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Small Animal and Caged Bird Medicine. Canine Viral Diseases Dr. Randy Ackman. Canine Distemper. Etiologic agent Morbillivirus Affects various species of Carnivora Canids, ferrets, raccoons, mustelids Transmission Shed in body secretions Primarily aerosol Labile in environment .
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Small Animal and Caged Bird Medicine Canine Viral Diseases Dr. Randy Ackman
Canine Distemper • Etiologic agent • Morbillivirus • Affects various species of Carnivora • Canids, ferrets, raccoons, mustelids • Transmission • Shed in body secretions • Primarily aerosol • Labile in environment http://cheval.vet.gla.ac.uk/vetscape/vet-x/lions/
Canine Distemper • Pathophysiology • Highly contagious • Infection of tonsils and bronchial lymph nodes • Systemic lymphoid tissue • Suppresses B and T cells • Viremia • Disseminates in epithelium and CNS • Outcomes • Complete recovery • Death • Encephalomyelitis http://duke.usask.ca/~misra/virology/CDV-path.JPG
Canine Distemper • Clinical Signs • 0-100 % mortality rate • Fever initially (103°-105°) • Diphasic • Nasal and ocular discharge • GI • Vomiting • Diarrhea • Respiratory • Pneumonia • Cough • Dyspena http://www.marvistavet.com/html/body_canine_distemper.html
Canine Distemper • Clinical signs continued • Hyperkeratosis • Hard pad disease • CNS • Encephalomyelitis • Acute • Destroys gray matter • Chronic • Non-supporative • Demyelination • White matter • Myoclonus – gray matter • Seizures –gray matter http://www.peteducation.com/article.cfm?cls=2&cat=1556&articleid=419 http://www.neurovet.org/VIDEOS/Myoclonus.htm
Canine Distemper • Neuro-distemper • Development of CNS white matter signs • Paresis • Ataxia • Old dog encephalitis • Development of CNS grey matter signs • Seizure • Myoclonus
Canine Distemper Enamel hypoplasia Optic neuritis http://www.veterinaryvision.com/dvm_forum/dvm-emergency.htm http://www.dentalvet.com/Encyclopedia/P00352_SC01101.htm
Canine Distemper • Diagnosis • Hematology • Lymphopenia • Early leukopenia • Later neutrophilic leukicytosis • Serum • Ab does not differentiate from vaccine • IgM rises with Vx and infection • Inclusion bodies • Epithelial • Blood cells • Conjunctiva • Vaginal • Bladder http://duke.usask.ca/~misra/virology/stud2004/distemper/diagnosis.html
Canine Distemper • Diagnosis • IFA • Detects viral antigen • PCR • CSF analysis • CDV antigen • Increased protein • CDV Ab is diagnostic • ELISA • Radiographs • Post mortem • Pneumonia • Histopath IFA • Lung, lymph nodes, stomach, bladder http://w3.vet.cornell.edu/nst/nst.asp?Fun=Display&imgID=2696
Treatment Systemic antibiotics Broad spectrum Antiemetics Bronchodilators Anticonvulsants Phenobarbital Supportive Fluids Guarded prognosis High mortality rate Prevention Passive immunity from bitch Maternal Ab interference MLV CDV Almost 100% protective Rarely a fatal post vaccine encephalitis occurs Canine Distemper
Canine Parvovirus • Etiologic agent • Canine Parvovirus • CPV-1,CPV-2, CPV-2a, b • Transmission • Fecal oral route • Hardy virus • Over winter • During illness • 1+ billion/g feces • Environmental contamination very important http://www.marvistavet.com/html/body_schering-plough_parvo_vaccine_.html
Canine Parvovirus • Pathophysiology • Virus proliferates in tonsils and lymph nodes • Viremia • 3-5 days post infection • Proceeds clinical signs • Shedding prior to clinical signs • Incubation period 7-14 days • Fecal shedding not longer than 10 days http://www.sadsac.org/parvo.htm
Canine Parvovirus • Pathophysiology (cont) • Affects mitotically active crypt cells of • Distal duodenum • Jejunum • Leukopenia, neutropneia • Increased tissue demand • Circulation to margination • Depletion of bone marrow • GALT and Peyers patches depleted • Myocardial CPV • Utero or neonatal infection
Canine Parvovirus http://www.veterinarypartner.com/Content.plx?P=A&C=&A=581&SourceID=
Canine Parvovirus http://www.technion.ac.il/~mdcourse/274203/slides/Digestive%20tract/16-Jejunum.jpg http://duke.usask.ca/~misra/virology/parvo/czar2.html
Canine Parvovirus • Clinical Signs • Anorexia • Depression • Fever • Vomiting • Hemorrhagic diarrhea • Profuse • Rapid dehydration • Small bowel diarrhea http://people.freenet.de/sindern/parvo.gif
Canine Parvovirus • Progression of disease • Endotoxemia • Sepsis • Hypovolemic shock • Hypoglycemia • Two reasons? • DIC • Disseminated intravscular coagulation http://www.sheprescue.org/tails%20of%20joy%202.htm
Canine Parvovirus • Diagnosis • Hematology • Neutropenia • Leukocytosis in recovery • Chemistry • Hypoglycemia • Elevated liver enzymes • Azotemia • Pre-renal • ELISA • Snap test –IDEXX • CITE http://www.idexx.nl/diergezondheid/icproducten/index.jsp
Canine Parvovirus • Therapy • Fluids • Correct electrolyte imbalance • Rehydrate • LRS + K+ • Fluids • Did I mention fluids? • NPO • Broad spectrum antibiotics • Antiemtics • Antidiarrheal • Analgesics • Isolation http://www.petharbor.org/images/hospital.jpg
Canine Parvovirus • Prevention • Bleach • 1:32 • Vaccination • Maternal antibody interference • Ab can persist for up to 18 weeks • Window of opportunity • MLV –better protection • Early vaccination if colostrum deprived • Susceptible breeds • Rottweilers, Doberman, Labs http://images.art.com/images/PRODUCTS/Regular/10001000/10001801.jpg
Parvo Links • http://vetpath4.afip.org/proto/show_page.php?id=12 • http://vetpath4.afip.org/proto/show_page.php?id=11
Canine Coronavirus • Etiologic Agent • Canine corona virus (CCV) • Only affects canids • Epitheliotropic virus • Transmission • Fecal oral route • Animals may be subclinical for months • Easily spread • May be asyomptomatic http://duke.usask.ca/~misra/virology/stud2005/vaccines3/coronavirus.html
Canine Coronavirus • Pathophysiology • Virus invades epithelial cells (enterocytes) of the villi • Compare to the damage of parvovirus? http://www.fao.org/docrep/003/t0756e/T0756E128.jpg
Canine Coronavirus • Clinical signs • Anorexia • Depression • Vomiting • Diarrhea • Soft to watery • Occasional blood • Other dogs showing signs • Usually afebrile • Not as multisystem http://petservice.com/libraries/pictures/coron_pict.html
Canine Coronavirus • Diagnosis • Usually by clinical signs • Virus isolation • Electron microscopy • Fluorescent antibody test • Not practically clinically http://duke.usask.ca/~misra/virology/stud2005/vaccines3/coronavirus.html
Canine Coronavirus • Therapy • Treat like other acute enteritis • Fluid therapy prn • Dietary restriction • NPO • i/d • Eukanuba Low Residue • Protectants • Bismuth http://mantenoanimalhospital.com/EukLowResi.jpg
Canine Infectious Hepatitis • Etiologic agent • CAV-1 • Canine adenovirus 1 • Serologically homogenous, but antigenically different from CAV-2 • CAV-2 • Involved with kennel cough • Wild and domestic canids http://duke.usask.ca/~misra/virology/stud2005/vaccines3/hepatitis.html
Canine Infectious Hepatitis • Transmission • Oro-nasal exposure • Found in secretions • Very resistant to inactivation and disinfection • Pathophysiology • Oro-nasal exposure • Viremia • Spreads to all tissue • Especially • Hepatocytes • Endothelium • Corneal edema • Anterior uveitis • Blue eye http://duke.usask.ca/~misra/virology/stud2005/vaccines3/hepatitis.html
Clinical signs Peracute infection Moribund in matter of hours Death Acute Fever 103-106 Vomiting Diarrhea Abdominal pain Petechiae Epistaxis Melena Clinical signs Ocular infection Corneal edema Anterior uveitis Chronic Active Hepatitis Persistent hepatic infection Canine Infectious Hepatitis
Canine Infectious Hepatitis • Therapy • Supportive • Fluids • + glucose • Maintain health until hepatocellular regeneration • Antibiotics • Prn • Antiemetics • Prevention • MLV vaccination • Excellent protection
Canine Infectious Tracheobronchitis • Kennel cough complex (KCC) • Several virus involved and bacteria (Bordetella bronchiseptica) • CAV-2 • Canine adenoviruses (CAV-1 and CAV-2) • Cross protection with vaccination • Proliferative, necrotizing bronchitis • CPI • Canine parainfluenza virus • Others • Canine herpes virus • Canine reoviruses • Mycoplasms
Canine Infectious Tracheobronchitis • Pathophysiology • Viral damage to respiratory epithelium • Colonization of bacteria (can also be mycotic, mycoplasma) • Usually • Bordetella bronchiseptica • Tracheitis • Occasionally pneumonia • Incubation • 3-10 days http://www.felinebb.info/disease/microbiology/figure1.asp
Canine Infectious Tracheobronchitis • Clinical signs • Dry non productive cough • Gagging • +/- fever • No other signs • Self limiting • Severe • pneumonia http://www.darwinvets.plus.com/dogs/kennelCough.htm
Canine Infectious Tracheobronchitis • Diagnosis • History of exposure to other dogs • Clinical signs • Cough • Tracheal palpation • Dry non productive • Gagging • Nasal swabs for culture http://www.thepetcenter.com/gen/kenc.html
Canine Infectious Tracheobronchitis • Treatment • Antibiotic • Systemic • Clavamox • Nebulazation • Gentamycin • Antitussive • Temaril –P • Dextramethorphan • Butorphanol http://www.77canadapharmacy.com/images/product/T/temaril-p.jpg
Canine Infectious Tracheobronchitis • Prevention • Air flow • 15-20 air changes per hour • CAV-1 or CAV-2 vaccination • Parainfluenza vaccination • Parenteral • Injectable • Bordetella bronchiseptica • Intranasal – IgA • Injectable - IgG http://www.scheringploughanimalhealth.ca/images/animal/featured_products/intratrac/intratrac.jpg