Ch.43DzesoftheReproTract.PT2 Flashcards
What is the most prevalent viral cause of equine pregnancy loss?
equine herpesvirus 1 (EVH-1)
What is the primary route of transmission of EHV-1?
via respiratory tract
Once EHV-1 invades the respiratory epithelium, what is the next step in pathogenesis?
-establishes a leukocyte associated viremia
–>establishesa chronic, possibly life long latent infection
During the initial infection with EHV-1, placental endothelial cells are infected by the virus and transiently present targets to the immune system.
What major part of the immune system is inactivated by EHV-a?
inactivates MHC-1 (major histocompatibility complex-1)– which allows EHV-1 to evade the immune system b/c it stops the ability of cells to present viral particles
In pregnant mares, what is the pathophysiology of reproductive loss/abortion caused by EHV-1?
-after resp infection
-viremia
-infects fetus via transplacental migration of virus bearing leukocytes
-abortion occurs d/t rapid separation of the placenta, causing suffocation of the fetus
What is the time period between infection with EHV-1 and abortion?
Variable: between less than 2 weeks and several months
As with all herpesviruses, EHV-1 establishes a latent infection that makes recrudensce after what?
-after stressful events, such as:
-weaning
-translocation
-introduction of a new animal
-other illnesses
What material is highly contagious from an EHV-1 abortion?
aborted, infected fetal materials are highly contagious
What is the primary lesion of EHV-1?
necrotizing vasculitis and thrombosis resulting from lytic infection of the capillary endothelium
Stage of pregnancy at which abortion occurs with EHV-1
variable: vasculitis is most pronounced from fifth to ninth months of gestation
**95% of abortions occur in the last trimester of pregnancy
What are gross lesions seen on the fetus aborted d/t EHV-1 infection?
-minimal signs of autolysis
-inc fluid in the thoracic and abdominal cavities
-congestion and edema fo the lungs
-hepatomegaly with multifocal, small (~1mm), yellow to white necrotic foci
-subcutaneous edema
-icterus
Histologically, what lesions are seen on the fetus aborted due to EHV-1?
-areas of necrosis in lymphoid tissue, liver, adrenal cortex and the lung
**large intranuclear eosinophilic inclusion bodies0hyperplastic necrotizing bronchiolitis
-Other poss lesions: mild multifocal, necrotizing lesions int eh liver and adrenal cortex
-hyperplastic, necrotizing bronchiolitis
What tissues should be submitted for testing from an aborted fetus, that is to be suspected to aborted d/t EHV-1?
-placenta
-lung
-liver
-spleen
-thymus
When should vaccination to pregnant mares be administered, targeting protection against EHV-1?
5, 7 and 9 months of gestation
If an abortion is caused by EHV-1, what preventative measures should be taken?
-fetal membranes transported away from area w/o contaminating the surrounding environment
-the stall which the mare aborted should be disinfected with a phenolic or iodinophilic compound
-prevent bedding from contaminating other areas on farm
**all pregnant mares on infected farm should remain until foaled
-no horse should leave the farm until 3 to 4 weeks after last abortion
Causative agent of equine viral arteritis?
equine viral arteritis virus (EAV)
What is the primary target of equine viral arteritis virus (EAV)?
vascular endothelial cells and macrophages
Shortly after infection with equine viral arteritis virus (EAV), where can it be found within the horse?
-infects macros and later lymph nodes
-then infects circulating monos
**systemic distribution in 3 days after primary infection–> carrier state
-w/in 1 week EAV infects BV endothelium
abortion caused by equine viral arteritis virus (EAV) is likely due to?
myometritis and vasculitis–> fetal anoxia/placental hypoxia
(secondary to compression of myometrial vessels by edema and decreased progesterone production by the placenta
equine viral arteritis virus (EAV) C/S
+/- absent or highly variable
-pyrexia
-depression
-anorexia
-leukopenia
-limb edema
-stiffness of gait
-rhinorrhea and epiphora
-conjunctivitis
-rhinitis
-urticarial rash
-localized or diffuse edema
-abortion
After infection with equine viral arteritis virus (EAV), when does abortion typically occur?
3 to 10 months of gestation, follows onset of C/S several days up to 2 months
is infection with equine viral arteritis virus (EAV) fatal?
-rarely fatal in adults
-typically fatal to neonates d/t interstitial pneumonia & secondary bacterial infections
What clinical pathological lesions are seen with equine viral arteritis virus (EAV)?
**variable and inconsistent & nonspecific
-hypoxia, hypercapnia
-respiratory or metabolic acidosis
-lymphocytosis or lymphopenia
-neutrophilia or neutropenia
-thrombocytopenia
-hyperfibrinogenemia
What are the most common gross lesions seen with equine viral arteritis virus (EAV)?
edema
congesetion
hemorrhage of the subcu and lymphoid tissues and viscera
equine viral arteritis virus (EAV) histologic lesions are seen where?
vasculature
lymphoid tissues
lungs
intestines
adrenal glands
kidneys
skin
are fetal lesions seen with equine viral arteritis virus (EAV)?
No
What can be long term carriers of equine viral arteritis virus (EAV)?
stallions
**can be transmitted in semen
Diagnosis of equine viral arteritis virus (EAV)
comb of virus isolation, viral nucleic acid (RT-PCR) or antigen detection and serology (virus microneutralization)
equine viral arteritis virus (EAV) transmission
venereally- from PI stallions to mares
Carrier stallions for equine viral arteritis virus (EAV) can be bred, but to which mares?
immune mares
When can mares be vaccinated against equine viral arteritis virus (EAV)?
-safe up to 3 months prior to foaling
**vaccination of pregnant mares in the final 2 months of gestation assoc with inc risk of abortion
What vaccines exist for protection against equine viral arteritis virus (EAV)?
modified live virus
killed virus vaccine
**regulation exists especially for stallions
What serovars of leptospira have been shown to cause abortion in mares?
Leptospira pomona (most common in mares)
-grypotyphosa
-hardjo
-bratislava
-icterohemorrhagiae
What is important in the dissemination of Leptospira from wildlife to horses?
wet environmental conditions–> shed spirochete in urine, which contaminates groundwater and seves as a source for further infections
What are C/s of Leptospirosis in horses?
pyrexia
hemoglobinuria
jaundic
abortion
Is serology helpful in the diagnosis of Leptospira abortions?
No– most horses are seropositive but are subclinical
**serologic antibody conversion lats fr years
What is the best diagnosis for leptospira induced abortions in mares?
flourescent antibody (FA) tests or warthin-Starry (WS) silver stsian of the allantochorion and umbilical cord
How long can horses shed leptospira in urine?
for up to 90 days, affected animals hsoul dbe isoalted and treated wiht antbiotics
Is there a leptospira vaccine available for horses?
Yes- for L. pomona
What is a protozoal cause of abortion?
Neorickettsia risticii (Potomac horse fever)
After infection with Neorickettsia risticii (Potomac horse fever), when is the abortion typically seeen?
2 to 3 months after C/S of ehrlichiosis
What are fetal histo lesions seen with abortions d/t Neorickettsia risticii (Potomac horse fever)?
-enterocolitis
-periportal hepatitis
myocarditis
lymphoid hyperplasia with necrosis of the myenteric lymph nodes and spleen
**recover of protozoan from fetal bone marrow, spleen, LN , colon or liver
In mare reproductive loss syndrome, abortion is associated with ingestion of what?
eastern tent caterpillar (malacosoma americanum)
With mare reproductive loss syndrome and eastern tent caterpillar, where is the toxin located?
related to the larval exoskeleton
**ingestion of
mare reproductive loss syndrome: prior to abortion, what can be seen on ultrasound?
-hyperechoic amniotic and allantoic fluids
-dead or dying fetus (heart rate <75 bpm)
mare reproductive loss syndrome: what characteristic histologic lesions are observed where?
in the placenta and umbilic cord (funisitis)
mare reproductive loss syndrome: pathophysiology of abortion
larval hairs (cetae) are hypothesized to migrate through the gastrointestinal system and translocate commensal organisms from oral cavity and intestines to other sites
mare reproductive loss syndrome: streatment
not possible– usu c/s are absent prior ot fetal death
mare reproductive loss syndrome: preventative measures
-applying insecticides
-physically removing caterpillar nests from trees
-removing black cherry trees
-muzzling mares in pasture
-supplementing hay feeding in pastures to minimize grazing
What spp of salmonella was associated with abortion in mares in the early 1900s?
Salmonella abortus equi
What is the causative agent of Dourine?
Trypansoma equiperdum (protozoan)
What is the pathogenesis of Dourine/ Tryapnosomiasis?
venerally transmitted genital tract infection tha tmay be followed by fatal systemic dissemination in horses (may cause abortion)
Dourine/ Tryapnosomiasis: epidemiology, where is the disease seen?
tropical and subtropical regions
**eradicated from N. america
Dourine/ Tryapnosomiasis control strategies
require ID and tx or euthanasia of infected animls
What is the cause of endotoxemia related abortions?
-release of vasoactive metabolites including PGF2alpha
-shown to cause luteolysis and abortion
Ruminants: in large commericial operations, a low percentage of intermittently occurring abortions is considered acceptable, what is the acceptable percentage?
beef: 2 to 3%
dairy: 10%
When investigating bovine abortions, what commonalities are important to determine?
-stage of pregnancy affected
-sire used
-heifers vs cows affected
-dates of new arrival to herd
-season of year
-vaccination protocols
-presence of dogs
-management practices among different groups
What are noninfectious causes of abortion in ruminants?
-heat stress
-other stress
-nitrate toxicity
-malnutrition (rare)
-pine needle toxicity
-drug induced (corticosteroids)
-physical
Bovine herpesvirus-1 infection manifests as
upper respiratory disease
abortion
In naive cows exposed to BHV-1, what is the pathophysiology in abortion?
-virus carried in leukocytes
-localized in placenta tissues
-fetuses exposed to virus die w/in 24 hours of placental infiltration
What stage of pregnancy is most susceptible to BHV-1 infection?
5 to 6 months
BHV-1 abortion, fetal lesions:
-renal hemorrhagic edema
-acute general necrosis in liver, spleen, kidneys lungs and adrenal glands
-widespread hemorrhage
-petechia
-epithelial destruciton
-hepatic necrosis with intranuclear inclusion bodies
+/- thickened amnion
Diagnosis of BHV-1 caused abortion
-virus isolation from placenta
-ID of intranuclear inclusion bodies in fetal tissues
-immunohistochem
-serum neutrlization testing
Is serum testing useful in diagnosis of BHV-1 caused abortions?
No– as the dam may have been infected moths before the abortion& titer after abortion may be decreasing
BHV-1 abortion prevention
vaccination: vaccinate heifers at 6 months, booster in 3 to 4 weeks before breeding
–> vaccination too close to breeding can lower conception rate d/t normal transient inflamm of repro tract
MLV vaccine (intranasal) available at 3rd to 8th month of gestation– safety questionable
killed vaccine: pregnant cow use
Bovine viral diarrhea virus is what kind of virus?
pestivirus
What can BVDV cause reproductively?
early embryonic death
fetal anomalies
abortion
Pathogenecity of BVDV depends on
-gestational time of infection
-the viral strain
-viral biotype (cytopathic or noncytopathic)
-fetal immunocompentence
What is a common history with BVDV reproductively?
history of repeat breeding and recent episode of febrile dz in herd before onset of abortions
BVDV: when does fetal loss generally occur?
10 to 27 days after exposure, with expulsion of fetus up tto 50 days later
fetus is often autolyzed (may be mummified or fresh
BVDV: what fetal abnormalities are seen?
cerebellar hypoplasia
cerebral malformations (hydraencephaly, porencephaly, microencephaly)
cataracts
brachygnathia
arthrogyroposis
alopecia
thymic hypoplasia
intrauterine growth restriction
Microscopic lesions of BVDV
mild nonsuppurative placentitis
+/- nonsuppurative vasculitis in the placenta, liver or lymph nodes
Viral antigen for detecting BVDV in aborted fetuses can be performed on what tissues?
**seldom virus isolation from fetal tissue is successful
-FA test on kidney, lung, or LN
-fetal thoracic fluid on virus neturalization and enzyme linked immunosrobent assay
Depending on time of exposure to BVDV: what occurs in seronegative cows with exposure at time of breeding?
BVDV prevents conception
Depending on time of exposure to BVDV: what occurs when exposed in the first 4 months of gestation?
usu causes fetal death and abortion
Depending on time of exposure to BVDV: what occurs when exposed to noncytopathic within 18 to 125 days of gestation to the fetus?
remains persistently infected (PI)
**typically seronegative at birth
**shed BVDV continuously
–> may develop mucosal disease later in lifeform superinfection with cytopathic BVDV
Depending on time of exposure to BVDV: what occurs when exposed at 100 to 150 days of gestation?
Congenitally infected: risk of development of dysplastic lesions:
-teratologic defects in brain, skin and bronchioles
Depending on time of exposure to BVDV: fetuses infected after 150 days have what effects?
**Usually recover without dysplastic lesions
Control measures against BVDV
-killed and MLV vaccinates- avail (not fully controlled with vx)
-elimination of PI animals
-prevention of PI animals being introduced into herd
What is the major lepto serovar associated with abortions in cattle?
Leptospira hardjo
IN cattle, infection with leptospira hardjo is associated with what reproductive effects?
infertility
early embryonic death
abortions from 4 months of gestation to term
birth of weak calves
L interrogans serovar pomona infection in cattle causes abortion in what time period of gestation?
last 3 months of gestation, abortion rate as high as 50%
What are clinical signs of leptospirosis in cattle
icterus
hemoglobinuria
anemia
fever
mastitis: flaccid udder adn thick ropy secretions form all 4 quarters
**cows usually abort without clinical illness
What is grossly seen with leptospira related abortions?
aborted fetus: autolyzed, icteric and edematous
What is seen histologically on the aborted fetus that is seen with leptospira abortions?
renal tubular necrosis accompanied by lymphocytic interstitial nephritis, pneumonia and placentitis
Can leptospira be isolated or demonstrated from fetal tissues?
**rapidly destroyed by autolysis or freezing
-can be isoalted from fetal liver, kidney brain (possible, slow and impracticle)
–> dark field microscopy, FA staining or histo techniques
Leptospira related abortions are typically diagnosed using:
serology: difficult to distinguish among vaccinated, acutely infected and recovered animals
serovar pomona: greater than 1: 12,800 in the dam suggest lepospiral abortion
–> single titers of 1:800 or more in unvaccinated animals, sero conversion or fourfold changes in titers in paired sera indicate lepstospirosis in the herd