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116 Cards in this Set

  • Front
  • Back
What is innate immunity and what cells complement this system?
Exists prior to foreign Ag exposure
phagocytic cells, natural killers cells, complement, interferon
What is acquired immunity and what cells complement this system?
Develops upon foreign Ag stimulation
Humoral B-cells and cell mediated Immunity T-cells
What is immunoprophyylaxis?
The enhancement of a specific immune response in an attempt to protect an animal from disease
What are some important aspects of passive immunization?
Artificial transfer of specific of antibodies
Immediate protection
Allergic/immune reactions
Short-lived resistance
What are some important aspects of active immunization?
The giving of an Ag to produce an immune response
Less expensive than passive immunization
Takes time to produce immunity
Long lived immunity
What are some important aspects of a modified live vaccine?
It is attenuated, it uses a whole agent and a recombinant vector
What are some important aspects of a inactivated or killed vaccine?
Whole agent -Killed
Purified subunit
Recombinant protein
What are some advantages of modified live vaccines?
Replicate in the host
Provide more rapid protection
Produce longer-lasting immunity
Lower Ag mass –fewer reactions
Better stimulation of CMI
What are some disadvantages of modified live vaccines?
Revert to virulence
Can cause immune suppression
What are the important characteristics of intranasal modified live vaccine?
Immune response within 3-5 days
Higher levels of IgA
Readily reverts to virulence
More post vaccination signs
What are some important facts about parental modified live vaccines/
Immune response within 7-10 days
High levels of IgG
Does not revert to virulence as easily
Fewer post vaccination signs
What are the most important patient health factors based on core canine vaccines?
Exposure risk
Disease severity
Transmissibility to humans
What are the 4 core canine vaccines?
Rabies
Distemper
Parvovirus
Canine Adenovirus-2
How is rabies transmitted and how long can it be incubated?
Transmitted in saliva, bite from rabid wild animal
(Fox, skunk, bat, raccoon)
Incubation of 2-24 weeks
Name the 4 clinical sign phases of rabies?
Prodromal phase
Furious phase
Paralytic phase
Atypical
What are some clinical signs that occur in the prodromal phase of the Rabies virus?
It occurs with in the first 2-3 days of clinical signs. Erratic behavior, fever, slow corneal and palpebral reflexes, loss of fear in wild animals, chewing at bite site (hyperesthesia)
What are some clinical signs that occur in the furious phase of the Rabies virus?
It occurs within the first 1-7 days of clinical signs. Irritable, hypersexuality, barking, aggression, ataxia, seizure, regional puritis
What are some of the clinical signs that occur in the paralytic phase of the Rabies virus?
It occurs within 2-4 days, Paresis, progressive LMN paralysis, change in voice, hypersalivation, coma
How is Rabies diagnosed?
Submit animal’s head –chilled NOT frozen
Direct fluorescent antibody test (DFA)
Histopathology (Negri bodies)
Mouse inoculation for confirmation
How can rabies be prevented?
Vaccine- Initial dose at >12 weeks (not a series)
First booster 1 year later
Subsequent boosters either yearly or triennially
How is Canine Distemper transmitted?
Virus shed in body secretions
Aerosol
Often young dogs kept in groups
Virus shedding ceases 1-2 weeks post-recovery
Virus is labile surviving hrs to days only.
What are some of the clinical signs associated with Distemper?
Lethargy
Anorexia
Fever
Rhinitis
Conjunctivitis
Pneumonia
Vomiting/diarrhea
Keratoconjunctivitis
Chorioretinitis
What are some of the CNS clinical signs associated with Distemper?
Seizures, ataxia, myoclonus
What would you see on a CBC for a positive Canine distemper case?
Lymphopenia then neutrophilia
What would you see on radiographs and CSF for a positive Canine distemper case?
Pneumonia
high protein, CDV antibody
What would you see on virology for a positive Canine distemper case?
intracytoplasmic viral inclusion, virus isolation (neg result doesn’t rule out)
What would you see on serology for a positive Canine distemper case?
rising titer, CDV-specific IgM titer, only suggestive
What is the best way to prevent canine distemper in adults?
Use a MLV vaccine
Vaccinate starting at 6-8 weeks then q 2-4 wks until 14-16 wks
What is the best way to prevent canine distemper in puppies?
For puppies 4-10 weeks can use Measles vaccine (doesn’t interfere with maternal immunity)
How can canine hepatitis be transmitted?
Oronasal
Shed in all secretions
Shed 6-9 months in urine
post recovery
Resistant to inactivation and disinfection
What is a per acute sign of canine hepatitis?
death within hours
What are acute signs of canine hepatitis?
5-7 day course
Vomiting, diarrhea, abdominal pain
Corneal edema (Blue eye)
Anterior uveitis
CNS signs: Hepatic encephalopathy, hypoglycemia or non-suppurative encephalitis
How is canine hepatitis prevented?
MLV
CAV-!
CAV-2
What can CAV-1 vaccine cause?
corneal edema, anterior uveitis /nephritis
What does CAV-2 vaccine provide?
cross protection without reaction
When should CAV-1 & CAV-2 be given?
Vaccinate at 6-8 weeks then q 2-4 weeks until 14-16
Booster in 1 yr then q 1-3 depending on risk
How is Parvovirus transmitted and when do the signs begin after infection?
Fecal – oral route
Fomite and environmental
contamination
Signs begin in 4-7 days
What breeds are predisposed for parvovirus?
Disease commonest in pups <6 months
Rottweilers & Dobermans more susceptible
What are the C/S for Parvovirus?
Anorexia
Depression
Fever
Vomiting
Diarrhea +/- blood
Icterus
What would be evident on a CBC to R/O Parvovirus?
Severe leukopenia 500 –2000/mcl
What would be evident on a chemistry panel to R/O Parvovirus?
electrolyte imbalances, renal azotemia, ↑bilirubin, ALT, ALP
What would be evident on a radiographs to possibly R/O Parvovirus?
gas and fluid distention in GIT
What could be seen on Virology to rule out Virology?
ELISA for fecal excretion of CPV-2 is
definitive, false + and false - possible.
What is the best way to prevent Parvovirus?
Killed & MLV- MLV has better protection
Last vaccine up to 20-22 wks in problem breeds
Potentiated vaccine- High titer/
low passage vaccine
What are six Non Core Vaccines?
Bordatella bronchoseptica
Parainfluenza
Giardia
Coronavirus
Lyme Boreliosis
Leptospira
What family does parainfluenza belong to?
Paramyxoviridae
How is Parainfluenza transmitted and what is its etiology?
Transmitted via contact with nasal secretions
What are some of the major C/S for Parainfluenza?
Causes damage to endothelium allowing secondary infections to occur. May cause a mild upper respiratory tract infection causing dry cough, nasal discharge and retching.
What is the preferred method of prevention for Parainfluenza?
Parenteral and Intranasal MLV
How is Coronavirus transmitted?
Transmission is via fecal-oral route
Often sub clinical in nature
Coronavirus can be shed in feces for months
What are the clinical signs seen with Coronavirus?
Asymptomatic
Vomiting, diarrhea, usually afebrile
What is a complication that may occur with coronavirus?
Combination with lepto vaccine results in increased likelihood of a reaction
What is the preferred vaccine protocol for coronavirus?
2nd vaccine given 2-3 weeks apart
3rd vaccine necessary if 2nd dose occurs at <12 weeks
What is the most common component of the ‘Kennel cough complex’?
Bordetella broncoseptica
What are the members of the ‘Kennel cough complex’?
Parainfluenza virus
Canine Adenovirus type 2
Canine Distemper Virus
Canine Herpesvirus
Canine Reovirus (type 1, 2, or 3)
What are some C/S of Bordetella?
Dry, hacking cough
Watery nasal discharge
What can Bordetella progress to?
bronchopneumonia & death
If you had a dog with fast, restrictive breathing, Fever, Productive coughing and a Mucopurulent nasal discharge that recently was housed in a kennel what would be your major R/O?


Fever
Productive coughing
Mucopurulent nasal discharge
Bordetella
What is the best method of prevention for Bordetella?
Killed Parental vaccine
Intranasal Live avirulent
What happens if you give a Bordetella Intranasal Live avirulent parenterally?
An abscess develops.
What is the best thing one can do to prevent Lyme disease?
Tick control
What type of parasite is Giardia and is it zoonotic? What is a major C/S of Giardia?
Protozoan and yes
Diarrhea
How can you diagnose Giardia?
direct smear
stain sample with iodine
zinc sulphate float
What is the best treatment for Giardia?
metronidazole
Bath animal to remove cysts on fur
What vaccine is recommended for Giardia? When should it be given? and what does it prevent?
GiardiaVax
Vaccinate at 8 weeks, repeat in 2-4 weeks
Prevents clinical dz & reduces severity and duration of cyst shedding
What are the core feline vaccines?
Parvovirus (Panleukopenia)
Herpesvirus-1 & Calicivirus
Rabies
Should all cats be vaccinated for rabies? What age should the initial dose be given? Do cats more commonly become rabid than dogs
Yes
Initial dose at 12-16 weeks
Yes
What causes Panleukopenia?
Parvovirus
How is panleukopenia transmitted?
Shed in all secretions (feces)
Resistant, can live >1 year
1:32 dilution of bleach
Oro-pharyngeal contact with fomites
Predilection for rapidly dividing tissues
What type of tissue does Panleukopenia have a predilection for?
Intestinal, hemopoietic, lymphoid
What are the major clinical signs of Panleukopenia in adult cats?
Sub clinical
What are the major clinical signs of Panleukopenia in kittens?
Anorexia, depression, fever
Vomiting, diarrhea, dehydration
Death due to septicemia/endotoxemia
What are the major clinical signs of Panleukopenia in neonates?
Cerebellar hypoplasia
Thymic atrophy
Fading kitten syndrome
How should panleukopenia be prevented?
Kitten series starts at 6 weeks of age
Repeat vaccine every 3 - 4 weeks until >12 weeks age
Adult series is 2 doses, 3 - 4 weeks apart
First booster after 1 year of course completion
Subsequent boosters every 3 years
Not in pregnant queens or kittens <4weeks.
How are Herpesvirus-1 & Calicivirus Transmitted?
Fomites (you, equiptment)
Direct contact with secretions
(oral, ocular, nasal)
Aerosol via sneezing
What are the C/S for Panleukopenia in adult cats?
Sub-clinical
What are the C/S for panleukopenia in kittens?
Anorexia, depression, fever
Vomiting, diarrhea, dehydration
Death due to septicemia/endotoxemia
What are the C/S for Panleukopenia in Neonates?
Cerebellar hypoplasia
Thymic atrophy
Fading kitten syndrome
How is panleukopenia prevented?
Kitten series starts at 6 weeks of age
Repeat vaccine every 3 - 4 weeks until >12 weeks age
Adult series is 2 doses, 3 - 4 weeks apart
First booster after 1 year of course completion
Subsequent boosters every 3 years
Not in pregnant queens or kittens <4weeks
How does Herpesvirus-1 & Calicivirus Transmission occur?
Fomites (you, equiptment)
Direct contact with secretions
(oral, ocular, nasal)
Aerosol via sneezing
What are the clincal signs for Herpes-1?
Feline Viral Rhinotracheitis
URI signs more severe
Sneezing, nasal/ocular discharge
2o bacterial infections
Intermittent shedding post infection
Dendritic ulceration
Keratitis
What are the C/S of Calicivirus?
Oral ulceration
Milder URI signs
Myalgia/arthralgia (febrile limping syndrome)
Persistent shedding
WHat is the best way to prevent Herpesvirus-1 & Calicivirus?
Initial series begins at 6-8 weeks of age
Repeat vaccine q3-4 weeks until >12 weeks age
Adult initial vaccine 2 doses, 3-4 weeks apart
Topical just one dose
First booster 1 year after initial series
What are the non-core Feline Vaccines?
FeLV
Chlamydophila felis
FIV
FIP
Bordatella bronchoseptica
what is the etiology for Chlamydophila felis?
Formerly Chlamydia psittaci
Don’t survive well in environment, so transmission is via direct contact
Most commonly seen in kittens
What are the clinical signs for Chlamydophila felis?
2-5 days incubation
Conjunctivitis, ocular discharge, sneezing, mild nasal discharge, +/- fever, infertility in breeding queens
what can be used to prevent Chlamydophila felis?
MLV & Inactivated available
Vaccination to start at 8-10 weeks of age, with a second injection 3-4 weeks later.
Annual boosters are recommended for cats that are at continued risk of exposure or if breeding/trying to breed
What is monocytic Ehrilichiosis?
E.canis & E. chaffeensis
Intracellular rickettsial gram-negative bacteria
Causes Human Monocytic Ehrlichiosis (HME)
What tranmitts monocytic Ehrlichiosis?
Rhipicephalus sanguineus- brown dog tick
Amblyomma americanum-Lone star tick
How is monocytic Ehrlichiosis transmitted?
through saliva during the tick bite
Invade monocytes in blood, liver, spleen, bone marrow, LN’s, lung, kidney & CNS
Form membrane bound morula inside the monocytes (>50 bacteria)
Granulocytic Ehrlichiosis is caused by what bacterium?
E.ewingii
Anaplasmosis is caused by what?
Anaplasma Phagocytophilum (formerly E.equi)
What is the only confirmed vector for Granulocytic Ehrlichiosis/Anaplasmosis?
Amblyomma americanum
What organisms have a trophism for neutrophils?
Granulocytic Ehrlichiosis/Anaplasmosis
What is the major clinicla sign for Granulocytic Ehrlichiosis?
POLYARTHRITIS!!!
What are the 3 phases of disease for Granulocytic Ehrlichiosis/Anaplasmosis?
Acute
Subclinical
Chronic
What breeds are predosposed to the disease phases of Granulocytic Ehrlichiosis/Anaplasmosis?
German Shepherds
Dobermans
Describe the etiology and clinical signs of acute Granulocytic Ehrlichiosis/Anaplasmosis?
1-4 weeks post infection
Clinical signs most evident (fever, CNS signs, lameness)
Moderate/severe thrombocytopenia
Describe the etiology and clinical signs of subclinical Granulocytic Ehrlichiosis/Anaplasmosis?
Few, if any clinical signs
Mild thrombocytopenia
Describe the etiology and clinical signs of chronic Granulocytic Ehrlichiosis/Anaplasmosis?
>1 month post infection
Can be mild or severe
How would you diagnose Granulocytic Ehrlichiosis/Anaplasmosis?
4Dx Snap Test
CBC
Blood Smear
PCR & IFA
What would you see in the bloodwork to help you diagnose Granulocytic Ehrlichiosis/Anaplasmosis?
Thrombocytopenia
Non-regenerative anemia
+/- Leukopenia
Hyperglobulinemia in later stages
Uncommon to see morula
What is the best way to treat Granulocytic Ehrlichiosis/Anaplasmosis?
Doxycycline at 5-10mg/kg PO or IV q12 for 21 days then recheck CBC
Tetracycline 20mg/kg PO q8 for 21 days
If PO Tx MUST give with food
Blood transfusion
What different species of Babesia cause Babesiosis?
Babesia canis, B.gibsoni, B.felis, B.leo most common
What type of Babesia are used to experimentally infect domestic cats?
Babesia herpailuri and B. pantherae
What is the etiology of Babesiosis?
Intracellular protozoan parasite of RBC’s
How is Babesia transmitted?
Transmission via transfusion or transplacental route
Infects erythrocytes and replicate to create merozoites in host
Ticks ingest merozoites during feeding
Replication of the parasite within the tick’s salivary cells results in sporozoite formation
Sporozoites are passed into circulation of the new host when tick feeds
Which Ixodid ticks are first degree vectors for Babesia Gibsoni?
Haemophysolis
bispinosa & H.longicornis
What tick species are first degree vectors for Babesia canis and is a vector for B.gibsoni?
Rhipicephalus sanguineus
What are some of the clinical signs for Babesiosis?
Fever
Anorexia
Lethargy
Icterus
Hemoglobinuria
Rough haircoat
Fever & icterus uncommon in cats
What are some of the complications of Babesia?
Severe hemolytic anemia/hemolytic crisis
Hypotensive shock
2o IMHA can develop
DIC can develop
B.gibsoni affects which dog breed more severely?
Pitbulls
B.canis affects which dog breed more severely?
Greyhounds
How is Babesia diagnosed?
Intraerythrocytic trophozoites on a blood smear.
Giemsa, Romanowsky, Field's, and modified Wright's stains are suitable for this purpose
PCR – able to determine species
What would you see on a blood smear to diagnose Babesia canis?
Irregular piroplasms
What would you see on a blood smear to diagnose Babesia gibsonis?
smaller ring-shaped and more numerous piroplasms