equine pathogens Flashcards

1
Q

What pathogen causes strangles?

A

Streptococcus equi equi

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2
Q

What type of bacteria is Streptococcus equi equi?

A

Gram-positive cocci

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3
Q

What are the clinical signs of strangles?

A
  • Mucopurulent nasal discharge
  • Enlarged submandibular lymph nodes
  • Fever
  • Anorexia
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4
Q

How can you confirm a diagnosis of strangles?

A
  • Culture and sensitivity
  • qPCR
  • ELISA to test for Strep M protein-specific antibody (mostly just if you are suspicious of bastard strangles or purpura hemorrhagica)
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5
Q

What are the four clinical presentations of strangles?

A
  1. Classic strangles (upper airway infection with submandibular and/or retropharyngeal abscesses)
  2. Bastard strangles (internal abscesses)
  3. Purpura hemorrhagica (vasculitis)
  4. Immune-mediated myositis (cachexia)
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6
Q

What are the two most common pathogens causing pneumonia in horses?

A
  • Rhodococcus equi
  • Streptococcus equi zooepidemicus
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7
Q

How would you determine the causative agent of pneumonia in a horse?

A

Do a transtracheal wash to determine the agent via Gram-stain, culture and sensitivity, and/or PCR

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8
Q

What is the pathogenesis of Rhodococcus equi?

A
  1. Inhalation of pathogen
  2. R. equi infects macrophages
  3. Replicates inside macrophages (must have this virulence factor called VapA to do this)
  4. Destroyed macrophages become pyogranulomas in the lung tissue
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9
Q

True or False: Both foals and adult horses can get sick from Rhodococcus equi

A

False. Adults are essentially immune and only some foals exposed will get sick (we don’t really know why) but most infected foals are < 4 months old

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10
Q

What type of pneumonia does Rhodococcus equi cause?

A

Pyogranulomatous

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11
Q

What are the four clinical presentations of Rhodococcus equi?

A
  1. Chronic pyogranulomatous pneumonia (fever, tachypnea, increased effort)
  2. Abdominal disease (enterocolitis, typhlitis, pot-bellied appearance)
  3. Non-septic uveitis
  4. Bone and joint disease (septic arthritis)
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12
Q

What pathogen causes proliferative enteritis in horses?

A

Lawsonia intracellularis

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13
Q

What are the clinical signs of proliferative enteritis in horses?

A
  • Mild colic
  • Hypoproteinemia
  • Pot-bellied appearance
  • Depression
  • Weight loss
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14
Q

What is the most common lesion of equine proliferative enteritis?

A

Thickened small intestine

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15
Q

What pathogen causes potomac horse fever?

A

Neorickettsia risticii

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16
Q

What are the symptoms of potomac horse fever?

A
  • Liquid diarrhea
  • Acute enterocolitis
  • Fever
  • Laminitis (rare)
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17
Q

Describe how horses become infected with potomac horse fever

A
  1. Neorickettsia risticii infects flukes
  2. Flukes multiply inside snails
  3. Horses drinking fresh water accidentally ingest snails or other infected aquatic insects
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18
Q

Neorickettsia risticii has a preference for which anatomical site in the horse?

A

The intestinal wall, especially the large colon

19
Q

What is the best treatment for potomac fever?

A

Oxytetracycline

20
Q

What pathogen is most commonly associated with injection site abscesses/myositis?

A

Clostridium perfringens

21
Q

Which veterinary products have been associated with causing clostridium myositis when injected IM?

A

Flunixin meglumine and dexamethasone. This reaction causes a fever, local tissue necrosis, sloughing of skin, and eventually sepsis.

22
Q

What are the clinical signs of botulism in a horse?

A
  • Weak tongue tone
  • Generalized muscle weakness
  • Inability to rise
23
Q

How does Clostridium botulinum cause paralysis?

A

The neurotoxin produced by clostridium botulinum binds at the neuromuscular junction where it prevents the release of acetylcholine

24
Q

What are the three ways horses can get infected with botulism?

A
  1. Ingestion of preformed toxin in feed (most common)
  2. Toxicoinfectious botulism (called shaker foals and occurs when spores are ingested and toxin is released in digestive tract)
  3. Wound botulism (rare - wound becomes contaminated and toxin is released in vivo)
25
What is the most sensitive species to botulism and tetanus?
Horses
26
How can you prevent botulism?
Vaccination
27
What are the clinical signs of tetanus in a horse?
- Stiff gait and neck - Dysphagia - Protruding third eyelid
28
What two exotoxins are responsible for the clinical signs of tetanus? What lesions does each toxin cause?
1. Tetanolysin (causes local tissue damage) 2. Tetanospasmin (causes neurological signs)
29
True or False: Vaccination is highly effective in preventing tetanus
True
30
What pathogen causes 'pigeon fever' or 'dryland distemper'?
Corynebacterium pseudotuberculosis
31
What does pigeon fever cause?
Abscesses (especially in the pectoral region). You have to wait for them to be mature and then drain them, but be careful because the pus is contaminated and can be infectious so use proper biosecurity
32
What are the three clinical presentations of pigeon fever?
1. External abscesses (91% of cases). Pectoral region and ventral midline of the abdomen are the most common 2. Internal abscesses (8% of cases) 3. Ulcerative lymphangitis (1% of cases)
33
What is the likely bacterial agent for a 5-year-old Thoroughbred gelding with sudden onset of colic and profuse liquid diarrhea?
Neorickettsia risticii (Potomac horse fever)
34
What is the likely bacterial agent for a 4-year-old Appaloosa mare with multiple subcutaneous abscesses?
Corynebacterium pseudotuberculosis (Pigeon fever)
35
What is the likely bacterial agent for a 7-year-old Warmblood mare with acute onset of spasms and difficulty swallowing?
Clostridium tetani (tetanus)
36
What is the likely bacterial agent for a 6-month-old Thoroughbred weanling with hypoproteinemia and colic?
Lawsonia intracellularis (equine proliferative enteropathy)
37
What is the likely bacterial agent for a 3-month-old Paint filly with respiratory distress and submandibular lymphadenopathy?
Rhodococcus equi (pneumonia)
38
What is the likely bacterial agent for a 3-year-old Quarter Horse mare with progressive muscle weakness?
Clostridium botulinum (botulism)
39
What is the likely bacterial agent for a 2-year-old Arabian filly with fever and mucopurulent nasal discharge?
Streptococcus equi equi
40
What is the likely bacterial agent for a 2-week-old Thoroughbred foal with respiratory distress?
Rhodococcus equi (pneumonia)
41
What is the likely bacterial agent for a 7-year-old Morgan horse found dead with enterocolitis?
Neorickettsia risticii (Potomac horse fever)
42
What is the likely bacterial agent for a 10-year-old Warmblood mare with chronic weight loss and diarrhea?
Corynebacterium pseudotuberculosis (pigeon fever)
43
What is the likely bacterial agent for a 5-month-old Paint weanling with a thickened small intestine?
Lawsonia intracellularis (equine proliferative enteropathy)
44
What is the likely bacterial agent for a 9-year-old Morgan horse with fever and swollen neck after an injection?
Likely Clostridium perfringens although other Clostridia spp. could cause it too