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Volume 1, Issue 3, August 2020 Dr. Joseph P. Garvin On Sunday, June 14, 2020, we lost a good friend, a kind and compassionate man, and an important diagnostic veterinarian with the Virginia Department of Agriculture and Consumer Services. Dr. Joe Garvin, program manager of the Office of Laboratory Services, died at home, surrounded by family, following a brief illness. Dr. Garvin received a B.S. from the College of William and Mary and was awarded a DVM from the Virginia-Maryland College of Veterinary Medicine in 1987. He dedicated his career to science and public service. He was employed by the Virginia Department of Agriculture and Consumer Services (VDACS) for 32 years. He joined VDACS in 1988 as a veterinarian in Meat and Poultry Services. In 1990, he was promoted to veterinary diagnostician for the Office of Laboratory Services (OLS), and in June 2003, he was promoted to the position of program manager for OLS. As program manager, he managed Virginia's four state animal health laboratories and was actively involved in many state and national committees and projects. Over the past six years, Dr. Garvin worked hard to increase collaborations between the VDACS animal health laboratories and Virginia Tech Animal Laboratory Services. Much of his effort went towards establishing this newsletter and encouraging VDACS participation in veterinary student training. Dr. Garvin's record of public service to the commonwealth was commendable, but it is his admirable leadership qualities, generous nature, driven work ethic, and kind personality that will be missed most. He was a great friend to many, a talented veterinarian, a supportive mentor, and an instrumental leader of the Virginia Department of Agriculture's animal health diagnostic laboratories. He will be missed greatly, and this issue of the Virginia Animal Diagnostics Newsletter is dedicated in his memory. Charles C. Broaddus, DVM, PhD, Dip. ACT State Veterinarian Director, Division of Animal and Food Industry Services Virginia Department of Agriculture and Consumer Services Tanya LeRoith, DVM, PhD, Dip. ACVP Director, Virginia Tech Animal Laboratory Services Equine Potomac horse fever Potomac horse fever was the diagnosis in a horse submitted to the Wytheville Regional Laboratory. The 3-year-old quarter horse gelding died after a four-day course of pyrexia, anorexia, and diarrhea that did not respond to medical therapy. Post- mortem examination revealed gross lesions in the cecum and colon, with green fluid contents. Histopathology confirmed necrotizing typhlocolitis with secondary embolic fungal pneumonia and DIC. Special histopathological stains (Steiners) demonstrated the presence of clusters of argyrophilic bacterial organisms in macrophages. Molecular testing (PCR) of antemortem EDTA blood was positive for Neorickettsia risticii, the agent of Potomac horse fever. Christopher Halsey, DVM RAHL Wytheville Bovine Histophylosis in a calf A 6-month-old steer calf was presented for necropsy. Several in a herd of a few hundred had shown clinical signs of brain disease and a few had died. The brain had multiple scattered regions of hemorrhage. Histologically, these were necrotic and hemorrhagic regions associated with fibrin thrombi in arteries, along with severe infiltration with neutrophils. Bacteriologic culture yielded Histophilus somni, and this is a case of thrombotic meningoencephalitis. Phillip Sponenberg, DVM, PhD Virginia Tech Cardiac congenital malformations in a calf An Angus heifer calf was seen by a veterinarian less than 24 hours after birth with an elevated respiratory rate, increased lung sounds, and dehydration. The calf did not improve following one week of hospitalization with fluids, antibiotics, colostrum, and oxygen, and was euthanized. Necropsy revealed peritoneal effusion, a patent ductus arteriosus and pulmonic stenosis with right ventricular hypertrophy, and aspiration pneumonia with fibrinous pleuritis. The congenital cardiac abnormalities were considered to be clinically significant and correlated with the clinical signs at birth. Thomas Cecere, DVM, PhD, DACVP Virginia Tech Small ruminants Listeriosis in a sheep An 11-month old Dorset sheep with history of intermittent circling, ataxia, and left ear droop was euthanized and submitted for necropsy. No significant findings were identified during necropsy. Histologically, neutrophilic and lymphohistiocytic meningoencephalomyelitis with multiple micro abscesses centered on the brain stem and proximal spinal cord were noted. An aerobic culture of the brainstem yielded moderate numbers of Listeria monocytogenes, in pure culture. Most commonly, the disease is seen after feeding moldy or spoiled hay or silage in large ruminants. In small ruminants, environmental and fecal contamination are common sources of the disease. Other diseases that were ruled out were rabies, enterotoxemia, and small ruminant lentivirus infection. Francisco Carvallo, DVM, DSc, DACVP Virginia Tech Caseous lymphadenitis in a ram A 9-year-old Suffolk ram with a history of internal parasitism was found dead with no premonitory signs and was submitted for necropsy. Multiple abscesses were present in the kidneys, abdominal cavity, lung, and pituitary gland; and Corynebacterium pseudotuberculosis, the causative agent of caseous lymphadenitis, was isolated on microbial culture. Caseous lymphadenitis is a worldwide disease of sheep and goats that presents with abscesses in lymph nodes and visceral organs. The causative organism is transmitted via skin wounds or direct contact with infected material. Thomas Cecere, DVM, PhD, DACVP Virginia Tech Avian Infectious bronchitis in chickens Two 12-week-old chickens were submitted for necropsy by different owners, but it was later discovered that both chickens originated from the same breeder. Both chickens had a history of sudden death with no prior clinical disease. One of the chickens had evidence of dehydration and decreased body condition on gross examination, while the other chicken had no significant gross lesions. Microscopically, there was lymphoplasmacytic and histiocytic tubulointerstitial nephritis, visceral gout, and lymphoid depletion of the bursa of Fabricius. The renal lesions were consistent with infectious bronchitis virus (IBV), and although IBV was not diagnosed in this case, this may have been the cause of death of these chickens. Infectious bronchitis virus is a highly contagious disease caused by a coronavirus. IBV is more well known for respiratory disease, but there is also a nephrogenic strain that infects the kidneys without significant damage to the tracheal epithelium, like in these cases. The lymphoid depletion was thought to be secondary to concurrent illness. Jaime Weisman, DVM, MSc RAHL Warrenton Fungal pneumonia in young Chukar Six 4-week old Chukars were presented for necropsy with a history of increased mortality. Treatment with antibiotics was ineffective in the flock. Gross necropsy revealed mild to moderate dehydration with tacky organ surfaces and concentrated urates in ureters. Intestines were thin-walled with thickened cecal cores. Wet prep gut scrape revealed a moderate coccidial load. Multifocal fungal plaques ranging from 1 mm to 3 mm in diameter were noted in three or six birds. One bird had a fungal plaque adhered to the costochondral junction. Lungs were grossly congested. Other organs were grossly normal. Histopathology showed a lymphocytic enteritis with moderate to large numbers of intraepithelial and intrahistiocytic apicomplexan parasites (coccidiosis). In the lungs, heterophilic and necrotizing pneumonia with intralesional fungal hyphae with morphology compatible with Aspergillus spp was noted. Further discussion with the owner revealed that the coops in which the Chukars were housed contained a weathered switchgrass bedding. Aspergillosis causing fungal pneumonia is often seen with cases of improperly stored bedding material and can result in high mortality, especially in young birds. Changing to a treated, dry-stored bedding is crucial for recovery. Coccidial infections can be seen in many species of poultr, and can cause clinical signs ranging from weight loss and diarrhea to death. Treatment with an anti-coccidial is effective. Jessica Walters, DVM, PhD, DACPV RAHL Harrisonburg Proventricular adenocarcinoma and septicemia in a budgerigar A male budgerigar had a prolonged history of moderate diarrhea and was treated long-term with Amphotericin-B for suspected Avian Gastrointestinal Yeast infection. The bird died spontaneously. Gross necropsy was unrewarding, with a moderate diminishment of pectoral muscle being the only finding. Histologic examination revealed atypical glands infiltrating the wall of the proventriculus. These were often distended with mucus. The lumen contained numerous plump bacilli. The liver had scattered regions of coagulative necrosis with no inflammation. The results are consistent with a mucinous adenocarcinoma of the proventriculus, with bacterial overgrowth and peracute septicemia immediately pre-terminal. Phillip Sponenberg, DVM, PhD Virginia Tech Companion animals Canine herpesvirus in a puppy A 2-week-old puppy was presented for necropsy after being treated at an emergency clinic for respiratory distress with steroids, oxygen, and an antibiotic. Another puppy from the same litter also died around the same time. There was a small amount of mucoid discharge from the nose and a prominent interstitial pattern in the lungs. A subacute infarct was visible on the surface of the heart and multiple infarcts in the liver. The textbook appearance of the kidneys with multifocal to coalescing cortical hemorrhages was highly characteristic of Canine Herpesvirus-1 (CHV-1). Histopathology also supported this diagnosis with findings of necrotizing hepatitis, nephritis, and bronco-interstitial pneumonia, all with intranuclear eosinophilic inclusion bodies. The CHV-1 FA tests on lung and liver were negative, though that did not rule out the disease given the other supporting evidence. CHV-1 is a common canine infection and is spread by sexual contact as well as nose-to-nose contact. Problems classically occur when an uninfected female becomes infected during pregnancy. Females infected long before pregnancy usually do not cause infections in their litters. CHV-1 typically causes symptoms in utero or in newborn puppies and they usually do not survive infection. Chelsea Crawford, DVM RAHL Lynchburg Feline Ischemic Encephalopathy A 3-year-old outdoor cat appeared normal when the owner locked her in the barn with two other cats for the night. At 7 a.m. the next morning, the owner found her disoriented and ataxic and rushed her to the vet. The veterinarian administered activated charcoal, after which the cat vomited, seized, and died. Necropsy showed a healthy cat with no significant lesions until the cranial cavity was opened. Within the rostral subdural space was a hematoma which contained a single Cuterebra larvae. Histopathology showed eosinophilic meningitis. Abnormal migration of Cuterebra (bot fly) larvae can occur when cats or dogs pick up rodent or rabbit bot fly eggs in the environment. Most of the time when this occurs, the larvae will migrate to a spot under the skin and create a swelling where the larvae will develop before it exits the host's body. In rare cases, as in this case, the larvae can migrate up the nasal passages into the brain. Chelsea Crawford, DVM RAHL Lynchburg Chemodectoma and pheochromocytoma in a dog A 10-year-old male Corgi dog was received for routine necropsy. Grossly, a tumor at the base of the heart and another extending from the adrenal medulla into the vena cava were seen. Diagnosis of a chemodectoma at the base of the heart and a pheochromocytoma infiltrating into the vena cava was made with histology. Both of these neuroendocrine tumors contributed to hypertension and thoracic effusion. Valentina Stevenson, DVM Virginia Tech Laboratory News Carrie Umberger is the new microbiologist supervisor at the RAHL Wytheville. Carrie earned a B.S. in biology at Virginia Tech and then an M.T. at the Carilion School of Clinical Laboratory Sciences. For seven years, she worked in research and development for Novozymes Biologicals. In 2009, she started working at Wythe County Community Hospital as a generalist and soon became the microbiology supervisor, a position she held for eight years. Dr. Roger Ramirez-Barrios joined the ViTALS team last June as the new clinical parasitologist. Original from Venezuela, Dr. Ramirez-Barrios completed a Ph.D. at the University of Cordoba, Spain, and postdoc training at the University of Minnesota Duluth. He has broad experience in gastrointestinal parasites and vector-borne diseases. Laboratory Locations RAHLS Regional Animal Health Laboratory System Harrisonburg 261 Mt. Clinton Pike Harrisonburg, VA 22802 540-209-9130 [email protected] Warrenton 272 Academy Hill Rd. Warrenton, VA 20186 540-316-6543 [email protected] Lynchburg 4832 Tyreeanna Rd. Lynchburg, VA 24504 434-200-9988 [email protected] Wytheville 250 Cassell Rd. Wytheville, VA 24382 276-228-5501 [email protected] ViTALS Virginia Tech Animal Laboratory Services 205 Duck Pond Drive Blacksburg, VA 24061 540-231-7666 [email protected]

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Volume 1, Issue 3, August 2020

Dr. Joseph P. GarvinOn Sunday, June 14, 2020, we lost a good friend, a kindand compassionate man, and an important diagnosticveterinarian with the Virginia Department of Agriculture andConsumer Services. Dr. Joe Garvin, program manager ofthe Office of Laboratory Services, died at home,surrounded by family, following a brief illness.

Dr. Garvin received a B.S. from the College of William andMary and was awarded a DVM from the Virginia-Maryland

College of Veterinary Medicine in 1987. He dedicated his career to science and public service.He was employed by the Virginia Department of Agriculture and Consumer Services (VDACS)for 32 years. He joined VDACS in 1988 as a veterinarian in Meat and Poultry Services. In 1990,he was promoted to veterinary diagnostician for the Office of Laboratory Services (OLS), and inJune 2003, he was promoted to the position of program manager for OLS. As programmanager, he managed Virginia's four state animal health laboratories and was actively involvedin many state and national committees and projects. Over the past six years, Dr. Garvinworked hard to increase collaborations between the VDACS animal health laboratories andVirginia Tech Animal Laboratory Services. Much of his effort went towards establishing thisnewsletter and encouraging VDACS participation in veterinary student training.

Dr. Garvin's record of public service to the commonwealth was commendable, but it is hisadmirable leadership qualities, generous nature, driven work ethic, and kind personality that willbe missed most. He was a great friend to many, a talented veterinarian, a supportive mentor,and an instrumental leader of the Virginia Department of Agriculture's animal health diagnosticlaboratories. He will be missed greatly, and this issue of the Virginia Animal DiagnosticsNewsletter is dedicated in his memory.

Charles C. Broaddus, DVM, PhD, Dip. ACTState VeterinarianDirector, Division of Animal and Food Industry ServicesVirginia Department of Agriculture and Consumer Services

Tanya LeRoith, DVM, PhD, Dip. ACVPDirector, Virginia Tech Animal Laboratory Services

EquinePotomac horse feverPotomac horse fever was the diagnosis in a horsesubmitted to the Wytheville Regional Laboratory.The 3-year-old quarter horse gelding died after afour-day course of pyrexia, anorexia, and diarrheathat did not respond to medical therapy. Post-mortem examination revealed gross lesions in thececum and colon, with green fluid contents.Histopathology confirmed necrotizing typhlocolitiswith secondary embolic fungal pneumonia andDIC. Special histopathological stains (Steiners)demonstrated the presence of clusters ofargyrophilic bacterial organisms in macrophages.Molecular testing (PCR) of antemortem EDTAblood was positive for Neorickettsia risticii, theagent of Potomac horse fever.

Christopher Halsey, DVMRAHL Wytheville

Bovine

Histophylosis in a calfA 6-month-old steer calf was presented fornecropsy. Several in a herd of a few hundred hadshown clinical signs of brain disease and a fewhad died. The brain had multiple scatteredregions of hemorrhage. Histologically, these werenecrotic and hemorrhagic regions associated withfibrin thrombi in arteries, along with severeinfiltration with neutrophils. Bacteriologic culture

yielded Histophilus somni, and this is a case of thrombotic meningoencephalitis.

Phillip Sponenberg, DVM, PhDVirginia Tech

Cardiac congenitalmalformations in a calfAn Angus heifer calf was seen by a veterinarianless than 24 hours after birth with an elevatedrespiratory rate, increased lung sounds, anddehydration. The calf did not improve followingone week of hospitalization with fluids, antibiotics,colostrum, and oxygen, and was euthanized.

Necropsy revealed peritoneal effusion, a patent ductus arteriosus and pulmonic stenosis withright ventricular hypertrophy, and aspiration pneumonia with fibrinous pleuritis. The congenitalcardiac abnormalities were considered to be clinically significant and correlated with the clinicalsigns at birth.

Thomas Cecere, DVM, PhD, DACVPVirginia Tech

Small ruminants

Listeriosis in a sheepAn 11-month old Dorset sheep with history ofintermittent circling, ataxia, and left ear droop waseuthanized and submitted for necropsy. Nosignificant findings were identified duringnecropsy. Histologically, neutrophilic andlymphohistiocytic meningoencephalomyelitis withmultiple micro abscesses centered on the brainstem and proximal spinal cord were noted. Anaerobic culture of the brainstem yielded moderatenumbers of Listeria monocytogenes, in pure

culture. Most commonly, the disease is seen after feeding moldy or spoiled hay or silage in largeruminants. In small ruminants, environmental and fecal contamination are common sources of thedisease. Other diseases that were ruled out were rabies, enterotoxemia, and small ruminantlentivirus infection.

Francisco Carvallo, DVM, DSc, DACVPVirginia Tech

Caseous lymphadenitis in a ramA 9-year-old Suffolk ram with a history of internalparasitism was found dead with no premonitorysigns and was submitted for necropsy. Multipleabscesses were present in the kidneys,abdominal cavity, lung, and pituitary gland; and Corynebacterium pseudotuberculosis, thecausative agent of caseous lymphadenitis, wasisolated on microbial culture. Caseouslymphadenitis is a worldwide disease of sheepand goats that presents with abscesses in lymphnodes and visceral organs. The causativeorganism is transmitted via skin wounds or directcontact with infected material.

Thomas Cecere, DVM, PhD, DACVPVirginia Tech

Avian

Infectious bronchitis in chickensTwo 12-week-old chickens were submitted fornecropsy by different owners, but it was laterdiscovered that both chickens originated from thesame breeder. Both chickens had a history ofsudden death with no prior clinical disease. Oneof the chickens had evidence of dehydration anddecreased body condition on gross examination,while the other chicken had no significant gross

lesions. Microscopically, there was lymphoplasmacytic and histiocytic tubulointerstitial nephritis,visceral gout, and lymphoid depletion of the bursa of Fabricius. The renal lesions were consistentwith infectious bronchitis virus (IBV), and although IBV was not diagnosed in this case, this mayhave been the cause of death of these chickens. Infectious bronchitis virus is a highly contagiousdisease caused by a coronavirus. IBV is more well known for respiratory disease, but there is alsoa nephrogenic strain that infects the kidneys without significant damage to the trachealepithelium, like in these cases. The lymphoid depletion was thought to be secondary toconcurrent illness.

Jaime Weisman, DVM, MScRAHL Warrenton

Fungal pneumonia in youngChukarSix 4-week old Chukars were presented fornecropsy with a history of increased mortality.Treatment with antibiotics was ineffective in theflock. Gross necropsy revealed mild to moderatedehydration with tacky organ surfaces andconcentrated urates in ureters. Intestines werethin-walled with thickened cecal cores. Wet prepgut scrape revealed a moderate coccidial load.Multifocal fungal plaques ranging from 1 mm to 3mm in diameter were noted in three or six birds.One bird had a fungal plaque adhered to thecostochondral junction. Lungs were grossly

congested. Other organs were grossly normal. Histopathology showed a lymphocytic enteritis withmoderate to large numbers of intraepithelial and intrahistiocytic apicomplexan parasites(coccidiosis). In the lungs, heterophilic and necrotizing pneumonia with intralesional fungalhyphae with morphology compatible with Aspergillus spp was noted. Further discussion with theowner revealed that the coops in which the Chukars were housed contained a weatheredswitchgrass bedding. Aspergillosis causing fungal pneumonia is often seen with cases ofimproperly stored bedding material and can result in high mortality, especially in young birds.Changing to a treated, dry-stored bedding is crucial for recovery. Coccidial infections can be seenin many species of poultr, and can cause clinical signs ranging from weight loss and diarrhea todeath. Treatment with an anti-coccidial is effective.

Jessica Walters, DVM, PhD, DACPVRAHL Harrisonburg

Proventricular adenocarcinomaand septicemia in a budgerigarA male budgerigar had a prolonged history ofmoderate diarrhea and was treated long-term withAmphotericin-B for suspected AvianGastrointestinal Yeast infection. The bird diedspontaneously. Gross necropsy was unrewarding,with a moderate diminishment of pectoral musclebeing the only finding. Histologic examinationrevealed atypical glands infiltrating the wall of theproventriculus. These were often distended withmucus. The lumen contained numerous plumpbacilli. The liver had scattered regions ofcoagulative necrosis with no inflammation. Theresults are consistent with a mucinousadenocarcinoma of the proventriculus, with

bacterial overgrowth and peracute septicemia immediately pre-terminal.

Phillip Sponenberg, DVM, PhDVirginia Tech

Companion animals

Canine herpesvirus in a puppyA 2-week-old puppy was presented for necropsyafter being treated at an emergency clinic forrespiratory distress with steroids, oxygen, and anantibiotic. Another puppy from the same litter alsodied around the same time. There was a smallamount of mucoid discharge from the nose and aprominent interstitial pattern in the lungs. Asubacute infarct was visible on the surface of the

heart and multiple infarcts in the liver. The textbook appearance of the kidneys with multifocal tocoalescing cortical hemorrhages was highly characteristic of Canine Herpesvirus-1 (CHV-1).Histopathology also supported this diagnosis with findings of necrotizing hepatitis, nephritis, andbronco-interstitial pneumonia, all with intranuclear eosinophilic inclusion bodies. The CHV-1 FAtests on lung and liver were negative, though that did not rule out the disease given the othersupporting evidence. CHV-1 is a common canine infection and is spread by sexual contact as wellas nose-to-nose contact. Problems classically occur when an uninfected female becomes infectedduring pregnancy. Females infected long before pregnancy usually do not cause infections in theirlitters. CHV-1 typically causes symptoms in utero or in newborn puppies and they usually do notsurvive infection.

Chelsea Crawford, DVMRAHL Lynchburg

Feline Ischemic EncephalopathyA 3-year-old outdoor cat appeared normal whenthe owner locked her in the barn with two othercats for the night. At 7 a.m. the next morning, theowner found her disoriented and ataxic andrushed her to the vet. The veterinarianadministered activated charcoal, after which thecat vomited, seized, and died. Necropsy showed ahealthy cat with no significant lesions until the

cranial cavity was opened. Within the rostral subdural space was a hematoma which contained asingle Cuterebra larvae. Histopathology showed eosinophilic meningitis. Abnormal migration ofCuterebra (bot fly) larvae can occur when cats or dogs pick up rodent or rabbit bot fly eggs in theenvironment. Most of the time when this occurs, the larvae will migrate to a spot under the skinand create a swelling where the larvae will develop before it exits the host's body. In rare cases,as in this case, the larvae can migrate up the nasal passages into the brain.

Chelsea Crawford, DVMRAHL Lynchburg

Chemodectoma andpheochromocytoma in a dogA 10-year-old male Corgi dog was received forroutine necropsy. Grossly, a tumor at the base ofthe heart and another extending from the adrenalmedulla into the vena cava were seen. Diagnosisof a chemodectoma at the base of the heart and apheochromocytoma infiltrating into the vena cavawas made with histology. Both of these

neuroendocrine tumors contributed to hypertension and thoracic effusion.

Valentina Stevenson, DVMVirginia Tech

Laboratory NewsCarrie Umberger is the new microbiologist supervisor at the RAHL Wytheville. Carrie earned aB.S. in biology at Virginia Tech and then an M.T. at the Carilion School of Clinical LaboratorySciences. For seven years, she worked in research and development for Novozymes Biologicals.In 2009, she started working at Wythe County Community Hospital as a generalist and soonbecame the microbiology supervisor, a position she held for eight years.

Dr. Roger Ramirez-Barrios joined the ViTALS team last June as the new clinical parasitologist.Original from Venezuela, Dr. Ramirez-Barrios completed a Ph.D. at the University of Cordoba,Spain, and postdoc training at the University of Minnesota Duluth. He has broad experience ingastrointestinal parasites and vector-borne diseases.

Laboratory Locations

RAHLSRegional Animal Health Laboratory System

Harrisonburg261 Mt. Clinton PikeHarrisonburg, VA [email protected]

Warrenton272 Academy Hill Rd.Warrenton, VA [email protected]

Lynchburg4832 Tyreeanna Rd.Lynchburg, VA 24504434-200-9988 [email protected]

Wytheville250 Cassell Rd.Wytheville, VA [email protected]

ViTALS Virginia Tech Animal Laboratory Services205 Duck Pond DriveBlacksburg, VA [email protected]

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