diseases final (rabies) Flashcards

1
Q

what is the definition for rabies

A

an acute viral encephalomyelitis. it is a natural disease of dogs, cats, bats, and wild carnivores. all warm blooded animals are susceptible and the degree of susceptibility varies

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2
Q

what is the etiology of Rabies

A

Rhabdovirus

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3
Q

is rabies killed easily by sunlight, heat, and disinfectants?

A

yes

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4
Q

how is rabies transmitted

A
  • from the bite of an infected animal (this is the most common route)
  • airborne (from cave dwelling bats) (this is rare)
  • ingestion (from infected tissue, urine feces) (this is rare)
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5
Q

virus may be present in the saliva and transmitted by the bite of an infected animal ________ ________ prior to the onset of clinical signs (rabies)

A

several days

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6
Q

what are the 6 most common hosts for rabies

A
  • dogs and cats
  • skunks
  • foxes
  • raccoons
  • bats
  • coyotes
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7
Q

what is the most important host of human rabies worldwide

A

dogs and cats

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8
Q

where do the highest incidence of rabies occur in dogs and cats

A

the highest incidence of rabies in dogs and cats occurs in areas where wildlife rabies is epizootic

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9
Q

what animal is the most important reservoir of rabies in California, the north central states, and the south central states?

A

skunks

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10
Q

how can you tell that a skunk is rabid just by looking at it

A

rabid skunks will roam aimlessly during daylight hours and often attack anything that moves

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11
Q

why should skunks not be kept as pets (rabies)

A

long term subclinical infections in skunks are a major concern, the stress of capture and captivity may trigger clinical rabies, therefore, skunks should not be kept as pets

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12
Q

foxes have a higher incidence of rabies where

A

Canada

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13
Q

raccoons with rabies are a major reservoir for what

A

for rabies in southeastern states and states along the eastern seaboard

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14
Q

what animal represents the majority of cases of wildlife rabies reported in the US

A

raccoons

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15
Q

what animal is currently the most important wildlife source of rabies for humans

A

bats

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16
Q

what is the pathogenesis of rabies

A

IM viral inoculation usually occurs via a bite wound> virus multiplies in muscle cells> spreads to the NMJ> virus enters peripheral nerves> transport of virus up the peripheral nerve to the CNS then occurs

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17
Q

what happens if the bite is on the extremity (rabies)

A

the virus will reach the spinal cord first and then it will travel to the brain probably by the CSF

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18
Q

what happens if the bite is in the head region (rabies)

A

the virus will move along a cranial nerve and go directly to the brain

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19
Q

once the virus is in the brain what does it do (rabies)

A

once the virus is in the brain it will eventually make it to the limbic system of the brain (this leads to rage and a desire to attack)

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20
Q

where does the virus go after it has replicated in the CNS

A

the virus moves out of the brain via the cranial nerves> the salivary glands are then infected with the virus> paralysis of these muscles leads to an inability to swallow and dropping of the lower jaw (commonly seen in dogs)

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21
Q

what is the fear of water called

A

hydrophobia

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22
Q

what does incubation period mean

A

the time period between the time of initial exposure to a pathogen and the appearance of the first clinical signs of infection

23
Q

what is the incubation period for rabies for dogs

A

2 weeks to 6 months

24
Q

what is the incubation period for rabies for cats

A

2 weeks to 6 weeks

25
Q

what is the incubation period for rabies for humans

A

2 weeks to 23 months (usually 1 to 3 months)

26
Q

how long is the brief period before the onset of neurologic signs (rabies)

A

1-5 days

27
Q

how long is the prodromal stage of rabies for dogs

A

1-3 days

28
Q

what are the clinical signs of the prodromal stage of rabies

A
  • behavior changes
  • pupillary dilation, sluggish corneal, palpebral reflexes
  • pruritus at the site of exposure
29
Q

how long is the prodromal stage of rabies for cats

A

1 day

30
Q

how long is the furious stage of rabies

A

1 -7 days

31
Q

what are the clinical signs of the furious stage for dogs

A
  • restlessness
  • irritability
  • excitability
  • photophobia
  • may bark at imaginary objects
  • roam, vicious attacks when provoked by external stimuli
  • may eat unusual objects, especially wood
  • muscular incoordination, disorientation, seizures
32
Q

what are the clinical signs of the furious stage for cats

A

more consistently develop the furious stage, may run continuously until die of exhaustion

33
Q

how long does the paralytic stage of rabies last

A

2 to 4 days

34
Q

what are the clinical signs of the paralytic stage rabies for dogs

A
  • progressive paralysis from the site of injury to the entire CNS
  • cranial nerve paralysis
  • change in voice
  • salivation
  • dropped jaw (if the bite occurred on the face, these signs will develop first before paralysis occurs anywhere else)
  • death follows coma
  • respiratory paralysis
35
Q

what are the clinical signs of the paralytic stage of rabies in cats

A
  • mandibular, laryngeal paralysis is less common
36
Q

what are the clinical signs of humans with the furious form of rabies

A
  • fever
  • headache
  • anxiety
  • nervousness
  • and hyperesthesia at the site of the bite
  • excitability, restlessness, hyperkinesis, and violent behavior
  • salivate incessantly and refuse water due to pharyngeal spasms (hydrophobia)
  • death occurs during convulsions or because of paralysis of the breathing muscles
  • rare recovery reported
  • almost always fatal once clinical signs begin
37
Q

what does DFA stand for in rabies

A

direct fluorescent antibody

38
Q

what are the 3 methods used to diagnose rabies

A
  • direct fluorescent antibody
  • negri bodies
  • mouse inoculation
39
Q

which test for rabies is the most used

A

DFA

40
Q

how is a DFA performed for rabies

A

fresh brain tissue or a skin biopsy is obtained, this should be put in a refrigerator then a slide is prepared with fluorescent antibody and will glow if it is rabies positive

41
Q

what are negri bodies

A

intracellular viral inclusions

42
Q

what is the rabies confirmation test

A

mouse inoculation

43
Q

what are the 2 vaccines that can be used for rabies

A
  • modified live vaccine (not used in the us)

- inactivated or killed virus vaccine

44
Q

what is the vaccination for dogs and cats for rabies

A
  • initially vaccinate at 3 months and again 1 year later
  • thereafter give booster vaccinations on an annual or triennial basis
  • administer 1 mL. SQ or IM in right thigh
45
Q

what is the vaccination for ferrets for rabies

A
  • vaccinate at 3 months of age and then revaccinate annually
46
Q

what is the vaccine that can be used for ferrets

A

RM IMRAB 3

47
Q

what are 3 ways to control rabies in the cat and dog

A
  • vaccination programs
  • animal control shelters- management of strays
  • leash laws
48
Q

what can be done for the reduction of rabies amongst wildlife

A
  • captive wild animals: should not be kept as pets, wild caught animals susceptible to rabies should be quarantined for a minimum of 180 days before exhibition in zoos
  • oral vaccine baits are used by federal and state wildlife officials to control rabies during rabies epidemics in wildlife
49
Q

how is an unvaccinated dog/cat bitten by a known rabid animal treated

A
  • booster is given immediately and then quarantined for 6 months or 180 days
50
Q

how is a vaccinated animal bitten by a known or suspected rabid animal treated

A
  • a booster is given immediately and then they are quarantined for 45 days
51
Q

what happens to strays, unwanted pets, wild carnivores that bite humans

A

they are euthanized and tested for rabies

52
Q

what is the post -exposure prophylaxis with rabies

A
  • wound care, aggressive washing
  • passive and active immunotherapy
  • vaccination within 24 hours of bite and then at 3, 7, 14, and 28 days
53
Q

pre-exposure prophylaxis for humans

A
  • humans at high risk
  • three doses ( 0, 7, 21, or 28 days ID booster every 2 years)
  • if exposed after immunization- two doses at 0 and 3 days