Difference between revisions of "Category:Hepatitis, Bacterial"

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====[[Bacillary Necrosis]]====
 
====[[Bacillary Necrosis]]====
  
 
+
[[Infectious Necrotic Hepatitis]]
====Infectious Necrotic Hepatitis (Black Disease)====
 
*''Clostridium novyi'' type B
 
*grazing animals
 
**mainly sheep, also cattle (and reported sometimes in horses and goats)
 
*organism is widely distributed within the soil and normally present in GIT and [[Liver - Anatomy & Physiology|liver]] of grazing animals on infected pastures
 
**worldwide
 
*it is ingested by the animal and spores are absorbed via the gut and travel to the [[Liver - Anatomy & Physiology|liver]] , where they lie dormant in [[Macrophages - WikiBlood|macrophages (Kupffer cells)]] - also found in [[Bone Marrow - Anatomy & Physiology|bone marrow]] and [[Spleen - Anatomy & Physiology|spleen]]
 
*seasonal disease associated with Fasciola [[Liver - Anatomy & Physiology|liver]] flukes
 
**migrating immature [[Liver - Anatomy & Physiology|liver]] flukes precipitate the disease
 
**causes [[Liver - Anatomy & Physiology|liver]] damage which provides ideal anaerobic conditions for the activation and germination of spores
 
*''C. novyi'' produces three exotoxins
 
**alpha - a lethal toxin
 
**beta - a lecithinase which is both haemolytic and necrotising
 
**zeta - a haemolytic toxin
 
*acute toxaemia produced by organism
 
**affected animals are usually found dead because death is sudden due to the action of the powerful bacterial endotoxins
 
**not all animals will become sick - only when organism starts producing toxin
 
*post mortem changes occur rapidly
 
=====Clinical=====
 
*found dead/sudden death
 
**well conditioned sheep 2-4 years old
 
**lateral recumbency, few signs of struggle
 
**vaccination history (against Clostridium)
 
**no red urine or other bleeding
 
*IF seen alive
 
**severe depression
 
**not eating
 
**pyrexia
 
**hypothermia
 
**respiratory distress
 
**muffled heart sounds
 
 
 
=====Gross=====
 
*rapid decomposition of carcass
 
*extensive subcutaneous vessels engorged and haemorrhage causing dark colouration of the skin - hence the name ''''Black Disease'''' - and oedema
 
*blood stained fibrinous fluid in abdomen, thorax, and pericardium which clots on exposure to air
 
*tissues are autolysed
 
*[[Liver - Anatomy & Physiology|liver]] swollen and congested
 
*characteristic pale (greyish-yellow) foci (3cm diameter) of necrosis surrounded by a rim of haemorrhage where the bacteria have multiplied upon incision
 
*evidence of [[Liver - Anatomy & Physiology|liver]] fluke
 
*other organs show general signs of toxaemia
 
NB: Distinguish Black Disease from Red Water!  The former will have several small areas of necrosis while the latter has one big lump
 
 
 
=====Microscopically=====
 
*coagulative necrosis
 
*possible evidence of migrating flukes
 
*demonstration of bacteria
 
**in the necrotic tissue
 
**especially near its junction with viable tissue
 
**rim of neutrophilic cells
 
=====Treatment=====
 
*rarely possible
 
*Penicillin or Oxytetracycline at very high doses
 
=====Prevention=====
 
*vaccination
 
**normally lasts up to 6 months
 
*[[Liver - Anatomy & Physiology|liver]] fluke control
 
*remove dead carcasses from pasture
 
  
 
====Bacillary Haemoglobinuria (Red Water)====
 
====Bacillary Haemoglobinuria (Red Water)====

Revision as of 14:04, 7 June 2010

Hepatitis, Bacterial

  • bacteria can enter the liver through a variety of routes
    • direct implantation
    • direct extension from disease in adjacent tissues of supportive peritonitis
    • haematogenously
      • via the umbilical vein from an infected umbilicus
      • via the portal vein in the alimentary tract
      • via the hepatic artery in bacteraemias and septicaemias
      • via the bile ducts
  • the liver may show microscopic evidence of involvement in a large variety of systemic infections
  • these can be accompanied by jaundice
  • the changes in the liver are diffuse with many small areas of necrosis surrounded by neutrophils and lymphocytes
    • eg Salmonellosis or Listeriosis



Hepatic Abscessation

Bacillary Necrosis

Infectious Necrotic Hepatitis

Bacillary Haemoglobinuria (Red Water)

  • Clostridium haemolyticum AKA Clostridium novyi Type D
  • cattle and sheep
  • highly fatal
  • similar pathogenesis to C. novyi
  • beta toxin produced
    • causes hepatic necrosis and intravascular haemolysis
  • C. haemolyticum found in soil, poorly drained/wet pastures
  • spores found routinely in liver and GIT and faeces of grazing animals in affected pastures
  • need disease in liver casing anaerobic conditions to allow bacterial growth and toxin production
  • normally associated with Liver Fluke damage
  • disease occurs in some areas and some farms - distribution is poorly understood
Clinical Signs
  • found dead/sudden death
    • lateral recumbency
    • bloat
    • little signs of struggle
    • blood in nostrils, mouth, rectum, vagina
  • IF seen alive
    • depressed, reluctant to move, pyrexia, respiratory distress
    • red urine (haemoglobinuria) but not consistent
    • pale mucous membranes/jaundice
    • bloody froth in nostrils
Gross
  • post mortem is confirmatory finding
  • rapid decomposition of carcass
    • organs decomposed
  • subcutaneous hameorrhages, odema, emphysema
  • blood stained abdominal and thoracic fluid, large quantity and pericardium
  • animal is severely anaemic
  • may be jaundiced
  • red urine in bladder, therefore haemoglobin in urine
  • kidneys speckled with haemoglobin
  • blood in lungs/trachea
  • ischaemic hepatic infarct
    • usually a single large necrotic focus in the liver
    • area of necrosis, sometimes partially liquefied centre, irregular outline with a hyperaemic edge
Microscopically
  • presence of Clostridia post mortem must be interpreted with great caution as they are common post mortem invaders
  • FAT for organism
  • identification of toxins
    • need this for diagnosis
Treatment
  • unlikely
  • very high doses of penicillin or oxytetracycline
  • blood transfusion
Prevention
  • vaccination lasts up to 6 months
  • liver fluke control
  • remove infected carcasses from pasture

NB: Distinguish Red Water from Black Disease! The former will have bleeding out of any orifice while the latter does not

Tyzzer's disease

  • Bacillus piliformis
  • affects
    • mostly laboratory rodents
    • possibly foals 1-4 weeks of age
    • young immune-compromised pups and kittens
  • initial intestinal lesions can be hard to find at post mortem examination

[image from smythes' ppt] wheat sheaf

Leptospirosis

  • Leptospirosis icterohaemorrhagica - a septicaemic disease which affects the liver
  • puppies
  • Leptospirosis is an important spirochaetal group of diseases causing disease in animals and humans (zoonotic)
  • Transmission
    • via urine of affected animals
    • organisms can remain viable for weeks in damp conditions
  • method of action
    • cause anaemia via intravascular haemolysis
Clinical
  • fever
  • dehydration
  • haemorrhaging from the mucous membranes of the body
Diagnosis
  • dark field microscopy on fresh urine is best
Gross
  • widespread hameorrhages
  • icterus
  • pale foci in the liver (not always a constant finding)
  • subcapsular and cortical renal haemorrhages
Microscopically
  • foci of necrosis
  • dissociation of hepatocytes form each other (similar to post mortem change)
  • substantial haemosiderin in the Kuppfer cells (from the haemolysis)
  • need to use a silver stain or immunofluorescence to demonstrate the organisms in tissues

Salmonellosis

  • Salmonella dublin
  • calves
Clinical
Gross
  • severe, often haemorrhagic, inflammation in the ileum
  • paratyphoid nodules - pale foci of necrosis in the liver
Microscopically
  • foci of hepatocytic necrosis
  • mixed mononuclear inflammatory cell infiltrate

NB: small foci of hepatocytic necrosis are often found as incidental lesions at post mortem examination

Other bacteria causing liver lesions

Mycobacterium tuberculosis
  • in all species
  • causes granulomas
Actinobacillus equuli
  • foals
  • bacteria from the septicaemia localise in the liver and other tissues, including the kidney
Nocardia species
  • dogs
  • cause pyogranulomatous foci

Pages in category "Hepatitis, Bacterial"

The following 8 pages are in this category, out of 8 total.