CH3_1 – Fever without identifiable infectious focus
Synonyms
No known synonym
Name of the disease in English
Fever with no identifiable infectious site
The disease in brief
The entity described is neither a disease nor a condition but can be defined as a syndrome constituting a stage in a diagnostic approach aimed at identifying one or more initiating primary causes.
Clinic & diagnosis
This suspicion is formulated
– in the absence of any sign(s) indicating or specific to an illness for an attentive and observant breeder; in this case the reason for consultation is “sick”, “not well”, “not happy”, “not eating”, “drop in milk”;
– And /Or when the careful and complete veterinary clinical examination concludes only with a febrile syndrome, objectified in particular by hyperthermia, but without being able to attribute it to the infection of a particular organ (lung, breast, uterus, etc.)
Moreover, this suspicion is legitimate.
– if the case is isolated/unique (the bovine is febrile but not its congeners) and at a given time (other clinically identical cases are possible, but of non-simultaneous appearance and at an interval of at least a few days – a week);
-if the body temperature drops following antibiotic or anti-inflammatory therapy, but rises again after stopping the treatment.
These criteria rule out collective fevers, therefore collective viral infections, and particularly target bacterial infections that respond to antibiotic therapy; localized infections such as abscesses and other deep infections are concerned by this suspicion.
Suspicion will only be supported if the results of a properly conducted clinical examination are normal, in particular, for
– the head of the bovine (attitude, mouth, muzzle, nostrils, eyes),
– pulmonary auscultation,
– external lymph nodes,
– breasts and milk,
– the vulva and the vagina,
– rectal exploration,
– urine test results on strips.
Typical sign of the disease
No description
Pictures
See below
Diagnostic formulas
No description
Differential diagnosis
-Mastitis dominated by colibacilli and streptococci MA29
-Acute viral bronchopneumonia -RS26 onset
– Heat stroke = hyperthermia without fever
– Blood infection – Mycoplasma wenyonii
– Poisoning by ergo-peptide alkaloids
Confirm a suspicion?
Additional tests are intended to explore some of the possible causes. Their prescription may be considered depending on the incidence rate in the herd.
For a single/isolated case, the search for inflammatory markers is indicated and includes a blood count/formula and blood analytes (e.g. total protein, albumin, fibrinogen).
Prognosis and treatment
Prognosis: not applicable or considered reserved.
Waiting treatment based on the administration of non-steroidal anti-inflammatory drugs; careful monitoring of the progress is essential, with systematic and repeated search for possible signs indicating a primary condition.
Possible additional treatments, based on the context (known history of the animal, the breeding, and socio-psychological profile of the breeder).
Prevention
No prevention possible without diagnosis.
References
No description