Abstract.A positive score on a modified acid-fast (MAF)-stained smear test of fresh placenta was used to identify a group of bovine abortion submissions believed to be infected with Coxiella burnetii. Immunohistochemical (IHC) testing for Coxiella and Chlamydia antigens was performed on 14 MAF smear-positive cases as well as 29 MAF smear-negative cases received during the study period. Nine MAF smear-positive cases as well as 1 MAF smear-negative case were Coxiella-positive via the IHC test. No placentas were positive for Chlamydia antigen. Various histopathologic features were categorized for all placentas and the presence or absence of selected risk categories was also graded for each case. The results between Coxiella IHC-positive cases and Coxiella IHC-negative/MAF-negative cases were compared using Fisher's exact test (P value at 95% confidence). Significant associations were found between Coxiella IHC-positive cases and the presence of placental inflammation (P ϭ 0.0027), placental necrosis (P ϭ 0.012), fetal pneumonia (P ϭ 0.0152), and the visibility of Coxiella-like organisms within trophoblasts on hematoxylin and eosin-stained sections (P Ͻ 0.0001). Histopathologic features of Coxiella IHC-positive placentas included infiltration of the chorionic stroma by mononuclear cells, necrosis of chorionic trophoblasts, and focal exudation of fibrin and neutrophils. The results indicate that MAF smears are a good screening tool for the presence of Coxiella in placentas from bovine abortion cases and that the detection of this pathogen in aborted placentas via traditional staining or IHC methods is usually associated with placentitis.The rickettsial pathogen Coxiella burnetii is the causative agent of Q-fever in humans and is also capable of infecting a wide array of other hosts, including arthropods, fish, birds, and various domestic and sylvatic mammals. 1 Serologic evidence of a high rate of Coxiella infection in cattle has resulted in considerable concern regarding the zoonotic potential of bovine coxiellosis. 2,8 However, the pathogenic consequences of this rickettsial infection to the bovine host have received relatively little attention, especially in North America.This retrospective study was undertaken to determine if a statistically significant association occurs between the presence of C. burnetii in cases of bovine abortion and concurrent placental lesions. A positive result from a routinely performed placental smear was used to identify putative coxiellosis cases. These submissions as well as a randomly selected group of smear-negative cases were assessed using immunohistochemical (IHC) techniques for the presence of Coxiella antigens. Statistical analysis of placental histopathologic features and selected risk factors between Received for publication January 19, 1999.Coxiella IHC-positive and -negative cases was performed.
Materials and methodsThe study material was drawn from the pool of abortion submissions from dairy farms between January 1, 1986, and September 1, 1996. All bovine abortion cases r...