CAE – Clinical Signs

Clinical signs of CAE are as follows:

Two separate distinct syndromes are caused by the CAE virus, a neurological disease in the spinal cord and brain of young kids and a joint infection of older goats resulting in arthritis. The clinical signs of the two syndromes are as follows:

The Nervous Form of CAE
All breeds of goats can be affected as can both sexes, and most individuals first show signs between one and four months of age. The problem is one of progressive weakness (paresis) of the hind limbs leading to eventual paralysis. The early paresis may be perceived as lameness, incoordination or weakness in one or both rear legs. Knuckling over of the feet and difficulty in rising may follow until such time that the animal is unable to rise at all. The course of the disease is from several days to several weeks. Despite the progressive paralysis, the kid will usually remain bright and alert and continue to eat and drink. Mild pneumonia may be present. The development of these signs results from inflammation in the spinal cord induced by the virus. Nerves which control motor function of the hind limbs are progressively destroyed.

In older goats, a clinical variation of the nervous form of CAE has been observed which is clinically indistinguishable from Listeriosis. Signs include circling, head tilt and facial nerve paralysis.

The Arthritic Form of CAE
The joint form of CAE most often appears clinically between one and two years of age. There can be great variability in the progression and severity of signs. Some goats can be severely crippled within a few months while others may show only intermittent lameness or stiffness for years without ever becoming completely debilitated. A ”typical” case would fall somewhere in between. The disease is usually first recognized as a gradually developing lameness accompanied or followed by swelling of the joints. Swelling is most often noted in the front knees (carpi) and can also be seen in the hock and stifle joints. As the condition progresses, joint pain and stiffness become more apparent. The goat may spend a good deal of time lying down, will begin to lose weight and develop a rough hair coat. In severely affected joints, the range of motion may become limited and goats are forced to walk around on their carpi. Hard udders, sometimes without any milk at all, and fatal pneumonia can also be symptomatic of CAE. No specific cure is known for CAE arthritis. The well-being of affected goats may be improved by proper foot trimming, extra bedding and administration of anti-inflammatory drugs such as aspirin.

Please note that not all swollen joints or stiff limbs in goats is CAE arthritis.

How CAE is transmitted
The most direct infection route is from mother to kid through infected colostrum, body fluids, and milk. The virus is directly connected to the production of white blood cells, so any body secretions which contain these cells are potential sources of infection for other members of the herd. Blood (e.g., contaminated instruments, open wounds, etc.) is regarded as the second most common way of spread. Contact transmission between adult goats is considered to be rare except during lactation.

Is it okay for humans to drink raw milk containing the CAE virus?
Yes, there is no evidence that the CAE virus is transmissible to humans.

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