Difference between revisions of "Aelurostrongylus abstrusus"

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Also known as: '''''Cat lungworm
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{| cellpadding="10" cellspacing="0" border="1"
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| Also known as:
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| '''Cat lungworm
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|-
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|}
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===Scientific Classification===
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{| cellpadding="10" cellspacing="0" border="1" 
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| Class
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| Nematoda
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|-
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| Superfamily
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| Metastrongyloidea
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|}
  
Causes: '''''Aelurostrongylosis'''''
 
{{Taxobox
 
|name              = ''Aelurostrongylus abstrusus
 
|kingdom            =
 
|phylum            =
 
|class              =[[:Category:Nematodes|Nematoda]]
 
|sub-class          =
 
|order              =
 
|super-family      =[[:Category:Metastrongyloidea|Metastrongyloidea]]
 
|family            =[[:Category:Angiostrongylidae|Angiostrongylidae]]
 
|sub-family        =
 
|genus              =
 
|species            =''Aelurostrongylus abstrusus
 
}}
 
==Introduction==
 
Aelurostrongylosis is the disease caused by the cat lungworm ''Aelurostrongylus abstrusus'', which is found in many parts of Europe, the USA and Australia.
 
[[Image:Aeurostrongylus abstrusus.jpg|thumb|right|150px|''Aeurostrongylus abstrusus'' - Courtesy of the Laboratory of Parasitology, University of Pennsylvania School of Veterinary Medicine]]
 
 
==Hosts==
 
==Hosts==
 
'''Intermediate hosts''': Molluscs, including snails and slugs, as well as paratenic hosts, including rodents, birds, amphibians, and reptiles.
 
'''Intermediate hosts''': Molluscs, including snails and slugs, as well as paratenic hosts, including rodents, birds, amphibians, and reptiles.
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==Identification==
 
==Identification==
''A. abstrusus'' are small parasites of the family [[Angiostrongylidae]], measuring around 1cm in length.  The worms are long and thing, and the male has a bursa, but it is small and poorly developed.
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''A. abstrusus'' are small parasites, measuring around 1cm in length.  The worms are long and thing, and the male has a bursa, but it is small and poorly developed.
  
 
==Life Cycle==
 
==Life Cycle==
This is an indirect lifecyle, involving two intermediate hosts, and a definitive host. The female is ovo-viviparous, and passes L1 within the host faeces. The L1 then infect the molluscs, and later develop into L2, then infective L3. The paratenic host ingests the molluscs. The cat, acting as the definitive host then ingests the L3, and becomes infected with the parasite.
+
This is an indirect lifecyle, involving two intermediate hosts, and a definitive host. The female is ovo-viviparous, and passes L1 within the host faeces. The L1 then infect the molluscs, and later develop into L2, then infective L3. The paratenic host ingests the molluscs. The cat, acting as the definitive host then ingests the L3, and becomes infected with the parasite.
 
 
The larvae then travel to the lungs via the lymphatic system or the bloodstream. These can be seen as nodules on the lungs. They then hatch out, and are coughed up and swallowed. The parasite enters the alimentary tract, and is passed out in the faeces.
 
 
 
The parasite affects pulmonary parenchyma and causes aelurostrongylosis.
 
 
 
==Clinical Signs==
 
The disease is often '''asymptomatic''', and serious respiratory problems usually occur due to a deficient immunity, following [[FIV]] infection for example.
 
 
 
Respiratory signs are usually '''progressive and worstening'''. Heavy infections can cause '''severe bronchopneumonia''', with cats presenting with '''open-mouth breathing''' and abdominal effort.
 
 
 
There might also be '''coughing and sneezing''' and systemic signs such as '''anorexia, lethargy and wasting'''.
 
 
 
==Diagnosis==
 
'''Radiography''' may reveal a diffuse interstitial pattern with focal peribronchial densities. An alveolar pattern may appear in severe cases.
 
 
 
'''Bronchial lavage''' may reveal characteristic coiled larvae with an undulating tail and spine and eosinophilic inflammation.
 
 
 
'''Haematology''' may reveal [[eosinophilia]].
 
 
 
'''Post mortem examination''' may reveal greenish nodules in the lungs.
 
 
 
Microscopically, eggs and larvae in the alveolar spaces cause a foreign body type reaction (surrounded by mononuclear cells and giant cells). There is submucosal gland hypertrophy and smooth muscle hypertrophy in airway and vessel walls.
 
 
 
==Treatment and Prevention==
 
Treatment is difficult and '''not often necessary''' unless the cat is showing clinical signs, as the disease is usually self-limiting.
 
 
 
'''Fenbendazole''' for 21 consecutive days is usually effective.
 
 
 
'''Imidacloprid with moxidectin''', '''emodepsid''', and '''selamectin are also effective''' according to Sandra Sawchuk's capsule report <ref>Sawchuk, S (2014) Best Practices for Lungworm Prevention & Treatment in Clinician's Brief, volume 12 number 1, January 2014, p 54</ref>, which reviews a selamectin lungworm efficacy study.<ref>Iannino F, Iannetti L, Paganico D, et al. Evaluation of the efficacy of selamectin spot-on in cats infested with ''Aelurostrongylus abstrusus'' (Strongylida, Filariodidae) in a Central Italy cat shelter. ''Vet Parasitol'' 2013;197:258-262. [http://www.ncbi.nlm.nih.gov/pubmed/23743419 PubMed link ]</ref> )
 
 
 
Ivermectin has also been used in some cases.
 
 
 
'''Control''' is only by prevention of hunting by cats.
 
 
 
 
 
{{Learning
 
|flashcards = [[Cytology Q&A 05]]
 
|literature search = [http://www.cabdirect.org/search.html?rowId=1&options1=AND&q1=%22Aelurostrongylus+abstrusus%22&occuring1=title&rowId=2&options2=AND&q2=&occuring2=freetext&rowId=3&options3=AND&q3=&occuring3=freetext&x=57&y=15&publishedstart=yyyy&publishedend=yyyy&calendarInput=yyyy-mm-dd&la=any&it=any&show=all ''Aelurostrongylus abstrusus'' publications]
 
|Vetstream = [https://www.vetstream.com/canis/search?s=nematode Nematodes]
 
}}
 
 
 
==References==
 
<references />
 
  
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The larvae then travel to the lungs via the lymphatic system or the bloodstream.  These can be seen as nodules on the lungs.  They then hatch out, and are coughed up and swallowed.  The parasite enters the alimentary tract, and is passed out in the faeces.
  
* Merck and Co (2008) '''Merck veterinary Manual''' ''Merial''
 
* Bowman, D. (2002) '''Feline Clinical Parasitology''' ''Wiley-Blackwell''
 
  
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==Clinical==
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=== Aelurostrongylosis ===
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*Often asymptomatic; serious respiratory problems usually due to deficient immunity.
 +
*Prognosis poor.
 +
*Post mortem examination reveals greenish nodules in lungs.
 +
*Histopathology diferentiates these from tuberculosis.
  
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*Infections often asymptomatic, but can cause serious respiratory problems, especially in immunocompromised cats.[[File:Example.jpg]]
  
{{review}}
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Fenbendazole is licensed for treatment.
  
{{OpenPages}}
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*Live in [[Lungs Inflammatory - Pathology|lung parenchyma]] and [[Bronchi and Bronchioles Inflammatory - Pathology#Infectious causes of bronchitis or bronchiolitis|small bronchioles]]
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*Grossly:
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**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
  
[[Category:Expert Review - Small Animal]]
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[[Category:Metastrongyloidea]][[Category:Cat_Nematodes]]
[[Category:Angiostrongylidae]][[Category:Cat_Nematodes]]
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[[Category:To_Do_-_Max]]
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[[Category:Respiratory Parasitic Infections]]

Revision as of 09:14, 26 July 2010



Also known as: Cat lungworm

Scientific Classification

Class Nematoda
Superfamily Metastrongyloidea

Hosts

Intermediate hosts: Molluscs, including snails and slugs, as well as paratenic hosts, including rodents, birds, amphibians, and reptiles.

Definitive host: Cat.

Identification

A. abstrusus are small parasites, measuring around 1cm in length. The worms are long and thing, and the male has a bursa, but it is small and poorly developed.

Life Cycle

This is an indirect lifecyle, involving two intermediate hosts, and a definitive host. The female is ovo-viviparous, and passes L1 within the host faeces. The L1 then infect the molluscs, and later develop into L2, then infective L3. The paratenic host ingests the molluscs. The cat, acting as the definitive host then ingests the L3, and becomes infected with the parasite.

The larvae then travel to the lungs via the lymphatic system or the bloodstream. These can be seen as nodules on the lungs. They then hatch out, and are coughed up and swallowed. The parasite enters the alimentary tract, and is passed out in the faeces.


Clinical

Aelurostrongylosis

  • Often asymptomatic; serious respiratory problems usually due to deficient immunity.
  • Prognosis poor.
  • Post mortem examination reveals greenish nodules in lungs.
  • Histopathology diferentiates these from tuberculosis.
  • Infections often asymptomatic, but can cause serious respiratory problems, especially in immunocompromised cats.Example.jpg

Fenbendazole is licensed for treatment.

  • 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