7 – Diseases of the Nasal Cavity, Larynx and Trachea Flashcards
Clinical signs with nasal cavity diseases
- Sneezing
- Nasal discharge
- *non-specific
Diseases of dogs
- Aspergillosis
- Foreign body rhinitis
- Allergic rhinitis
- Carcinomas
- Brachycephalic syndrome
Aspergillosis
- Fungal infection in nasal cavity (can go into sinuses)
- primarily in dogs
- goes relatively far back
- can be very destructive
- sneezing +/- nasal discharge (may have blood)
o macrophages and neutrophils - Not sure what the initiating cause is (does NOT require immunosuppression)
Aspergillosis nasal discharge
- *sometimes discharge is THICKER and GREENISH colouration
- Unilateral nasal discharge (may become bilateral later)
- Can be foul smelling
Foreign body/allergic rhinitis
- Often unilateral nasal discharge +/- sneezing
- Inflammation=granulomatous, suppurative, pyogranulomatous
o Macrophages and neutrophils (mix) - *acute onset
Allergic rhinitis
- Nasal discharge can have a lot of eosinophils
Eosinophils
- Allergies
- Parasites
Carcinomas
- No specific types
- Benign or malignant
- Epithelial or mesenchymal
- Sneezing (may have blood)
- Unilateral nasal discharge (creamy or bloody)
- *most common=adenocarcinoma
Brachycephalic syndrome (ex. SOME brachycephalic dogs)
- Small nares
- Elongated soft palate
- Everted laryngeal ventricles (increased respiratory effort)
- Tracheal hypoplasia (see tracheal collapse)
Abnormal trachea in brachycephalic syndrome
- Flattened
- Widened
- *prone to tracheal collapse
Diseases of cats
- Viral diseases
- Cryptococcus
- Polyps
Viral respiratory diseases in cats
- Feline Herpes virus 1
- Feline Calicivirus
- *can’t differentiate clinically from one another
- *mucopurulent nasal discharge
Feline Herpes virus 1
- *BILATERAL runny, watery nasal discharge
- Slight eye discharge
- If get secondary bacterial infection=thicker nasal discharge
- *can cause more significant disease
o Conjunctivitis
Feline Calicivirus
- Can cause sever ULCERATION of the mouth (pharynx, upper respiratory tract)
- Bilateral nasal discharge
Bronchopneumonia
- Pneumonia associated with bacterial infections
- *often those that have a previous viral infection
Cryptococcus in cats
- Fungal infection (ex. yeast)
- *Cryptococcus neoformans (C. gattii in BC)
- INHALED fungal spores
- Destruction of tissue (if go through cribriform plate=into brain)
- Crypto=secret
- *gelatinous mass siting in the back
- Pneumonia in rare cases
Nasopharyngeal polyp in cats
- Growing on a stalk
- Typically, in back of nasopharynx (more difficult to pass endotracheal tube)
- More often inflammatory
- Not sure what the cause is
- *benign inflammatory growths
Diseases of horse
- Viral infections
- Ethmoidal hematomas
- Strangles
- Guttural pouch mycosis/empyema
Viral diseases of horses
- Herpes virus 1 and 4
- Equine influenza
- Equine rhinitis
Ethmoidal hematomas (horse)
- PROGRESSIVE collections of blood
- Space occupying masses=giant blood clot
- *originate form ethmoid bone
- Not sure what the cause is
- Occurs in holder horses
- Signs: mass, bleeding
Strangles (horse)
- Bacterial infection (Streptococcus equi spp. equi)
- Thicker nasal discharge (green, yellow, red)
- *Bilateral suppurative lymphadenitis (by the trachea)
- If rupture, could aspirate and go to lungs=bronchopneumonia
Clinical signs with strangles
- Mucopurulent nasal discharge
- Swollen regional lymph nodes
- fever
Potential complications with strangles
- Purpura hemorrhagica (Type III hypersensitivity reaction)
o Antigen-antibody complexes deposited into blood vessel walls
o Damage to blood vessels=bleed - Infections of the guttural pouch
Empyema
- Guttural pouches full of pus
Bastards strangles
- Systemically ill
- Swollen lymph nodes filled with pus other than by the head
- Ex. GIT mesenteric lymph nodes
Guttural pouch mycosis (horse)
- Mycosis=bacterial infection
- Damage to laryngeal nerves=roar
o Atrophy of cricoarytenoid cricialis - Inflammation into large vessel=massive hemorrhage
- *Aspergillus sp.
Diseases of cattle
- Bovine herpes virus 1 (aka: IBR)
o Infectious bovine rhinotracheitis (NOSE + TRACHEA)
o *can also cause aborptions - Nasal discharge, reddening
- localized destruction of trachea and fibrin depositions
- *often due to deeper infection in the lungs
- Death usually associated with secondary bronchopneumonia
Diseases of sheep and goats
- Neoplasia
- Nasal bots
Transmissible nasal tumour in goats/sheep
- Virally induced tumour in sheep (can have FLOCK outbreaks)
- Massive tumours in nasal cavity
o Difficulty breathing and sneezing - Can cause disease=obstruct breathing and cause nasal deformities
- *retrovirus
Nasal bots (sheep and goats)
- Oestrus ovis
- Larvae migrate and develop in the nasal cavity
Disease of pigs
- Atrophic rhinitis
- Necrotic rhinitis
- Inclusion body rhinitis
Atrophic rhinitis (pigs)
- Destruction of nasal cavity and nasal turbinate’s
- Osteoclasts start to reabsorb bone
- *can lead to nasal deformation, sneezing and coughing
- Pasteurella multocida and Bordetella bronchiseptica
Necrotic rhinitis (‘bull nose): pigs
- Fusobacterium necrophorum
- Swelling and nasal deformities with nasal discharge
Inclusion body rhinitis
- Suid herpesvirus 2
- Young piglets: sneezing and nasal discharge
- *can also cause abortions and mummified fetuses
Laynx and trachea diseases of dogs
- Oslerus oslerii
- Trachela collapse
Oslerus oslerii
- Nematode parasite causing distinctive nodules that form at tracheal bifurcation
- Uncommon disease (maybe stray/rescue dogs)
Tracheal collapse
- Very wide dorsal ligament
- Tracheal rigidity
- Flattened tracheal rings
- *distinctive non-productive cough (honking)
- Ex. brachycephalic syndrome in dogs
Necrotic laryngitis in cattle
- *Fusobacterium necrophorum
- Acute or chronic
- Primarily in feedlot, but rarely
- Pathogenesis not understood
o Ulceration caused by upper respiratory infections may lead to colonization of the Fusobacterium - PAINFUL COUGHING
- *ulceration and necrosis of laryngeal mucosa