Malignant Catarrhal Fever

Todayโ€™s path rounds are on ๐ฆ๐š๐ฅ๐ข๐ ๐ง๐š๐ง๐ญ ๐œ๐š๐ญ๐š๐ซ๐ซ๐ก๐š๐ฅ ๐Ÿ๐ž๐ฏ๐ž๐ซ (MCF)!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐Œ๐š๐ฅ๐ข๐ ๐ง๐š๐ง๐ญ ๐œ๐š๐ญ๐š๐ซ๐ซ๐ก๐š๐ฅ ๐Ÿ๐ž๐ฏ๐ž๐ซ is a serious infectious disease found worldwide, that has up to a 100% lethality rate in susceptible species.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Any member of the family Bovidae (cattle), Cervidae (deer) and Giraffidae (giraffes) can technically get this, but we usually think of it in our cattle species!

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?
This disease is kind of cool because it can be caused by multiple different herpesviruses. The main ones are ๐จ๐ฏ๐ข๐ง๐ž ๐ก๐ž๐ซ๐ฉ๐ž๐ฌ๐ฏ๐ข๐ซ๐ฎ๐ฌ-๐Ÿ, which is naturally found in sheep, and ๐š๐ฅ๐œ๐ž๐ฅ๐š๐ฉ๐ก๐ข๐ง๐ž ๐ก๐ž๐ซ๐ฉ๐ž๐ฌ๐ฏ๐ข๐ซ๐ฎ๐ฌ-๐Ÿ, naturally found in wildebeest.

The carrier sheep or wildebeest sheds the virus in their nasal secretions, which is then picked up by a cow going about its cow life. From there, the virus enters the upper respiratory tract and infects the tonsils, which then allows it to enter the bloodstream of the poor cow.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
MCF classically causes a ๐ฏ๐š๐ฌ๐œ๐ฎ๐ฅ๐ข๐ญ๐ข๐ฌ, inflammation of vessels, in multiple vessels within the body. This vasculitis leads to ๐ฆ๐ฎ๐œ๐จ๐ฌ๐š๐ฅ ๐ฎ๐ฅ๐œ๐ž๐ซ๐š๐ญ๐ข๐จ๐ง on the mouth, bladder and intestines, due to decreased blood flow causing tissues to die off. It can also affect the nose and skin. Vasculitis can also cause ๐œ๐จ๐ซ๐ง๐ž๐š๐ฅ ๐ž๐๐ž๐ฆ๐š in the eye, making the eye look cloudy. The brain and ๐ฆ๐ž๐ง๐ข๐ง๐ ๐ž๐ฌ (protective cover of the brain) can also be affected, causing neurologic signs.

The disease also causes ๐ฅ๐ฒ๐ฆ๐ฉ๐ก๐จ๐ฉ๐ซ๐จ๐ฅ๐ข๐Ÿ๐ž๐ซ๐š๐ญ๐ข๐จ๐ง, or an immune system that is ramped up like crazy! This can lead to enlarged lymph nodes and deposits of immune cells in places we wouldnโ€™t normally expect to find them. One of these places of lymphocyte accumulation is the kidney, which can produce a mottled appearance where the aggregates are found.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Since this disease can basically affect anywhere in the body, the clinical presentation depends on the organs affected. In cattle, swollen lymph nodes and cloudy eyes are most common, which can be good signs that the disease is occurring. Often the affected animals also have copious amounts of nasal discharge and excessive salivation, which can also be a good clue! A history of contact with sheep or wildebeest is also a strong clue to start suspecting MCF. Once the disease is suspected, ๐๐‚๐‘ is used to specifically detect the viral DNA, and confirm the diagnosis.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐? ๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ฉ๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ž๐?
Unfortunately, there is no real treatment for this disease, and no vaccine available. The best method of prevention is separating carrier animals, like sheep and wildebeest, from cattle.

๐๐ก๐จ๐ญ๐จ๐ฌ
1) A poor cow nosey with severe ulceration from vasculitis.
2) Oral ulcers from MCF.
3) A super cloudy eye wth corneal edema.
4) A spleen with distinct nodules from aggregates of lymphocytes.
5) A piece of very ulcerated intestine from MCF.
6) A sad vessel on histology that looks very tattered, with lots of cells invading its wall. This is what vasculitis actually looks like!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 2. Sixth Edition.
Callan, R.J. Malignant catarrhal fever. Merck Veterinary Manual, 2015.

Photos 1-6 courtesy of Noahโ€™s Arkive.

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