Why is it always the good ones? Neurological exam findings are key here. If this calf is mentally bright and cranial nerve reflexes are completely normal, it would suggest a disease process only limited to the cerebellum (coordination center) or nervous system below the brain. If the calf is at all mentally off- dull, depressed, circles, head presses, or has reflexes of the nerves coming directly from the brain (cranial nerves), then the list of potential causes changes.
If you really wanted to know and cost wasn't a factor- Equine Surgeons often have MRI capability and a sample of his spinal fluid could be obtained for pathology review that might provide some clues. But this would take some significant dinero, require anesthesia and have no guarantees in isolating the cause which is generally hard to justify on this little guy. If he doesn't recover, a full necropsy would be significantly less expensive and likely insightful as you have discussed.
Common diseases occur commonly (of course). And common diseases should have heavier consideration. But in reality, the number of diseases and disorders that are potential hear are numerous. I am not a large animal veterinarian, but with the understanding I have of their neurological disorders:
With his age, makes me wonder a little about congenital disease (born with) such as malformed region of the brain responsible for coordination- the cerebellum (Cerebellar hypoplasia) and can be seen with in utero infection of BVD or Bluetongue virus and I believe maybe a toxin. However, he appeared normal up to 2 months of age? Which makes a defect present at birth less likely, but completely impossible as sometimes defects are just more noticeable as they age.
Very possible in my mind would be cellular diseases of the neurons (storage diseases), and early death of the cells (cerebellar abiotrophies) where destruction occurs after birth and effects function. Are the tremors present when he is asleep?
Myelin (a coating for a nerve cell) is like the rubber that insulates the wire on an electric cord. It keeps the electrical signal moving the right direction at the right speed. Diseases that cause defects in this coating or destruction of this coating are sure suspect in this calf. Fever could be associated with an immune mediated disease (body sees a portion of itself as foreign- like an infection). Pantothenic acid deficiency
Also significant tremors can cause the increased temp, but you said they were only subtle to begin with and temp was 104 if I remember correctly.
Toxicities. Would be very concerning at the onset of symptoms. At this point, they would sure be lower on my list of options. Most of the toxins I can think of that when ingested at high enough concentration to cause tremors generally have other obvious symptoms as well such as mental dullness, blindness, etc. Blindness is often seen with lead, as with the other causes of polioencephalomalacia (Thiamine deficiency and Sulfur toxicity). Unless structural/cellular damage to the brain is done such as the ones above, toxicities generally go one way or the other- you see resolution of the symptoms or the animal worsens. They generally don't just hand out for weeks with tremors and act like the world is otherwise okay unless they only affect the peripheral nervous system.
Ionophore toxicity
Organophosphate toxicity- intermediate form.
Infectious causes- Seems plausible with the fever.
As previously mentioned- Abnormal parasitic migration. Wrong host species for the infecting parasite, or right species for the parasite but in the wrong place. Be careful not to OD the little guy on ivermectin as toxicity is possible and could then confuse the situation.
Nervous coccidiosis- not likely in this case and there is a thought that the neuro signs may not be due to coccidia but to some other co-infection.
Neospora- not classic symptoms
Viral/bacterial infection that caused brain tissue scaring/abscess. However, if the calf seems very mentally alert and normal other than the tremors, the lesions would have to be pretty focal.
Enterotoxemia Caused by Clostridium perfringens Types B and C
Sporadic bovine encephalomyelitis (SBE- chlamydia)
Listeriosis
Haemophilus and Pasteurella infections
Fungal disease
With no other symptomatic cattle- an "active" viral infection (of the ones I can think of) would be questionable at best. Previous- in utero infection of the Dam as previously mentioned is possible. BVD, IBR
Immune mediated disease- where the body attacks itself. Demyelinization disorders (previously mentioned) or sterile abscesses can be formed in the central nervous system.
Trauma-
Just a public reminder for everyone though I highly doubt it is likely here, but Rabies should always be considered in any animal that has unusual neurological signs, especially in the early stages. Good idea to limit exposure to unnecessary people and for sure the kiddos.
Maybe this will help narrow it down for you. :?:
Are the tremors present when he sleeps? Do they worsen when he is excited/nervous? Any abnormal movement of his eyes? Do his facial features- ears, mouth, eyes have even motion and position?