Difference between revisions of "Parasitic skin infections - Pathology"

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==Mites==
 
===Demodicosis===
 
*[[Suborder: Astigmata, astigmatid mites|''Demodex'']] are normal inhabitants of hair follicles and sebaceous glands
 
*Have to have increased number of immature mites to classify as infestation
 
*Host-specific
 
*Occurs in dogs, cattle, sheep, goats, pigs, horses and cats
 
*Transmits during nursing from dam to offspring
 
*''Demodex canis'' in dogs:
 
**Generalised or localised
 
**Mainly young dogs affected or adults with other disease ([[Adrenal Glands - Pathology#Adrenal Hyperfunction|hyperadrenocorticism]], [[Thyroid Gland - Pathology#Hypothyroidism|hypothyroidism]])
 
**Often inherited in pure bred
 
**Grossly:
 
***Localised: scaly, erythematous, macular, alopecic areas; usually face or front legs
 
***Generalised: large, coalescing lesions, patches, erythema, alopecia, scales, crusts
 
**Microscopically:
 
***Localised: lymphoplasmacytic perifolliculitis with hyperkeratinisation, sebaceous adenitis, low pigment, intraluminal mites
 
***Generalised: perifolliculitis and follicular hyperkeratosis, follicular pluggingf, bacterial proliferation, bacterial neutrophilic folliculitis
 
****May cause folliculat rupture -> furunculosis, cellulitis, lymphadenitis and septicaemia
 
 
 
 
 
===Scabies===
 
*Caused by [[Suborder: Astigmata, astigmatid mites|''Sarcoptes scabiei'']]
 
*Highly contagious
 
*Mainly in pigs, dogs, also horses, cattle, sheep, goats and cats
 
*Intense pruritus due hypersensitivity to mites borrowing through stratum corneum
 
*Usually starts with external pinnae -> head -> neck -> generalised
 
*Grossly:
 
**Erythematous [[Skin Glossary - Pathology|macules, papules, crusts]]
 
**If chronic -> [[Skin Glossary - Pathology|lichenified]], hairless
 
*Microscopically:
 
**Hyperplastic, spongiotic, superficial perivascular dermatitis
 
**Crusting, eosinophil infiltration
 
**Mites are not commonly seen, but eggs and feces may be found in stratumn corneum
 
 
 
 
 
===Notoedric mites===
 
*Rare but very contagious
 
*Caused by [[Suborder: Astigmata, astigmatid mites|''Notoedres cati'']]
 
*Grossly:
 
**Erythematous papular rash -> scales, crusts, alopecia -> lichenification when chronic
 
**Start on neck and ears -> head, face, paws -> generalised
 
*Microscopically:
 
**Epidermal hyperplasia, spongiosis, crusts
 
**Superficial perivascular dermatitis
 
**Eosinophils
 
 
 
 
 
===Otodectic mites===
 
*Caused by [[Suborder: Astigmata, astigmatid mites|''Otodectes cynotis'']]
 
*In external ear canals of carnivores, occasionally elsewhere
 
 
 
 
 
===Psoroptic mites===
 
*Occurs in cattle, sheep, horses, goats, rabbits and other animals
 
*Host-specific
 
*[[Suborder: Astigmata, astigmatid mites#Psoroptes cuniculi|''Psoroptes cuniculi'']] in ear canals of rabbits, horses, goats and sheep
 
*[[Suborder: Astigmata, astigmatid mites|''P.equi'']] at base of mane, ttail and forelock in horses
 
*[[Suborder: Astigmata, astigmatid mites|''P.ovis'']] in sheep ('''sheep scab''')and cattle
 
**Thickened skin and dry scales and crusts
 
**Starts at withers and spreads due to self trauma
 
**Microscopically:
 
***Spongiotic, hyperplastic or exudative superficial perivascular dermatitis
 
***Eosinophils
 
 
 
 
 
===Chorioptic mites===
 
*Host-specific
 
*In cattle, horses, goats
 
*Caused by [[Suborder: Astigmata, astigmatid mites|''Chorioptes'' spp.]]
 
*Grossly:
 
**Erythematous, papular, crusty lesions
 
**Hairless, thickened skin
 
**Areas usually affected:
 
***Horses: lower hind legs
 
***Cattle: lower hind legs, scrotum, perineum, tail, udder, thigh
 
***Sheep: lower hind legs and scrotum
 
***Goats: lower hind legs, hindquarters, abdomen
 
 
 
 
 
===Cheyletiellosis===
 
*Caused by ''Cheyletiella'' sp.]]
 
*Occurs in dogs, cats, rabbits, humans and wild animals
 
*In dogs and cats: hyperkeratosis - dry, white, scaly dandruff along back
 
*May be asymptomatic
 
*Grossly:
 
**Focal, multifocal or generalised red papules or crusts
 
*Microscopically:
 
**Superficial perivascular dermatitis
 
**Eosinophils
 
 
 
 
 
===Trombiculidiasis===
 
 
 
*Harvest mite infestation (chiggers) - [[Suborder: Astigmata, astigmatid mites|''Trombicula'' sp.]]
 
*Form tunnels in epidermis by injecting saliva - eat digested tissue fluid
 
*Intense pruritus
 
*Grossly:
 
**Small, red [[Skin Glossary - Pathology|papules or crusts]]
 
**Orange to red larvae
 
**On skin close to plants or the ground
 
*Microscopically:
 
**Hyperplastic, superficial perivascular dermatitis
 
**[[Eosinophils - Anatomy & Physiology|Eosinophils]], [[Mast cells - Anatomy & Physiology|mast cells]]
 
**Intraepidermal mites
 
 
 
==Ticks==
 
 
 
*Local reaction depends on host hypersensitivity and [[Suborder: Metastigmata, ticks|tick's]] secretions
 
*Grossly:
 
**Focal erosions, erythema, crusted ulcers, sometimes alopecia and nodules
 
*Microscopically:
 
**Epidermal and dermal necrosis
 
**Perivascular of diffuse inflammation and necrotic margins
 
**Eosinophils, macrophages and lymphocytes in exudate
 
**May form granulomas containing collagenous fibres and lymphoid follicles within dermis
 
 
 
==Lice==
 
 
 
*Infestation is called '''pediculosis'''
 
*May cause anaemia (sucking lice), weakness, discomfort and damage to hair or wool
 
*More common in low temperatures when hair is longer
 
*Host-specific
 
*Spread by direct contact
 
*Most lesions are due to self-inflicted trauma
 
*Grossly:
 
**Papules, crusts, secondary excoriations
 
**Eggs and lice visible in lesions
 
 
 
==Fleas==
 
*Occurs in cats and dogs mainly
 
*Irritation caused by enzymes, anticoagulants and histamine-like substances
 
*[[Skin - immunologic|Hypersensitivity]] to flea saliva may develop
 
*Young or small animals may suffer from aneamia
 
*Lesions normally in dorsolumbosacral region, caudomedial thighs, ventral abdomen, flank, neck (cats) 
 
*Grossly:
 
**Red papules and secondary excoriations
 
 
 
==[[Insecta|Flies]]==
 
*Bites may cause irritation, anaemia, toxicity or hypersensitivity
 
*Grossly:
 
**Wheals and papules around puncture wound
 
**Hair loss, scales, crusts, erythema
 
*Microscopically:
 
**Superficial perivascular dermatitis
 
**Eosinophilic folliculitis, +/- furunculosis
 
**Intraepidermal pustules
 
**Eosinophils and necrosis
 
 
 
===Myiasis===
 
*Infection by dipterous flies in moist body areas (''eg.'' perineum)
 
*Commonly affects sheep - [[Bacterial skin infections - Pathology#Ovine fleece rot|ovine fleece rot]]
 
*Grossly:
 
**Matted hair or wool, may be in wounds
 
**Multiple holes or ulcers
 
**Malodour
 
*May result in death due to septicaemia or toxaemia
 
*'''Cuterebra myiasis'''
 
**Caused by ''Cuterebra'' sp
 
**Young animals come into contact with eggs on stones or plants
 
**Nodules with larvae in subcutis + respiration openings to surface
 
*'''Hypoderma myiasis'''
 
**Caused by ''Hypoderma lineatum'' or ''H. bovis''
 
**Mainly affects cattle
 
**Skin of legs is penetrated -> migration through [[Oesophagus - Anatomy & Physiology|oesophagus]] or vertebral canal to subcutis of back
 
**Cause subcutaneous nodules with respiration openings
 
**Larvae in cavity with fibrin and eosinophils surrounded by granulation tissue with eosinophil clusters
 
*'''Screwworm myiasis'''
 
**Occurs in Africa, Asia, Central and South America
 
**Larvaae are deposited in wounds
 
**Penetrate and liquify tissue
 
 
 
==Helminths==
 
 
 
===Hookworms===
 
*Caused by [[Ancylostomatoidea|''Ancylostoma'' or ''Uncinaria'']]
 
*Grossly:
 
**Red papules -> lichenified alopecic areas
 
**Mainly of dog feet
 
**Foot pads may soften with keratinised area separation
 
**Possible secondary bacterial dermatitis and [[Skin Glossary - Pathology|paronychia]]
 
*Microscopically:
 
**Hyperplastic spongiotic perivascular dermatitis
 
**Eosinophils
 
**Crusts
 
**Migration tracts
 
 
 
===Cutaneous habronemiasis===
 
 
 
*In horses (also calles '''summer sores''')
 
*Caused by ''Habronema'' sp. or ''Draschia'' sp. - spread by [[Insecta|house flies or stable flies]]
 
*In traumatised or moist soft skin
 
*Grossly:
 
**Single or multiple tomorous masses that proliferate and ulcerate
 
**Red to brown, on section have small gritty yellow to white foci
 
*Microscopically:
 
**Nodular dermatitis
 
**Eosinophils, epithelioid macrophages, multinucleated giant cells
 
**Larvae and necrotic tissue
 
**Granulation tissue with neutrophils along ulcerated surface
 
 
 
===Onchocerciasis===
 
 
 
*Caused by [[Onchocerca spp.|''Onchocerca'' spp.]]
 
*Affects horses, cattle, donkeys, mules, sheep, goats
 
*Transmitted by [[Insecta|Simulidae and Ceratopogonidae]]
 
*Hypersensitivity varies with individuals, may occur without any inflammation
 
*Grossly:
 
**Adult parasites within connective tissue nodules
 
**Microfilaria in dermis, especially ventral midline
 
**Patchy alopecia, erythema, scaling, crusting, change in pigmentation
 
**Circular areas of dermatitis on forehead appears in some horses
 
**May also involve keratitis, uveitis and conjunctivitis
 
*Microscopically:
 
**Normal to superficial to deep perivascular dermatitis
 
**Eosinophils, lymphocytes, microfilariae
 
 
 
===Stephanofilariasis===
 
 
 
*Caused by [[Stephanofilaria spp.|''Stephanofilaria stilesi'']]
 
*Occurs in cattle, buffalo, goats
 
*Transmitted by [[Insecta|flies]]
 
*Affects ventral midline (other species affect different areas of body)
 
*Grossly:
 
**Foci extending to large areas
 
**Errect hairs, epidermal haemorrhage, serum exudate -> crusts
 
*Microscopically:
 
**Superficial and deep perivascular dermatitis
 
**Eosinophils, adult and microfilarial parasites
 
**[[Skin Glossary - Pathology|Epidermal hyperkeratosis, parakeratosis, acanthosis]], eosinophilic microabscesses and crusts
 
 
 
==Protozoa==
 
 
 
*Cutaneous infection may become a part of systemic infection
 
*Mostly caused by [[Protozoa|''Leishmania'']]
 
*Transmitted by [[Insecta|sandflies]]
 
*Occurs in dogs, cats and rodents (also humans)
 
*Grossly in dog:
 
**Generalised alopecia
 
**Silvery white scales
 
**Nodules and ulcers if more severe
 
**Mainly on muzzle, ears and eyes where flies feed
 
*Microscopically:
 
**[[Skin Glossary - Pathology|Hyperkeratosis, parakeratosis, crusts]]
 
**Granulomatous nodules in dermis
 
**Macrophages, some lymphocytes and plasma cells - periadnexal pattern, may affect sebaceous glands
 
**Organisms may be found extra or intracellularly
 

Latest revision as of 15:08, 22 February 2011