Week 2 - Fungal disease and other pathology Flashcards

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1
Q

What are the different types of fungal spore?

A

Arthrospores - lots of cells make up a septate hypha which breaks up into the seperate cells. (produced by dermatophytes) Conidiospores - often produced at the ends of hyphae, they can be unicellular or multicellular. Spores detach from the structure when they are mature.

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2
Q

What is the difference between mycoses and mycotoxicoses?

A

Mycoses is disease caused by a fungus invading and growing in tissue whereas mycotoxicoses is disease caused by production of a fungal toxin.

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3
Q

What are the types of yeast infection that can affect animals?

A

Cryptococcosis Candidiosis Malassexia pachydermatitis

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4
Q

What is a common presentation of crytococcosis that may be seen in SA practice and how is this disease contracted?

A

Frequently associated with the tip of the nose in cats. It is associated with old pidgeon droppings.

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5
Q

What type of budding is seen with candida?

A

Budding on a broad base

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6
Q

What are the filamentous fungi causing disease in animals?

A

Saprolegniosis - fish

Mucor - causing mycotic rumenitis

Aspergillus

Dermatophytes

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7
Q

Which genera of fungus cause ringworm?

A

Microsporum, Trichophyton and Epidermophyton*

*(rarely seen in animals)

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8
Q

What are the most common species found in ringworm infections of the dog in the UK? How does this presentation vary?

A

*Microsporum canis *and *Trichophyton **mentagrophytes *are the most common in the UK. This does vary depending on first opinion vs. refferral as *T. mentag. *is seen more at referral.

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9
Q

Describe the pathogenesis of dermatophytosis, when is disease most likely to be long standing?

A

Infection is acquired by contact. Arthrospores adhere to the stratum conreum cells and hyphae invade the SC by aid of keratinases. Anagen hairs are invaded but mitotically active cells are not usually affected. The host produces an inflammatory response and this normally resolves disease in 1-3 months unless the animal is immunocompromised in some way.

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10
Q

What breed dispositions are there for dermatophytosis?

A
  • M. canis *often infects Yorkshire Terriers
  • Trichophyton *spp. often infect Jack Russel Terriers
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11
Q

Why is it important to investigate dermatophytosis and how is this achieved?

A

It is zoonotic!

Microscopy - spores not always seen, does not rule out

Fluoresence microscopy - calcafluor dye, however UV microscopes wont be accessible in practice

Wood’s Lamp - apple green fluorescence (does not rule out)

Culture in a GOOD lab is best.

Biopsy can be used.

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12
Q

What are some of the clinical signs of *Malassezia pachydermatitis *infection?

A

Erythema, alopecia and scaling

Greasy exudate

Ventral neck, interdigital skin, axillae and groin comonnly affected.

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13
Q

What might be a good tx protocol for *M. canis *in a CAT?

A

Oral itraconazole in 3 cycles of 1 week on and 1 week off.

In conjunction use Malaseb (chlorhexidine + myconazole) shampoo.

Treat the environment!

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14
Q

How do imidazole antifungals achieve their effect?

A

They inhibit ergesterol synthesis which is a normal component of the fungal cell wall.

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15
Q

How can the contrast be adjusted on the microscope? In what circumstances is this done?

A

Increase contrast by moving condenser stage down. Use at lower magnification. At higher magnification a higher condenser stage with more light is needed.

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16
Q

What causes nuclear streaking on a cytology sample?

A

Nuclear streaking is an indication of damage to neutrophils. It is formed of damaged chromatin.

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17
Q

How might cell populations vary between superficial and deep pyodermas?

A

Superficial pyodermas are more likely to have neutrophils and deep pyodermas are likely to have increased mononucleur cells.

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18
Q

What are the 4 main reasons for hair loss?

A
  1. Trauma/self trauma
  2. Inflammatory disease
    1. Primary
    2. Bystander
  3. Endocrine problems
  4. Genetic disorder/follicular dysplasia
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19
Q

What is alopecia x?

A

A disorder of unknown aetiology that presents as an endocrine - like hair loss. It seems to be a cosmetic problem only.

20
Q

What are the DDx for non-inflammatory, non-traumatic hair loss?

A

Endocrinopathies - most likely

Coat colour linked loss, miscellaneous hair growth problems, other rare causes

21
Q

What may be the cause of a nodular lesion and how is diagnosis best achieved?

A

Nodules often indicate:

  • Cutaneous neoplasia
  • Inflammation
  • Trauma
  • Depositional disease (rare)

Fine needle aspiration or tissue biospy are the best methods of diagnosis.

22
Q

Which cell types do cutaneous neoplasias often arise from?

A

Epithelial cells

Mesnchymal cells

Round cells

(metasteses)

23
Q

What should be done with ALL excised masses?

A

All of them should be analsyed by a histopathologist. This is important for determining tumour types as well as determining whether adequate margins have been achieved.

24
Q

What are the breed dispositions for MCTs?

A

Multiple tumours:

  • Boxers
  • Pugs
  • Weimeraners

Hindlimb Tumours

  • Boxers
  • Pugs
  • Pitbulls
  • Boston terriers
  • English setters
25
Q

What diseases may cause pigmentation changed?

A

Any diseases affecting the hair matrix or basal cell layer of the epidermis

26
Q

What is photosensitization?

A

Release of hydrolytic enzymes and other mediators in response to UV light exposure to photodynamic agent damaged areas of the skin. Photofynamic agents can be administered, fed, or accumulate as a result of abnormal metabolism

27
Q

Match the definitions below with their word.

  1. Onychogryposis
  2. Onychomycosis
  3. Onychorrhexis
  4. Onychomadesis
  • Deformed overgrowth of nails (a)
  • Complete shedding of nails (b)
  • Fungal nail infection (c)
  • Breakage or brittleness of nail (d)
A
  1. a
  2. c
  3. d
  4. b
28
Q

What are the main aetioloigies of claw damage?

A
  1. Trauma
  2. Neoplasia
  3. Paronuchia - inflammation of the nail fold
  4. Symettrical lupoid onchodystrophy (lupoid onchytis)
29
Q

What is the difference between a drug reaction and a drug side effect?

A

Reactions involve an immune response to the administered drug whereas a side effect is a direct result of the drugs pharmacocological action

30
Q

What is the difference between auto-immune and immune mediated disease?

A

Autoimmunity refers to a specific humoral/cell-mediated response to auto-antigens resulting in disease

Immune-mediated disease is one where disease occurs as a result of inflammatory responses

31
Q

What type of disease is most likely to result in erosions, ulcers, blisters etc.?

A

Auto immune/immune mediated attack on basal keratinocytes or the basement membrane.

32
Q

What are the different classess of cutaneous autoimmune diseases?

A
  • Sub-epidermal vesicular - protein in BM targeted
    • Bullous penphigoid
    • Mucous membrane pemphigoid
    • Epidermolysis bullosa aquisita
  • Intraepidermal vesicular - desmogleins targeted
    • Pemphigous vulgaris
  • Intraepidermal pustular - most common autoimmune
    • Pemphigous foliaceus
  • Interface dermatitis - dermal/epidermal junction obscured by inflammatory cells and/or hydropic degeneration
    • Discoid lupus erythematosus
    • Erythema multiforme/toxic epidermal necrolysis (often drug triggered)
33
Q

What are the priniciples of therapy of autoimmune diseases?

A

Supress the autoimmune reaction with anti-inflammatory/immunosuppressive drugs

Carefully monitor animals for side effects

Balance between disease severity and likley toxicity of therapy

34
Q

What drug options are available in the treatment of autoimmune skin disease?

A
  1. Prednisolone
  2. Azothioprine - immunosupressive drug
  3. Chlorambucil
  4. Ciclosporin
  5. Tetracycline and niacinamide
35
Q

What are the reservoir hosts for feline cowpox?

A

Rodents such as voles and woodmice

36
Q

How is feline cowpox managed?

A

It is zoonotic so owner needs to take care, beware immunosupressed family members.

Supportive therapy

AVOID STEROID USAGE

37
Q

What ectoparasites are commonly found on rabbits?

A
  • Leporacarus gibbus *(Fur Mite)
  • Psoroptes cuniculi *(ear mite)
  • Cheyletiella parasitovorax *(zoonotic)
38
Q

How are ectoparacites treated in small mammals?

A

Ivermectin 0.4mg/kg sc q7-14 days. Topical formulations are available but these are not as effective.

39
Q

How are fleas treated in ferrets and rabbits?

A
  • Ferrets
    • Moxidectin/imidacloprid
    • Fipronil + (s)-methoprene
  • Rabbits
    • Imidacloprid
    • Averse reaction associated with fipronil
40
Q

What substrates may be associated with hypersensitivity in small mammals?

A

Scented substrates e.g. pine or cedar.

41
Q

What endocrine disorders are associated with which small mammals?

  1. Hyperadrenocorticism
  2. Hyperoestrogenism
  3. Cystic ovaries
A
  1. Hamsters and ferrets
  2. Ferrets
  3. Guinea pig
42
Q

What part of the body is often not checked in a smallie physical exam?

A

The feet

43
Q

What are the most common endocrine diseases causing alopecia in the dog?

A
  1. Hyperthyroidism
  2. Hyperadrenocorticism
  3. Sertoli cell tumour
44
Q

What is telogen effluvium?

A

Synchronous hair loss due to telogenisation at the same point in time, usually due to a stressful event.

45
Q

How should skin disease be approached in exotic species?

A

First assess whether there is a primary skin disease.

Rule out systemic causes of disease

Finally, behavioural problems may be conisdered.

46
Q
A