Exam 3 Flashcards

(79 cards)

1
Q

Basics & Clinical Features of Arboviruses

A
  • Arthropod borne viruses
  • usually RNA = mutation

Clinical Features
o Fever, encephalitis, hemorrhagic and reproductive diseases
o disease is typically seasonal

Defining Features
o Vector: usually a blood-feeding arthropod ->
o A well-adapted vertebrate reservoir host (enzootic host) ->
o Occasional spillover into epizootic hosts (diseased animals)

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2
Q

Arthropod Vectors of Arboviruses

A

o Mosquitos, ticks, etc
o Virus replicates & persists in
o Required for virus to exist in nature

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3
Q

Enzootic Hosts of Arboviruses

A

o Birds or small mammals
o Well adapted reservoir
o Non clinical or long survival w/ high viremia
o Must have many naïve & susceptible animals

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4
Q

Epizootic Hosts of Arboviruses

A
o	Humans or domestic animals (horses)

o	“accidental” or “incidental” hosts

o	less well-adapted to virus = disease 
o	Do not typically have persistent infections 
o	Usually lower viremias
o	Frequently dead-end hosts
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5
Q

Enzootic Cycle for Arboviruses

A

o Virus is maintained in well- adapted vertebrate hosts (often birds or small mammals) ->
o Virus is transmitted between hosts by a blood-feeding arthropod vector ->
o Virus replicates in the vector, and is required = biologic vector
o Typically NO disease in enzootic host

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6
Q

Triggers for Epizootic Outbreaks

A
o	Increased number of susceptible reservoirs 
o	Increased number of vectors
o	Vector feeding habits 
o	Change in vector distribution 
o	Enzootic habitat invasion 
o	Change in viral virulence 
o	Human interventions

o	Increased vector/susceptible host interaction
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7
Q

Important Arboviruses in Vet Med

A

Eastern/Western/Venezuelan Equine Encephalitis
• encephalitis

West Nile Virus
• encephalitis

Bluetongue Virus
• Endothelial hemorrhage & infarction

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8
Q

Equine Encephalitis Viruses Basics

A
  • arboviruses
  • EEV, WEV, VEV, WNV
  • 20-100% mortality
  • Eastern is most virulent
  • Venezuelan is the only transmitted btwn horse & human
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9
Q

Pathophysiology of Systemic Disease in Equine Encephalitus Viruses

A
  • Initial replication in dendritic cells and regional lymph node (near bite) = primary viremia ->
  • Amplification in central depot/amplifying organs = secondary viremia ->
  • seeds target organs = disease
  • Target organ (brain) 
is usually not source for shedding.
  • Portal of exit = blood
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10
Q

Clinical Signs of Equine Encephalitis Virus

A

Most common febrile illness
o Fever & malaise w/ or w/o infection of target organs
o Due to cytokines

Encephalitis
o Virus enters the brain
o Virus replicates in the brain/spinal cord
o CNS signs = virus usually not in blood or other tissue

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11
Q

Why has West Nile Spread so Quickly?

A
  • > 40 species of mosquito vectors
  • presence of suitable naive reservoir hosts
  • Many susceptible naïve epizootic hosts
  • Suitable environment
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12
Q

Clinical Features of West Nile

A

Subclinical
o 90% of cases

Infection w/o CNS Dz
o 9% of infections
o fever, non - specific “flu -like” clinical signs
o Most not brought to attention of the veterinarian

CNS Dz
o 1% of infections
o most severe in brainstem and spinal cord
o Ataxia, Hyperesthesia, Muscle tremors, Depression, Rarely seizures, Behavioral changes, Fever, Death in 33%

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13
Q

Diagnosis of West Nile

A
  • CSF: mononuclear pleocytosis, normal to increased protein
  • Titer for anti WNV IgM antibody by ELISA
  • Post mortem - detect virus in CNS by isolation, PCR, IHC
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14
Q

Control & Prevention of West Nile

A

Control
o Eliminate mosquito breeding sites (i.e. standing water)
o Control mosquito larvae
o Reduce exposure to biting mosquitos

Prevention
o	Killed virus vaccine, 
o	DNA vaccines, 
o	recombinant vaccine 
o	all require annual boosters
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15
Q

Orbiviruses

A
  • Bluetongue Virus (BTV)
  • Epizootic Hemorrhagic Disease Virus (EHDV)
  • African Horse Sickness (AHS)
  • Non-enveloped
  • RNA,
  • segmented genome (prone to reassortment)
  • transmitted by Biting Midge
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16
Q

Bluetongue Virus Tropisms

A

MACROPHAGES
• TNF and other vasoactive mediators -> increased vascular permeability -> EDEMA

ENDOTHELIAL CELLS
• direct injury -> thrombosis, infarction, and hemorrhage

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17
Q

Bluetongue Virus Clinical Syndromes

A

Vasculitic/Hemorrhagic Disease
• Sheep and wild ungulates/deer
• greatest clinical importance

Reproductive Disease 
•	Cattle
•	Abortion and reproductive failure 
•	 Hydranencephaly in offspring
•	mostly economically importance
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18
Q

Bluetongue Virus Diagnosis

A

o Symptoms in sheep

For cows
• PCR & Virus isolation from blood during viremic stage or tissues at post -mortem
• Serology of VP7 (inner capsid) & VP2 (outer capsid)

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19
Q

Bluetongue Virus Management

A

o Indoor housing during peak vector activity

Vaccination
• Modified -live vaccine available in California
• CAUTION: Use during vector season not recommended, may reassort with field virus
• PROBLEM: No/little cross -protection with other serotypes

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20
Q

Basics of Reproductive Viruses, ideal samples for diagnosis

A

o Most viral infections of the dam DO NOT cause abortion from fetal infection
o Teratogenic viruses = Developmental abnormalities
o Ex: Flaviviridae & Arteriviridae

Ideal sample for diagnosis
o Fetus
o Placenta
o Dam serum

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21
Q

Basics of Bovine Viral Diarrhea Virus (BVD)

A

o Flaviviridae = pestivirus
o Enveloped
o (+) RNA
o non-segmented
o mostly cattle but also sheep, goats, pigs, ruminats
o affects repro, GI, respiratory, neuro
o immunosuppression & secondary infections

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22
Q

2 Biotypes & 2 Genotypes of Bovine Viral Diarrhea Virus

A
2 Biotypes
•	Non-cytopathic
•	90% of BVD
•	establish persistent infection
•	Cytopathic
•	No persistent infection

2 Genotypes
• type 1 & 2
• Both contain cytopathic and non biotypes 

• Based on genetic differences in the viral genome
• BVDV-2 associated w/ severe hemorrhagic disease

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23
Q

Pathogenesis of Transient (acute) Bovine Viral Diarrhea Virus infection in non-fetus

A
  • Tonsil & lymph node replication ->
  • Enters circulation & transported to lymph & subepithelial tissues of GI & skin ->
  • Spreads to epithelial cells ->
  • Lymphoid & epithelial necrosis ->
  • Shed in bodily fluids ->
  • Seroconversion & immunity
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24
Q

3 Outcomes of Transient (acute) Bovine Viral Diarrhea Virus infection in non-fetus

A

Mild
• Mild erosions of mucuous mebranes

Viral Induced Immunosuppression
•	Damage to lymphoid tissue

•	Lymphopenia and neutropenia 
•	Opportunistic infections 
•	Compenent of bovine respiratory dz complex

Peracute BVDV & hemorrhagic syndrome
• some BVDV-2 strains 

• High morbidity and mortality in all age groups 

• Sudden fever, death, diarrhea and pneumonia 

• Thrombocytopenia, neutropenia, myeloid 

• Highly fatal (death in 48 hrs)

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25
Transient (acute) infections of BVD in reproduction
* Seronegative pre-breeding or early bred cows * Compromised ovarian function Transplacenta infection • fetal infection leading to persistently infected (PI) calves
26
Non Cytopathic BVD & Transplacental BVDV Infection
``` Early gestation (0-45 days) • Abort/embryonic death ``` Early-mid gestation (45-125 days) • immunotolerance
 • persistent infection Mid-late gestation (125-175 days) • Congenital abnormalities 
(microphthalmia, cataracts) • Or normal 
 ``` Late gestation (175 days to term) • Normal ```
27
Immunotolerence due to BVD & Outcomes
* Recognize virus as “self” * high viral load (Ag positive) but no measurable specific Ab response * PI cows give birth to PI calves (100% vertical transmission) Outcomes • weak and succumbs to disease by 1 year of life • normal, grows and has babies
 • death within hours/days
28
Character of PI Calves
* Clinically small/unthrifty or normal * More susceptible to other diseases * constant source of virus * susceptible to fatal mucosal disease
29
Mucosal Dz associated w/ BVD
* Only affects PI animals * Uncommon and typically 6-12 months of age * Superinfection with CP-BVDV Or * NCP-BVDV viral mutation (common) * HIGH mortality rate (almost 100%) w/in 2 weeks
30
Transmission of BVD
* active for days- wks under ideal conditions * Biologic AI material derived from PI animal * Breeding * Fomites or iatrogenic * Introducing new PI animal * Aerosol transfer from neighbor farm Transient infection • Shedding for 1-2 wks Persistent infection • Shedding for life
31
Control of BVD
* Biosecurity * Elimination of PIs Vaccination • Prevention of acute disease • Prevention of reproductive losses 
 • Prevention of creating PIs 

32
Diagnostics for BVD
* Viral Ag found in serum, milk, ear notches * Ab in serum * Herd screening thru bulk milk testing * PCR * Ag ELISA Immunohistochemistry on skin • Highly sensitive & false (+) from transient infections
33
Rabies Basics
o Rhabdoviridae o Enveloped o (-)RNA Envelope Causes: o Transmission and epidemiology are usually based on direct contact (bite) o Topical wound (bite) treatment can be of significant benefit o Glycoprotein G – ligand & target of neutralizing antibodies
34
Rabies Hosts, Human Infection, & Control
Hosts o Cats, cows, dogs, horses o Raccoons, skunks, bats, foxes Human Infections o 59,000 annual deaths o predominant source worldwide = dogs o predominant source US = raccoons, skunks, bats Control o Wound treatment immediately Vaccination • All inactivated accept recombinant canarypox for cats • Viral vectored Vx in bait for wildlife
35
Rabies Transmission
o Bite wounds -> o Replicates in muscle cells at site -> o Quiescent stage in muscle (5days – wks) (time to treat) -> o Entry into peripheral nerves at motor end-plate -> o Migrates centripetally, towards CNS (1 inch / day) -> o Dorsal root ganglion -> o Spinal cord -> o In CNS - minor inflammation, neuronal replication & damage, widespread inclusions -> o Centrifugal spread back to nerves o NO VIREMIA
36
Rabies Diagnosis, Shedding Sites/Time
Diagnosis o Negri bodies in purkinje cells (Inclusion bodies) o Post mortem o Direct fluorescent antibody (DFA) test 
 o PCR (not a public health approved test)
 Shedding Sites & Time o Urine o SALIVA o Saliva (+) for virus no more than 10-13 days before signs
37
Clinical Features of Rabies, incubation, classic presentation, morbidity/mortality
``` Variable incubation determined by • Location of bites • Severity of trauma • Dose • Viral variant ``` Classic Presentations • Furious – excitability & aggressiveness • Dumb – paralysis & depression Morbidity / Mortality • IF disease signs appear, usually fatal • Post-exposure prophylaxis (PEP) is very effective if done properly (humans only)
38
Border Disease Virus Basics
o Closely related to BVDV o Western US o Subclinical & transient infections in adults o Barren ewes, abortions, stillbirths, small weak lambs o PI lambs: BDV infection day 30-70 of gestation o Hair replaces wool due to thyroid dysfunction
39
Border Disease Virus Pathogenesis, Diagnosis, Transmission, Prevention
Pathogenesis • BDV destroys schwann cells & infects thyroid -> • Low T3 & T4 • Low cyclic nucleotide phosphodiesterase (CNP) -> • Hypomyelination Diagnosis • Ag in tissue, • PCR for virus, • no Ab Transmission • Body fluids • Close contact w/ PI animal Prevention & Control • Test & removal
40
Equine Arteritis Virus (EAV); basics, related dz, transmission
o Arterivirus o Enveloped, (+) RNA o Infection common but Dz uncommon Related Dz • Porcine reproductive and respiratory syndrome virus (PRRSV) Transmission • From acutely infected horses
41
Equine Arteritis Virus (EAV); Pathogenesis, Target Systems, Clinical Signs
Pathogenesis • enters via respiratory or venereal route ->
 • Infects macrophages and endothelial cells -> • Spreads to regional and central lymphoid organs -> • Infection of endothelium of blood and lymphatic vessels -> • Generalized vasculitis and leakage of fluid Target Systems • Respiratory • Vascular • Reproductive Clinical Signs • Fever, depression, anorexia, lymphopenia • Edema - limbs, prepuce, scrotum 
 • Periorbital swelling and conjunctivitis 
 • Abortion • Neonates: pneumonia & enteritis
42
Pathogenesis of Equine Arteritis Virus (EAV) Abortion
* Leukocyte viremia -> * Infection of uterine endothelium & myometrium -> * Placental damage -> abortion OR * Leukocyte viremia -> * High virus in fetus -> * Stress -> * Abortion
43
Maintenance of Equine Arteritis Virus (EAV) in population
* 30-70% of exposed stallions/colts become carriers * Asymptomatic carriage, weeks to life-long 
 * Virus persists in genital tract and shed in semen * Persistence is testosterone-dependent * Source of venereal transmission of virus to mares * Restrictions on international movement of horses and semen
44
Control & Diagnosis of Equine Arteritis Virus (EAV)
Control • Non-stallion clears virus ~28 days Vx • Modified live and inactivated • long-lasting immunity for stallions & non-pregnant mares • Complicated by import/export regulations regarding seropositive horses Breeding
 • Breed (+) stallions to (+) mares • Breed (-) stallions to (-) mares Diagnosis • Need both virology and serology • Serum Ab detected by neutralization assay or ELISA • Virus isolation and/or RT-PCR
45
Equine Herpesvirus & Reproductive Dz
EHV-3 - Coital exanthema (genital disease)
 • Similar to genital disease from BHV-1 • Pustules & ulcers on vagina, penis, prepuce • Localized infection • No abortion or infertility • Loss of libido
46
Exotic Vesicular Dz Viruses; basics, example Dz's, DfDx
o Eradicated from US but endemic in other countries o Must control import o Vets responsible for detection/surveillance ``` Viruses o Foot and mouth disease (most important) o Vesicular exanthema of swine o Swine vesicular disease
 o Vesicular stomatitis (not exotic) o Seneca Valley Virus (not exotic) ``` DfDx • Autoimmune diseases 
 • Chemical, thermal burn or frictional trauma 
 • Drug reactions (secondary autoimmune) 
 • Photosensitization 

47
Foot & Mouth Dz features & basics
* World’s most economically important dz * country is required to notify the World Organization for Animal Health (OIE) of an outbreak within 24 * endemic in Africa, south Asia, south America Features • Highly contagious picorna virus • non-enveloped RNA virus • survives well in environment • dz of cloven hooved animals (some wildlife) • virus shed in all bodily fluids before clinical signs
48
Foot & Mouth Dz; Clinical Signs & how it Affects calves, pigs, sheep, camelids
Clinical Signs • 2-14 day incubation • fever lameness, anorexia, salivation, decreased milk • ulcers/vesicles in mouth, nares, muzzle, feet, teats • best location = coronary band of hoof • high morbidity • prolonged recovery & shed of virus after recovery Who does it affect • Neonates & calves – myocardial infection • Pigs – most severe lesions in feet • Sheep/goats/camelids – asymptomatic to mild
49
Foot & Mouth Dz; Prevention/Control & Disadvantages of Vx
``` Prevention/Control • Vx (serotype must match) • Heat treatment of swill • Quarantine • Disinfection • Euthanasia • Wildlife control ``` Disadvantages to Vx • Loss of OIE status • Vx not cross-protective for 7 serotypes • Immunity short
50
Horse, Cow, Pig Susceptibility to Vesicular Dz
Horses • vesicular stomatitis Cows • Foot & mouth • Vesicular stomatitis ``` Pigs • Foot & mouth • Vesicular stomatitis • Vesicular exanthema • Swine Vesicular Dz • Seneca Valley Virus ```
51
Vesicular Exanthema of Swine
o Calicivirus o Exotic but affects feral US swine & sea lions o Indistinguishable form foot and mouth o Transmitted by feeding undercooked infected meat
52
Seneca Valley Virus
``` o Picornavirus o Looks like FMD o Present in the US o Symptoms = Ds, Lethargy, fever o 30-70% morbidity & mortality o resolves w/in 7-10 days ```
53
Swine Vesicular Dz
``` o Picornavirus o Looks like FMD o Exotic o Endemic in Italy o Transmitted by feeding undercooked infected meat ```
54
Vesicular Stomatitis Virus; Basics & Transmission
``` o Rhabdovirus o Serotypes from New Jersey & Indiana o Endemic in SE US o Vesicles -> ulcers on & around mouth o Looks like FMD o Affects horses o Zoonotic (flu-like in humans) o Reportable ``` ``` Transmission • Arthropods • Transmucosal & transcutaneous • Animal to animal thru direct contact w/ vesicle fluid, saliva, nasal secretions • Plants & soil • Spreads during summer ```
55
Vesicular Stomatitis Virus; Symptoms, Diagnosis, Treatment, Control
``` Symptoms • Mortality rare • Fever • Vesicles, ulcers, crusting of muzzle, lips • Excess salivation • Can involve coronary band, interdigital space, teats • Quick healing • Sheep/goats rarely have signs ``` ``` Diagnosis • Contact state vet • VSV Ag test of vesicular fluid • Virus isolation • PCR of vesicular fluid & tissue ``` Ab serology • Complement fixation = recent infection Treatment • Supportive care Control/Prevention • Quarantine • Disinfection • Control insects
56
Rinderpest; Basics & Symptoms
o Highly contagious morbilivirus o Africa & Asia o High morbidity & mortality o Similar to distemper minus CNS signs ``` Symptoms • Nasal, lacrimal secretions • Salivation • Severe bloody Ds • Necrosis & ulceration in GI ```
57
Goat Plague; Basics, Transmission, Symptoms
o Rinderpest of sheep & goats o Morbilivirus o Africa & Middle East o Abs to Goat Plague & Riderpest are corss-reactive Transmission • Close contact & inhalation ``` Symptoms • Fever • Inappetence • Depression • Nasal/ocular discharge • Oral hyperemia & erosion • Watery or bloody Ds • Abortion • Dyspnea • cough ```
58
Basics of African Swine Fever, type of virus, Hosts, & sources of virus
* Asfivirus * Enveloped DNA virus * Multiplies in soft ticks * Incubation = 5-14 days Hosts • Reservoirs – African wild pigs • Clinical – domestic & wild European pigs Sources of virus • Persistently infected animals • Arthropods • Environment/fomites
59
Peracute, Acute, Subacute, & Chronic Clinical Signs of African Swine Fever
Peracute o sudden death Acute o fever, red skin, anorexia, V & Ds, incoordination, abortion, o 100% death Subacute o Less intense o Fever, anorexia o 30-70% death Chronic o Weight loss, intermittent fever, red skin, respiratory signs, arthritis o Low death
60
African Swine Fever Pathogenesis & Gross Lesions
Pathogenesis • Inhalation, ingestion, or tick bite -> • Replication in macrophages of of tonsils & LNs -> • Downregulation of cytokines & immunosuppression -> • Apoptosis of T & B cells & endothelial cells -> • Lymphoid necrosis & hemorrhage ``` Gross Pathology • ENLARGED SPLEEN (important marker) • Cutaneous Ecchymosis (reddening) • Petechial mucus membranes & viscera • Hemorrhagic lymph nodes • Petechial kidneys (turkey egg) ```
61
African Swine Fever Diagnosis & Control
Diagnosis • Ab ELISA of serum • PCR on blood/tissue • others Control • Import control • Slaughter • disinfection
62
Basics of Classical Swine Fever
* Pestivirus * Enveloped RNA virus * transmission through placenta is possible
63
Basic, Acute, Chronic, In Utero, & transient Clinical Signs of Classical Swine Fever
* Infarcts on margin of SPLEEN * Hemorrhage of skin, tonsils, kidneys, spleen, LNs * Fluid in body cavities Acute o fever, huddling, lethargy, hyperemia and hemorrhagic skin, lymphadenomegaly, V & Ds, conjunctivitis, incoordination, cyanosis, convulsions o death of young in 1-3 weeks Chronic o Persistent Fever, Ds, poor growth, o Button ulcers in cecum & large intestine o apparent recover with eventual relapse o death w/in 3 months, any age animal 
 In Utero Transmission o CNS deformities o abortion Transient o Older animals o Transient like BVD
64
Control & Diagnosis of Classical Swine Fever
Control • Surveilence (test tonsils) • Slaughter Diagnosis • Ab ELISA on serum • PCR on blood/tissue • Others
65
Basics of African Horse Sickness
* 70-95% death * orbivirus (retrovirus) * transmitted by biting midges (not contagious) * zebras & donkeys are subclinical reservoirs * causes vasculitis -> severe edema & hemorrhage * can rarely be zoonotic
66
Clinical Signs & Key Lesions of African Horse Sickness
``` Clinical signs • Fever 
 • Edema of face and neck • sweating 
 • Respiratory signs 
 • Cardiac failure 
 • Death 
 ``` ``` Key Lesions • Peracute dz w/ high death rate • Respiratory distress (froth coming form nares) • Edema of supraorbital fossa • Pulmonary edema ```
67
Diagnosis & Control of African Horse Sickness
Diagnosis • ELISA on serum • PCR on blood, spleen, lung, LN • gelatinous edema around nucal ligament on necropsy Control • Vx in endemic areas • Quarantine & testing of imported animals
68
Basics of Papillomaviruses & lesions
``` o Papoviridae o Small dsDNA o Non enveloped o Environmentally resistant o Often seen in young ``` Cutaneous & mucosal neoplastic lesions (warts) • Usually benign • Can become malignant • Can involve fibroblasts -> fibropapilloma • Highly species specific
69
Papillomaviruses; clinical features & Pathophysiology
Clinical Features • Localized infections • Slow process (6-8 wks) • Proliferating/thickened stratum basale and spinosum (acanthosis) -> hyperkeratosis Pathophysiology • Basal epithelium through abrasion -> • Clonal expansion & continued S phase -> • Differentiation and viral shedding at/near surface -> • In healthy animals, immune response controls & wart regresses
70
Bovine Papilloma Virus; features of different serotypes
• Many serotypes Serotypes 2 & 4 • bladder & GI warts • can become malignant w/ co-factors such as brackenfern • “enzootic hematuria” Serotype 1 & 2 • Associated w/ equine sarcoid • Locally aggressive fibroblastic tumor • Not malignant
71
Equine Paipilloma Virus; 3 lesions
Cutaneous & benign • Head & nose Invasive warts • Usually sarcoids • Associated w/bovine papillomavirus Aural Papillomas • Rarely regress • Black flies are mechanical vector
72
Canine Papillomavirus
* Cutaneous/mucosal warts on/around oral cavity, pharynx 
 * Sometimes on other parts of the body (digits) 
 * Pigmented plaques on ventrum and limbs in pugs and min schnauzers 

73
Basics of Poxviruses
``` o Mild localized or severe systemic o Brick-shaped virion o Enveloped but highly resistant o dsDNA genoma o show cytoplasmic inclusions ```
74
Lesions of Poxviruses
o can be both Proliferative Lesions • Induces hyperplasia of epithelial cells 
 • raised edges and depressed center, the classic “pock” nodule 
 Vesicular Lesions • Replication, necrosis in deeper epidermal cells, with overlying cells intact -> • fluid, exudate accumulate in the space, leading to vesicle initially, pustule later -> • After rupture, exudate forms a crust -> • Macule -> papule -> vesicle -> pustule -> ulcer -> crust -> scar
75
Orthopoxvirus; 3 types
Variola (smallpox) • Systemic dz of humans Cowpox • Cutaneous poxviral disease of cattle with lesions on teats, udder 
 • Rodents -> cow or cat -> human Monkeypox (exotic) • Systemic dz of rodents & monkeys in Africa • Zoonotic
76
Parapoxviruses; 2 types
Orf & Bovine Papular Stomatitis Virus • zoonotic • Very Contagious ecthyma • Localized infections on lips, mouth (lambs, calves usually) and udders (ewes, cows) 
 • Interferes with nursing/eating 
 • Weight loss, trauma (can predispose to secondary infections) Pseudocowpox (Milker’s Nodules) • Teat lesions • Zoonotic • Causes painless itchy red nodules on humans
77
Control & Treatment of Orf
Control of Orf • Live virus Vx • Disinfection Treatment • Ab for secondary infections
78
Capripoxviruses
* Sheep pox, goat pox, bovine lumpy skin dz * severe, systemic diseases * High morbidity and up to 50% mortality. 
 * All are currently exotic
79
Avipoxviruses
* Many * Highly host-specific * Systemic or localized infections * lesions on non-feathered areas of legs/face * Some cause mucosal lesions 
(pigeon pox) * Interfere with eating, predator avoidance, secondary infections