Infectious respiratory disease in small animals 1&2 Flashcards
Unilateral nasal discharge in a cat could be caused by what?
- FeLV
- Calicivirus and herpes virus (Cat flu)
- Foreign body
- Neoplasia
What is important to consider when controlling disease?
- Infectious agent
- Host
- Environment
Specifc clinical signs - localisation of disease?
Oculuar discharge?
Nasal discharge?
Cough?
Dyspnoea?
Stertor/Stridor?
Ocular discharge –> URT
Nasal –> URT
Cough –> Upper or Lower (but needs to be where there are cough receptors)
Dyspnoea –> Usually more LRT
Stertor/stridor –> URT
Explain Kennel cough
Clinical syndrome aka Canine infectious respiratory disease. It isn’t a specific disease. There are many different pathogens involved. Often see a dry hacking cough, they often retch. Often runs a course of 2 weeks and animal will generally get better by themselves.
Classic Kennel cough pathogens?
- Bordetella bronchiseptica (most common)
- Canine parainfluenza virus
- Canine adenovirus -2
- Canine distemper virus
- Some can be viral, not just bacterial causes.
Explain Bordetella bronchiseptica
- It is a bacteria.
- Binds to cilia and inhibits mucocilliary escalator. Which stops you geting rid of flehm from lower airway.
- Shedding can occur for up to 12 weeks post infection.
- Cross species transmission can occur.
- Intranasal vaccines available.
- Requires close contact for transmission.
Explain Canine Parainfluenza virus
Enveloped RNA virus
Upper resp tract only
Paves way for other organisms as causes damage in the URT.
Subcut and intranasal vaccines
Part of core vaccine protocol for dogs.
Explain Canine adenovirus-2
Non enveloped DNA virus
Closely related to CAV-1 and this is in the core vaccine protcol so provides protection.
Explain canine respiratory coronavirus
Enveloped RNA virus.
Related to human cold virus.
Mild but may predispose to other infectious diseases.
Vaccine under development.
When should we aim for a diagnosis?
Only if it will change management e.g. antibiotic use and choice, vaccine
Or if the pattern of disease changes.
Generally, we just treat symptomatically - a diagnosis is not required.
Antibiotic use?
Not always required.
If suspect bordetella, gram negative cover is required.
Secondary pathogens are generally gram negative, but may be gram positive.
- Tetracyclines (doxycycline)
- Potentiated sulphonamides
- Potentiated amoxycillin (synulox)
If you have the following signs, you would be justified to use AB: puss, mucopurulent discharge, pyrexia and generally more ill e.g. off food.
Examples of Adjunctive therapy for infectious diseases
Avoid choke chains
Clean eyes and nose
NSAIDs for pyrexia
Butorphanol, codine etc. to suppress cough
Glycerin
Canine distemper virus
Enveloped RNA virus
Shed in all bodily fluids
Incubation of 1-2 weeks or more.
Coughing, ocular and nasal discharge
Vomiting and Diarrhoea
Neurological signs
Hard pad
Respiratory Vaccines?
- Bordetella –> live, intranasal
- Parainfluenza –> live, subcutaneous if part of standard core vaccines, OR, intranasal if combined with bordetella.
- Resp. coronavirus –> vaccine being developed
- Distemper –> live, subcut.
Intranasal vaccine options
Vaccine 1: Active immunisation of dogs against Bordetella bronchiseptica and canine parainfluenza virus for periods of increased risk; to reduce clinical signs induced by B. bronchiseptica and canine parainfluenza virus and to reduce shedding of canine parainfluenza virus.
Onset of immunity against Bordetella bronchiseptica has been demonstrated 72 hours after vaccination, and against canine parainfluenza virus three weeks after vaccination.
Duration of immunity: 1 year.
Vaccine 2: For active immunisation of dogs of 8 weeks of age or older to reduce coughing caused by Bordetella bronchiseptica. Onset of immunity: from 5 days after vaccination.
Duration of immunity: 1 year.
NB: difference between the vaccines, need to know which one your practice uses. Remember, it doesn’t prevent, it just makes it milder.