary complex then lymph nodes in other regions will also be affected and there will be multiple small foci of infection on other organs.
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==Treatment==
 
==Treatment==
 
Treatment is not usually an option due to the chronic nature of the disease, zoonotic potential and test and slaughter policy.  
 
Treatment is not usually an option due to the chronic nature of the disease, zoonotic potential and test and slaughter policy.  
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*Reside primarily within macrophages where they multiply and result in characteristic [[Lungs Inflammatory - Pathology#Granulomatous pneumonia|granulomatous inflammation]] (macrophages and giant cells, epithelioid cells)
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The mycobacterium reside within macrophages in the lungs where they multiply and result in characteristic [[Lungs Inflammatory - Pathology#Granulomatous pneumonia|granulomatous inflammation]] The regional lymph nodes and also affected
*Cattle can be infected by inhalation of the organism or through milk
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*'''The primary complex'''
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**Describes the initial focus of infection at the portal of entry (lungs) plus involvement of regional lymph nodes
   
**90% of cases exhibit the pulmonary form
 
**90% of cases exhibit the pulmonary form
 
**Grossly:
 
**Grossly:
***Small tubercles in dorsocaudal subpleural areas which progress to larger confluent areas of caseous necrosis
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***Usually start at bronchio-alveolar junction an progress to the alveoli
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***Caseous lesions, may calcify or be encapsulated
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***Multiple foci may coalesce
   
***Ulcers in [[Trachea Inflammatory - Pathology|trachea]] and [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|bronchi]] due to coughed up bacteria
 
***Ulcers in [[Trachea Inflammatory - Pathology|trachea]] and [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|bronchi]] due to coughed up bacteria
 
***Spreads into [[Pleural Cavity & Membranes Inflammatory - Pathology|pleura]]
 
***Spreads into [[Pleural Cavity & Membranes Inflammatory - Pathology|pleura]]
 
**Microscopically:
 
**Microscopically:
***Typical granulomatous inflammation
   
***Epitheliod and giant cells at centre of tubercles
 
***Epitheliod and giant cells at centre of tubercles
 
****Macrophages with ingested bacteria, forming epithelioid cells - large vesicular nuclei, abundant pale cytoplasm
 
****Macrophages with ingested bacteria, forming epithelioid cells - large vesicular nuclei, abundant pale cytoplasm
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*inhalation of ''Mycobacterium bovis'' most common via droplets
   
*some tubercle bacilli enter the lymph and travel to the bronchial or mediastinal nodes
 
*some tubercle bacilli enter the lymph and travel to the bronchial or mediastinal nodes
 
*inhaled bacilli reach the alveoli, set up a focus of inflammation
 
*inhaled bacilli reach the alveoli, set up a focus of inflammation
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::- leads to type IV (delayedd type) hypesensitivity
 
::- leads to type IV (delayedd type) hypesensitivity
 
::- 'caseous' or cheesy type of necrosis
 
::- 'caseous' or cheesy type of necrosis
::- if bacterium destroyed, further infection/disease is prevented
      
=====Tuberculosis pleurisy=====
 
=====Tuberculosis pleurisy=====
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