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zoonoses and communicable diseases common to ... - PAHO/WHO

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BRUCELLOSIS 47ceptible animals accumulates—either heifers from the same herd or newly introducedanimals—a second outbreak can occur. In large herds, there are alwaysenough susceptible animals <strong>to</strong> maintain the infection, <strong>and</strong> abortions continue.Trading <strong>and</strong> movement of animals also help maintain active infection.SWINE: The main etiologic agent of brucellosis in swine is B. suis. In LatinAmerica, only biovar 1 infection has been confirmed, while in the United States both1 <strong>and</strong> 3 have been involved. Biovar 2 is found only in Europe. Infection by biovars1 <strong>and</strong> 3 is spread directly or indirectly from pig <strong>to</strong> pig. In contrast, biovar 2 (orDanish biovar) is transmitted <strong>to</strong> pigs when they ingest European hares (Lepuseuropaeus). Pigs can also be infected by B. abortus, although it is less pathogenicfor pigs <strong>and</strong> apparently not transmitted from one animal <strong>to</strong> another; the infection isgenerally asymp<strong>to</strong>matic, with the affected organisms limited <strong>to</strong> the lymph nodes ofthe head <strong>and</strong> neck.When brucellosis is introduced in<strong>to</strong> a previously healthy herd, the symp<strong>to</strong>ms arethose of acute disease: abortions, infertility, birth of weak piglets, orchitis, epididymitis,<strong>and</strong> arthritis. In small herds, the infection tends <strong>to</strong> die out or decrease inseverity because of a lack of susceptible animals owing <strong>to</strong> the normal sale of somepigs <strong>and</strong> <strong>to</strong> the spontaneous recovery of others. In large herds, the infection is persistent<strong>and</strong> transmitted from one generation <strong>to</strong> the next.Early abortions, which occur when the female is infected during coitus, generallygo unnoticed under free-range conditions. The aborted fetuses are eaten by the pigs,<strong>and</strong> the only abnormality that may be noted by the owner is the sows’ repeatedestrus. Abortions occur in the second half of gestation when the females are infectedafter one or two months of pregnancy. Affected sows rarely have a second abortion,<strong>and</strong> females infected before sexual maturity rarely abort.Infection is usually temporary in suckling pigs. However, a few may retain theinfection <strong>and</strong> become carriers. It rarely results in recognizable clinical symp<strong>to</strong>ms.Occasionally, arthritis is observed, but transient bacteremia <strong>and</strong> low agglutinationtiters may be found.In infected pigs, abscesses of different sizes frequently occur in organs <strong>and</strong> tissues.Spondylitis is often found.Infection of the genital organs lasts for a shorter period of time in the female thanin the male. In the latter it may last for the life of the animal.GOATS: The main etiologic agent of brucellosis in goats is B. melitensis with itsthree biovars. All types of goats are susceptible <strong>to</strong> infection by B. melitensis.Infection by B. suis <strong>and</strong> B. abortus has occasionally been found.The symp<strong>to</strong>ma<strong>to</strong>logy is similar <strong>to</strong> that observed in other species of animals <strong>and</strong> themain symp<strong>to</strong>m is abortion, which occurs most frequently in the third or fourth monthof pregnancy. In natural infections occurring in the field, other symp<strong>to</strong>ms, such asarthritis, mastitis, spondylitis, <strong>and</strong> orchitis, are rarely found. These symp<strong>to</strong>ms can beseen when the animals are inoculated experimentally with large doses of the agent.Sexually mature female goats that are not pregnant are susceptible <strong>and</strong> suffer from achronic infection that may have no clinical symp<strong>to</strong>ms, but that represents a risk forthe other animals in the flock. Infection of the mammary gl<strong>and</strong> is <strong>common</strong> (Al<strong>to</strong>n,1985). In chronically infected flocks, the signs of the disease are generally not veryapparent. Gross pathological lesions are also not usually evident, though thepathogen can frequently be isolated from a large number of tissues <strong>and</strong> organs.

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