Avian and Reptile Respiratory Disease Flashcards

1
Q

describe important respiratory disease of birds

A
  1. chlamydiosis (psittacosis)
  2. aspergillosis
  3. avian flu
  4. others:
    -poor air quality and pollutants
    -aspiration
    -airsac rupture
    -coelomic diseases: no diaphragm = easy spread between thoracic and GI dz
  5. birds often hide symptoms of disease!
    -whenever you see a sick bird, it’s an emergency!
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2
Q

describe chlamydiosis/psittacosis

A
  1. chlamydia psittaci: obligate intracellular bacterium
  2. all birds, esp cockatiels, budgerigars, small parrots
  3. REPORTABLE!!! ZOONOTIC!!!
  4. transmission: fecal-oral, inhalation
  5. acute and chronic (sublinical, latent) disease, unmasked by stressors
    -latent is more like lowgrade chronic infection than true latency
  6. clinical signs:
    -nasal and ocular discharge
    -conjunctivitis
    -sinusitis
    -green-yellow feces
    -inactivity
    -fluffed
    -anorexia
    -weight loss
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3
Q

describe diagnosis of chlamydiosis (psittacosis)

A
  1. antimortem:
    -acute disease: PCR, serology (IgM, paired rising IgG) (difficult to culture)
    -screening for chronic disease: 5-7d pooled fecal sample for PCR, serology (IgG)
  2. necropsy:
    -airsacculitis
    -pericarditis
    -periphepatitis
    -peritonitis
    -bronchopneumonia
    -hepatic necrosis
    -hepatomegaly
    -splenomegaly
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4
Q

describe treatment of chlamydiosis/psittacosis

A
  1. tetracyclines, doxycycline preferred for 45 days (NOT enrofloxacin)
    -elementary bodies within macrophages resist treatments, hence prolonged therapy
    -NO BAYTRIL (reserve for resistant and other infections)
  2. improved biosecurity!
    -quarantine and test all new birds, prevent exposures to wild, birds, thorough cleaning and disinfection, discard any porous materials
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5
Q

describe aspergillosis in birds

A
  1. aspergillus fumigatus: most common, opportunistic environmental fungus
  2. usually in immunocompromised: poor environment, malnutrition, steroids
    -especially parrots, raptors, waterfowl, penguins
    -NO steroids birds! could easily induce BAD immunosuppression
    -raptors kept lean to stay food motivated but fine line between lean and malnourished
  3. transmission by aerosolized spores: NOT bird to bird, NOT zoonotic
  4. can infect any part of respiratory tract: and can spread to liver, bone, kidneys, and brain
  5. clinical signs:
    -lethargy
    -anorexia, weight loss
    -voice change
    -tachypnea, dyspnea
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6
Q

describe diagnosis of aspergillosis in birds

A
  1. antimortem:
    -cytology/histopathology demonstrating fungal hyphae and fungal culture (endoscopic biopsy)

-hematology (increased WBC), diagnostic imaging (space occupying lesions in thoracic cavity), protein electrophoresis (shows inflammation), serology/galactomannan (increased sensitivity and specificity for diagnosis)

  1. necropsy:
    -white plaques or granulomas
    -airsacculitis
    -bronchopneumonia
    -tracheitis
    -sinusitis
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7
Q

describe treatment of aspergillosis in birds

A
  1. oxygen and supportive care
  2. antifungals (itraconazole, voriconazle)
  3. endoscopic or surgical debridement of granulomas
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8
Q

describe avian flu

A
  1. orthomyxovirus (LPAI, HPAI)
    -mainly asymptomatic wildlife sources, esp aquatic/migratory birds

-HPAI risks to commercial poultry and other species of birds and mammals

-REPORTABLE!!! ZOONOTIC!!!

  1. clinical signs:
    -sudden death with no prior signs
    -lethargy, reduced appetite
    -purple discoloration or swelling of various body parts
    -reduced egg production
    -soft-shelled/misshapen eggs
    -nasal discharge
    -coughing or sneezing
    -ataxia
    -diarrhea
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9
Q

describe diagnosis of avian flu

A
  1. antimortem:
    -oropharyngeal and cloacal swabs for PCR
    -serology
  2. necropsy:
    -pancreatic necrosis, hemorrhages, edema
    -oropharyngeal and cloacal swabs for PCR
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10
Q

describe treatment of avian flu

A
  1. NOTIFY STATE VET FIRST!!!!!!!! even if just suspicious without diagnostic confirmation!!
  2. poultry (including pet chickens):
    -mandatory depopulation
    -increased biosecurity
  3. pet birds:
    -isolation
    -supportive care
    -oseltamivir (tamiflu)
    -antimicrobials against secondary infections
    -increased biosecurity
    -inform owner to seek medical advice (ZOONOTIC)
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11
Q

describe 4 other causes of respiratory signs in birds

A
  1. poor air quality and pollutants
    -especially if constantly indoors
    -keep away from kitchens, fires, AC
    -burning teflon hella toxic to birds
  2. aspiration:
    -in very weak birds
    -secondary to gavage/crop feeding
  3. coelomic diseases:
    -no diaphragm so any coelemic pathology could result in respiratory signs
  4. airsac rupture:
    -traumatic and typically resolve
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12
Q

describe important bacterial respiratory pathogens of reptiles (5)

A
  1. mycoplasma, mycobacterium, salmonella, pseudomonas, chlamydia, E. coli, klebsiella
  2. mycoplasma and mycobacterium are primary pathogens
  3. remainder are typically opportunistic infections in solitary, compromised pets
  4. important to submit samples for cytology/histopath and culture or PCR
    -not NGS (too broad of a PCR process)
  5. initial drug selection based upon gram stain and published doses
    -gram negatives: aminoglycosides
    -gram positive: beta lactams
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13
Q

describe important viral respiratory pathogens of reptiles (5)

A
  1. nidovirus/serpentovirus, paramyxovirus, reptarenavirus, reovirus, herpesvirus
  2. often associated with recent purchase or introduction = quarantine SO important!!
  3. submit samples for cytology/histopath, PCR (culture is difficult), and serology if available
  4. treatment is often supportive:
    -fluid and nutritional support
    -short-term use of NSAIDs
    -tier-1 antibiotics against secondary bacterial infections
  5. remove and euthanize symptomatic animals from quarantine due to risk of persistent shedders even if they get past the acute stage
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14
Q

describe important mycotic respiratory pathogens of reptiles (4)

A
  1. candida, paecilomyces, aspergillus
  2. often opportunistic in solitary, compromised pets
  3. important to submit samples for cytology/histopath and culture (or NGS)
  4. initial drug selection based upon cytology/gram stain and published doses
    -itraconazole, voriconazle
    -terbinafine
    -amphotericin B
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15
Q

describe important parasitic respiratory pathogens of reptiles

A
  1. rhabdias, strogyloides, pentostomids, renifers
  2. rare in captive bred reptiles fed cultured or frozen/thawed lab rodents
  3. diagnosis by microscopy
  4. initial drug selection based upon cytology and published drug doses
    -nematodes, trematodes, pentostomids
    -fenbendazole, ivermectin, praziquantel, surgical removal
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16
Q

describe clinical investigation of respiratory diseases (4)

A
  1. history:
    -quarantine and any recent additions
    -temperature, humidity
    -ventilation, air quality
    -malnutrition
  2. physical exam:
    -tachypnea (reduced nonventilatory periods in reptile)
    -dyspnea (open mouth)
    -nasal or glottal discharge
    -asymmetric swimming of aquatic turtles (one lung consolidated)
  3. diagnostic imaging:
    -radiography (increased ST opacity)
    -CT
  4. blood collection and testing:
    -hematology: infectious vs. non infectious
    -biochemistry: help rule out non resp causes
    -serology (few):
    –avian chlamydia: aspergillus and galactomannan
    –tortoise mycoplasma
    –snake paramyxovirus
17
Q

describe definitive diagnosis of respiratory diseases

A

relies upon BOTH

  1. pathological process in animal:
    -cytology
    -histopathology
    -paired rising titers
    -microscopy
  2. demonstration of specific causes
    -culture
    -PCR
    -parasite identification
    -toxicology
    -paired rising titers

just need to prove both of these somehow someway to make a definitive diagnosis!

18
Q

describe respiratory tract sample collection

A
  1. nasal/choanal/tracheal swabs
    -beware of bacterial contamination from oral cavity in cultures
    -particularly useful for PCR for a specific organism
  2. lung lavage:
    -sterile catheter, syringe, and technique using 0.5ml/100g bodyweight
    -cytology AND culture or PCR
    -gram stain for initial antibiotic selection
19
Q

describe reptile and avian endoscopy and biopsy

A

reptile: histopathology AND culture or PCR

avian: histopathology AND culture or PCR

20
Q

describe medical therapy of respiratory disease in exotics

A
  1. often 2-6 weeks in birds; 4-8 weeks in reptiles

-drug choice dictated by test results and diagnostics

-fluid and nutritional support

-improvements in husbandry and nutrition

-quarantine protocol

-surgical treatment may be needed for abscesses or granulomas