equine pathology
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Questions and Answers

What condition is most commonly associated with Rhodococcus equi in foals?

  • Pyogranulomatous pneumonia (correct)
  • Chronic pleuropneumonia
  • Bacterial meningitis
  • Viral pneumonia
  • Which of the following factors increases the risk of infection by Rhodococcus equi in young foals?

  • Waning passive humoral immunity (correct)
  • Regular vaccination
  • Overcrowding in stables
  • Exposure to contaminated food
  • Which method is used to diagnose infections caused by Rhodococcus equi?

  • Viral culture and sensitivity
  • Physical examination alone
  • Bacterial culture and/or PCR amplification (correct)
  • Serum biochemical analysis
  • Which of the following statements about the infection spread of Rhodococcus equi is TRUE?

    <p>Infection can occur through airborne contamination.</p> Signup and view all the answers

    What characterizes the lung lesions associated with Rhodococcus equi infection?

    <p>Coalescing, semi-soft to firm white to yellow nodules</p> Signup and view all the answers

    What is often a result of failure of passive transfer in foals infected with Rhodococcus equi?

    <p>Higher risk of bacterial infections</p> Signup and view all the answers

    Which type of inflammatory response is primarily observed in the lungs of foals infected with Rhodococcus equi?

    <p>Pyogranulomatous pneumonia</p> Signup and view all the answers

    What is a significant feature of the lesions found in the mesenteric lymph nodes during Rhodococcus equi infection?

    <p>Diffuse enlargement with necrosis</p> Signup and view all the answers

    What is a key clinical sign associated with Clostridium piliforme infection?

    <p>Diarrhoea</p> Signup and view all the answers

    Which organism is commonly linked to septicemia as a pathogen that can cause Tyzzers disease?

    <p>E. coli</p> Signup and view all the answers

    What type of lesions are associated with Clostridium piliforme?

    <p>Miliary grey foci</p> Signup and view all the answers

    What is a potential pathogenesis mechanism for Clostridium piliforme infection?

    <p>Transmission via fecal matter</p> Signup and view all the answers

    Which of the following clinical signs might indicate liver involvement in Tyzzers disease?

    <p>Haemorrhage</p> Signup and view all the answers

    Which of the following features is typical for the diagnosis of Tyzzers disease?

    <p>Typical gross findings in the liver</p> Signup and view all the answers

    What does the pathogenesis of Clostridium piliforme primarily involve?

    <p>Bacterial invasion of intestinal mucosa</p> Signup and view all the answers

    Which of the following clinical signs is not typically associated with Tyzzers disease?

    <p>Excessive drooling</p> Signup and view all the answers

    What type of lesions is associated with Strongylus vulgaris infection?

    <p>Multifocal proliferative necrosis of the large colon</p> Signup and view all the answers

    What clinical signs may indicate a Strongylus vulgaris infection?

    <p>Severe abdominal pain (colic signs)</p> Signup and view all the answers

    What is the primary vessel affected by the larvae of Strongylus vulgaris?

    <p>Cranial mesenteric artery</p> Signup and view all the answers

    During which months are peak pasture egg counts for Strongylus vulgaris typically observed?

    <p>July to September</p> Signup and view all the answers

    How do horses typically become infected with Strongylus vulgaris?

    <p>By ingestion of L3 larvae from contaminated food</p> Signup and view all the answers

    What type of arteritis is caused by Strongylus vulgaris?

    <p>Chronic proliferative arteritis with mural thrombosis</p> Signup and view all the answers

    What is a common aspect of the pathogenesis associated with Strongylus vulgaris?

    <p>Random walk within blood vessels</p> Signup and view all the answers

    What is a distinguishing characteristic of the larvae migration of Strongylus vulgaris?

    <p>They follow the curvature of blood vessels</p> Signup and view all the answers

    What type of lesions are characteristic of Actinobacillus equuli infection?

    <p>Multifocal small white miliary lesions</p> Signup and view all the answers

    Which clinical sign is NOT associated with Actinobacillus equuli infection?

    <p>Fever</p> Signup and view all the answers

    What is the primary method for diagnosing Actinobacillus equuli in live foals?

    <p>Isolation of bacteria by culture from blood</p> Signup and view all the answers

    Which of the following is the most common cause of emboli in Actinobacillus equuli infections?

    <p>Septic emboli from bacteremia</p> Signup and view all the answers

    How can Actinobacillus equuli be transmitted in utero?

    <p>From the mother during parturition</p> Signup and view all the answers

    What can lead to successive abortion in mares infected with Actinobacillus equuli?

    <p>Endogenous non-systematic bacterial persistence</p> Signup and view all the answers

    In which organ is suppurative nephritis most commonly diagnosed in foals due to Actinobacillus equuli?

    <p>Kidney</p> Signup and view all the answers

    What occurs in adult horses that have Actinobacillus equuli infection?

    <p>They become carriers with colonization of genitourinary tracts.</p> Signup and view all the answers

    What is the primary cause of multifocal necrosis in the liver?

    <p>Bacterial colonization of hepatic parenchyma</p> Signup and view all the answers

    What type of hepatitis is characterized by pyogranulomatous inflammation?

    <p>Pyogranulomatous hepatitis</p> Signup and view all the answers

    Which lesion is associated with enterocolitis in foals?

    <p>Crypt abscesses within enterocytes</p> Signup and view all the answers

    Which organ is primarily affected by the spread of bacteria via the portal circulation?

    <p>Liver</p> Signup and view all the answers

    What clinical sign might indicate necrotizing enterocolitis in a foal?

    <p>Diarrhea with blood</p> Signup and view all the answers

    Which type of necrosis is associated with myocardial tissue during infection?

    <p>Foci of myocardial necrosis</p> Signup and view all the answers

    What is a significant pathological finding in the intestine due to bacterial infection?

    <p>Bacterial collections within enterocytes</p> Signup and view all the answers

    What type of histopathological evidence is characteristic of pyogranulomatous hepatitis?

    <p>Granulomas filled with neutrophils</p> Signup and view all the answers

    What causes multiple microabscesses in small capillaries and glomeruli?

    <p>Septicaemia</p> Signup and view all the answers

    Which of the following conditions can predispose animals to septicaemia?

    <p>Malnutrition of the dam</p> Signup and view all the answers

    What is a key clinical sign of grass sickness or equine dysautonomia?

    <p>Cholic</p> Signup and view all the answers

    In histological examination of grass sickness, what is typically observed?

    <p>Neuronal degradation of intestinal and extra intestinal ganglia</p> Signup and view all the answers

    The reddened neurons seen in grass sickness indicate what?

    <p>Reactive changes due to degeneration</p> Signup and view all the answers

    What role does unsanitary birthing conditions play in animal health?

    <p>May lead to failure of passive transfer</p> Signup and view all the answers

    Which organ, besides the kidneys, commonly shows microabscesses in cases of septicaemia?

    <p>Liver</p> Signup and view all the answers

    What pathophysiological mechanism primarily results from clostridium botulinum type C?

    <p>Destruction of neural pathways</p> Signup and view all the answers

    Study Notes

    Clostridium Piliforme (Tyzzer's Disease)

    • Lesions: Diffusely enlarged, with miliary grey foci. Multiple, small lesions with surrounding normal tissue. Multifocal or coalescing irregular areas of necrotizing and pyogranulomatous hepatitis, potentially with hemorrhage.
    • Clinical Signs: Diarrhoea, joint lesions, pneumonia, and meningitis.
    • Pathogenesis/Causes: Often associated with equine herpesvirus type 1, Salmonella spp., or E.coli septicaemia, Actinobacillus equuli (sleepy foal disease), or Listeria monocytogenes. Transmission is typically via ingested fecal matter. Bacteria enter the intestinal tract and reach the liver via portal circulation. Multifocal hepatic necrosis can result.
    • Diagnosis: Gross findings include icterus (jaundice), liver enlargement. Multiple pinpoint to miliary grey foci within the liver. Necrotizing enterocolitis and oedema/congestion of the intestine. Heart may show white linear bands. Lymph nodes are often haemorrhagic and oedematous. Microscopic findings include multifocal to coalescing irregular areas of hepatic necrosis which are often surrounded by inflammation, macrophages, and neutrophils (pyogranulomatous hepatitis). Enterocolitis, sometimes necrotizing. Possible presence of bacteria within enterocytes and crypt abscesses. Heart tissue may show foci of myocardial necrosis.

    Strongylus Vulgaris

    • Lesions: Segmental (localized) and extensive transmural necrosis of the large colon; chronic, severe, focally extensive proliferative and necrotizing transmural arteritis with mural thrombosis, with numerous intralesional larval strongyles.
    • Clinical Signs: Cholic signs, but asymptomatic unless thrombosis or vascular damage compromise bowel perfusion.
    • Pathogenesis/Causes: Horses ingest L3 larvae. Peak pasture egg counts are typically from July to September. Larvae migrate to the cranial mesenteric artery and its branches. Random movement of these larvae causes damage along with their presence following vessel curvature. Not all larvae enter the aorta due to the perpendicular connection with the main artery. This can lead to cholic signs.
    • Diagnosis: Cranial mesentery artery, chronic, multifocal proliferative and necrotizing transmural arteritis with mural thrombosis containing numerous strongyle larvae.

    Coccobacilli

    • Lesions: Multifocal to coalescing white to yellow semi-soft to firm nodules in the lung. Diffuse enlargement of mesenteric lymph nodes. Pyogranulomatous pneumonia, multifocal ulcerative colitis, pyogranulomatous and necrotizing central core, multifocal to coalescing pyogranulomatous, lympho-plasmacytic pneumonia with intrahistiocytic coccobacilli.
    • Clinical Signs: Lethargy, fever, cough, increased respiration.
    • Pathogenesis/Causes: Rhodococcus equi is the common cause. Normally inhabits soil and the gastrointestinal tracts of herbivores.
    • Diagnosis: Radiographic or ultrasonographic evidence of lung abscesses. Bacterial culture and/or PCR in combination with cytological examination of transtracheal aspirates.

    Actinobacillus Equuli

    • Lesions: Multifocal small white miliary lesions in the kidney cortex. Blue areas of multi-focal lesions of inflammatory, degenerate neutrophils. Multifocal embolism, suppurative necrotizing nephritis with large colonies of coccobacilli, tubular degeneration and necrosis.
    • Clinical Signs: Unwillingness to move, diarrhoea, hypernea, dehydration, conjunctival inflammation.
    • Pathogenesis/Causes: Most common cause of suppurative nephritis in foals. Can enter the body pre/postnatally (e.g., from the umbilicus or during birth). Bacilli may persist, causing successive abortion in mares. Bacteremia causes septic emboli, lodging in small capillaries, glomeruli, or other organs. Inflammation or necrosis may obstruct glomeruli. Can be a predisposing factor to septicaemia and death in foals.
    • Diagnosis: Isolation of bacteria via culture. Blood cultures for live foals, post-mortem kidney and lung biopsy for dead foals, primary organ focus for adult horses

    Grass Sickness/Equine Dysautonomia

    • Lesions: Cranial cervical ganglion, check eosinophilic colour, reddened neurones showing neurological damage, degeneration of neuronal clusters, plexa affected.
    • Clinical Signs: Weight loss, cholic (abdominal pain), tachycardia (fast heart rate), sweating, tucked abdomen.
    • Pathogensis/Causes: Caused by Clostridium botulinum type C neurotoxin. Affecting nerves leading to issues with food passage through the intestines. The acute clinical presentation includes colic, tympany, drooling, which rapidly progresses toward a nearly always-fatal outcome within 7 days.
    • Diagnosis: Histological examination reveals neuronal degradation in intestinal and extra-intestinal ganglia. Cytological examination of cranial cervical ganglion is a relevant post-mortem diagnostic method.

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    Test your knowledge on Rhodococcus equi infections in foals, including diagnosis, symptoms, and risk factors. This quiz covers various aspects of the condition and associated organisms, like Clostridium piliforme. Perfect for veterinary students and professionals.

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