Respiratory 3

Question 1

you are talking to a bovine feelot producer and he tells you he thinks some of his new cows that just arrived have shipping fever. What do you tell him the real name of this disease is?

Answer 1

bovine respiratory disease complex

Question 2

the bovine feedlot producer wants to know what causes bovine respiratory disease complex. what do you tell him?

Answer 2

it is a multifactorial disease caused by a mix of environmental factors, host factors, and pathogen factors

Question 3

the bovine feedlot producer doesn’t like your explanation (what a jerk) of bovine respiratory disease complex and wants more specifics. He says “aren’t there viruses or bacteria involved?” You then say “yes, the most commonly involved viruses are _______ and the most common bacteria involved are ______

Answer 3

bovine respiratory syncytial virus, parainfluenza 3 virus, infectious bonvine rhinotrachetitis (bovine herpes virus 1)

manheimia haemlytica, pasturella multocida, histophilus somni, mycoplasma bovis

Question 4

you go visit a dairy farm to go see a bunch of calves kept indoors. They have their necks extended, there is foaming at the mouth, and they are all standing with a wide stance. What do these dairy cows have?

Answer 4

enzootic pneumonia of calves caused by a combination of envionrmental, host, and pathogen factors (similar to those with shipping fever)

Question 5

you explain to the dairy producer that there is a 2 hit theory when it comes to his calves with enxootic penumonia. what is the 2 hit theory and what other disease is associated with the two hit theory?

Answer 5

the 2 hit theory suggest that first the animal is hit with a viral infection, and the second hit is an OPPORTUNISTIC bacterial infection. another disease associated with this is shipping fever or bovine respiratory disease complex

Question 6

you get a necopsy of a calf on path rotations and you were told that the calf experienced transient pyrexia and mild respiratory disease and then temporarily inmproved. The calf then experienced a severe rapid onset of respiratory distress and died shortly after. When you open up the lungs to look, it looks like bronchopneumonia: the craniocaudal lung lobes are dark red and meaty, and the caudo-dorsal lung is voluminous and puffy. when you look at the histology slides you see that the alevolar epithelial cells have formed large multinucelated syncytial cells. What did this calf die from, and explain the pathogenesis

Answer 6

bovine respiratory syncytial virus:
the virus impairs alevolar macrophages which allows for opportunisitc bacterial infections.

Question 7

bovine respiratory synsyctial virus technically causes what kind of penumonia?

Answer 7

bronchointerstisial pneumonia with inflammation centered on airways and the alveoli

Question 8

I’m a commensalistic bacteria normally found in the nasopharynx in cattle and I cause fibrinous bronchopneumonia. I am a part of the bovine respiratory disease complex. What am I? What do you expect the lungs to look like in which I invade?

Answer 8

mannheimia haemolytica
classic cranioventral bronchopneumonia, well demarcated areas of caogulative necrosis

Question 9

what are “oat cells” and what bacterial disease are they indicitave of?

Answer 9

mannheimia maemolytica: production of a leukotoxin causes lysis of neutrophils forming streams of neclear material fromthe dead neutrophils and this looks like oats on histo

Question 10

there are 3 bacteria that look similar upon presentation on lung necropsy. what are these 3 bacteria and how do they present? How do you differentiate them?

Answer 10

Mannheimia haemolytica, histophilus somni, and pasturella multocida. All present as fibrinous bronchopneumonoa or fibrinous pleuritis. CULTURE

Question 11

respiratory infection of histophilus somni causes 4 conditions. what are they? can all 4 of these happen at the same time?

Answer 11

bronchopneumonia and pleuritis
pericarditis
polyarthritis (septic joints)
thromboembolic meningoencephalitis

usually or 1 or 2 of these happen, never all 4 at once

Question 12

mycoplasma bacteria species show high levels of antibiotic resistance.why?

Answer 12

they lack cell walls which means certain types of antibiotics don’t work on them

Question 13

You are talking to a fellow vet student working on a necropsy of a cow that you both think is infected with a mycoplasma bacteria. The student suggests that the lung samples be cultured to find out. Is this the right move? Why or why not?

Answer 13

NO this is NOT the right move! Mycoplasms are slow groing and therefore difficult to culture so PCR is a better diagnostic!

Question 14

how do mycoplasma bacteria spp cause disease?

Answer 14

mycoplasma adhere to the ciliated epithelium of the respiratory tract and cause ciliostasis which impais the mucociliary clearance

Question 15

what is the most important mycoplasma species in all of canada?

Answer 15

mycoplasma bovis

Question 16

what 3 syndromes are caused by mycoplasma bovis?

Answer 16

penumonia, polyarthritis, otitis media

Question 17

you are doing a necropsy and you find caseonecrotic bronchopneumonia with cranioventral consolidation with multifocal, raised, white, sharply demarcated, friable foci of caneous necrosis. what is your number 1 differential? if you were to do histology, what would you likely see?

Answer 17

mycoplasma bovis
histology: bronchietasis

Question 18

what is that DARN BACTERIA that kills THEM BISON?

Answer 18

mycoplasma bovis

Question 19

if you suscpect mycobacteria are responsible for a penumonia case you just saw, what will you tell the histology people to do?

Answer 19

use acid fast stain because the bacteria don’t stain with a gram stain because of their high lipid content (even though they are gram positive)

Question 20

what are the 3 big important mycobacterial diseases?

Answer 20

tuberculosis
jonhe’s disease
leprosy

Question 21

the gross lesion of respiratory tuberculosis is

Answer 21

the tubercle, a nodular granuloma that is often mineralized

Question 22

you have been asked to look at the histology slide for the case you had for suscepted mycobacterium. What 3 things do you expect to see on the slides?

Answer 22

central necrosis, small numbers of acid fast bacteria, rim of epitheliod marcophages and multinucleated giant cells

Question 23

what kind of pneumonia would you expect to see in a patient with a mycobacterium infection?

Answer 23

granulomatous

Question 24

what are the two bacteria that are abbreviated M bovis? which is reportable?

Answer 24

Mycoplasma bovis (not reportable) and mycobacteria bovis (reportable)

Question 25

what are the two main mycobacteria species that you should care about? Why do we care so much? Which one is worse than the other?

Answer 25

mycobacterium bovis and mycobacterium tuberculosis. they are both zoonotic! M bovis has a much lower zoonotic risk than M tuberculosis

Question 26

a cattle farmer comes to you and says that the adults in his herd are experiencing acute onset od dyspnea with expiratory effort, tachypnea, open mouth breathing, and froth coming from the mouth. The calves seem to be fine. He tells you that he just recently moved his cattle from the barn into the pasture. It happens to be early summer and the pasture is looking very green and lovely. What is going on here? What is causing this disese? Why are the calves okay?

Answer 26

the sheep have acute bovine pulmonary emphysema and edema aka fog fever.
the cause is 3-methylindole toxicity from lush green plants
you need an active and working rumen to form the toxin that causes the disease

Question 27

your dad saks you, “hey kid, what’s vermin pneumonia?” what do you tell him?

Answer 27

you say “it’s a type of pneumonia in cattle caused by lungworms named dictyocaulus viviparus which is a nematode, and the worm likes to live in the bronchi. it causes eosiniophilic granulomas”

Question 28

a sheep farmer comes to you and says, “hey doc I’m worried about my sheep getting lung parasites, tell me more” so what do you say?

Answer 28

lungworm in the sheep is called muelleris capillaris, and in small numbers they are usually OK but large numbers can cause poor wight gain and predispose some sheep to infections.

Question 29

what kind of virus is OPP, what animal does it infect, and what are the gross pulmonary lesions?

Answer 29

ovine progressive pleuropenumonia is a lentivirus infecting sheep.
gross lesions: heavy, pale lungs that fail to collapse, caudal lobes more affected, rubbery lungs, rib impressions

Question 30

what is the virus responsible for inducing tumors in sheep?

Answer 30

ovine pulmonary adenocarcinoma caused by jaagsiekte sheep retrovirus

Question 31

what is APP in pigs and what kind of pneumonia does it cause? what is unique about the gross presentation?

Answer 31

actinobacillus pleuropneumoniae, aka, contagious pleuropneumonia. it causes fibrinous bronchopneumonia with extensive pleuritis
gross presentation: usually the middle or caudal lung lobes are affected even though it is a bronchopneumonia

Question 32

what are the 3 important things to remember about mycoplasmas?

Answer 32

they lack a cell wall, they are slow growing, and they cause ciliostasis

Question 33

what is PRRS and what kind of pneumonia does it cause? what do the gross lesions look like?

Answer 33

porcine respiratory and rproductive syndrome, causing granulomatous interstisial penumonia (must be diagnosed by histo to see the granulomatous part)
lesions: lungs fail to collapse, rib impressions and firm on palpation, patchy discoloration

Question 34

what is the name of the syndrome that is caused by porcine circovirus 2. What is the main clinical sign?

Answer 34

porcine circovirus and postweaning multisystemic wasting syndrome
lymphadenopathy

Question 35

what are the gross lesions associated with swine influeza? how about on histo?

Answer 35

cranioventral lobular distribution of atelectasis and large edematous lymph nodes
histo: epithelial necrosis

Question 36

recurrent airway obstruction is called what in lay man’s terms? What does it cause? where does it target?

Answer 36

heaves
reversible airway obstruction due to bronchospasm
targets small bronchioles and caudodorsal lung

Question 37

what are the 3 disease presentations with rhodococcus equi?

Answer 37

enteritis, polyarthritis, pneumonia

Question 38

what kind of penumonia does rhodococcus equi cause?

Answer 38

pyogranulomatous bronchopneumonia

Question 39

if you have a foal with pyogranulomatous bronchopneumonia, what is the cause?

Answer 39

rodococcus equi

Question 40

what is kennel cough?

Answer 40

canine infectious respiratory disease complex

Question 41

what are the 3 systems that canine distemper virus affects?

Answer 41

respiratory, GI, and CNS

Question 42

when do dogs usually develop pneumonia?

Answer 42

when pulmonary defences have been impaired

Question 43

which bacteria is famous for being a part of the canine infectious respiratory disease complex?

Answer 43

bordetella bronchiseptica

Question 44

name the 4 big system mycoses!

Answer 44

blastomyces dermatitidis
coccidioides immitis
crptococcus neoformans
histoplasma capsulatum

ALL ZOONOTIC

Question 45

if you suspect that a dog has blastomycosis or coccidioides, should you send away a sample for culture?

Answer 45

NO, IT IS ZOONOTIC AND IS NOT SAFE TO SEND FOR CULTURE

Question 46

what is the most common systemic mycoctic disease in cats?

Answer 46

cryptococcosis

Question 47

why do fungi usually cause granulomatous pneumonia?

Answer 47

because the macropahes in the lung can’t digest them, causing them to live in the macrophages causing a granuloma

Question 48

you have a dog named Bunny coming to see you because she has heartworm. What will cause her clinical signs?

Answer 48

pulmonary hypertension and vascular sclerosis due to the prescence of worms in the arteries

Question 49

feline asthma causes

Answer 49

revesible airway obstruction, bronchospasm, inflammation