Lumpy Jaw Research Articles

Plasma endotoxin activity in Eastern grey kangaroos (Macropus giganteus) with lumpy jaw disease.

Progressive pyogranulomatous osteomyelitis involving the mandible or maxilla of captive macropods, referred to as “Lumpy jaw disease (LJD)”, is one of the most significant causes of illness and death in captive macropods. The aim of the present study was to evaluate the relationship between the severity of LJD and plasma endotoxin activity in kangaroos. Plasma samples obtained from moderate (n=24) and severe LJD (n=12), and healthy kangaroos (n=46), were diluted 1:20 in endotoxin-free water and heated to 80°C for 10 min. Plasma endotoxin activity was measured using the Limulus amebocyte lysate (LAL)-kinetic turbidimetric (KT) assay. Plasma endotoxin activity was higher in kangaroos with severe LJD (0.199 ± 0.157 EU/ml) than in those with moderate LJD (0.051 ± 0.012 EU/ml, P<0.001) and healthy controls (0.057 ± 0.028 EU/ml, P<0.001). Our results suggest that the severity of LJD in captive macropods may be related to the plasma endotoxin activity.

Plasma endotoxin activity in kangaroos with oral necrobacillosis (lumpy jaw disease) using an automated handheld testing system.

The aim of the present study was to evaluate the reliability and effectiveness of directly determining endotoxin activity in plasma samples from kangaroos with lumpy jaw disease (LJD, n=15) and healthy controls (n=12). Prior to the present study, the ability of the commercially available automated handheld portable test system (PTSTM) to detect endotoxin activity in kangaroo plasma was compared with that of the traditional LAL-kinetic turbidimetric (KT) assay. Plasma samples, which were obtained from endotoxin-challenged cattle, were diluted 1:20 in endotoxin-free water and heated to 80°C for 10 min. The performance of the PTSTM was not significantly different from that of the traditional LAL-based assay. The data obtained using PTSTM correlated with those using KT (r2=0.963, P<0.001). These findings indicated that the PTSTM is applicable as a simplified system to assess endotoxin activity in macropods. In the present study, we demonstrated the diagnostic value of plasma endotoxin activity in kangaroos with systemic inflammation caused by oral necrobacillosis and identified plasma endotoxin activity as a sensitive marker of systemic inflammation in kangaroos with LJD. Based on ROC curves, we proposed a diagnostic cut-off point for endotoxin activity of >0.22 EU/ml for the identification of LJD. Our results indicate that the assessment of plasma endotoxin activity is a promising diagnostic tool for determining the outcome of LJD in captive macropods.

Clinical and gross pathological findings of Johne's disease in a calf: A case report

Objective: This case report describes a clinical case of Johne’s disease (JD) in a Friesian calf aging one and half years. Materials and methods: Physical examination of the calf was carried out, history of the farm as well as samples for laboratory examinations were obtained. The laboratory examinations included hematological examinations by direct wet mount, hematocrit centrifugation technique and Giemsa stain, biochemical evaluation of serum, bacterial culture and isolation from feces and aspirate from the swollen jaw. Results: Clinical history showed that the farm had a history of JD, and routine health screening revealed that one of the calves had clinical signs suggestive of Johne’s disease. Physical examination of the calf revealed a lumpy jaw, enlarged bilateral pre-scapular and pre-femoral lymph nodes, while hematological and biochemical findings showed a normocytic normochromic anemia, severe leukocytosis with neutropilic left shift and lymphocytosis with hyperproteinemia characterized by hyperglobulinemia. Fecal bacterial tests showed the presence of acid fast bacilli. Based on the history and laboratory findings, the cow was diagnosed with JD. In order to ensure effective control measures, the calf was culled from the heard. Postmortem examination revealed inflamed pre-scapular and pre-femoral lymph nodes with the presence of paramphistomes in the rumen mucosa. Conclusion: Since JD is a chronic disease that lingers in livestock farms, there is need for early identification and culling of infected animal in order to limit its devastation on the farm.

Cull Cow Beef Quality Issues: Horns, Ocular Squamous Cell Carcinoma, and Lumpy Jaw

Cull cattle are those that are sold from a herd for lack of performance, lack of resources, or genetic improvement. The non-fed beef cattle market (cattle that are not managed through traditional feedlot finishing systems) is comprised primarily of cull cows and bulls. This 3-page article is one of the Cull Cow Beef Quality Issues series, which addresses liability and food safety concerns. It also discusses some quality defects identified in the non-fed beef market, how to prevent them, and how to address them when they appear in cattle. Written by Amie Imler, Matt Hersom, Todd Thrift, Joel Yelich, and Max Irsik, and published by the UF Department of Animal Sciences, December 2014.

Actinomycosis (lumpy jaw) in cow: a case report

A 5-year-old crossbred Jersey cow with a history of 7–8 months old proliferative overgrowth at the intermandibular region was presented in a veterinary polyclinic. There was partial reduction in appetite; however, the clinical parameters were found normal. The growth was removed surgically and tissue was processed for histopathology. Grossly, the cut surface of the growth appeared “creamish white with multifocal pale yellow areas of calcification.” Microscopically, multiple granulomas were observed with “the presence of bacterial colonies and club-shaped reaction product surrounded by strong neutrophilic reaction.” On the basis of clinical sign and histopathology, it was diagnosed as a case of actinomycosis (lumpy jaw).

The oral microbial community of gingivitis and lumpy jaw in captive macropods

Gingivitis and lumpy jaw are diseases of polymicrobial aetiology. Although Fusobacterium necrophorum has been associated with these diseases in macropods, little is known about other organisms associated with these diseases in this animal species. PCR-DGGE analysis revealed the potential pathogens associated with gingivitis and lumpy jaw in macropods. PCR-DGGE profile comparison between the healthy and disease groups indicated a shift in the oral bacterial community structures with similarity coefficients of 48% and 35% for gingivitis and lumpy jaw respectively. Moreover, gingivitis was associated with increase in bacterial diversity (Shannon index=2.87; PL curve=45%) while lumpy jaw resulted in a decline in bacterial diversity (Shannon index=2.47; PL curve=74%). This study suggest that the establishment of gingivitis and lumpy jaw diseases follows the ecological plaque hypothesis. This forms the basis for an expanded investigation in an epidemiological scale and suggests the need for the appropriate choice of antimicrobial agent(s) and for the effective management and control of polymicrobial diseases.

Retrospective study of oral necrobacillosis in 54 swamp wallabies

Oral necrobacillosis (lumpy jaw) is known as one of the most common and significant diseases in captive macropods (Vogelnest and Portas 2008). The most important pathogen is the anaerobic bacteria, Fusobacterium necrophorum (Samuel 1983). Many studies have shown dental calculus as one of the risk factors for oral necrobacillosis, oral injury, feed contaminated with faeces, adverse environmental conditions, and molar exfoliation (Butler 1981, Oliphant and others 1984, Vogelnest and Portas 2008). In the present study, we conducted a retrospective study to reveal recurrence and evaluate the risk factors in swamp wallabies that presented with oral necrobacillosis. We showed that oral necrobacillosis recurred in all cases after apparent complete recovery, and that advanced age and cold weather were the contributing risk factors. Seventy-five swamp wallabies were housed at the Nogeyama Zoological Gardens from 1987 to 2011. For this retrospective study, we selected 54 individuals for which clinical records had been maintained from birth to death. The average age at the onset of the first lesion was examined. Further, the number of diseased individuals and the rate of diseased swamp wallabies were counted and calculated, respectively, at each age. The location(s) and number of lesion(s) were counted and analysed in each month, which also included recurrence cases. The average temperature of …

Actinomyces meyeri: from “lumpy jaw” to empyema

While the most common presentation of actinomycosis is cervicofacial disease, or "lumpy jaw syndrome," Actinomyces meyeri has a predilection for pulmonary disease as well as dissemination to distant organs. We describe a 61-year-old Caucasian male with a relapsing-remitting mandibular sinus tract who would go on to develop weight loss, dyspnea, and a cough productive of malodorous sputum. Imaging revealed a right lower lobe pneumonia and a large left sided empyema. He underwent thoracotomy and decortication on the left side, and 1 L of foul-smelling purulent fluid was drained. Culture grew Actinomyces meyeri. He completed an extended antibiotic course and had his teeth extracted with good clinical outcome.

Detection of Fusobacterium necrophorum Leukotoxin (lkta) Gene Sequence in the Oral Cavity of Captive Macropods

Detection of Fusobacterium necrophorum Leukotoxin (lkta) Gene Sequence in the Oral Cavity of Captive Macropods Fusobacterium necrophorumis an important aetiological agent of periodontal diseases (gingivitis and lumpy jaw) in captive macropods. The leukotoxin encoded by the lktAgene is a major virulence factor of F. necrophorum. In the present study, lktA gene sequences were detected by PCR in the oral cavity of 21/58 (36%) captive yellow footed rock wallabies and mainland tammar wallabies at two zoological parks in South Australia. This suggest that F. necrophorum encoded lktAmay not be present in the oral cavity of all captive wallabies or that it is present at low levels, i.e. close to the limits of detection of conventional PCR.

MANDIBULAR OSTEOMYELITIS IN RED DEER (CERVUS ELAPHUS HISPANICUS) AND FALLOW DEER (DAMA DAMA): OCCURRENCE AND ASSOCIATED FACTORS IN FREE-LIVING POPULATIONS IN SOUTHERN SPAIN

The prevalence of mandibular osteomyelitis, which results in a condition called lumpy jaw, and factors associated with its occurrence were investigated in syntopic free-living populations of red deer (Cervus elaphus hispanicus) and fallow deer (Dama dama) in Spain. The study material consisted of 3,586 mandibles from 2,548 red deer and 1,038 fallow deer shot during sport hunting, herd management culls, and programs for population control between 1988 and 1997 (period 1) and 2002 and 2009 (period 2) in eastern Sierra Morena, southern Spain. Disease prevalence ranged from 0.36% to 10.91% among age groups. Older animals were significantly more likely to be affected than younger ones. Red deer stags had higher prevalence than other groups. There was a significantly higher prevalence in period 1, probably associated with differences in climatic and population conditions. High population densities of female red deer contributed significantly to occurrence of disease. Intensive herd management and poor environmental conditions were considered risk factors that increased susceptibility to disease. The study of this affliction could be useful for monitoring general herd welfare and ecologic changes in Mediterranean ecosystems.

Oral necrobacillosis ('lumpy jaw') in a free-ranging population of eastern grey kangaroos (Macropus giganteus) in Victoria

A high prevalence (54%) of oral necrobacillosis, commonly referred to as ‘lumpy jaw’ based primarily on the presence of cranial osteological lesions, is reported from a free-living population of Macropus giganteus in Victoria. Lesions were found primarily in the maxillary bone and the mandible, in association with the rostral region of the dental arcade. Autopsy data provided additional evidence that the osteological lesions observed were due to oral necrobacillosis. Lesions were more common in older kangaroos. The study was carried out during a drought with limited pasture availability and heavy faecal contamination of pasture, conditions that may have contributed to the high prevalence of the disease.

Case report: Actinomycosis in a West African dwarf goat in Nigeria

Actinomycosis, also called Lumpy jaw is a chronic, progressive, indurated, granulomatous, suppurative abscess that most frequently involves the mandible, the maxillae or other bony tissues in the head. It is a sporadic but common disease in cattle, occasional in pigs and horses and rarely in goats (Radostits et al., 2007). Members of the genus Actinomyces are Gram positive, non-acid fast, non-spore forming rods (Songer and Post, 2005) that form a mycelium of branching filaments that fragment into irregular-sized rods (Blood et al., 2007). The species that commonly cause disease in domestic animals include A. bovis, A. hordeovulneris, A. hyovaginalis, A. israelii, A. naeslundii, A. suis, A. viscosus and Arcanobacterium pyogenes (Songer and Post, 2005). Actinomyces bovis is a common inhabitant of the bovine mouth and infection is presumed to occur through wounds to the buccal mucosa caused by sharp pieces of feed or foreign material. Infection may also occur through dental alveoli, and may account for the more common occurrence of the disease in young cattle when the teeth are erupting (Radostits et al., 2007).Actinomyces viscosus causes periodontal disease and subgingival plaques in hamsters fed a high carbohydrate diet, and also abscessation in dogs (Timoney et al., 1988) in which it is an opportunistic infection (Blood et al., 2007). The present report describes a case of actinomycosis due to A. viscosus involving a doe in a herd of 42 West African Dwarf (WAD) goats kept intensively at the Teaching and Research Farm, University of Agriculture, Abeokuta, Nigeria.

PREVALENCE OF MANDIBULAR OSTEOMYELITIS IN ROE DEER (CAPREOLUS CAPREOLUS) IN SLOVENIA

Mandibular osteomyelitis in free-ranging cervids is a rare, but eventually fatal, disease. We examined 41,895 defleshed mandibles of roe deer collected throughout Slovenia in 2007. Mandibles from 14,679 fawns had no signs of osteomyelitis, and were excluded from further analysis. Of the remaining 27,216 specimens, chronic osteomyelitis ("lumpy jaw") was found in 113 mandibles (4.2%; 7.0% of adults). The majority of cases were observed from the Mediterranean and subalpine regions, near larger cities and thermal power plants. There was no statistically significant correlation between severity of the mandibular osteomyelitis and body weight. Females were more frequently affected than males. Coarse and abrasive food, and to some extent dental fluorosis, are the most probable triggers for development of lesions.

Cervicofacial actinomycosis mimicking lymphangioma circumscriptum

Primary cutaneous actinomycosis caused by Actinomyces israelii occurs most commonly in the cervicofacial area. It commonly presents as “lumpy jaw” with draining sinuses which discharge the characteristic “sulfur granules”. A low index of suspicion and a low sensitivity in culturing the organism, due to its fastidious nature often delays the diagnosis. An atypical clinical presentation mimicking lymphangioma circumscriptum with grouped papulovesicular and nodular lesions along the lower jaw extending from skin to the inner buccal mucosa, confirmed on histology and an excellent therapeutic response to penicillin is reported.

Use of a Sustained Release Chlorhexidine Varnish as Treatment of Oral Necrobacillosis in Macropus spp.

Oral necrobacillosis or lumpy jaw is a common cause of morbidity and mortality affecting captive macropods. This article describes several cases of a new treatment regimen using a sustained release chlorhexidine varnish applied locally to the teeth and the gingivae of two Macropus species, eastern grey kangaroos (Macropus gigantus) from Gan-Garoo Australian Park and a red-necked wallaby (Macropus rufogriseus fruticus) from The Tisch Family Zoological Gardens in Jerusalem. The varnish was applied using a horsehair paint brush as three 1- to 2-mm thick layers. The active ingredient in the varnish was the disinfectant chlorhexidine. Results indicated that use of an intraoral sustained release varnish significantly shortens the treatment time and may prevent recurrence.

Mandibular hypodontia and osteoarthritis in prehistoric bighorn sheep (Ovis canadensis) in eastern Washington State, USA

Mandibular hypodontia of the p2 was found to occur in 3 out of 21 individual prehistoric Rocky Mountain bighorn sheep (Ovis canadensis canadensis) from Moses Coulee Cave in eastern Washington State, similar to its frequency of occurrence in modern bighorn. There is no evidence of lumpy jaw (mandibular osteomyelitis) in the Moses Coulee Cave collection. Evidence from Moses Coulee Cave aligns with the hypothesis that low frequencies of hypodontia and lumpy jaw occur in healthy, evolutionarily old (maintenance) populations in order to maintain the occlusal area and thus maximise efficiency of food procurement and processing. Osteoarthritis was found to occur in 1 out of 70 individual Rocky Mountain bighorn sheep (Ovis canadensis canadensis) astragali in the Moses Coulee Cave collection. This prevalence is unsurprising given a population dominated by prime-age individuals. Osteoarthritis was likely selected against given that individuals must be agile to effectively use rugged terrain to escape predation and as a general measure suggests a healthy population. Copyright © 2009 John Wiley & Sons, Ltd.

Thoracic Vertebral Actinomycosis:Actinomyces israeliiandFusobacterium nucleatum

Actinomyces spp. are considered rare pathogens in today's medicine, especially with thoracic vertebral involvement. Classic actinomycosis (50%) presents as an oral-cervicofacial ("lumpy jaw") infection. This report describes a case of spinal cord compression caused by Actinomyces israelii with the coisolation of Fusobacterium nucleatum. There are limited numbers of similar cases.

Unilateral failure of development of mandibular premolars and molars in an Eastern Grey kangaroo (Macropus giganteus) and its effects on molar progression

An adult male Eastern Grey kangaroo from a wildlife reserve near Melbourne was submitted for necropsy examination and was discovered to have abnormal dentition. There was no evidence that any premolars or molars had ever been present on the right mandible, whilst the incisors were normal. The age of the kangaroo was estimated to be 1 year 9 months using the right maxillary molars and 2 years 4 months old using the contralateral side, presumably due to the asymmetry of the dental arcades. 'Lumpy jaw', a common periodontal disease of kangaroos, from which Bacteroides sp was cultured, was present on the base of the vertical ramus of the left mandible. Complete unilateral absence of premolar and molar teeth in the mandible of a kangaroo has not been described. This condition affected molar progression in both sets of maxillary molars.

Survey on ‘lumpy jaw’ on deer farms in western Canada: Prevalence and distribution, and identification of associated factors

AIM: To investigate the prevalence and geographical distribution of ‘lumpy jaw’ (LJ) in a population of white-tailed deer (WTD; Odocoileus virginianus) and mule deer (MD; Odocoileus hemionus) farms from the western Canadian provinces of Saskatchewan and Alberta, and to identify factors associated with its occurrence. METHODS: A cross-sectional study, in which the target population was all farmers of WTD and MD registered in Saskatchewan and Alberta, was conducted between July 2004 and January 2005. A questionnaire was mailed to all farmers requesting information about the presence of LJ and other necrobacillois-related syndromes (footrot and fawn death syndrome), and various farm characteristics, during 2002, 2003 and 2004. Herd and within-herd incidences of disease were estimated. Global and local spatial analyses were performed to identify possible clusters of occurrence of LJ in the region. Logistic regression analysis was used to identify factors associated with the occurrence of LJ. RESULTS: A total of 139/268 (52%) deer farmers responded to the survey. Over the entire study period, 108/139 (78%) of farmers reported having cases of LJ in their herds, and in any given year the incidence amongst herds was about 40%. The presence of footrot was not associated with the presence of LJ. The proportion of fawns dying suddenly in 2004 was higher on farms affected by LJ than in those considered LJ-free (median of 11.1% and 0%, respectively; p<0.001). Two areas in Saskatchewan were identified as having a higher herd prevalence of LJ (clusters) than all other areas. Density of animals, moving and handling animals, lack of basic hygiene measures, and bottle-feeding of fawns increased the odds of a herd being affected by LJ. CONCLUSIONS AND CLINICAL RELEVANCE: LJ should be considered a common disease in farmed deer in western Canada. The observed relationship between the occurrence of LJ and acute mortality of fawns emphasises the potential of this infection to result in significant economic loss. Intensive management of deer, characterised by high densities and frequent moving and handling of animals, may contribute significantly to the occurrence of LJ. Observed geographical clusters may reflect areas where management of deer was more intensive or the trading of deer more common.

“LUMPY JAW” IN EXOTIC HOOF STOCK: A HISTOPATHOLOGIC INTERPRETATION WITH A TREATMENT PROPOSAL

"Lumpy jaw" of artiodactyls and macropods, although often considered a manifestation of actinomycosis, is actually an osteomyelitis, perhaps commencing with a dental root abscess or trauma to the jaw. Anaerobes may be cultured from the lesions, and vegetable matter may be impacted in them. It is a chronic disease and difficult to treat. Successful treatment may include draining the abscess, cleaning the cavity with saline and antibiotics, flushing with a combination of hydrogen peroxide-sodium hypochlorite and Betadine, and apicoectomy and endodontic filling when active inflammation has subsided.