Histophilus somni

Todayโ€™s path rounds are on ๐‡๐ข๐ฌ๐ญ๐จ๐ฉ๐ก๐ข๐ฅ๐ฎ๐ฌ ๐ฌ๐จ๐ฆ๐ง๐ข!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐‡๐ข๐ฌ๐ญ๐จ๐ฉ๐ก๐ข๐ฅ๐ฎ๐ฌ ๐ฌ๐จ๐ฆ๐ง๐ข is a bacterial disease of cattle that can cause a wide range of lesions throughout the body! Its primary role is as a respiratory pathogen, however.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Cattle primarily get this disease, specifically cattle on feedlots in North America.

๐‡๐จ๐ฐ ๐๐จ ๐š๐ง๐ข๐ฆ๐š๐ฅ๐ฌ ๐ ๐ž๐ญ ๐ข๐ง๐Ÿ๐ž๐œ๐ญ๐ž๐?
Histophilus somni is considered to be a ๐œ๐จ๐ฆ๐ฆ๐ž๐ง๐ฌ๐š๐ฅ ๐›๐š๐œ๐ญ๐ž๐ซ๐ข๐š in the mouth of cattle, meaning it is normally found there and generally does not cause issues. However, when cattle are stressed, the inhaled bacteria may gain access to the bloodstream and spread throughout the body, causing a ๐ฌ๐ž๐ฉ๐ญ๐ข๐œ๐ž๐ฆ๐ข๐š (bacteria replicating in the blood). The most common cause of stress leading to this disease is cattle moving to the feedlot, where they comingle with all kinds of cows from all kinds of places and need to sort out their herd structure.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
As mentioned before, this bacteria will cause a septicemia, which distributes the bacteria far and wide throughout the cow. It primarily lodges in the ๐ฉ๐ฅ๐ž๐ฎ๐ซ๐š (covering of the lungs), heart, ๐ฉ๐ž๐ซ๐ข๐œ๐š๐ซ๐๐ข๐ฎ๐ฆ (covering of the heart), joints and even the brain.

In these areas, the bacteria adheres to the lining of blood vessels causing damage, and producing small ๐ญ๐ก๐ซ๐จ๐ฆ๐›๐ข (blood clots). These thrombi block blood flow within the vessel, causing areas of ๐ข๐ง๐Ÿ๐š๐ซ๐œ๐ญ๐ข๐จ๐ง (tissue death due to lack of blood flow). Depending on the tissue, these infarcts can have different effects, but ultimately this disease usually leads to death for the cow.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Typically, sudden death is the first clinical sign identified in a group of cattle. Depending on which tissues the bacteria lodged itself in, you may also see difficulty breathing, ๐ง๐ž๐ฎ๐ซ๐จ๐ฅ๐จ๐ ๐ข๐œ ๐ฌ๐ข๐ ๐ง๐ฌ like falling down or stumbling, lameness and swollen joints, or even unwillingness to move. Based on these clinical signs, and completing an on-farm necropsy, the veterinarian can make the diagnosis.

At necropsy, we see the results of the bacteria causing infarcts in multiple tissues. We can see ๐Ÿ๐ข๐›๐ซ๐ข๐ง๐จ๐ฎ๐ฌ ๐ฉ๐ฅ๐ž๐ฎ๐ซ๐ข๐ญ๐ข๐ฌ or ๐ฉ๐ž๐ซ๐ข๐œ๐š๐ซ๐๐ข๐ญ๐ข๐ฌ (inflammation with release of the stringy material blood clots are made of), pale areas of dead muscle within the heart, and ๐ฉ๐จ๐ฅ๐ฒ๐š๐ซ๐ญ๐ก๐ซ๐ข๐ญ๐ข๐ฌ (inflammation of multiple joints). We can also see multiple small hemorrhages in the brain due to infarction. To confirm the diagnosis, PCR or bacterial culture can be done on tissue samples taken at necropsy to detect the bacteria.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
Usually this disease is treated with very strong antibiotics, however treatment is not always successful. Antibiotics usually need to be given early on in the course of the disease, before massive amounts of infarction has occurred, so having knowledgeable staff on farm who can identify sick cattle is crucial.

๐๐ก๐จ๐ญ๐จ๐ฌ
1) Lungs with fibrinous pleuritis. Pathologists often describe this as a โ€œbread and butterโ€ appearanceโ€ฆ i.e. you dropped a piece of bread with butter on it, and when you pick it up it has fine globs of butter sticking up. Gross.
2) Fibrinous pericarditis showing similar bread and butter around the heart.
3) A pale infarction in the heart muscle.
4) A joint with arthritis from the bacteria.
5-6) Examples of hemorrhage within the brain from the bacteria.

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 2. Sixth Edition.
Janzen, E.D. Histophilosis. Merck Veterinary Manual, 2020.

Photos 1-6 courtesy of University of Calgary Diagnostic Services Unit.

Leave a Reply