Neonatologia Bovina
Neonatologia Bovina
BOVINE NEONATOLOGY
Manuel Cerviño-Lopez
Boehringer-Ingelheim España División Veterinaria, Prat de la Riba, s/n - Sector Turó
Can Matas 08173 Sant Cugat del Vallés, Barcelona, Spain
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Juan Vicente Gonzalez-Martin
TRIALVET S.L., C/ Encina, 22, 28721 Cabanillas de la Sierra, Madrid, Spain
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Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine,
Universidad Complutense of Madrid (UCM), Avda Pta. de Hierro s/n, 28040, Madrid,
Spain
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Keywords: bovine neonatology, calf, neonate, prematurity, obstetrics, birth acidosis,
hypothermia, hypoglycemia, atresia anni, weak calf syndrome, resuscitation, neonatal
immunology, stress, neonatal vaccination, colostrum, passive transfer, neonatal
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Contents
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1. Definition of neonate
2. Physiological characteristics of the neonatal calf
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11. Respiratory diseases of the neonatal calf
11.1. Neonatal Atelectasis
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11.2. Infectious Respiratory Diseases in Neonatal Calves
Glossary
Bibliography
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Biographical Sketches
Summary
The term “neonate” defines calves under 28 days old. During the neonatal period, the
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calf is at high risk of suffering different diseases, and neonatal morbidity and mortality
cause large economic losses. In fact, 75% of the mortality of dairy heifers occurs during
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the first month of life. In beef cattle, the mortality rate until weaning is lower, around
10%, but it also peaks during the neonatal period.
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The first problem we find is prematurity (not-to-term calves) and several malformations.
The most common congenital defects of the calves are described throughout the text.
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Additionally, dystocia (difficult delivery) is the first cause of mortality in the neonatal
period, and can also predispose the animal to other infectious diseases. We have
explained several problems induced directly by dystocia, such as obstetrics fractures,
umbilical cord entrapment and birth edema. These circumstances lead to neonatal
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During the neonatal period, the first infectious pathological disease we observe is
neonatal septicemia, affecting calves between 2 and 6 days old. Neonatal diarrhea is by
far the main infectious problem, followed by pneumonia in older neonatal calves aged
2-28 days old or even older.
By applying good practices, these diseases can be almost completely controlled, thereby
reducing the associated losses. Indeed, by implementing good management procedures
and a correct prophylaxis protocol as recommended by the authors, we can dramatically
reduce the morbidity and mortality of rearing calves in both dairy and beef bovine
farms. There are several risk factors we should take into account, but the cornerstone of
calves’ health is intake of good-quality colostrum at the appropriate time. This topic
will be explored in depth in the text.
Neonatal morbidity and mortality cause large economic losses in both beef and dairy
cattle (Nagy, 2009). During the neonatal period, the calf is at high risk of suffering
different diseases. In fact, 75% of the mortality of dairy heifers during rearing occurs
during the first month of life (Radostits, 2007). In beef cattle, the mortality rate until
weaning is lower, around 10%, but is maximum during the neonatal period, when it
varies between 4 and 6% (Wikse et al., 1994). Throughout this period, diarrhea is by far
the main infectious problem, followed by pneumonia. Nevertheless, by applying good
husbandry and management practices these infectious diseases can be almost
completely controlled, thereby reducing the associated losses. Thus, depending on farm
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management, we can find herds where diarrhea or pneumonia is a significant cause of
mortality, while in other farms both diseases are uncommon.
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In addition, dystocia is the first cause of mortality in the neonatal period, and can also
predispose the animal to other infectious diseases. This explains the differences between
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mortality in heifers and cows: mortality in the first 24 hours of life is around 8% in
heifers and 3% in cows, while mortality from 24 h until weaning is 3% in heifers and
2% in cows (Toombs et al., 1994).
1. Definition of Neonate
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Due to the importance of this period, this chapter will cover the most critical points
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related with the neonatal calf. Thus, we should first define what we mean by neonatal
period. Starting with the beginning of pregnancy until the calf stage we can consider
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Period Definition
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Neonatal From delivery of the calf until 28 days of life. This period can be
subclassified into "early neonatal period", which includes the first
24 hours of life, and "late neonatal period" from 2-28 days of life
Calf From 28 to 90 days of age. Some authors extend this period to 6
months postpartum
The event that can be considered the key to the transition from an intrauterine life, in
which gas exchange is performed through the placenta by the umbilical cord, to an
extrauterine life, in which lungs are responsible for blood oxygenation, is the initiation
These events begin with the rupture of the umbilical cord, which causes hypoxia and an
increase in partial CO2 pressure (PCO2). This stimulates gasping reflexes in the calf and
subsequent inflation of the lungs. Until the first inflation, the calf suffers a slight
respiratory acidosis, which causes minor metabolic acidosis; thus, acidosis is a normal
characteristic in recently delivered calves (Grove-White, 2000). Indeed, venous pH
studies have shown that normal pH in healthy neonatal calves is 7.2-7.3, while in cases
of dystocia at parturition the pH value can fall to 7 or even less (Schujt and Taverne,
1994; Grove-White, 2000). Metabolic acidosis is corrected a few hours after birth, while
respiratory acidosis can persist for up to 48 h. Nevertheless, a study by Schujt and
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Taverne (1994) showed that under normal situations, the venous pH range reaches
physiological values within 12 hours of life. A sign that we can use to evaluate acidosis
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is the position taken by the calf. A healthy calf puts his head up after just a few minutes,
and adopts the position of sternal recumbence in 4 ± 2 minutes.
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As a result of lung inflation, the pulmonary vascular bed opens up and pulmonary blood
flow increases considerably. This causes a change in the pressure relationship within the
cardiovascular system, producing the functional closure of the foramen oval, ductus
arteriosus and ductus venosus (Grove-White, 2000).
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3. Most Common Congenital Malformations
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Figure 1 depicts the prevalence of the most common congenital problems of calves
(Radostits et al., 2007).
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Figure 2. Etiology of the most common non-inherited problems of calves.
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Athough many malformations show similar clinical signs or patterns, most of them may
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have one or more etiologies. For this reason, we have classified in Table 2 the most
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frequent malformations according to the system affected and signs, and we explain the
different possible etiologies. Congenital malformations may have a genetic origin
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Affected
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plants such as
Lupinus spp,
Astragalus
spp., Lathyrus
spp., and
Oxytropis spp.
chemically
reduce fetal
movements
• Damage in the
fetal central
nervous system
that reduces
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fetal
movement.
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The frequent
association with cleft
palate is due to a
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position of the neck
that presses the tongue
on the hard palate,
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designated "bulldog
calf”, is caused by a
mutation in the gene
for the connective
tissue protein, while
other forms are
multifactorial and are
triggered by nutritional
deficiencies.
Complex vertebral Autosomal recessive Inherited
malformation syndrome congenital lethal
(CVM). Mild bilateral malformation due to a
flexion of the carpal and single-nucleotide
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the genetic defect).
It causes abortions,
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stillbirths and viable
calves. Viable calves
show growth
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Syndactylism or Autosomal recessive Inherited
‘mulefoot’. congenital
Fusion of digits III and IV, malformation. The
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homozygous animals
appearing grossly
normal.
Muscular hypertrophy or Mutation that represses Inherited
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most breeds.
Central Hydranencephaly, Genetic origin or Inherited or
nervous cerebellar hypoplasia, infectious etiology: non-inherited
system internal hydrocephalus AKAV and BTV in the
case of hydrancephaly
and/or BVDV in the
case of cerebellar
hypoplasia and internal
hydrocephalus.
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asymptomatic for a long cardiovascular
time. abnormality in bovine
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Frequently associated with neonates.
other congenital cardiac or
vascular defects and other
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microphthalmia and lack
of tail
Digestive Cleft palate or A common inherited Inherited or
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palate.
The calves suckle with
difficulties and develop
aspiration pneumonia,
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causing death.
Atresia coli and ani. The origin can be Doubtful
Complete closure of a genetic. The possibility
segment of the intestinal of causing this
tract: it is called atresia malformation in early
coli when the ascending pregnancy by
colon is affected, and transrectal palpation of
atresia ani when the anus the amniotic sac before
is affected. 40 days of gestation
was suggested, but this
has been called into
question.
Affected calves do not
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most severe pattern). abscesses or suckling
Schistosoma reflexus by other calves
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involves complete • Genetic
exposure of the thoracic
and abdominal viscera.
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stillborn, as they cannot
adapt to extrauterine life.
Acute angulation of the
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pregnancy). malformation.
Freemartin heifers can be Etiology: over 90% of
diagnosed. They present twin calves have a
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is confirmed by
genotyping. Heterozygotes
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are not affected but show
poor feed utilization and
growth rates. Clinical
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and prolonged mucosal
and epithelial infections
caused in most cases by
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molecular
identification of the
mutation.
Table 2. Most common congenital defects classified by both affected organic system
and clinical signs (adapted from Blowey and Weaver 2003; Radostits et al., 2007;
Agerholm, 2007; Windsor and Agerholm, 2009; White et al. 2010).
Inherited defects may result in a wide spectrum of disorders, not only severe
malformations easily detected by exploration at birth, but also metabolic diseases,
which are usually diagnosed days after birth. Some breeds and families show
extraordinarily high prevalence of specific genetic disorders because of excessive
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inbreeding. It is certain that the extensive use of artificial insemination has resulted in a
significant increase in the occurrence and nature of particular congenital defects in cases
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when the semen donors were carriers of genetic disease.
•
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A genetic problem in which congenital defects are associated with a particular
sire.
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on the phase of pregnancy. Usual outcomes are abortions, stillbirths, birth of non-
viable neonates or viable neonates with growth retardation or dysfunction (e.g.
tremors, blindness).
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The main viruses involved in non-inherited congenital defects are the following.
Bovine viral diarrhea virus (BVDV) of the genus Pestivirus and family Flaviviridae
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occurs in two genotypes (I and II), and two biotypes: non-cytopathic (NCP) and
cytopathic (CP). Type I virus infection usually remains subacute in immunocompetent
adult cattle, whereas type II infection has been associated with severe and highly fatal
thrombocytopenia and a hemorrhagic syndrome that causes outbreaks in dairy herds.
Infection of a non-immune pregnant cow causes in utero infection and produces
different results depending on the pregnancy phase at the time of infection (Figure 3).
Infection during the first 45 days of pregnancy results in embryonic death and
resorption, with irregular return to estrus and decreased conception rate in subsequent
inseminations. Intrauterine infection between 45 and 125 days of pregnancy triggers
embryonic mortality with abortion/mummification or congenital defects of the central
nervous system and ocular abnormalities. Congenital morphological defects include:
cerebellar hypoplasia (Image 1), in which calves are unable to stand and walk normally,
and eye defects, including retinal atrophy, optic neuritis, cataract and/or microphthalmia
with retinal dysplasia, which results in varying degrees of blindness.
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Image 1. Calf cerebellar hypoplasia is characteristic of intrauterine infection by BVD.
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In addition, when infection occurs before the 125th day of pregnancy, the surviving fetus
suffers persistent infection (PI) and remains immunotolerant, meaning that its immune
system does not recognize the virus as a foreign organism and does not fight against it.
Such a calf subsequently becomes the main source of infection for other animals in the
herd, because it sheds large amounts of virus into the environment. Finally, infections
after the 125th day of pregnancy are overcome subclinically by the fetus, with no long-
term consequences.
Akabane virus (AKAV) of the genus Orthobunyavirus and family Bunyaviridae does
not produce disease in adults. However, depending on the fetal period of infection, in
utero infections can result in abortion, premature birth, stillbirth, and congenital defects
such as microencephaly, arthrogryposis (when infection occurs between 104 and 173
days of pregnancy), hydranencephaly (infection between 76 and 104 days), and
poliomyelitis (infection after the 173rd day of pregnancy).
Some strains of the Blue tongue virus (BTV) (genus Orbivirus and family Reoviridae)
cause in utero infection that can result in early fetal death and resorption, stillbirth, and
birth of weak animals. When infection occurs between 60-120 days of pregnancy, it can
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lead to congenital defects such as hydranencephaly, porencephaly, blindness, ataxia and
arthrogryposis.
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77. Lekeux. P. (2006b) Estrategia terapeútica para el Sindrome Respiratorio Bovino. Fundamentos de la
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78. Liebler-Tenorio EM, Riedel-Caspari G, Pohlenz JF. (2002) Uptake of colostral leukocytes in the
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Biographical Sketches
Susana Astiz is a recognized bovine veterinarian scientist specialized in bovine medicine and
reproduction. She studied Veterinary Medicine in Madrid, became Master in Health Sciences in
Barcelona, Spain and obtained the PhD degree from the Tierärztliche Hochschule in Hannover, Germany.
She worked for several years as practitioner in Germany and Spain (with specialization in bovine
medicine and reproduction), and as technical manager of ruminants for pharmaceutical companies
(Schering Plough and Pfizer AH). She is Diplomat of the European Colleague of Herd Health
Management (E.C.B.H.M.) and co-editor of the Spanish Association of Bovine Practitioners
(A.N.E.M.B.E.) bulletin. In the present she is researcher at the Department of Animal Reproduction of the
National Institute of Agricultural and Food Research (INIA) in Madrid, Spain.
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Laura Elvira Partida is practitioner veterinarian, specialized in mastitis, milk quality, and calf rearing.
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She has consultancy experience, being member of Spanish and European Mastitis Groups, and has
published articles, chapters and books in this area. She collaborates in practical teaching for the Animal
Medicine and Surgery Department of the Veterinary Faculty of Madrid, Spain (U.C.M.). She is also co-
editor of the Spanish Association of Bovine Practitioners (A.N.E.M.B.E.) bulletin.
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Antonio González-Bulnes is senior researcher at the Department of Animal Reproduction of the National
Institute of Agricultural and Food Research (INIA) in Madrid, Spain. His lines of research are
Reproductive Physiology and Technology and Molecular Imaging. He has a large experience in the
scientific field as researcher in veterinary reproduction and has worked with several animal species
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(ovine, caprine, bovine, swine and mouse, among others). He has directed several important research
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projects with national and international founding. He has more than 100 scientific articles published at the
most relevant journals, has been invited as speaker in several national and international conferences,
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works as referee for numerous journals, as scientific consulter for several institutions, and teaches in
numerous universities as collaborating professor.
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Natividad Pérez Villalobos is veterinarian, specialized in bovine medicine and reproduction. She has
consultancy experience, and is veterinary collaborator in practical teaching for the Animal Medicine and
Surgery Department of the Veterinary Faculty of Madrid, Spain (U.C.M.). She has published articles,
chapters and books related to bovine medicine. She also collaborates in the bulletin of the Spanish
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Manuel Cerviño López obtained his Veterinary Degree at the Veterinary Faculty of Madrid (Madrid
Complutense University), and obtained his Ph.D. in Veterinary Medicine at the same faculty. He started
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his professional career as bovine practitioner, worked in nutritional companies as ruminant specialist and
finally worked as technical manager in Schering-Plough S.A. in Spain for 13 years. In the present he is
the Technical Manager of ruminants in Boehringer-Ingelheim, Spain. He is the author or co-author of
several books on bovine pathology, has numeorus communications, technical and scientific publications.
Juan Vicente González Martín, an acknowledged veterinary surgeon with a large experience in internal
medicine and herd health in bovine. He has dilated clinical and consultancy experience, as well as in
bovine research. He is professor of the Department for Animal Medicine and Surgery of the Veterinary
Faculty of Madrid, Spain (U.C.M.) for more than 20 years. Additionally, he is member of the board of the
Spanish Association of Bovine Practitioners (A.N.E.M.B.E.) and Diplomat of the European Colleague of
Herd Health Management (E.C.B.H.M.). He has published numerous articles, chapters and books related
with bovine medicine and management, and is frequently invited as speaker to national and international
buiatric events. He is also co-editor of the Spanish A.N.E.M.B.E. bulletin.