Infectious diseases cram Flashcards
Category A
The U.S. public health system and primary healthcare providers must be prepared to address various biological agents, including pathogens that are rarely seen in the United States. High-priority agents include organisms that pose a risk to national security because they
can be easily disseminated or transmitted from person to person;
result in high mortality rates and have the potential for major public health impact;
might cause public panic and social disruption; and
require special action for public health preparedness.
Agents/Diseases Anthrax (Bacillus anthracis) Botulism (Clostridium botulinum toxin) Plague (Yersinia pestis) Smallpox (variola major) Tularemia (Francisella tularensis) Viral hemorrhagic fevers (filoviruses [e.g., Ebola, Marburg] and arenaviruses [e.g., Lassa, Machupo])
Category B
Second highest priority agents include those that
are moderately easy to disseminate;
result in moderate morbidity rates and low mortality rates; and
require specific enhancements of CDC’s diagnostic capacity and enhanced disease surveillance.
Agents/Diseases
Brucellosis (Brucella species)
Epsilon toxin of Clostridium perfringens
Food safety threats (e.g., Salmonella species, Escherichia coli O157:H7, Shigella)
Glanders (Burkholderia mallei)
Melioidosis (Burkholderia pseudomallei)
Psittacosis (Chlamydia psittaci)
Q fever (Coxiella burnetii)
Ricin toxin from Ricinus communis (castor beans)
Staphylococcal enterotoxin B
Typhus fever (Rickettsia prowazekii)
Viral encephalitis (alphaviruses [e.g., Venezuelan equine encephalitis, eastern equine encephalitis, western equine encephalitis])
Water safety threats (e.g., Vibrio cholerae, Cryptosporidium parvum)
Category C
Third highest priority agents include emerging pathogens that could be engineered for mass dissemination in the future because of
availability;
ease of production and dissemination; and
potential for high morbidity and mortality rates and major health impact.
Agents
Emerging infectious diseases such as Nipah virus and hantavirus
Review of Transboundary Animal Diseases (AKA Foreign Animal Diseases) – Feb 2012
African Horse Sickness
infectious, not contagious insect transmitted
High mortality 70-95%
clinical signs characterized by edema of subqu, intermuscular, and lung tissue
genus Orbivirus, family Reoviridae (similar to blue tongue)
horses most susceptible, mules less so
donkeys, zebras very resistant, very important reservoir
dogs can contact fatal form if eat infected horse carcass
humans can be infected with field strains, has been reported to cause encephalitis and retinitis
transmitted biologically by midges (culicoides), not sure if US species of culicoides can transmit,
minor role of transmission by biting flies
peracute form-pulmonary, sudden respiratory death, frothy nasal discharge
Cardiac form-supraorbital edema due to heart failure
mixed form and horse sickness (mildest form, febrile, overlooked in outbreaks)
if recover life long immunity
post mortem-most suggestive clinical sign is edema around the nucal ligament (only other disease in horses that causes this is botulism)
Vaccine available,
usually introduced via a viremic asymptomatic donkey or zebra, why minimum 60 day quarantine
control-vector control (stabling, insecticides), test and slaughter, or vaccination
Akabane
infectious disease of bovine, caprine, ovine fetuses (interuterine infection)
transmitted by culicoides and mosquitoes
adults not affected clinically
arbovirus, genus Orthobunyavirus family bunyaviridae
no illness in humans
calves affected third trimester
sheep/goats 28-50 days gestation
causes still births, dummy babies, arthrogryposis, hydranencephaly, parturition problems due
to joint problems
vaccine available (inactivated and live attenuated), main way to control
Avian Flu
negative sense single strand RNA
orthomyxoviridae (16 H and 9 N)
aquatic wild species usually responsible for introduction to poultry
large amounts virus shed in feces and respiratory secretions
asymptomatic to decreased egg production/misshapen soft eggs to respiratory disease (swollen
sinuses, matted eyelids, nasal discharge to sudden death)
control best with eradication = inclusion/exclusion biosecurity; diagnostics/surveillance;
elimination of infected animals; increase host resistance; education of personnel in AI control
problems with vaccination=must match vaccine and subtype circulating; must be injected; and identification of infected animals in vaccinated population requires special procedures
http://www.aphis.usda.gov/newsroom/hot_issues/avian_influenza/avian_influenza.shtml
Babesiosis (Piroplasmosis, tick fever, redwater)
protozoan intra erthrocytic tick born parasite
characterized by intracellular hemolysis
host specific
bovine=bigemia and bovis transmitted by Boophilus ticks
equine=caballi and equi (theileria equi)
can be transmitted by veterinary instruments
clinical signs of anemia, hemoglobinuria (not horses)
control=tick control, vaccination, chemophophy, chemotherapy (imidocarb)
Blue Tongue
acute insect transmitted noncontagious disease
Orbivirus, reoviridae
transmitted by Culicoides
fever, hyperemia of mm, salivation, edema of head, foot lesions (hemorrhages at coronary bands)
the large African carnivores can be infected
post mortem lesions consistent with vascular injury
prevent/control=complicated, not contagious, transmitted by insects
vaccine for prevention of outbreaks and to control incursions of virus, but cause fetal infection and teratogenesis
Borna Virus
progressive menigopolioencephalitis
single stranded RNA virus
family bornaviridae
equine, cattle, goats, rabbits in Germany, Austria, Switzerland
possible cause of psychiatric disease in humans
unknown transmission, wild rodents most likely natural reservoir
low incidence
clinical signs correlate to inflammation of the brain=alterations in behavior, eating arrests with
chewing movements (pipe smoking)
immune mediate disease, no treatment, have tried amatadine sulfate
Bovine Ephemeral Fever
Non contagious arthropod borne viral disease of cattle and water buffalo
single stranded RNA virus, family Rhabdoviridae
no threat t humans
transmission by arthropods not demonstrated, but circumstantial evidence for arthropods
overwhelming (mosquitoes, culicoides)
mortality low
clinical signs progress as follows: fever = lameness, stiffness, mucoid nasal discharge,
periorbital/submandibular edema, sternal recumbancy = recovery = sequelae (abortion,
paralysis)
worse recovery in lactating cows, bulls in good shape, fat steers
if recover immune for life
vaccines available, need booster annually
treatable with anti-inflammatory meds, can also treat the hypocalcemia and dehydration
vaccination only useful preventable measure
BSE
chronic non-febrile neurodegenerative disease of CNS
- scrapie in sheep/goats; chronic wasting in elk, deer, moose; FSE cats; TME mink
- misfolded prion protein
- BSE absence of horizontal transmission (not the case with CWD)
- transmitted via contaminated feed stuffs (contain CNS material of infected animals)
- not sure if spontaneous BSE can occur
- limited involvement of Peyers Patch
- hyperreactivity and aggression
- current firewall plan: feed ban, import controls, and surveillance
Capripoxviruses
-contains sheep pox, goat pox, lumpy skin
-sheep/goats pox affect all breeds of domestic and wild sheep and goats
-clinical signs=fever, macules/papules, and necrotic lesions in skin (bovine=nodules on skin, mm, internal organs)
-orthopoxviruses
-doesn’t affect people
-aerosol transmission in close contact
-acute disease is death
-epi of sheep/goat pox similar to epi of human small pox, most transmission occurs from
severely infected individuals during stages when ulcerated papules are present (no transmission
during prepapular stage)
-lumpy skin of cows=predominantly spread by insects, mechanical transmissions
-if recover live long immunity
-vaccines available
-prevent in endemic areas by vaccine, prevention in free countries by prohibiting importation of
live sheep, goats, cattle
Contagious Agalactia
-mycoplasma agalactia
-goats more susceptible than sheep
-spreads by ingestion of feed, water, or milk contaminated with the organism
-mastitis then fibrosis, polyarthritis (especially carpus/tarsus); keratoconjunctivitis in 50%)
-vaccine available but can be shed in milk and prevents clinical disease but not
infection/shedding of virulent organism
-prevent via good sanitation and prevent introduction of infected animals
-early AB therapy prognosis is good (not if arthritis or keratoconjunctivitis)
-eradication with slaughter of all infected
Contagious Bovine Pleuropneumonia
- mycoplasma mycoides
- cattle, buffalo
- spread by inhalation of droplets from infected coughing animals
- coughing, thoracic pain, increased RR
- unilateral lung involvement
- recovered animals not susceptible to reinfection
- prevention/control=remove susceptible animals; outbreak test, slaughter, quarantine
- treatment not recommended
- vaccine available can cause sloughing reaction
Contagious Caprine Pleuropneumonia
- acute highly contagious
- mycoplasma capriolum
- principle lesion=fibrinous pleuropneumonia with massive lung consolidation
- transmitted through direct contact with infective aerosols
- clinical signs limited to respiratory tract
- early treatment is effective
- vaccines varying success
- control/prevention=import restriction, remove infected animals
Contagious Equine Metritis
Highly contagious venereal disease
Taylorella equigenitalis
susceptible to common disinfectants
clinical signs=mare short cycle, mucopurulent discharge (if carry foal they can be come carriers)
no vaccine
natural clearance, but takes several months
can cure horse with disinfectants and antibiotics
Dourine
- trypanosoma equiperdum
- transmitted by coitus in horses, donkeys, mules
- donkeys are asymptomatic carriers
- similar to syphilis
- can be intermittently infective
- mare can carry foals which are infected in utero or via infected milk
- course of the disease very long (years), usually fatal from nervous system involvement
- variable edema of genital organs
- pathognomonic clinical signs are circular cutaneous plaques (silver dollar plaques)
- nervous disorders after edema, progressive weakness, incoordination, and paralysis
- treatment not recommended, can continue to spread
- control=test and eradication
Duck Viral Hepatitis
- highly contagious, fatal disease of young ducklings (esp Peking <3 weeks old)
- characterized by liver hemorrhages
- picornavirus, RNA very resistant to physical and chemical agents
- transmitted via direct contact and oral/respiratory (no vertical egg transmission)
- mortality up to 100% in <3 week old ducklings
- spasmodic contractions of legs, head drawn backward
- if recover immune, can immunize parentally or egg yolk
- prevention/control=good biosecurity and control with immunizations
East Coast Fever
- bovine theileriosis
- tick transmitted-Rhipecephalus (3 host ticks, no transovarian transmission)
- theileria parva
- characterized by high fever and lymphadenopathy
- cattle and water buffalo affected
- reservoirs are African buffalo and waterbucks
- first clinical sign usually draining lymph node (parotid)
- treatment involves oxytetracycline and vaccines
- control with vaccines and treat with chemical acaricides
Epizootic Lymphangitis
-infectious granulomatous disease of skin, lymph vessesl, and lymph nodes of neck and legs of
Horses
-not spread animal to animal
-histoplasma capsulatium – in tissue yeast, in environment mycelia
-limited to horses, donkeys and occasionally mules
-introduced via open wounds, transmission can occur via flies
-usually initial lesion is painless, cutaneous nodule, infection spreads along lymph vessels
causing cord lesions
-can treat with IV Na Iodide, K Iodide, surgical excision
-some places treatment not permitted=euthanasia
Equine Encephalosis
- equine encephalosis virus (orbivirus, reoviridae)
- transmitted by Culicoides
- only disease of horses (zebras might be reservoir)
- can be subclinical = fever, congestion of mm, and occ neuro dysfunction
- no vaccine, no treatment
- preventing contact with Culicoides most effective
African Swine Fever
-asfivirus, double stranded DNA
-hosts are swine wild and domestic (peccaries and wart hogs are resistant, how maintained in
the environment)
-transmitted by ticks – Ornithodoros (soft ticks) and direct contact
-highly stable, resistant to heat, putrefaction, and high/low pH
-can last 15 years in frozen carcasses, 6 months in cured hams
-peracute, acute, chronic, and inapparent
-sudden death to fever, recumbancy, cyanosis of skin, vomiting, hemorrhagic enteritis, abortions
-chronic skin ulceration with necrosis, weight loss, int fever
-no vaccine no treatment
-prevention=effective trade restrictions and biosecurity
-control=tick control and sanitation (bleach)
Classical Swine Fever (AKA Hog Cholera)
-highly contagious, often fatal
-genus Pestivirus, family Flaviridae (related to BVD, Border Disease)
-enveloped so moderately fragile
-pig only natural host
-transmission most likely pig to pig and feeding infected garbage
-inapparent infected carrier sows=virus crosses the placenta resulting in immunotolerance (just
like BVD)
-acute signs= high fever, conjunctivitis, constipation then diarrhea, skin hemorrhages then
cyanosis (African Swine Fever = NO conjunctivitis)
-chronic signs=chronic diarrhea, button ulcers in cecum and colon, runted and death (can be reservoir)
-piglets=stillbirths, abortions, mummies, weak shakers, posterior ataxia or born healthy and become persistent shedders
-think classical swine fever when=high mortality with hemorrhages, some piglets show posterior ataxia, tonsilar necrosis, and conjunctivitis
-can be easily confused with common domestic swine diseases
-prevention=trade restrictions for live as well as fresh or cured pig meats
-if introduced=quarantine, slaughter with disposal of bedding too
-vaccination only if elimination doesn’t work, have to be able to distinguish vaccinated from
naturally infected (need validated marker vaccine)
Getah
Alphavirus, togaviridae
- transmitted by mosquitoes (may be some direct transmission during an outbreak)
- causes transient febrile illness in horses (swine can show clinical signs)
- characterized by fever, hindlimb edema, and popular rash
- swine are amplifying host (abortion and illness/death of newborn piglets)
- mortality rare
- killed vaccine available
- prevention/control=mosquito control and vaccination