Tolio: Foot Rot in Grand Canyon River Runners.

Treating skin disorders in wilderness settings is often challenging. In this report we describe common skin conditions affecting the feet of river runners on the Colorado River in Grand Canyon National Park. These conditions are frequently referred to by river runners with a catchall term, "tolio." Several skin disorders have been identified as components of tolio, with the most prevalent currently being pitted keratolysis. We present a case of pitted keratolysis in a river guide occurring during a multiday river trip, where treatment can be difficult. Prevention is often more important.

[Detection and assessment of acute and chronic pain in Meat Merino ewes using ethological parameters]. / Erfassung und Bewertung von akutem und chronischem Schmerz anhand ethologischer Merkmale bei weiblichen Merinofleischschafen.

OBJECTIVE: The assessment of pain in sheep is a clinical challenge, because being a prey species, they tend to mask it. Since pain in animals cannot be measured directly, various methods are applicable to detect its effects on physiological, biochemical and ethological processes. Clinicians experienced in behavioural assessment are able to reliably determine the level of pain endured by an animal. The objective of this study was to identify behaviours that reflect acute and chronic pain as well as stress in sheep. METHODS: The behaviour of 36 Meat Merino ewes with contagious footrot (contagious interdigital dermatitis) was analysed during normal activities in the flock and during footrot treatment, which included claw trimming to remove abnormal horn. The behaviour during treatment was compared with that of 12 healthy control sheep of the same breed during routine foot trimming. Grading of the observed behaviours was made using a numerical score. The occurrence of footrot was defined as, and equated with, chronic pain, and treatment was equated with acute pain. For the assessment of stress induced by the manipulative treatment, the data of the healthy sheep were taken as a comparison. RESULTS: The strongest indications of chronic pain were non-weight bearing lameness of an affected limb, shifting of weight and abnormal gait patterns. Additionally, sheep with footrot urinated more frequently than healthy animals. Stress-related bruxism occurred in healthy and ill sheep during foot trimming, but not during normal activities in the flock. Tail wagging and strong defensive movements of all limbs commonly occurred during footrot treatment. Head shaking appeared to be primarily stress-related in association with dorsal recumbency on the tilt table, but was exacerbated by pain elicited by hoof trimming. CONCLUSION: The behaviours selected in this study were useful for the identification of chronic and acute pain in sheep; however, correct interpretation of behavioural changes requires an experienced individual.

Contagious ovine digital dermatitis: an emerging disease.

The novel sheep disease, contagious ovine digital dermatitis (CODD) was first described in the UK in 1997. The disease is characterised by severe lameness associated with initial inflammation at the coronary band, followed by progressive separation of the hoof capsule from the underlying tissue. On microbiological examination, treponeme bacteria have been frequently isolated from cases of CODD, including treponemes phylogenetically identical to those associated with bovine digital dermatitis (BDD). Dichelobacter nodosus and Fusobacterium necrophorum have also been isolated from CODD lesions although their role in the pathogenesis remains uncertain. While epidemiological data indicate that the prevalence of CODD is increasing in the UK, the routes of transmission and associated risk factors have not been clearly elucidated. Evidenced-based treatment trials indicate that parenteral administration of long-acting amoxicillin is an efficacious treatment for CODD, while anecdotal evidence suggests other antibiotics, given locally and/or parenterally, may also be beneficial. Further microbiological and epidemiological research is urgently required to develop sustainable control strategies, including the development of vaccines and appropriate biosecurity and farm management protocols. In this review current knowledge of the clinical, aetiological, and epidemiological aspects of CODD is assessed as well as approaches to its control.

Aetiology of caprine footrot in Extremadura region, Spain.

The present study reports on the location of major foci of footrot in goats in the Extremadura region of Spain by the determination of locally occurring strictly anaerobic microorganisms involved in the pathogenesis and development of this disease. The most commonly isolated microorganisms belonged to the genera Dichelobacter, Fusobacterium, Porphyromonas and Prevotella; these were found in conjunction with other species of minor importance. The species most frequently isolated were Fusobacterium necrophorum (40%), Dichelobacter nodosus (31.7%), Porphyromonas asaccharolytica (21.1%) and Prevotella melaninogenica (12.9%). Virulence factors identified in the isolated microorganisms included haemolysins, elastases and lecithinases, which enabled the organisms involved to initiate and/or aggravate the disease. Serotyping was performed for Dichelobacter nodosus isolates, since this species is responsible for triggering the process of infection. A and C were the most frequently isolated serovarieties (representing 40.7% and 25.9% of the cases, respectively).

Risk factors associated with the prevalence of interdigital dermatitis in sheep from 1999 to 2000.

As part of an investigation into improving the treatment and control of lameness in sheep flocks in England and Wales, a postal survey was conducted in November 2000. Farmers were asked to estimate the prevalence of footrot and interdigital dermatitis in their flocks. In the ewes the prevalence of interdigital dermatitis remained relatively stable throughout the year, but there was a large increase in lambs during late spring and early summer. Logistic regression models were used to assess statistically significant risk factors associated with prevalences of the condition of 5 per cent or more in ewes and 10 per cent or more in lambs. Factors that increased the risk in ewes were 'sometimes/never' catching lame sheep compared with 'always' farm land 100 m or less above sea level and renting-in winter grazing; factors that increased the risk in lambs were a prevalence of 5 per cent or more of footrot in ewes, 'sometimes/never' catching lame ewes compared with 'always', 'sometimes/never' treating ewes with footrot with parenteral antibiotics compared with 'always', showing sheep at agricultural events, farm land 100 m or less above sea level, and a prevalence of 5 per cent or more of interdigital dermatitis in ewes. Turning sheep on to a field which had been free from livestock for at least two weeks after footbathing decreased the risk of interdigital dermatitis in lambs. Footbathing without the use of a clean field compared with not footbathing did not significantly affect the prevalence of the interdigital dermatitis.

Risk factors associated with the prevalence of footrot in sheep from 1999 to 2000.

A postal survey of the techniques being used for the treatment and control of footrot in sheep flocks between November 1999 and October 2000 was conducted in England and Wales in November 2000. Of the 392 questionnaires circulated, 251 (64 per cent) were returned, and 209 of these were usable. Negative binomial regression analysis indicated that the isolation of bought-in sheep, and the separation and individual treatment of diseased sheep with parenteral antibiotics, foot trimming and topical foot sprays were associated with a significantly lower prevalence of footrot in a flock. In contrast, ewe flocks which were routinely foot trimmed more than once a year had a significantly higher prevalence of footrot. No evidence was found that footbathing a flock reduced the level of footrot, except on the 14 per cent of farms where the penning and race facilities for footbathing were reported by the farmer to be excellent. Vaccination had no significant beneficial effect on the level of footrot in a flock

Effect of climatic region on the clinical expression of footrot of lesser clinical severity (intermediate footrot) in sheep.

OBJECTIVE: To determine if the clinical classification of intermediate footrot (IFR) is changed to virulent footrot (VFR) by a transfer of the infected flock to a region where climatic conditions are more favourable for the transmission of the disease. DESIGN: Clinical examination of two groups of Merino wethers infected with IFR; one group of 309 in a region considered less favourable for footrot and another group of 343 at a second site considered more favourable. PROCEDURES: After characterising the form of footrot at the first site, infection was established at the second site by mixing 142 wethers from the first site with 201 unrelated wethers considered to be free of IFR and VFR. Observations of clinical characteristics were made over a 16 month period during which an outbreak of footrot occurred. Clinical assessments were made by inspecting every foot of every sheep at regular intervals and allocating a footscore. Evidence that the same clonal lines of D. nodosus were responsible for the footrot at both sites was provided by serotyping of isolates and using omp gene RFLP as a molecular epidemiological tool. RESULTS: The disease at the first site was classified as IFR because 7% of the sheep developed a maximum footscore (MFS) of 4, the most severe category, despite relatively low rates of transmission. When the outbreak occurred at the second site, which was more suitable for footrot transmission, the maximum proportion of the flock that developed a MFS of 4 was 3.6%, confirming the initial classification of IFR. CONCLUSIONS: When a flock infected with IFR was moved to a region where climatic conditions were more favourable for footrot transmission, the clinical classification of the disease remained the same in both the original flock and in sheep exposed to the infection for the first time.

Improved laboratory diagnosis of ovine footrot: an update.

Ovine footrot is a complex clinical disease syndrome primarily resulting from infection by the anaerobic bacterium Dichelobacter nodosus. In order to aid clinical diagnosis, various laboratory tests based on the detection and measurements of phenotypic properties of D. nodosus have been developed for genus-specific detection as well as virulence determination. However, these tests are generally time-consuming, and tend to be variable with external factors that affect the growth and metabolism of the bacterium. A new generation of diagnostic reagents, such as monoclonal antibodies, gene probes and polymerase chain reaction, has been developed recently. Preliminary assessment of these reagents has shown potential to vastly improve the laboratory identification and determination of the virulence of D. nodosus. It is important that these new reagents are vigorously assessed against existing laboratory tests, such as the elastase test and gelatin gel test, prior to their adoption for the routine diagnosis of footrot.

Advances in the control of foot rot in sheep.

All cases of foot rot, whether acute, chronic, benign, or inapparent, must be identified. If the outbreak is severe and production losses warrant, each foot of each animal must be examined thoroughly. Proper handling facilities and equipment, adequate light, and dry working conditions are needed to properly examine each foot. Infected sheep must be separated from the clean flock. Following extensive treatment, these animals must be diagnosed as free from the disease before returning to the clean flock. Animals that do not respond must be culled from the flock. Although copper sulfate and formalin are effective materials for footbathing, zinc sulfate is equally effective and does not irritate the skin, eyes, or lungs as does formalin, or stain the wool as does copper sulfate. A 10% zinc sulfate solution with a nonionic surfactant is an effective footbathing or foot soaking solution. The cure rate is improved by a thorough foot paring and a foot soak of at least 30 minutes. A number of treatment options along with formulations are outlined in the 1988 edition of the Sheep Production Handbook of the Sheep Industries Development Program, Inc, 6911 Yosemite, Englewood, CO 80112.

Pathogenic synergism.

Microbial synergy is well recognized but its role in the pathogenesis of human infections is poorly understood and probably underestimated. Recent experiments with animal models and in vitro studies should facilitate a more objective and critical assessment of the contribution to various infections by microorganisms, individually and collectively.

Susceptibility of Bacteroides nodosus to various antimicrobial agents.

The susceptibility of 18 strains of Bacteroides nodosus to 21 antimicrobial agents was tested in vitro. Penicillin was the most effective antibiotic tested. Other antibiotics tested, in order of relative efficacy, were cefamandole, clindamycin, tetracycline, chloramphenicol, erythromycin, sodium cefoxitin, tylosin tartrate, nitrofurazone, tinidazole, and dihydrostreptomycin sulfate. Tests of solutions of 4 antibiotics in 70% ethanol indicated that ethanol served primarily as a diluent and did not contribute substantially to the curative effect of such topical medications on foot rot lesions in sheep. Of the chemicals commonly used in foot baths for treatment of ovine foot rot, copper sulfate was most effective, followed by zinc sulfate, then formalin. Several commercial disinfectants and iodine were quite effective against B nodosus, whereas 5.25% sodium hypochlorite and 70% ethanol alone were relatively ineffective.

Experimentally induced foot rot in feedlot cattle fed rations containing organic iodine (ethylenediamine dihydriodide) and urea.

Foot rot was experimentally induced in feedlot cattle with a mixed inoculum of Fusobacterium necrophorum (Sphaerophorus necrophus) and Bacteroides melaninogenicus. Both bacteria were isolated from the lesions. Isolates of F necrophorum from 2 of the lesions were serologically compared, using a passive hemagglutination test with the strain used to induce the lesions. These isolates were serologically similar but not identical, indicating antigenic change had occurred during animal passage. The addition of ethylenediamine dihydriodide or urea to the rations did not affect the frequency of experimentally induced foot rot.

Fusobacterium necrophorum and Bacteroides melaninogenicus as etiologic agents of foot rot in cattle.

Fusobacterium necrophorum (Sphaerophorus necrophorus) and Bacteroides melaninogenicus were the predominant bacteria isolated from biopsy specimens of lesions in cattle affected with foot rot. Mixed inoculums of the 2 bacteria, applied to the scarified interdigital skin or inoculated intradermally into the interdigital skin of test cattle, induced typical lesions of foot rot. Both bacteria were reisolated in large numbers from the induced lesions.