title: Bacteremia associated with naturally occuring acute coliform mastitis in dairy cows.
abstract: OBJECTIVE
  To determine the incidence of bacteremia in dairy cows with naturally occurring acute coliform mastitis (ACM) with a wide range of disease severity.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  144 dairy cows with ACM from 6 herds.
  
  
  METHODS
  Cows were examined at time of identification of ACM (time 0) and classified as having mild, moderate, or severe mastitis on the basis of rectal temperature, hydration status, rumen contraction rate, and attitude. Cows were reexamined at 24 or 48 hours. Bacteriologic culturing of milk and blood (30 ml), CBC, and serum biochemical analysis were performed at each time point. Appropriate samples were obtained at a single point from herdmates without mastitis (controls) that were closely matched for lactation number and days since parturition. Blood culture results were compared among severity groups and controls by use of chi2 tests, as was outcome of an ACM episode for cows grouped by blood bacterial isolates.
  
  
  RESULTS
  Bacteria were isolated from 52 blood samples from 46 of 144 (32%) cows with ACM, which was significantly more than control cows (11/156; 7.1%). Group-1 isolates (Escherichia coli, Pasteurella multocida, Mannheimia haemolytica, Klebsiella pneumoniae, Enterobacter agglomerans, and Salmonella enterica serotype Typhimurium) were identified in 20 of 144 (14%) cows with ACM and 0 of 156 control cows. Group-1 isolates were identified in 4.3, 9.1, and 42% of cows classified as having mild, moderate, and severe ACM, respectively. Escherichia coli and K pneumoniae milk and blood isolates obtained from the same cow were of the same genotype. Bacillus spp were identified in 21 of 144 (15%) cows with ACM, which was significantly more than control cows (3/156; 1.9%). Thirty-five percent of cows with a group-1 isolate died during the mastitis episode.
  
  
  CONCLUSIONS
  Results suggest that bacteremia develops in a substantial proportion of cows with ACM. Classification of severity of disease is important for establishment of effective treatment protocols; parenteral antimicrobial treatment may be indicated in cows with ACM.
authors.affiliation: Department of Clinical Sciences, College of Veterinary Medicine, Colorado State University, Ft Collins 80523, USA.
authors.forename: J R
authors.initials: JR
authors.lastname: Wenz
authors.forename: G M
authors.initials: GM
authors.lastname: Barrington
authors.forename: F B
authors.initials: FB
authors.lastname: Garry
authors.forename: K D
authors.initials: KD
authors.lastname: McSweeney
authors.forename: R P
authors.initials: RP
authors.lastname: Dinsmore
authors.forename: G
authors.initials: G
authors.lastname: Goodell
authors.forename: R J
authors.initials: RJ
authors.lastname: Callan
mesh_terms: D000208:Acute Disease; D000818:Animals; D016470:Bacteremia / Q000209:etiology / Q000662:veterinary*; D002417:Cattle; D015331:Cohort Studies; D015169:Colony Count, Microbial / Q000662:veterinary; D004755:Enterobacteriaceae / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000662:veterinary*; D005260:Female; D005838:Genotype; D008414:Mastitis, Bovine / Q000150:complications* / Q000382:microbiology; D008892:Milk / Q000382:microbiology; D012720:Severity of Illness Index