What's this, don't think it's TB....

Antonyweeks

Well-Known Member
HI
I was called this afternoon by a landowner that said a red hind was not well / old / injured. I duly went along and there was a hind couched up against a hedge bank. She was on the way out and I euthanised her. She reared her head just before I took the shot but wasn't moving. Aparently some walkers had tried to move her. I inspected the hooves, mouth etc. No blisters or anything untoward. However, went to gralloch back at the larder and firstly the anal cavity was dark and looked like there was blood there. She was pregnant and looked like twins weirdly. However upon doing the removal of the intestines I noticed two large lumps and I accidentally nicked one of the filets causing a thick creamy discharge. Additionally there are large cyst like objects up against her rib cage. See photos. When I looked up TB these seem far too large. Clearly she wasn't well and it also looks like she's been worried by a dog at some point as she had a couple of puncture wounds around her backside and also on her side. Whether these were caused once she was on the ground I'm not sure. She's not emaciated and a good weight and the kidneys seems normal. I've not checked the lungs yet as I wanted to post the photos of the lumps and rib cage issues.
Deer 1 is the main view
Deer 2 shows the discharge
Deer 3 one of the big growths (the other is underneath)
Deer 4 the rib cage lump
Any ideas or help?
Thanks
 

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That looks very much like TB. Notification telephone call to APHA Duty Vet 020 8026 1471 - who may want samples etc. and make sure to keep waste separate, disinfect your Larder and equipment thoroughly.
I'll wager it had a distinctive unhealthy odour as well?
 
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Can certainly clearly see the lesions on the inside rib cage , that is enough to condemn the beast and go no further ( I would not really recommend more than a bullet on any sick beast like that under the circumstances ) such carcases should not be considered even before opening the Gut (personally if tempted to find out what it had come down with start at the Sub Max and retro pharyngeal ) Not that i would ever consider its meat or opening up such a poor beast in the first place !
A stalker is not a vet , we stop when anything odd is seen ( in some cases where disease is suspected its worth notification, but not getting stuck in ). Poor beasts are not brought to the dealer and you will be charged costs if you do. I have never allowed a bad beast and or a poor beast into the human food chain personally , though i have used an odd RTA i have finished off for the dog food - rarely though
 
I'm going with TB. More research and I think I'd rather go for that than anything else. Called the APHA and apparently they don't work weekends but someone should come and pick up samples on Monday!! Still, the lady was very helpful. Thanks for all the help and advice as always. The annoying thing is that the hind didn't look outwardly that bad: decent muscle covering etc and not emaciated at all. Plus coat condition was decent too - very low tick burden for example. Mouth was healthy looking. I was only when I got back to the larder thinking that perhaps it was a dog victim and so I could save most of the carcass that I realised all was not what it seemed! Perhaps a Vet would have had a different view on the spot.
 
Thanks. I looked online last night and trying to find an incinerator or firm to take the carcass is not easy! I’ll ask the APHA person
 
I’d say TB. Any internal abscess, with liquid or cheesy pus should be treated as suspected TB. You need to call the Animal and Plant Health Agency on 03000 200 301
 
Thanks. I looked online last night and trying to find an incinerator or firm to take the carcass is not easy! I’ll ask the APHA person
Ask local farmers who they use as their knacker man. Should give you someone who'll take it to incinerate if APHA don't, although there may be a fee.
 
Hi Ant,
The main routes for TB into an animal is by inhalation or ingestion. That’s why you check the retros, sub maxes, mediastinal, mesenterics etc, as these are drainage nodes for the airways, lungs and intestines.
Seems these are not affected with abscesses or any kind of swelling?
It’s not usual for TB to enter the animals circulation another way, but not impossible. What is the white lump at the bottom edge of 1 lung? Maybe just left over from previous lungworm infection or a bit of pneumonia that it’s recovered from if not pus filled.

It could be that the deer was moribund. Although pregnant, there’s little fat around the rumen and kidneys. An infection may have pushed it too far & it just led down to die? Blood and dark areas around the anus may be due to poor bleeding, another symptom of it being moribund.
No reason not to get it tested though, you never know. 👍
It would be interesting to see what the results are.
 
Hi Ant,
The main routes for TB into an animal is by inhalation or ingestion. That’s why you check the retros, sub maxes, mediastinal, mesenterics etc, as these are drainage nodes for the airways, lungs and intestines.
Seems these are not affected with abscesses or any kind of swelling?
It’s not usual for TB to enter the animals circulation another way, but not impossible. What is the white lump at the bottom edge of 1 lung? Maybe just left over from previous lungworm infection or a bit of pneumonia that it’s recovered from if not pus filled.

It could be that the deer was moribund. Although pregnant, there’s little fat around the rumen and kidneys. An infection may have pushed it too far & it just led down to die? Blood and dark areas around the anus may be due to poor bleeding, another symptom of it being moribund.
No reason not to get it tested though, you never know. 👍
It would be interesting to see what the results are.
Thanks. Interestingly, another stalker I know said they regularly sent off sample for suspected TB and more often than not the results came back negative. The nice lady from the APHA is coming over tomorrow to get the samples. Once I get the results I'll post them.
 
As mentioned previously. Will need to be disposed of by a registered cat 1 abp handler. Apha vets will take samples but not the carcass.
 
Hi folks

So an update on this. Who would have thought that a simple text from a neighbour would turn into quite a saga. Actually, it's been a superb learning experience.

I've been stalking for a while and gralloched a good few carcasses over the last few years. I've also passed various courses/exams etc etc and so know a fair amount of theory of what to do in the event of spotting a notifiable disease. However, I've never previously been called upon to do this. Like many part time stalkers I would suggest.

Following on from my original post I called APHA on the Saturday and spoke with a lovely vet called Clara (South West team). She explained that they don't do visits at the w/e but would come over on Monday. Clara duly arrived on Monday at my home (where my barn/larder area is) and proceeded to inspect the carcass. She was here about 2 hours.

Clara removed all of the nodes in the head to start with, not just those recommended in the DSC1 manual. The nodes were carefully placed on the bench, then she went through the rest of the carcass. She said that the nodes in the head looked normal until she'd incised them. She then pointed out tiny white marks which were consistent with TB lesions.

She then moved onto the pluck - commenting that the bronchial nodes didn't seem overly enlarged either. However, once incised they were not in a good condition at all. She palpated the lungs and got me to do the same - pointing out the differences between the soft areas and the front lower parts which were much firmer and not in a good shape at all - again following incision she also showed me various lesions within. The white lumps on the outside were lesions and she incised these showing me the pus that erupted from them. She incised the liver - again pointing out tiny white lesions within. Lastly, she then incised a couple of the large growths near the mesenteric nodes. For my part because they were so big I didn't originally think they were part of the mesenteric chain. Images online tend to show only marginal differences between 'normal' and enlarged.

Clara explained that whilst this particular carcass looked very sick she wouldn't necessarily confirm it was TB because, in her experience, she's seen multiple carcasses where symptoms look extremely obvious only for the carcass to be clear of TB and vice versa. However, in this instance, she said the carcass "presented symptons that were in keeping with an animal suffering from TB"!

The two huge lumps that initially put me off my stride (the two large ones near the kidneys) were filled with pus. In all the deer I've gralloched I'd never come across anything like it, hence the initial "is this TB or not" start to my post.

The whole 2 hours went past very quickly and Clara couldn't have been more helpful. Lots of lessons taken away from this episode:

Had I been more confident when first gralloching in retrospect I could (and probably should) have picked up on the issues with the lungs. Now having felt lungs in bad shape I have a reference point going forward. It's very easy I suspect to be blase about gralloching when pretty much every deer seems healthy.

Being with a very experienced vet whilst looking at all this is very different from being out with fellow 'non vet' stalkers like me who know the theory but perhaps not necessarily what 'problem' deer look like and what to do next! There is no simple "every case of TB looks like this" set of images. Clara said TB presents in many forms although there are some constants - white spots within incised nodes, for example.

APHA is a great resource - considering it is free for us as stalkers. Nothing like using a resource to learn about it. Reading about the process in the DSC1 & 2 manuals is not quite the same as actually going through it. I would suggest that the majority of stalkers are like me in that they are NOT vets and so can only go by a) what they've read in books about deer and b) whatever was learned on professional courses. A bit like passing a driving test - just because we get a full license doesn't mean we're an excellent driver when we first drive about the place on our own.

There were things I could have picked up on my own about this for sure and I'll know for next time.

Deer stalking for most of us I suspect is a part time activity and one which we enjoy. Nonetheless, continously learning and being open to learn about situations which may not quite match the text books or youtube 'how to' videos is really important too. Clearly sooner or later a carcass will not be a text book gralloch and examination with everything in the right place and the right size.

Lastly, as APHA would not dispose of the carcass I then had to find out who would! A local farmer put me in touch with West Country Casualties who turned up the following day and professionally removed the animal, all the liquids and innards all for £40. They were also excellent and I would recommend them to anyone in the South West who needs to dispose of animals.

In conculsion the clean up of the larder finally finished last night, having doused it with Fam 30 (which Clara put me on to) - disgusting stuff. A very interesting experience and I hope my blathering above is helpful for any stalkers who haven't yet dealt with a carcass not in tip top condition. I know some of you will probably read the above and think "What a pillock. He should spotted the potential for TB straight away, made that call and just got on with it!". Well, you're probably right! Nothing like sharing an issue though! ;)

As for the original question "Is it TB", I'm afraid I don't have the answer yet. The samples were sent off and I should hear early next week about the initial findings and then in about 7 weeks once they've attempted to culture the stuff in a lab somewhere! Will keep you posted.
 
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