Pathology: Systemic - Avian Disease Flashcards
Lead toxicosis
1. AKA _____ poisoning, ________
2. CAUSE: ingestion of ____
3. Species affected: ____ (not just ____)
lead, plumbism, lead, ALL, birds
Lead toxicosis
1. CAUSE: ingestion of ___
- ______ & _____ (main)
- _____ waste
- ___ pigments, etc.
Pellets, sinkers, Mine, Paint
What can be seen in this image? What does this cause?
Lead toxicosis
lead pellets
What can be seen in this image? What does this cause?
Lead toxicosis
Pellets and sinkers
Mistaken for pebbles –> ingested by animals
Lead toxicosis
- Low pH increases ___ availability
- e.g. __ + ____ = _____ toxicity
Pb, Pb, grains, higher
Birds develop lead toxicosis more than mammals because low ph increases lead absobablity
birds that eat grain have a lower ph in gizzard, alllowing lead to be abosrbed more. gizzard is grinding the sinkers or lead pellets —> lead secreted. Lead pellets enver truly go away, stay longer in GI tract –> toxicity
Lead toxicosis species main avian species affected?
- Waterfowl: Ducks, geese, swans, loons (eating stuff from bottom of lakes)
- Raptors (particularly scavengers)
- Bald eagles, other eagle sps
- water birds, upland gamebirds
- Others (other waterfowl)
- Loons
______, _______, and ______ are more commonly reported with lead poisoning.
Ducks, geese, swans
Lead toxicosis pathogenesis
Ingestion to excretion
1. Ingested
- Inhaled, transcutaneous – RARELY
2. Pb travels in blood attached to RBC membranes and albumin
- Ubiquitous, with long-term deposition in bone, liver, kidney, fat (b/c Stays longer in tissues without a lot of turnover- look here at necropsy).
- Neurotropism: likes entering brain, goes into BBB and cause nervous clinical signs.
4. Excreted in bile, urine, milk*, exfoliated skin which become sources of further toxicity to other animals.
- Potential sources of toxicity
* = Mammals
Mechanisms of pathogenicity
- Attaches to membrane of RBC
- Hemoglobin synthesis (anemia due to reduced RBC and problem with O2 transport)
- Goes through BBB and target and kills neurons and astrocytes. Directly toxic to endothelial cells –> fibrinoid necrosis of the wall of BVs.
- Pb inhibits Hb-synthesis enzymes
Microcytic hypochromic anemia
Erythrocyte fragility
Pb inhibits nucleotidase
Exacerbates anemia
Nervous system lesions – direct toxicity
Pb disrupts metabolism of neurons & astrocytes
Vascular lesions – direct toxicity
Pb disrupts metabolism of endothelium
Ischemia and/or hemorrhages
Lead toxicosis: Clinical signs
- Reluctance to fly or weakness when flying
- Unsteady gait (ataxia) (more typical with neurotropism)
- Flaccid neck (goose can walk and try to fly but can not lift its neck).
- Canada geese - Wings held in ‘roof shape’ or drooping
- Ducks, geese, swans, loons - Bile-stained feathers (& feces) around cloaca (has to do with turnover of RBC, so more pigment in feces).
none of these are exclusive to lead, but characteritic of lead txicosis
What can be seen in this image?
Wings held in ‘roof shape’ or drooping
Ducks, geese, swans, loons, etc.
What can be seen in this image?
Wings held in ‘roof shape’ or drooping
Ducks, geese, swans, loons, etc
Lead toxicosis: Gross findings
1. ______-stained feathers (& ____) around cloaca
2. ________, if chronic lead poisoning
- _____ edema (species?)
3. Impacted food in _____ GI tract +/- gastric _______
4. ____ fragments in gizzard – _____ always present
- Pb vs other metals (Fe, Al) – ______ –> lead will not be picked up with _____
Bile, feces, Emaciation, Facial, Canada geese, upper, ulceration, Lead, not, magnet, magnet
Lecture Info: chronic versus acute lead toxicosis: DOSE. When you have a little bit of lead = may develop chronic toxicity because not enough to kill you but causesa taxia, GI disturbacnes, etc. In the case of chronic –> emaciation partially necause can’t seem to eat properly. Acute lead poisoning with whomping dose = death, or absolutely nothing?
* Peracute cases with little to no gross lesions and good body condition; when very very high dose of lead, no lesions just a dead bird
What can be seen in this image? What condition is this animal suffering from?
Bile-stained feathers (& feces) around cloaca
What can be seen in this image? What condition is this animal suffering from?
Emaciation, if chronic lead poisoning
What can be seen in this image? What condition is this animal suffering from?
Impacted food in upper GI tract
What can be seen in this image? What condition is this animal suffering from?
- Lead fragments in gizzard – not always present
- Pb vs other metals (Fe, Al) – magnet
What can be seen in this image? What condition is this animal suffering from?
If not doing necropsy or have live bird, do Xray because can see lead (metal).
What can be seen in this image? What condition is this animal suffering from?
- Lead fragments in gizzard – not always present
- Pb vs other metals (Fe, Al) – magnet
What can be seen in this image? What condition is this animal suffering from?
Mature bald eagle = white head
Takes 5 years to get white head.
Good BDS b/c fat in subcutis, well deveoped pectoral muscle
What can be seen in this image? What condition is this animal suffering from?
Female bird
Ovaries
Kidneys with lead poisoning, or other diseases that cause damage to tubules look like a brain.
What can be seen in this image? What condition is this animal suffering from?
Cut open kidney
- Kidney
- ACUTE: _______________ degeneration &, sometimes, _____
- _______ convoluted tubules are most affected b/c most first tubules where urine is trying to exit.
- _______ necrosis of BV, maybe _______
- IN inclusions (well, maybe) – acid-fast [Pb bound to nuclear proteins]
- CHRONIC: _______ & ______ - Blood vessels
- Fibrinoid necrosis of the ____
- _______
- Secondary _____ or _______ lesions
Tubuloepithelial, necrosis, Proximal, fibrinoid, hemorrhage, nephropathy, fibrosis, wall, Hemorrhage, ischemic, hemorrhagic
What can be seen in this image? What condition is this animal suffering from?
Lead toxicosis - Kidney
normal tubule
Inclusion bodies are little purple circles
Ziehl Nielson stain to highlight more.
What can be seen in this image? What condition is this animal suffering from?
What can be seen in this image? What condition is this animal suffering from?
Myocardium
Lead toxicosis vessels - heart
What can be seen in this image? What condition is this animal suffering from?
What can be seen in this image? What condition is this animal suffering from?
Fibrinoid necrosis in walls of BV
Lead toxicosis: Antemortem and Postmoretm diagnosis?
- Antemortem:
- Pb level in blood - Post-mortem
- Pb level in liver, kidney, bone
* Need species-specific values for Pb levels
Please explain what is shown in the diagram below.
No lead is normally found in organisms. CAN live with low levels of lead = subclinical and love a normal life
Green = some clinical signs
Orange = fatal
Waterfowl at 1/2 parts per million in blood cna die, whereas grouse or pigeons cna tae 10/12 PPM; may have clinical signs but not fatal. SPECIES species.
Please explain what is shown in the diagram below.
Waterfowl = die with lower levels of lead then in pigeons
Lead toxicosis: Control
- Lead shot & lead sinkers
- Regulations are country and state-specific
Is Lead toxicosis a zoonotic disease?
- Possible ‘zoonosis’ but unlikely
- Most Pb in liver, kidney & bone, not muscle - H more likely to get lead toxicosis the same way birds do:
- Eating lead pellets or fragments in game meat
H = humans
Gout
- _________ tissues affected
- ______ – renal gout (usually called this if targeting kidneys; ______ gout = other organs, ________ gout = joints)
When in kidney can also call it? Aka:
Urolithiasis
Nephrosis
Caged layer nephritis
Other tissues – visceral gout
Joints – articular gout
can affect kidney, liver, spleen
Multiple, Kidney, visceral, articular
What is gout?
- Accumulation of urate crystals in renal tubules and/or other tissues. Birds excrete uric acid in urine. First place to think of is kidneys, can also deposit in other places.
Serosal & synovial surfaces, particularly
Describe the typical presentation of Gout
- Renal / Visceral gout is usually acute
- Often with little to no inflammation - Articular gout is usually chronic
- Associated with granulomatous inflammation
Gout: Pathogenesis
- Hyperuricemia - uric acid in blood
- Precipitation of monosodium urate crystals (called tophi as in starburst shape of crystals) on
- Renal tubules
- Visceral surfaces
- Synovial surfaces - Phagocytosis of tophi by MQ (attempts, at least; not usually successful but still try )
- Tissue damage (renal tubular epithelial necrosis)
- Inflammatory reaction
- Development of chronic inflammation +/- fibrosis
Gout: Clinical signs
1. Acute renal / visceral form
2. Articular form
- Little to no clinical signs, - May exhibit progressive weakness before death
- Difficulty flying and perching; rigid & inflamed (swollen & hot) feet
Renal gout gross findings
- _____________ kidneys, ______ or ________ appearance
- Ureters ______ & filled with ____-___ concretions = urate _____
Enlarged, patchy, streaky, dilated, grey-white, calculi
Visceral gout gross findings
______-______, _______ patches on serous membrane, particularly in the _________ & _______ capsule – also ________ & ________
White, gray, chalky, Pericardium, hepatic, mesentery, peritoneum
Articular gout gross findings
__________ joints & ________ sheaths filled with ________ ________ deposits
_________ of synovial membrane & overlying _____ is possible
Swollen, tendon, chalky white, Rupture, skin
What can be seen in this image? What condition is this animal suffering from?
Visceral gout
White-gray chalky patches on serous membrane, particularly in:
What can be seen in this image? What condition is this animal suffering from?
Visceral gout
White-gray chalky patches on serous membrane, particularly in:
Pericardium & hepatic capsule – also mesentery & peritoneum
What can be seen in this image? What condition is this animal suffering from?
Articular gout
Swollen joints & tendon sheaths filled with chalky white deposits
Rupture of synovial membrane & overlying skin is possible
Some birds can not perch because of damage to joints. Crystals come out through? that burst.
- _____ are pathognomonic of gout.
They are Clusters of _____, _________-shaped (________) birefringent* crystals
radiating from the ______; either ____________ or _________ (to see colors, need to fix with something other than formalin). - In peracute form, _______ are all we see
- In acute form, tophi are associated with tissue __________ (renal tubulare necrosis, for instance) & histiocytic (MQ) inflammation
- In subacute & chronic forms, tophi are surrounded by _________ & _________ inflammation
- Crystals are often not ___________ on histology slides because of tissue ________ during processing.
Tophi, sharp, needle, acicular, center, basophilic, colorless, tophi, necrosis, heterophilic, granulomatous, birefringent, degradation
What can be seen in this image? What condition is this animal suffering from?
Tubular on right with necrosis and ? i lumen.
Tophi = starbust apearance. A few heterophils around it. Not that acite, a bit chronic b/c inflammation around it
What can be seen in this image? What condition is this animal suffering from?
Gout.
What can be seen in this image? What condition is this animal suffering from?
When not fixed well, see degeneration and ?
What can be seen in this image? What condition is this animal suffering from?
Necrotic tubule.
Normal on left, and necrotic tubule with cellular cast on right.
What can be seen in this image? What condition is this animal suffering from?
Visceral gout = everywhere. Not just on surface, but also within tissue.
Gout, iver
What can be seen in this image? What condition is this animal suffering from?
gout, liver
What can be seen in this image? What condition is this animal suffering from?
gout, spleen
Gout: diagnosis
- Gross (______material) & histologic appearance (______) are enough to diagnose gout
- To confirm that the tophi are urate crystals:
- Do not fix in _______ – urate crystals are ______-soluble so they ___________ during routine fixation, but will remain & exhibit birefringent if fixed in ______.
- Tophi can stain with _____ and ______ _______ stains, for calcium
chalky, tophi, formalin, water, disappear, alcohol, GMS, Von Kossa’s
fix in alcohol for?
Fix in formalin = dilutes urates and does not birefringe light
can stain with silver and von kossa for ?
Gout: control
- Prevention of causative factors
- Diet / hydration / nephrotoxic plants
- Nephrotoxic drugs
- Viral infections
Wild birds = usually problem with kidney that gives you gout
Is gout a zoonotic disease?
No
Infectious laryngotracheitis
1. CAUSE: ?
- Species affected?
Avian alphaherpesvirus, Gallid herpesvirus type 1
- dsDNA virus
- Aka: fowl diphtheria
- Galliforms – clinical disease in domestic chickens
- Pheasants, peafowl, turkeys – less commonly affected
- Anseriforms (ducks & geese) – may be carriers; don’t really develop disease
Necrotic material that eventually closes or completely blocks lumen of trachea –> suffocate to death.
Happened to children with diptheria. Would develop pseudomembranes and suffocate.
chickens are the main target; develop clinical disease and if severe enough die from it
Infectious laryngotracheitis: Pathogenesis
1. _______, highly ___________
2. Infection through contact with infectious _________ (____________ secretions from infected birds) by:?
3. Cell-to-cell spread (no ______)
-_________ cell formation* = ______ cell formation –> from ____________
4. Severe necrosis of ______ mucosa b/c hits epithelial cells and kills them.
5. Recovery depends in large part on _______ immune response
6.If recovered, carriers may develop for ____
- Virus is latent in _______ nerve ganglion
- ____________ may result in disease reactivation
Acute, contagious, aerosols, respiratory
- Inhalation (upper respiratory mucosae)
- Conjunctival contact
- Ingestion
viremia, Syncytial, Giant, epithelium
tracheal, cellular, life, trigeminal, Immunosuppression
Infectious laryngotracheitis: clinical signs
- Outbreaks may be:
- Highly pathogenic form (epizootic)
- Lowly pathogenic form (endemic) - High morbidity (50-70%) and moderate to high mortality (10-20%)
- Respiratory distress
- Coughing / sneezing / head shaking – gasping for air
- Expectoration of bloody / mucous exudate
What can be seen in this image? What condition is this animal suffering from?
Clinical signs: mostly respiraotry distress; birds are gasping for air. Cough out or sneeze out bloody mucous material
Infectious laryngotracheitis: clinical signs
–> Outbreaks may be:
- Highly pathogenic form (_________)
- Lowly pathogenic form (_____)
- High ________ (50-70%) and moderate to high ______ (10-20%)
- Respiratory _____
- __________ / sneezing /______ shaking – __________ for air
- Expectoration of _____ /______ exudate
epizootic, endemic, morbidity, mortality, distress, Coughing, head, gasping, bloody, mucous
Infectious laryngotracheitis: gross findings
- Tracheal mucosal necrosis and hemorrhage
- Occlusive pseudomembranes, fibrinonecrotic & hemorrhagic
- Casts or plugs fill tracheal lumen - Mild cases: sinusitis, conjunctivitis, seromucous exudate
What can be seen in this image? What condition is this animal suffering from?
What can be seen in this image? What condition is this animal suffering from?
IFT
Infectious laryngotracheitis: histopathology
- __________ mucosal necrosis
- ______________ pseudomembrane
- ________ cell formation
- _____________ inclusion bodies, Cowdry type ___ = smaller, inclusion body with a _____ _____ around it.
- _______ stages of disease
- Mucosal __________, mixed ____________, __________ metaplasia
- May also affect _______ & _____ ______
Tracheal, Fibrinonecrotic, Syncytial, IN, A, clear, halo, Early, ulceration, inflammation, squamous, bronchi, air sacs
What can be seen in this image? What condition is this animal suffering from?
ILT:
histopathology
Tracheal mucosal necrosis
Fibrinonecrotic pseudomembrane
Syncytial cell formation
In middle = submucosa and mucosa. Inflammation on right. What type of inflammatory cells are present? Lymphocytes, plasma cells, MQs.
What can be seen in this image? What condition is this animal suffering from?
Necrotic material and hemorrhage here.
This is the pseudomembrane. Fibrin, RBCs, pobably some bacteria too. mostly degenerated epithelial cells
What can be seen in this image? What condition is this animal suffering from?
Synctial cell formation
What can be seen in this image? What condition is this animal suffering from?
Syncytial cell formation
IN inclusion bodies, Cowdry type A
Normal = 1 or 2 nuclei (top right)
Infectious laryngotracheitis: Diagnosis
- Characteristic clinical signs, gross lesions & histopathology
+ - PCR (to confirm), IFA, IHC, EM, virus isolation
- Serology – not helpful
Q?: Why not? When a n animal is vaccinated against the disease you are looking at, can’t distinguish real infection from vaccine-induced AB.
Infectious laryngotracheitis: Control
- Vaccination
- First avian disease for which an effective vaccine was developed
- Economically important disease - Hygiene measures
- Some transmission may be through fomites
- quarantine, if have sick birds = do not use same materials.
Infectious laryngotracheitis: zoonosis?
no
Marek’s disease
1. CAUSE: ?
2. Species affected: ?
- Avian alphaherpesvirus, Gallid herpesvirus 2
- dsDNA virus
- Aka: Marek’s disease virus, skin leukosis (for some presentations; similar to avian leukosis which is caused by a different virus, so just call it Marek’s) - Chickens mostly
- Quails, turkeys, pheasants, jungle fowl, rarely
- Worldwide distribution
- Chickens mostly
Marek’s disease: pathogenesis
- Highly infectious, particularly for very _______ chicks (get infected within ____ of hatching)
- Inhalation of Feather ___ (dander) may remain infectious for __ year within dust (__________ dependent)
- ____________ disease, the most common of its kind in chickens (virus stimulates lymphocytes to replicate and turn neoplastic. Uncontrollable proliferation. Most common lymphoproliferative disease in chickens. Avian ________ is another one.
- First ‘________’ disease for which a vaccine was developed.
- Three serotypes that we know of:
- Serotype 1 – ________ (main focus)
- Serotype 2 – common in _________
- Serotype 3 – infects ________
- Other oncogenic virus is Avian Leukosis virus (Retroviridae NOT a herpesvirus).
young, days, dust, 1, condition, Lymphoproliferative, leukosis, neoplastic, oncogenic, chickens, turkeys
Marek’s disease: pathogenesis
Describe the phases of pathogenesis.
- Phase 1 – early cell-to-cell infection
- Phase 2 – latent infection
- Phase 3 – feather follicle shedding
- Phase 4 – proliferative (lymphoma) phase
Marek’s disease: Pathogenesis
1. Phase 1 – ______ cell-to-cell infection
- ________ (or ________) of infective feather ______ (___________ or _______ mucosa)
- Infection of respiratory epithelium & MQ (MQ take virus and take it all over the body –> _______.
- Infection of __ & ___ cells in thymus, bursa, spleen and BM – ____________ = immunosuppression (may get secondary infection with another bacteria or virus due to this).
- May result in _________ infections
2. Phase 2 – _______ infection
- Replication in ____ cells (mainly CD__), less so in __ cells and CD__ T cells
- No _______ clinical signs b/c virus is smoldering and replicating
3. Phase 3 – feather follicle ________
- LQ carry virus to feather ________ epithelium
- Virus _________ in epithelial cells
- Virus shedding in feather _______; Transmission to other birds.
- LQ also carry virus to visceral epithelium ( (3) etc.) & nervous system ( ______ & _____); Lesion severity depends on ____ & host _____
- Mononuclear (LQ, PL, MQ) inflammation
4. Phase 4 – __________ (_________) phase
- Some T cells (CD4, mostly) undergo _____ transformation
- _____________ develop in multiple organs
- Tumors are a mixture of neoplastic ___ cells & reactive ___ cells & _______
early, Inhalation, ingestion, dander, respiratory, digestive, viremia, T, B, lymphocytolysis, concurrent, latent, T, 4, B, 8, obvious, shedding, follicle, replication, dander, kidney, pancreas, liver, nerves, CNS, strain, resistance, proliferative, lymphoma, neoplastic, Lymphomas, T, B , MQ
Marek’s disease: clinical signs & gross lesions
1. Classic Marek’s disease is called ______________
- Affected ___ or PNS
- __________, depending on what nerve is most affected
- _______ nerve – paralysis of legs
- ______ nerve – paralysis of wings
- ______ (?)- cervical nerves
- Dilatation of crop & respiratory signs (digestive clinical signs) – ______ & ______ nerves
2. Visceral (Acute) Marek’s disease
- Don’t see neuro clinical signs or mild neuro clinical signs
- Lymphomatous proliferations (tumors) in viscera & skin
3. Ocular lymphomatosis
- LQ infiltration of iris w/loss of pigmentation = ‘grey eye’
- rare
4. Cutaneous Marek’s disease
- Enlarged feather follicles/nodules (virus replicating in feather follicles)
- Erythematous legs
- ‘Alabama redleg’
- lumpy appearance in skin
Can be more than one or just one?
neurolymphomatosis, CNS, Paralysis, Sciatic, Brachial, Torticollis, star gazing, vagus, intercostal
Classic Marek’s disease = neurolymphomatosis
Paralysis, depending on what nerve is most affected
Sciatic nerve – legs
Classic Marek’s disease = neurolymphomatosis
Paralysis, depending on what nerve is most affected
Sciatic nerve – legs
Classic Marek’s disease = neurolymphomatosis
Paralysis, depending on what nerve is most affected
Sciatic nerve – legs
Difference in thickeness; one on left is thicker due to inflammation on the inside. Can even see it at the root.
Visceral (Acute) Marek’s disease
Lymphomatous proliferations (tumors) in viscera & skin
Lymphproliferative disease = tumors in the liver, bone marrow, spleen, kidney - in any viscera. Nodular lesions distributed through those organs. If you did impressions mear, mostly lymphocyte,a a few MQ plasma cells, but mostly lymphocytes