VIRAL DISEASES
Viruses are disease-causing organisms that are even more basic than cells. They are simply packages of protein.
INFECTIOUS CANINE HEPATITIS
Infectious canine hepatitis is a highly contagious viral disease caused by
canine adenovirus-1. In the United States the disease is rare and is seen
almost exclusively in wild canids and unvaccinated dogs. Most cases occur in
puppies under 1 year of age.
Following exposure, the virus multiplies in the dog’s tissues and is shed in
all body secretions. During this stage, the dog is highly contagious and can
spread infection to other dogs who make contact with his infected urine,
stool, and saliva. After he has recovered, the dog remains infective and sheds
the virus in the urine for up to nine months.
Infectious canine hepatitis affects the liver, kidneys, and lining of the
blood vessels, producing a mild infection at one extreme to a rapidly fatal
infection at the other. A dog with a mild or subclinical infection loses his
appetite and simply appears lethargic. In the fatal form, the dog suddenly
becomes ill, develops bloody diarrhea, collapses, and dies within hours.
Puppies may die without obvious illness.
A dog with acute infection runs a fever up to 106°F (41.1°C), refuses to
eat, passes bloody diarrhea, and, often, vomits blood. The dog has a tucked-up
belly caused by painful swelling of the liver. Light is painful to the dog’s eyes
and causes tearing and squinting. Tonsillitis, spontaneous bleeding beneath
the gums and under the skin, and jaundice may occur.
Infectious hepatitis can be suspected by the signs and symptoms and confirmed
by virus isolation tests. About 25 percent of dogs recovering from
infectious canine hepatitis develop a characteristic clouding of the cornea of
one or both eyes known as blue eye. In most cases blue eye disappears within
a few days.
Treatment:
Acute cases must be hospitalized for intensive veterinary
treatment.
RABIES
Rabies is a fatal disease that occurs in nearly all warm-blooded animals,
although rarely in rodents. In the United States, vaccination programs for
dogs and other domestic animals have been remarkably effective. This has
greatly reduced the risk of rabies in pets and their owners.
The major wildlife reservoirs for rabies (with substantial overlap) are the
skunk in the Midwest, Southwest, and California; raccoons in New England
and the East; foxes in New York, neighboring eastern Canada, Alaska, and
the Southwest; and coyotes and foxes in Texas. Bats, which are distributed
widely, also carry rabies.
The main source of infection for humans outside the United States continues
to be a bite from an infected dog or cat. In India, for example, a country
that lacks an effective rabies control program, it is estimated that several
thousand people die of rabies each year. Travelers to countries where rabies is
endemic should be aware of the risk of dog bites.
The rabies virus, which is present in infected saliva, enters the body at the
site of a bite. Saliva on an open wound or disrupted mucous membrane also
constitutes exposure. The average incubation period in dogs is two to eight
weeks, but it can be as short as one week or as long as one year. The virus travels
to the brain along the nerves. The more distant the bite is from the brain,
the longer the period of incubation. The virus then travels back along the
nerves to the mouth. Entry into the salivary glands occurs less than 10 days
before symptoms appear—which means animals can be infectious before they
show any signs of rabies (this is unusual but is possible).
Dogs can show either of two versions: the aggressive form, where they
attack and act very boldly aggressive; or the “dumb” form, where they are
ataxic (an inability to coordinate voluntary muscle movements) and may
walk into objects. In both cases, you may notice extensive drooling due to
paralysis of the muscles used for swallowing.
Any dog who is bitten by an animal who is not absolutely known to be free
of rabies must be assumed to have been exposed to rabies, until proven otherwise.
The National Association of State Public Health Veterinarians recommends
that if the dog has previously been vaccinated against rabies,
revaccinate immediately and observe the dog under leash confinement at
home for 45 days. If the dog has not been vaccinated, either euthanize the
animal or confine him under strict quarantine without direct handling by humans or contact with other animals for six months. Vaccinate him one
month before he is released (that is, at five months after the bite). If this
seems harsh, keep in mind that it would not have been necessary if the pet
had been vaccinated. Different states may have their own specific quarantine
and vaccination regulations for dogs who have been exposed to rabies.
Treatment:
If you or your dog are bitten by any animal of unknown rabies
status, it is extremely important to vigorously cleanse all wounds and scratches,
washing them thoroughly with soap and water. Studies in animals have shown
that prompt local wound cleansing greatly reduces the risk of rabies. The
wound should not be sutured.
Prophylaxis in a previously vaccinated dog consists of a booster shot,
which should be given as soon as possible (and certainly within 14 days of the
lick or bite). Vaccination is not effective once signs of rabies infection appear.
The introduction of inactivated vaccines grown in human diploid cell cultures
has improved the effectiveness and safety of postexposure vaccination
for humans. Assuming the human bite victim did not have a preexposure
rabies immunization, both passive rabies immune globulin and human origin
active diploid cell vaccine should be given.
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