Campylobacter fetus in abomasal fluid from spontaneously aborted bovine and ovine fetuses

Pregnancy losses are a major concern in livestock industry due to their economic impact on producers. Campylobacter fetus subspecies fetus (Cff) and C. fetus subspecies venerealis (Cfv) are directly related to reproductive failures in ruminants. Cff colonizes the gastrointestinal tract of a wide range of hosts leading to abortion, while Cfv is restricted to genital tract being generally associated to infertility in bovine. Considering the great economic losses related to campylobacteriosis in cattle and ovine herds, this study aims to investigate the occurrence of C. fetus, considering Cff and Cfv subspecies, in bovine and ovine spontaneously aborted fetuses in state of Rio Grande do Sul, Brazil. In this study, samples of abomasal fluid collected from 30 spontaneously aborted bovine (n = 18) and ovine (n = 12) fetuses were investigated for the detection of Campylobacter fetus throughout conventional PCR. Positive fetuses for C. fetus presence were further analyzed by molecular assays for Cff and Cfv detection, in order to determine subspecies identification. When available, samples of the main organs of the thoracic and abdominal cavities, as well as the brain, skeletal muscle, eyelid, skin, and placenta were collected for further histopathological analyses and bacterial culture, aiming to assess the presence of infection lesions and pathogens in those sites, respectively. Additionally, RT-qPCR assays were also performed for the detection of ruminant pestivirus, in order to detect bovine viral diarrhea cases. Throughout the present methodology, C. fetus was detected in the abomasal fluid samples of 2 bovine fetuses, being both identified as Cfv subspecies by PCR. Histopathological analyses demonstrated that macroscopic and microscopic changes found in the Cfv-positive animals were not either specific or directly related to Campylobacter infections. Moreover, no significant bacterial growth was observed in microbiological culture from the collected tissues, and both fetuses were negative for ruminant pestivirus. Differently, there was no detection of C. fetus in any of the analyzed ovine fetuses. Considering that abortion diagnosis rates reported in cattle and sheep industry are highly variable among the published studies, and that abortion diagnoses are commonly inconclusive due to difficulties in sampling methodology and inadequate identification of the pathogen involved, it is important to investigate the etiological causes of abortion the herds for better understanding the causes of pregnancy issues and monitoring their occurrence. In addition, the absence of pathognomonic lesions in the tissues investigated in the histopathological analyses observed in this study strongly suggests that well-known etiological agents commonly associated to abortion, such as Leptospira spp., Toxoplasma spp., Chlamydia spp. and Neospora caninum, are unlikely to be the cause of infection of the analyzed fetuses. Taking this into account, the presence of C. fetus in the abomasal fluid samples from two bovine fetuses demonstrated in the present study suggests the possible association of Cfv not only with infertility, but also with cases of bovine abortion, highlighting the importance of investigating unusual causal agents of abortions in sheep and cattle. Overall, an adequate diagnosis is essential for establishing better prevention strategies to avoid the circulation of abortion-related infectious agents in the herds.(AU)

Histopathological characterization of the reproductive organs of heifers experimentally infected with Campylobacter fetus venerealis / Caracterización histopatológica de los órganos reproductivos de vaquillonas experimentalmente infectadas con Campylobacter fetus venerealis / Caracterização histopatológica em órgãos reprodutores de novilhas infetadas no modo experimental com Campylobacter fetus venerealis

Abstract Background: Bovine campylobacteriosis is a venereal disease due to infection with Campylobacter fetus venerealis. It causes mainly reproductive failures that lead to considerable economic losses. Objective: To perform a histopathological description of the mucosa from reproductive organs of heifers experimentally infected with Campylobacter fetus venerealis. Methods: Twelve 15-18-months-old Aberdeen Angus heifers were treated for estrous synchronization and exposed to natural breeding. They were then randomly divided into two groups: group A (n=9) was inoculated with C. fetus venerealis; group B (n=3, control) was inoculated with a placebo. Ultrasonography was performed at days 29, 38, and 42 post-breeding, and plasmatic progesterone levels were quantified using ELISA to confirm pregnancies. Animals in group A with plasma progesterone levels below 1 ng/mL and/or diagnosed as non-pregnant were further divided into three subgroups: A1 (n=4), euthanized at day 30 post-breeding; A2 (n=3), euthanized at day 40 post-breeding and A3 (n=2), euthanized at day 55 post-breeding. Heifers from group B, all diagnosed as pregnant, were euthanized each at day 30, 40, and 55 days post-breeding as well. Histological sections from every group were taken from oviducts, uterus, and vagina. Results: Lymphocytic inflammation was the most common lesion in all infected heifers. Trophoblast cells were found in the non-pregnant heifers euthanized at days 40, and 55 post-breeding. The inflammatory process with the presence of lymphoid cells probably altered the balance in the activity of maternal lymphoid cells, as well as gene expression of the trophoblast, finally affecting the embryo survival. Conclusion: This work contributes to the understanding of the histopathological process involved in post-mating infection of Campylobacter fetus bovine.

Resumen Antecedentes: La campilobacteriosis bovina es una enfermedad venérea causada por el Campylobacter fetus venerealis, que produce principalmente fallas reproductivas ocasionando grandes pérdidas económicas Objetivo: Describir las características histopatológicas de la mucosa de órganos reproductores de vaquillonas infectadas experimentalmente con Campylobacter fetus venerealis. Métodos: Doce vaquillonas Aberdeen Angus (15 a 18 meses de edad) con celo sincronizado, recibieron servicio natural, e inmediatamente se dividieron aleatoriamente en dos grupos: A (n=9), inoculadas con Campylobacter fetus venerealis; B (n=3; control), inoculadas con placebo. El diagnóstico de preñez se realizó por ultrasonografía a los 29, 38 y 42 días post-servicio; los niveles plasmáticos de progesterona fueron determinados por ELISA. Las vaquillonas del grupo A con niveles de progesterona plasmáticos menores a 1 ng/mL y/o diagnosticadas no preñadas, fueron consideradas para eutanasia y divididas en tres subgrupos: A1-eutanasia día 30 (n=4); A2-día 40 (n=3); y A3-día 55 (n=2) post-servicio. Las vaquillonas del grupo B, diagnosticadas preñadas, fueron eutanasiadas a los 30, 40 y 55 días. Se tomaron muestras de oviductos, útero y vagina. Resultados: Se observó inflamación linfocitaria en la totalidad de muestras del grupo A. Células trofoblásticas fueron encontradas en muestras correspondientes a los grupos A2 y A3. Probablemente, el proceso inflamatorio alteró el equilibrio de las células linfoides maternas y la expresión génica del trofoblasto, afectando la supervivencia embrionaria. Conclusión: Este trabajo contribuye a la comprensión del proceso histopatológico involucrado en la infección poscoital por Campylobacter fetus bovino.

Resumo Antecedentes: A campilobacteriose bovina é uma doença venérea originada pelo Campylobacter fetus venerealis, quem produz principalmente falha reprodutiva e porém grandes perdas económicas. Objetivo: Descrever as características histopatológicas da mucosa dos órgãos reprodutores de novilhas infetadas no modo experimental com Campylobacter fetus venerealis. Métodos: Doze novilhas Aberdeen Angus de 15 até 18 meses com cio sincronizado, receberam serviço natural. Logo após, foram aleatóreamente separados em grupos: A (n=9) inoculados com Campylobacter fetus venerealis e grupo B (n=3; controle) inoculadas com um placebo. O diagnóstico da gestação foi realizado por ultrasom nos dias 29, 38 y 42 pós-serviço. Os níveis plasmáticos da progesterona foram determinados por ELISA. As novilhas do grupo A, com níveis plasmáticos de progesterona menores a 1 ng/mL e/ou diagnosticadas não grávidas, foram consideradas para eutanásia e foram divididas em três subgrupos: A1-eutanásia aos 30 dias pós- serviço (n=4); A2-dia 40 (n=3); A3-dia 55 (n=2). Foram realizada eutanásia ás novilhas do grupo B diagnosticadas prenhadas, aos 30, 40 e 55 dias e a amostragem de ovidutos, útero e vagina. Resultados: A presença de inflamação linfocitária foi observada na totalidade das amostras do grupo A. Foram achadas células trofoblásticas nas amostras correspondente aos grupos A2 e A3. Provavelmente, pelo processo inflamatório tenha sido alterado o equilíbrio das células linfoides maternas, assim também como a expressão gênica do trofoblasto, afetando a supervivência embrionária. Conclusão: Este trabalho contribue á compreensão do processo histopatologico na infecção com Campylobacter fetus bovino pós-acasalamento.

Alopecia areata y vitamina D sérica en pacientes iraquíes: un estudio de casos y controles / Alopecia Areata And Serum Vitamin D in Iraqi Patients: a case-control study

Background: Alopecia areata (AA) is a typical hair issue, which may have obliterating mental and social outcomes and is portrayed by the nearness of nonscarring alopecia. Objective: This examination has targets to assess the serum nutrient D levels , with AA; contrast the outcome and clearly sound control; and confirm relationship between AA types and serum nutrient D levels. Patients Also Methods: the examine might have been led clinched alongside Tikrit educating healing facility throughout those time starting with June 2019 of the limit for January 2020. Irrefutably the quantity of subjects associated with the assessment was ninety individuals isolated in two social events; the patients bundle were forty five the people who whimper of AA while the resulting gathering including a forty five age and sex-made solid volunteers were picked as a benchmark gathering. The degree and movement of the alopecia were noted and the patients were meticulously broke down for signs of various ailments. Research center assessments were led to patients and also to those control population, these included serum vitamin D levels were measured as 25-hydroxyvitamin D {25(OH)D} using a chemiluminescence microparticle immunoassay. Blood models were gotten starting with patients and control subjects after totally taught consent was gotten. Results : An essential complexity may have been found for serum 25-OH Vit D levels between patients other than controls. Vitamin D sufficiency were more common in controls than in patients. Serum Vitamin D was deficient in both cases and controls group; but, the deficiency was significantly more throughout AA group (35. 6%) compared to the handle group (11. 1%). Among the list patients gathering, levels associated with nutrient D were totally higher in guys in contrast with females. Conclusions: AA might be related with nutrient D deficiency as mean degrees of nutrient D of patients were seen as fundamentally lower than typical sound controls.

Bovine genital campylobacteriosis: main features and perspectives for diagnosis and control / Campilobacteriose genital bovina: principais características e perspectivas para o diagnóstico e controle

ABSTRACT: Bovine genital campylobacteriosis (BGC) is a venereal disease caused by Campylobacter fetus subsp. venerealis. In countries with large cattle herds, such as Brazil, where the use of natural breeding as a reproductive strategy is a common practice, BGC is considered an important cause of reproductive failure and economic losses. In these cases, the bull is the asymptomatic carrier of the bacterium and the infected females can have infertility and even abortions. The techniques for the diagnosis of C. fetus are isolation in culture medium and identification by biochemical tests, immunofluorescence, immunoenzymatic assays and molecular techniques. Disease control is based on vaccination with bacterins. This review described the epidemiology, etiology, pathogenesis, and advances in the diagnosis and control of BGC.

RESUMO: A campilobacteriose genital bovina (CGB) é uma importante enfermidade de caráter venéreo causada por Campylobacter fetus subsp. venerealis. Em países com grandes rebanhos bovinos, como o Brasil, onde o uso da monta natural como estratégia reprodutiva é uma prática corrente, a CGB é considerada uma importante causa de falhas reprodutivas e perdas econômicas. Nestes casos, o touro é o portador assintomático da bactéria e as fêmeas infectadas podem apresentar infertilidade e até mesmo abortos. As técnicas para o diagnóstico de C. fetus são o isolamento em meio de cultura e identificação por testes bioquímicos; imunofluorescência; ensaios imunoenzimáticos e técnicas moleculares. O controle da doença é baseado em vacinação. Neste sentido, esta revisão consiste em uma abordagem sobre a epidemiologia, a etiologia, a patogenia, os avanços no diagnóstico e controle da CGB.

Campylobacter fetus em bovinos no estado do Rio Grande do Sul / Campylobacter fetus in cattle from Rio Grande do Sul state, Brazil

A campilobacteriose genital bovina (CGB) é uma doença infectocontagiosa causada por Campylobacter fetus, determina infertilidade temporária, endometrite leve e aborto em fêmeas, além de aumentar o intervalo entre partos. A ocorrência de CGB entre rebanhos no Brasil tem variado muito entre as diferentes regiões. Com isso, o objetivo deste trabalho foi identificar, por meio da reação em cadeia da polimerase (PCR), a ocorrência de amostras positivas para C. fetus, oriundas de bovinos, no período de 1999 a 2010, no Rio Grande do Sul, e analisar a positividade em machos e fêmeas. Foram utilizadas 816 amostras procedentes de 37 municípios, localizados predominantemente nas mesorregiões sudoeste e centro ocidental rio-grandense, das quais 480 aspirados prepuciais (92 provenientes de duas centrais de inseminação artificial e 388 de estabelecimentos de criação - monta natural), 324 aspirados cervicais e conteúdo abomasal de 12 fetos bovinos abortados. Como resultado, 10,9% das amostras (89/816) foram positivas para C. fetus. Quando analisados os resultados em relação à origem das amostras, 6,5% (6/92) das coletadas de machos de centrais de inseminação foram positivas, e das obtidas de touros utilizados em monta natural, 9% (35/388). Já entre as fêmeas, esse percentual foi de 13,6% (44/324) e, nas amostras obtidas de fetos abortados, 33,3% (4/12) foram positivas. Quando analisados os 91 estabelecimentos de criação com monta natural e os 37 municípios, foram positivos 44,0% (40/91) e 63,2% (24/37), respectivamente. Com isso, foi demonstrada a importância da CGB para os rebanhos bovinos, e uma maior ocorrência de amostras positivas em fêmeas, quando comparadas às amostras provenientes de machos.

Bovine genital campylobacteriosis (BGC) is an infectious disease caused by Campylobacter fetus, which determines temporary infertility, mild endometritis, miscarriage in females and also increases the calving interval. The occurrence of BGC in the Brazilian herds has varied widely among regions. The aim of this study was to identify by polymerase chain reaction (PCR) the occurrence of C. fetus in bovines from Rio Grande do Sul (RS), Brazil using samples collected from1999 to 2010. A total of 816 samples from 37 counties localized predominantly in the Southwest and Central Western regions of the RS state were analyzed. Four hundred eighty preputial aspirated samples (92 from artificial insemination centers and 388 from farms that use natural mating) and 324 cervical aspirates and abomasal contents of 12 aborted fetuses were analyzed. As result, 10.9% (89/816) were positive for C. fetus. When the results were analyzed in relation to its origin, 6.5% (6/92) of the males samples from insemination centers were positive, and the ones from natural mating 9% (35/388) were positives. For the females, this percentage was 13.6% (44/324) of positivity, and the samples from the aborted fetuses 33.3% (4/12) were positive. When the 91 farms that used natural mating and the 37 counties were analyzed, it showed a positivity rate of 44.0% (40/91) and 63.2% (24/37), respectively. This study shows the importance of BGC for bovine herds, and a larger occurrence of positive samples among females when compared to male.

A Case of Episcleritis as a Manifestation of Neurosyphilis

PURPOSE: To report a rare case of episcleritis as the only manifestation of neurosyphilis. CASE SUMMARY: A 40-year-old female was referred to the outpatient clinic because of right episcleritis that was unchanged during the month of treatment. Her headache persisted, and slit lamp examination showed tortuous congestion of engorged episcleral vessels with swelling in the superior-temporal region of the right eye, but fundus and radiological studies showed normal findings. Serological tests were reactive for venereal disease research laboratory test, treponema pallidum hemagglutination assay test, and fluorescent treponemal antibody absorption test. Under the suspicion of persistent syphilis infection, cerebrospinal fluid examination was performed, and the diagnosis of neurosyphilis with episcleritis was diagnosed. Treatment consisted of intravenous injections of 5 million IU penicillin G potassium every 4 hours for 14 days. The ocular inflammation resolved within the first week of treatment and did not recur. CONCLUSIONS: We report a case of intractable episcleritis that required examination for syphilitic infection using serological and CSF tests, and the appropriate antimicrobial therapy for syphilis with follow-up examinations.

Trade, Wars and the Venereal Disease: VD Epidemic and Control of Korea in the late Nineteen and early Twentieth Century / 의사학

This paper examines the spread of venereal disease from the Opening of Korea to the early Japanese colonial period. It focuses on the formation and expansion of Japanese settlement in Korea, the influence of wars, and the state control of VD. The Opening of Korea made the foreign settlement, and Japanese licensed prostitution flourished in Japanese settlement. According to the First Annual Report of the Korean Government Hospital(1886) and Gyelimuisa(1887), VD patients occupied 18.3% of outpatients in Jejungwon hospital of Seoul and 8.9% of outpatients in Busan hospital. Directly after the Opening of Korea, Korean people's VD became lesser critical than Japanese people's VD. But the expansion of Japanese settlement and outbreak of two wars such as Sino-Japanese War and Russo-Japanese War made worse Korean people's VD. According to the Residency-General resources(1904-1909), syphilis patients was registered in 0.8~6.6%(average 3.6%). If it add to gonorrhea and chancroid patients which often could not be found out by the naked eyes, the number of VD patients will be increase. Ji Seok-yeong(1855-1935), the earliest smallpox vaccinarian in Korea, asserted the need of VD control. Though he warned men bought sex as well as prostitutes became the main culprit of VD diffusion, he supported licensed prostitution because of realistic possibility. The Great Han Empire(1897-1910) tried to control the lower grade whore, and gathered prostitutes in some area by police power. After Japanese annexation of Korea, while Japanese has gradually decreased in VD patients, Korean has gradually increased in VD patients.

The Debate about the Origin of Venereal Disease and VD Control in Modern China: Focusing on Shanghai and Beijing in the First Half of the Twentieth Century / 의사학

Department of Medical History, College of Medicine, Yonsei University, Korea.

Medical Moral Standards followed in Diagnosing and Curing Venereal Disease / 中国医学伦理学

This paper discusses the medical moral standards followed in diagnosing and curing venereal disease by doctors and nurses.

An Ethical Discussion about Senile Patients of Dermatosis and Venereal Disease in the Diagnosis and Treatment / 中国医学伦理学

This article discusses the ethical problems about Senile patients of dermatosis and venereal disease in the diagnosis and treatment.The problems mainly include:(1)moral responsibility is not strong and skills are not taken into account when inquiring history;(2)it is not careful enough and personality of patients may be hurt when making medical examination;(3)attitude is not solemn and operation not normative;(4)treatment is not normative and charcteristics of senile patients are not considered.We bring forward some suggestions including of:(1)moral responsibility must be strong enough and skills should be taken into account when inquiring history;(2)it must be careful engough and personality of patients may be respected when making medical examination;(3)attitude must be solemn and operation must be normative;(4)characteristics of senile patients must be considered and treatment should be reasonable;(5)life of senile patients should be respected and cherished,the quality of life should be attached importance to:

An Epidermiological Study on the Present Status of Venereal Disease among Prostitutes in Area Surronding Army Bases in Korea / 대한비뇨기과학회지

Following the Korean War, presence of foreign troops in Korea, economic difficulty and changing moral Standards have brought about the development of concentrations of prostitutes around army camps known as "villes". The problems with venereal disease among the prostitutes living in the villes and consequently among soldiers has been a problem which has perplexed both American and Korean health authorities. Research into the problems and efforts to solve the V.D. problem have yielded only fragmentary results. Fortunately, with the cooperation of the U.S. Army Research and Development Group, an extensive research project has been undertaken to determine the root causes and best methods to prevent venereal disease in the villes around American military installations. The villes around large military installations were selected as the target of this research. In particular, the Pyeongtaek ville, the Gunsan "Silver Town" area and the "Texas Town" area of Busan were studied. The study took two years, from April, 1973 to March, 1975. Microbiological and serological studies were undertaken to determine the venereal disease infection rate and the efficacy of different antibiotics both in treatment and in sensitivity tests. In addition to the microbiological and serological studies other factors related to venereal diseases control such as social environment, health facilities, knowledge of venereal disease and its control were studied. The following results were obtained. 1. An overall gonorrheal morbidity rate of 14.1% was found among the 1,282 girls studied. This shows e rather dramatic rise compared to other studies. The majority of the increase is attributed to an actual increase of the V.D. rate, but more precise methods of isolation and culture using Thayer-Martin media also contributed to the increase recorded. 2. In Pyeongtaek, a gonorrhea morbidity rate of 5.39/0 (endocervical), the lowest in any of the villes was recorded. The Pyeongtaek police of enforced hospitalization until cure was effected tended to eliminate contact with infected girls and also make the girls more aware of and concerned about prevention of venereal disease. The Texas town prostitutes in Busan had a 15.5% (endocervical) morbidity rate, the highest of any of the areas. This might be attributed to sexual contact with many foreign sailors. 3. In culturing for gonorrhea, it was found that rectal as well as cervical cultures are necessary. Rectal cultures revealed 71 cases(39.2% to total positive cases) some of which were negative by endocervical culture, and endocervical cultures yielded 181 positives among the 1,282 cases surveyed. 4. A total of 988 serological tests for syphilis were carried out. By the V.D.R.L. method, 11.5% reactive cases were recorded, Kolmer C-F showed 5.9% reactive and RPCF test showed a 4.3% reactive rate. The RPR card test was used to retest 151 persons who were demonstrated to be V.D.R.L. (in prostitutes and general entertainers) reactive and confirmatory reactive results were shown in 74.0% of the cases. The FTA-ABS test was done on 57 RPCF tes/; reactive cases and showed confirmatory reactive results in 96.5% of the cases. It was concluded that the RPR card test, although it is less sensitive than the V.D.R.L test was both simple and effective for use in mass screening. However it is suggested that RPR card test rectors be reconfirmed using either the RPCF test or the FTA-ABS test. 5. Penicillin treatment failed to cure 40% of the gonorrhea patients in clinical tests and 16% of the strains used in the sensitivity tests showed resistance to penicillin. Therefore, penicillin was judged to be rather ineffective against gonorrhea. Ampicillin, however, is still quite effective, and spectinomycin was the most effective antibiotic against gonorrhea. 6. The socio-medical study of prostitutes revealed that their average age 25.5 years and the average number of years of education was 6. 8, implying the completion of primary school. Living conditions were generally poor, for example, in Pyeongtaek, 37% of the girls did not have running water and depended on well water. Data on the toilet facilities revealed that 78% of the prostitutes living in the control area in Wanweoldong, Busan were still using traditional Korean privy style toilets, and in Pyeongtaek 91% also were using privy toilets. Over two-thirds of the prostitutes only bathed once or twice a week. Therefore, improvement of living conditions was considered a critical problem. 7. Generally speaking, the girls had some know/edge of syphilis and gonorrhea and the measures necessary to prevent these diseases. However, over half of the girls abused antibiotics in venereal disease treatment and prevention attempts and only 65% of them required their partner to use a condom. Therefore, much improvement is needed in this area. 8. A survey of knowledge about contraceptive measures showed that 96% of the girls had good knowledge about oral contraceptives, 90 knew about condoms and 88% had knowledge of the douche method. In actual practice however, 95% of the girls used the douche method and 62% used condoms for contraception.