Jaÿ Maryne, Tardy Florence
Université de Lyon, ANSES, Laboratoire de Lyon, VetAgro Sup, UMR Mycoplasmoses des Ruminants, Lyon 69364, France.
Vet Med (Auckl). 2019 Dec 27;10:229-247. doi: 10.2147/VMRR.S201847. eCollection 2019.
Contagious agalactia (CA) is a disease caused equally by four species, in single or mixed infections. Clinical signs are multiple, including mastitis, arthritis, keratoconjunctivitis, pneumonia, and septicemia, non-specific, and expressed differently depending whether sheep or goats are affected, on causative mycoplasmas as well as type of husbandry. CA has been reported worldwide and its geographic distribution maps to that of small ruminant breeding areas. However, as current diagnostic tests are expensive and difficult to implement, it is certainly underdiagnosed and prevalence data are only available for a few countries. CA control relies on vaccines, chemotherapy and good herd management practices. It requires long-term commitment but is often unsuccessful, with frequent clinical relapses. The persistence of the etiological agents, despite their overall susceptibility to antimicrobials, comes from their genetic plasticity and capacity to escape the host immune response. The existence of asymptomatic carriers and the numerous sources of infections contribute to rapid spread of the disease and complicate the control and prevention efforts. Here we review all these aspects in order to highlight recent progress made and identify gaps in knowledge or tools needed for better disease management. Discussion also underlines the detrimental effect of contagious agalactia on small ruminant welfare.
传染性无乳症(CA)是一种由四种病原体单独或混合感染引起的疾病。临床症状多样,包括乳腺炎、关节炎、角膜结膜炎、肺炎和败血症,这些症状不具有特异性,并且根据感染的是绵羊还是山羊、致病支原体以及养殖方式的不同而表现各异。CA在全球范围内均有报道,其地理分布与小反刍动物养殖区域一致。然而,由于目前的诊断测试费用高昂且难以实施,该病肯定存在诊断不足的情况,只有少数国家有患病率数据。CA的防控依赖于疫苗、化疗和良好的畜群管理措施。这需要长期投入,但往往并不成功,临床复发频繁。尽管病原体总体上对抗菌药物敏感,但其能够持续存在是源于其基因可塑性以及逃避宿主免疫反应的能力。无症状携带者的存在和众多感染源导致了该病的快速传播,也使防控工作变得复杂。在此,我们综述所有这些方面,以突出最近取得的进展,并找出疾病管理所需知识或工具方面的差距。讨论还强调了传染性无乳症对小反刍动物健康的有害影响。