The efficacy of salicylic acid paste (SA) in the treatment of ulcerative bovine digital dermatitis (BDD) was assessed by combining clinical and histopathological analyses with molecular biological techniques. The latter were conducted in a blinded manner to reach maximum objectivity. Prior to treatment, M2-stage BDD lesions (n = 26, diagnosed in 21 dairy cows) exhibited ulceration, with severe perivascular, chronic, lymphoplasmacytic dermatitis and extensive keratinolysis being noted in most cases. Pretreatment biopsy samples (n = 12) followed by povidone-iodine ointment under bandage for one week before administration of SA paste were tested positive for Treponema spp. by blinded PCR and fluorescent in situ hybridization (FISH). Subsequent treatment consisted of application of SA and bandaging at weekly intervals until lesions had completely resolved. The treatment duration ranged between 2 and 4 weeks. Complete healing was achieved in 100% of cases, with 2/21 animals requiring a second round of treatment upon disease reoccurrence. Importantly, only 3/26 biopsies taken from previously affected sites still tested positive by Treponema PCR, and in another biopsy, the outermost layers of the stratum corneum scored weakly positive by Treponema-specific FISH. None of these Treponema DNA-positive biopsies showed signs of ulceration. One case exhibited focal keratinolysis. Positive PCR or FISH in these cases may have arisen from DNA traces of dead bacteria or environmental contamination during biopsy harvesting. To our knowledge, this is the first study on blinded molecular biological monitoring of the therapeutic efficacy of SA with respect to treponemal infection, and on complete BDD M2-stage remission in all animals achieved by SA treatment according to an optimized protocol. Although the etiology of BDD is considered as multifactorial, our data further support the concept that treponemes have a decisive role in BDD pathogenesis.
A 10‐year‐old, neutered, male Valesian copperneck goat was presented to the Clinic for Ruminants, Vetsuisse Faculty, University of Bern for a chronic wound at the base of the right horn first noticed 3 weeks before presentation. Clinical examination revealed a firm mass with ulcerations and malodorous discharge at the base of the right horn, and a duller sound on percussion of the right frontal sinus. Radiography revealed a soft tissue opacity filling the right cornual diverticulum of the frontal sinus. Upon wound debridement, tissue of grey to black discoloration was noticed and sent in for histopathological examination, which confirmed the presence of a melanoma. Subsequent ultrasonography of the liver and radiography of the thorax revealed no sign of metastatic disease. Given the poor prognosis, the goat was euthanased, and postmortem examination revealed the presence of multiple metastatic lesions in the regional lymph nodes.
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