Difference between revisions of "Infectious Canine Hepatitis"

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==Diagnosis==
 
==Diagnosis==
  
 +
*Intranuclear inclusion bodies in hepatocytes can be seen under H&E staining
 +
*Vascular endothelium can be stained for viral '''antigen''' by '''immunofluorescence'''
 
===Clinical Signs===
 
===Clinical Signs===
 
*recovering animals may show an immune-mediated uveitis with corneal opacity
 
*recovering animals may show an immune-mediated uveitis with corneal opacity
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===Pathology===
 
===Pathology===
 +
====Pathogenesis====
 +
*Infects and replicates in the oropharynx
 +
*Viremia as the virus reaches endothelial cells
 +
*Attacks the endothelial lining of '''gall bladder''', '''liver sinusoids''', and '''Kuppfer cells'''
 +
*Resulting '''heptatitis''' is followed by severe abdominal pain and often death
 +
*Post Mortem: swollen, hemorrhagic liver, ascites, and oedema of the gall bladder
 +
*In older dogs, may present more mildly with lymph node enlargement and chronic interstitial nephritis
 +
*In foxes: virus replicates in the endothelia of the brain resulting in neuronal damage, fits, and paralysis
 
====Gross====
 
====Gross====
 
*the virus has a tropism for endothelium and hepatocytes
 
*the virus has a tropism for endothelium and hepatocytes
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**in hepatocytes and macrophages
 
**in hepatocytes and macrophages
 
==Treatment==
 
==Treatment==
 
+
===Control===
 +
In an outbreak
 +
*Isolate infected dogs
 +
*Disinfect premises
 +
To prevent
 +
*'''Vaccination''': tissue culture adaptation that may be live or inactivated
 +
*Cross protection with CAV2
 +
*Live vaccines are known to cause keratitis in Afghans, Red Setters and Saluki
 
==Prognosis==
 
==Prognosis==
  

Revision as of 14:41, 5 July 2010



Also known as: Rubarth's Disease
Canine adenovirus infection

Description

  • adenovirus - Canine Adenovirus 1
  • acute and generalised infection
  • highly infectious
  • spread via the urine of infected animals over a long period of time

Signalment

  • young dogs

Diagnosis

  • Intranuclear inclusion bodies in hepatocytes can be seen under H&E staining
  • Vascular endothelium can be stained for viral antigen by immunofluorescence

Clinical Signs

  • recovering animals may show an immune-mediated uveitis with corneal opacity

Laboratory Tests

Radiography

Biopsy

Endoscopy

Pathology

Pathogenesis

  • Infects and replicates in the oropharynx
  • Viremia as the virus reaches endothelial cells
  • Attacks the endothelial lining of gall bladder, liver sinusoids, and Kuppfer cells
  • Resulting heptatitis is followed by severe abdominal pain and often death
  • Post Mortem: swollen, hemorrhagic liver, ascites, and oedema of the gall bladder
  • In older dogs, may present more mildly with lymph node enlargement and chronic interstitial nephritis
  • In foxes: virus replicates in the endothelia of the brain resulting in neuronal damage, fits, and paralysis

Gross

  • the virus has a tropism for endothelium and hepatocytes
    • widespread haemorrhages, especially on serosal surface
  • distinctly pale mottled appearance
    • from extensive necrosis, characteristically periacinar (centrilobular) in distribution - the reason for the increased susceptibility of this area is not known
  • enlarged
  • friable
  • fibrinous or fibrino-haemorrhagic strands between lobes
  • gall bladder
    • wall usually shows oedema (up to 2cm diameter)
  • lymph nodes and tonsils are enlarged and reddened, sometimes haemorrhagic

Microscopically

  • basophilic intranuclear inclusion bodies
    • in hepatocytes and macrophages

Treatment

Control

In an outbreak

  • Isolate infected dogs
  • Disinfect premises

To prevent

  • Vaccination: tissue culture adaptation that may be live or inactivated
  • Cross protection with CAV2
  • Live vaccines are known to cause keratitis in Afghans, Red Setters and Saluki

Prognosis

References