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Anthrax presentation med 406

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Page 1: Anthrax presentation med 406
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Name:- FASIH UR REHMANReg#:- 2k12-av-77Class:- 4th PROF DVMTopic:- ANTHRAXSubject:- MED-406Presented to:- DR. RIAZ LAGHARI

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A Zoonotic Disease

ANTHRAX

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Overview Definition About Disease Causative Agent Transmission Clinical Findings Diagnosis Treatment Vaccination

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DefinitionAnthrax is originated from Greek

word Anthrox means coal. Other names for this disease are spleenic fever, wool sorter's disease. Locally it is called as golle or sut. It is an acute, contagious and septicemia disease. Highly fatal and affecting a wide range of mammalian species including human beings.

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About DiseaseBefore the availability of an effective vaccine, anthrax was one of the most important causes of death in livestock throughout the world.  The results of national epidemiological survey of important diseases of livestock in Pakistan has indicated that anthrax is one of the leading causes of death among sheep, goat, cattle in hilly and desert areas.

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Causative AgentAnthrax is caused by a bacterium known as Bacillus anthraces. The organism is G +ve, non motile, aerobic, facultative anaerobe and spore forming Bacteria. There are two forms of this organism i.e. (a) vegetative and (b) spore forming. Vegetative form occurs inside the body of affected animals and is responsible for producing clinical signs and pathological lesions. The Spore formation occurs outside the body of host and is the result of exposure of vegetative form to oxygen.

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Transmissiona. Mostly animals are infected while grazing in areas that

have previously experienced anthrax.b. The spores are also transmitted through the

consumption of contaminated water, hay, and fodder.c. Eating of bone meal and blood meal of infected animals

also cause transmission.d. Eating of dry fodder or spiky grass produces lesions in

gastrointestinal mucosa, and the chances of infection are increased.

e. Flies are also a source of transmission.f. It is also a Zoonotic Disease. This Disease can transfer to humans through Inhalation, Ingestion, Coetaneous routes.

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Clinical FindingsIts incubation period is 1-2 weeks, some says 7 weeks. Most common sign of disease is sudden death. There are three forms of disease:(a)Per acute(b) Acute(c) Chronic

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Clinical Findings (Continue)(a)Per Acute:- It is most common at the beginning of outbreak.

Animals are found dead without signs. Course of disease is only two hours. Signs may be fever, dyspnia, congestion of mucosa and muscle tremor and animal dies after convulsion. After death there is discharge of blood from natural orifices (mouth, nostrils, eyes, anus, vulva etc.).

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Clinical Findings (Continue)(b)Acute:-• Course of disease is 48 hours. There is severe depression, increased body temperature up to 107 oF, rapid and deep respiration, and congested mucosal lining.• Pathogenic signs are congestion of mucous membrane, hemorrhage from natural orifices, increased heart rate, animal off feed, ruminal stasis, abortion in pregnant cows, blood stained or deep yellow milk, diarrhea, dysentery, and local edema of tongue.

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Clinical Findings (Continue)© Chronic:- Chronic infection is characterized by localized, subcutaneous, edematous swelling that can be quite extensive. Areas most frequentlyinvolved are ventral neck,thorax, and shoulders and tongue.

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DiagnosisIt is based on the history of the occurrence of disease in an area, clinical signs, and necropsy findings. Sudden death in an animal without prior symptoms should lead to suspicion of anthrax and bloody fluid exuding from the nose and mouth or anus of living or dead animal is particularly suggestive of anthrax. Postmortem is not allowed in case of anthrax. To prepare blood smear, blood is obtained from ear by giving incision. Blood film should be dried and fixed by heat or immersion for one minute in absolute methanol and stained with polychrome methylene blue. Then it is washed after thirty seconds into hypochlorite solution. After drying the slide, it is examined under microscope for reddish purple capsular material and deep blue Bacilli. This reaction is termed as M- Fadyean reaction.

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TreatmentBecause this disease is rapid in onset and with large mortality rate (90%), this is insufficient to initiate treatment before death. If anthrax is suspected, segregation of animal should be done. Early supportive and antimicrobial therapy is useful and Bacillus anthraces is highly susceptible to a wide range of antibiotics including benzyl penicillin, tetracycline, and ciprofloxacin. First dose of antibiotic should be administered intravenously and then intramuscularly for 5 days. Prognosis is not favorable and no time to treat the animal.

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VaccinationVeterinary Research Institute (VRI), Lahore has developed anthrax spore vaccine. It imparts solid immunity for one year. Its dosage in cattle and buffalo is 1 ml subcutaneously. Vaccination should not be done in area where disease does not occur. During vaccination one should not beexposed to vaccine by needleprick.

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