Infectious respiratory disease in dogs Flashcards

(32 cards)

1
Q

Upper or lower? Cough

A

Both - cough receptor in the larynx moving down. However, there aren’t any cough receptors in the alveoli (hence why animals with pneumonia don’t cough - but those with bronchopneumonia do)

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2
Q

Canine Influenza - prevalence, signs, other notes

A
  • Most outbreaks so far in USA and Asia.
  • H3N8 (equine) & H3N2 (avian) viruses.
  • Serological evidence in UK foxhounds.
  • Around 80% dogs infected.
  • Cough, purulent nasal discharge.
  • Lasts 10-30 days.
  • ~20% cases become very unwell - pyrexia, pneumonia.
  • ~8% cases die.
  • Vaccine available in USA.
  • Infectious before clinical signs (as with most viruses).
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3
Q

Strep equi - signs

A
  • High morbidity (90%).
  • High mortality (50%).
  • Pyrexia, bloody nasal discharge, haematemesis.
  • Not commonly seen but emerging.
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4
Q

Clinical signs

A

Not always helpful. ocular discharge, nasal discharge, cough, dyspnoea/tachypnoea, starter/stridor

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5
Q

Upper or lower? Ocular discharge

A
  • Upper
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6
Q

Upper or lower? Nasal discharge

A
  • Upper
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7
Q

Types of nasal discharge

A
  • mucoid, mucopurulent, blood, serous?
  • Uni or bilateral?
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8
Q

Stertor

A

Like snoring; low pitched soft tissue vibration - the soft palate, everted laryngeal saccules. Common in BOAS

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9
Q

Stridor

A

High pitched wheezing; vibration of rigid tissues - tracheal or laryngeal, laryngeal paralysis, tracheal collapse

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10
Q

Systemic signs of infectious resp disease

A

Pyrexia, depression, lethargy, inappetence, hyporexia, anorexia

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11
Q

Hyperthermia vs pyrexia

A

Hyperthermia = increase in body temp without an increase in the hypothalamic set point, due to environmental or pharmacological changes.
Pyrexia = increase in body temp with an increase in the hypothalamic set point.

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12
Q

CIRD/CIRDc

A

Canine Infectious Respiratory Disease (complex)

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13
Q

KC clinical presentation

A

Hacking cough (+/- productive), submandibular lymphadenopathy, ocular/nasal discharge, +/- lethargy, +/- pyrexia, can be light sensitive

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14
Q

Causes of CIRD

A

CPiV, CRCoV, CAV-2.
They disrupt the mucociliary escalator which can allow bacterial invasion

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15
Q

Significance of an RNA virus

A

Easily mutates (has another step to DNA to replicate, hence more opportunity to mutate)

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16
Q

CAV-2

A

= Canine adenovirus-2.
Non-enveloped DNA virus.
Closely related to CAV-1 (infectious canine hepatitis).
Vaccine based on CAV-2 protects against both pathogens

17
Q

CRCoV

A

= Canine respiratory coronavirus.
Enveloped RNA virus.
Not the same as canine enteric coronavirus.

18
Q

Bordetella bronchiseptica - what is it? signs? prevention?

A

Gram negative aerobic coccobacilus.
Can be primary or secondary.
Disease from mild to severe.
Can spread between dogs, humans and cats.
Shedding post-infection up to 12wks.
Subcut or intranasal vaccine available.
Live intranasal vaccine can shed for up to 6wks, so not suitable for immunocompromised clients.

19
Q

Canine Distemper Virus - what is it? signs?

A

Enveloped RNA virus.
Shed in all body fluids.
Bronchopneumonia, purulent ocular and nasal discharge, hemorrhagic vomiting and diarrhoea, neurological signs, hyperkeratosis (‘hard pad’).
Making a comeback in the UK.

20
Q

Streptococcus zooepidemicus - signs

A

Cats and dogs.
Zoonotic.
Haemorrhagic bronchopneumonia.
Can be very bad in racing greyhounds

21
Q

Transmission routes for CIRD

A

Mainly aerosol.
Some direct transmission possible.
Apart from CAV (and Bordetella to a lesser extent), environmentally labile.

22
Q

When to diagnose?

A

If it will change management (antibiotics/vaccination).
If the pattern of disease changes.
Refractory disease (doesn’t respond to tx).

23
Q

Diagnostic options

A

Paired serology, nasal or oropharyngeal swab for most pathogens (PCR), conjunctival swab for distemper (IFA).

24
Q

Symptomatic tx

A

avoid choke chains and pulling on collar, clean eyes and nose, paracetamol, butorphanol, codeine, glycerin

25
Why would you not use NSAIDs for a cough?
They affect prostaglandins that can be productive e.g. in the lungs (they help with bronchodilation).
26
NSAIDs vs steroids
NSAIDs - affect prostaglandins low in the inflammation cascade. Steroids - affect the same prostaglandins and all the rest of the inflammatory cascade.
27
Antibiotic use
Not always necessary. If bordetella is suspected = gram negative cover. Secondary pathogens are usually gram negative - Pseudomonas, Klebsiella . Tetracyclines (doxy commonly used). Potentiated sulphonamides. Potentiated amoxycillin - but amoxyclav doesn't penetrate well to the bronchi like doxy does.
28
Pneumonia
Can develop following initial URT disease. Dyspnoea/tachypnoea. Can become life threatening very quickly. May have marked pyrexia (not always).
28
Parainfluenza vaccine
Live, subcut or intranasal (combined with Bordetella).
29
Distemper vaccine
Live, subcut
30
CPiV
= Canine parainfluenza virus. Enveloped RNA virus. URT only. Subcutaneous and intranasal vaccines
31
Prevention
Environmental hygiene, vaccination, ventilation