Difference between revisions of "Category:Hepatitis, Bacterial"

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[[Bacillary Haemoglobinuria]]
  
====[[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 - Anatomy & Physiology|liver]] and GIT and faeces of grazing animals in affected pastures
 
*need disease in [[Liver - Anatomy & Physiology|liver]] casing anaerobic conditions to allow bacterial growth and toxin production
 
*normally associated with [[Liver - Anatomy & Physiology|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 - Anatomy & Physiology|rectum]], [[Female Reprodcutive Tract -The Vagina/Vestibule - Anatomy & Physiology|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 [[Urinary Bladder - Anatomy & Physiology|bladder]], therefore haemoglobin in urine
 
*[[Urinary System - Anatomy & Physiology#Upper Urinary System|kidneys]] speckled with haemoglobin
 
*blood in lungs/trachea
 
*ischaemic hepatic infarct
 
**usually a single large necrotic focus in the [[Liver - Anatomy & Physiology|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 - Anatomy & Physiology|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====
 
====Tyzzer's disease====

Revision as of 14:07, 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


Bacillary Haemoglobinuria



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.