Anderson K L, Fairley R A, Duncan D
Department of Food Animal and Equine Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh 27606-1499.
J Am Vet Med Assoc. 1990 Nov 15;197(10):1359-60.
Actinobacillosis was the suspected cause of severe, bilateral facial enlargement of 8 months' duration in a 2.5-year-old Holstein heifer. Serum protein electrophoresis revealed a polyclonal gammopathy. Necropsy findings indicated that facial swelling was caused by fibrosis between the skin and underlying bone. Lesions were characterized microscopically by scattered pyogranulomas containing eosinophilic, club-like colonies surrounding gram-negative bacterial rods. The lesion was compatible with diagnosis of actinobacillosis. It is unusual for severe bilateral facial enlargement to be associated with actinobacillosis.