Infectiousdiseases Infectious diseases · Patogenesis Liver, lungs, intestines, lymphatic organs...

27
2013 1 Infectious diseases Avian and Exotic Animal Clinic University of Veterinary and Pharmaceutical Sciences Brno, Czech Republic VLADIMIR JEKL, DVM, PH.D., DIP . ECZM (SMALL MAMMAL) KAREL HAUPTMAN, DVM, PH.D Ectoparazitic diseases Endoparazitic diseases Mycotic diseases Viral diseases Bacterial diseases Infectious diseases Influenza Distemper Aleutian disease Gastritis – Helicobacter mustelae Epizootic coronaviral enteritis Mastitis Ectoparazitic diseases Infectious diseases in ferrets Influenza Antropozoonosis High morbidity 7-14 days Low mortality Transmission Aerosol Direct contact Incubation period 2-4 days

Transcript of Infectiousdiseases Infectious diseases · Patogenesis Liver, lungs, intestines, lymphatic organs...

2013

1

Infectious diseases

Avian and Exotic Animal ClinicUniversity of Veterinary and Pharmaceutical Sciences Brno, Czech Republic

VLADIMIR JEKL, DVM, PH.D., DIP. ECZM (SMALL MAMMAL)KAREL HAUPTMAN, DVM, PH.D

Ectoparazitic diseases

Endoparazitic diseases

Mycotic diseases

Viral diseases

Bacterial diseases

Infectious diseases

Influenza

Distemper

Aleutian disease

Gastritis – Helicobacter mustelae

Epizootic coronaviral enteritis

Mastitis

Ectoparazitic diseases

Infectious diseases in ferrets Influenza

Antropozoonosis

High morbidity 7-14 days

Low mortality

Transmission Aerosol

Direct contact

Incubation period 2-4 days

2013

2

Influenza

Clinical signs Sneezing

Epifora

Nasal and ocular discharge

Diagnostics

Contact with influenza within family

Clinical signs

RIA, PCR,ELISA

Influenza

Therapy (Amantadin)

(Zanamivir)

(Oseltamir)

Supportive care

Force-feeding

Secondary bacterial infection

Fluid therpay

ATB – amoxicilin-clavulanate

Distemper

CDV – Morbillivirus

Transmission Aerosol

Direct contact Ocualr discharge

Urine, faeces

Indirect contact

Incubation period 7-60 days

Distemper

Clinical signs Dermatitis – chin, perianal region

Cheylitis Orange colour

Anorexia, Apathy

Dyspnoe

Pruritus, Blefarospasmus

Mucopurulent ocular nad nasal discharge

Hard pad

2013

3

Distemper Distemper

Clinical signs Incooordination

Torticolis

Nystagmus

Seisures

+ immunosuppression

Distemper

Diagnostics IFA (first days of the disease)

Nested PCR

Postmortal

Immunofluorescence Lymphonodes, cerebellum

Mucosa

Brain demyelinization, Encefalitis

Inclusion bodies – IC, IN

Distemper

Therapy (anti-dog hyperimmune serum)

Prevention vaccination

(PureVAx Distemper vaccine)

6.-8. week

10.-12. week

14.-16. week

Revaccination once a year

2013

4

Epizootic coronaviral enteritis

FECV, RNA virus

Highly contagious

High morbidity

Low mortality (older ferrets more sensitive)

Transmission Orofaecal route

Indirect - clothes

Incubation period 2-3 days

Epizootic coronaviral enteritis

Virus present in faeces Up to 6 months

Termostable

Common disinfectant effective

Enterocyte destruction

malabsorption

Epizootic coronaviral enteritis

Clincial signs

Young ferrets Acute gastroenteritis

Asymptomatic

Ferrets older than 3 years Acute/Chronic gastroenteritis

Vomitus, diarrhoea

Soft yellow to green faeces, „birdseed“

General weakness

Dehydration

Epizootic coronaviral enteritis

2013

5

Epizootic coronaviral enteritis

Diagnostics Electron mikroscopy

PCR

Histology

Epizootic coronaviral enteritis

Therapy Rehydration

Easy digestible diet

ATB

H2-blocators, Antiemetics

(prednison – 0,5-1 mg/kg q12h)

Systemic coronaviral infection

FSCV

High mortality

Similar to FIP

Mastitis

Laktující fretky

2013

6

Mastitis

Lactation

Staphyloccocus, E. coli

Clinical signs Skin discoloration

Oedema, pain

Youngs – stunted growth/death

Therapy ATB

Surgical excision

Youngs – force-feeding

Ectoparazitic diseases

Ctenocephalides felis

Ticks

Otodectes cynotis

Ectoparazitic diseases

Demodicosis

Ectoparazitic diseases

Therapy

Ivermectin

Selamectin

Fipronil

Advantage (imidacloprid)

2013

7

Infectious diseases in rabbits

VHD

Myxomatosis

Treponematosis

Pasteurellosis

Facial abscessed

Coccidiosis

Ectoparazitic diseases

Dermatophytosis

Encephalitozoonosis

Viral haemorrhagical disease

Calicivirus

Highly contagious

High morbidity

High mortality

Transmission Direct contact

Indirect – air

Virus perzistence in urine

Age resistance to the diseases

Viral haemorrhagical disease

Patogenesis Liver, lungs, intestines, lymphatic organs

DIC epistaxis, haemorrhages on and in organs

Incubation period 24-48 hod.

Clinical signs Apathy, immobility, tachypnoe, fever

Seizures, ataxy

Death

Viral haemorrhagical disease

Diagnostics Typical course of the disease

Histopathology – liver, spleen

PCR

ELISA, HIT

2013

8

Viral haemorrhagical disease

Vaccination Poor epizootic situation

First vaccination 6 weeks

Booster 10 weeks

Revaccination 6-12 months

Good epizootic situation First vaccination 10 weeks

Revaccination 6-12 months

Myxomatosis

Leporipoxvirus

Highly contagious

High morbidity

Mortality variable Amyxomatous form

Transmission Direct contac

Blood sucking insect

Myxomatosis

Patogenesis Replication in regional lymphonodes

Viraemia

Dissemiantion into predilection sites

Incubation period 4-6 days

Myxomatosis

Clinical signs Nodular skin changes

Oedeama – eyelids, lips, ears

Blepharoconjunctivitis

Blepsarospasm

Fever

Skin haemorrhages

Infertility, abort

(Seizures)

Immunosuppression

2013

9

Myxomatosis

Clinical signs

Myxomatosis

Diagnostics

Typical clinical signs

Histopathology Virus isolation

Therapy

(ATB)

Myxomatosis

Vaccination Poor epizootic situation

First vaccination 4 weeks

Booster 10 weeks

Revaccination 6-12 months

Good epizootic situation First vaccination 10 weeks

Revaccination 6-12 months

Bacterial respiratory infections

Pasteurella multocida

Staphyloccocus aureus

Bordetella bronchiseptica

(Mycoplasma)

(Mycobakteria)

2013

10

Pasteurella multocida

16 serotypes Pathogenic strains - A,D

Maternal antibodies till 8 weeks of age

Transmission Aerosol

Contact

Fomites

Copulation

Pasteurella multocida

Disease Resistance

Spontáneous elimination

Chronic carrier

Acute disease

Chronic disease

Pasteurella multocida

Clinical signs Respiratory tract infection

Rhinitis

Pneumonia

Pasteurella multocida

Clinical signs Respiratory tract infection

Rhinitis

Pneumonia

Conjunktivitis, dacryocystitis

Otitis media/interna

Pyometra/orchitis

SC abscesses

Septicaemia

2013

11

Pasteurella multocida

Diagnostics Clinical signs

Radiography

Rhinoskopy

Bacteriology

ELISA, serotypization

Pasteurella multocida

Therapy ATB

Chloramphenikol

Fluoroquinolones

T-sulpha

PNC G (parenterály)

Successfulness variable

Supportive care

Nebulization

Surgery

Sinusitis RHINOTOMY

2013

12

Sinusitis RHINOTOMY

Clinical signs Vestibular syndrome

Horner syndrome

Facial nerve paralysis

Subclinical infection

OTITISMEDIA NORMAL SEBUM PUS

2013

13

Rabbit, 6 years, females Mass close to the ear base – 3 cm

Otoscopy

Radiography

CT

CHRONIC OTITISMEDIA

KRÁLÍCI – OTITISMEDIADX DX

2013

14

DX

Králík, 6 let, samice Útvar u báze ušního boltce – 3 cm

Otoskopie – bil. zúžení ušního kanálu RTG

CT

ABLACE ZVUKOVODULATERÁLNÍ OSTEKTOMIE TYMPANICKÉ BULY

Chow et al. 2011

KRÁLÍCI – OTITISMEDIA

2013

15

Therapy Myringotomy

Saline flushing

NSAID meloxikam 0,8 mg/kg PO/SC q12h

Buprenorfin 0,03 mg/kg IM/SC q6h

ATB T-sulfa 30 mg/kg PO q12h

PNC G 50.000 IU/kg IM q24h

OTITISMEDIA

2013

16

Fleas Ctenocephalides felis

Spilopsyllus cuniculi

ECTOPARAZITES IN RABBITS

Fleas Anaemia

Apathy

Pruritus

ECTOPARAZITES IN RABBITS

Cheylletiella parasitovorax Rabbits, (chinchilas)

Zoonosis

„walking dandruff“

Localisation Back

Between shoulders

ECTOPARAZITES IN RABBITS

Cheylletiella parasitovorax

ECTOPARAZITES IN RABBITS

2013

17

Psoroptes cuniculi

ECTOPARAZITES IN RABBITS

Therapy ivermectin

selamectin

imidacloprid (+moxidectin, + permethrin)

Advantage

Advocate pro kočky

Advantix

lufenuron

Fipronil – Contraindicated in rabbits

ECTOPARAZITES IN RABBITS

CHRONIC RESPIRATORY DISEASE

• Highly contagious

• High morbidity

• Multifactorial disease

– Mycoplasma pulmonis

S. pneumoniae, P. pneumotropica, Pseudomonas sp., B. bronchiseptica, Corynebacterium kutscheri

virus sialodacryoadeninity, Sendai virus 

CHRONIC RESPIRATORY DISEASE

• Transmission

– Youngs (in utero)

– Adults

• Aerosol

• Direct contact

• Copulation

• Indirect – bedding material, etc.

2013

18

CHRONIC RESPIRATORY DISEASE

• Clinical signs

– Chromodacryorhea

– Sneezing, „buble“ sounds

CHRONIC RESPIRATORY DISEASE

• Clinical signs

– Dyspnoe

CHRONIC RESPIRATORY DISEASE

• Clinical signs

– Peripheral vestibular syndrome

• Circling

• Desorientation

• Torticolis

CHRONIC RESPIRATORY DISEASE

• Diagnostics

– Clinical signs

– Auscultation

– Otoscopy

– Bacteriology

– ELISA

2013

19

CHRONIC RESPIRATORY DISEASE

• Diagnostics

– Postmortal examination

– Pus in lung lumen, bronchiectasy, lung hepatization

CHRONIC RESPIRATORY DISEASE

• Differential diagnostics

– Anaemia

CHRONIC RESPIRATORY DISEASE

• Differential diagnostics

– Leukaemia, lymphoma

CHRONIC RESPIRATORY DISEASE

• Differential diagnostics

– Kidney failure

2013

20

CHRONIC RESPIRATORY DISEASE

• Differential diagnostics

– Malocclusion and nasall abscess formation

CHRONIC RESPIRATORY DISEASE

• Differential diagnostics

– Abdominal organ enlargement

CHRONIC RESPIRATORY DISEASE

• Differential diagnostics

– Abdominal organ enlargement

CHRONIC RESPIRATORY DISEASE

• Differential diagnostics

– Heart failure

2013

21

CHRONIC RESPIRATORY DISEASE

• Differential diagnostics

– Exposure to irritating agents

– „Allergic“ rhinitis

extremely rare

CHRONIC RESPIRATORY DISEASE

• Therapy

Flurochinolones + doxycyclin

ß-laktams + makrolids

Humidification

Oxygen

Nebulization

CHRONIC RESPIRATORY DISEASE

• Therapy

Topical decongescant

Oxymetazolin

Xylometazolin

Topical antibiotics

T-sulpha

Aminoglycosides

Fluorochinolones

CHRONIC RESPIRATORY DISEASE

• Therapy

Supportive care Soft food

Vitamin C

ß- GLUKAN

2013

22

PNEUMONIA IN GUINEA PIGS

• Bordetela bronchiseptica

– Obligate pathogen in rabbits

– Fatal to imunocompromised guinea pigs

PNEUMONIA IN GUINEA PIGS

• Bordetela bronchiseptica

– Therapy

• Vitamin C  50 mg/kg q24h

• Supportive care

• NSAIDS

• Antibiotics

– T‐sulfa 30 mg/kg q 12h

– Fluoroquinolones

History

Clinical examination

Basic derrmatological testing

Scrapings

Trichoscopy

Cytology

Ear swab

DTM test

Cultivation

SKIN INFECTIOUS DISEASES SKIN INFECTIOUS DISEASES

2013

23

Biopsy

SKIN INFECTIOUS DISEASES

Biopsy

SKIN INFECTIOUS DISEASES

Ticks Zoonotic potential

ECTOPARAZITES

Ticks Zoonotic potential

Viral encephalitis (Flaviviridae)

Borelliosis

Therapy ivermectine

(KI in squirrels)

ECTOPARAZITES

2013

24

INFEKČNÍ ONEMOCNĚNÍ KŮŽE

Ornythonyssus bacoti Zoonosis

Moving fast

ECTOPARAZITES

Notoedres muris

ECTOPARAZITES

Notoedres muris

ECTOPARAZITES

2013

25

Trixacarus caviae

ECTOPARAZITES

Radfortia ensifera

ECTOPARAZITES

Polyplax serrata

ECTOPARAZITES

Demodex criceti

Demodex aurati

ECTOPARAZITES

2013

26

TRICHOPHYTON MENTAGROPHYTES

Zoonosis

Trichoscopy

DTM test

Mycology

DERMATOPHYTOSIS DERMATOPHYTOSIS

Therapy Ketokonazole

Antimykotics into the sand bath (chinchillas)

Pythium oligandrum

Vitamin C

DERMATOPHYTOSIS

Proper diagnsotic methods

Differenciál diagnostics

(Surgery)

Postoperative care

Optimal therapeutical effect

SUMMARY

2013

27

THANK YOU FOR YOUR ATTENTION

MVDr. Vladimír Jekl, Ph.D., DipECZM (Small Mammal)

Avian and Exotic Animal Clinic, FVL VFU Brno

[email protected]