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1038  Section 9  Infectious Disease

              Finally, there appears to be some zoonotic risk of trans-    Conclusion
  VetBooks.ir  mission  of  S.  equi  subsp.  zooepidemicus  from  canine   Canine infectious respiratory disease is an evolving and
            patients to both healthy and immunocompromised
            human handlers. Most reported cases of infection in
            humans develop subsequent to ingestion of contami-  multifaceted condition with many implicated pathogens
                                                              and  varied  outcomes.  Simple  cases  often  respond  to
            nated milk and dairy products or contact with infected   nonspecific supportive care while more severe cases may
            equine patients. Concurrently, contact with respiratory   prove lethal even with the most advanced therapy.
            secretions – either aerosolized or in contact with mucous   Prevention, through appropriate sanitation, husbandry
            membranes – appears to be capable of infection causing   and vaccination, remains the most effective way to limit
            acute nephritis, meningitis, pneumonia, and death.  disease transmission and morbidity. The zoonotic impli-
                                                              cations of many of the organisms associated with the
                                                              complex deserve further study.


              Further Reading

            Chalker VJ, Brooks HW, Brownlie J. The association of   hemorrhagic pneumonia in intensively housed
              Streptococcus equi subsp. zooepidemicus with canine   (shelter) dogs caused by Streptococcus equi subsp.
              infectious respiratory disease. Vet Microbiol 2003;   zooepidemicus. Vet Pathol 2008; 45(1): 51–3.
              95(1–2): 149–56.                                Priestnall S, Erles K. Streptococcus zooepidemicus: an
            Chalker VJ, Owen WM, Paterson C, et al. Mycoplasmas   emerging canine pathogen. Vet J 2011; 188(2): 142–8.
              associated with canine infectious respiratory disease.   Radhakrishnan A, Drobatz KJ, Culp WTN, King LG.
              Microbiology 2004; 150(Pt 10): 3491–7.            Community‐acquired infectious pneumonia in puppies:
            Pesavento PA, Hurley KF, Bannasch MJ, Artiushin S,   65 cases (1993–2002). J Am Vet Med Assoc 2007;
              Timoney JF. A clonal outbreak of acute fatal      230(10): 1493–7.
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