Infectious Respiratory Disease in Small Animals Flashcards
What would you suspect with this cat?
– cats left nostril has nasal discharge. Thinking about what might cause this:
- FeLV – viral disease in the nose
- Calicivirus and herpes virus – Cat flu, gives discharge
- Making it one side rather than 2 sides – foreign body or tumours (neoplasia).
- So looking carefully can be a clue!
What does FelV predispose to?
predisposes to tumours and nasal tumours would be one of those
What age are diseases more severe?
younger the animal
What is important to help prevent disease in the newborn?
Colostrum
What 3 things come together to contribute to how important a disease is and how is impacts the control?
1.Infectious agent
•Virus or bacteria or fungal?
2.Host
•Is it young or immunocompromised
3.Environment
•The more animals packed in, the less well ventilated, the increase chance of spread
What things do we need to think about when it comes to the infectious agent? (4)
- Which one(s)
- Which animals are affected
- How easily it’s transmitted
- How well it survives in the environment
Are the following normally primary or secondary:
A) Virus?
B) Bacteria?
C) Fungi?
A) Primary
B) Secondary (although not always)
C) Primary or secondary
why did the fungi leave the party?
There wasn’t mushroom
What factors about the host determine the impact of a disease? (4)
- Age
- Pregnancy/ birth
–Was it a normal pregnancy? Or were there problems at birth?
•Stress (physical or psychological)
–Taken away from mum too early?
–Has it been rehomed?
–Is the environment not great?
•Immunity (vaccination)
–Has it has colostrum on board?
–Has it been vaccinated properly?
What things about the environment determine the impact of a disease? (4)
- Contact between animals – how close are the animals? Do they have open bars between cages for example
- Presence of FOMITES – food bowls e.g. are they properly cleaned up, grooming equipment etc.
- Hygiene – cleaning, surfaces, drains, bedding
–How well is the environment kept clean, is it steam cleaned and washed etc.
•Presence of quarantine/ isolation
What is this?
•Eyes – chemosis (top right), discharge, watery
What is going on here?
•severe example of cat with herpes, excoriation around eyes, ulceration around nose
What are the specific clinical signs of a respiratory infection? (5)
- Ocular discharge - upper
- Nasal Discharge – more likely to be upper
- Mucoid, mucopurulent, blood?
- If blood, maybe thinking neoplasia
- If mucoid or mucopurulent – infectious?
- Depends on species. SA – upper.
- Mucoid, mucopurulent, blood?
- Cough – upper or lower?
- Cardiac disease is a big differential
- Dyspnoea/Tachypnoea?
- Usually more lower resp, potentially cardiac disease
- Stertor/Stridor?
- Stertor – grumbling, clearing your throat type noise – brachycephalic sounding!
- Stridor – more gasping
What are the more general clinical signs of a respiratory infection? (3)
- Pyrexia?
- Perhaps indicator or more severe disease
- Might point to URT disease that has gone down into LRT
- Depression?
- Very general sign
- Wont help make diagnosis but helps you work out how severe the animal is in terms of its disease
- Inappetance?
What is a differential diagnosis of respiratory infection?
•Not much is pathognomic (doesn’t tell you what it is just by looking at it)
–Herpes – is an exception, corneal ulcers often associated with herpes virus
What is kennel cough?
- Clinical syndrome (Canine Infectious Respiratory Disease – CIRD), not a specific disease – it is a bunch of different agents together
- Many different pathogens involved – some likely to be unknown!
- Not always associated with kennels!
What do owners often see with kennel cough? (3)
- dry cough, not always
- Often they wretch a lot
- Owners often concerned about choking
What can be seen on the face of a dog with KC?
- Top left – retching dog
- often outstretched head, deep, hoarse coughing.
- Sometimes fluid sounding
- Sometimes nasal discharge
- Sometimes ocular signs
What pathogens cause KC?(5)
‘Classical’ kennel cough
•Bordetella bronchiseptica – main bacteria associated
Virus sometimes associated as well in some cases. Very different in each case, depends on the mixture of different pathogens involved
- Canine parainfluenza virus
- Canine adenovirus-2
- Canine respiratory coronavirus
- (Canine distemper virus) – infectious resp virus but more associated with more severe disease in unvaccinated animals
Bordetella bronchiseptica:
A) How does it cause problems?
B) How is it transmitted?
C) How long does shedding occur for?
D) Which species can there be cross contamination?
A) Binds to cilia and inhibits mucociliary escalator (stops your mucus cilia escalator, stops phlegm getting out of lower airway)
B) Needs close contact for transmission
C) Shedding can occur for up to 12 weeks post-infection. Well after clinical signs will have gone
D) Cross-species transmission including cats and humans (includes vaccines)
How can we vaccinate against Bordetella bronchiseptica and what is the danger in the immunosuppressed?
Intranasal - this is a potential route of infection
Canine parainfluenza virus:
A) What type of virus?
B) Where does it infect?
C) What is the risk?
D) How can we vacccinate? (2)
A) Enveloped RNA virus
B) Infects upper respiratory tract only
C) Paves way for other organisms
D) Subcutaneous and intranasal vaccines
Canine adenovirus-2:
A) What type of virus is it?
B) What is it related to?
A) Non-enveloped DNA virus
B) Closely related to CAV-1 (infectious canine hepatitis) - Vaccine based on CAV-1 protects against both pathogens, so in theory should be protected against in vaccinated animals
Canine respiratory coronavirus:
A) What type of virus is it?
B) What is it related to in humans?
C) How severe is the disease?
A) Enveloped RNA virus
B) Human cold virus
Mild but may predispose to other infectious disease
What are the transmission routes of KC? (3)
- Mainly by aerosol for parainfluenza, Bordetella, respiratory coronavirus – upper resp disease characterised by coughing
- Some direct transmission possible, fomites possible
- Distemper spread differently in all body secretions – not really a kennel cough thing??
When do we diagnose KC?
•If it will change management – if not, usually just clinical signs and history used to get a good index of suspicion
–Antibiotics, vaccination
• OR if pattern of disease changes
–Might have a different pathogen in the mix, might need sensitivity tests
What are the diagnostic options for KC? (3)
- Paired serology
- Nasal or oropharyngeal swab for most pathogens (PCR)
- Conjunctival swab for distemper (IFA) – distemper antigen can be found in cells that have slughed off from conjunctiva etc, either an URT nasal swab or conjunctival swab
What anitibiotics do we give for KC? What signs suggest the need?
- Not always necessary! Owners often want these but sometimes you have to convince owner that they do not need the antibotics. Often they will get better without!
- Signs that may warrant antibiotics – mucopurulent/purulent discharge, pyrexia, seemingly very unwell
- If suspect bordetella, gram negative cover
- Secondary pathogens usually gram negative – pseudomonas, klebsiella but may be gram positive
- Tetracyclines – tend to have gone out of favour on their own
- Potentiated sulphonamides
- Potentiated amoxycillin – Synulox, often used widespread
What Adjunctive treatment can we give for KC? (6)
- Avoid choke chains and pulling on collar – not nice at the best of times, pulling on collar will irritate the upper airway and set coughing off more so
- Clean eyes and nose
- NSAIDs may aid if pyrexic
- Butorphanol, codeine – cough suppressants, maybe – tend to steer away unless necessary, used in more severe cases
- Glycerin – cough syrups, might ease the cough but not too sure. But gives owner something to do and something to take away!
- Interrupt bark/ cough cycle