NHP disease Flashcards
Most common disease in macaque colonies
Diarrhea (specifically chronic colitis)
Most common age group for diarrhea in macaques
<3 years but others affected
Clinical signs of chronic colitis in macaques
Persistent diarrhea (usually >6w duration), recurrent diarrhea episodes (>3 in 12mo period) Growth retardation, weight loss
Common causes of diarrhea in macaques
Campylobacter
Shigella
Giardia, trichomonads, Balantidium
Pathogenesis of chronic colitis in macaques
Multiple causes/predipsosing factors
(1) Repeated enteric infection
(2) malnutrition associated w chronic diarrhea
(3) compromised mucosal defenses
(4) dysregulation of mucosal immune response
(5) environmental stress
(6) hypersensitivity to dietary antigen and/or microbial flora
Location of lesions in chronic colitis of macaques
Cecum, cranial colon
Gross lesions present with chronic colitis of macaques
Thickened, flaccid/dilated colon
Mucosal erythema or erosion
Mucosal proliferation
Enlarged colonic LN
Histopath findings in chronic colitis of macaques
Mucosal hyperplasia Lymphoplasmacytic infiltrate Crypt abscesses Herniation of glands into lymphoid nodules Loss of goblet cells
Age group affected by cicatrizing ulcerative colitis?
Young adult - adult
Sequela associated with ulcerative colitis in macaques
secondary amyloidosis
cilnical signs of cicatrizing ulcerative colitis in macaques
weight loss
chronic diarrhea
rarely see stricture +/- obstruction (scant feces, vx, abdominal distension/bloat)
Gross findings in ulcerative colitis in macaques
annular colonic ulcers
stricture formation, partial obstruction
Histo findings in ulcerative colitis
Deep ulcers extending into mucosa
Fibroplasia/fibrosis
Lymphoid follicles prominant
Glandular dysplasia
Findings with gastric infarction in macaques
gastric infarction with ulceration
associated with conditiosn of massive tissue damage (rhabdomyolysis, pancreatitits, intussusception)
mucosal necrossis, hemorrhage, edema with thrombosis
Age group affected by gastric dilatation (acute bloat) in macaques?
Subadult to young adults in good nutritional condition
Predisposing factors for gastric dilatation (acute bloat) in macaques?
Hx of anesthesia, overfeeding, or feed restriction followed by food/water access
You see a young male macaque who was recently fasted and given access to a large amount of food presenting with acute collapse, a distended cranial abdomen and cutaneous ‘blisters.’ name one possiblediagnosis.
acute gastric dilatation
Most common tumor of aged macaques?
ileocecal adenocarcinoma
Clinical signs of ileocecal adenocarcinoma in macaques?
Weight loss, anorexia, scant feces or diarrhea, palpable mass in R cranial quadrant, fecal occult blood positive (if ulceration)
Most common location for metastasis of ileocecal adenocarcinoma in macaques?
1’: lymph nodes
2’: liver
3’: peritoneum leading to carcinomatosis
Common causes of rectal prolapse in macaques?
Stress
Diarrhea
Is amyloidosis in NHP primary or secondary?
secondary
Type of amyloid depositied in NHP?
AA
Precursor is serum Amyloid A
Predisposing conditions for amyloidosis in NHP?
chronic vascular catheterization
ulcerative colitis
chronic osteoarthritis
ASSOC WITH CHRONIC SYSTEMIC INFLAMMATION
clinical signs of amyloidosis in NHP?
weight loss, hepatic enlargement, protein-losing enteropathy, chronic renal disease, diarrhea
normochromic normocytic anemia, hypoalbuminemia
With islet amyloid, see diabetes mellitus
what organs does amyloid deposit into in NHP?
Liver, spleen, SI, renal medulla, adrenal glands, stomach, colon
Gross findings with amyloidosis?
Enlarged tan waxy liver, friable
Pale renal medulla with papillary necrosis, erosion, hemorrhage
Small intestinal mucosa thickened and corrugated
Enlarged pale waxy spleen
Stain to Id amyloid on slides?
Congo Red– birefringent, green
Most common signalment for fatal fasting in macaques?
obese adult females
Clinical signs associated with fatal fasting system?
History of anorexia
See weight loss, sudden death, azotemia, ketonuria, glucosuria
Gross findings of fatal fasting syndrome?
Enlarged pale friable liver (hepatic lipidosis vs amyloid)
Pale soft kidneys
Abdominal fat necrosis
Abundant fat stores +/- saponification of fat
Microscopic findings of fatal fasting syndrome?
Hepatocellular and renal tubular vacuolation with lipid
In what NHP species is amyloid deposition in the pancreas most likely to cause diabetes mellitus?
Macaca nigra (celebes crested macaque)
What NHP species has an absolute requirement for vitamin C in the diet?
all of them!
What are clinical signs with scurvy in NHP?
Rhesus–>lameness, periarticular hemorrhage, cutaneous bruising, gingival hemorrhage, loose teeth
Squirrel monkeys– subcutaneous, subperiosteal hemorrhage of head, cephalohematomas
Reactive arthritis is associated with what pathogen in NHP?
Enteric Shigella
Clinical signs of reactive arthritis in NHP?
Lameness, joint swelling 1-2 months after episode of clinical or subclinical enteric disease
Can see severe muscle atrophy, joint contracture
ASEPTIC–>due to ab: ag complex deposition in joint
Common cardiovascular lesions in aged NHP?
Valvular endocardiosis
Atherosclerosis
What is the etiology of rhabdomyolysis?
Conspecific crush trauma- usually multiple adult females, sometimes subadult males
Clinical signs of rhabdomyolysis
Soft tissue damage of face, elbows, thighs, ankles with necrosis, hemorrhage, and edema
Pigmentary nephrosis–> Tubular necrosis and renal failure can occur w anuria
What species is endometriosis found in?
Menstruating species
Location of endometriosis?
Caudal abdomen most common- assoc with repro organs but can be found anywhere
Gross findings of endometriosis?
Firm white stellate or gunpowder foci
Soft reddish brown cystic masses (‘chocolate cyst’)
Hemoperitoneum, stricture, hydronephrosis secondary to invasion or cyst rupture
Microscopic diagnostic criteria of endometriosis?
Presence of both stroma and glandular cells
Most common reproductive tract tumor in macaques?
Uterine leiomyoma
Also see endometrial polyps
Macaque placentation?
Bidiscoidal hemochorial placentation
Baboon placentation?
Monodiscoidal hemochorial placentation
Marmoset placentation?
Bidiscoidal hemochorial placentation with formation of vascular anastamoses between placentas of twins
Clinical signs of Tb in NHP?
rapid wasting, tachypnea, cough, enlarged LN, hepatosplenomegaly
Most commonly subclinical until severe
Describe the grading scale for intradermal Tb test of NHP.
Grade 0-5
0-negative, no change
1-negative, eyelid has mild bruising
2- negative, variable erythema with NO SWELLING
3- Indeterminate, varle degree of erythema, minimal swelling or slight swelling without erythema
4- positive; Obvious swelling with drooping of the lid, varying degrees of erythema
5- positive; see swelling of eyelid (almost closed), NECROSIS of eye
Tuberculosis testing methods?
Interferon gamma test (not commercially available now)
Intradermal Tb test
Culture
PCR
Antibody detection in lateral flow system (Stat-pak)
Radiographs, CT
Gross findings in tuberculosis
Necrotizing granulomas to pyogranulomas in lung, hilar LN, liver, spleen, adrenal, bone, really any organ
What is the classic lesion of tuberculosis?
Tubercle- Granuloma with central caseation, no mineralization, usually in TB lymph nodes. Prominant multinucleat giant cells with rare acid-fast organisms
Primary location of infection with Mycobacterium avium?
See more enteric involvement than with M. Tb
NHP species with natural disease caused by Mycobacterium leprae?
Grows on cooler parts of body of sooty mangabeys, chimps
Bonus: animal model is armadillos d/t low body temps
Clinical signs of leprosy in NHP?
Nodular thickening of skin, subcutis, nerves
Clinical signs of Rhodococcus equi in NHP?
Anorexia, weight loss, diarrhea
Pyogranulomatous colitis, pneumonia, lymphadenitis
When do monkeys show clinical signs of Rhodococcus infection?
Environmental contaminant, opportunistic infection associated with SRV immunosuppression
Most common cause of bacterial meningitis in NHP?
Streptococcus pneumoniae
Most common signalment for Strep pneumoniae infection in NHP?
Young, recently stressed animals
Gross findings of Strep pneumoniae in NHP
Fibrinosuppurative meningitis, arthritis, pneumonia
Where does Staph aureus come from in NHP infections?
Commensal skin bacteria, contaminant
Clinical signs of Staph aureus
Associated with chronic catheterization, Type D retrovirus immunosuppression.
See abscesses anywhere
NHP species most commonly affected by Dermatophilus congolensis?
Aotus
Histopathologic features of Dermatophilus congolensis
Filamentous branching to septate bacteria with beaded appearance (looks like a conga line of bacteria)
Acanthosis with keratin crust, neutrophils, proteinaceous material
Pathogenesis of listeriosis in NHP.
Ingestion–>penetration of GI mucosal barrier–>disseminated via macrophage–>tropism for CNS and gravid uterus
Lesions associated with Listeria in NHP
Placentitis, abortion, stillbirth, neonatal death associated with septicemia (pneumonia, meningoencephalitis)
Rare dz in adults, may bee meningoencephalitis
Clinical signs and etiologic agent of tetanus
Agent- Clostridium tetani
Clinical signs- stiff gait, extensor rigidity, grimace, opisthotonus
Most common Shigella species in NHP?
Shigella flexneri
Also S. dysenteriae, S. boydii, S. sonnei
Transmission for Shigella?
fecal-oral
Cause of lesions with Shigella infection?
Shiga-toxin damages epithelial cells, stimulates fluid secretion and hemorrhage
Clinical signs of Shigella in NHP?
Leukocytosis, neutrophila with left shift, azotemia, metabolic acidosis, hyponatremia, hypokalemia
Carriers common w dz in face of stress. Necrotizing ulcerative gingivitis, colitis
How to diagnose Shigella
Culture of feces, gingival mucosa