Infectious Diseases (1-7) Flashcards
list 5 risks of vaccinations in cats
- anaphylaxis, local reaction
- lameness
- CKD
- signs of flu
- Feline Injection Site Sarcomas (FISS)
name the 3 core vaccines for cats in the UK
- Feline parvovirus (FPV)
- Feline Calicivirus (FCV)
- Feline Herpes Virus (FHV-1; Feline Rhinotracheitis Virus)
What feline vaccine used to be non-core but is becoming a core vaccine this year (2024)?
Feline Leukemia Virus (FeLV)
list 3 non-core vaccines for cats
- Chlamydia felis
- Bordetella bronchiseptica
- Feline Immunodeficiency Virus; FIV
when should core vaccines be given to kittens?
8 weeks, 12 weeks, and 16 weeks
in what cases should kittens be vaccinated earlier? (<4 weeks old)
colostrum-deprived kittens
if maternally derived antibodies (MDA) are strong, then when should the kiten be vaccinated
at 16+ weeks
what proportion of kittens will fail to respond to vaccines at 16 weeks
1/3
when should the ‘first booster’ of core vaccines be given
6 months (or test serology)
what is a major risk of B. bronchiseptica (bordatella) vaccine?
IN vaccine can infect immunocompromised humans in the household
what age should Rabies vaccine first be given to kittens
12 weeks (1 dose)
how many doses and when should C. felis vaccine be given to kittens
2 doses; 8 & 12 weeks
how many doses and when should B. bronchiseptica (bordatella) vaccine be given to kittens
1 dose, from 4 weeks
how many doses and when should FeLV vaccine be given to kittens
2 doses; 8 & 12 weeks
how many doses of FPV MLV are needed to induce adequate levels of VN antibodies in adult cats with lapsed or unknown vaccine history
1 dose
how many doses of FCV/FHV-1 vaccine are needed to induce adequate levels of VN antibodies in adult cats with lapsed or unknown vaccine history
1-2 doses (q2-4 weeks) depending on risk exposure
how many doses of FeLV vaccine are needed to induce adequate levels of VN antibodies in adult cats with lapsed or unknown vaccine history
2 doses q2-4 weeks
how many doses of C. felis vaccine are needed to induce adequate levels of VN antibodies in adult cats with lapsed or unknown vaccine history
2 doses q2-4 weeks
what type of vaccine gives better protection for FHV-1?
(dead FVRCP SQ or live MLV FVRCP SQ?)
dead vaccines
when should FPV vaccines be boostered in cats?
every 3 years from 6-12 months
(every year if >15 y/o)
when should FCV / FHV-1 vaccines be boostered in cats?
every 1-3 years depending on vaccine and risk
when should cats be given the first booster for non-core vaccines
at 12 months
when should C. felis and B. bronchiseptica (bordatella) vaccines be boostered in cats?
every year OR 5-7 days prior to anticipated exposure
when should FeLV vaccines be boostered in cats?
every 1-3 years
(1st at 1y)
when should Rabies vaccines be boostered in cats?
every 3 years
where should the rabies vaccine be given in cats
R hind
where should the FeLV vaccine be given in cats
L hind
where should the core vaccines be given in cats
forelimb
name 4 ways that feline parvovirus (feline panleukemia virus) can be tramitted
- oro-fecal transmission
- direct contact
- environmental contamination
- Fomites
name the 3 clinical signs if a cat is infected with FPV during early to mid-gestation
- fetal death
- resorption
- abortion
name some (5) clinical signs of the kitten if infected with FPV during late gestation
- profound immuno-suppression
- thymic atrophy
- Cerebellar hypoplasia
- retinal dysplasia (blindness)
- deafness, seizures
4 ways to diagnose FPV in a cat?
- clinical signs/profound panleukopenia
- CPV antigen test
- serology
- virus isolation from PM tissue, feces
name 4 important aspects of supportive care for a kitten/cat with FPV
- fluid therapy
- broad spectrum antibiotics
- anti-emetics
- analgesia
what treatment drug can be given to a cat with FPV?
Feline Interferon omega (Virbagen)
aka Haemoplasmosis;
caused by Mycoplasma haemofelis, M. turicensis, M. haemominutum;
associated with FeLV;
transmission via biting
Feline Infectious Anaemia (FIA)
what is the ideal treatment for FIA (Feline Infectious Anaemia)?
Pradofloxacin (Fluoroquinolones)
what is the prevalence of FeLV and/or FIV in healthy cats?
1-5%
what is the prevalence of FeLV and/or FIV in sick cats
15%
how is FIV and FeLV most commonly spread?
biting
how many cases of FIV eventually develop progressive infection?
ALL OF THEM
What are the 3 possible outcomes and probabilities of an FeLV infection
- 30% progressive infection
- 30% regressive infection (latency)
- 30% abortive infection
what is the life expectancy for a cat with a progressive FeLV infection
dead within 4 years
what is the cutoff time for FeLV to be considered transient vs. persistant
12 weeks
name 4 factors that are important in determining the outcome of an FeLV infection
- age
- dose of virus
- breed/inherent susceptibility
- acquired immunity
name 3 common diseases related to FeLV infections
- immunosuppression (50%)
- anaemia (25%)
- neoplastic diseases (5-15%)
what is the most important Point of Care Test (POCT) for diagnosing FeLV
ELISA
what is the most important confirmatory test for diagnosis of FeLV
quantitative qRT-PCR
if FeLV prevalence = 2%
and the test specificity = 99%
what percent of positive results will be false positives?
33%
(2 true positives & 1 false positive)
name 3 causes of false positive test results for FIV
- maternal Ab in colostrum
- vaccination
- technical error
what test should always be done to confirm FIV postitive or negative results
RT-PCR!
name 2 causes of a false negative test result for FIV
- 10-20% cases are negative for antibody but positive on VI/PCR
- technical error
what is the prognosis for FeLV
guarded, poor
(50% dead within 6 months)
what type of antibiotics should be used to treat FeLV/FIV related illness
bacteriocidal (high dose, longer course)
(treat aggressively)
list some clinical signs of acute cat flu (10 total)
- conjunctivitis
- ocular discharge
- sneezing
- nasal discharge
- ulceration (tongue/mouth)
- excessive salivation
- inappetance
- cough
- depression
- fever
name the two main causes of cat flu
- Feline Herpes Virus type 1 (FHV-1)
- Feline Calicivirus (FCV)
This virus has a single serotype and consistent pathogenicity that is readily destroyed outside the host;
Up to 80% of recovered cats may become viral carriers and excrete virus under stress, concurrent disease or following the use of corticosteroids
FHV-1
This virus has many strains with variable virulence and pathogenicity that is more resistant within the environment and to disinfection;
All affected cats shed this virus for variable periods after resolution of the clinical signs
FCV
This is a Gram-negative coccobacillus that can act as a respiratory pathogen in many species, including pigs, dogs, cats and humans (particularly when immuno-compromised);
It can cross species and has potential zoonotic risk;
Affected cats may remain persistently infected and shed bacteria
Bordetella bronchiseptica
These are bacteria without classical cell walls;
there is increasing evidence that a
number of them are important in causing/exacerbating cat flu & pneumonia.
Mycoplasma spp.
This bacteria has a special predilection for the conjunctiva;
It is an obligate intracellular bacterium;
Affected cats may remain persistently infected and shed bacteria
Chlamydia felis
what sample should be taken for isolation & culture or PCR to diagnose cat flu
eye & pharynx swab
what is the treatment for cats with cat flu?
(4 parts)
- Antibiotics/antivirals
- immune stimulants
- nursing care
- fluid support
how long does FHV-1 survive in the environment
< 24 h
how long does FCV survive in the environment
9-10 days
(up to 28 days)
what is the carrier status for cats infected with FHV-1
80% lifelong carriers but intermittent shedders
what is the carrier status for cats infected with FCV
100% shedding at 30 days,
50% at 75 days,
10-25% long-term
what is the management for cat flu / how to help prevent it spreading
(9 ways to manage)
- decr. stocking density
- decr. group size
- incr. air flow
- sneeze barriers
- disinfection
- quarantine
- isolation kittening and weaning
- stop breeding
- vaccination
what drugs should NOT be used to treat cat flu
corticosteroids
name some clinical signs of VS-FCV (virulent systemic feline calicivirus)
(10 total)
- anorexia, lethargy, depression
- pyrexia
- subcutaneous oedema/ulcerative dermatitis
- mouth ulcers
- nasal discharge
- respiratory distress
- ocular discharge
- jaundice
- GI signs
- coagulopathy/systemic vasculitis (DIC)
how to handle all suspicious cases of VS-FCV (virulent systemic feline calicivirus)
(4 things)
- strict hygeine & quarantine
- ideally NOT in the vet practice
- isolation until stopped shedding
- trace all in-contact cats & quarantine all potential cases
what is the cause of Feline Infectious Peritonitis (FIP)
Feline Coronaviruses (FCoV)
(FIPV)
which type of Feline Coronaviruses (FCoV) cause little or no signs of ill-health
Feline Enteric Coronaviruses (FECV)
which type of Feline Coronaviruses (FCoV) can cause FIP
Feline Infectious Peritonitis Viruses (FIPV)
what is the pathogenesis for FIPV
(5 steps)
- oral infection
- replication in pharynx & intestines
- lives in enterocytes
- systemic infection (immune response)
- widespread dissemination of virus
what age of cats is the most susceptible to FCoV infections causing FIP
< 2 years
name 3 clinical features/signs of wet FIP
- inflammation of blood vessels
- accumulation of high protein fluid in body cavities
- ascites, pleural or pericardial effusions
which type of FIP tends to be acute and rapidly progressive?
wet FIP
which type of FIP tends to be more chronic, vague & insidious?
dry FIP
what is the diagnostic test for FIP?
there is NO simple diagnostic test
(diagnosis is challenging)
name 4 fluid analysis tests of ascites/pleural fluid that confirm FIP
- Immunocytochemistry (ICC)
- Immunohistochemistry (IHC)
- Quantitative RT-PCR (qRT-PCR)
- Spike RT-PCR (Idexx)
what is currently the most successful treatment for FIP
GS-441524 / Remdesivir (prodrug; GS-5734)
Name 3 other treatments for FIP (besides GD-441524 & Remdesivir) that have had limited success (10-30%)
- Polyprenyl immuno-stimulant (dry FIP)
- Mefloquine
- 3C-like protease inhibitor, GC376
what is the major source of FCoV?
infected healthy carrier cats
name 5 ways to control FIP
- decr. stress, low disease state
- separate cats into sero-pos and neg groups
- close cattery for 6 months
- stop breeding for 6 months
- IN vaccine (not great protection)
name two examples of lunworm affecting cats in the UK
- Aelurostrongylus abtrusus
- Eucoleus aerophilus
name 3 ways to diagnose lung worm in a cat
- faecal exam (Baermann)
- PCR
- Throat swab/bronchoalveolar lavage (BAL)