Lecture 15: Rabies and vesicular stomatitis Flashcards

1
Q

How do you dx rabies

A

FA impression smears of midbrain, cerebellum and hippocampus

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2
Q

what is geographic distribution of rabies virus vs bat lyssaviruses

A
  1. Rabies virus- worldwide besides Australia and Antarctica
  2. Bat lyssaviruses- Europe, Australia
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3
Q

99% of human cases of rabies are transmitted by __

A

dogs

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4
Q

what is pathogenesis of rabies

A
  1. Peripheral exposure- bit, contact with body fluids
  2. Infection of peripheral nerve endings
  3. Centripetal phase- retrograde axonal transport to dorsal ganglion
  4. Dissemination throughout CNS
  5. Centrifugal phase- spreads to salivary glands, eye, skin
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5
Q

what is incubation period for rabies

A

3-12wks

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6
Q

what factors affect incubation period

A
  1. Host species
  2. Virus strain
  3. Dose exposure
  4. Exposure site
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7
Q

what species are rarely susceptible to rabies

A

opossum, small rodents

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8
Q

how does exposure site affect incubation period for rabies

A

axonal transport has rate limit- the longer the axon the longer it takes to reach CNS

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9
Q

1yr cow presents with hypersalivation, dysphagia and progresses to stargazing, ataxia, difficulty rising. What are you concerned about

A

rabies

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10
Q

what are these and what virus are they indicative of

A

Negri bodies- rabies

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11
Q

how do you dx rabies in animal that bite

A
  1. Euthanize and FA testing
  2. 10 day isolation- if actively shedding rabies at time of bite then will die within 10 days
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12
Q

how do you prevent rabies

A
  1. Killed vaccines single dose at 14wks, 1yr, q1 or 3yrs
  2. Oral baits for wildlife
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13
Q

what is treatment for animal bitten by suspected rabid animal who has hx of rabies vaccine

A

booster and outpatient monitor 45d

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14
Q

what is treatment for animal bitten by suspected rabid animal that is not vaccinated

A
  1. Euthanize if biting animal tests positive
  2. Long term inpatient monitoring (4months) if biting animal was not tested followed by vaccination
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15
Q

how long do ferrets have to undergo inpatient monitoring if bitten by suspected rabid animal but unable to test biting animal

A

6 months

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16
Q

why 4-6 months for inpatient monitoring of suspected rabies bite

A

4-6 months is upper limit of incubation period

17
Q

how long is quarantine period for animal that has bitten someone

18
Q

what are the vectors for rabies transmission in U.S. and worldwide

A

US- bats, skunks, raccoons
Outside US- dogs

19
Q

horse presents with these lesions what is top differential

A

vesicular stomatitis

20
Q

how is vesicular stomatitis virus transmitted

A
  1. Direct contact
  2. Biological vector-culicoides
21
Q

what are the two major serogroups of vesicular stomatitis virus

A

Indiana and New Jersey

22
Q

ruled out FMD what likely caused these lesions

A

vesicular stomatitis

23
Q

what are some clinical signs of vesicular stomatitis virus

A
  1. Vesicular lesions of tongue and oral cavity
  2. Hypersalivation and secondary infections
  3. Coronary band lesions-lameness
24
Q

what does a positive titer for vesicular stomatitis mean

A

could be prior exposure, do paired serology titer few weeks later to confirm

25
Q

how do you dx vesicular stomatitis

A

serum, vesicular fluid, serology, virus isolation, rt-PCR

26
Q

What is tx for vesicular stomatitis virus

A
  1. Palliative- secondary infections
  2. quarantine 14-30 day after last suspected case
27
Q

why is there no commercial vaccine for vesicular stomatitis virus

A

makes dx difficult- hard to differentiate between infected vs vaccinated

28
Q

how does vesicular stomatitis outbreak behave in norther vs southern climates

A

northern- rare outbreaks, more severe
Southern- yearly cases, less severe

29
Q

how is VSV transmitted and how does this help explain its cyclical appearance

A

culicoides midges which are only present seasonally. Often large parts of country are exposed and develop herd immunity for 5+years

30
Q

what procedures must be taken when VSV is suspected and where are samples sent for dx

A

notify state/regional USDA vet. Samples sent to USDA labs in either Iowa or plum island