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Exam 1
Intestinal Dz Cont'd
34
Veterinary Medicine
Professional
01/27/2017

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Term
What kind of intestinal dz does enterotoxgenic E. coli (ETEC) cause? How does this happen?
Definition
-secretory small bowel diarrhea
-colonization by bacteria and enterotoxin pdn causes dz
Term
Which animals are most commonly affected by enterotoxigenic E. coli (ETEC)?
Definition
-neonates (2d-3w) of many spp
Term
What kind ofintestinal dz does enteropathogenic E. coli (EPEC) cause? How does this happen?
Definition
-attaching and effacing E. coli causes enterocyte loss => villous atrophy = malabsorption
-concurrent infections with rotavirus, coronavirus, ETEC, cryptosporidium may be important
Term
Which animals are most commonly affected by septicemic colibacillosis (enteroinvasive colibacillosis = EIEC)?
Definition
-newborn calves, lambs, ad foals with failure of passive transfer
Term
What lesions do we see due to septicemic colibacillosis (enteroinvasive colibacillosis = EIEC)?
Definition
-lesions that indicate septicemia: fibrin in joints, serosal cavities, meninges and eyes
-enteritis possible w/ intestinal infectoin but speticemia is most common
Term
What occurs and to whom at the hands due to enterohemorrhagic colibacillosis (EHEC)?
Definition
-fibrinohemorrhagic enteroclitis in calves <4w old
Term
What lesions do we see due to enterotoxigenic E. coli (ETEC)?
Definition
-no lesions
Term
What clinical signs do we see due to enterotoxigenic E. coli (ETEC)?
Definition
-voluminous yellow to white, watery to pastey diarrhea and dehydration
Term
What lesions do we see with enterohemorrhagic colibacillosis (EHEC)?
Definition
-red mucosa in spiral colon and rectum w/ mucus, necrotic debris and blood-tinged, fluid colinc contents
-ileum and cecum less commonly affected
Term
What organism is responsible for Johne's dz?
Definition
-Mycobacterium avium ssp paratuberculosis
Term
What age range of cattle is most commonly affected by Johne's dz? When do they develop clinical signs?
Definition
-cattle < 30d
-do not develop clinical dz until 2-5y of age
Term
What are the clinical signs of Johne's dz?
Definition
-profuse, efortless, and intractible diarrhea w/ progressive emaciation
Term
What lesions do we see with Johne's dz?
Definition
-thickening and corrugation of ileum, cecum, and possibly colon w/ enlargement of mesenteric LN and possible lymphangitis
-transmural granulomatous enteritis and lymphadenitis
-acid-fast bacteria w/in macrophages
Term
What clinical signs do we see in sheep and goats with Johne's dz? What lesions do we see?
Definition
-chronic wasting, usually w/out diarrhea
-same lesions as in cattle
Term
What ais Rhodococcus equi? What does it cause?
Definition
-intracellular bacteria
-bronchopneumonia in foals
Term
If R. equi causes bronchopneumonia in foals, how does it affect the intestine?
Definition
-swallowed resp exudate => ulcerative colitis
Term
What lesions do we see with intestinal infection w/ R. equi?
Definition
-irregular raised coloic ulcers covered by necrotic or purulent debris
-mesenteric LN enlargement
-msot severe over Peyer's patches and intestinal lymphoid follicles
Term
When and where does Potomac horse fever most commonly occur?
Definition
-summer
-river valleys of NE US
Term
What organism is the cause of Potomac horse fever? HOw is it acquired?
Definition
-Neorickettsia risticii
-ingestion of insects that contain this bug
Term
What lesions result from Potomac horse fever?
Definition
-hyperemia, ulcers and hemorrhage of colonic/cecal mucosa
Term
How do we diagnose Potomac horse fever?
Definition
-dx by ID of organism in silver-stained sections of colon
-PCR for N. risticii in feces is more sensitive and specific
Term
Where are dogs most affected by Neorickettsia helminthoeca (salmon poisoning)? How do they get infected?
Definition
-pacific NW
-dog eats fish infected w/ flukes that contain the rickettsial organism
Term
What are the clinical signs of salmon poisoning?
Definition
-severe diarrhea, vomiting, anorexia, fever and lymphadenopathy
-fatal w/out treatment
Term
What lesions do we see with salmon poisoning dz?
Definition
-hemorrhagic and franulomatous enterocolitis w/ GALT hemorrhage and necrosis, especially in ileocecal region
Term
What are the other names for histiocytic ulcerative colitis?
Definition
-Boxer colitis
-granulomatous colitis
Term
Which animals are most commonly affected by histiocytic ulcerative colitis?
Definition
-Boxer dogs and related French bulldogs
-typically <2y
Term
What lesions do we see as a result of histiocytic ulcerative colitis?
Definition
-chronic transmural colitis w/ mucosal ulceration
-thickened and folded colonic mucosa w/ ulcers
-macrophages containing PAS positive granules and bacteria
Term
What clinical signs do we see due to histiocytic ulcerative colitis?
Definition
-soft feces +/- mucus and blood or large bowel diarrhea
-wt loss possible
Term
What is histoplasma capsulatum?
Definition
-dimorphic fungus
-endemic in Mississippi and Ohio river valleys
Term
What are the clinical signs we see with intestinal histoplasmosis?
Definition
-wt loss, lymphadenopathy, and diarrhea, tenesmus and blood possible
Term
What lesions do we see with intestinal histoplasmosis?
Definition
-SI and LI w/ thickening of mucosa w/ ulceration and mesenteric LN enlargement
Term
What is Pythium insidiosum?
Definition
-aquatic oomycete that infects dogs most commonly
-also horses
Term
What lesions do w see w/ Pythium insidiosum?
Definition
-segmental thickening (granulomatous inflammation) and ulceration of GI tract (pylorus and SI)
-caseous yello foci of necrosis in fibrotic, thickened intestinal wall
Term
How do we dx Pythium insidiosum?
Definition
-hyphae are visible in specimen stained w/ silver stianes
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