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46 Cards in this Set

  • Front
  • Back

Alveoli

-Delicate


-Type 1 pneumocytes most susceptible to injury



Type 2 pneumocytes:

Make the surfactant, and make Type 1 and 2 pneumocyte

Alveoli damage

AS long as BM is intact, Type 2 pneumocyte division can proceed with repair.

Alveolar epithelialisation

Diffuse forms of alveolar injury can take on the appearance of a gland.

Hyaline Membranes

Microscopic eosinophilic bands formed by a combination of pulmonary surfactant and plasma proteins which can leak into the alveoli following injury to Type 1 pneumocytes and alterations in BBB.

Pneumonia

Inflammation in alveoli and alveolar walls.

Classifications of Pneumonia

1. Bronchopneumonia: suppurative


2. Bronchopneumonia: fibrinous


3. Bronchointerstitial


4. Interstitial


5. Granulomatous


6. Embolic

Bronchopneumonia

Inflammation on


bronchi


bronchioles


adjacent alveoli lumens




*Originates from terminal bronchioles.



Bronchopneumonia Common Causes

Bacterial


Mycoplasma infections


Aspiration of foreign material

Suppurative Bronchopneumonia

Neutrophils


Cellular debris


Macrophages




*in airway and alveolar lumen

Bronchopneumonia Consequences

1. Resolution


2 Progression to Chronic Suppurative BP

Chronic Suppurative Bronchopneumonia

1. Bronchioectasis


2. Pulmonary abcessation


3. Plueritis and adhesions


4. Atelectasis or overinflation


5. BALT hyperplasia

Fibrinous Bronchopneumonia

More severe, sudden death, associated toxemia.




aka Lobular Pneumonia: involvement of entire lobes and pleural surface.




*Less likely to resole--> fibrosis and adhesions.

Interstitial Pneumonia

Inflammation in ALVEOLAR WALLS, not spaces.


From blood borne insult or direct aerogenous injury.


Diffuse damage.




Protein and fluid exudation--> hyaline membrane formation.




EXUDATIVE PHASE--> PROLIFERATIVE PHASE (lots of Type 2pn)



2 types of Interstitial Pneumonia

1. Acute Interstitial Pneumonia


2. Chronic Interstitial Pneumonia

Acute Interstitial Pneumonia

1. Transient (viral)


2. Severe and associated with life threatening pulmonary oedema



Chronic Interstitial Pneumonia

Dominated by fibrosis of alveolar walls.


Proliferation of Type 2 Pn.

Interstitial Pneumonia:




Fog fever/ Bovine pulmonary emphysema and oedema

Adult beef cattle in autumn


Change in pasture


L-typtophan ingestion


Metabolised to 3 methylindole


--> bloodsteam


---> lungs

Interstitial Pneumonia:




Paraquat Poisoning

Lesions range from acute lesions to chronic.




NECROSIS OF THE ADRENAL ZONA GLOMERULOSA AND RENAL TUBULAR EPITHELIUM.

Embolic Pneumonia

Haematogenous spread of infections into the lung.


No orientation around airways.


Mostly in caudal region.


Inflammation mainly around pulmonary arterioles or alveolar capillaries.

Granulomatous Pneumonia

Dominated by macrophages +/- giant cells


Lymphocytes


Neutrophils

Pulmonary abcesses can be a consequence of

1. Septic emboli in pulmonary vessls


2. Extension from severe focal supurative bronchopneumonia


3. Aspiration of foreign material


4. Direct penetration

Species specific aspects

See pp. 85-87

Equine influenza

Mild bronchointerstitial pneumonia

Equine viral rhinopneumonitis

Milk bronchointersitial pneumonia

Rhodococcus equi.

Foals or immunosuppressed adults.


Cause SEVERE BRONCHOPNEUMONIA.




*It is taken up by macrophages and survives in them.


*Becomes suppurative bronchopneumonia and abcess formation


*Leads to necrosis

Bovine Shipping/Transit Fever

Pasteurellosis.


Nasopharyngeal and oral regions.


Due to stress/virus.

Bovine Enzootic Pneumonia

Due to viruses/mycoplams.


Bacterial involvement makes it worse.


Clinically mild, lesions of bronchointerstitial pneumonia.

Bovine TB

M. tuberculosis or M. bovis


Granulomatous where bacteria survive in macrophages.

TB events that follow...

1. Primary complex


- primary infection of lungs


- involvement of regional lymph nodes.


-Starts as small tubercles in dorsocaudal subpleural areas which progress to larger confluent areas of caseous necrosis.




2. Mycobacteria can disseminate via lymphatics... MILIARY TB.





Bovine respiratory syncitial virus (RSV)

Associated with winter housing.


Cranioventral atelectasis and consolidation.


Interstitial emphysema in caudal lung lobes.


Bronchoconstriction due to mast cell degranulation and histamine release.

Canine parainfluenza

Paramyxovirus.


Acute.




Actions:


Replicates in airway epithelial cells..


Bronchitis


bronchiolitis


Alveoli infection



Canine distempter virus CDV

Catarrhal oculonasal discharge


Pharyngitis


Bronchitis




Targets lymphoid tissue.


Resultant immunosuppression.


Predisopsed to secondary bacterial infection.

Ovine Maedi visna virus/




aka Lymphoid Interstitial Pneumonia

Pulmonary lesions develop very slowly.


Uncommon.


Lungs are large, mottled, grey.


Enlarged lymph nodes.




Histologically: extensive lymphoid proliferation and smooth muscle hyperplasia.

Sheep Pasteurellosis

Lambs


Late spring, early summer.


Same as shipping fever for cattle.

Porcine Respiratory and Reproductive syndrome




PRRS

Respiratory and reproductive failure.


Transient loss of appetite.


Slight hyperthermia.


Respiratory distress.

Porcine Enzootic Pneumonia

Lesions of bronchopneumonia: suppurative or catharral.


Confluent consolidation of cranioventral lung lobes.


Economically highly significant.

Pasteurellosis in pigs

Severe acute fibrinous pneumonia


Chronic suppurative bronchopneumonia with abcessation and pleuritis.

Aspergillus fumigatus

Cause of aspergollosis.


Significant in BIRDS.




Due to inhalation of mouldy feed/bedding.


Immunodeficiency.




Grossly: multiple discrete grey/white nodules. Blood vessels can become involved in lesions.


Invasion, hemorrhage, thrombosis.

What pattern is this?

What pattern is this?



Suppurative bronchopneumonia.

Most common causes?

Most common causes?

Bacteria, mycoplasma.

What cells characterise this?

What cells characterise this?

neutrophils, cell debris, macrophages.

What are the consequences of bronchopneumonia?

1. Resolution


2. Progress to a more chronic suppurative bronchopneumonia

What are the features of a chronic suppurative bronchopneumonia?

Bronchiectasis


Pulmonary abcess


Pleuritis


Adhesions


Atelectasis

What is this?

What is this?

Fibrinous bronchopneumonia


More severe, sudden death


Involve entire lobes and pleural surface.


Fibrosis and adhesions, less likely to resolve quickly.

Aerogenous.


Hard.