EqMed F, Resp II

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HLW
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217386
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EqMed F, Resp II
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2013-05-02 21:39:06
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EqMed Resp II
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EqMed F, Resp II
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  1. what is incubation/shedding and clinical signs seen with flu?
    • incubation 1-3 days; shedding w/in 48 hours
    • fever for 5 days
    • decr. appetite, dry cough
    • nasal discharge
  2. how long is clinical course of flu? how long does cough persist? Is there a carrier state?
    • 7-14 days
    • cough up to ~21d = NO training
    • no carrier state
  3. what are some secondary complications of flu that can be severe?
    • bacterial pneumonia
    • myocarditis
    • limb edema
    • wt loss
    • (death in compromised)
  4. how is flu diagnosed?
    • PCR from nasopharyngeal swab
    • ELISA, paired titers
    • virus isolation (need swab 1-2d prior to CS)
  5. how is flu treated?
    • NO training (1 wk for ever day of fever)
    • supportive/rest +/- NSAIDS
  6. who should get flu vx? how often do they need it?
    • high risk horses like show/performance and comingled
    • every 4-6 months
  7. what types of vaccines are available for flu?
    • killed (not likely to protect against Ag-shift)
    • live (intranasal, may protect longer)
    • canary pox (recombinant - good against recent strains)
  8. which form of herpes is associated with abortion storms and myeloencephalopathy?
    EHV -1
  9. what kind of viruses are herpes? what tissue do they target?
    • double stranded DNA
    • vascular endothelium (vasculitis, hemorrhage, thrombosis)
  10. Ability to fight herpes infection is related to what immune response?
    cytotoxic T cell response
  11. how is herpes diagnosed?
    nasal swab for viral isolation or ELISA
  12. which herpes patients should be treated with acyclovir?
    those with neuro form (myeloencephalopathy)
  13. Vaccines for herpes do not protect against what? when should horse be given the vx? how many doses/how often?
    • neuro form
    • (some protection against resp/abortion)
    • 5-6mo old foals; 3 dose series
    • repeat every 4-6 mos (short immunity)
  14. how long can horse shed herpes after being vaccinated?
    28 days - isolate
  15. where does herpes remain latent?
    trigeminal nerve ganglion
  16. which breed harbors EVA?
    standardbred stallions
  17. what type of virus is EVA? how is it transmitted?
    • single stranded RNA
    • fomites, aerosol, venereal
    • 3-14 day incubation
  18. what are clinical signs of EVA?
    • subclinical respiratory disease
    • flu-like symptoms (fever, cough)
    • conjunctivitis
    • edema/vasculitis
    • (death not common but can occur)
  19. who should be vaccinated against EVA?
    • intact colts intended for breeding (at 6 and 12 months)
    • mares prior to breeding w/carrier stallion
  20. what is problem with vaccinating young colts?
    test seropositive and cant distinguish from natural infection
  21. who gets disease from rhodococcus equi?
    • 3wk -6mo old foals
    • (adults shed but not clinically affected)
  22. how long is incubation period for rhodoccocus?
    9d-4wk
  23. what type of bacteria is rhodococcus? where in the body does it reside?
    • G+ intracellular pleomorphic rods w/VapA virulence factor
    • alveolar macrophages
    • ubiquitous in environment
  24. what does MDB reveal with rhodococcus infection? how is definitive diagnosis made?
    • leukocytosis, elevated fibrinogen
    • transtracheal wash for cytology/culture
  25. what do rads show with rhodococcus infection?
    • chronic pyogranulomatous bronchopneumonia extensive pulmonary abscessation
    • bronchoalveolar pattern
  26. are rads a helpful prognostic indicator in cases of rhodococcus?
    • no, even really bad lungs can still respond to tx
    • auscultation does not correlate with dz severity either
  27. what will thoracic US show with rhodococcus infection?
    • superficial abscesses and pleural irregularities
    • -good screening tool
  28. what are immune mediated side effects seen with rhodococcus?
    • polysynovitis - not septic, not lame - don't need culture
    • panophthalmitis (give NSAIDs/atropine)
    • colic/mesenteric lnn abscesses
  29. how is rhodococcus treated?
    • erythromycin
    • azithromycin(SID)/clarithromycin + rifampin
    • doxycycline + rifampin
  30. what are negative side effects seen with erythromycin?
    • foal: tachypnea, hyperthermia, diarrhea
    • mom licks foal - possibly fatal colitis
  31. although expensive what is the advantage of hyperimmune plasma for rhodococcus?
    provides passive immunity when given first few days of life then 2nd dose 25d later
  32. can rhodococcus patient be expected to race again?
    possible; if full recovery achieved, can compete as well as siblings
  33. what should be done with foals on farms with endemic rhodococcus?
    weekly US screening of thorax and check TPR
  34. what are 2 important pathogens of neonatal (birth to 1mo) pneumonia?
    • klebsiella
    • e.coli
  35. what are most common causes of bacterial pneumonia in foals 1-6mo?
    • strep zoo
    • r. equi
    • (anaerobes are infrequent)
  36. what is an opportunistic pathogen, eukaryote that is seen in compromised patients?
    pneumocystis carinii
  37. what is cause of exercise induced pulmonary hemorrhage?
    • intense exercise - incr. pulmonary a pressure - negative inspiratory pressure - ruptures capillaries
    • (NOT related to duration)
  38. who is affected by EIPH?
    • all TB racehorses
    • most SB; 62% QH

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