Dog and Cat GI Nematodes- Toxocara spp. Flashcards

1
Q

Nematodes of small animals

A

Superfamily Ascaridoidea Genus Toxocara

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2
Q

Species of Toxocara and their hosts

A

T. canis- host=dog/fox

T. cati- host=cat

(T. vitulorum)- host=cattle

Toxascaris leonina- host=dog/cat

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3
Q

T. canis- routes of infection

A

Direct life cycle with 4 possible routes of infection

  1. oral (direct)- L3 enclosed within the egg
  2. transplacental- most important route, very effective
  3. transmammary- back-up route to transplacental
  4. paratenic host- more important in t. cati d/t mouse/rodent as paretenic host
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4
Q

Outcome of T. canis infection

A

Outcome depends on the age of the animal.

if animal is younger than 3 months, adult worms develop in SI

If animal is older than 3-6 months, larvae tend to arrest in the tissues

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5
Q

T. canis infection in animals less than 3 months of age

A

Results in a patent infection- produces eggs.

Adults in the SI release eggs. Egg matures in environment and egg containing the L3 is ingested. L3 hatches in the SI and migrates via hepatotracheal migration (this extendsPPP and is also when we might see clinical signs in young animal). L3 goes to SI via trachea- in lungs, coughed and swallowed. L3 moults to L4 and L4 moults to adult in the small intestine. Adult in the SI releases eggs. Eggs are present as a source of infection in the environment for a very long time.

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6
Q

T. canis infection in older bitches- i.e. giving rise to transplacental infection

A

Bitch ingests L3, L3 hatches in the SI and L3 migrates into the tissue. In the tissues, it arrests and goes into a hypobiotic state. 3 weeks pre-partum, L3 re-acticates likely due to decreased immunity in the pregnant bitch, also some hormal influence. In the pup, the L3 migrates to the fetal lung. At birth, L3 goes to SI via trachea, L3-L4-adult in the SI.

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7
Q

PPP of T. canis

A

16 days to 21 days. Should be treating for worms at ~2 weeks of age.

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8
Q

T. canis: transplacental transmission

A

L3 reactivated 3 weeks pre-partum

Migrates to fetal lung. L3 travels to SI via trachea. Ensures 100% infection. Arrested larvae in tissues can’t be diagnosed.

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9
Q

T. canis: mammary transmission

A

L3 in the milk for up to 5 weeks

no migratory phase via this route of infection i.e. L3s go straight to the SI (not to the lungs)

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10
Q

T. canis- ALD and ALD+pregnancy

A

Arrested L3 is hypobiotic- resistant to commonly used anthelmintics. Survive fo the life of the bitch. Arrested L3 can re-activate (when immunocompromised).

ALD is a means of avoiding host IR in older animals.

In pregnant animals, when immunity is lower, L3s can become reactivated

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11
Q

Paratenic hosts of toxocara

A

L3 arrest in tissues of bird/rodent. No migration following infection of the dog.

Bird/rodent ingests eggs–> L3 arrest in tissues–> no development in paratenic host.

PPP = 3 weeks

paratenic hosts more important in T. cati

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12
Q

Important features of T. canis epidemiology

A

100% of pups infected via transplacental route.

Transmammary transmission for ~5 weeks

highest level of infection in pups less than 6 months old

GI infection in pup is temporary. Most worms expelled by 6-8 months old

Arrested L3 is very reisstant- 12-20% of adult dogs can be producing eggs in feces.

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13
Q

T. canis egg

A

Females produce 1000s of eggs/day

Unemvryonated egg is not infective, ~4 weeks to reach infectivity

eggs and are sticky and resistant- can stick to fingers or dogs’ coat etc.

Survive for ~14 months in 2% formalin

Ball of cells need to larvate and moult from L1–> L3- temperature dependent process

egg is the reservoir of infection in the environment

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14
Q

T. canis persistence in dog population

A

persists due to the variety of different routes of transmission. tissue migration gives rise to the transplacental and trans-mammary routes. Paratenic hosts can spread infection. resistance of eggs in environment.

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15
Q

Clinical signs of T. canis

A
  1. migratory phase: coughing, increased resp. rate, pneumonia in v. heavy infections
  2. enteral phase: pot-bellied pups, failure to thrive
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16
Q

T. canis in man- visceral larva migrans

A

Visceral larva migrans- liver, lungs, spleen. Migration of L3 through viscera. to see any symptoms, need to have ingested a LOT of eggs. More common in children. Clinical signs: few swollen LNs, sometimes asthma and infection just dies out naturally.

17
Q

T. canis in man- ocular larva migrans

A

L3 encysts in eye- only takes a single worm.

18
Q

Diagnosis of T. canis in humans

A

Antibody detected against T. canis larval ES antigens. This shows you’ve been exposured to this infection. Arrested L3 maintainted for months in vitro. Excrete large quantities of ES antigen.

Antigen is concentration and used in ELISA to detect antibodies.

19
Q

Control of T. canis

A

Education, regular de-worming, safe disposal of dog feces, limit access of dogs to play areas, reduce stray dog numbers

20
Q

Treatment of T. canis

A

Principle is to prevent environmental contamination. Minimum PPP is 16 days. Start treatment before parasite lays eggs, continue to remove milk- acquired infection; treat bitch at sam time.

Give high dose fenbendazole, 3 weeks pre-partum and 2 days post-partum— kills majority of reactivated L3. does NOT kill arrested larva because they’re hypobiotic. Only a proporition of worms can be reactivated during one pregnancy, therefore need to deworm during subsequent pregnancies.

21
Q

T. cati routes of infection

A

No transplacental infection

Oral: hepatotracheal migration

Transmammary is the most important for kittens. No migration- less pathogenic in kittens than T. canis in puppies

Paratenic host

PPP ~ 8 weeks

Egg similar to t. canis

Often found with toxascaris leonina. Can tell apart based on arrowhead appearance of adult worm.

22
Q

Toxascaris leonina

A

Affects cats and dogs

Direct tranmission or paratenic host transmission

NO transmammary and transplacental

Egg contains L3, paratenic hos carries L3

No migratory phase

Egg sheel is SMOOTH, not pitted like T. canis

PPP ~11 weeks.

23
Q

Toxocara vitulorum

A

Life cycle similar to T. cati, found in exotic cattle and buffalo

Transmmary route is more important- L3 in milk for up to 1 month

No tissue migration in calf

Likely not zoonotic

PPP ~3-4 weeks

Eggs have a pitted but thinner shell than T. canis or T. cati

24
Q

Ascarid general characteristics

A

typically large white worms (chunky and thick) with a direct life cycle. L3 in egg is infective (L3 develops inside the egg). Typically