Reptiles 3 Infectious Diseases Flashcards

1
Q

infectious diseases in reptiles are promoted by?
- types of pathogens?

A
  • Many infectious diseases are promoted by a suboptimal environment
    > Especially opportunistic pathogens
  • Even in a perfect environment, lots of primary pathogens
    <><><>
  • Some breeders say that reptiles don’t get sick in good environments
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2
Q

Salmonella in reptiles
- where is it anatomically
- human considerations

A

Most reptiles carry Salmonella spp. in their gut flora
* Asymptomatic carriers
* Zoonotic – human diseases historically associated with baby red-eared sliders and green iguanas
* Reptile interactions are not recommended for kids younger than 5 years and immunocompromised people

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3
Q

Disease processes related to salmonella in reptiles

A
  • Abscesses
  • Osteomyelitis
  • Vertebral osteopathy in snakes
  • Necrotizing gastroenteritis in snakes
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4
Q

salmonella tropism

A
  • High tropism for bone tissues
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5
Q

Salmonella in reptiles
* Vertebral Osteopathy
- associated with what
- outcomes
- Dx
- Tx
- prognosis?

A
  • Often associated with a bacteremia
    > Bacteremia can precede lesions by several months
  • Pathological fractures may occur
  • Diagnosis – radiographs,
    culture (blood, biopsy)
  • Treatment – antibiotics and analgesia
  • Painful and poor prognosis – monitor quality of life and prescribe analgesics
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6
Q

Salmonella
* Common species in all reptiles

A
  • Salmonella enterica (Salmonella enterica subsp. enterica)
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7
Q

Salmonella
* Common species in snakes

A
  • Salmonella arizonae (Salmonella enterica subsp. arizonae)
  • Salmonella diarizonae (Salmonella enterica subsp. diarizonae)
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8
Q

Salmonella
* how to determine carrier status?
> shedding?
> symptoms?
> can a reptile be salmonella free? with Abx?
<>
- issues with antibiotics and reccomendatoins?

A

Carrier status
* 5 cultures over a 30-day period
> Intermittent shedding
> Asymptomatic carriers common
> Cannot declare a reptile Salmonella-free
* Cannot obtain Salmonella-free reptiles by treating with antibiotics
> They will also develop resistance
> Recommendations are not to treat carriers

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9
Q

Mycobacteriosis
- more common in what species?
- characteristics of these bacteria? diseases caused?
> growth
> Tx easy?
> humans?

A

Mainly common in aquatic species
* Acid-fast organisms
* Granulomatous diseases
* Lots of species
> M. chelonae
> M. fortuitum
> M. marinum
> …
* Slow growing
* Treatment is difficult (speciate first)
* Zoonotic concern – mostly immune-compromised

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10
Q

Abscesses in reptiles
- are they common?
- in turtles? vitamin connection?
<>
- Tx

A
  • Common
  • Most external masses are abscesses
  • Aural abscesses in turtles
    > Often associated with hypovitaminosis A
    <><>
  • Treatment
  • Debridement
  • Culture
  • Remove capsule
  • Antibiotic therapy
  • Correct husbandry, diets
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11
Q

Stomatitis/Periodontal Disease
* stomatitis*
- common in what animals?
> what organisms involved
> environment?
> masses?

A

Stomatitis common in snakes
* “Mouth rot”
* Mixed bacterial infection
* Check environment
* Check for masses

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12
Q

Periodontal disease common
in what species?

A

Periodontal disease common
in acrodont lizard species

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13
Q

Stomatitis/Periodontal Disease treatment? cautions?

A
  • Topical chlorhexidine (dilute)
    > CAUTION: neurological signs with toxicity
  • Correct husbandry
  • Systemic antibiotics
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14
Q

GI Parasites
- are they common? should we treat?
- what are normal in many species?

A

Common
* May be commensal, treatment may
not be necessary
* Flagellates tend to be normal in lots of species

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15
Q

Snake Respiratory Disease
- how common?
- clinical when?
- factors that contribute?
<>
- clinical signs?

A
  • Very common
  • Clinical when severe
    <>
    Suboptimal husbandry:
  • Humidity issues
  • Ventilation issues
  • Low temperature
    <>
    Clinical signs:
  • Stomatitis
  • Mucus, bubbles, exudates
  • Open mouth breathing
  • Tachypnea
  • Upright position of first third
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16
Q

Snake Respiratory Disease Ddx

A

Bacterial pneumonia
<>
Viral pneumonia
* Ferlavirus (paramyxovirus)
* Nidovirus
* ** No reliable PCR available in Canada **
<>
Fungal
* Saprophytic fungi
<>
Parasites (wild snakes)
* Pentastomes (crustaceans)
* Lungworms (Rhabdias spp.)

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17
Q

Snake Respiratory Disease
* Ferlavirus
> what type of virus
> signs
> pathogenic in what animals
> Dx
> also affects what other animals?

A
  • Paramyxovirus (also known as ophidian paramyxovirus)
  • Neurorespiratory signs
  • Very pathogenic in Viperidae and Elapidae
  • PCR on a tracheal swab or tissue samples
  • Can also affect chelonians and lizards
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18
Q

Snake Respiratory Disease
- Nidovirus
> mainly in what animals?
> prevalence?
- Dx?

A
  • Recently discovered
  • Mainly in pythons, but also in boas
  • High prevalence, may be the underlying etiology of most pneumonia in these species
  • PCR on a tracheal swab or tissue samples
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19
Q

Snake Respiratory Disease
* Samples for culture, cytology, PCR:

A
  • Trans-tracheal wash
  • Airsac or pulmonoscopy
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20
Q

Inclusion Body Disease
- what virus?
- what happens in pythons?
- in boas?

A
  • Arenaviruses
    > Reptarenavirus
    <><><>
    Pythons
  • Severe and acute neurological disease, rapidly fatal
  • Inclusion bodies mainly in CNS
    <><><>
    Boas (in particular red-tailed boas)
  • Often subclinical for years, very high prevalence in boas (20-40%)
  • Chronic disease
  • Chronic wasting
  • Regurgitation, systemic, and neurological signs
  • Lymphoproliferative disorders
  • Inclusion bodies everywhere
    <><><><>
  • A disease of snakes of the families Boidae and Pythonidae; worldwide; captive snakes.
  • Characterized by the formation of intracytoplasmic inclusions in neurons and in epithelial cells of various organs.
  • Reptarenaviruses; infections with multiple genetically distinct viruses are very common.
  • Originally, most common in Burmese pythons; develop clinical diseases more quickly.
  • Now, most common in boa constrictors; may remain inclusion-body positive but clinically healthy (or low morbidity, chronically diseased) for extended periods of time.
  • Clinical signs range from subclinical carriers to severe neurologic disease and death.
  • Common signs include torticollis, disequilibrium, opisthotonus, inability to right itself, regurgitation, and flaccid paralysis.
  • Other signs include stomatitis and pneumonia; skin lesions; lymphoproliferative disorders, and round cell tumors.
  • Some snakes die within weeks, others may survive for extended periods of time.
  • Diagnosis by histopathology, PCR, or cell culture.
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21
Q

Inclusion Body Disease in reptiles diagnosis

A
  • BloodPCR
  • Inclusion bodies in white blood cells
    > Buffy coat smears stained with HE
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22
Q

Inclusion Body Disease treatment

A
  • No treatment
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23
Q

Snake Fungal Disease
- pathogen
> mainly seen where?
- mortality?
- signs? where we see lesions?

A

Ophidiomyces ophiodiicola
* Mainly seen in wild and zoo snakes
> Native eastern NA snakes > !!!! Check the CWHC website for protocols, risk
* Population effect
* Mortality up to 40%
* Dermatomycosis
> Most commonly on the face but can go systemic

24
Q

Snake Fungal Disease
diagnosis

A
  • Skin biopsy
  • Culture, PCR, and sequencing
25
Q

Snake Fungal Disease
treatment

A
  • Challenging
  • Nebulized or SC terbinafine
  • Other antifungals
    > Some toxicities have been reported, especially with voriconazole
    > Plasma concentrations are low
26
Q

Cryptosporidiosis in reptiles
> agent?
- signs
- humans?

A

Cryptosporidium serpentis
* Hypertrophic gastritis
> Mid-body swelling
> Chronic vomiting
* > A few days after ingestion – inability to digest
> rancid > vomiting
* Weight loss, anorexia
* Not zoonotic

27
Q

Cryptosporidiosis diagnosis?

A
  • Fecal testing, gastric lavage
  • Gastric biopsy – gold standard (by gastroscopy)
28
Q

Cryptosporidiosis treatment

A
  • No effective treatment
  • Paromomycin – some reported success
  • Hyperimmune bovine colostrum – not readily available
29
Q

what animals have their own cryptosporidium that can be confused with the snake species?

A
  • Mice have their own cryptosporidium and can be confused with the snake species.
30
Q

Amaebiasis
- agent
- what does it cause?
- mainly what animals affected? why?
- Dx
- Tx

A

Entamoeba invadens
* Necrotic enteritis and hepatitis
* Mainly snakes are affected
> Contact with freshwater turtles
* Diagnosis: fecal wet mount
* Treatment: metronidazole

31
Q

Snake Mite
> agent and significance

A
  • Ophionyssus natricis
  • Very common
  • can vector viruses and bacteria
32
Q

Snake Mite Recommended
treatment

A
  • Ivermectin spray of the snake and enclosure
  • Pyrethrins/permethrin spray of snake and enclosure
  • Discard substrate and enclosures items
  • Decrease humidity and increase temperature (temporarily)
  • Predatory mites
    <><><><>
  • Ivermectin can also be used to get rid of the mites. For complete eradication, the environment must be treated properly, as well. Insecticides are not very useful when treating snakes for having snake mites. Insecticides are usually highly toxic to snakes, so this treatment should not be used in the presence of snakes.
  • Use of the predatory mite Hypoaspis miles (now Stratiolaelaps scimitus) is advocated by some herpetologists as a nontoxic means of eradicating a population of O. natricis.
33
Q

Bearded dragon – Liver
- what pathogens are problematic?
> what they cause, signs, Dx

A

Agamidadenovirus1
* Bearded dragons
* Liver, GI, and neurological signs
* PCR on cloacal swab, liver biopsy
<><>
Encephalitozoon pogonae
* Microsporidium
* Disseminated granulomatous disease, but mainly in the liver
* Diagnosis on liver biopsy
<><>
* Variety of bacterial and other viral infections

34
Q

Pet lizards – GI parasites we are concerned about

A
  • Oxyurid nematodes – pinworms
  • Isospora amphiboluri – coccidian
  • Cryptosporidium varanii
    <>
  • Flagellates are common and typically not pathogenic
35
Q

Pet lizards – GI parasites
* Oxyurid nematodes – pinworms
- common?
- pathogenicity?
- Tx?

A
  • Very common
  • Pathogenicity unclear
    > May not be treated if not clinical
    > Fenbendazole if clinical
36
Q

Pet lizards – GI parasites
* Isospora amphiboluri – coccidian
- common?
- pathogenicity?
- Tx

A
  • Very common
  • Low pathogenicity
    > Mainly an issue in juveniles
    > Hard to treat (toltrazuril, ponazuril)
37
Q

Pet lizards – GI parasites
* Cryptosporidium varanii signs, Tx

A
  • Weight loss, mainly in juveniles, leopard geckos
  • Treated with paromomycin
38
Q

Nannizziomycosis
- what is this?
- previous name?
- species?

A
  • Fungal dermatitis in several lizard species
  • Previously known as the CANV complex (chrysosporium anamorph of Nannizziopsis vriesii)
  • Lots of species
39
Q

Nannizziopsis guarroi
- what disease?
- contagious?
- natuer of disease?
- Dx?
- Tx

A
  • “Yellow fungal disease”
  • Very contagious, can become systemic
  • Diagnosed on skin biopsies and PCR/sequencing
  • Hard to treat (voriconazole)
40
Q
  • Metarhizium spp. (granulomatous, viride)
  • causes what disease in what species?
A

Chameleons (mainly veiled chameleons) – tongue necrosis, dermatitis

41
Q

Purpureocillium lilacinus
- causes what?

A
  • Pneumonia in a variety of species
42
Q
  • Candida albicans
  • Fusarium spp.
A

yes they exist and can infect reptiles

43
Q

Testudinid Herpesviruses
- what type is the biggest problem?
- what animal in very susceptible? how?

A
  • TeHV3 most widespread and pathogenic
  • Hermann’s tortoise very susceptible to HV from other species
    > Especially from Greek tortoise
  • > TeHV1 and 3 mainly
44
Q

Testudinid Herpesviruses
- clinical signs
- latent
- Dx
- Tx

A

Clinical signs
* Oculonasal discharge
* Stomatitis
* Multisystemic
<><>
Latent infection
* All survivors are permanently
infected
<><>
Diagnosis
* PCR (better for acute infection)
* Serology (better for chronic infection)
<><>
Treatment
* Acyclovir
* Ganciclovir

45
Q

herpesvirus can cause what in freshwater turtles

A
  • Subcutaneous edema
  • Systemic
46
Q

herpesvirus can cause what in sea turtles

A
  • Gray patch disease
  • Fibropapillomatosis
  • Lung, eye, trachea disease (LETD) virus
  • Loggerhead genital-respiratory (LGRV) virus
  • Loggerhead orocutaneous HV (LOCV)
47
Q

Ranavirus
- what is this? affects what animals?
- what it causes in freshwater turtles, box turtles, tortoises

A

Virus of ectothermic animals
* Fish
* Frogs
* Reptiles
<><>
Freshwater turtles, box turtles, tortoises
* Subcutaneous edema (“red-neck disease”)
* Nasal discharge, conjunctivitis, stomatitis
* Systemic disease

48
Q

Mycoplasmosis
- disease mainly in what animals?
- predisposing factor?
<><>
- pathogen species?
<><>
- clinical signs
- Dx
- Tx

A
  • Mainly in wild NA tortoises
    > Inappropriate husbandry important
    predisposing factor
    <><>
    Several species, mainly:
  • Mycoplasma agassizii – most species
  • Mycoplasma testudineum (Gopher, desert tortoise)
  • Mortality in hatchlings
    <><>
    Clinical signs:
  • Rhinitis
  • Conjunctivitis
  • Persistent infection common – flare-ups
    <><>
    Diagnosis:
  • PCR – better for acute infection (on nasal flush)
  • Serology – better for chronic infections
    (culture is very difficult, so not used clinically)
    <><>
    Treatment
  • Enrofloxacin/clarithromycin
49
Q

what general categories of pathogens can cause pneumonia in reptiles

A
  • Bacterial
    > Variety of species
  • Fungal
    > Saprophytic fungi
  • Systemic viruses
    > Ranavirus, herpesvirus
50
Q

Pneumonia Dx, Tx

A

Diagnosis
* Imaging
* Pulmonoscopy
* Lung cytology and culture
<><>
Treatment
* Systemic drugs
* Nebulization

51
Q

Shell Ulcerative Disease
- what is the disease? what can cause it?
<>
- predisposing factors
<>
- Tx

A

Bacterial or fungal dermatitis
* Variety of bacteria
> Citrobacter freundii
> Aeromonas hydrophila
> Morganella morganii
> Clostridium spp.
* Saprophytic fungi
<><><><>
* Promoted by suboptimal husbandry and poor water quality
<><><><>
* Treatment
> Surgical debridement
> Dry docking aquatic species
> Systemic antibiotics
> Correct husbandry

52
Q

Intranuclear Coccidiosis
- what type of disease?
- what animals
- Dx

A
  • Systemic disease
  • Wild caught chelonians for the
    pet trade
  • Typically diagnosed on biopsies or necropsy
53
Q

Spirorchiid Trematodes
- what are these?
- IH
- common in what animals
- pathogenicity?

A

Vascular parasites, flukes
* Intermediate host is a snail
* Very common in sea turtles
* Also reported in freshwater turtles
* Parasites in cardiac chambers, great vessels
> Can block vessels

54
Q

Summary – Infectious Diseases
- viral diseases

A
  • Ferlavirus
  • Nidovirus
  • Atadenovirus
  • Arenavirus
  • Ranavirus
  • Herpesviruses
55
Q

Summary – Infectious Diseases
- bacterial diseases

A
  • Salmonella
  • Mycobacteria
  • Mycoplasma
  • Abscesses
  • Pneumonia
  • Stomatitis/periodontitis
  • Shell infection
56
Q

Summary – Infectious Diseases
- fungal diseases

A
  • Nannizziopsis dermatitis
  • Miscellaneous
57
Q

Summary – Infectious Diseases
- parasitic diseases

A
  • Cryptosporidium spp.
  • Encephalitozoon pogonae
  • Coccidia
    > Isosporosis
    > Intranuclear coccidiosis
  • Nematodes (pinworms)
  • Trematodes
  • Snake mite