Exam 2 - Introduction to Food Animal Respiratory Disease Flashcards
what animals are predisposed to developing mycotic or bacterial granulomas?
no age, breed, or seasonal predilections - cases appear sporadically
what is the pathogenesis of mycotic/bacterial granulomas?
inoculation of eroded nasal mucosa with fungal spores or filamentous bacteria from the environment
what are some common differentials for mycotic/bacterial granuloma?
allergic rhinitis
foreign bodies
tumors
nasal actinobacillosis
oestrus ovis - small ruminants
what is the prevention for mycotic/bacterial granulomas?
there is none - animals breath in things from the dirt
what may accentuate clinical signs associated with mycotic/bacterial granulomas?
heat & dust in the environment
what is the treatment for mycotic/bacterial granulomas?
surgical excision & long term sodium iodine therapy
what is the prognosis of mycotic/bacterial granulomas?
decent to good
what do mycotic/bacterial granulomas look like?
single to multiple, unilateral
anywhere in the nasal cavity
yellow/green, red, nodules or polyps
how are mycotic/bacterial granulomas diagnosed?
endoscopy, biopsy, culture
what do mycotic/bacterial granulomas look like on histopath?
granulation tissues with eosinophils, mononuclear cells, sporangia, +/- hyphae, +/- filamentous bacteria
what are the clinical signs associated with mycotic/bacterial granulomas?
stridor, dyspnea, mucopurulent nasal discharge, epistaxis, rubbing nose, reduced airflow & open mouth breathing in advanced cases
what breed/age of cows are predisposed to allergic rhinitis & enzootic nasal granulomas?
channel island & friesians - familial association reported
6 months to 2 years old
what animals are typically affected by allergic rhinitis & enzootic nasal granulomas?
cattle & possible sheep
what is usually the inciting antigen of allergic rhinitis & enzootic nasal granulomas?
fungal spore
or plant pollen
what is the pathogenesis of allergic rhinitis & enzootic nasal granulomas?
inciting antigen of pollen or fungal spore - homocytotropic antibody develops & re-exposure causes localized, ongoing type 1 hypersensitivity
what happens with chronic allergic rhinitis & enzootic nasal granulomas? what is it indicative of?
hyperplasia, metaplasia, mucosal hypersecretion, & granulomatous inflammation of nasolacrimal tissues
type IV hypersensitivity reaction
what type of year will you see more problems with allergic rhinitis & enzootic nasal granulomas?
warm, moist conditions
how is allergic rhinitis & enzootic nasal granulomas diagnosed?
eosinophil counts in nasal secretions correlate with susceptibility of the animal & activity of the disease
use endoscopy, biopsy, cultures, antigen detection (viruses, bacteria, fungi), & serology to rule out
what is the end stage clinical sign associated with allergic rhinitis & enzootic nasal granulomas?
enzootic granulomas diffusely disseminated in the nasal cavity - constant clinical signs that get worse with warm/moist seasons
what are the clinical signs associated with allergic rhinitis & enzootic nasal granulomas?
sneezing, nasal pruritus, acute dyspnea, stertorous inspiration, profuse nasal discharge, head shaking, & facial swelling
what are the clinical signs of severe cases of allergic rhinitis & enzootic nasal granulomas?
tachypnea, hyperpnea, nasal mucosal ulceration, & may result in foreign bodies from so much face rubbing
what do the granulomas look like in enzootic nasal granulomas?
multiple, firm, white, raised nodules, 1-2mm in diameter
what is the major differential to consider for allergic rhinitis & enzootic nasal granulomas?
fungal granulomas
other than fungal granulomas, what other differentials should be considered for allergic rhinitis & enzootic nasal granulomas?
foreign bodies, respiratory viruses, actinomycosis/actinobacillosis, tumors, o. ovis in small ruminants, or chemical irritants
what is the prevention for allergic rhinitis & enzootic nasal granulomas?
unknown - don’t expose the animal to potential allergens
what is the treatment for allergic rhinitis & enzootic nasal granulomas?
remove the animal from the allergen, block hypersensitivity reaction, antihistamines, & steroids (daily anti-inflammatory doses)
what is the impact on production when treating an animal with steroids for allergic rhinitis & enzootic nasal granulomas?
decreases milk production & potentially induces abortion or parturition
what food animals are more commonly affected by nasal foreign bodies between cattle & small ruminants?
cattle
what is the pathogenesis of nasal foreign bodies?
scratching from irritation of other disease processes or due to bovine aggressive eating habits
what is the prognosis for nasal foreign bodies?
typically good
what is the treatment for nasal foreign bodies?
remove the foreign body & secondary wound care
what are the diagnostics used for nasal foreign bodies?
visual exam of the nasal cavities with a good light source +/- endoscopy for removal
what are some differentials to consider for nasal foreign bodies?
fungal granuloma, allergic rhinitis, tumors, nasal actinomycosis, actinobacillosis, & o. ovis in small ruminants
what are the clinical signs of nasal foreign bodies?
head shaking, sneezing, snorting, frequent nose licking, unilateral airflow obstruction, foul odors, & serous/mucopurulent/hemorrhagic discharge
what is the pathogenesis of nasal trauma/fractures?
trauma to facial/sinus/turbinate bones due to fighting, inappropriate restraint, machinery accidents, malicious humans, & passive of excessively large NG tubes
what are the clinical signs of nasal trauma/fractures?
severe facial swelling, SQ emphysema, airflow obstruction, stertor, epistaxis
secondary infection resulting in foul odors & mucopurulent nasal discharge
what are some differentials to consider for nasal trauma/fractures?
snakebite - head swelling & stertor
actinobacillosis, actinomycosis, & phlegmon (fusobacterium & clostridium spp.)
how is nasal trauma/fractures diagnosed?
radiographs to confirm & determine extent of injury
what is the treatment used for nasal trauma/fractures?
antibiotics - penicillin, to prevent infection/sinusitis
anti-inflammatories
surgery for removal of sequestra of depression fractures that obstruct airflow
what is the prognosis for nasal trauma/fractures?
typically good
how is nasal trauma/fractures prevented?
minimize fighting, appropriate restraint, careful with machinery, & use orogastric tubes or appropriately sized NG tubes
what age of animal is typically affected by tumors/polyps of the nasal cavity?
6-9 year old animals
what are the most commonly reported tumors/polyps of the nasal cavity?
osteomas, osteosarcomas, SCC, neuroblastomas, adenocarcinomas (ethmoid mucosa)
what is the pathogenesis of tumors/polyps of the nasal cavity?
ethmoid carcinomas suspected to have a viral component due to the endemic pattern of some cases - typically unilateral, metastasis to lymph nodes & lungs can occur
what are the clinical signs of tumors/polyps of the nasal cavity?
mixed/inspiratory dyspnea, stridor, nasal discharge, epistaxis, foul breath odors, unilateral airflow obstruction, open-mouth breathing, & facial bone distortion
what are some differentials for tumors/polyps of the nasal cavity?
fungal granulomas, atopic granulomas, foreign bodies, sinusitis, fractures, & nasal actinobacillosis/actinomycosis
what are the diagnostics used for tumors/polyps of the nasal cavity?
imaging & biopsy to determine extent & type & rule out differentials
what is the treatment for tumors/polyps of the nasal cavity?
typically not pursued
what is the breed/sex predilection of tumors/polyps of the nasal cavity of small ruminants?
no breed or sex predilection - typically young adults
what is the pathogenesis of tumors/polyps of the nasal cavity of small ruminants?
lesions typically start as small nodules that become benign, locally expansive tumors that enter the sinuses & erode overlying bone - necrosis & secondary infections may occur leading to associated clinical signs
what are the most common tumors/polyps of the nasal cavity of small ruminants?
adenopapillomas, adenomas, & adenocarcinomas
enzootic nasal adenocarcinoma occurring in sheep & goats is associated with what?
ovine & caprine nasal adenocarcinoma virus
what is the treatment for tumors/polyps of the nasal cavity of small ruminants?
surgical management is an option
what are some differentials for tumors/polyps of the nasal cavity of small ruminants?
nasal fungal/bacterial granuloma, actinobacillosis, actinomycosis, o. ovis, & sinusitis
what diagnostics are used for tumors/polyps of the nasal cavity of small ruminants?
endoscopy & radiology used to establish diagnosis of nasal mass - antemortem punch biopsy/exfoliative cytology usually non-diagnostic
why is PCR used in tumors/polyps of the nasal cavity of small ruminants?
differentiate ovine nasal adenocarcinoma virus, caprine nasal adenocarcinoma, & jaagsiekte sheep retrovirus
multiple animals in a herd affected with clinical signs of tumors/polyps of the nasal cavity of small ruminants is supportive of what disease process?
enzootic nasal adenocarcinoma
what are the clinical signs of tumors/polyps of the nasal cavity of small ruminants?
progressive inspiratory dyspnea, stridor, exercise intolerance, mouth breathing, mucoid/mucopurulent nasal discharge, tachypnea, decreased airflow, facial asymmetry
what is the etiology of oestrus ovis?
parasite of the nasal passages & sinuses of sheep (way more than goats because they are kind of resistant)
typically in warmer climates