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59 Cards in this Set

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What ticks spread RMSF


dermacentor variablis (American dog tick)


rhipicephalus sanguineus (brown dog tick)


haemaphysalis (brush tick)


amblyomma americonium (Lone star tick)


What in general does RMSF cause


cellular damage resulting in vascultitis, edema, and necrosis


What is the causative agent of RMSF

Rickettsia rickettsii

Besides neurological and vascular signs, what C/S can RMSF show


fever


anorexia


depression


mucopurulent ocular discharge


coughing


V/D


muscle pain



What type of neurological signs can RMSF show?


hyperesthesia


ataxia


vestibular signs


stupor


seizures


coma

What is the most prominent clinical findings with RMSF

poorly localizing joint/muscle/or neurological pain
What type of bleeding C/S can be seen with RMSF?


epistaxis


melena


hematuria


retinal hemorrhages

What can be seen in male dogs with RMSF?

scrotal edema


hyperemia


hemorrhage


epididymal pain


What laboratory signs is the most consistent finding with RMSF?

thrombocytopenia - mild

What biochemical changes/CBC can occur with fulminant RMSF?

severe anemia

severe leukopenia

severe thombocytopenia

Due to vasculititis, what abnormalities can be noted on biochemical tests/chemistry with RMSF

low proteins

azotemia

hyponatremia

hypocalcemia

bilirubinemia/bilirubinuria

How can RMSF be diagnosed?


direct immunofluorescent testing on tissue


serology (IFA 4x increase)


PCR

TX for RMSF


tetracycline


doxycycline


enroflaxin


caution with fluid therapy and vasculitis

What occurs after recovery of infection with immunity from RMSF?

probably life long

What do typical Ehrlichia diseases cause


acute reduction of blood elements


esp thromobocytopenia

What ticks carry ehrlichiosis


Rhipicephalus sanguineous (brown dog tick)


Amblyomma americanum (texas lone star)

What are C/S of ehrlichiosis during the acute phase?


depression


anorexia


fever


weight loss


ocular/nasal discharge


lymphadenopathy


edema of the scrotum/limbs

How long until the acute phase of ehrlichiosis resolves
transient and resolve in 1-2 weeks w/o TX
How long until the thrombocytopenia/leukopenia occur post ehrlichiosis infection

10-20 d post infection
What doesn't occur despite severe thrombocytopenia with Ehrlichoisos

hemorrhages

What other disease can C/S mimic for the acute phase Ehrlichiosis?

RMSF
What are C/S of chronic phase of ehrlichiosis


mild to asymptomatic in some dogs


but can have:


bleeding tendencies


uveitis


severe weight loss


abd tenderness


neuro signs




This echrlichoisis species causes neurological dysfunction, lamenss, arched back posture, reluctance to rise, joint swelling and pain.

E. ewingii

These ehrlichiosis species morula are found in monocytes

E. canis


E. chaffeensis

This echrlichoisis species causes neurological dysfunction, lamenss, arched back posture, reluctance to rise, joint swelling and pain.

E. ewingii


___ is elevated in 50-75 % of E. canis seropositive dogs

serum proteins (hyperglobulinemia)
What can a E. canis infection be confused with this neoplasia due to


plasma cell myeloma


due to a monoclonal gammopathy

What type of hyperglobulinemia is generally seen on serum protein electrophoresis with ehrlichiosis

monoclonal or polyclonal
Why can dogs with E.canis develop hypoalbunemia


PLN


(possibly reversible)


How can Echrlicosis be diagnosed (list)


- morula


- ELISA/IFA (indicate exposure)


- PCR amplification of the organisms

How is Echrlicosis definitively diagnosed?


Morula


PCR amplification


What type of immunity does a previous infection with echlichiosis cause


does not infer protective immunity


- can get disease recurrence, generally less severe

TX for Ehrlichia


tetracycline/doxycycline



Why cannot enrofloxin be used to TX echrlichia

suppress the infection and may result in clinical and hematological improvement, but does not eliminate the infection
How long after TX is improvement noted with ehrlichia

24-48 hours

What echrlichia species infect people


E. chaffeensis


E. ewingii

What organism causes canine anaplasmosis

anaplasma phagocytophilum
What ticks spread anaplasmosis

Ixodes scapularis(deer tick)
What are the resevores for anaplasmosis

small rodents (white footed mouse)
This tick born disease is most common in the fall

anaplasmosis
C/S of anaplasmosis


fever


reluctance to more


lymphopenia


thormobcytopenia


hypoalbuminemia


Where are anaplasma morula found

neutrophils

C/S & biochem changes of anaplasmosis

fever

reluctance to more

lymphopenia

thormobcytopenia

hypoalbuminemia


TX for anaplasmosis


doxy


tetracycline

What organism causes canine cyclic thrombocytopenia

A. platys
This tick born disease is considered minimally pathogenic

A. platys
What complete blood count abnormalities does A. platys cause

cyclic bacteremia causing thrombocytopenia q 10-14 d
What cells does A. platys infect?

platelets (single to multiple basophilic inclusion)

A. platys is commonly co-infected with this organism


E. canis


possibly intensify the clinical disease of E.canis


TX for A. playts

doxy


tetracycline

Why should caution be used in determining a disease is solely due to A/ platys
experimental studies have not identified abnormal clinical signs associated with A. platys infection
What organism causes "atypical canine ehrlichosis"


Neorickettsi risticci (potomic horse fever)



What tick born diseases can cats potentially acquire


Ehrlichia


anaplasmosis


Neorickettsia

What type of bacteria are bartonella species

gram negative
Where do bartonella generally live and cause a


RBC


long lasting RBC bacteremia

What is the organism causing canine bartonellosis

bartonella vinsonii
What C/S occur with dogs with bartonellosis


endocarditis - lg breed dogs


cutaneous vasculitits


uvetitis


polyarthritis


IMHA


thrombocytopenia (50% of dogs)



DX canine bartonellosis


blood culture is insensitive


serology and PCR


antibodies in a sick dog provides strong evidence for prior exposure/potentially active infection


Titer >64

TX for canine bartonellosis


4-6 weeks of AB:


macrolides - MC


doxycycline - high dose


aminoglycosides - endocarditis