ID (y1/y2) Flashcards
Which 3 common staphylococci species are coagulase +?
S. aureus S. pseudintermedius S. hyicus
Which pathogen is often the underlying cause of pyoderma?
s. pseudintermedius
Which pathogen is often the underlying cause of greasy pig disease?
s. hyicus
Which pathogens are often the underlying cause of bumblefoot?
S. gallinarum/Aureus
What is the underlying pathogen for caseous lymphadenitis?
Corynebacterium pseudotuberculosis
What are the 3 major types of staph infection?
superficial infection toxinoses systemic infection
What are the two mechanisms of horizontal gene transfer in bacteria?
Conjugation (plasmid). Bacteriophage
What are the 6 “S’s” of staphylococcal pathogenesis?
Swim Stick Scavenge Spread Survive Scatter
What is the role of adhesins in osteomyelitis/septic arthritis?
Adhesins allow staph to attach to collagen
Which surface protein aids staph in causing endocarditis?
Clumping Factor
Which surface protein of staphs binds to IgG?
Protein A
What are the 4 mechanisms staph uses to prevent phagocytosis?
Chemotaxis Inhibition Protein Fibrogen-Binding protein (complement c3) Staph Complement Inhibitor (stop complement activation) Staphylokinase (cleaves off bound Ig/C3)
What feature of staphs makes them potent mastitis potentiators?
Capsular Polysaccharides (prevents phagocytosis)
What are the 4 general toxin types produced by staphs?
TSS-1 Enterotoxin Exfoliative toxins Cytolytic toxins
What do the alpha and beta toxins of staphs damage?
Membranes !! esp RBCs
Which staph toxins are responsible for necrotising pneumonia?
Leukocidins
Which gene in MRSA confers resistance?
mecA
How do beta lactam drugs work?
Inhibit penicillin binding proteins and disrupt cell wall
How do we diagnose MRSP/A?
Culture Methicillin-resistant? Coagulase test + genetic testing?
Are mycobacteria Aerobes or Anaerobes?
Aerobes
Describe mycobacterial morphology
Rod Shaped (Bacilli)
Describe staining fo mycobacteria.
Gram + OR Gram - but Acid Fast!
Where does TB replicate?
Host Macrophages
What are the clinical signs of advanced bTB?
cough & intermittent pyrexia
How many days after infection is the tuberculin test positive?
30-50
Which pathogen is responsible for feline leprosy?
Mycobacterium lepraemurium
What are the clinical signs of avian TB?
chronic, prog wasting weakness diarrhoea Decreased egg prod
Which oathogen is responsible for Johnes?
M. Avium Paratuberculosis
How is Johnes transmitted?
Faecal shedding contaminated milk
What is the pathogenesis of M. avium paratuberculosis?
Immune mediated granulomatous thickening of intestinal mucosa –> loss of plasma proteins & nutrient malabsorption
How long is the incubation period for johnes?
2-4y
What are the common Cx of Johnes?
Diarrhoea, weight loss, anorexia
Is salmonella anerobic or aerobic?
Facultative Anaerobe
Describe the gram staining of salmonella
Gram Negative
Describe the morphology of salmonella
Rod
An influx of which immune cell is caused by enteric salmonella infection?
Neutrophils
How does salmonella survive acidic GI conditions?
Surface pumps to remove H+ ions
How does salmonella survive GI flow?
Pili and fimbriae adhere to gut wall
What is the enteropathogenesis of salmonella?
PAMPS bind TLR4/5 –> invasion —> CXC chemokines attract phagocytes –> pathology & immune activation
Inside which cells does salmonella survive?
Macrophages
How does salmonella produce a systemic infection?
infected macrophages travel via lymph to spleen & liver where they replicate
Are clostridia anerobic or aerobic?
Anaerobes
are clostridia gram + or -?
positive
Describe the morphology of clostridia
Rod shaped (spore forming)
Which diseases are caused by clostridium perfringens type A?
Necrotic enteritis (poultry) Gas Gangrene
Which diseases are caused by clostridium perfringens type b?
Lamb dysentry Ovine Enterotoxaemia Bovine/Eq HGE
Which diseases are caused by clostridium perfringens type C?
Piglet necrotic enteritis
Which diseases are caused by clostridium perfringens type D?
Pulpy Kidney Sheep/Goat/Cow enterotoxaemia
Which diseases are caused by clostridium perfringens type E?
Rabbit enterotoxaemia
What are Kochs postulates?
Organism must be… Found in abundance in sick Isolated & grown Causes disease on infection Re-isolated
What is the pathogenesis of the clostridial alpha toxin?
RBC/PLT/Neut lysis
What is the pathogenesis of the clostridial theta toxin?
Vasular injury Leukocyte degeneration Shock
What is the pathogenesis of the clostridial beta toxin?
Dermonecrotic Cytotoxin Inc capillary permeability
What is the pathogenesis of the clostridial epsilon toxin?
inc vasc perm in: intestine, kidney, pericardium, lung, brain
What is the pathogenesis of a clostridium tetani infection?
acutely fatal: spores block inhibitory neurotransmitter in motor neurones
How is C. botulinum most commonly spread?
ingestion (can be via wound)
What is the Cx for c. botulinum?
weak/flaccid paralysis
What is the pathogenesis of a clostridium botulinum infection?
neurotoxin attacks stimulatory motor neurons
What is the Cx for C. tetani?
spastic paralysis
What is the pathogensis of equine grass sickness?
Neurodegenerative disease. Acute presents as colic, Chronic as weight loss.
Which pathogen causes blackleg?
Clostridium Chauvoei
Which pathogen causes malignant oedema?
C. septicum
Which pathogen causes black disease?
C. Novyi Type B
Describe the staining of E. coli.
Gram Negative
What shape are e. coli?
Bacilli
Which pathogen constitutes 90% of healthy intestinal microflora?
E coli
Which organ system is most commonly afected by E coli?
GI tract
What is the pathogenesis of ETEC?
ETEC bind enterotoxins enter cell hypersecretion of electrolytes h2o follows rapid dehydration & shock
What is the pathogenesis of EPEC?
destroys microvilli & becomes firmly attached w/actin
What is the pathogenesis of EHEC?
destroys microvilli. inserts shigatoxins. ST destroy ribosomes. cell death.
What is the pathogenesis of EAEC?
Aggregate and colonise mucosa –> release cytotoxins
What is the pathogenesis of EIEC?
binds with adhesin enters via villi mechanical damage
Which E. coli caused disease is repsonsible for significant broiler mortality at 4-6w?
Colibacillosis (APEC)
What clinical signs are associated with avian colibacillosis?
airsacculitis cellulitis pericarditis perihepatitis respiratory distress
Which E. coli caused disease is repsonsible for significant piglet mortality?
Colibacillosis (ETEC)
What clinical signs are associated with porcine colibacillosis?
profuse watery diarrhoea dehydration acidosis death
Which spirochaete is transmitted to domestic animals through an arachnid vector?
Borrelia burgdorferi (via ixodes)
What are the 3 stages of lyme disease?
- Erythema Migrans (not in domestic spp.) 2. Early disseminated disease 3. Persistent/Chronic disease
What are the clinical signs of lyme disease?
Neurological Shifting Arthritis
How is Lyme disease diagnosed?
Serology
How is lyme disease treated?
Doxycycline or amoxicillin
Which spirochaete is transmitted in the urine od rodents/dogs/deer and ruminants?
Leptospira
Which organs are most severly effected by leptospirosis?
Liver Kidney
What are common clinical signs of leptospirosis?
Jaundice (eye) Vomiting Fever Failure to Eat Reduced Urine Lethargy
How is leptospira detected?
Serology and PCR
How is leptospirosis treated?
Penicillin if bacteraemia Tetracycline/doxy if dog is a carrier +SUPPORT
Are treponemes aerobes or anaerobes?
Anaerobes
Which condition do treponemes cause in the dog?
Oral Infections
Which condition do treponemes cause in cattle/sheep?
Digital Dermatitis
How is treponeme-caused dental disease treated?
Penicillin derivatives - amoxicillin
Which toxin turns red agar green on colonisation? Give an example of a bacteria which produces this.
alpha. Strep Pneumoniae
Which toxin turns red agar yellow on colonisation? Give an example of a bacteria which produces this.
Beta Strep Equi
Which toxin does not haemolyse red agar on colonisation? Give an example of a bacteria which produces this.
Gamma Enterococcus spp.
What are the 3 types of Ab/Ag testing available?
Direct immunofluorescence ELISA Immunochromatography (SNAP)
Which type of hypersensitivity reaction is caused by the tuberculin test?
Type IV
What is the hallmark cytokine of a Th1 response?
IFN gamma
What is sensitivity?
Proportion of true positives
What is specificity?
Proportion of true negatives
Name a 1st Gen cephalosporin
Cephalexin
Name a 2nd Gen cephalosporin
Cefuroxime, Cefoitin
What is special about 3rd and 4th gen cephalosporins in veterinary medicine?
SHOULD BE LAST RESORT: WHO CIA!!
How do aminoglycosides work?
Target ribosomes
How do fluoroquinolones work?
inhibit DNA metabolism
Which antbiotics alter metabolic pathways?
Trimethoprim Sulphonamides
Which flu subtype can jump from birds to humans?
H5N1
Which flu subtype can jump from pigs to humans?
H1N1
Which flu subtype is common in horses?
H3N8
Name the two most common viral respiratory diseases of UK cats
Calicivirus Herpesvirus
What are the signs of feline calicivirus?
Conjunctivitis Oral Ulcers ON discharge Lameness
What are the signs of feline herpesvirus
Lethargy ON discharge Sneezing Salvation Keratitis
When are live vaccines NOT licenced?
Pregnancy
Which vaccine type has a greater association with sarcomas - Live or Killed?
Killed
What are the two biotypes of feline coronaviruses?
FECoV FIPV
How does FIPV occur?
Evolves from FECoV in infected cats
How does Rotavirus cause enteritis
Destroys absorptive enterocytes
Which cells are targeted by parvovirus?
Intestinal crypt Bone Marrow
What are the clinical findings associated parvovirus?
V+ Severe D+ Leucopenia
Describe the morphology and Gram staining of Salmonella.
Bacillus Gram -ve
Is salmonella aerobic or anaerobic?
Facultative anaerobe
Which species of salmonella most commonly affects cats/dogs?
S. typhimurium
How is salmonella transmitted to SAs? (2)
Ingestion - food/water/fomites Direct contact - infected animal/human
What are the clinical signs of a SA salmonella infection?
Malaise: pyrexia/anorexia/V+/D+ Abdominal pain Bacteraemia Abortion/stillbirth
How is salmonella infection of the SA diagnosed?
Isolation from faeces
how is salmonellosis in the dog/cat treated?
Supportive If bacteraemic: ABs! (trimethoprim/sulfonamide or amoxicillin)
Which subspp of campylobacter causes disease in dogs?
C. upsaliensis
How is canine campylobacter diagnosed?
Fresh faeces with special transport/growth media.
How is E coli transmitted in the SA?
NOT! its a commensal
Where does leptospira multiply?
Blood
Which tissues are infected by leptospira?
Liver Kidney Spleen CNS Eyes UGT
How is Ehrlichia Canis spread in dogs?
Rhiphicephalus Sanguiens ticks! ONLY in travelled dogs
Where does E. canis live?
Intracellularly - monocytes
What are 2 common co-infections with E. canis?
Leishmania Babesia
How is an E. Canis infection treated?
Doxycycline
What are common signs of mycobacterial infection in cats?
Cutaneous Nodules Draining sinuses Panniculitis
How is feline mycobacterial infection diagnosed?
Culture
How is feline mycobacterial infection treated?
Rifampicin Clarithromycin Enrofloxacin
Which pathogen is responsible for Feline Infectious Anaemia?
Mycoplasma Haemofelis
What is the pathogenesis of Feline Infectious Anaemia?
M. haemofelis adheres to & damages RBCs. Damages membranes Removes RBCs from spleen/liver
How is Feline Infectious Anaemia transmitted?
via fleas possibly also vertical transmission
What are the clinical signs of Feline Infectious Anaemia?
IF IMM SUPP: Anaemic Splenomegaly Pyrexia Jaundice
How do we diagnose Feline Infectious Anaemia?
Haem: regen anaemia (polychromasia, nucleated RBCs. Smear: Giemsa stain to reveal small dots adherent to RBC
How do we treat Feline Infectious Anaemia?
Oxytet/Doxy for 3w to control Preds to prevent IMHA
Which pathogen causes FIP?
Feline Coronavirus
How are cats infected with FCoV?
faeco-oral transmission in kittens Transplacental too
What are the risk factors for developing FIP?
Large groups Stress Viral Load Poor immune status
What are the two biotypes of FCoV?
FIPV FECoV
Why does FCoV readily cause FIP?
Mutations to FIPV common and RNA virus
Which immune cells are protective against the development of FIP?
Macrophages
What does FCoV infection with partial CMI lead to?
Dry FIP
What does FCoV infection with poor CMI lead to?
Wet FIP
Why can we not develop a vaccine for FIP?
ANTIBODY ENHANCEMENT Pre-existing Ab accelerates disease
Where do feline coronaviruses replicate?
Enterocytes FIPV: also in macrophages
What is the underlying pathology behind FIPV?
Immune complex Dz Causes vasculitis
What is the prognosis for a cat with wet FIP?
Death - fatal Dz
How would a cat with wet FIP present?
fluid accumulation in body cavity Malaise Abdo swelling Jaundice Hepatomegaly Dyspnoea Muffled heart sounds
What is the prognosis for a cat with dry FIP?
Death - fatal Dz
How would a cat with dry FIP present?
Fluctuating unresponsive fever Malaise Variable signs: CNS, eyes, abdo organ failure
How is FIP diagnosed pre-mortem?
COMBO Clinical signs Fluid exam Clin Path FCoV serology
What changes would be noted on haematology of cat with FIP?
Neutrophilia Hyperproteinaemia Inc bilirubin, urea, liver enzymes Alb:glob ratio decreased Lymphopenia Non-regen anaemia
Describe the qualities of FIP fluid.
Viscous Straw Coloured Frothy Clots if standing High protein (G>A)
What test can be done on FIP fluid?
Rivaltas
Which serological test can be done for FCoV?
IFA
What does the rivaltas test do?
Differentiate transudate from exudate. Drop dissipates; transudate (-) Drop sinks: exudate (+)
How should FCoV be controlled in endemically infected households?
Isolate queen 1-2w prepartum Wean kittens early Strictly isolate kittens Check seronegative at 10w old
Which are the two main feline retroviruses?
Feline Leukaemia Virus (oncornavirus) Feline Immunodeficiency Virus (lentivirus)
Describe the genome of a retrovirus.
ssRNA with RTase and Integrase
What are the subtypes of FeLV?
A/B/C A: transmissiable B/C: recombinant of A + endogenous virus
What is the most common infectious cause of death in young cats?
FeLV
What are the 4 main syndromes causes by FeLV?
Neoplasia Immunodeficiency Anaemia Repro failure
What are the routes of infection for FeLV?
Excreted: Saliva, Urine, Faeces, Milk ALSO vertical transmission
Describe the pathogenesis of FeLV
Ingestion Replicates (oropharynx & local LN) 1e Viraemia Replication in other lymph tissues 2e viraemia Persistance & Dz Death
What factors affect the pathogenesis of FeLV?
Viral Load Age (persistence increase w/age) Immune status (Ab protective)
How may FeLV cause oncogenesis?
inserts close to cellular oncogenes May activate proto-oncogene OR disrupt suppressor gene
What are the 4 main types of feline lymphoma?
Mediastinal Multicentric Aimentary Leukaemic
What is a common presentation for feline mediastinal lymphoma?
Young (3yo) Tachy/dys-pnoea Regurgitation and WL Muffled CV sounds
What may be noticed in a plerual aspirate of a cat with mediasitnal lymphoma?
Neoplastic lymphocytes
How is Mediastinal Lymphoma diagnosed?
US. Rx, Biopsy, Cytology
What are the clinical features of multicentric lymphoma?
Peripheral gross lymphadenopathy Mild Anaemia Other organs may be involved i.e. renal failure
What are the clinical features of alimentary lymphoma?
Abdo masses (duodenum-colon common) Anorexia, WL, ?V+/D+, anaemia
How is alimentary lymphoma diagnosed?
radiography or a biopsy
What are the haem/ biochem features of lymphoid leukaemia?
starts in BM so: Raised WBC, anaemia, TCP, dec RBC production
What are the clinical signs of lymphoid leukaemia?
pyrexia, weakness, anorexia
How is lymphoid leukaemia diagnosed?
haematology or BM biopsy
What are the clinical features of myeloid leukaemia?
Anaemia Weight loss TCP petechial haemorrhage
What are the primary causes of FeLV-related anaemia in cats?
red cell aplasia total marrow aplasia non-regen: normocytic, normochromic
What are the secondary causes of FeLV-related anaemia in cats?
space-occupying myeloid tumours in BM REGEN ?mildly haemolytic
Which FeLV subtype most commonly causes non-regen anaemia?
C
When is the FeLV vaccine given?
1st: 8-9w 2nd: 3w later Booster: ?annual - can titre test!
What may help prolong survival of FeLV + cats?
IFN
What complication is the FeLV vaccine associated with?
FISS
How is FIV transmitted?
Biting (most common) Transplacental and milk possible
How does FIV cause disease in cats?
Infects CD4 Tc AND macrophage, kuppfer cell, astrocytes
How long do ctas infected with FIV remain healthy?
3-5y. possibly life.
How can your treat cats with FIV?
AZT - RT inhibitor
What do we look for when testing for FeLV?
Antigen
What do we look for when testing for FIV?
Antibody
What is Feline Panleucopenia?
Feline Parvovirus
What are the targets of the pathogen reponsible for feline panleucopenia? (4)
Villous crypt epithelia –> enteritis BM/lymph –> panleucopenia Neonatal cerebellum –> cerebllar hypoplasia Early pregnancy foetus –> foetal death
what are the clinical signs of feline panleucopenia?
Sudden Death Profuse D+ Pyrexia/Dep/anorexia Panleucopenia Cerebellar hypoplasia
how is feline panleucopenia treated?
IFN Fluid Therapy ABs for 2e infection
How is feline panleucopenia diagnosed?
isolation form faeces PM histopath
How is feline panleucopenia prevented?
Vaccine (live)
What are the 4 main feline enteric viruses?
Rotavirus Coronavirus Astrovirus Torovirus
Which dermatological zoonotic virus may cats have?
Cowpox
Which cats are most affected by cowpox?
Rural Hunting Cats in summer/autumn
How is feline cowpox treated?
Spontaneous recover in 1-3w
Which canine disease is caused by a morbillivirus?
Canine Distemper
How is canine distemper spread?
Oronasal infection
Where does canine distemper replicate?
Respiratory lymphoid tissue Prog to: widespread lymph, BM and spleen
Which systems are infected by canine distemper? (4)
Lymphoid & BM Spleen Epithelium CNS
What are the clinical signs of distemper? (7)
Malaise Oculonasal discharge Cough V+/D+ Conjunctivitis Hyperkeratosis Neurological
how is canine distemper diagnosed?
RT-PCR. Ab/Ag in CSF diagnostic
How is canine distemper treated?
NO CURE! Supportive Tx AB for 2e
How can we prevent canine distemper?
Live vaccine at 8-12w
Which virus causes Canine Infectious Hepatitis?
Canine Adenovirus-1
What are the clinical signs of Canine Adenovirus-2 infection?
Respiratory Dz ONLY
What are the clinical signs of Canine Adenovirus-1 infection?
Systemic Dz and Resp Dz
What is the pathogenesis of Canine Infectious Hepatitis?
Oronasal infection Viraemia Spread to many tissues Localises in liver and vascular endothelium
Where does Canine Infectious Hepatitis persist?
kidneys
What are the clinical signs of Canine Infectious Hepatitis?
dogs <1y Malaise Hepatomegaly Abdo pain Petechiae Haemorrhagic V&D
How is Canine Infectious Hepatitis diagnosed?
Virus isolation from faecal/Oropharynx swab OR serology
How do we treat Canine Infectious Hepatitis?
Supportive Tx ABs for 2e
Which CAV can we vaccinate for?
CAV 2 only! CAV 1 causes corneal oedema
What is the target of canine parvovirus in a dog?
Rapidly dividing cells - intestinal villi
What is the target of canine parvovirus in a puppy/in utero?
Myocardium
What are the clinical signs of canine parvovirus?
<12w GI signs (V+/D+) Malaise Dehydration Sepsis & DIC
How do we diagnose canine parvovirus?
Hx and Cx Viral detection in faeces (ELISA/culture/PCR)
What can be seen on PM gut histology in canine parvovirus?
Intranuclear inclusion bodies in intestinal cells Short/absent villi Lymphoid depletion
How do we treat canine parvovirus?
IVFT AB Anti-emetic IFN
How is canine parvovirus transmitted? (4 Fs)
Fomites, Faeces, Floor and Fur
How long is canine parvovirus shed in faeces?
10-12d
Which bacteria is commonly associated with Kennel cough?
Bordetella Bronchiseptica
Which viruses are commonly associated with Kennel cough? (4)
Canine Parainfluenza CAV 1 & 2 Canine Herpesvirus Canine Distemper
Which is the most common virus isolated from KC cases?
Parainfluenza
What clinical signs would be present with Canine Parainfluenza infection ONLY?
mild cough serous nasal discharge
where does Canine Parainfluenza virus multiply?
RT lypmh/epithelia
Which virus causes fading puppy syndrome in dogs <2w old?
Canine herpesvirus
What are the clinical signs of a bordetella bronchiseptica infection in the dog?
Cough & Sneeze Nasal Discharge Bronchopneumonia
how is bordetella bronchiseptica infection diagnosed?
Nasal swab/BAL/TTW Selective agar (charcoal or cephalexin)
Describe the morphology & gram staining of bordetella bronchiseptica
Gram negative Coccobacillus
What is the incubation period for bordetella bronchiseptica?
6d
What is the treatment for bordetella bronchiseptica?
Systemic Antibacterial Antitussive Bronchodilator Expectorant
Which antimicrobials is bordetella bronchiseptica 100% sensitive to?
Tetracycline Doxycycline Amoxiclav Enrofloxacin
What are to zoonotic risks of bordetella bronchiseptica infection?
Affects pregnant and immunocompromised! SO DOES VACCINE!
Which dogs comonly suffer from nasal aspergillosis?
Young, Dolicocephalic dogs
How is nasal aspergillosis treated?
Systemic/Topical antifungals Surgical removal of affected turbinates
What are the clinical signs of aspergillosis?
Chronic Nasal Discharge Haemorrhage Depigmented nose Pain at muzzle/when eating
Name 4 Ddx of Nasal Aspergillosis.
Nasal tumour Idiopathic rhiniitis FB Trauma
How is nasal aspergillosis diagnosed?
Rx Serology Fungal culture
Which viruses are associated with Cat flu? (2)
Feline Herpesvirus Feline Calicivirus
Which bacteria are associated with Cat flu? (4)
Bordetella Bronchiseptica Chlamydophila Mycoplasma Haemophilus felis
What are the clinical signs of Feline Herpesvirus infection?
Sneezing/coughing Nasal/ocular discharge conjunctivitis Hypersalivation Pyrexia/Lethargy
How long does it take for signs of Feline Herpesvirus to resolve?
10-20d
How is Feline Herpesvirus diagnosed?
OP swab and VTM - Isolation (2w for culture) Also: serology/PCR
What are the clinical signs of Feline Calicivirus infection?
Pyrexia Sneezing/Pneumonia Nasal discharge Oral ulcers Lameness Conjunctivitis
Which virus of cats may cause lameness syndrome?
Calicivirus - shifting lameness with spontaneous resolution
Which virus of cats may cause virulent systemic disease?
Feline Calicivirus
What are the clinical signs of virulent systemic disease in the cat?
Face/Paw oedema Face/Paw Necrosis & ulcers Resp Dz Haemorrhage (nose/faeces) Jaundice
How are feline respiratory viruses spread?
cat-cat contact via discharge also via fomites/environment
How does the carrier status differ in Feline herpesvirus and calicivirus?
HV: latent and reactivates. 100% carriers. Calicivirus: Persistent infection
What are the clincial signs of B. bronchiseptica infection in the cat?
Pyrexia Sneeze/Cough Nasal Discharge Dyspnoea SM lymphadenopathy
How does B. bronchiseptica cause Dz in the cat?
Causes ciliary stasis
Which cells does Leishmania survive in?
Macrophages
What type of immune response is protective against leishmania?
Th1 (CMI)
What are the 3 main clinical signs of leishmania?
Lymphadenopathy
Scaling/excoriative dermatitis
Weight loss
What age do dogs suffer worst from leishmania?
<3yo and >8yo
What can be seen on cytology from the BM/LN of Leishmania + dog?
Promastigotes in macrophages
Which 2 treatments are often given to Leishmania + dogs?
Meglumine Antimoniate (inhibits leishmania glycolysis)
Allopurinol (inhibits Leish synthesis of purine)
What are the 4 clinical stages of leishmania?
A: Exposed
B: Infected
C: Unwell
D: Severly sick
Which products are used to prevent leishmaniasis?
Synthetic Pyrethroids - stop sandflies
Domperidone - skew to Th1-like immune response
What is the infectious stage of leishmania?
Promastigote
Apart from sandflies, how is leishmania transmitted?
Transplacental
Blood Transfusion
When is treatment initiated for leishmania?
Positive serology/cytology
AND
Clinical Signs
Which Ehrlichia species causes Canine Monocytic Ehrlichiosis?
E. Canis
What si the vector for E. canis?
Rhiphicephalus Sanguiens
What does Chronic Ehrlichiosis lead to?
Pancytopenia (due to BM hypoplasia)
How is active infection of E. canis confirmed?
PCR
What is the Tx of choice for E. canis infection?
Doxycycline
What are the clinical sigsn of acute infection with E. canis?
Lethargy/inappetance/polyarthritis
Lymphadenopathy and splenomegaly
EYES: uveitis, retinal haemorrhage, retinal detachment
SKIN: cutaneous petechiae/ecchymoses
Neurological signs
What lab abnormalities are seen on CBC, Biochem and urinalysis in E canis?
CBC: TCP, Non-regen anaemia, pancytopenia
BIO:Low Alb:Glob ratio, Inc ALT/ALP
Urine:Proteinuria, inc UPCR
If Doxycycline doesn’t successfully treat E canis - what should be given?
Imidocarb diproprionate, enrofloxacin
How is E canis infection prevented?
Pyrethroids or Permethrin
Early removal of ticks
Which species of babesiosis is associated with dog fighting?
B. gibsoni
What are the main 3 clinical signs of babesiosis?
Fever
Haemolytic Anaemia (+hypoxia)
Splenomegaly - TCP
Which cats are most predisposed to B felis infection?
Young cats
What is the best Tx for Large babesia?
Imidocarb diproprionate
What is the best Tx for feline babesiosis?
Primaquine Phosphate