Infectious Diarrheas in Animals

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Questions and Answers

What pathological condition is characterized by inflammation of the small intestine?

  • Proctitis
  • Typhlitis
  • Colitis
  • Enteritis (correct)

Which of the following is the term for inflammation of the colon?

  • Typhlitis
  • Colitis (correct)
  • Enteritis
  • Proctitis

What is the primary cause of death in animals suffering from diarrhea/enteritis/colitis?

  • Dehydration (correct)
  • Toxemia/Sepsis
  • Electrolyte imbalance
  • Nutrient malabsorption

What term describes the inflammation of the cecum?

<p>Typhlitis (C)</p> Signup and view all the answers

What process leads to toxemia/sepsis in animals with compromised intestinal mucosa?

<p>Loss of mucosal barrier (A)</p> Signup and view all the answers

How do intestinal viruses primarily cause disease?

<p>By directly infecting cells and causing cell lysis (C)</p> Signup and view all the answers

Why is diarrhea more life-threatening in young animals compared to adults?

<p>They have slower cell turnover rates and lose fluids for longer (B)</p> Signup and view all the answers

Which of the following is NOT a possible location of lesions within the gastrointestinal tract?

<p>Esophageal lesions (D)</p> Signup and view all the answers

Which type of inflammation is characterized by the presence of granulomas?

<p>Granulomatous (D)</p> Signup and view all the answers

What is the effect of villous enterocyte damage on absorption?

<p>Decreased absorptive surface area (C)</p> Signup and view all the answers

What is the consequence of losing stem cells within the crypt epithelium?

<p>Loss of entire crypt/villus unit (C)</p> Signup and view all the answers

Which of the following viruses primarily target crypt cells in the intestinal epithelium?

<p>Parvovirus (A)</p> Signup and view all the answers

What clinical presentation should raise strong suspicion for CPV enteritis in dogs?

<p>Young, unvaccinated dogs with bloody diarrhea and lethargy (A)</p> Signup and view all the answers

Which disease is directly associated with granulomatous inflammation thickening the ileum and expansion of the lamina propria and submucosa by macrophages?

<p>Johne's Disease (D)</p> Signup and view all the answers

What clinical signs are most commonly associated with Paratuberculosis (Johne's disease)?

<p>Chronic diarrhea and weight loss (B)</p> Signup and view all the answers

Which viral pathogen primarily causes acute diarrhea in young animals across multiple species?

<p>Rotavirus (A)</p> Signup and view all the answers

Which part of the intestine is most affected by rotavirus?

<p>Jejunum and ileum (C)</p> Signup and view all the answers

Compared to rotavirus, what is a key characteristic of coronaviruses regarding virulence and affected regions?

<p>More virulent and can affect the colon in addition to the small intestine (C)</p> Signup and view all the answers

What cell type does parvovirus require to replicate?

<p>Cells in mitotic division (A)</p> Signup and view all the answers

Which of the following statements is true about Bovine Viral Diarrhea Virus (BVDV)?

<p>Mucosal disease arises from mutation of persistently infected calves (D)</p> Signup and view all the answers

What is the primary mechanism of disease for enterotoxigenic E. coli (ETEC)?

<p>Production of toxins causing increased secretion of fluids and electrolytes (D)</p> Signup and view all the answers

What distinguishes Shiga toxin-producing E. coli from enterotoxigenic E. coli (ETEC) in swine?

<p>Shiga toxin-producing <em>E. coli</em> primarily causes edema by damaging the endothelium (A)</p> Signup and view all the answers

An animal presents with diarrhea and malabsorption due to Salmonella infection. Which of the following explains this?

<p>Salmonella adheres to enterocytes, resulting in malabsorption (C)</p> Signup and view all the answers

What is the MAIN difference between the actions of Clostridia and Salmonella in the intestines?

<p>Clostridia NEVER invade cells and primarily produce exotoxins (B)</p> Signup and view all the answers

What is the key predisposing factor for Clostridium perfringens type D infection?

<p>Grain overload with undigested starch in the small intestine (B)</p> Signup and view all the answers

Which of the following is most characteristic of Mycobacterium avium subspecies paratuberculosis infection lesions in ruminants regarding location?

<p>Ileocecal valve (D)</p> Signup and view all the answers

What is the most common clinical sign observed in animals with swine dysentery?

<p>Mucohemorrhagic diarrhea (B)</p> Signup and view all the answers

What cellular change is characteristic of Porcine Proliferative Enteritis caused by Lawsonia intracellularis?

<p>Crypt hyperplasia (B)</p> Signup and view all the answers

Which of the following best describes the infection preference of Lawsonia intracellularis?

<p>Obligate intracellular in crypt cells (D)</p> Signup and view all the answers

Which of the following fungal or fungal-like diseases is associated with standing water and can cause gastrointestinal disease in dogs?

<p>Pythiosis (A)</p> Signup and view all the answers

What microscopic finding is most consistent with animals affected by pythiosis?

<p>Granulomatous and eosinophilic inflammation (C)</p> Signup and view all the answers

What is the primary diagnostic method for Cryptosporidium?

<p>Fecal floats, fecal cytology, or fecal antigen tests (B)</p> Signup and view all the answers

What microscopic feature is most closely associated with Eimeria & Cystoisospora (coccidia)?

<p>Usually inside of intestinal epithelial cells that then blows open and releases all its little progeny that try to find other coccida to breed with (A)</p> Signup and view all the answers

Where does Coccidia pose a problem in ALL species EXCEPT cattle?

<p>Small intestine (A)</p> Signup and view all the answers

What best characterizes Cryptosporidium parvum?

<p>Lives within the brush border. (D)</p> Signup and view all the answers

What intestinal parasite depends on a vector, and transmission includes the use of antihelminthics?

<p>Metazoan parasite (D)</p> Signup and view all the answers

What is a distinctive feature of hookworms in terms of their parasitic activity?

<p>Bloodsucking (C)</p> Signup and view all the answers

A horse presents with signs of protein loss and diarrhea. Which parasite is MOST likely to be responsible if inflammation and mucosal damage are observed during the intestinal lumen?

<p>Cyathostomes (B)</p> Signup and view all the answers

Following a particularly inept and careless necropsy technique, the veterinary student punctures the small intestine of a cow. The odor is immediately repugnant, and the only disinfectant available is rubbing alcohol. Later, the student develops a fever, diarrhea, and severe abdominal cramps. Given that bacterial load was high, what organism should the student be concerned about?

<p>Salmonellosis (C)</p> Signup and view all the answers

Where are lesions likely found in Mycobacterium avium subspecies paratuberculosis?

<p>Jejunum, ileum, cecum, and proximal colon (B)</p> Signup and view all the answers

If Coccidia is a small intestinal problem across all species and a large intestinal problem for cattle, what would make the BEST choice for a combination of treatments?

<p>Amprolium and sulfadimethoxine, since these antiprotozoals reduce issues in the intestines (C)</p> Signup and view all the answers

In cases of severe malabsorption due to villous damage, what is the MOST likely consequence?

<p>Diarrhea (A)</p> Signup and view all the answers

What is the MOST significant immediate threat to an animal experiencing severe diarrhea?

<p>Dehydration (C)</p> Signup and view all the answers

Which of the following represents a type of inflammatory lesion seen in the context of gastrointestinal disease?

<p>Granulomatous (D)</p> Signup and view all the answers

What is the MOST accurate description of how intestinal bacteria cause disease?

<p>Some bacteria get into cells, others make exotoxins, and others make secretory toxins. (A)</p> Signup and view all the answers

What is the long-term consequence of losing stem cells within the crypt epithelium?

<p>Compromised ability to regenerate the intestinal lining (C)</p> Signup and view all the answers

Compared to coronaviruses, which characteristic is LESS typical of rotaviruses regarding intestinal disease?

<p>More virulent and potentially fatal outcomes (A)</p> Signup and view all the answers

What cellular feature is FIRST targeted during parvovirus infection?

<p>Cells undergoing mitosis (C)</p> Signup and view all the answers

How does E. coli cause secretory diarrhea in piglets?

<p>Producing toxins that stimulate enterocytes to secrete electrolytes and water (A)</p> Signup and view all the answers

What is the hallmark pathological change in swine affected by edema disease due to Shiga toxin-producing E. coli?

<p>Systemic vascular damage and edema (D)</p> Signup and view all the answers

What is a common predisposing factor that allows Clostridium perfringens Type D to proliferate and cause disease?

<p>Change in feed (grain overload) (C)</p> Signup and view all the answers

Which of the following is an important characteristic to note regarding animals with subclinical paratuberculosis?

<p>May shed mycobacteria (C)</p> Signup and view all the answers

What is the MAIN presenting complaint of an animal with swine dysentery?

<p>Mucohemorrhagic diarrhea (A)</p> Signup and view all the answers

Which cellular structure does Lawsonia intracellularis MOST directly target?

<p>Crypt cells (A)</p> Signup and view all the answers

A dog is diagnosed with gastrointestinal pythiosis. What is the MOST important environmental factor to consider in its history?

<p>Exposure to standing water (A)</p> Signup and view all the answers

What is the MOST important identifying feature for Cryptosporidium?

<p>Oocysts within the brush border (B)</p> Signup and view all the answers

What is a distinct morphologic feature of Coccidia within the intestinal cells?

<p>Intracellular merozoites/oocysts (C)</p> Signup and view all the answers

How is diarrhea a greater threat to young animals than adults?

<p>The rate of cell turnover is lower in younger animals, so they lose fluids for longer periods. (B)</p> Signup and view all the answers

Which lesion location is LEAST likely to be directly affected by a gastrointestinal pathogen?

<p>Hepatic portal vein (A)</p> Signup and view all the answers

What is the MOST direct consequence of enterocyte damage on villi?

<p>Reduced absorptive surface area (B)</p> Signup and view all the answers

What feature do rotaviruses, coronaviruses, and parvoviruses share in the context of intestinal disease?

<p>Acute infection, primarily in young animals (D)</p> Signup and view all the answers

Which of the following lesions is MOST suggestive of Mycobacterium avium subspecies paratuberculosis infection?

<p>Granulomatous inflammation thickening the ileum (D)</p> Signup and view all the answers

What is the primary mechanism of Bovine Viral Diarrhea Virus (BVDV) in causing intestinal disease?

<p>Causing ulceration throughout the GI tract (C)</p> Signup and view all the answers

Why are Clostridial infections considered opportunistic?

<p>They proliferate and produce toxins when the gut environment changes. (D)</p> Signup and view all the answers

Which of the following is true regarding the systemic effects of toxins produced by intestinal pathogens?

<p>Toxins can be absorbed into the vasculature, leading to systemic effects (C)</p> Signup and view all the answers

If you observe that the ileocecal valve of a ruminant is markedly thickened, what is the MOST likely cause?

<p>Paratuberculosis (C)</p> Signup and view all the answers

What is the PRIMARY lesion caused by Lawsonia intracellularis within affected cells?

<p>Cellular proliferation (C)</p> Signup and view all the answers

Which of the following is the MOST consistent sign of Canine Parvovirus (CPV)?

<p>Bloody diarrhea with vomiting (D)</p> Signup and view all the answers

What is the main pathogenesis mechanism for Salmonella? The organisms ...

<p>... invade cells and die, causing malabsorption, secrete toxins, and affect the submucosa. (D)</p> Signup and view all the answers

An 8-week old pig presents with a history of diarrhea and edema. Lesions are discovered lining the gut. Given these signs, which of the following is MOST associated with the primary pathogenic mechanism? The disease ...

<p>... is an example of post-weaning edema and is associated with a shiga-toxin, which damages the endothelium. (C)</p> Signup and view all the answers

A farmer in Oregon loses several 4-month-old feeder calves to an unknown disease. One calf showed evidence of stumbling, which rapidly progressed to recumbency. At necropsy, there were widespread lesions on the gut, as well as evidence of an enlarged heart. What may this disease be?

<p>Malignant Cartharrhal Fever (MCF) (B)</p> Signup and view all the answers

The small strongyles encyst in what tissue?

<p>Intestinal lining (A)</p> Signup and view all the answers

How do anthelmintics relate to parasite infections?

<p>Antihelminthic usage dictates parasitic prevalence in a population. (B)</p> Signup and view all the answers

What region of the gut do whipworms infect?

<p>Colon (A)</p> Signup and view all the answers

Which of the following is NOT one of the learning objectives?

<p>Give examples of alternative diagnoses. (A)</p> Signup and view all the answers

Cryptosporidium parvum poses a zoonotic risk for which animal?

<p>All of the above (D)</p> Signup and view all the answers

While Coccidia is located in the small intestine across species, where is it located on the intestinal tract for cattle?

<p>It is located in the large intestine. (A)</p> Signup and view all the answers

A veterinarian is presented with a fecal sample. Given this, what parasites can be diagnosed?

<p>Metazoan parasites (B)</p> Signup and view all the answers

If normal villi are very tall, what does losing enterocytes along the villi indicate?

<p>The animal will undergo blunting and fusion of the villi, leading to decreased absorption and diarrhea. (A)</p> Signup and view all the answers

When describing lesion distribution for Mycobacterium avium subsp. paratuberculosis, what intestinal regions are involved EXCEPT the:

<p>Duodenum (B)</p> Signup and view all the answers

Which of the following viral intestinal pathogens targets dividing host cells for replication?

<p>Parvovirus (A)</p> Signup and view all the answers

In the context of intestinal disease, what is the MOST immediate threat to an animal's survival?

<p>Dehydration due to fluid loss from diarrhea (B)</p> Signup and view all the answers

How does the pathogenesis of enterotoxigenic E. coli (ETEC) primarily lead to diarrhea in affected animals?

<p>By producing toxins that stimulate excessive secretion of fluids and electrolytes into the intestinal lumen. (A)</p> Signup and view all the answers

Why are young animals generally more susceptible to severe outcomes from intestinal viral infections compared to adult animals?

<p>The rate of intestinal cell turnover is slower in young animals, causing slower recovery from viral damage and prolonged fluid loss. (C)</p> Signup and view all the answers

A veterinary pathologist observes marked thickening of the ileocecal valve and adjacent ileum during a necropsy of a 5-year-old dairy cow. Microscopic examination reveals granulomatous inflammation with macrophages containing acid-fast bacilli. Which of the following is the MOST likely diagnosis?

<p>Johne's Disease (Mycobacterium avium subspecies paratuberculosis) (B)</p> Signup and view all the answers

A ferret presents with chronic weight loss and poor body condition. Histopathological examination reveals pyogranulomatous vasculitis in multiple tissues. Infection with which agent is MOST likely to be indicated by these findings?

<p>Ferret systemic coronaviral disease (FSCD) (C)</p> Signup and view all the answers

Which characteristic is LEAST related to viral-induced diarrhea in various animal species?

<p>Typically more severe in adult animals due to slower cellular turnover (D)</p> Signup and view all the answers

What feature distinguishes endotoxins from exotoxins?

<p>Endotoxins are components of Gram-negative bacterial cell walls released upon cell death; exotoxins are secreted. (B)</p> Signup and view all the answers

How does damage to villous enterocytes typically lead to diarrhea?

<p>By decreasing the absorptive surface area, resulting in malabsorption. (B)</p> Signup and view all the answers

What is the primary role of M cells in the pathogenesis of intestinal diseases?

<p>Presenting antigens to Peyer's patches, facilitating pathogen entry (D)</p> Signup and view all the answers

Which inflammatory change is characterized by increased numbers of goblet cells?

<p>Catarrhal (A)</p> Signup and view all the answers

Which of the following viruses targets the tip of the villi?

<p>Rotavirus (B)</p> Signup and view all the answers

Which of the following viruses infects both the tip AND lateral aspects of the villi?

<p>Coronavirus (A)</p> Signup and view all the answers

What is the main reason why coronaviruses are more virulent than rotaviruses in producing intestinal disease?

<p>Coronaviruses infect the tip and lateral surface of the villi. (D)</p> Signup and view all the answers

How does the mutated form of feline coronavirus (FIP) cause systemic disease?

<p>By surviving and replicating within macrophages, leading to dissemination. (C)</p> Signup and view all the answers

What lesion is MOST closely associated with Feline Infectious Peritonitis (FIP)?

<p>Pyogranulomatous vasculitis (A)</p> Signup and view all the answers

What feature of systemic coronavirus infection in ferrets MOST closely resembles FIP?

<p>Pyogranulomatous vasculitis (A)</p> Signup and view all the answers

Why is canine parvovirus (CPV) especially harmful?

<p>It causes severe inflammation and necrosis in the intestinal crypts, leading to bloody diarrhea. (A)</p> Signup and view all the answers

Bovine Viral Diarrhea Virus (BVDV) and malignant catarrhal fever both cause ulcers in the GI tract. What is a key feature to differentiate them?

<p>BVDV causes lymphoid depletion, whereas malignant catarrhal fever causes proliferation of lymphocytes. (B)</p> Signup and view all the answers

A veterinarian suspects a bacterial etiology for enteritis in a group of weaned pigs. What is the PRIMARY consideration in the initial assessment?

<p>Recent changes in diet or antibiotic use. (A)</p> Signup and view all the answers

Which structure enables certain strains of E. coli to adhere to the intestinal mucosal lining?

<p>Pili (fimbriae) (D)</p> Signup and view all the answers

Enterotoxigenic E. coli (ETEC) causes diarrhea through which mechanism?

<p>Secretion of toxins that stimulate chloride secretion into the intestinal lumen (C)</p> Signup and view all the answers

What type of toxin is produced by the strain of E. coli that causes edema disease in pigs?

<p>Shiga toxin (C)</p> Signup and view all the answers

The Shiga toxin produced by E. coli in edema disease primarily targets what cell type?

<p>Endothelial cells (D)</p> Signup and view all the answers

A pig necropsy reveals edema in the spiral colon mesentery, gastric submucosa, and eyelids. Which bacterial agent is MOST likely involved?

<p>Shiga toxin-producing <em>E. coli</em> (STEC) (D)</p> Signup and view all the answers

How does Salmonella cause disease?

<p>By invading enterocytes and M cells, leading to mucosal damage and inflammation. (C)</p> Signup and view all the answers

In animals with salmonellosis, which areas of the intestines are most likely affected?

<p>Cecum and colon (A)</p> Signup and view all the answers

What type of diarrhea is most common with Salmonella?

<p>Malabsorptive and Exudative (D)</p> Signup and view all the answers

What is the MOST important factor in the epidemiology of Salmonella infections?

<p>The existence of carrier animals that shed <em>Salmonella</em> without showing clinical signs. (B)</p> Signup and view all the answers

A horse is diagnosed with Salmonellosis. Petechia are observed in the small intestines. What does this imply?

<p>Salmonella has entered the blood circulation causing DIC and septicemia. (D)</p> Signup and view all the answers

Rectal strictures secondary to salmonellosis in pigs result from what?

<p>Healing and fibrosis following proctitis (A)</p> Signup and view all the answers

What is the key feature that distinguishes Clostridium from Salmonella regarding intestinal damage?

<p><em>Clostridium</em> produces toxins that cause necrosis, while <em>Salmonella</em> invades cells. (D)</p> Signup and view all the answers

What is the role of trypsin inhibitors relative to clostridial infections?

<p>They increase the risk of clostridial infections because they inhibit trypsin's protective effect. (B)</p> Signup and view all the answers

Which best describes the pathogenesis of Clostridium perfringens type D in sheep?

<p>Proliferation due to undigested starch, and subsequent production of epsilon toxin leading to endothelial damage. (C)</p> Signup and view all the answers

What organ shows focal symmetrical encephalomalacia?

<p>Brain (A)</p> Signup and view all the answers

What is the MAIN difference between the lesions caused by Clostridium difficile and Clostridium perfringens?

<p><em>Clostridium difficile</em> initially causes superficial necrosis of the villi. (B)</p> Signup and view all the answers

How do animals MAINLY become infected with Mycobacterium avium subspecies paratuberculosis (MAP)?

<p>Through ingestion of the mycobacteria from subclinical carriers. (A)</p> Signup and view all the answers

What is a key gross finding in ruminants affected by Mycobacterium avium subspecies paratuberculosis (Johne's disease)?

<p>Thickened, corrugated intestinal mucosa (C)</p> Signup and view all the answers

Histopathology of an intestinal biopsy from a ruminant reveals macrophages with abundant acid-fast bacilli in the lamina propria. What disease is MOST likely?

<p>Paratuberculosis (Johne's disease) (D)</p> Signup and view all the answers

Which section of the intestinal tract is MOST commonly affected by Mycobacterium avium subspecies paratuberculosis?

<p>Ileum and cecum (A)</p> Signup and view all the answers

Which cell type is MOST linked with swine dysentery lesions?

<p>Goblet cells (C)</p> Signup and view all the answers

What cellular change is MOST characteristic of swine dysentery?

<p>Hypertrophy and hyperplasia of goblet cells (D)</p> Signup and view all the answers

What specific region shows lesions caused by swine dysentery?

<p>Cecum and colon (D)</p> Signup and view all the answers

Porcine proliferative enteritis is caused by Lawsonia intracellularis. What microscopic feature would suggest possible proliferation?

<p>Crypt hyperplasia (A)</p> Signup and view all the answers

What unique characteristic makes Lawsonia intracellularis different than other porcine enteric pathogens?

<p>It is an obligate intracellular bacterium. (C)</p> Signup and view all the answers

Within the cells it infects, Lawsonia displays what?

<p>Apical cytoplasm (A)</p> Signup and view all the answers

What region shows a thickened mucosa due to crypt hyperplasia?

<p>Ileum (A)</p> Signup and view all the answers

What is the typical source of Pythium insidiosum that causes gastrointestinal disease in dogs?

<p>Standing water (D)</p> Signup and view all the answers

What type of inflammation is characteristically caused by gastrointestinal pythiosis?

<p>Granulomatous and Eosinophilic (D)</p> Signup and view all the answers

How does gastrointestinal pythiosis typically lead to clinical signs?

<p>By causing mechanical obstruction due to mass effect. (C)</p> Signup and view all the answers

How do protozoal parasites typically cause diarrhea?

<p>By causing mucosal damage. (B)</p> Signup and view all the answers

With protozoan parasites, how do they cause malabsorptive diarrhea.

<p>Increase intestinal motility (D)</p> Signup and view all the answers

What does an Eimeria infection cause in cattle?

<p>Large intestinal lesion. (B)</p> Signup and view all the answers

Inflammation of which intestinal segment is specifically termed 'typhlitis'?

<p>Cecum (D)</p> Signup and view all the answers

In animals with severe diarrhea due to infectious diseases, what directly contributes to septicemia and shock?

<p>Loss of the mucosal barrier in the intestines (D)</p> Signup and view all the answers

What are exotoxins?

<p>Toxins produced and secreted by bacteria (A)</p> Signup and view all the answers

Why does a lower cellular turnover rate worsen the prognosis for young animals with intestinal infections?

<p>It prolongs the duration of the infection and diarrhea. (D)</p> Signup and view all the answers

What type of diarrhea is MOST commonly associated with rotavirus and coronavirus infections?

<p>Malabsorptive diarrhea (D)</p> Signup and view all the answers

What is a primary consequence of damage to the villus enterocytes in the small intestine?

<p>Malabsorption (C)</p> Signup and view all the answers

What is the primary function of the crypt epithelial cells in the intestinal villi?

<p>Replacing epithelial cells on the villi (C)</p> Signup and view all the answers

What type of inflammatory lesion is characterized by a proliferation of goblet cells?

<p>Catarrhal (C)</p> Signup and view all the answers

What is the primary effect of coronavirus infection on the intestinal villi?

<p>Atrophy and fusion of villi (A)</p> Signup and view all the answers

In what region of the intestine do rotaviruses primarily target their effects?

<p>Tip of the villi (C)</p> Signup and view all the answers

What distinguishes coronavirus infection from rotavirus infection in terms of affected area of the villi?

<p>Coronavirus affects the tip and lateral surface; rotavirus affects only the tip. (A)</p> Signup and view all the answers

Why can a parvovirus infection lead to bloody diarrhea?

<p>It causes collapse of the lamina propria, leading to leakage of blood. (B)</p> Signup and view all the answers

Why are M cells significant in the pathogenesis of certain intestinal bacterial infections?

<p>They present antigens to Peyer's patches, facilitating bacterial entry. (C)</p> Signup and view all the answers

What is the primary mechanism by which Mycobacterium avium subspecies paratuberculosis causes chronic diarrhea?

<p>By inducing granulomatous inflammation that disrupts the lamina propria (B)</p> Signup and view all the answers

What is a key post-mortem finding associated with Mycobacterium avium subspecies paratuberculosis (Johne's disease)?

<p>Thickening of the intestinal mucosa due to granulomatous inflammation (D)</p> Signup and view all the answers

Which region of the intestine is MOST commonly affected by Mycobacterium avium subspecies paratuberculosis?

<p>Ileum and cecum (B)</p> Signup and view all the answers

What is the primary cellular change observed in swine dysentery?

<p>Hypertrophy and hyperplasia of goblet cells (D)</p> Signup and view all the answers

Why does the bacterium causing swine dysentery have a tropism for the hindgut (cecum and colon)?

<p>The high concentration of goblet cells. (B)</p> Signup and view all the answers

Where within the cell does Lawsonia intracellularis reside?

<p>Within the cytoplasm of crypt epithelial cells (A)</p> Signup and view all the answers

What is the MOST likely consequence of severe crypt hyperplasia in porcine proliferative enteritis?

<p>Reduced blood supply to the mucosa leading to necrosis (A)</p> Signup and view all the answers

What type of inflammation is MOST commonly associated with gastrointestinal pythiosis?

<p>Granulomatous and eosinophilic (A)</p> Signup and view all the answers

How does gastrointestinal pythiosis lead to intestinal obstruction?

<p>By causing a mass effect due to granulomatous inflammation (D)</p> Signup and view all the answers

How does the clinical presentation of Cryptosporidium differ significantly from that of E. coli in causing neonatal diarrhea?

<p><em>Cryptosporidium</em> does not secrete toxins but effaces the brush border. (D)</p> Signup and view all the answers

What is the PRIMARY mechanism by which Cryptosporidium parvum induces diarrhea in young animals?

<p>Effacement of the brush border of enterocytes, leading to malabsorption (A)</p> Signup and view all the answers

The severity of disease caused by intestinal protozoal parasites is most dependent on what factor?

<p>Parasite burden (A)</p> Signup and view all the answers

How do parasites such as Giardia contribute to malabsorption in the intestines?

<p>By physically attaching to and disrupting the microvilli of enterocytes (C)</p> Signup and view all the answers

Hookworms such as Ancylostoma cause what MAIN pathogenic effect in puppies?

<p>Anemia and protein loss due to blood feeding (B)</p> Signup and view all the answers

How should antimicrobial usage be viewed in the development of bacterial diseases in adult animals?

<p>Is a predisposing factor through the alteration of normal flora (D)</p> Signup and view all the answers

What is the role of pili (fimbriae) in the pathogenesis of certain E. coli strains?

<p>Adhering to the mucosal lining of the intestine (A)</p> Signup and view all the answers

What is the mechanism of diarrhea caused by enterotoxigenic E. coli (ETEC)?

<p>Production of toxins that stimulate epithelial cells to secrete chloride (B)</p> Signup and view all the answers

In pigs affected by edema disease due to Shiga toxin-producing E. coli, what cell type is primary target of the toxin?

<p>Endothelial cells (D)</p> Signup and view all the answers

What systemic effect is MOST characteristic of Shiga toxin-producing E. coli in edema disease?

<p>Edema in various organs and tissues (A)</p> Signup and view all the answers

Why is Salmonellosis particularly concerning in a hospital setting for horses?

<p>The carrier state and shedding of Salmonella are significant factors in disease transmission (D)</p> Signup and view all the answers

What is the underlying cause of rectal strictures that sometimes develop secondary to Salmonellosis in pigs?

<p>Ulceration and subsequent fibrosis leading to circumferential scarring (C)</p> Signup and view all the answers

How do Clostridial exotoxins lead to the hemorrhage observed in Clostridial enteritis?

<p>They cause necrosis of blood vessels in the lamina propria. (D)</p> Signup and view all the answers

What part does trypsin play in preventing development of Clostridium?

<p>It protects intestines from Clostridium difficile. (D)</p> Signup and view all the answers

What is the primary mechanism by which Clostridium perfringens type D causes neurological signs in affected animals?

<p>Effect of epsilon toxin on endothelial cells in the brain (D)</p> Signup and view all the answers

What is the primary reason that routine antiparasitic treatment has reduced the presence of metazoan intestinal parasites?

<p>Reduces parasite load (C)</p> Signup and view all the answers

In horses, what is the key pathogenic action of cyathostomins (small strongyles) following encystment in the gut wall?

<p>They evade the host immune system (B)</p> Signup and view all the answers

How do whipworms (Trichuris vulpis) cause clinical signs in dogs?

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In a case of suspected intestinal disease, which combination of factors provides the MOST comprehensive basis for a differential diagnosis?

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What is the MOST critical factor determining the severity of disease caused by intestinal protozoal parasites?

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What is the MOST likely effect of the toxins produced by Clostridium species on host tissues during an enteric infection?

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Which mechanism is MOST directly responsible for the chronic wasting observed in animals with Mycobacterium avium subspecies paratuberculosis (Johne's disease)?

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Which feature is MOST characteristic of rotavirus infection in piglets?

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How does the pathogenesis of Feline Infectious Peritonitis (FIP) differ from that of typical feline enteric coronavirus (FECV) infection?

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How do hookworms, such as Ancylostoma, cause clinical signs in infected animals?

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A pig farmer is experiencing high mortality rates in 6-14 week old pigs. Necropsy reveals edema in the spiral colon mesentery and gastric submucosa. What is the MOST likely cause?

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What role do M cells play in the pathogenesis of intestinal diseases?

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Which type of diarrhea is MOST associated with rotavirus and coronavirus infections?

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How does Lawsonia intracellularis cause the characteristic thickening of the intestinal mucosa?

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What is the PRIMARY mechanism by which enterotoxigenic E. coli (ETEC) strains cause diarrhea?

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In swine dysentery, which cell type is the PRIMARY target of Brachyspira hyodysenteriae, leading to the characteristic lesions?

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What environmental factor is MOST associated with gastrointestinal pythiosis in dogs?

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Which of the following BEST describes the typical gross appearance of the intestinal mucosa in a case of Mycobacterium avium subspecies paratuberculosis (Johne's disease)?

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Which outcome is MOST linked to severe crypt damage caused by parvovirus?

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Why might antibiotic use in adult animals be a predisposing factor for bacterial intestinal infections?

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A dog presents with chronic weight loss and a thickened small intestine. Histopathology reveals granulomatous inflammation with numerous eosinophils and multinucleated giant cells centered around hyphae-like structures. GMS staining highlights the fungal organisms. What is the MOST likely diagnosis?

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An owner reports that their horse suddenly developed severe diarrhea after being treated with broad-spectrum antibiotics for an unrelated infection. Fecal analysis reveals the presence of toxins A and B. Which agent is MOST likely responsible for these clinical signs?

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What is MOST true when comparing the effects of classical swine fever (CSFV) with the effects of rotavirus on the intestinal tract of infected piglets?

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A researcher is investigating the pathogenesis of a novel enteric bacterium in livestock. The bacterium produces a toxin that inhibits protein synthesis in eukaryotic cells, disrupts tight junction proteins in epithelial cells, and induces apoptosis, yet minimal inflammatory cytokine production occurs. Based on these findings, what would be the MOST anticipated outcome of infection?

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Flashcards

Enteritis

Inflammation of the small intestine.

Colitis

Inflammation of the colon.

Typhlitis

Inflammation of the cecum.

Proctitis

Inflammation of the rectum.

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Dehydration: Sunken Eyes

Eyes appearing sunken due to fluid deficiency.

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Toxemia/Sepsis

This can result from dehydration and loss of the mucosal barrier.

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Intestinal Viruses

Group of viruses that infect all species, primarily in young animals, causing acute disease.

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Rotaviruses

Viruses that primarily infect young animals, causing acute gastroenteritis.

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Coronaviruses

Viruses more virulent than rotavirus, capable of infecting the colon.

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Parvoviruses

Viruses that require host cells to be in mitotic division, targeting crypt cells, hematopoietic cells, and lymphoid cells.

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Damage to Villous Enterocytes

Occurs when there is damage to villi due to loss of enterocytes; results in blunting, fusion, decreased absorption and diarrhea.

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Damage to Crypt Epithelium

Occurs when stem cells are lost, resulting in the loss of the entire crypt/villus unit and severe maldigestion/malabsorption.

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Lamina Propria/Submucosal Injury

The result of damage damaging enterocytes and M cells; exotoxins cause necrosis.

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Granulomatous Inflammation

Inflammation caused by Mycobacterium avium subsp. paratuberculosis, leading to thickened ileum and expanded lamina propria.

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Escherichia coli (E. coli)

Ubiquitous gram-negative bacteria that can cause disease in the intestines.

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Enterotoxigenic E. coli (ETEC)

E. coli that causes enterocytes to secrete, leading to secretory diarrhea.

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Shiga toxin-producing E. coli

E. coli that produces Shiga toxin, leading to edema disease in post-weaning swine.

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Salmonella sp.

Enteroinvasive bacteria that enters and survives in enterocytes, M cells, and macrophages, producing endotoxin and causing septic shock.

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Clostridium sp.

Opportunistic bacteria that produce exotoxins that kill nearby cells, usually entering the vasculature and causing enterotoxemia.

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C. perfringes and C. difficile: predisposing factors

Change in feed, antimicrobial therapy, trypsin inhibitors.

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Clostridium perfringens

Disease caused because clostridial toxins cause hemorrhage and edema.

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Clostridium perfringens type D

"Overeating disease" caused by undigested starch in the small intestine; enterotoxemia in sheep and goats.

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Mycobacterium avium subsp. paratuberculosis

Bacteria that causes lesions primarily found in the jejunum, ileum, cecum, and proximal colon, affecting the ileocecal valve.

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Swine dysentery (Brachyspira hyodysenteriae)

Bacteria characterized by mucohemorrhagic diarrhea and typhlocolitis, affecting the cecum and colon of weanling pigs.

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Lawsonia intracellularis

Obligate intracellular bacteria with an affinity for crypt cells, causing proliferation and crypt hyperplasia.

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Pythiosis

Fungal-like disease caused by Pythium insidiosum found in swamp and standing waters; commonly affects dogs.

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Protozoal Diseases

Protozoal diseases caused by Eimeria/Cystoisospora (coccidiosis), Giardia, and Cryptosporidium sp.

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Coccidia

Gut protozoa that lives inside epithelial cells.

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Cryptosporidiosis

Zoonotic agent, Lives within the brush border → causes Diarrhea in neonatal calves

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Ascarids

Usually asymptomatic unless massive burden or obstruction following treatment

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Hookworms

The small intestine causing anemia, protein loss, diarrhea. An example, dog/cat: Ancylostoma spp

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Whipworms

Worm with location in the cecum +/- colon and Anemia, protein loss, diarrhea, They are bloodsuckers. Trichuris vulpis is a example (in dog, T. suis pig

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Small Strongyles in Horses

Located in the Cecum and colon, they Like to surround in the mucosa (encysted) larvae stage

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Diarrhea

Clinical sign caused by infectious diseases of the intestines, leading to loss of fluids and electrolytes.

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Exotoxins

Produced, and secreted by gram positive bacteria.

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Endotoxins

Component of the gram negative bacteria wall that are released when the bacteria dies. (LPS)

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Invasive Bacteria

Penetrate cells and lamina propria which induces inflammation.

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Vulnerability of Young Animals

Because cellular turnover is slower in young animals.

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Villi

Projections of the mucosa in the small intestines which increase the absorptive surface.

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Enterocytes

Epithelial cells that line the villi.

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Crypt

Invaginations of the villi forming glands which contain stem cells for the production of enterocytes.

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Inflammation Inducing Agent

Agent that Induces severe inflammation of the wall of the intestine.

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Hemorrhagic

Inflammation rich in red blood cells.

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Granulomatous

Inflammation rich in macrophages and multinucleated giant cells.

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Catarrhal

Rich in goblet cells.

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Hyperplasia

proliferation of crypts and villi.

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Functional Alterations

Classic example is E. Coli which induces the epithelial cells to secrete chloride.

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Villi Atrophy

Villi are short and fused, decreasing the absorptive surface area.

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Coronavirus & Rotavirus Mechanism

Causes villus atrophy, leading to decreased absorptive surface area and diarrhea.

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Parvovirus and Bloody Diarrhea

Bloody diarrhea due to the collapse of the villi and blood leakage.

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M Cells

Microfold cells overlying Peyer's patches that present antigens.

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Mycobacteria

The bacteria multiplies within macrophages, inducing a macrophage-rich response.

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Clostridial Enteritis

Esotoxins induce necrosis of the epithelial cells, blood vessels, and cells of the lumina propria leading to hemorrhage.

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Rotavirus: Key points

Common in cows and pigs where it cause watery diarrhea, and dehydration due to shortening and fusion of the V-line.

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Coronavirus: Target Cells & Species

Tip and lateral surface of V line causing a more severe clinical disease than rotavirus. Affects the colon of horses.

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Feline Infectious Peritonitis (FIP)

Feline Coronavirus can mutate, so the viruses are able to multiply to survive in macrophages with systemic lesions affecting many tissues, resulting on vasculitis, effusions and pyogranulomas.

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Parvovirus: Immune System

Necrosis of lymphoid cells throughout the body (lymph nodes, spleen, or thymus).

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Mucosal Disease

Ulcers throughout the GI tract, usually over the Peyer's patches leading to systemic presentation and acute death.

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BVD vs. Malignant Catarrhal Fever

BVD causes depletion of lymphocytes and malignant catarrhal fever induces proliferation of lymphocytes.

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Dysbiosis

Dysregulation in the normal microflora of the bacteria.

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Pili or fimbriae in E. coli

Adhere to the mucosal lining allowing the bacteria to colonize and then start the disease.

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Heat-stable and heat-labile toxins

Induce the epithelial cells to secrete chloride into the lumen.

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Salmonella: Key points

Causes severe mucosal lesions because they enter through the M cells which will lead to ulcers around the Peyer's patches.

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Small strong gels in horses

The key component of the pathogen is, they evade the immune system and they live for years without causing any disease.

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Protozoal disease: Key points

Attaches to surface of enterocyte leading to mucosal damage, and necrosis, so you identify the morphology of the X and the O cysts.

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Cryptosporidium: Key points

Attaches to microvilli of enterocyte that leads to malabsorption, then villi atrophy and diarrhea.

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Study Notes

Infectious Diarrheas of Intestines I

  • Diarrhea/enteritis/colitis are causes of animal deaths.
  • Infectious diarrheas can be viral, bacterial, fungal, protozoal, or parasitic.
  • Focus on mechanisms of injury, target cells for viruses, inflammation location for bacteria.
  • Note pathogenesis in bacteria, and animal age.

Etiology

  • Enteritis: inflammation of the small intestine (duodenum, jejunum, ileum).
  • Colitis: inflammation of the colon.
  • Typhlitis: inflammation of the cecum.
  • Proctitis: inflammation of the rectum.

Causes of Death

  • Dehydration is a primary cause of death in animals with diarrhea, indicated by sunken eyes, dry gums, and loss of skin elasticity.
  • Loss of the mucosal barrier leads to toxemia/sepsis
  • Normal mucosa is beige, smooth, and shiny, while necrotic mucosa is rough, granular, covered in a fibrin membrane.

Core Concepts of Infectious Diarrheas

  • Intestinal viruses cause disease by infecting and rupturing cells, disrupting cellular processes, causing necrosis.
  • Intestinal bacteria cause disease by:
    • Invading cells (e.g., Salmonella).
    • Producing exo-(secreted) toxins (Gram-positive bacteria).
    • Producing endotoxins (component of Gram-negative bacteria, released upon cell death, e.g., LPS).
    • Secreting toxins that stimulate chloride secretion into the lumen (some E. coli strains).
  • Diarrhea is more life-threatening in young animals due to the slower cell turnover rate, leading to prolonged fluid loss.
  • Epithelial cells have a lifespan of roughly 10 days, needing continuous replacement.

Classes of Agents Causing Diarrhea

  • Viruses are common in all species, especially young animals, and often cause acute disease.
    • Rotaviruses, coronaviruses, and parvoviruses are viral causes. Viruses often induce acute diarrhea.
  • Bacteria are more important in large animals.
    • Acute or chronic forms result, depending on the bacteria.
  • Fungi/algae are generally rare and usually cause chronic diseases, excluding Florida and southern states where fungal infections are mor common due to the hot and humid climate.
  • Parasites/protozoa significance is heavily dependent on the burden (often asymptomatic).
    • Likely to be a bigger issue in younger animals.

GIT Lesions

  • Damage to villi results in enterocyte injury.
  • Crypt injury can occur.
  • The microvilli are prone to alteration.
  • Injury to the lamina propria, submucosa, and deeper layers is possible.
  • Hemorrhagic and granulomatous inflammation is a common kind of GIT injury.
  • Catarrhal inflammation is rich in goblet cells.
  • Inflammation can also be lymphoplasmocytic.

Damage to villious enterocytes

  • Villous atrophy is a disease where villi are damaged and normal villi are tall.
  • Loss of enterocytes on villi due to villi damage causes blunting and fusion, decreasing absorptive surface area, leading to malabsorption and therefore diarrhea.
  • Coronavirus and rotavirus can target cells of the villi, leading to villi atrophy.

Damage to Crypt Epithelium

  • Losing stem cells causes loss of entire crypt/villus unit, leading to severe maldigestion/malabsorption, possibly also exudation of blood, serum, and inflammatory cells, leading to diarrhea.
  • Parvovirus can cause damage to crypt epithelium.
  • Crypt epithelial cell damage leads to villi atrophy.

Lamina Propria/Submucosal Injury

  • Bacteria and infectious agents that infect macrophages or crypt epithelial cells enter the lamina propria through M cells
  • M cells are epithelial cells overlying Peyer's patches that present antigens.
  • Macrophages can cause granulomatous disease, causing severe infection.
    • Examples include mycobacteria.
  • Crypt epithelial cells can cause proliferative or hyperplastic disease.
  • Exotoxins produced kill the lamina propria, submucosa and blood vessels.
  • Invasive bacteria can invade enterocytes and M cells.
  • Clostridial enteritis can cause severe mucosa necrosis, leading to bloody diarrhea.

Viral Diseases of the Intestines

  • Common viral causes: rotaviruses, coronaviruses and parvoviruses.

Rotaviruses

  • Rotaviruses happen in neonates, about any species
    • Such as in calves less than 1 week old and in pigs in their first 7 weeks.
  • Rotaviruses can cause Shortening and fusion of villi
    • They usually target the jejunum and ileum.
  • Rotaviruses cause malabsorptive, watery diarrhea, as well as dehydration and weakness.
  • Usually self-limiting, generally have low mortality. Gross changes are subtle.
  • When death occurs due to Rotavirus, a concurrent infection often accompanies it, likely from coronavirus, Cryptosporidium, E.coli or coccidia.
  • They target the tip of the villi.

Coronaviruses

  • Coronaviruses are associated with:
    • Pigs with transmissible gastroenteritis virus (TGE) or porcine epidemic diarrhea virus (PED).
      • Often more virulent than rotavirus.
      • Can affect colon.
    • Cattle with Bovine coronavirus (calf viral enteritis, winter dysentery).
    • Horses with Equine coronavirus (disease in adults, colitis>enteritis). - Can affect the colon of horses
    • Dogs with canine coronavirus.
    • Cats with feline enteric coronavirus (also causes FIP).
    • Ferrets with ferret enteric coronavirus. Feline enteric coronavirus, ferret enteric coronavirus are two distinct viruses with no correlation, but cause similar disease in cats and ferrets.
  • Coronavirus attacks both the tip and lateral surface of the villi, causing more severe disease.

Feline and Ferret Enteric Coronavirus

  • The typical infection is asymptomatic, but mild enteritis with diarrhea may be present.
  • Viral Mutation can cause the affected virus to survive in macrophages Virus survival depends on a random mutation allowing virus survival in macrophages.
    • Virus survival leads to systemic spread, turning into Feline Infectious Peritonitis (FIP) and Ferret systemic coronaviral disease (FSCD)
      • Further virus survival leads to pyogranulomatous vasculitis affecting many tissues and chronic weight loss.
  • FIP is not considered contagious because the mutation leading to macrophage survival occurs within the affected animal.
  • Systemic spread of coronavirus leads to vasculitis, resulting in effusions (peritonitis, pleuritis).

Parvovirus

  • Requires host cells to be in mitotic division to take hold.
  • Targets crypt cells, Hematopoietic cells and lymphoid cells, inflicting segmental, necrotizing enteritis
  • Leads to vomiting/diarrhea with dilated, hemorrhagic fluid-filled bowel and Lymphopenia, neutropenia (panleukopenia)
  • Parvovirus attacks crypt epithelial cells, causing collapse of the lamina propria, hemorrhage, and bloody diarrhea.
  • The mucosa is red, rough, and granular due to cellular debris., and villi and lamina propria collapse
  • Is more severe than rota and cornavirus infections

Other Intestinal Viruses

  • Bovine Viral Diarrhea Virus "Mucosal Dz" infections cause PI calf to mutate to form Mucosal Disease.
    • Leading to ulcers throughout the Gl tract/over PP's as well as direct epithelial injury and Lymphoid depletion.
  • Malignant Catarrhal Fever (OHV-2) causes:
    • Ulcers throughout Gl tract, Lymphocytic vasculitis and Lymphoid hyperplasia.

Escherichi coli (E.coli)

  • E. coli a ubiquitous Gram negative. Can be spore-forming
  • Risk factors for E. coli infection include colostrum ingestion, crowding, temperature extremes, environmental contamination, and concurrent infection.
  • Multiple strains exist, including enterotoxigenic E. coli (ETEC) and enteropathogenic E. coli (EPEC). Also includes septicemic colibacillosis.

ETEC (Enterotoxigenic E. coli)

  • ETEC is common in piglets and calves and affects neonates to post-weaning.
  • ETEC often causes secretion of functional alternations in the gut, leading to secretory diarrhea. Functional alterations happen because there is no morphology alteration..
  • Infections commonly do not come with lesions.
  • Bacteria adheres to the apical surface of enterocytes and secretes heat-stable and heat-labile toxins.
  • These toxins induce epithelial cells to secrete chloride into the lumen, drawing water and sodium, causing secretory diarrhea.

Shiga toxin-producing E. coli

  • Shiga toxin-producing E. colis often post weaning (6-14 wks) swine.
  • Shiga toxin damages endothelium, → causing Edema varying from case to case throughout the body.
  • Spiral colonization can lead to neurologic signs.
  • Despite the bacteria's presence in the Gl tract, diarrhea or significant mucosal lesions are atypical.
  • High morbidity and mortality often result, thus, sudden death is a likely outcome.
  • Shiga toxin has tropism for endothelial cells, leading to increased vascular permeability and edema in the spiral colon mesentery, gastric submucosa, eyelids, and brain.

Salmonella sp.

  • Salmonella sp. are enteroinvasive.
  • Salmonella enter and survive in enterocytes, M cells & macrophages.
  • Goes INTO cells, can get INTO circulation, produces endotoxin → septic shock.
  • Salmonella adhere to enterocytes and ENTER, cell dies → malabsorption.
  • Produce enterotoxin → secretory diarrhea.
  • Produce endotoxin - SICK, plus vasculitis/thrombosis → mucosa dies (infarct/ulceration) → effusive diarrhea.

Salmonellosis - Epidemiology

  • Usually after a predisposing condition – stress, antibiotics, poor husbandry, in carrier animals – lymphoid tissue in gut and nodes, gall bladder.
  • Important to be aware of in hospital setting!
  • S. typhimurium, S. enterica, S. dublin, S. cholerasuis and S. typhosa are all types of salmonellosis.
  • Salmonella is not a normal inhabitant of the intestines. Important is to identify carriers that shed salmonella and test for it commonly.

Salmonellosis Specifics

  • Infections are often acute, with hemorrhagic or fibrinonecrotizing symptoms.
  • Infections can also be chronic with button ulcers. In acute infections, there is severe damage to mucosa, and often are around Peyer's patches.
    • Infections cause severe damage to the mocosa (enterovisive and through the Mucosa cells) and affect the large intestine more than the small intestine.
  • Chronic forms can result in well demarcated ulcers intestines or button ulcers. The necrotic center often is what leads to the chronic bottom ulcers.
  • In pigs, salmonellosis can lead to rectal strictures due to ulceration and subsequent fibrosis, resulting in constipation and megacolon.

Clostridium sp.

  • All Clostridida are OPPORTUNISTS and when they get a CHANCE, they grow like crazy and produce exotoxins that kill all nearby cells, usually entering the vasculature → ENTEROTOXEMIA.
  • Dysbiosis is often the cause and can come from antibiotics, a change of diet, or an increase of gram-positive bacteria.

Clostridia

  • The bacteria create Toxins that attack epithelial cells, the lamina propria and and vasculature in order to cause hemorrhage and/or edema
  • Toxins from the clostridia enter and spread systemically.

C. perfringes and C. difficile

  • Changing the enteric microenvironment can lead to Clostridia taking hold, this can be influenced by
    • Change in feed, abnormally nutrient-rich digesta or even Antimicrobial therapy, Trypsin inhibitors (colostrum) or just a Reduce of motility. Colostrum's trypsin inhibitors can increase susceptibility to clostridial diseases in neonates.
  • Clostridia never invade cells but they Make toxins that kill everything they encounter, epithelial cells, causing lamina propria or vasculatures tohemorrhage and/or become edemic
  • Toxins from the clostridia enter and spread systemically.

Clostridium perfringens type D

  • Can cause "Overeating" disease because the starch doesn't digest properly in the small intestine
    • This is usually linked to grain and starches, as well enterotoxemia in sheep and goats.
    • Epsilon toxin in the clostridium damages to endothelial cells It's a peculiar disease because it is linked to the change the diet to rich in grain and concentrate diet, so undigested.
      • Primarily attacking the brain (internal capsule) and Lung (pulmonary edema), causing symmetrical Encephalomalacia.

Clostridioides difficile (horses and piglets)

  • Causes enterocolitis.
  • Clostridioides difficile is known to cause damages to the mucosa and damage is more severe with the damage to submucosa Also can have a lot of hemorrhage of the serosa, often confirmed can be done by gram stain and PCR

Mycobacterium avium subspecies paratuberculosis

  • Paratuberculosis or Johne's disease affect primarily ruminants, which often causes Clinical disease, characterized by diarrhea, emaciation and hypoproteinemia
    • This is usually prevalent in animals older than 2yo, but note that subclinical animals shed mycobacteria!
    • Bacteria from infected macrophages enter Mucosa cells, this intrusion cause Malabsorption, protein leakage and Marked mucosal thickening. They enter through mucosol cells and the cause disruption to Mucosa architecture.

Swine dysentery

  • Brachyspira hyodysenteriae causes necrotic intestinal issues in weanling pigs between 8-14 weeks old
    • Brachyspira invades enterocyte (Brachyspira hyodysenteriae) and then produce toxins to induce proliferation of goblet cells.
      • Infections typically result in Mucohemorrhagic diarrhea and/or typhlocolitis of the cecum and colon. Brachyspira target the mucin goblet cells which causes stimulation of mucus.

Lawsonia intracellularis = Porcine proliferative enteritis

  • Infections are usually obligate intracellular with an affinity for crypt cells. Infection can proliferate until crypt hyperplasia turns into necrosis and hemorrhaging.
  • Affects a wide variety of species, typically Piggies as well as horses in postweaned pigs often in the Ileum, cecum and proximal spiral colon.
  • It creates a cerebriform structure that has high similarities with the Yonis disease It is often a Obligate intracellular bacteria that has tropism for crypt cells which leads to higher stimulation to hyperplasia

Fungal and Algal Diseases of the Intestines

  • They are typically sporadic/uncommon/rare, but can be often serious
    • Such as Histoplasma capsulatum or Pythiosis - (Pythium insidiosum) or Prototheca.

Pythiosis

  • Pythium insidiosum (oomycete, fungal-like) lives in swamps and standing waters.
  • Dogs are most susceptible.
  • Cutaneous pre-existent lesions/wounds (Cutaneous Form) or by ingestion.
  • Symptoms primarily consist of Granulomatous and eosinophil inflammation and Segmental thickening/mass effect. Often in dogs and mostly effects GI system due to the dogs ingesting pynthium It often causes mechanical obstructions Is often surgical, through enterectomy to remove
  • Surgical removal is likely recommended.

Protozoal Diseases of the Intestines

  • Primarily Eimeria/Cystoisospora (coccidiosis), Giardia and Cryptosporidium sp.
    • Infections are often asymptomatic (unless you're very immunosuppressed).
    • Commonly found in young animals.
    • Infections are primarily diagnosed with Fecal Dx antigen tests. Often diagnose through fecal floatation and mostly test the morphology
  • Protozoal diseases of the intestestines cause mild and self-limiting diseases of the most protozoal dieseases. They often cause mucosal damage, which then leads to increased movement of the interstines

Eimeria & Cystoisospora (“Coccidia")

  • Infections are host-specific, with tissue-specific apicomplexan infection profiles.
    • The Complex life cycle with sexual/asexual stages occur inside of the intestinal epithelial cells and burst, releasing progeny.
    • Oocysts persist in the environment.
    • Infections are a SMALL INTESTINE problem, except when prevelant in cattle. It then can be Proliferative and nodular in sheep and goats, and can leads to hypertrophic villi and crypts

Cryptosporidiosis

  • This zoonotic condition is caused by C. parvum, specifically targetting calves, lambs and foals.
    • Diarrhea is the most common symptoms, with primary damage to neonatal calves. They also often present with mild damage, there is often malabsorption and attropy with little of the lesion shown Differential Diagnosis of neonal calves: Rota, Corona, Cryptosproridium, and ETEC E. coli
    • Infections typically cause villous atrophy and target Small Intestine.
  • Infected brush border's create Malabsorption with not gross lesions. Cryptosporidiosis does not allow the secretion of toxin, but they efface their brush border.

Metazoan parasites of the Intestines

  • Prevalence depends on antihelminthic usage in population
  • Symptoms depend on of load and lifestyle
  • Infections are generally diagnosed by fecal floats or gross exam

Ascarids

  • Generally asymptomatic unless causing massive burden or obstruction following tx.
  • Toxocara canis is a common variety primarily infecting dogs.
  • Parascaris equorum is a common variety primarily infecting foals. Damage the mucosa. Also cause the small amount of bleeding and the exudate increases.

Hookworms

  • primarily inhabit the Small intestine and are smaller than ascarids.
  • Primarily target bloodsuckers, which consequently induces Aemia, proteinloss and diarrhea.
  • Common Hookworm types Ancylostoma spp mostly infect Dogs and cats. They burrow in the intestines and mucous membranes and cause aemia

Whipworms

  • Whipworms are known to inhabit the Cecum with some also spreading to the colon. The colon is also common - They cause symptoms because they are Bloodsuckers that induce Anemia. They will often migrate around, causeing blood. - Protein loss and diarrhea are also typical of whipworm infections
  • Known types are Trichuris vulpis in dogs or Trichuris suis in pigs. Cats do not get infected with whipworms, only dogs and pigs do.

Small Strongyles

  • Small strongyles are a type of horse infection that leads to infection by Cyathostomes Mostly infects the Cecum and colon Larval stages like to live surrounded by mucosa, so they burrow on in (encysted) They burrow here for years without damaging it. - When they emerge in the intestinal lumen, it causesinflammation and mucosal damage - like proteinloss, and diarrhea A stress factor or environment is where the emergence usually happened - A Horse who is a hindgut fermentor is unable to absorb the water from the emerged worms. When you identify the infection often rinse to identify.

Diseases Overview

  • Viral diseases: Target cells and mechanisms of injury leading to malabsorptive, secretory, or effusive diarrhea are key.
  • Bacterial diseases: Are key with often being caused because of a bad envioroment
  • Parasitic diseases: Related to bloodsuckers, also cause damage and inflammation of host and can lead to obstruction

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