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Review Article
Vivek Joshi 1, V.K. Gupta 2, O.R. Vinodh Kumar 3*, B.S. Pruthvishree 4, U. Dimri 5 and
Shahjahan Alam1
1
Ph.D. Scholar, Division of Medicine, 2Senior Scientist, Division of Medicine, 3Scientist, Division of Epidemiology,
4
M.V.Sc. Scholar, Division of Epidemiology, 5Principal Scientist and Head, Division of Medicine, ICAR-Indian Veterinary
Research Institute, Izatnagar-243122, Uttar Pradesh, India
*Corresponding author email id: vinodhkumar.rajendran@gmail.com
ABSTRACT
Joshi V, Gupta VK, Vinodh Kumar OR, Pruthvishree BS, Dimri U and Alam S (2016). Bovine Respiratory
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Bovine respiratory disease (BRD) is the most common and severe disease in calf-rearing herds. It is
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common in intensely raised and newly transported calves and refers to the animal displaying an undifferentiated
fever in addition to a number of clinical signs, notably respiratory distress. BRD is known to be caused by a
number or combination of viruses and microorganisms. The diagnosis of BRD in the field is mainly based on
physical examination, lung auscultation and empiric diagnosis supported by experience. The late diagnoses
of pathologies underline the lack of adequate observations and the need of early recognition by means of
advanced biomarkers of disease in calves. Conventional treatment for BRD usually consists in antimicrobial
therapy with the application of steroidal and non-steroidal anti-inflammatory drugs, mucolytics and
bronchodilators.
Keywords: Antimicrobial, Auscultation, Biomarker, Bovine respiratory disease, Calves, NSAIDs and
Respiratory distress
86
Bovine Respiratory Disease An Updated Review
EPIDEMIOLOGY AND ECONOMIC IMPACT might be associated with the post-calving season,
environmental stress and poor immunity in early part
BRD complex, which is also called enzootic
of life. Sex-wise prevalence in male calves is higher
bronchopneumonia of calves or shipping fever, is a
complex disease of feedlot young cattle that causes (3.08%) (Joshi, 2015).
major economic losses to the livestock industry (Van
der Fels-Klerx et al., 1998). Up to 20% of all growing ETIOPATHOGENESIS
calves may present antemortem with respiratory
A range of 1525% pre-weaning mortality would
disease. Increased morbidity and mortality, decreased
be typical on many tropical dairy farms. The two major
weight gains, decreased feed utilisation, decreased
diseases of calves are scours and pneumonia, which
carcass quality and increased prophylaxis and
therapy lead to enormous economic losses. Morbidity account for 80% of all calf deaths. Bloat, navel-ill,
may reach 100% and mortality range from 4% to accidents and poisoning make up the bulk of remaining
20% during severe outbreaks. The per cent of mortalities. BRD complex is a major disease,
morbidity and mortality depends on the management classically in the indoor calves. It is a problem with
system in place, prevention programme and the kind housed calves, particularly when stocking density is
of pathogens involved. According to Duff and Galyean high and ventilation is poor. The shed temperature
(2007), higher morbidity rates but fewer fatalities is and relative humidity are the two most important
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typically observed when viral pathogens are primarily factors influencing its occurrence. Respiratory
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involved. In calves with bacterial infections only, there diseases are more common in cool, damp sheds,
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is sporadic morbidity, but higher mortality. The highest although they can also be a problem in hot and dry
number of animals affected and higher mortality are shed conditions. The etiopathogenesis of BRD is
observed in case of mixed viral and bacterial multifactorial and complex. In this complex aetiology,
infections. an equivalent role plays both the infectious agents
In calves, the overall prevalence rate of BRD is as well as the environmental factors which are called
2.07%. The highest prevalence (11.58%) rate in age also as environmental stressors (inappropriate
group 01 months may be attributed to age-related livestock management like mistakes in animal
susceptibility on account of age-related differences nutrition, transport, handling, veterinary interventions
in the development of immune system of calves. etc.). The most significant agents involved in the
Likewise, highest prevalence (3.61%) during winters etiopathogenesis of BRD are as follows:
appears after long, stressful transports and mixing treating sick calves could worsen disease occurrence.
of animals from different origin, as performed in feedlot BRD mortality peaked at approximately the same
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rearing. Pneumonic pasteurellosis is also often used time as the largest decrease in mean daily ambient
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in these cases although Pasteurella or Mannheimia temperature. Many authors have suggested that
spp. are probably seldom the only aetiological agents. sudden and extreme changes in weather conditions,
rather than simply cold or inclement weather,
predispose cattle to BRD.
Atypical Interstitial Pneumonia
Some forms of interstitial pneumonia, such as Age and Weight
fog fever, bovine farmers lung or hypersensitivity
reactions against massive Dictyocaulus viviparus Yearling cattle are reported to have a lower
infections, have previously been classified as atypical incidence of morbidity and mortality. Several studies
interstitial pneumonia. suggested that lighter weight calves were at greater
risk than heavier ones.
Predisposing Factors
Castration and Dehorning
Viral Infections
Castration is a stressful event; given the
Viruses are believed to predispose to bacterial immunosuppressive nature of increased cortisol
infection in two distinct ways. First, viral agents can levels, castration of older bulls may put them at
cause direct damage to respiratory clearance greater risk of BRD than non-castrated cattle or those
mechanisms and lung parenchyma, facilitating castrated at a younger age. This supposition was
translocation of bacteria from the upper respiratory supported by several studies, whereas others found
tract and establishment of infection in compromised no association or inconsistent findings between
lung. Second, viral infection can interfere with the delayed castration and BRD.
immune systems ability to respond to bacterial
infection. Dehorning is similar to castration in that it is
painful and is recommended to be performed early in
Shipping life. Martin et al (1982) found increased BRD in groups
where greater than 30% of the calves were dehorned.
Transportation is the most universally accepted This effect was accentuated if calves were castrated
non-infectious risk factor for BRD and led to the at the same time.
Changes in lipid level have been reported in a bovine rhinotracheitis (IBR), bovine viral diarrhoea
variety of infectious diseases. Lipoproteins have been (BVD) and bovine respiratory syncytial virus.
implicated to play a role in innate immunity.
Furthermore, the host response during infections is The laboratory diagnostics of BRD is directly
mediated by proinflammatory cytokines, capable of connected with an isolation and identification of
influencing lipid metabolism in liver. Therefore, suitable species of viruses, bacteria or mycoplasmas
circulating lipoproteins seem to play a crucial role in presented in a sample tested. In the intravital
pathophysiology of infectious diseases (Civelek et diagnostic process, a usual material collected is the
al., 2007). nasal swabs or lung lavages and sera samples. On
the other hand, post-mortem tissue samples are
A significant relationship exists between bacterial collected from lungs and parenchymatous organs
BRD and serum lipid profile in calves. Decreased total (liver, kidneys and spleen).
cholesterol and high density lipoprotein (HDL-c) with
increased serum triglycerides and low density The diagnosis of bacterial infections involved in
lipoprotein (LDL-c) might be attributed to septic BRD is based on many species specific methods,
conditions, excessive oxidative stress and such as conventional bacterial cultivation or
inflammation during BRD which cause lipolysis of molecular biology techniques. From the latest a
hepatic lipids and altered serum lipid concentrations polymerase chain reaction (PCR) method is applied
for main bacterial agents of the syndrome. To identify
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Diagnosis
The initial viral or mycoplasmal diseases are Treatment
usually mild and are clinically distinguishing. The
syndrome can be in form of subclinical to acute; most The control of BRD mainly based on therapeutic
are somewhere in between. The initial viral/ management because of its multifactorial aetiology,
mycoplasmal diseases cause a moderate fever, including different vaccination programmes with using
sometimes accompanied by constipation. This is both monovalent and polyvalent inactivated or
followed by rhinitis with a serous-to-mucopulurent modified live vaccines but they are not sufficiently
discharge and pneumonia with a harsh, hacking effective till now.
cough, tachypnoea, dyspnoea and diarrhoea. The
calves very often are depressed, listless and Antimicrobials
anorectic. The bacterial infection increases intensity Antibiotic treatment must be initiated before
of these signs, with high fever, severe dyspnoea irreversible damage characterised by oral breathing,
and depression and signs of toxaemia. Calves are orthopnea, lactatemia and cyanosis occurs. Among
particularly difficult to auscult and abnormal lungs antibiotics presently used, most often are
sounds may be hard to detect. In cases with severe administered long-acting antibacterials such as some
consolidation, the normal breath sounds are replaced tetracyclines (long-acting oxyteracycline 20 mg/kg
by harsh, high-pitched, large airway noises in the b.w. i.m.), macrolides (tulathromycin 2.5 mg/kg b.w.
anteriorventral lung fields. When secondary infection s.c.) and fluoroquinolones (enrofloxacin 7.5 mg/kg
with Pasteurella multocida occurs the temperature b.w. s.c.).
rise to 4141.5C, the area of lung affected is much
increased and increased breath sounds due to The technique of nebulisation (aerosol therapy)
congestion are followed by pleuritic friction rub. The of sodium ceftiofur at a dose of 1 mg/kg body weight
acute course is 10 to 14 days. The differential is effective for the treatment of respiratory diseases
diagnoses should include aspiration pneumonia from in calves. The clinical and haematological parameters
improper tubing or feeding practices and purely viral of the calves treated with aerosols of ceftiofur return
pneumonias such as those caused by infectious to the normal values more quickly (13 days earlier)
than those of the calves treated intramuscularly with sulfate (0.06 mg/kg s.c.) and theophylline (110 mg/
ceftiofur (Joshi, 2015). kg slow i.v., i.m.) are used.
SAIDs are powerful anti-inflammatory agents, but Pneumonia is a problem with housed calves,
their effects on the animals defensive mechanisms particularly when stocking density is high and
reduce the value of their use in syndromes of ventilation is poor. Control is mainly through improved
infectious origin unless they have a short duration of housing. The best way to maintain calf health is to
action or are administered locally. In BRD adjunctive ensure an adequate intake of colostrum
therapy, there are used different kinds of immunoglobulins within the first few hours of life.
corticosteroids include betamethasone (210 mg/ Prevention through adequate colostrum intake is far
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animal), dexamethasone (25 mg/animal), more effective than cure by drugs. Vaccination of
prednisolone (up to 20 mg/animal), cortisone (up to calves can be undertaken to maximise acquired
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