Wednesday 24 April 2013

Lungworms



Lungworms are common in species, especially dogs and cattle. Angiostrongylus Vasorum is one of the growing concerns in the canine world. 

M.Apri- see pig section.
D.Viviparus- see own section. 

Meullerius Capillaris

  • Common.
  • Non pathogenic in sheep, but pathogenic in goats.
  • Hair like adults in the lung parenchyma.
  • Eosinophilic grey green nodules.
Intermediate host-> slug/snail.

Need to distinguish from D.Filaria by the fact that it has no anterior cuticular knob or food granules and has a kink and spike on the end of the tail. 

Oslerus Osleri
The only lungworm to have a direct life cycle.
  • Found in tracheal nodules.
  • Bitch-> pup passed via L1 in the bitch sputum the infective stage.
Clinical Signs
  • Tracheo-bronchitis. 
  • Cough.
  • Young dogs below 18 months old.
  • 10-18 month PPP (unlike 4 week ppp of m.apri). 
Identify
  • Low sensitivity to faecal larvae.
  • Can use bronchoscopy to identify the nodules. 
L1 moults to the L2 in the small intestine, migrates via the lymphatics and the vascular system to the lungs. 

Crenosoma Vulpis 
  • Another dog parasite.
  • Fox reservoir host.
  • L1- L3 in snails. 
  • Show seasonality.
Found in the mucus of the trachea, bronchi and bronchioles. 

Aleurostrongylus Abstrusus
  • Cat parasite.
  • Adults in the lung parenchuma.
  • L1 in the faeces.
  • Snail intermediate host and bird/rodent paratenic host (no development). 
Generally asymptomatic but may cause a cough/respiratory disease.
Treatment= Fenbendazole similar to m.apri. 

Angiostrongylus Vasorum 
  • Highly pathogenic.
  • Found in the pulmonary artery & right atrium.
  • Intermediate host= slug/snail. 
  • L1 is released from the adult female-> pulmonary capillaries-> alveoli & trachea-> coughed up, swallowed and pass out as L1 in the faeces.
  • Can be diagnosed via the baermann apparatus. 
  • Take repeat samples.
  • L1-L3 in the snail. Slug ingested by the dog. Migrates lymphotracheal to the heart and pulmonary arteries.
  • PPP= 5-8 weeks.
Clinical Signs-> 
  • Respiratory signs.
  • Coagulopathies (blockage of blood vessels). 
  • Neurological signs.
  • Dysnpnoea. 
  • Weight loss.
  • Flunctuating haematoma.
  • Bleeding disorders. 
Diagnosis-> 
  • Often asymptomatic.
  • Sudden death.
  • Clinical signs and radiography.
  • Enlarged heart and pulmonary artery.
  • Patchy alveolar and interstitial pattern.
  • L1- resp tract. Repeat samples.
Infection foci- south west extending. Fox reservoir hosts and dog movement.
  • Milbemycin Oxime
  • Moxidectin.
  • Febendazole. 
  • Corticosteroids/cage rest. 



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