Caseous lymphadenitis

From WikiMD's WELLNESSPEDIA

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's weight loss doctor NYC
Philadelphia GLP-1 weight loss and GLP-1 clinic NYC

Caseous lymphadenitis
File:Crexhoûles froumaedjreces berbis3.jpg
Synonyms CLA, pseudotuberculosis
Pronounce N/A
Specialty Veterinary medicine
Symptoms Abscesses in lymph nodes, weight loss, decreased wool and milk production
Complications Chronic infection, economic loss in livestock
Onset Variable, often after shearing or wounds
Duration Chronic
Types N/A
Causes Corynebacterium pseudotuberculosis
Risks Sheep, goats, cattle, horses
Diagnosis Culture, serology, PCR
Differential diagnosis Tuberculosis, Johne's disease, abscesses from other causes
Prevention Vaccination, biosecurity measures
Treatment Antibiotics, surgical drainage
Medication N/A
Prognosis Guarded, depends on severity and management
Frequency Common in sheep and goat populations worldwide
Deaths N/A


Caseous lymphadenitis (CLA) is a chronic bacterial infection that primarily affects sheep and goats. It is caused by the bacterium Corynebacterium pseudotuberculosis. The disease is characterized by the formation of abscesses in the lymph nodes and internal organs, leading to significant economic losses in the livestock industry due to decreased productivity and increased culling rates.

Etiology[edit]

The causative agent of caseous lymphadenitis, Corynebacterium pseudotuberculosis, is a Gram-positive bacterium. It is a facultative intracellular pathogen that can survive and multiply within macrophages. The bacterium enters the host through skin wounds or mucous membranes and spreads to the regional lymph nodes.

Clinical Signs[edit]

The clinical signs of CLA vary depending on the location of the abscesses. In the external form, abscesses are typically found in the superficial lymph nodes, such as the submandibular, prescapular, and prefemoral lymph nodes. These abscesses are often visible and palpable. In the internal form, abscesses may develop in internal organs such as the lungs, liver, kidneys, and spleen, leading to more severe systemic signs such as weight loss, decreased milk production, and respiratory distress.

Diagnosis[edit]

Diagnosis of CLA is based on clinical signs, bacteriological culture, and polymerase chain reaction (PCR) testing. Fine needle aspiration of abscesses followed by culture and identification of Corynebacterium pseudotuberculosis is a common diagnostic method. Serological tests such as the enzyme-linked immunosorbent assay (ELISA) can also be used to detect antibodies against the bacterium.

Treatment and Control[edit]

Treatment of CLA is challenging due to the intracellular nature of the bacterium and the thick, caseous material within the abscesses. Antibiotic therapy is often ineffective, and surgical drainage of abscesses is commonly performed. Control measures include strict biosecurity practices, culling of affected animals, and vaccination. Vaccines are available and can reduce the incidence of the disease but do not provide complete protection.

Prevention[edit]

Preventive measures are crucial in managing CLA. These include:

  • Implementing strict biosecurity protocols to prevent the introduction and spread of the bacterium.
  • Regularly inspecting animals for signs of abscesses and isolating affected individuals.
  • Maintaining good hygiene and wound care practices to reduce the risk of infection.
  • Using vaccination programs to enhance herd immunity.

Economic Impact[edit]

Caseous lymphadenitis has a significant economic impact on the livestock industry. The disease leads to reduced productivity, increased veterinary costs, and higher culling rates. Infected animals may have reduced growth rates, lower milk production, and decreased wool quality. The presence of abscesses can also result in carcass condemnation at slaughter, further increasing economic losses.

See Also[edit]

References[edit]

External Links[edit]

Medical Disclaimer: WikiMD is for informational purposes only and is not a substitute for professional medical advice. Content may be inaccurate or outdated and should not be used for diagnosis or treatment. Always consult your healthcare provider for medical decisions. Verify information with trusted sources such as CDC.gov and NIH.gov. By using this site, you agree that WikiMD is not liable for any outcomes related to its content. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates, categories Wikipedia, licensed under CC BY SA or similar.