Exam 3 Flashcards
Basics & Clinical Features of Arboviruses
- Arthropod borne viruses
- usually RNA = mutation
Clinical Features
o Fever, encephalitis, hemorrhagic and reproductive diseases
o disease is typically seasonal
Defining Features
o Vector: usually a blood-feeding arthropod ->
o A well-adapted vertebrate reservoir host (enzootic host) ->
o Occasional spillover into epizootic hosts (diseased animals)
Arthropod Vectors of Arboviruses
o Mosquitos, ticks, etc
o Virus replicates & persists in
o Required for virus to exist in nature
Enzootic Hosts of Arboviruses
o Birds or small mammals
o Well adapted reservoir
o Non clinical or long survival w/ high viremia
o Must have many naïve & susceptible animals
Epizootic Hosts of Arboviruses
o Humans or domestic animals (horses) o “accidental” or “incidental” hosts o less well-adapted to virus = disease o Do not typically have persistent infections o Usually lower viremias o Frequently dead-end hosts
Enzootic Cycle for Arboviruses
o Virus is maintained in well- adapted vertebrate hosts (often birds or small mammals) ->
o Virus is transmitted between hosts by a blood-feeding arthropod vector ->
o Virus replicates in the vector, and is required = biologic vector
o Typically NO disease in enzootic host
Triggers for Epizootic Outbreaks
o Increased number of susceptible reservoirs o Increased number of vectors o Vector feeding habits o Change in vector distribution o Enzootic habitat invasion o Change in viral virulence o Human interventions o Increased vector/susceptible host interaction
Important Arboviruses in Vet Med
Eastern/Western/Venezuelan Equine Encephalitis
• encephalitis
West Nile Virus
• encephalitis
Bluetongue Virus
• Endothelial hemorrhage & infarction
Equine Encephalitis Viruses Basics
- arboviruses
- EEV, WEV, VEV, WNV
- 20-100% mortality
- Eastern is most virulent
- Venezuelan is the only transmitted btwn horse & human
Pathophysiology of Systemic Disease in Equine Encephalitus Viruses
- Initial replication in dendritic cells and regional lymph node (near bite) = primary viremia ->
- Amplification in central depot/amplifying organs = secondary viremia ->
- seeds target organs = disease
- Target organ (brain) is usually not source for shedding.
- Portal of exit = blood
Clinical Signs of Equine Encephalitis Virus
Most common febrile illness
o Fever & malaise w/ or w/o infection of target organs
o Due to cytokines
Encephalitis
o Virus enters the brain
o Virus replicates in the brain/spinal cord
o CNS signs = virus usually not in blood or other tissue
Why has West Nile Spread so Quickly?
- > 40 species of mosquito vectors
- presence of suitable naive reservoir hosts
- Many susceptible naïve epizootic hosts
- Suitable environment
Clinical Features of West Nile
Subclinical
o 90% of cases
Infection w/o CNS Dz
o 9% of infections
o fever, non - specific “flu -like” clinical signs
o Most not brought to attention of the veterinarian
CNS Dz
o 1% of infections
o most severe in brainstem and spinal cord
o Ataxia, Hyperesthesia, Muscle tremors, Depression, Rarely seizures, Behavioral changes, Fever, Death in 33%
Diagnosis of West Nile
- CSF: mononuclear pleocytosis, normal to increased protein
- Titer for anti WNV IgM antibody by ELISA
- Post mortem - detect virus in CNS by isolation, PCR, IHC
Control & Prevention of West Nile
Control
o Eliminate mosquito breeding sites (i.e. standing water)
o Control mosquito larvae
o Reduce exposure to biting mosquitos
Prevention o Killed virus vaccine, o DNA vaccines, o recombinant vaccine o all require annual boosters
Orbiviruses
- Bluetongue Virus (BTV)
- Epizootic Hemorrhagic Disease Virus (EHDV)
- African Horse Sickness (AHS)
- Non-enveloped
- RNA,
- segmented genome (prone to reassortment)
- transmitted by Biting Midge
Bluetongue Virus Tropisms
MACROPHAGES
• TNF and other vasoactive mediators -> increased vascular permeability -> EDEMA
ENDOTHELIAL CELLS
• direct injury -> thrombosis, infarction, and hemorrhage
Bluetongue Virus Clinical Syndromes
Vasculitic/Hemorrhagic Disease
• Sheep and wild ungulates/deer
• greatest clinical importance
Reproductive Disease • Cattle • Abortion and reproductive failure • Hydranencephaly in offspring • mostly economically importance
Bluetongue Virus Diagnosis
o Symptoms in sheep
For cows
• PCR & Virus isolation from blood during viremic stage or tissues at post -mortem
• Serology of VP7 (inner capsid) & VP2 (outer capsid)
Bluetongue Virus Management
o Indoor housing during peak vector activity
Vaccination
• Modified -live vaccine available in California
• CAUTION: Use during vector season not recommended, may reassort with field virus
• PROBLEM: No/little cross -protection with other serotypes
Basics of Reproductive Viruses, ideal samples for diagnosis
o Most viral infections of the dam DO NOT cause abortion from fetal infection
o Teratogenic viruses = Developmental abnormalities
o Ex: Flaviviridae & Arteriviridae
Ideal sample for diagnosis
o Fetus
o Placenta
o Dam serum
Basics of Bovine Viral Diarrhea Virus (BVD)
o Flaviviridae = pestivirus
o Enveloped
o (+) RNA
o non-segmented
o mostly cattle but also sheep, goats, pigs, ruminats
o affects repro, GI, respiratory, neuro
o immunosuppression & secondary infections
2 Biotypes & 2 Genotypes of Bovine Viral Diarrhea Virus
2 Biotypes • Non-cytopathic • 90% of BVD • establish persistent infection • Cytopathic • No persistent infection
2 Genotypes
• type 1 & 2
• Both contain cytopathic and non biotypes
• Based on genetic differences in the viral genome
• BVDV-2 associated w/ severe hemorrhagic disease
Pathogenesis of Transient (acute) Bovine Viral Diarrhea Virus infection in non-fetus
- Tonsil & lymph node replication ->
- Enters circulation & transported to lymph & subepithelial tissues of GI & skin ->
- Spreads to epithelial cells ->
- Lymphoid & epithelial necrosis ->
- Shed in bodily fluids ->
- Seroconversion & immunity
3 Outcomes of Transient (acute) Bovine Viral Diarrhea Virus infection in non-fetus
Mild
• Mild erosions of mucuous mebranes
Viral Induced Immunosuppression • Damage to lymphoid tissue • Lymphopenia and neutropenia • Opportunistic infections • Compenent of bovine respiratory dz complex
Peracute BVDV & hemorrhagic syndrome
• some BVDV-2 strains
• High morbidity and mortality in all age groups
• Sudden fever, death, diarrhea and pneumonia
• Thrombocytopenia, neutropenia, myeloid
• Highly fatal (death in 48 hrs)
Transient (acute) infections of BVD in reproduction
- Seronegative pre-breeding or early bred cows
- Compromised ovarian function
Transplacenta infection
• fetal infection leading to persistently infected (PI) calves
Non Cytopathic BVD & Transplacental BVDV Infection
Early gestation (0-45 days) • Abort/embryonic death
Early-mid gestation (45-125 days)
• immunotolerance
• persistent infection
Mid-late gestation (125-175 days)
• Congenital abnormalities
(microphthalmia, cataracts)
• Or normal
Late gestation (175 days to term) • Normal
Immunotolerence due to BVD & Outcomes
- Recognize virus as “self”
- high viral load (Ag positive) but no measurable specific Ab response
- PI cows give birth to PI calves (100% vertical transmission)
Outcomes
• weak and succumbs to disease by 1 year of life
• normal, grows and has babies
• death within hours/days
Character of PI Calves
- Clinically small/unthrifty or normal
- More susceptible to other diseases
- constant source of virus
- susceptible to fatal mucosal disease
Mucosal Dz associated w/ BVD
- Only affects PI animals
- Uncommon and typically 6-12 months of age
- Superinfection with CP-BVDV Or
- NCP-BVDV viral mutation (common)
- HIGH mortality rate (almost 100%) w/in 2 weeks
Transmission of BVD
- active for days- wks under ideal conditions
- Biologic AI material derived from PI animal
- Breeding
- Fomites or iatrogenic
- Introducing new PI animal
- Aerosol transfer from neighbor farm
Transient infection
• Shedding for 1-2 wks
Persistent infection
• Shedding for life
Control of BVD
- Biosecurity
- Elimination of PIs
Vaccination
• Prevention of acute disease
• Prevention of reproductive losses
• Prevention of creating PIs