Pashudhan is India's No. 1 Veterinary monthly journal dedicated to animal health care.
Glimpse on December 2010 issue:
1. Rehabilitation in veterinary patients
2. Fish net hook retrieval from Esophagus of turtle
3. Query fever
4. Krishi Vigyan Kendra
5. Aflatoxicosis in poultry
6. SUMUL: Focus on breed improvement
7. Research spotlight
8. Doping in race horse: a menace
9. National & international news
10. Published articles of 2010
11. Leukocyte adhesion molecules role in bovine mastitis
12. Pneumocarditis in a buffalo- necropsy
13. Snapshots
Veterinary Rehabilitation Techniques for Post-Op Recovery
1. 12 DECEMBER 2010 Dedicated to Animal Health Care
REHABILITATION
b)Promoting post-operative recovery
c)Co n s e r vat i ve m a n a g e m e nt o f
orthopedic or neurological patients.
d)Treating severely debilitated patients.
e)Aiding weight loss in obese patients
We will now go through the various
treatment modalities of physical
rehabilitation. Physical rehabilitation
in Veterinary Patients
can be classified into:
1. Cryotherapy/hypothermia: Cold
therapy is used to manage acute phase
of tissue injury.Cryotherapy is used to
treat post operative inflammation,
musculo skeletal trauma, muscle spasm,
and to minimize secondary inflam-
mation following therapeutic exercise.
Tripathi S.D, Lokhande D.U, Adsul P.B, Jodumoni Kachari, Satyawan Agivale, Zenobia Chinoy Ice packs, ice massage with homemade
popsicles, running cold water over
The field of veterinary surgery has had a as cattle, goats, sheep etc. It is primarily
affected tissue, cold water immersion or
tremendous progress in the last quarter used to treat orthopedic and cold compression can be used. However
of 20th century. Procedures like neurological diseases and encompasses a towel should be applied over the
or thopedic implants and spinal the use of physical or mechanical agents affected site to protect the skin. These
surgeries are increasingly becoming such as applications can be done for 15-20
common. Ideally post-operative minutes and repeated every 4 hours
a) Light
orthopedic care has consisted of 6-12 upto 72 hours
weeks of cage rest. While most surgeons b) Thermotherapy
2. Heat therapy/hyperthermia: It is
have felt the outcome of fracture c) Water
healing or other procedure as used in management of chronic injuries
d) Electricity such as in reducing joint stiffness and
acceptable; with recent interest in
e) Massage increasing connective tissue elasticity
rehabilitation; it has become obvious
that a lot needs to be done to enhance f) Exercise and before stretching or exercise. An
the functional mobility of the veterinary g) Provision of appropriate bedding insulating layer is applied to the
patient as well (Fossum, 2002). People material. affected area. Then commercially
are now keeping pets not just for fad or Advances in veterinary medicine have available packs or hot towel are secured
societal show off, but they consider led to a longer life expectancy for most to the affected part by means of straps
them to be a part of their family. It is not domestic pets. This in turn has resulted for 15-20 minutes every 4 hours. It
infrequent to find owners ready to move in increased number of animals with should not be used in acute
heaven and earth for the welfare of their chronic discomfort such as dege- inflammation or in animals with
pets. This has also led to development of Fig.1: A great Dane undergoing NMES nerative joint disease, arthritis etc. decreased or absent sensation, poor
certain lifestyle diseases such as obesity thermoregulation or bleeding disorders
There are a lot of owners who do not
in pets. Owners now demand a similar such as in animals with DIC, deficiency
What is rehabilitation? rehabilitation, physical therapy or want to euthanize their pets or even
level of physical therapy as is available of von will brand's factor etc.
Derived from the Latin word rehabilitor, physiotherapy. their sheep or goat due to emotional or
for humans. It is now more than ever the
it simply means to restore ability. Some religious reasons; because of such 3. Therapeutic ultrasound: It is used
veterinary team's duty to use all the However, it is not just restricted to pet
conditions. The application of physical for treatment of chronic tendonitis,
modalities at their disposal to return the of the other colloquial terms which are a n i m a l s b u t a l s o i nvo l ve s t h e
rehabilitation modalities can provide an
pets to their former level of activity now being used are canine or feline rehabilitation of domestic animals such limited range of motions secondary to
excellent option for treatment and
symptomatic relief of such patients; tissue contractions, Myositis, Bicipital
especially so in countries like India tendonitis, Muscle spasms. It can also be
used in wounds of upto 2 weeks after
Fish Net Hook Retrieval From
where religious/emotional fervor far
out-weighs logical or economic injury or chronic wound or also for
decisions. Physical rehabilitation used in phonophoresis is which is nothing but
conjunction with standard medical and enhanced delivery of topically applied
surgical treatment with proper pain drugs by means of ultrasound. After
Esophagus
management can facilitate early and clipping of the hairs and application of
more complete recovery from surgery coupling gel frequencies of 1 MHz for
and trauma. It can also prolong the lives, depths upto 2-5 cms and 3 MHz for
reduce pain and improve the quality of superficial lesions can be used for 5
life of patients suffering chronic,
minutes daily upto 10 days. Therapeutic
incurable orthopedic, musculoskeletal,
of Turtle neuromuscular conditions. USG should not to be used in cases of
tumors, acute inflammation, infection or
It can be used for
painful areas.
a)Treating patients with chronic
osteoarthritis. Contd in page 4
Tripathi S.D, Lokhande D.U, Adsul P.B,
Jodumoni Kachari, Satyawan Agivale,
Zenobia Chinoy & Cooper J.K.
Fig.No.1: Fish net hook after removal
Fishing activity has played a very significant role in
endangering the existence of turtles in the world. This is
especially true in fresh water turtles which get entangled in
the fish hook nets lowered in brackish water lagoons or fresh
water lakes or ponds.
Case history and presentation:
An adult fresh water turtle was presented to the B.S.D.P.H. for
animals at Parel, with a nylon string protruding from its mouth.
The person who had brought it to the hospital said that he had
found it near a lake in a very sedate condition. The turtle was
sent for X-ray which revealed a J- shaped hook in the
esophagus close to its entry at the thoracic region. The turtle
was immediately anaesthetized with ketamine @32 mg/kg
Fig.No.2: D.V.X-ray showing fish net hook
body weight intramuscularly. After induction of anaesthesia
US Patent No : US 6, 984, 406 B2
the neck was extended. A slight pressure towards the thoracic mannanase : 800,000 U/kg (minimum)
EU Patent No : EP1292669
end of the esophagus caused a protrusion of the fish hook. A
small incision was made on the protrusion and the fish hook
was retrieved. The skin and sub-cutis was sutured together by In Broilers: 500 gms. per ton of feed
means of 2-0 nylon. The turtle was administered injection Benefits - Better performance, enhanced
availability of SBM, 3% (ME)
ampicillin and cloxacillin at the dose rate of 25 mg/kg down specification (reduction).
intramuscular b.i.d for 5 days. The turtle recovered Decreased fecal viscosity
: 20 kg pack
uneventfully and resumed its normal life In Layers: 400 gms. per ton of feed
Benefits - Improved egg production and
Summary: egg weight, 2% (ME) down
Retrieval of fish net hook from the esophagus of a turtle is specification (reduction).
described in the present paper.
Department of surgery and radiology, Bombay veterinary
college, Parel-Mumbai Fig. No.3: Turtle after complete recovery
Regd. No. 50488/87 : Postal Registration No. CPMG/KA/BGGPO-126/2009-11 Registered News Paper : Licenced to Post Without Prepayment. Licence No. WPP-11:BGPSO, 6th
2. December 2010 | Page 02
Man, let not thy ‘superiority'
be misused
Q fever
Query Fever an abortion. Placental retention for 2 to
5 days and agalactia have also been
reported. Clinical signs including fever,
anorexia, mild coughing, rhinitis and
God seems to have drawn a line, keeping man on one side and Asif iqbal, N.M.Kamili humans, and is used to distinguish acute increased respiratory rates occur in
all animals on the other. As a lay man understands, it is not from chronic infections. Q fever has experimentally infected sheep but have
merely motor faculty or superior intelligence, or, intelligence that Introduction been found worldwide, except in New not been reported in natural infections.
could be transmuted into practical intellect or what may be called Q fever is a highly contagious zoonotic Zealand. Experimentally infected cats develop
disease caused by the intracellular Transmission fever, lethargy and anorexia that last for
wisdom that has given man an edge in this world. An explanation pathogen Coxiella burnetii. This
C.burnetii can be transmitted by several days. Experimentally infected
by a sage that MAN stands for 'Maya', 'Atmic vision' and organism is an obligate intracellular mice may have pneumonia, hepatitis or
aerosols or direct contact; it is also
'Nirvana', perhaps, could make the point more clear. Maya pathogen and has been traditionally splenomegaly, depending on the route
spread by ingestion. Infections in
enables man to change from the raw entity he is, when he is born, placed in the family Rickettsiaceae; of inoculation. Large numbers of
animals can persist for several years and
however, recent phylogenetic studies organisms are found in the placenta,
to one of a reformed individual through his logical interpretation, possibly lifelong. Organisms localize in
have demonstrated that C. burnetii is fetal fluids, aborted fetus, milk, urine and
education and distinction between what is good and what is not; the mammary glands, supramammary
more closely related to Legionella, feces. Asymptomatic seropositive and
lymph nodes, uterus, placenta and fetus
Atmic vision enables Francisella and Rickettsiella. This
in animals; bacteria can be shed in milk, seronegative animals, as well as
man to know about his organism is now classified in the family
the placenta and reproduc tive symptomatic animals, may shed
Coxiellaceae and order Legionellales in
limited role in this world discharges during subsequent organisms.
the gamma subdivision of Pro-
and the responsibility he pregnancies and lactations. C. burnetii Post Mortem Lesions
teobacteria.The disease is also known as
can also be found in the feces and urine,
has for other creatures; Coxiellosis or Abattoir Fever. Although
and in the semen of bulls. Sexual Placentitis is a characteristic sign in
and Nirvana enables this infection was first described in the ruminants. The placenta is typically
transmission has been demonstrated in
1930s, it is still poorly understood. Many leathery and thickened, and may
the self or atma of man domesticated and wild animals
mice. Ticks may be important in
contain large quantities of white-yellow,
to prepare mentally to transmission among wildlife, and can
including mammals, birds, reptiles and creamy exudate at the edges of the
also spread infections to domesticated
lose his earthly identity arthropods can carry C. burnetii. In most
ruminants. In addition, C. burnetii has cotyledons and in the inter-
and merge painlessly cases, the infection is asymptomatic, but cotyledonary areas. In some cases, the
been found in lice, mites and parasitic
abortions or stillbirths can occur in exudate may be reddish-brown and
with the universe. ruminants. In sheep, 5-50% of the flock
flies. Most human infections are
fluid. Severe vasculitis is uncommon, but
associated with cattle, sheep and goats,
The mighty lord of may be affected. Both symptomatic and
and often occur when the animal gives thrombi and some degree of vascular
the jungle, before man asymptomatic animals shed C. burnetii inflammation may be noted. Fetal
birth and are usually infected via
in large quantities at parturition. pneumonia has been seen in goats and
could, perhaps, even take shape, the burly elephant, in front of Shedding can also occur in feces, milk
aerosols, but transmission may also
cattle and may occur in sheep; however,
which man is puny in size, and the intelligent and loyal dog, no occur by the ingestion of unpasteurized
and urine. These organisms persist in the lesions in aborted fetuses are
milk or other contaminated material. In
doubt have their own strengths which man cannot match. But it the environment for long periods and
addition, transmission has been usually non-specific.
is the distinct trinity of 'Maya', 'Atmic vision' and 'Nirvana' that can be spread long distances by the Diagnostic Tests
documented in blood transfusions and
wind. Human outbreaks can result from
have, perhaps, given the unassailable edge to man. Does it mean the inhalation of aerosolized organisms.
can probably occur by sexual contact. C. burnetii can be detected in vaginal
that man can do what he wants and be a law unto himself. His Persistent (dormant) infections can discharges, the placenta, placental fluids
More often, sporadic cases occur in
occur in humans; these organisms may and aborted fetuses (liver, lung or
code of ethics, vis-à-vis all other living creatures in the world, people who are occupationally
be reactivated by immunosuppression stomach contents), as well as milk, urine
including the floral element, dictate that he just have to live a life exposed. These cases tend to result from
or other factors. C. burnetii is highly and feces. Organisms are not shed
exposure to parturient ruminants;
of humility and follow the path of 'live-and-let-live'. When a man however, cats, dogs, rabbits and other
resistant to environmental conditions continuously in milk and colostrum. In
deviates himself from this path, he called being “worse than an and is easily spread by aerosols; the placenta, organisms can be
species have also been implicated.
infectious airborne particles can travel identified in exudates or areas of
animal”, meaning that he goes down in the hierarchical order of Although Q fever is usually
up to 11 miles. Viable organisms can be
asymptomatic or mild in humans, a few inflammation with a modified
achievement, physically and mentally, falling below the level of found for up to 30 days in dried sputum, Ziehl–Neelsen, Gimenez, Stamp, Giemsa
people develop serious disease.
animals. Pneumonia or hepatitis may occur in
120 days in dust, 49 days in dried urine or modified Koster stain; C. burnetii is an
from infected guinea pigs, and for at acid-fast, pleomorphic, small coccoid or
In fact, no animal is the enemy of man, including a snake; it is acute cases, and chronic infections can
least 19 months in tick feces. At 4-6°C
result in endocarditis or a wide variety of filamentous organism. This organism is
defensively ruffled only when it feels threatened. May be, (39-43°F), organisms can survive for 42 not usually detected by Gram stains.The
other diseases. C. burnetii forms unusual
animals like crocks seek a prey of man, like it treats any other spore-like structures that are highly
months in milk and 12 to 16 months in presence of organisms, together with
moving creature, with no extra venom harboured towards man. wool. serological tests and clinical findings
resistant to environmental conditions.
It is for the wisdom of man to decide and accordingly arrange for This organism also has two distinct C. burnetii is highly resistant to physical may be adequate for a diagnosis at the
antigenic phases, phase I and phase II. a n d c h e m i c a l a g e n t s . Va r i a b l e flock or herd level. Bacterial identity can
what form of interaction he would have with what category of susceptibility has been reported for be confirmed by immunohisto-
Phase I and II cells are morphologically
animals. Man has already evolved the rules of the game since identical, but differ in some biochemical hypochlorite, formalin and phenolic chemistry or capture ELISA. PCR
time immemorial. Is it for him not to trespass into the arena of characteristics including their disinfectants; 0.05% hypochlorite, 5% techniques are also available in some
greed and destroy his other friendly player – not an adversary – lipopolysaccharide (LPS) composition. peroxide or a 1:100 solution of Lysol® laboratories. Fresh, frozen or paraffin-
Organisms isolated from infected may be effective. C. burnetii is also embedded samples of blood, milk, feces,
the animal. susceptible to glutaraldehyde, ethanol, vaginal exudates, placenta, fetal tissue
animals or humans express phase I
antigens and are very infectious. g a s e o u s fo r m a l d e hyd e, g a m m a and other tissues can be tested by PCR.
Organisms expressing phase II antigens irradiation or temperatures of 130°C Serology may be more helpful in
are less infectious and are recovered (266°F) for 60 minutes. High screening herds than in individual
after the bacteria are passaged temperature pasteurization destroys animals. Some animals do not seem to
repeatedly in cell cultures or eggs. the organism. seroconvert, and others shed organisms
Experimentally infected animals first Infections in Animals before they develop antibodies.
produce antibodies to phase II antigens Animals can also remain seropositive for
Species Affected several years after an acute infection.
and later produce antibodies to phase I
C. burnetii can infect many species of Cross–reactions have been seen
antigens. A similar response occurs in
domesticated animals and wildlife; in between some strains of C. burnetii and
many species, the infection appears to Chlamydia in ELISA and immunoblot
be asymptomatic. Its reservoirs may be assays. C. burnetii can be isolated in cell
only partially known. Sheep, goats and cultures, embryonated chicken eggs or
cattle seem to be the most common laboratory animals including mice and
domesticated animal reservoirs. Wild guinea pigs; however, isolation is
rodents may be important reservoirs in dangerous to laboratory personnel and
some areas, and cats are suspected in is rarely used for diagnosis.
urban outbreaks. C. burnetii has also Treatment
been isolated from dogs, rabbits, horses,
pigs, camels, buffalo, deer, pigeons, Little is known about the efficacy of
swallows, parrots, crows, geese and antibiotic treatment in ruminants or
other mammals and birds. Antibodies other domestic animals. Prophylactic
have been found in coyotes, raccoons, treatment is sometimes recommended
opossums, badgers, jackrabbits, black to reduce the risk of abor tion.
bears, musk ox and other species. There Antibiotics may suppress rather than
are also reports of C. burnetii in fish and eliminate infections.
snakes. Prevention
Clinical Signs In a C. burnetii-free flock, introduction of
new stock should be minimized, and
The incubation period is variable; contact with wildlife should be
reproductive failure is usually the only prevented as much as possible. Good
symptom. Abortions generally occur tick control should also be practiced.
late in pregnancy. Many species are Prevention may be difficult, as this
susceptible to infection, but most organism can also be introduced on
species seem to be infected fomites or in aerosols over long
asymptomatically. Abortion, stillbirth, distances. In an infected flock, isolating
retained placenta, endometritis, infected pregnant animals and burning
infertility and small or weak offspring or burying the reproductive me-
can be seen in sheep, goats and cattle. mbranes and placenta can decrease
Most abortions occur near term. Several transmission. The amount of C. burnetii
abor tions may be followed by in the environment can also be reduced
uncomplicated recovery, particularly in by regular cleaning, particularly of areas
where animals give birth. Cleaning can
small ruminants; in other cases, the
be followed by disinfection with 10%
disease may recur yearly. In dogs and bleach. Antibiotics may be given
cats, infections have been associated prophylactically before animals give
with stillbirths and weak offspring. birth. Vaccines are not available for
Abortions and perinatal death occur domesticated ruminants in the United
after experimental (intraperitoneal) States but are used in some countries.
infection of pregnant mice. With the Vaccines may prevent infections in
exception of reproductive disease, calves, decrease shedding of organisms
animals are usually asymptomatic. and improve fertility in infected animals.
Goats sometimes have a poor appetite They do not eliminate shedding of the
and are depressed for 1 to 2 days before organism.