Tubulointerstitial Diseases Overview
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Questions and Answers

What type of virus causes a highly fatal systemic disease in neonate puppies?

  • Feline Enteric Coronavirus
  • Ovine herpesvirus-2
  • Canine herpesvirus (correct)
  • Equine Infectious Anemia

Which of the following describes the mechanism of infection for Feline Infectious Peritonitis?

  • Oral transmission through contaminated water
  • Fecal-oral transmission with potential inhalation (correct)
  • Direct transmission through blood
  • Contact with infected skin lesions

What is a common characteristic of the diseases caused by Ovine herpesvirus-2?

  • It is primarily transmitted through water sources.
  • It causes distinct vascular necrosis in various organs.
  • It is endemic in ruminants and can infect multiple species. (correct)
  • It leads to respiratory failures resulting in death.

Which of the following is true regarding the temperature sensitivity of Canine herpesvirus?

<p>It is extremely temperature sensitive below 37 degrees Celsius. (A)</p> Signup and view all the answers

Which viral infection in sheep can cause membranoproliferative glomerulonephritis as a complication?

<p>Small Ruminant Lentivirus (Maedi-Visna virus) (B)</p> Signup and view all the answers

Which infectious agent is commonly associated with pyelonephritis in cattle?

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

What condition is most frequently seen in sows regarding pyelonephritis?

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

Which of the following factors predisposes females to urinary tract infections?

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

What is the primary cause of ascending infection leading to pyelonephritis?

<p>Ascending from the lower urinary tract (A)</p> Signup and view all the answers

Which bacterial agent is associated with causing chronic pyelonephritis in dogs?

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

Which option best describes the condition of pyelonephritis?

<p>Inflammation of renal pelvis and parenchyma (A)</p> Signup and view all the answers

What is a common risk factor associated with urinary tract obstruction leading to pyelonephritis?

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

Which pathogen is NOT typically associated with renal infections in dogs and cats?

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

What is a characteristic finding in acute tubular injury due to ischemia?

<p>Swollen, red-brown cortex with brown-red streaks (C)</p> Signup and view all the answers

Which of the following is NOT a principal cause of acute tubular injury?

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

Which type of nephrosis is associated with a characteristic gun metal blue appearance?

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

What condition may arise from chronic cystitis?

<p>Chronic active pyelonephritis (D)</p> Signup and view all the answers

What is a common gross finding in kidneys affected by myoglobinuric nephrosis?

<p>Swollen, reddish-brown cortex with streaks (D)</p> Signup and view all the answers

Which of the following bacteria is NOT typically associated with hemoglobinuric nephrosis?

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

What type of change is seen in the renal cortex during acute tubular necrosis?

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

What is one histological description of the epithelial cells in kidneys affected by ethylene glycol toxicity?

<p>Swollen with vacuolated cytoplasm (C)</p> Signup and view all the answers

What underlying metabolic effect is exacerbated by the presence of calcium oxalate in renal tubules?

<p>Severe metabolic acidosis (A)</p> Signup and view all the answers

Which type of crystalluria is commonly associated with acute renal failure due to substances like antifreeze?

<p>Calcium oxalate monohydrate crystals (C)</p> Signup and view all the answers

What anatomical changes are typically observed in the kidneys affected by acute tubular necrosis?

<p>Swollen and pale or mottled appearance (B)</p> Signup and view all the answers

What significant renal complication may arise from urethral obstruction, particularly in males?

<p>Local pressure necrosis with ulceration (B)</p> Signup and view all the answers

Which structure is most likely to present with crystals arranged in rosettes or prisms when viewed under polarized light?

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

Which condition is often characterized by the presence of aggregates of urinary solutes and proteinaceous debris?

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

Which of the following is NOT commonly associated with acute renal failure in the renal pathology described?

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

What is the typical crystalline appearance of calcium oxalate under microscopic examination in renal pathology?

<p>Picket fence shaped and anisotropic (C)</p> Signup and view all the answers

Which histologic feature is associated with interstitial nephritis?

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

Which of the following is NOT a cause of interstitial nephritis?

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

What is the primary histologic change observed with pyelonephritis?

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

Which bacterium is commonly associated with septicemia in foals?

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

Which clinical condition is classically associated with 'sleepy foal disease'?

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

What characterizes 'white-spotted kidneys' in calves?

<p>Secondary to bacteremia (C)</p> Signup and view all the answers

What is the typical progression of interstitial nephritis in calves?

<p>From suppurative to non-suppurative with fibrosis (B)</p> Signup and view all the answers

Which cells are primarily involved in the inflammatory infiltrate of interstitial nephritis?

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

What is a common clinical manifestation of bacteremia leading to interstitial nephritis?

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

What type of nephritis usually presents as an incidental finding in young calves?

<p>Interstitial (embolic) nephritis (C)</p> Signup and view all the answers

Study Notes

Tubulointerstitial Diseases

  • Interstitial nephritis is characterized by interstitial inflammation, fibrosis, tubular dilation, and atrophy
  • Causes of interstitial nephritis: infections, toxins, immunologic disorders, chemicals, therapeutic drugs
  • Actinobacillus equuli causes a highly fatal septicemia in newborn foals, known as "sleepy foal disease"
  • Transmission of Actinobacillus equuli can occur in utero or at partuition, via the umbilicus
  • Actinobacillus equuli causes multifocal areas of necrosis and septic emboli in kidneys, leading to interstitial nephritis
  • White-spotted kidneys of calves are caused by interstitial nephritis, mainly due to coliforms bacteria
  • Ovine herpesvirus-2 can cause multifocal interstitial nephritis in cattle, bison, water buffalo, and deer
  • Canine herpesvirus causes a fatal systemic disease in neonatal puppies, characterized by foci of necrosis and hemorrhage in multiple organs
  • Feline infectious peritonitis is caused by a mutated feline enteric coronavirus, leading to macrophage activation and systemic infection
  • Embolic suppurative nephritis can be caused by various bacteria in different species:
    • Cats: Pasteurella multocida
    • Dogs: Klebsiella pneumoniae
    • Horses: Actinobacillus equuli, Equine polyomavirus
    • Pigs: Erysipelothrix rhusiopathiae
    • Sheep and goats: Corynebacterium pseudotuberculosis, Sheep adenovirus
    • Cattle: Truperella pyogenes

Pyelonephritis

  • Pyelonephritis is inflammation of the renal pelvis and parenchyma, usually caused by ascending infection from the lower urinary tract
  • Predisposing factors for pyelonephritis: short urethras, urethral trauma, hormonal effects, proximity of the rectal urethra, urinary tract obstruction, urine stasis, prostatomegaly, catheterization
  • Common causes of pyelonephritis: E. coli, Enterobacter, Klebsiella, Proteus, Pseudomonas aeruginosa, Staphylococcus, Streptococcus
  • Acute pyelonephritis is characterized by congestion, hemorrhages, and abscesses in the renal cortex
  • Chronic pyelonephritis results in a firm, pale, and shrunken kidney with irregular surface and scars extending from the capsule to the pelvis

Diseases of Tubules

  • Acute tubular injury (ATI) is characterized by tubular necrosis
  • Causes of ATI: ischemia and nephrotoxins
  • Ischemic ATI is often caused by dehydration, hypovolemia, hypotension, and massive hemolysis
  • Hemoglobinuric nephrosis can be triggered by chronic copper toxicoses, Babesia, Clostridium haemolyticum, Leptospirosis
  • Myoglobinuric nephrosis is caused by myopathy or trauma
  • Red maple toxicity in horses can cause rhabdomyolysis and subsequent myoglobinuric nephrosis
  • Ethylene glycol (EG) poisoning causes tubular necrosis, calcium oxalate crystals, and metabolic acidosis
  • Signs of EG poisoning: acidosis, acute renal failure, calcium oxalate crystalluria, hypocalcemia
  • Gross findings of EG poisoning: swollen and pale kidneys with visible pale yellow crystals
  • Microscopic findings of EG poisoning: tubular lesions, calcium oxalate crystals

Renal Neoplastic Lesions

  • Common renal neoplasms: renal carcinoma, renal adenoma, nephroblastoma, lymphosarcoma

Lower Urinary Tract

  • Urolithiasis refers to the presence of calculi in the urinary passages, composed of urinary solutes and proteinaceous debris
  • Urethral plugs are primarily composed of matrix
  • Urolithiasis can occur in any part of the urinary system, but more common in males due to longer, narrower urethra
  • Obstruction due to urolithiasis can cause local pressure necrosis, ulceration, and acute hemorrhagic urethritis
  • Urolithiasis can lead to: urethral or bladder rupture, hydronephrosis
  • Two phases of urolithiasis: nucleation and growth

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Description

This quiz covers various aspects of tubulointerstitial diseases, including interstitial nephritis, its causes, and associated pathogens such as Actinobacillus equuli and ovine herpesvirus-2. Learn about the mechanisms and effects of these diseases on different animal species, primarily focusing on kidney-related conditions. Join to test your knowledge and deepen your understanding of these significant veterinary topics.

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