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Exam 2
Inflamm Dz
64
Veterinary Medicine
Professional
02/22/2017

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Term
What is the most common cause of CNS inflamm dz?
Definition
-infectious agents
Term
What are the four routes of infectious agents to NS?
Definition
-neural route: egent travels up nn
-hematogenous: MOST COMMON
-extension from trauma to skull or vertebrae
-extension from adjacent structures such as sinuses and inner ear
Term
What are the three types of inlfmmation?
Definition
-suppurative: mostly neutrophils
-lymphoplasmacytic
-granulomatous: mostly marcophages
Term
What are perivascular cuffs?
Definition
-inflamm cells in brain parenchyma usually accumulate in large numbers in perivascular areas
-cells also infiltrate the neuropil
Term
What is suppurative meningitis commonly assoc w/?
Definition
-neonatal septicemia (bcteremia) form omphalophlebitis or from enteric infection
Term
What is suppurative meningitis?
Definition
-inflamm in subarachnoid space
Term
What is commonly seen in conjection w/ meningitis?
Definition
-fibrinous polyarthritis
-fibrinous polyserositis
-anterior uveitis, often has hypopyon
Term
What is the most common cause of suppurative meningitis?
Definition
-E. coli
-Strep & Salmonell in all spp, Haemophilus parasuis & Strep suis in pigs
Term
What does suppurative meningitis look like?
Definition
-gray discoloration and opaqueness of meninges due to neutrophilic infiltration + hypopyon + fibrionous pelyarthritis/polyserositis
-Microscopically: hypercellular meninges due to neutrophilic infiltrate
Term
What bug most commonly causes fibrinous poyarthritis, fibrinous polyserositis, and hypopyon w/ neonatal septicemia & meningitis?
Definition
-Strep suis in pigs
Term
Suppurative encephalitis is usually bacterial infection and is most common in livestock via...?
Definition
-septicemia
-extension from adacent structures
-compound fractures of skull
-Listeirosis: travels along trigeminal nerve
Term
What is the common name for Listeriosis? Species affected?
Definition
-Circling Dz
-sheep, gattle, gaots
-L. monocytogenes most commonly in silage-fed animals
Term
What is the key lesion for Listeriosis?
Definition
-microabscesses (MICROSCOPIC) in the brain stem
Term
HOw does LIsteriosis get to the brain?
Definition
-bacteria traverses the trigeminal n
Term
What usually causes lymphoplasmacytic inflammation? routes?
Definition
-viral infections
-neural ro hematogenous routes
Term
What is the hallmark lesion for viral encephalitis?
Definition
-perivascular cuffs
Term
How does rabies get to the brain? Type fo inflammation?
Definition
-neural route
-lymphoplasmacytic meningoencephalomyelitis
Term
What lesions do we see w/ rabies?
Definition
-NO GROSS LESIONS
-lesions most commonin midbrain, cervical spinal cord, and cranial nerve galnglia where you see Negri bodies (IC inclusions)
Term
What is the confirmatory test for rabies?
Definition
-Fluorescent Ab test on UNFIXED, NON-FROZEN BRAIN
-TEST QUESTION
Term
What is the common name for Pseudorabies? Etiology? Who is affected?
Definition
-Mad Itch
-Herpesvirus suis
-wild hogs and hunting dogs
Term
What are the clinical signs of Pseudorabies?
Definition
-severe pruritus
-ganglioneuritis
-self-trauma
Term
What do we see on histo w/ pseudorabies?
Definition
-perivascular lymphoplasmacytic cuffs & IN inclusions
Term
What are the types of Equine Encephalomyelitits?
Definition
-Easter, Wester, and Venezuelan EE
Term
What is the route the equine encephalomyelitits takes to the brain?
Definition
-hematogenous via mosquitoes
Term
What are the lesions we see w/ EEE/WEE/VEE?
Definition
-NO GROSS LESIONS
-early neutrophilic to later lymphoplasmacytic w/ severe neuraonal necrosis WITHOUT INCLUSION BODIES
Term
Which animal is most commonly affected by WNV?
Definition
-birds, horses
Term
What lesions do we see w/ WNV?
Definition
-severe hemorrhage and necrosis in GRAY MATTER
-perivascular lyphoplasmaitic cuffs
-perivascular hemorrhages
Term
What causes Canine Distemper?
Definition
-morbillivirus infectin
Term
What characterizes the systemic dz Canine Distemper?
Definition
-lymphopenia
-interstitial pneumonia
-vomiting/diarrhea
-oculonasal discharge
-CNS signs
Term
What are the 3 CNS syndromes due to canine distemper?
Definition
-acute disctemper
-chronic distemper
-old dog encephalitis
Term
Describe acute distemper.
Definition
-sizure
-chewing gum fits
-ataxia
-resp/GI/other sigs
-NO CNS LESIONS
Term
Describe chronic distemper.
Definition
-previous resp dz OR no clinical signs and now develops ataxia, chorea, or other signs
DEMYELINATINC ENCEPHALOMYELITIS IN WHITE MATTER
Term
Describe Old Dog Encephalitis.
Definition
-RARE
-mature dogs w/ no hx of other manifestations of CD
-usually cerebral cortex localized, no sizures, typically dementia, failure to respond
-SEVERE LYMPHOCYTIC ENCEPHALITIS OF THE CEREBRUM
Term
What does demyeliating encephalomyelitis look like due to chonric canine distemper?
Definition
-pale whtie matter due to loss of myelin
-cavuolation of neuropil w/ reactive astrocytes
-intense perivascular cuss
-IC and IN inclusion bodies
Term
What kind of inflammation occurs due ot EHV-1?
Definition
-vasculitits/myelitis/encephalomyelitis
Term
What lesions do we see w/ EHV-1?
Definition
-segmental lymphoplasmacytic myelitis due to vasculitis w/ veyr distinct lesion distribution of hemorrhage and necrosis
Term
What is the typical presentation of EHV-1 horse?
Definition
-sudden onset of severe ataxia or paresis
Term
What are some other examples of lymphoplasmacytic encephalitides?
Definition
-Canine ehrlichiosis
-Caprine Arthirits encephalitis
-MCF
-procine polioencephalomyelitis
Term
Who is primarily affected by equine choroid plexus cholesterol granulomas?
Definition
-lateral ventricles of brains of OLD HORSES
Term
What do equine choroid plexus cholesterol granulomas look like?
Definition
-brown to tan mass
Term
What do we see histologically w/ equine choroid plexus cholesterol granulomas?
Definition
0tons of macrophages interspersed w/ cholesterol crystals
Term
What is the cause of equine choroid plexus cholesterol granulomas?
Definition
-most likely chronic mild hemorrhage w/in choroid plexus
Term
Where do equine choroid plexus cholesterol granulomas usually occur?
Definition
-lateral ventricles
-sometimes in 4th ventricle
Term
What is the other name for equine choroid plexus cholesterol granulomas?
Definition
-cholesteatoma
Term
What are the two forms of CNS lesions in FIP?
Definition
-periventriculitis: can lead to compensatory hydrocephalus
-multifocal meningoencephalomyelitis
Term
What are some etiolgoies of parasitic encephalomyelitis?
Definition
-toxo
-neospora
-equine protozoal encephalomyelitis
-parelaphostrongylus tenuis
-freeliving amoabe
Term
What usually characterizes lesions due to parasitic encephalomyelitis?
Definition
-necrotizing encephalitis that is primarily lymphplasmacytic, but may contain a few to many eosinophils
Term
What do we usually see neospora with?
Definition
-abortion in cattle
Term
What causes Equine Protozoal Myloencephalitis?
Definition
-sarcocystis neurona & neospora hughesi
Term
What lesions do we see due to Equien Protozoal Myeloencephalitis?
Definition
-random foci of hemorrhage and necrosis in gray and white matter of spinal cord and brain stem
Term
What do we see histologically w/ Euqien Protozoal Myeloencephalitis?
Definition
-apicomplexa organisms infect neurons & glia
-sometimes cannot see organism if they have been treated
Term
What is Parelophostrongylus tenuis?
Definition
-meningeal worm of WTD: no lesions in deer
Term
In which animals do we see lesions due to Parelaphostrongylus tenuis?
Definition
-sheep, goats, LAMMAS, ALPACAS, cattle, bison, reindeer, antelope, fallow deer
Term
What lesions do we see due to Parelaphostrongylus?
Definition
-crebrospinal nematodiasis, necrotizing encephalomyelitis, due to intracranial and intraspinal larval migration
Term
What is amoebic encephalitis? Lesions?
Definition
-free-living amoeba accesses nasal avity, go through cribriform plate, and invade brain causing necrotizing/hemorrhagic encephalitis
-severe localized hemorrhagic and suppurative amoebic encephalitis
Term
Which species most offten cause amoebic encephlitis?
Definition
-Naegleria, Acanthamoeba, BAlamuthia spp
Term
What is the agent that causes spongiform encephalopathies?
Definition
-prions
Term
What are some diseases that cause spongiform encephalopathies?
Definition
-Scrapie: sheep
-BSE: cattle, humans, cats
CWD: deer, elk
-Mink encephalopathy: mink
-kuru: humans
Term
What are the classical chracteristics of spongiform encephalopathies?
Definition
-transmissible through atypical prions
-long incubation
-no inflammation
-vacuolation of neurons and neuropil
-los of neurons
-some glial nodules
-small amyloid plaques
Term
What lesions do we see on histo w/ spongiform encephalopathies?
Definition
-single and multiple cytoplasmic vacuoles in neurons from sheep w/ Scrapie
Term
How is Scrapie spread?
Definition
-environmental shedding through heavy infection of placenta
Term
For Scrapie & CWD, what samples do you submit?
Definition
-formalin fixed
Term
For BSE diagnosis, what sample do you submit?
Definition
-fresh, NOT frozen
Term
What part of the brain do you send in for diagnosis of Scrapie, CWD, or BSE?
Definition
-obex
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