Infectious dz Flashcards
Clostridium botulinum grows best under what kind of condition?
Anaerobic conditions with warmth (15-45 degrees C)
Where is Clostridium botulinum found?
In the wounds, food, fly maggots, the source is rarely found.
T/F Boulinal toxins cause UMB disease?
FALSE MOTHER FUCKER
LMN disease/paralysis
- Prevent presynaptic release of Ach at the NMJ
What are some clinical signs of Clostridium botulinum?
- Weakness and flaccid paralysis
- Autonomic dysfunciton
- Progressive, symmetrical ascending paralysis
- Mydriasis, decreased gag reflex, excess salivation, diminished palpebral reflexes and weak vocalization
- Heart rate variable, and constipation and urinary retention can occur/
What is the incubation period for Clostridium Botulinum?
hour to six days
Where can the toxin be found for diagnosis?
In serum, feces, vomitus or stomach content.
How is the mouse inoculation test performed to test for Clostridium botulinum?
Sample is injected in peritoneal space of mouse, mice are observed for signs of botulism. highly sensitive but requires the death of lab animals… Who cares fuck em!
What is the treatment of Clostridium botulinum?
Supportive care
Antibacterial- metro or penicillins
Prevention- heat food to 80 degrees C for 30 min or 100 degrees C for 10 mins
Prevention- Vax against type A, B,C,D,E ( cattle, slaughter- house workers and military personnel)
Why does the anti toxin not useful for treatment of Clostridium Botulinum?
Because it doesnt contain the specific type C antitoxin.
NO FUCKING TYPE C ANTITOXIN!!!
Is Clostridium Tetani a spore producing bacterium?
YES- gram positive motile, anaerobic, spore producing bacterium.
What is tetanus caused by?
a neurotoxin found in C. tetani
What are the 2 neurotoxins in C. tetani?
Tetanoleptin- cause hemolysis of erythrocytes ( not Imp)
Tetanospasmin- cause neurological dysfunction (inhibits the motor neurons)
once the toxin of C. Tetani enters the body where does it go?
Migrates up the motor nerves and can enter the spinal cord and ascend into the brain. It also effects cranial nerves
What does C. tetani toxin inhibit?
The release of glycol and Y -aminobutyric acid ( these are inhibitory Neurotransmitters)
What are some clinical findings of C. Tetani?
Ear drawn back Sardonic grin Trismus (lock jaw) salivation Dysphagia Gait- ambulatory but rigid Progresses to opisthotonus, convulsions and respiratory comprimise and death
what is the diagnosis of C. Tetani?
Clinical signs Leukocytosis and LS neutrophilia Tachyarrhythmia/bradycardia megaesophagus on Thoracic x-rays Isolation of bacterium from wound- this shit is difficult
How do you treat C. Tetani?
The toxin wears off over 3-4 weeks Supportive care for a long time Antitoxin (IM) Antibiotics- decrease toxin formation (metro, pen-G, Tetracyclin sedatives- to control seuzures Muscle relaxants (Methocarbamol) Autonomic agents (atropine)
What is the transmission of Mycoplasma Haemocanis?
Through the brown tick- Rhipicephalus sanguines
This shit aint important in the dog (splenectomy required before Clinical signs develop)
What is the diagnosis of Mycoplasma Haemocanis?
PCT or organism on blood smear
What is the treatment of M. Haemocanis?
Doxycylcine
How is canine bartonellosis transmitted?
Epidemiology poorly understood- likely get it from dog bites, fleas and cat scratches
How do you diagnose C. bartonellosis?
Serology (FA testing is only 50% sensitive) can have cross reactions with Rickettsial spp. Bacterial isolation (PCR bartonella pre-enrichment culture)
What is the treatment of C. bartonellosis?
Doxycylcine, enrofloxacin, azithromycin, or rifamipin
I DIDNT DO DOSAGES OR LENGTHS LOOK IT UP IF YOU WANT!
What is the pathophysiology of most Rickettsial diseases?
- Rickettsiae enter the blood, replicate in the endothelial cells →result in vascular damage and increase vascular permeability and leakage of fluid/ erythrocytes into the extravascular space
- Vasculitis leads to ↓ platelets (petechiae) and ↓ albumin (peripheral edema)
- Some organisms cause vasculitis and clinical signs more so than other organisms
- Clinically – petechiation, bleeding (externally and internally), lameness, clinical signs from many systems
What are some common findings- RMSF/ehrlichiosis/anaplasmosis?
- History of ticks/ inadequate tick control
- Even if you cannot find a tick – think about rickettsial diseases and treat
- Systemic signs – many organs can be affected
- Petechiation/ bleeding, gastrointestinal signs, CNS signs, lameness, dyspnea, liver and renal disease
What is the Diagnosis of Rickettsial diseases?
- Blood smear/ cytology – lucky to find the organism
- Serology
- PCR – widely available nowadays
What is the minimum database of Rickettsial diseases?
• Haematology
• Thrombocytopenia
• Neutropenia, lymphocytosis
• Anemia
o Regenerative (blood loss/ immune mediated destruction)
o Non-regenerative (organism can live in bone marrow – causing a pancytopenia)
• Biochemistry
• Hypoalbuminemia, hyperglobulinemia (very common)
• Urine
• Proteinuria
cardiac signs of Rickettsial diseases?
AV blocks, tachycardia, arrhytmias
CNS signs of Rickettsial diseases?
vestibular and cerebellar signs, coma, paralysis
What are ocular signs of Rickettsial diseases?
Hemorrhage
What are Renal signs of Rickettsial diseases?
Azotemia (glomerulonephritis)
What are some pulmonary signs of Rickettsial diseases?
Edema ( non- cardiogenic)
What are some Gastrointestinal signs of Rickettsial diseases?
Vomiting and diarrhea, melana
What are some integument signs of Rickettsial diseases?
Petechial bleed
Chronic disease of rickettsial disease is mainly due to __________?
E. Canis
What is the end results of exposure to E. canis?
- The body eliminates them
- You treat and eliminate them
- Body cannot eliminate them or treatment doesn’t eliminate them
- Leads to the chronic phase, signs can be absent, mild or severe (bone marrow involvement/ pancytopenia)
What is the treatment of Rickettsial diseases?
Doxycycline- even if suspected treat ( serology will confirm or exclude then stop therapy)
Imidocarb diproprioante
What is prevention of Rickettsial diseases?
Tick control (long term, collars, ensure blood donors are sero- neg)
What are some Rickettsial diseases with Zoonotic risk?
E. chaffeenissi
E. Eqingii
A. phagocytophilum
What causes Salmon poisoning?
Neorickettsia helminthoeca
Eat fish with fluke in WA, OR, CA
What are some signs of Salmon poisoning?
Fever, serous to purulent ocular discharge with associated periorbital edema, vomiting, diarrhea, weight loss, lymphadenopathy, splenomegaly
What is the Dx of Salmon poisoning?
Fecal- fluke eggs, FNA of lymph nodes (Rickettsial inclusions)
What is the treatment of Salmon poisoning?
Supportive care and tetracycline/doxycycline
like the clap- nothing a lil doxy won’t fix
True or False?
Canine distemper virus is a morbillivirus?
True- Morbillivirus of the paramyxoviridae
Canine distemper is an RNA virus, why is that important?
It makes it easy for us to be able to disinfect it, it is easily spread in kennel env.
What is the Pathogenesis of canine distemper?
• Spread through water droplets →upper respiratory tract epithelium→ multiples in tissue macrophages > spreads to local lymphatics in tonsils and bronchial LNs.
what accounts for pyrexia in lymphopenia in Canine distemper?
The widespread rise in viral proliferation (d3-6 PI) ( both T and B cells)
What are the main sgns of canine distemper?
Diarrhea, Resp (bronchopneumonia), skin lesions ( hard pad dz)
Other signs:
-Listlessness
-Decreased appetite, fever
-Bilateral oculonasal discharge
-Biphasic pyrexia
-Neurological signs- meniingeal inflammation, paraparesis, tetra paresis, myoclonus
What is the prognosis of canine distemper?
Poor prognosis
Jaw chatter and drooling is very common
How do you diagnose canine distemper
Peripheral blood smear (intracytoplasmic inclusions in RBCs)
Radiology- interstitial pattern
MRI- abnorm pattern of brain
CSF tap
How can you differentiate if theres distemper in the brain or contamination of blood?
When checking antigen IgG levels- is it from blood or distemper. you can check antigen IgG levels. Titer levels for parvo virus- if its positive it shouldn’t be in brain so we can say its from blood
what is the gold standard for diagnosis of Distemper?
Neutralizing antibodies- gold standard- to check immunity (lok at IgG levels), indirect FA testing titers are comparable to NA test
What is the treatment of canine distemper?
Supportive care (antibiotic and steroids {ddx}) STRICT ISOLATION
What is prevention of canine distemper?
Vaccination
vector vaccine is the best one but modified live vaccines is the most commonly used
What age of animals do you usually see canine distemper in?
3-6 month old unvaccinated puppy- not usually seen in older dogs- happens at 12 weeks bc of maternal antibodies are leaving which makes them predisposed to developing this.
How can you have vaccine failure for canine distemper (or any vaccine)
Not properly controlling fax temperature (don’t chunk that shit in front of truck)
Materanal antibodies- thats why we start around 6 weeks of age and we do it frequently to make sure antibodies from mother are gone
Is canine adenovirus type 1 resistant to environmental inactivation?
YES- HIGHLY RESISTANT- steam cleaning is effective
Iodine, phenol and sodium hydroxide
By day 10-14 after infection is found in all tissues where is the virus only found at?
ay 10-14 PI virus is only found in the kidneys and excreted in the urine for at least 6-9 months
What is the pathogenesis of CAV-1?
Oronasal exposure–> multiplication in tonsils–> regional lymphnodes–> lymphatics–> blood ( through thoracic duct)
What are some clinical signs of CAV-1?
Dogs
How do you diagnose CAV-1?
CBC- (leukopenia, lymphopenia, and neutropenia, thrombocytopenia)
Biochemistry- globulinaemia day 7-21 increased alt, last, alp,
urinalysis- PROTEINURIA
Abdominal paracentesis- yellow to hemorrhagic fluid
Serology
CSF
Pathology
What type of cells do canine parvovirus require for replication?
Rapidly dividing cells