Small Animal Parasitology Flashcards
What can a fecal flotation detect?
Oocysts, eggs, cysts
What can a wet mount detect?
Trophozoites
Giardia (small bowel, dogs and cats)
Tritrichomonas foetus (large bowel, kittens)
What can a rectal cytology detect?
Neutrophils or eosinophils
Spore forming rods
Spirochetes
What are considered “vomiting worms”?
Physaloptera (dogs and cats)
Ollulanus tricuspis (cats)
Eggs rarely shed in feces
Puppy from humane society
Small bowel diarrhea
No vomiting
9x11 um cysts
What parasite?
Giardia
What are the different tests for Giardia?
Wet mount (all diarrhea cases)
Fecal float (all cases)
Giardia antigen assays (increased sensitivity)
Giardia/cryptosporidium IFA (preferred, research gold standard)
Giardia PCR (only for genotyping)
What is the recommended drug treatment for giardia?
Febantel (or fenbendazole)
What is the recommended non-drug treatment for giardia?
High fiber diet (decreases trophozoite adherence, promotes normalizing bacterial overgrowth)
Probiotics may inhibit replication
How is giardiasis controlled?
Decontaminate environment
Treat affected animals
Bathing to lessen cyst contamination
Prevent reintroduction
Should patients positive for giardia but with normal stool be treated?
No
What follow-up testing is recommended for giardia?
Should be done 24-48hrs after completion of therapy
Perform fecal floar with centrifugation primarily for detection of cysts in solid or semisolid stools
ELISA tests may remain positive after tx so should not be used
Why should you complete Giardia workup after failure to treat?
Often co-infections (crypto, tritrich)
Often other GI diseases (IBD, EPI)
Cat from cattery
Bloody mucous diarrhea
5 weeks duration
Multiple therapeutic trials fail
What parasite?
Tritrichomonas foetus
Does tritrichomonas cause large or small bowel diarrhea? Giardia?
Tritrich = large
Giardia = small
When is tritrich disease most severe? What duration is the diarrhea?
C. parvum co-infection
9 months
What is the protocol for tritrichomonas testing?
No cysts
Combination: cytology, culture, PCR
If no organism on fresh feces wet mount, go to PCR - but a positive test result does not prove illness
What is the treatment for tritrichomonas?
Ronidazole
Careful, crosses BBB
Pradofloxacin is promising