Feline Infectious Diseases 2 (Garden) Flashcards

1
Q

Causative agent of FIP?

A

Mutated Feline Coronavirus

= infection is common but clinical disease uncommon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which type of cats does FIP affect and is it serious?

A

Domestic and non-domestic, FATAL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ALternative names for feline coronavirus?

A

used to be further classified into
- feline enteric coronavirus (FECV)
- FIPvirus (FIPV)
but now thought to be biotypes of same virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What type of virus causes FIP?

A
  • enveloped ssRNA virus
  • large
  • easily undergoes mutation
  • two types (1 entirely feline [most common], 2 recombinant with canine coronavirus)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does the feline coronavirus replicate?

A
  • in cytoplasm
  • newly synthed virions steal envelope from membrane of ER and Golgi
  • released by cell lysis or vesicle fusion ith plasma memb
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Is feline coronovirus stable outside the host?

A

NO relatively unstable
- inactivated at room temperature in 24hrs
- 56* in 1h
> unless protected from heat, light and chemicals then can survive weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Is FECV common? How is it transmitted and what are the clinical signs?

A
  • yes present in large population of healthy cats
  • oronasal transmission
  • clinical signs mild/inapparent (VD+ and URT signs)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where does FECV replicate?

A

Enterocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is FIPV?

A

FCoV can mutate -> FIPV

  • infects macrophages causing systemic infection
  • “FIP” = clinical disease syndrome resulting from ineffective immune response
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

4 potential outcomes following FCoV infection?

A
  • Transient infection majority
  • Persistnet infection some
  • FIP minority
  • Resistance to FCoV infection VERY FEW
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Outline pathophysiology of FIP

A
  • immune complexes -> vasculitis, complement activation and excessive cytokine production
  • viral Ag + Antiviral Ab + Complement -> complement fixation -> release of vasoactive amines -> Endothelial cell retration and ^ vascular permeability -> protein rich exudate
  • neutrophils release lusosomal enzymes -?> vessel wall necrosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What type of immune response is needed to clear a FIP infection?

A
  • strong CELL mediated response will be protective
  • partial cell mediated -> Non-effusive dry dz
  • poor cell mediated -> Effusive wet dz
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the clinical signs assoc with FIP?

A

(d/t vasculitis and 2* organ damage, incubation period weeks to months with onset being acute or insidious)
> early signs non-specific
- pyrexia
- innappetance/anorexia, wt loss
- D+
- listlesness
- dehydration
- icterus
> effusive v non-effusive form (some cats mixed)
- majority effusive (Ascites, pleural effusion and dyspnoea, pericardial effusion)
- dry/ granulomatous (pdf eyes, brain and CNS, kidney, liver, localised regions of intestine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How can FIP be dx? Changes on CBC, biochem and peritoneal tap?

A
  • difficult antimortem (esp dry)
  • hx, cs, PE (always include occular fundic exam- uveitis? chorioretinitis?)
    > CBC
  • lymphopaenia
  • neutrophilia and LS
  • mild non-regenerative anaemia
  • may be normal!!
    > biochem
  • hyperglobulinaemia (polyclonal gamma globulin spike, ^ APP, alb:glob ratio peritoneal tap
  • looks normal
  • high protein content (may clot in tube and froth when shaken, >35g/l, at least 50% globulin)
  • cellularity variable (may be
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Other than standard diagnostics, what dxx can be performed to find coronavirus? How efective are these?

A

> IFA and ELISA
- IFA test for anti-FCoV ab titre (FIP virus-infected feilne cell line substrate)
- these do NOT distingush FCoV and FIPV so + result not indicative of FIP. Sometimes - result with FIP d/t problems with testing
CSF
- dry tap or ^ protein/cells
Direct FA and IHC on tissue
q-PCR detects genomic RNA (but can be + in healthy cats)
- New q-PCR for replicating DNA more precise but values not known
a1 acid glycoprotein
- APP from liver, not specific for FIP but can be used alongside other findings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is seen at PME with FIP?

A
  • light plaques on serosal surfaces, adhesions of omentum and mesentry
  • liver, spleen, kidney, omentum and mesenteric LN commonly affected
17
Q

Tx FIP? Px?

A

> Grave Px - tx palliative

  • supportive (abx, fluids SQ, nutrition, rest, thoracocentesis)
  • immune modulators (feline IFNw?)
  • GC ± chlorambucil
  • aspirin? caution dosing in cats
  • oral polyprenyl immunostimulnant?
18
Q

Is there a vax for FIP? Is it effective?

A
  • want vax to give strong cell mediated immune repsonse without Ab response
  • Primucell, Pfizer USA intranasal
    > local immune rsponse with low IgG titres
    > efficacy controversial, but it is safe (no ADE)
19
Q

How can FIP spread be controlled?

A
  • decrease numbers of cats in an area
  • clean litter tray regularly (feaces spread)
  • avoid spread via bowls etc
  • minimise stress
  • avoid introducing infected and noninfected cats