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| − | | + | #REDIRECT[[:Category:Tongue - Pathology]] |
| − | ==Introduction==
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| − | See [[Oral Cavity - Tongue - Anatomy & Physiology|anatomy and physiology of the tongue]]
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| − | ==Erosive & Ulcerative Pathology==
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| − | ===Ulcerative glossitis===
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| − | *Cat
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| − | *Relatively common.
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| − | *Youngish to middle age (mainly - although can be any age).
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| − | *Unable to eat although wants to. Hurts to open mouth.
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| − | *Whole of back of mouth covered in ulcerative granulation tissue.
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| − | *Chronic, tends to start at angle of jaw (bilateral), progression quite slow but over weeks affects whole of back of mouth.
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| − | *May also affect [[Oral Cavity - Tongue - Anatomy & Physiology|anatomy and physiology of the tongue]].
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| − | ====Pathology====
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| − | Epithelium lost over whole of mucosa, lots of macrophages, lymphocytes and proliferating fibrous response at base.
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| − | ====Pathogenesis====
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| − | *Probably viral.
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| − | *[[Feline Calicivirus|Calicivirus]] found in 7-80%, also often find [[Picornaviridae|picorna virus]] and [[Feline Immunodeficiency Virus (FIV)]]
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| − | *Probably calici virus that starts it.
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| − | *Also owners often claim develops after 'having cold' prior to it.
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| − | *Calici virus infection may be followed by autoimmune / exaggerated immune response which produces lesions.
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| − | *Will heal eventually, but takes time and cat loses lots of condition.
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| − | ==Vesicular Pathology==
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| − | ==Neutrophilic Inflammation==
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| − | ===Liquefactive necrosis===
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| − | *Introduction of pyogenic bacteria through the protective epithelium can lead to the development of localised liquefactive necrosis (abscesses) anywhere in the soft tissues of the [[Oral Cavity - Oropharynx - Anatomy & Physiology|oropharynx]].
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| − | *These usually follow local trauma, e.g. penetrating foreign bodies.
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| − | *The bacteria involved are usually [[:Category:Staphylococcus species|Staphylococci]], [[:Category:Streptococcus species|Streptococci]] or [[Arcanobacterium pyogenes]].
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| − | ==Granulomatous and pyogranulomatous Inflammation==
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| − | ===Actinobacillosis===
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| − | *[[Muscles Inflammatory - Pathology#Wooden tongue|"Wooden tongue"]]
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| − | *In cattle - very widespread in world, but rather sporadic, less common now than it was.
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| − | ====Clinical====
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| − | *Seen in youngish animals in beef breed, especially sucklers on poor forage.
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| − | *Starts like [[Picornaviridae#Foot and Mouth Disease Virus|foot and mouth disease]] - dull, salivating (if only one animal is unlikely to foot and mouth). - nearly always sporadic.
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| − | *ongue feels like a big lump of wood especially dorsal part of posterior 2/3rds.
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| − | *Small areas of ulceration are often found on side of [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]].
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| − | ====Pathogenesis====
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| − | [[Image:woodentongue2.gif|right|thumb|125px|<small><center>'Sulpher body' of Actinobacillosis (Courtesy of Alun Williams (RVC))</center></small>]]
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| − | *Very similar to [[Teeth - Pathology#Mandibular Osteomyelitis|Mandibular Osteomyelitis]] ("lumpy jaw").
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| − | *'''Causal agent''': [[Actinobacillus lignieresii]] (small gram -ve) gets into [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]] via small abrasions.
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| − | **Pathogen is very widespread in environment.
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| − | *Progressive disease - low virulence but high persistence so animal may stop eating and eventually die but can be treated.
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| − | ====Pathology====
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| − | [[Image:Woodentongue1.gif|thumb|125px|<small><center>Fibrous Stroma - Cut Surface of actinobacillosis affected tongue (Courtesy of Alun Williams (RVC))</center></small>]]
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| − | *If cut into [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]], substance of [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]] changed to fibrous stroma with raised red nodules. (2-3mm across).
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| − | *This lesion is a pyogenic granuloma with central '''sulphur body'''.
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| − | *Can spread from [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]] to other tissues e.g. retropharyngeal [[Lymph Nodes - Anatomy & Physiology|lymph nodes]] and palate.
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| − | *This type of lesion is caused by the host response to the pathogen, rather than directly a pathogen effect.
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| − | =====Other sites=====
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| − | *Occasionally can see generalised infections but more commonly spreads to local lymph nodes of [[Alimentary - Anatomy & Physiology|alimentary tract]].
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| − | *Organism can be inhaled causing [[Actinobacillus lignieresii|actinobacillus pneumonia]].
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| − | *Can affect [[The Rumen - Anatomy & Physiology|rumen]] wall.
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| − | *In skin forms a neoplastic like mass in dermis.
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| − | ==Eosinophilic Inflammation==
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| − | ==Fibrinous/Diptheritic Inflammation==
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| − | *Severe damage to epithelium produces exudation of [[fibrin]] -with formation of dry white fibrinous deposit - diptheritic membrane.
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| − | *Usually associated with organism [[fusobacterium necrophorum]] found everywhere in environment (but strict anaerobe).
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| − | *Produces lesions that damage epithelium due to toxin that damages vessels.
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| − | *Often a secondary invader but can be a primary pathogen.
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| − | ===Calf diptheria===
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| − | *Caused by Fusiformis.
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| − | ====Clinical====
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| − | *Seen in animals kept in cold, damp, muddy conditions.
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| − | *Usually associated with poor general health.
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| − | *Animals usually less than 6 months old, in groups and poorly kept.
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| − | *Lesions affect [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]], inside of mouth and [[Larynx - Anatomy & Physiology|larynx]].
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| − | *Usually die fairly acutely as exudate blocks airway.
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| − | *May occur in young lambs secondary to [[orf]] (parapox) virus infection that can spread from [[Lips - Anatomy & Physiology|lips]] to the inside of the mouth.
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| − | ::(These lesions then become secondarily infected with Fusiformis.)
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| − | *Involvement of the [[Pharynx - Anatomy & Physiology|pharynx]] and [[Larynx - Anatomy & Physiology|larynx]] may result in dyspnoea and the development of pneumonia.
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| − | *May lead to death.
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| − | =====Macroscopically=====
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| − | *Grossly, there is a firm swelling visible on the outer aspect of the [[Cheeks - Anatomy & Physiology|cheek]]
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| − | *On the mucosal surface there is a deep, irregular ulcer, covered by a thick diphtheritic membrane.
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| − | =====Microscopically=====
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| − | *There is complete loss of the surface epithelium:
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| − | **a mass of necrotic debris
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| − | **polymorphs and fibrin is found overlying severely inflamed subepithelial tissues in which bacterial colonies may be seen and around which there may be marked fibrosis in an attempt to “wall off” the lesion.
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| − | ==Haemorrhagic Inflammation==
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| − | *Complete loss of integrity of epithelium. Uncommon.
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| − | *Characteristic of [[Reoviridae#Bluetongue Virus|“Blue Tongue”]], a [[Reoviridae|Reovirus]] infection of sheep - (v. rare – doesn’t occur in UK !).
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| − | *Epithelium lost and haemorrhage produces blue / black discoloration of the [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]], hence the name.
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| − | ====Tongue Lymphoma====
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| − | [[Image:tonguelymphoma.gif|right|thumb|125px|<small><center>Tongue Lymphoma - a recognised entity (Courtesy of Alun Williams (RVC))</center></small>]]
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| − | [[Tongue Trauma - WikiClinical|See also Tongue Trauma Clinical Page]]
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| − | ===Fungal===
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| − | *Fungal infections are relatively rare but do occur.
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| − | *The best known is infection with the yeast [[Candida albicans]] which causes thrush.
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