Difference between revisions of "Respiratory Parasitic Infections - Pathology"
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− | # | + | {{toplink |
+ | |backcolour = D1EEEE | ||
+ | |linkpage =Cardiorespiratory System - Pathology | ||
+ | |linktext =Cardiorespiratory System | ||
+ | |maplink = Cardiorespiratory System (Content Map) - Pathology | ||
+ | |pagetype =Pathology | ||
+ | |sublink1=Respiratory System Inflammation - Pathology | ||
+ | |subtext1=RESPIRATORY SYSTEM INFLAMMATION | ||
+ | }} | ||
+ | <br> | ||
+ | ==In Dogs== | ||
+ | |||
+ | *Useful websites: | ||
+ | **[http://www.ivis.org/advances/Parasit_Bowman/ddb_resp/chapter_frm.asp?LA=1 Cat and dog respiratory parasites (part 1)] - Nasal Mucosa and Sinuses, and Respiratory Parenchyma | ||
+ | **[http://www.ivis.org/advances/Parasit_Bowman/ddb_resp2/chapter_frm.asp Cat and dog respiratory parasites (part 2)] - Trachea and Bronchi, and Pulmonary Vessels | ||
+ | |||
+ | ===[[Metastrongyloidae|'''''Filaroides osleri''''']]=== | ||
+ | * = ''Oslerus osleri'' | ||
+ | *Colonise the [[Trachea - inflammatory#Infectious causes of tracheitis|trachea of dogs]] | ||
+ | *Larva and adults accumulate in submucosal nodules of up to 1cm diameter at the tracheal bifurcation. | ||
+ | *Minimal inflammatory host reaction to the nematodes when they are alive - the size of the nodule is related to the number and size of the nematodes within it. | ||
+ | *When the parasites die, an intense foreign body reaction develops | ||
+ | *Tracheal nodules can cause coughing, usually in young dogs <18 months old. | ||
+ | *Severe infestation can cause significant occlusion of the airway. | ||
+ | *Uncommon, but sometimes seen in coughing greyhounds | ||
+ | |||
+ | ===[[Crustacea|''Linguatula serrata'']]=== | ||
+ | *Synonym: tongue worm | ||
+ | *In [[Nasal Cavity Inflammatory - Pathology#Infectious causes of rhinitis|nasal passages]] of dogs, sometimes cats | ||
+ | *May reach the [[Paranasal Sinuses Inflammatory - Pathology#Infectious causes of sinusitis|sinuses]] | ||
+ | *Heavy infections may cause sneezing, coughing, nasal discharge | ||
+ | |||
+ | ===[[Metastrongyloidae|''Angiostrongylus vasorum'']]=== | ||
+ | |||
+ | *Adult worms live in the [[Lungs - circulatory|pulmonary arteries]] and '''right side of the heart''' dogs and foxes | ||
+ | *Cause a proliferative endoarteritis | ||
+ | *More severe damage is caused however by eggs lodging in arterioles and capillaries | ||
+ | *In severe infection, this can result in [[Lungs - inflammatory#Infectious causes of pneumonia|pneumonia]] and [[Lungs - circulatory#Pulmonary oedema|pulmonary oedema]] as an acute syndrome | ||
+ | *Circulatory impedance can result in congestive cardiac failure | ||
+ | *Particularly a problem if dogs eats snails | ||
+ | *Gross: | ||
+ | **Patchy white appearance with haemorrhagic areas within | ||
+ | *Microscopically: | ||
+ | **Golden pigment within macrophages (haemosiderin) | ||
+ | **Inflammation and scarring of alveolar walls -> enlargement of remaining air spaces | ||
+ | *Worms secrete anticoagulant -> haemorrhage in other parts of body | ||
+ | *May present as neurological cases due to the haemorrhage | ||
+ | *May cause [[Lungs - circulatory#Embolism, thrombosis and infarction|pulmonary thromboembolism]] | ||
+ | |||
+ | ===[[Filarioidea|''Dirofilaria immitis'']]=== | ||
+ | |||
+ | *Establish in '''heart''' and [[Lungs - circulatory|pulmonary arteries]] | ||
+ | *Larvae migrate through connective tissue | ||
+ | *Immature adults move to caudal distal pulmonary arteries causing diffuse eosinophilic reaction in lung parenchyma, then migrate back to right ventricle | ||
+ | *May cause [[Lungs - circulatory#Embolism, thrombosis and infarction|pulmonary thromboembolism]] | ||
+ | |||
+ | ===[[Trichinelloidea|''Capillaria aerophila'']]=== | ||
+ | |||
+ | *In [[Nasal Cavity Inflammatory - Pathology#Infectious causes of rhinitis|nasal passages]], [[Paranasal Sinuses Inflammatory - Pathology#Infectious causes of sinusitis|sinuses]], [[Trachea - inflammatory#Infectious causes of traacheitis|trachea]] and [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|bronchi]] of cats and dogs | ||
+ | *Some dogs cough but often no symptoms | ||
+ | *Mild catharral inflammation | ||
+ | *In heavy infestation may cause obstruction of the lumen of airways and may develop into secondary [[Lungs - inflammatory#Bronchopneumonia|bronchopneumonia]] | ||
+ | |||
+ | ===Toxoplasmosis=== | ||
+ | |||
+ | *Caused by [[Tissue cyst-forming coccidia|''Toxoplasma gondii'']] | ||
+ | *Cats are definitive hosts but other species may become intermediate hosts if they ingest the oocysts | ||
+ | *Usually induces antibody response but remains silent clinically | ||
+ | *Often show clinical signs when immunosuppressed | ||
+ | *Involves many different tissues | ||
+ | *Multifocal necrotising [[Lungs - inflammatory#Interstitial pneumonia|interstitial pneumonia]] | ||
+ | *Proliferation of type II pneumocytes | ||
+ | *Macrophage and neutrophil infiltration | ||
+ | |||
+ | ===[[Metastrongyloidae|''Crenosoma vulpis'']]=== | ||
+ | |||
+ | *Mainly parasite of foxes but dogs may become infected from snails and slugs | ||
+ | *Adults in [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|small bronchi and bronchioles]] | ||
+ | *Grossly: | ||
+ | **Greyish lesions and consolidation in dorsal aspect of caudal lung lobes | ||
+ | *Histologically: | ||
+ | **Catharral, eosinophilic bronchitis ans bronchiolitis | ||
+ | |||
+ | ==In Cats== | ||
+ | |||
+ | *Useful websites: | ||
+ | **[http://www.ivis.org/advances/Parasit_Bowman/ddb_resp/chapter_frm.asp?LA=1 Cat and dog respiratory parasites (part 1)] - Nasal Mucosa and Sinuses, and Respiratory Parenchyma | ||
+ | **[http://www.ivis.org/advances/Parasit_Bowman/ddb_resp2/chapter_frm.asp Cat and dog respiratory parasites (part 2)] - Trachea and Bronchi, and Pulmonary Vessels | ||
+ | |||
+ | ===[[Crustacea|''Linguatula serrata'']]=== | ||
+ | *As in dogs above | ||
+ | |||
+ | ===[[Metastrongyloidae|''Aelurostrongylus abstrussus'']]=== | ||
+ | |||
+ | *Live in [[Lungs - inflammatory|lung parenchyma]] and [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|small bronchioles]] | ||
+ | *Grossly: | ||
+ | **Firm yellow nodules scattered throughout parenchyma, more frequently at periphery | ||
+ | *Microscopically: | ||
+ | **Eggs and larvae in the alveolar spaces cause a foreign body type reaction (surrounded by mononuclear cells and giant cells) | ||
+ | **Submucosal gland hypertrophy and smooth muscle hypertrophy in airway and vessel walls | ||
+ | *Associated clinical signs are mild although heavy infestations may -> chronic coughing | ||
+ | *The airway eosinophilia which may be detected can be confused with a diagnosis of asthma | ||
+ | |||
+ | ===[[Filarioidea|''Dirofilaria immitis'']]=== | ||
+ | *As in dogs above | ||
+ | *Not very infective in cats but one dead adult causes acute pulmonary crisis - [[Lungs - circulatory#Embolism, thrombosis and infarction|thromboembolism]] | ||
+ | |||
+ | ===[[Trichinelloidea|''Capillaria aerophila'']]=== | ||
+ | *As in dogs above | ||
+ | |||
+ | ==In Horses== | ||
+ | |||
+ | ===[[Ascaridoidea|''Parascaris equorum'']]=== | ||
+ | *Causes transient [[Nasal Cavity Inflammatory - Pathology#Infectious causes of rhinitis|nasal discharge]] when migrating through [[Lungs - inflammatory#Infectious causes of pneumonia|lungs]] | ||
+ | **Foals and weanlings | ||
+ | |||
+ | ===[[Trichostrongyloidea|''Dictyocaulus arnfieldi'']]=== | ||
+ | *Found in smaller [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|bronchi]] | ||
+ | *Cause of chronic cough | ||
+ | *Donkeys are a reservoir mostly without any clinical signs | ||
+ | *Gross pathology: | ||
+ | **Raised areas of over-inflated pulmonary tissue surrounding small bronchus, containing worms and mucopurulent exudate | ||
+ | **Hyperplastic bronchial epithelium | ||
+ | **Coiled worms in small bronchi | ||
+ | **Peribronchial cuffing | ||
+ | **In caudal lung lobes | ||
+ | *Histologically | ||
+ | **Central coiled parasites and associated chronic catharral bronchitis | ||
+ | **Goblet cell hyperplasia | ||
+ | **Lymphoid cell infiltration | ||
+ | *In [[Hindgut Fermenters - Horse - Anatomy & Physiology|horses]], the worms usually fail to achieve sexual maturity | ||
+ | |||
+ | ===[[Coccidia|''Besnoitia bennetti'']]=== | ||
+ | |||
+ | *Papilloma like lesions in [[Larynx Inflammatory - Pathology#Infectious causes of laryngitis|larynx]], skin and sclera | ||
+ | *Thick walled parasitic cysts, covered by hyperplastic epithelium, may be ulcerated | ||
+ | |||
+ | ==In Cattle== | ||
+ | |||
+ | ===[[Trichostrongyloidea|''Dictyocaulus viviparus'']]=== | ||
+ | [[Image:Dictyocaulus viviparus.jpg|right|thumb|100px|<small><center>Dictyocaulus viviparus (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] | ||
+ | [[Image:Parasitic bronchitis.jpg|right|thumb|100px|<small><center>Parasitic bronchitis (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] | ||
+ | *Found in [[Trachea - inflammatory#Infectious causes of tracheitis|trachea]] and [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|large bronchi]] | ||
+ | *Causes parasitic bronchitis, synonyms: bovine dictyocauliosis, husk, hoose | ||
+ | *Primary infection: | ||
+ | **Penetration phase (week 1) | ||
+ | ***Larvae migrate to lungs, no clinical signs | ||
+ | **Prepatent phase (weeks 1-3) | ||
+ | ***Development and migration of larvae -> [[Bronchi and Bronchioles Inflammatory - Pathology#Bronchiolitis|bronchiolitis]] -> eosinophilic exudate -> air passage blocked -> alveolar collapse (distal to blockage) -> clinical signs (tachypnoea, coughing) | ||
+ | **Patent phase (weeks 4-8) | ||
+ | ***Egg-producing mature worms | ||
+ | ***[[Bronchi and Bronchioles Inflammatory - Pathology#Bronchitis|Bronchitis]] - due to mature worms | ||
+ | ***[[Lungs - inflammatory#Verminous pneumonia|Parasitic pneumonia]] - due to aspiration of eggs and larvae -> cellular infiltration of neutrophils, macrophages, giant cells | ||
+ | **Postpatent phase (weeks 8-12) | ||
+ | ***Majority of worms are expelled | ||
+ | ***In 25% of cases clinical signs may reappear as a result of alveolar epithelialisation | ||
+ | ***May be together with [[Lungs - ventilation#Emphysema|interstitial emphysema]] and [[Lungs - circulatory#Pulmonary oedema|pulmonary oedema]], or secondary bacterial infection | ||
+ | *Reinfection syndrome: | ||
+ | **Immune cattle show clinical signs only if exposed to large numbers | ||
+ | **Pathogenesis - large numbers of larvae reach bronchioles where they are killed by immune response | ||
+ | **Pathology - parasite granulomata (grey-green, 5mm diameter, macrophages, giant cells, eosinophils) and eosinophilic plugs in bronchioles | ||
+ | <small>Above from RVC Parasitology study guide (2005-2006)</small> | ||
+ | *Preferentially in dorsocaudaland ventrocaudal regions | ||
+ | |||
+ | *Histologically | ||
+ | **Bronchial epithelium may show hyperplasia due to the chronic irritation | ||
+ | **Cross-sections of the parasites | ||
+ | **Exudate contains many eosinophils | ||
+ | **Foci of necrosis in the rest of the lung tissue due to aspiration of eggs and larvae fromhese adults | ||
+ | **In mild infestations, the adults are normally expelled in two months - self cure | ||
+ | *Repeated infestation and secondary bacterial infection are common | ||
+ | |||
+ | *Two other types of lesion in lung tissue due to this worm have been reported: | ||
+ | **Nodules (2-4mm in diameter) with greenish centres in the reinfection of an immune animal - the host mounting a successful defence and preventing larval migration | ||
+ | **Pulmonary oedema and emphysema - thought to be a hypersensitivity response to a massive invasion of larvae in previously- sensitised animals - the gross and microscopic appearance is similar to that of [[Lungs - inflammatory#Acute bovine pulmonary emphysema and oedema (ABPEE)|fog fever]] | ||
+ | |||
+ | ===Hydatid cysts=== | ||
+ | [[Image:Echinococcus cysts.jpg|right|thumb|100px|<small><center>Echinococcus cysts (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]] | ||
+ | |||
+ | *The intermediate stage of [[Cestodes|''Echinococcus granulosus'']] can be found in the lungs of many species, most commonly in lungs of cattle and sheep | ||
+ | *They range in size up to 5-10 cm diameter and although of little clinical significance, are important as a zoonosis (can be upto football size in man) and because of carcass condemnation | ||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | ===[[Strongyloidea|''Syngamus laryngeus'']]=== | ||
+ | |||
+ | *In [[Larynx Inflammatory - Pathology#Infectious causes of laryngitis|larynx]] of cattle in Asia and South America | ||
+ | |||
+ | ==In Sheep== | ||
+ | |||
+ | ===Hydatid cysts=== | ||
+ | |||
+ | As in cattle (above) | ||
+ | |||
+ | ===[[Insecta|''Oestrus ovis'']]=== | ||
+ | *Larvae in the [[Nasal Cavity Inflammatory - Pathology#Infectious causes of rhinitis|nasal cavity]] of sheep and goats = Nasal bots | ||
+ | *Causes reaction in [[Paranasal Sinuses Inflammatory - Pathology#Sinusitis|sinuses]] | ||
+ | [[Media:Oestrus ovis.mp4]] | ||
+ | |||
+ | ===[[Metastrongyloidae|''Protostrongylus'' spp.]]=== | ||
+ | *Adult worms block small [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|bronchioles]] resulting in accumulation of eggs, larvae and cellular debri distal to the blockage | ||
+ | *Lesions resemble [[Respiratory Parasitic Infections - Pathology#Dictyocaulus filaria|''Dictyocaulus filaria'']] but are fewer in numbers, lobular and at periphery of caudal lobes, they are very similar to [[Respiratory Parasitic Infections - Pathology#Muellerius capillaris|''Muellerius capillaris'']] lesions | ||
+ | |||
+ | ===[[Metastrongyloidae|''Muellerius capillaris'']]=== | ||
+ | |||
+ | *Common in sheep and goats | ||
+ | *Rarely any clinical significance | ||
+ | *Grossly: | ||
+ | **Multifocal [[Lungs - inflammatory#Interstitial pneumonia|interstitial]] [[Lungs - inflammatory#Infectious causes of pneumonia|pneumonia]] grossly evident as firm "lead-shot" nodules throughout the parenchyma, often with enveloping granulomatous response | ||
+ | **Early stages are reddish in colour, turning later to greyish green, may calcify | ||
+ | **Mostly in dorsal region of caudal lung lobes | ||
+ | *Histologically: | ||
+ | **Damaged alveolar septa with mild fibrous thickening and lymphocytic infiltrate | ||
+ | **In more developed host resistance, foci of eosinophils around larvae, hyperplastic epithelium, macrophages, giant cells | ||
+ | **May be some calcification | ||
+ | |||
+ | ===[[Trichostrongyloidea|''Dictyocaulus filaria'']]=== | ||
+ | |||
+ | *Most susceptible when first exposed to contaminated pasture | ||
+ | *Animals < 1 year old | ||
+ | *Pathogenesis and pathology similar to [[Respiratory Parasitic Infections - Pathology#Dictyocaulus viviparus|''Dictyocaulus viviparus'']] in cattle | ||
+ | *[[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|Bronchitis]] | ||
+ | |||
+ | ==In Pigs== | ||
+ | |||
+ | ===[[Metastrongyloidae|''Metastrongylus'' spp.]]=== | ||
+ | |||
+ | *Found in [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|bronchioles and smaller bronchi]] | ||
+ | *Grossly: | ||
+ | **Small grey nodules, especially along ventral border of caudal lobes | ||
+ | **Adult worms in bronchi and bronchioles | ||
+ | *Histologically: | ||
+ | **Catarrhal and eosinophilic bronchitis and bronchiolitis | ||
+ | **Possibly [[Lungs - ventilation#Atelectasis (Collapse)|atelectasis]] | ||
+ | *Rarely becomes extensive | ||
+ | *May transmit [[Respiratory Viral Infections - Pathology#Swine influenza|swine influenza]] | ||
+ | |||
+ | ===[[Ascaris suum|''Ascaris suum'']]=== | ||
+ | |||
+ | *May cause [[Lungs - inflammatory#Verminous pneumonia|parasitic pneumonia]] during a part of its migration | ||
+ | *Larvae may be infected with [[Respiratory Viral Infections - Pathology#Swine influenza|Swine influenza]] | ||
+ | *May cause severe pneumonia in calves housed where infected pigs were housed previously | ||
+ | *Cause diffuse [[Lungs - inflammatory#Interstitial pneumonia|interstitial pneumonia]] with haemorrhage, [[Lungs - ventilation#Atelectasis (Collapse)|atelectasis]], [[Lungs - circulatory#Pulmonary oedema|interlobular oedema]] and [[Lungs - ventilation#Emphysema|emphysema]] |
Revision as of 21:41, 4 August 2008
|
In Dogs
- Useful websites:
- Cat and dog respiratory parasites (part 1) - Nasal Mucosa and Sinuses, and Respiratory Parenchyma
- Cat and dog respiratory parasites (part 2) - Trachea and Bronchi, and Pulmonary Vessels
Filaroides osleri
- = Oslerus osleri
- Colonise the trachea of dogs
- Larva and adults accumulate in submucosal nodules of up to 1cm diameter at the tracheal bifurcation.
- Minimal inflammatory host reaction to the nematodes when they are alive - the size of the nodule is related to the number and size of the nematodes within it.
- When the parasites die, an intense foreign body reaction develops
- Tracheal nodules can cause coughing, usually in young dogs <18 months old.
- Severe infestation can cause significant occlusion of the airway.
- Uncommon, but sometimes seen in coughing greyhounds
Linguatula serrata
- Synonym: tongue worm
- In nasal passages of dogs, sometimes cats
- May reach the sinuses
- Heavy infections may cause sneezing, coughing, nasal discharge
Angiostrongylus vasorum
- Adult worms live in the pulmonary arteries and right side of the heart dogs and foxes
- Cause a proliferative endoarteritis
- More severe damage is caused however by eggs lodging in arterioles and capillaries
- In severe infection, this can result in pneumonia and pulmonary oedema as an acute syndrome
- Circulatory impedance can result in congestive cardiac failure
- Particularly a problem if dogs eats snails
- Gross:
- Patchy white appearance with haemorrhagic areas within
- Microscopically:
- Golden pigment within macrophages (haemosiderin)
- Inflammation and scarring of alveolar walls -> enlargement of remaining air spaces
- Worms secrete anticoagulant -> haemorrhage in other parts of body
- May present as neurological cases due to the haemorrhage
- May cause pulmonary thromboembolism
Dirofilaria immitis
- Establish in heart and pulmonary arteries
- Larvae migrate through connective tissue
- Immature adults move to caudal distal pulmonary arteries causing diffuse eosinophilic reaction in lung parenchyma, then migrate back to right ventricle
- May cause pulmonary thromboembolism
Capillaria aerophila
- In nasal passages, sinuses, trachea and bronchi of cats and dogs
- Some dogs cough but often no symptoms
- Mild catharral inflammation
- In heavy infestation may cause obstruction of the lumen of airways and may develop into secondary bronchopneumonia
Toxoplasmosis
- Caused by Toxoplasma gondii
- Cats are definitive hosts but other species may become intermediate hosts if they ingest the oocysts
- Usually induces antibody response but remains silent clinically
- Often show clinical signs when immunosuppressed
- Involves many different tissues
- Multifocal necrotising interstitial pneumonia
- Proliferation of type II pneumocytes
- Macrophage and neutrophil infiltration
Crenosoma vulpis
- Mainly parasite of foxes but dogs may become infected from snails and slugs
- Adults in small bronchi and bronchioles
- Grossly:
- Greyish lesions and consolidation in dorsal aspect of caudal lung lobes
- Histologically:
- Catharral, eosinophilic bronchitis ans bronchiolitis
In Cats
- Useful websites:
- Cat and dog respiratory parasites (part 1) - Nasal Mucosa and Sinuses, and Respiratory Parenchyma
- Cat and dog respiratory parasites (part 2) - Trachea and Bronchi, and Pulmonary Vessels
Linguatula serrata
- As in dogs above
Aelurostrongylus abstrussus
- Live in lung parenchyma and small bronchioles
- Grossly:
- Firm yellow nodules scattered throughout parenchyma, more frequently at periphery
- Microscopically:
- Eggs and larvae in the alveolar spaces cause a foreign body type reaction (surrounded by mononuclear cells and giant cells)
- Submucosal gland hypertrophy and smooth muscle hypertrophy in airway and vessel walls
- Associated clinical signs are mild although heavy infestations may -> chronic coughing
- The airway eosinophilia which may be detected can be confused with a diagnosis of asthma
Dirofilaria immitis
- As in dogs above
- Not very infective in cats but one dead adult causes acute pulmonary crisis - thromboembolism
Capillaria aerophila
- As in dogs above
In Horses
Parascaris equorum
- Causes transient nasal discharge when migrating through lungs
- Foals and weanlings
Dictyocaulus arnfieldi
- Found in smaller bronchi
- Cause of chronic cough
- Donkeys are a reservoir mostly without any clinical signs
- Gross pathology:
- Raised areas of over-inflated pulmonary tissue surrounding small bronchus, containing worms and mucopurulent exudate
- Hyperplastic bronchial epithelium
- Coiled worms in small bronchi
- Peribronchial cuffing
- In caudal lung lobes
- Histologically
- Central coiled parasites and associated chronic catharral bronchitis
- Goblet cell hyperplasia
- Lymphoid cell infiltration
- In horses, the worms usually fail to achieve sexual maturity
Besnoitia bennetti
- Papilloma like lesions in larynx, skin and sclera
- Thick walled parasitic cysts, covered by hyperplastic epithelium, may be ulcerated
In Cattle
Dictyocaulus viviparus
- Found in trachea and large bronchi
- Causes parasitic bronchitis, synonyms: bovine dictyocauliosis, husk, hoose
- Primary infection:
- Penetration phase (week 1)
- Larvae migrate to lungs, no clinical signs
- Prepatent phase (weeks 1-3)
- Development and migration of larvae -> bronchiolitis -> eosinophilic exudate -> air passage blocked -> alveolar collapse (distal to blockage) -> clinical signs (tachypnoea, coughing)
- Patent phase (weeks 4-8)
- Egg-producing mature worms
- Bronchitis - due to mature worms
- Parasitic pneumonia - due to aspiration of eggs and larvae -> cellular infiltration of neutrophils, macrophages, giant cells
- Postpatent phase (weeks 8-12)
- Majority of worms are expelled
- In 25% of cases clinical signs may reappear as a result of alveolar epithelialisation
- May be together with interstitial emphysema and pulmonary oedema, or secondary bacterial infection
- Penetration phase (week 1)
- Reinfection syndrome:
- Immune cattle show clinical signs only if exposed to large numbers
- Pathogenesis - large numbers of larvae reach bronchioles where they are killed by immune response
- Pathology - parasite granulomata (grey-green, 5mm diameter, macrophages, giant cells, eosinophils) and eosinophilic plugs in bronchioles
Above from RVC Parasitology study guide (2005-2006)
- Preferentially in dorsocaudaland ventrocaudal regions
- Histologically
- Bronchial epithelium may show hyperplasia due to the chronic irritation
- Cross-sections of the parasites
- Exudate contains many eosinophils
- Foci of necrosis in the rest of the lung tissue due to aspiration of eggs and larvae fromhese adults
- In mild infestations, the adults are normally expelled in two months - self cure
- Repeated infestation and secondary bacterial infection are common
- Two other types of lesion in lung tissue due to this worm have been reported:
- Nodules (2-4mm in diameter) with greenish centres in the reinfection of an immune animal - the host mounting a successful defence and preventing larval migration
- Pulmonary oedema and emphysema - thought to be a hypersensitivity response to a massive invasion of larvae in previously- sensitised animals - the gross and microscopic appearance is similar to that of fog fever
Hydatid cysts
- The intermediate stage of Echinococcus granulosus can be found in the lungs of many species, most commonly in lungs of cattle and sheep
- They range in size up to 5-10 cm diameter and although of little clinical significance, are important as a zoonosis (can be upto football size in man) and because of carcass condemnation
Syngamus laryngeus
- In larynx of cattle in Asia and South America
In Sheep
Hydatid cysts
As in cattle (above)
Oestrus ovis
- Larvae in the nasal cavity of sheep and goats = Nasal bots
- Causes reaction in sinuses
Protostrongylus spp.
- Adult worms block small bronchioles resulting in accumulation of eggs, larvae and cellular debri distal to the blockage
- Lesions resemble Dictyocaulus filaria but are fewer in numbers, lobular and at periphery of caudal lobes, they are very similar to Muellerius capillaris lesions
Muellerius capillaris
- Common in sheep and goats
- Rarely any clinical significance
- Grossly:
- Multifocal interstitial pneumonia grossly evident as firm "lead-shot" nodules throughout the parenchyma, often with enveloping granulomatous response
- Early stages are reddish in colour, turning later to greyish green, may calcify
- Mostly in dorsal region of caudal lung lobes
- Histologically:
- Damaged alveolar septa with mild fibrous thickening and lymphocytic infiltrate
- In more developed host resistance, foci of eosinophils around larvae, hyperplastic epithelium, macrophages, giant cells
- May be some calcification
Dictyocaulus filaria
- Most susceptible when first exposed to contaminated pasture
- Animals < 1 year old
- Pathogenesis and pathology similar to Dictyocaulus viviparus in cattle
- Bronchitis
In Pigs
Metastrongylus spp.
- Found in bronchioles and smaller bronchi
- Grossly:
- Small grey nodules, especially along ventral border of caudal lobes
- Adult worms in bronchi and bronchioles
- Histologically:
- Catarrhal and eosinophilic bronchitis and bronchiolitis
- Possibly atelectasis
- Rarely becomes extensive
- May transmit swine influenza
Ascaris suum
- May cause parasitic pneumonia during a part of its migration
- Larvae may be infected with Swine influenza
- May cause severe pneumonia in calves housed where infected pigs were housed previously
- Cause diffuse interstitial pneumonia with haemorrhage, atelectasis, interlobular oedema and emphysema