Neosporosis (abortion

Quick Facts

🏥 Condition Name
Neosporosis
📋 Also Known As
Neosporosis (abortion - cattle)
📂 Category
Reproductive System
📁 Subcategory
Female
🐄 Affects
Cattle, sheep, goats, dogs
🏷️ Type
Parasitic
⚠️ Severity
Moderate to Severe
💊 Treatable
No effective treatment; management-focused
🔄 Contagious
Yes - vertical transmission; dogs are definitive hosts
🧬 Hereditary
No - but vertically transmitted
🐄 Common In
Dairy and beef cattle worldwide

Neosporosis (abortion - cattle) Overview

Neosporosis is a parasitic disease caused by the protozoan organism Neospora caninum, representing one of the most significant causes of infectious abortion in cattle worldwide. This intracellular parasite has emerged as a major reproductive health concern in both dairy and beef operations, causing substantial economic losses through abortion, reduced milk production, and premature culling of infected animals. The disease was first recognized as a distinct entity in the late 1980s and has since been identified in cattle populations across every continent where cattle are raised commercially.

The primary species affected by Neospora caninum include cattle as the most economically important intermediate host, though sheep, goats, deer, and horses can also become infected and experience reproductive losses. Dogs and other canids serve as the definitive hosts, completing the parasite's life cycle by shedding oocysts in their feces after consuming infected tissue from intermediate hosts. This creates a complex epidemiological relationship between farm dogs and cattle that is central to understanding disease transmission and prevention strategies on livestock operations.

The economic and welfare impact of neosporosis on the cattle industry is substantial and multifaceted. Direct losses occur through abortions, which typically happen between four and seven months of gestation, though they can occur at any stage of pregnancy. Indirect losses include reduced milk production in infected dairy cows, increased culling rates, decreased calf crop percentages in beef herds, and the costs associated with diagnostic testing and replacement animals. Studies have estimated that neosporosis costs the global cattle industry billions of dollars annually, making it one of the most economically important reproductive diseases affecting modern cattle production.

While no effective treatment exists to eliminate Neospora infection from cattle, the disease is manageable through strategic prevention and control programs. Early detection through serological testing allows producers to make informed breeding and culling decisions that can reduce the prevalence of infection within herds over time. Understanding the transmission routes and implementing biosecurity measures to limit cattle exposure to dog feces are fundamental components of any neosporosis control program. With proper management, producers can significantly reduce abortion rates and minimize the economic impact of this persistent parasitic disease on their operations.

Causes of Neosporosis (abortion - cattle)

The primary cause of neosporosis is infection with the protozoan parasite Neospora caninum, an obligate intracellular organism that belongs to the phylum Apicomplexa, which also includes other significant parasites such as Toxoplasma gondii and Cryptosporidium species. The parasite exists in three infectious stages: tachyzoites, which rapidly multiply during active infection; bradyzoites, which form dormant tissue cysts primarily in neural and muscular tissue; and oocysts, which are environmentally resistant forms shed only by definitive hosts. Understanding the life cycle and transmission routes of this parasite is essential for implementing effective control measures.

Vertical transmission from dam to offspring represents the most significant route of infection in cattle populations and is responsible for maintaining the parasite within herds across multiple generations. When a pregnant cow experiences reactivation of a latent infection or becomes newly infected during gestation, tachyzoites can cross the placenta and infect the developing fetus. This transplacental transmission is highly efficient, with studies showing that infected cows can transmit the parasite to their calves in up to ninety-five percent of pregnancies. The resulting calves may be aborted, born weak and diseased, or appear clinically normal while carrying latent infections that they will pass to their own offspring.

Horizontal transmission occurs when cattle ingest oocysts shed in the feces of infected dogs or other canids, which serve as the definitive hosts for Neospora caninum. Dogs become infected by consuming raw meat or tissues from infected cattle, particularly placentas, aborted fetuses, or tissues from slaughtered animals containing tissue cysts with bradyzoites. After a brief prepatent period, infected dogs shed millions of oocysts in their feces for a limited time, contaminating pastures, feed, and water sources. While horizontal transmission is considered less common than vertical transmission in maintaining endemic infection, it plays a crucial role in introducing new infections into naive herds and can cause abortion storms when large numbers of pregnant cattle are simultaneously exposed.

Environmental and management factors significantly influence the risk of neosporosis transmission and clinical disease expression. Farms with resident dogs that have access to cattle facilities, pastures, and feed storage areas face increased risk of horizontal transmission events. Similarly, operations that feed raw meat or offal to dogs, or allow dogs to consume aborted materials and placentas, perpetuate the parasite's life cycle. Biosecurity lapses that allow wildlife canids such as coyotes, foxes, or wolves access to cattle areas can also contribute to environmental contamination with oocysts.

The pathophysiology of neosporosis-related abortion involves complex interactions between the parasite, the maternal immune system, and the developing fetus. When tachyzoites reach the placenta, they cause focal necrosis and inflammation that can compromise placental function and fetal viability. The fetal immune system is relatively incompetent during early gestation, making infections during this period more likely to result in fetal death and abortion. Later in gestation, the fetus may mount an immune response that controls but does not eliminate the infection, resulting in a congenitally infected calf that appears normal at birth but carries latent tissue cysts. Stress, concurrent disease, or immunosuppression can trigger recrudescence of latent infections, reactivating the parasite and initiating another cycle of transplacental transmission during subsequent pregnancies.

Symptoms & Warning Signs

The clinical presentation of neosporosis in cattle varies considerably depending on the timing of infection during gestation, the immune status of the dam, and whether the infection is primary or represents reactivation of a latent infection. In many cases, abortion is the only observable sign of neosporosis, occurring without any premonitory symptoms that might alert producers to impending reproductive loss. This silent nature of the disease often means that neosporosis is only suspected after multiple abortions have occurred within a herd or when diagnostic testing of aborted materials reveals evidence of Neospora infection.

Abortion is the hallmark symptom of neosporosis and typically occurs between the fourth and seventh months of gestation, though losses can occur at any gestational stage. In endemic situations where vertical transmission predominates, abortions tend to occur sporadically throughout the year as individual infected cows experience recrudescence of latent infections during pregnancy. In contrast, horizontal transmission events where multiple pregnant cattle ingest oocysts simultaneously can result in abortion storms, with numerous cows aborting within a relatively short timeframe. These epidemic patterns are more commonly associated with initial introduction of the parasite into a naive herd or heavy environmental contamination from infected dogs.

Behavioral changes in cattle affected by neosporosis are typically minimal or absent prior to abortion. Some cows may show subtle signs of impending abortion including mild vulvar discharge, premature udder development, or relaxation of the pelvic ligaments in the hours before fetal expulsion. However, these signs are nonspecific and easily missed in extensive beef operations where cattle may not receive daily close observation. After abortion, affected cows generally return to normal cycling and may conceive again, though they remain chronically infected and at risk for repeat abortion in subsequent pregnancies.

Physical signs associated with neosporosis primarily involve the aborted fetus and placental tissues rather than the dam herself. Aborted fetuses may show varying degrees of autolysis depending on how long fetal death preceded expulsion, but characteristic lesions when present include focal areas of necrosis and inflammation in the brain and heart. The fetal brain may appear softened or liquefied in advanced cases. Placental changes include focal pale areas of necrosis scattered across the cotyledons, though placentas are frequently not available for examination as they may be retained or consumed by scavengers before discovery.

Calves that survive in utero infection may be born alive but exhibit a range of clinical abnormalities depending on when infection occurred and the severity of tissue damage. Congenitally infected calves may be born underweight, weak, or with neurological deficits including ataxia, abnormal limb positioning, and difficulty rising or nursing. Some calves develop progressive neurological disease over the first weeks of life as ongoing parasite replication causes cumulative damage to neural tissues. However, a significant proportion of congenitally infected calves appear completely normal at birth and throughout life, showing no clinical signs despite harboring tissue cysts that can be transmitted to subsequent generations.

Emergency symptoms requiring immediate veterinary intervention in suspected neosporosis cases include dystocia resulting from fetal malpresentation or incomplete cervical dilation during abortion, retained placenta following fetal expulsion, and metritis or septicemia developing secondary to abortion. While these complications are not unique to neosporosis and can follow any abortion event, prompt veterinary attention is essential to prevent life-threatening illness in the dam. Additionally, any abortion storm involving multiple animals within a short period warrants urgent investigation to identify the cause and implement appropriate control measures, whether neosporosis or another infectious agent is responsible.

Diagnosis

Clinical diagnosis of neosporosis relies on a combination of herd history evaluation, examination of aborted materials, and laboratory testing to confirm the presence of Neospora caninum or antibodies against the parasite. Because abortion is the primary manifestation of the disease in cattle, diagnostic efforts typically begin when producers notice increased abortion rates or submit aborted fetuses and placentas for laboratory examination. A thorough diagnostic workup is essential not only to confirm neosporosis but also to rule out other important causes of bovine abortion that may require different management responses.

Laboratory diagnosis of neosporosis employs several complementary testing methods to maximize detection sensitivity and diagnostic confidence. Histopathological examination of fetal tissues, particularly brain and heart, may reveal characteristic multifocal nonsuppurative inflammation and tissue necrosis consistent with protozoal infection. Immunohistochemistry using antibodies specific for Neospora caninum can demonstrate the presence of parasites within lesional tissues, providing definitive identification. Polymerase chain reaction testing offers highly sensitive detection of parasite DNA in fetal tissues and is particularly valuable when autolysis has compromised tissue quality for histopathology. Serological testing of fetal fluids or blood collected from the dam can detect antibodies against Neospora, indicating exposure, though positive serology alone does not prove that neosporosis caused a specific abortion.

Differential diagnosis for bovine abortion is extensive and includes numerous infectious agents that must be considered alongside neosporosis. Bacterial causes such as Brucella abortus, Leptospira species, Campylobacter fetus, and Listeria monocytogenes can produce similar clinical presentations. Viral agents including bovine viral diarrhea virus, infectious bovine rhinotracheitis virus, and bluetongue virus are important differentials. Other protozoal parasites such as Tritrichomonas foetus cause reproductive losses and must be distinguished from neosporosis. Fungal placentitis, toxic exposures, nutritional deficiencies, and genetic abnormalities round out the list of potential abortion causes requiring systematic diagnostic evaluation.

Herd-level diagnostics play a crucial role in understanding neosporosis epidemiology within individual operations and guiding control program decisions. Bulk tank milk antibody testing provides a cost-effective method for estimating the prevalence of Neospora exposure in dairy herds, as antibodies are secreted into milk and can be detected using ELISA methodology. Individual animal serology allows identification of infected cows for informed breeding and culling decisions. Serial testing over time can track the effectiveness of control measures and identify new infections. Epidemiological analysis of abortion patterns, including timing, spatial distribution, and relationship to dog exposure, helps determine whether horizontal or vertical transmission predominates and informs targeted intervention strategies.

Treatment Options

Treatment options for neosporosis in cattle are extremely limited, and no pharmaceutical intervention has proven effective at eliminating Neospora caninum infection or preventing abortion in infected pregnant cows. Various antiprotozoal drugs have been evaluated in experimental settings, including sulfadiazine, pyrimethamine, ponazuril, and toltrazuril, but none have demonstrated sufficient efficacy, safety, or practicality for field use in food-producing animals. The intracellular location of the parasite, its ability to form dormant tissue cysts, and drug withdrawal requirements for meat and milk all complicate therapeutic approaches. Consequently, management of neosporosis focuses on prevention and control strategies rather than treatment of individual infected animals.

Emergency intervention for cattle experiencing abortion due to neosporosis centers on supportive care for the dam and prevention of secondary complications rather than treatment of the parasitic infection itself. Cows that abort should be monitored for complete placental passage, as retained fetal membranes are common following any abortion and can lead to metritis if not addressed. Veterinary examination is warranted if the placenta is not passed within twelve to twenty-four hours, if the cow develops fever, reduced appetite, or other signs of systemic illness, or if vaginal discharge becomes malodorous. Appropriate antimicrobial therapy and supportive care may be necessary for cows that develop secondary bacterial infections.

Medical management approaches for neosporosis primarily involve strategic culling and breeding decisions to reduce the prevalence of infection within herds over time. Because vertical transmission is highly efficient and infected cows typically remain infected for life, removing seropositive animals from the breeding herd prevents transmission to the next generation. Some producers choose to breed seropositive cows to terminal sires and market resulting calves for slaughter rather than retaining them as replacements, thereby capturing the productive value of infected cows while preventing perpetuation of infection. The economic feasibility of culling programs depends on the prevalence of infection within the herd, the availability and cost of replacement animals, and the relative risk of abortion in seropositive versus seronegative cows.

Supportive care for calves born with clinical neosporosis is rarely successful when neurological deficits are present, as tissue damage is generally irreversible and progressive. Affected calves that cannot stand, nurse, or maintain adequate body temperature have a poor prognosis and humane euthanasia is often the most appropriate course of action. Calves that appear normal at birth but test seropositive should not be retained as breeding stock to avoid perpetuating vertical transmission. These animals can be raised for market as slaughter animals without concern for human health, as Neospora caninum is not considered zoonotic.

Herd treatment protocols for neosporosis do not exist in the traditional pharmaceutical sense but instead encompass coordinated management interventions applied across the operation. These programs typically combine serological testing to identify infected animals, strategic culling or breeding decisions to reduce the infected population, biosecurity measures to prevent horizontal transmission, and ongoing monitoring to assess program effectiveness. Implementation details vary based on herd size, production system, infection prevalence, and economic considerations, requiring individualized program design with veterinary guidance.

Treatment decision factors for neosporosis management require careful consideration of economic and practical realities faced by producers. In herds with low infection prevalence, aggressive culling of seropositive animals may rapidly reduce or eliminate the parasite from the operation. In herds with high prevalence, this approach may be economically unfeasible due to the cost of replacing large numbers of animals simultaneously. Alternative strategies such as selective culling based on abortion history, breeding management to reduce vertical transmission risk, or accepting endemic infection while focusing on biosecurity may be more appropriate for heavily infected herds. Collaboration between producers, veterinarians, and diagnostic laboratory professionals is essential for developing and implementing effective neosporosis management programs tailored to individual operation circumstances.

Recovery & Prognosis

Recovery from individual abortion events due to neosporosis is generally rapid for the affected cow, with most animals returning to normal health and reproductive cyclicity within several weeks following pregnancy loss. Physical recovery involves uterine involution, resolution of any inflammation or minor injuries associated with abortion, and resumption of normal estrous cycles. Most cows that abort due to neosporosis do not experience lasting physical effects that would prevent future breeding, though they remain chronically infected and at continued risk for repeat abortion in subsequent pregnancies.

Post-abortion care and monitoring for cows diagnosed with or suspected of neosporosis should include observation for secondary complications including retained placenta, metritis, and reduced feed intake or milk production. Temperature monitoring for several days following abortion helps detect early signs of uterine infection requiring veterinary intervention. Cows should have access to clean, dry housing and adequate nutrition to support recovery. The decision whether to rebreed an affected cow depends on individual producer goals, herd infection prevalence, and economic considerations regarding the value of the cow versus the risk of repeated reproductive loss.

Prognosis for cattle diagnosed with neosporosis is guarded from a reproductive standpoint, as infected cows face significantly elevated risk of abortion in future pregnancies compared to their uninfected herdmates. Studies have demonstrated that seropositive cows are three to seven times more likely to abort than seronegative cows, though the absolute risk varies considerably between herds and individuals. Factors influencing abortion risk include the cow's antibody titer, timing of infection relative to pregnancy, concurrent stressors or diseases, and possibly strain virulence of the infecting parasite. Some infected cows successfully carry multiple pregnancies to term while others experience repeated losses, making individual prognosis difficult to predict.

Return to production considerations for cattle recovering from neosporosis-related abortion involve both the individual cow and broader herd management implications. Cows that have aborted can generally be rebred after a voluntary waiting period to ensure complete uterine recovery, typically forty-five to sixty days. Milk production in dairy cows usually returns to expected levels after abortion, though total lactation yield may be reduced compared to cows that carried calves to term. Retention of seropositive cows in the breeding herd perpetuates vertical transmission risk to offspring, a consideration that must be weighed against the individual productivity and genetic value of affected animals. Establishing clear protocols for managing seropositive cows helps ensure consistent decision-making that aligns with overall herd health goals.

Prevention

Vaccination against neosporosis remains an area of active research interest, though no commercial vaccine is currently available that provides reliable protection against infection or abortion in cattle. Experimental vaccines using killed parasites, parasite extracts, and recombinant antigens have shown variable and generally modest efficacy in reducing abortion rates in challenged animals. The complex nature of protective immunity against Neospora caninum, the parasite's ability to establish latent infections that evade immune responses, and the challenge of preventing transplacental transmission all contribute to the difficulty of developing effective vaccines. Producers should be cautious of products claiming to prevent neosporosis until robust clinical evidence supports their use.

Biosecurity measures form the cornerstone of neosporosis prevention programs, focusing primarily on preventing cattle exposure to Neospora oocysts shed by infected dogs. Dogs should be excluded from cattle housing areas, feed storage facilities, and pastures where cattle graze. This includes both farm dogs and stray or feral dogs that may access the property. Fencing, physical barriers, and active management of dog movements can reduce the risk of fecal contamination of cattle environments. When dogs must be present on cattle operations, they should be prevented from consuming raw meat, placentas, aborted fetuses, and dead livestock that might contain infectious tissue cysts.

Nutritional prevention strategies for neosporosis are indirect, focusing on maintaining optimal immune function and overall cattle health rather than preventing infection per se. Well-nourished cattle with adequate protein, energy, mineral, and vitamin status are better equipped to mount immune responses that may reduce the severity of clinical disease. Avoiding nutritional stress during pregnancy is particularly important, as immunosuppression associated with nutritional deficiency may increase the risk of latent infection reactivation. Ensuring adequate selenium and vitamin E status supports immune function and may benefit overall reproductive performance regardless of neosporosis status.

Management practices to prevent neosporosis transmission and reduce abortion losses encompass both horizontal and vertical transmission control strategies. Preventing horizontal transmission requires rigorous management of dogs and wildlife as described above, as well as sourcing replacement animals from herds with known negative status or testing incoming animals before introduction. Controlling vertical transmission involves identification and strategic management of seropositive cows through testing programs. Options include culling infected animals, breeding them only to terminal sires, using embryo transfer with seronegative recipients, or accepting the risk of transmission while maintaining biosecurity against new introductions.

Quarantine and testing protocols should be implemented for any cattle entering the herd from outside sources, as purchased animals represent a primary route for introducing neosporosis into previously negative herds. Pre-purchase testing of individual animals or documentation of herd-of-origin testing status reduces acquisition risk. New arrivals should be isolated from the main herd until serological test results confirm negative status. For operations using natural service, bulls pose minimal risk of neosporosis transmission as venereal spread does not occur, but bulls from infected herds may indicate higher risk source populations. Ongoing surveillance through periodic herd testing helps detect new infections early and allows timely implementation of control measures before widespread transmission occurs.

Living With & Managing Neosporosis (abortion - cattle)

Daily management and monitoring of cattle herds affected by neosporosis requires heightened attention to reproductive performance indicators and prompt investigation of any abortion events. Producers should maintain vigilant observation of pregnant animals, particularly during the mid-gestational period when neosporosis-related abortions most commonly occur. Any aborted fetus or placenta should be collected carefully using appropriate personal protective equipment and submitted for diagnostic testing to confirm or rule out neosporosis and other infectious causes. Recording the date, cow identification, gestational age, and any associated observations for each abortion event creates valuable data for tracking herd trends and evaluating control program effectiveness.

Housing and environmental management considerations for neosporosis control center on minimizing cattle exposure to dog feces containing infectious oocysts. Cattle housing facilities should be designed or modified to prevent dog access, with secure fencing and gates that exclude canine entry. Feed storage areas, mixing facilities, and bunk spaces require particular attention, as contamination of feed represents an efficient route for delivering oocysts to multiple animals simultaneously. Pasture management is more challenging, especially in extensive operations, but efforts to discourage stray dogs and wildlife canids from accessing grazing areas can reduce environmental contamination risk.

Herd health programs addressing neosporosis should integrate parasite control with broader reproductive health management strategies. Establishing baseline herd prevalence through initial testing allows informed decisions about program intensity and expected timeline for improvement. Regular veterinary consultation helps interpret test results, refine management protocols, and adjust strategies based on observed outcomes. Coordination with diagnostic laboratories ensures appropriate sample handling and testing methodology selection. Integration of neosporosis management with other reproductive health initiatives such as vaccination programs, breeding soundness evaluations, and nutrition optimization creates comprehensive approaches that maximize overall reproductive efficiency.

Record keeping and monitoring systems are essential for effective neosporosis management, enabling producers to track individual animal status, herd-level trends, and program outcomes over time. Individual cow records should include serological test results, reproductive history including any abortion events, and management decisions such as breeding protocols or culling. Herd-level metrics to monitor include abortion rate, prevalence of seropositive animals, percentage of replacement heifers testing positive, and any temporal clustering of abortion events that might suggest horizontal transmission. Electronic record systems facilitate data analysis and identification of patterns that inform management decisions.

Economic considerations permeate every aspect of neosporosis management, as producers must balance disease control costs against expected benefits in reduced reproductive losses. The economic impact of neosporosis varies substantially depending on herd prevalence, production system, market conditions, and individual farm circumstances. Detailed economic analysis comparing the costs of testing, culling, biosecurity improvements, and ongoing monitoring against projected savings from reduced abortions helps identify the most cost-effective approach for each operation. In some herds, intensive control programs rapidly pay for themselves through improved reproductive performance, while in others, the costs may exceed benefits and less aggressive management is economically rational. Working with veterinary and agricultural economists can help producers make informed decisions that balance animal health goals with financial sustainability.

Breeds at Risk for Neosporosis (abortion - cattle)

Neosporosis affects cattle regardless of breed, with susceptibility to infection and abortion risk appearing relatively consistent across different genetic backgrounds. Both Bos taurus breeds common in temperate regions and Bos indicus breeds prevalent in tropical areas can become infected with Neospora caninum and experience reproductive losses. Studies comparing abortion rates between breeds within infected herds have not consistently identified significant genetic differences in susceptibility, suggesting that management factors and infection pressure play more important roles than breed in determining disease outcomes.

Production type considerations influence the apparent impact of neosporosis on different cattle operations more than genetic breed differences. Dairy cattle, particularly high-producing Holstein cows, often show higher reported prevalence of neosporosis compared to beef cattle populations. This likely reflects the more intensive management and detailed record keeping in dairy operations that facilitates disease recognition rather than true increased susceptibility. The greater individual animal value in dairy herds also motivates more thorough diagnostic investigation of reproductive losses. Beef operations, especially extensive range systems, may have similar infection rates but lower detection due to less frequent animal observation and reduced submission of aborted materials for testing.

Genetic selection and testing strategies for neosporosis control focus on identifying and removing infected individuals from breeding populations rather than selecting for genetic resistance traits. Because infection status rather than genetic susceptibility determines abortion risk, serological testing provides the most practical tool for making management decisions. Embryo transfer programs can utilize valuable genetics from seropositive donor cows by placing embryos in seronegative recipients, as infection does not appear to pass through properly handled embryos. This approach preserves genetic progress while preventing vertical transmission. Some researchers have investigated whether genetic markers associated with immune function might predict resistance to neosporosis, but no practical selection tools have emerged from this work to date.

Related Conditions

Neosporosis commonly occurs alongside other reproductive diseases affecting cattle herds, as the management factors that facilitate parasite transmission often create conditions favorable for multiple pathogens. Bovine viral diarrhea virus infection shares some epidemiological features with neosporosis, including vertical transmission and association with abortion, and the two diseases may be detected simultaneously in herds with suboptimal biosecurity. Leptospirosis, another important cause of abortion, thrives in wet environments that may also support survival of Neospora oocysts. Comprehensive reproductive health programs should address multiple potential pathogens rather than focusing narrowly on neosporosis alone.

Several conditions produce clinical signs similar to neosporosis, requiring careful diagnostic differentiation. Tritrichomonosis and campylobacteriosis cause reproductive losses in cattle but typically manifest as early embryonic death and infertility rather than mid-gestational abortion characteristic of neosporosis. Bovine brucellosis produces abortion patterns more similar to neosporosis but has distinct epidemiological features and significant regulatory implications due to its zoonotic potential. Fungal placentitis and nutritional deficiencies can also cause sporadic abortions requiring laboratory investigation to distinguish from infectious causes. Thorough diagnostic workup of abortion cases ensures accurate diagnosis and appropriate management responses.

Complications and sequelae of neosporosis primarily involve reproductive inefficiency and economic losses rather than direct health complications in surviving cattle. Repeat abortion in seropositive cows is common and represents the most significant ongoing impact of infection. Secondary bacterial infections following abortion, including metritis and mastitis, may occur but are not specific to neosporosis and follow similar patterns regardless of abortion cause. Rare cases of clinical neosporosis with neurological signs in young calves represent the most severe direct health consequence of infection, typically carrying a poor prognosis regardless of treatment attempts.