Karen A. Moriello

Concentrations of total serum IgE, IgA, and IgG in atopic and parasitized dogs.

Concentrations of total serum IgE, IgA, and IgG were measured in 36 atopic and 16 parasitized dogs, and compared them with 30 healthy control dogs. IgE was measured using enzyme-linked immunosorbent assay. IgA and IgG were measured using radial immunodiffusion assays. Mean total serum immunoglobulin (Ig) E concentrations in healthy, atopic and parasitized dogs were 7.1 units (U) ml-1, 5.8 U ml-1 and 14.3 U ml-1, respectively. Mean total serum IgA concentrations in the same groups were 103.3 mg dl-1, 63.2 mg dl-1 and 67.3 mg dl-1, respectively. Mean total serum IgG concentrations were 1066 mg dl-1, 1621 mg dl-1 and 1480 mg dl-1 in the three groups. There was no significant difference in IgE concentrations between these groups of dogs. IgA levels were significantly lower in atopic and parasitized dogs compared with healthy dogs (P < or = 0.05), whereas IgG levels were significantly higher in the atopic and parasitized dogs (P < or = 0.005). These results suggest that measurement of total serum IgE would be of no benefit in the preliminary clinical investigation of a suspected atopic dog. The lower IgA and higher IgG concentrations in both atopic and parasitized dogs suggest that similar regulatory mechanisms governing immunoglobulin synthesis occur in canine allergic and parasitic disease, promoting IgG synthesis but down-regulating IgA production.

Feline Dermatophytosis: Recent Advances and Recommendations for Therapy

Feline dermatophytosis is one of the most common skin diseases of cats. In the past, much of the information available on this subject stemmed from clinical observations. This article summarizes current research findings on the epidemiology, immunology, pathogenesis, and treatment of feline dermatophytosis. As a result of these studies, the authors propose new recommendations for treatment.

Development of an experimental model of Microsporum canis infection in cats

An experimental infection model was developed for reliable induction of Microsporum canis skin infections in cats, using a defined number of macroconidia harvested from the fungus in culture. The strain of M. canis used produced highly fluorescent hairs under ultraviolet illumination. Kittens 8 to 9 weeks of age (n = 6) received 10(5) macroconidia applied topically to a closely-shaved area of skin. Sites were dressed with an occlusive bandage for 3 days, then grooming was restricted for an additional 4 weeks. Lesions were first observed 2 weeks after inoculation, enlarged over the following 6 to 8 weeks, then decreased in size and appeared healed at 12 to 14 weeks after inoculation. Cats often developed satellite lesions on the face, ears, or other body regions. The experimental infections strongly resembled moderately severe cases of naturally-occurring feline dermatophytosis in clinical patients. This experimental infection model will be useful for evaluation of topical and systemic treatments for feline M. canis infection.

Zoonotic skin diseases of dogs and cats.

Abstract Although there are over 250 zoonotic diseases, only 30–40 of them involve dogs and cats. Transmission of zoonotic infections occurs via bites, scratches or touch; exposure to saliva, urine or feces; inhalation of particles or infectious aerosols; contact with a transport or intermediate host (e.g. ticks, fleas); or exposure to contaminated water, soil or vegetation. This paper summarizes the most important common zoonotic dermatological diseases of dogs and cats. The most common dermatological zoonoses are flea and tick infestations and the diseases they transmit; dermatophytosis; and mite infestations (Sarcoptes and Cheyletiella). Prevention of zoonotic infestations or infections can be accomplished easily by the use of routine flea and tick control, screening of new pets for dermatophytosis, and routine hand-washing.

Clinical Approach to Tumors of the Skin and Subcutaneous Tissues

With skin tumors, a lump is only a lump until a definitive diagnosis has been made. It is nearly impossible to make an accurate diagnosis solely on clinical signs. In some instances, fine-needle aspirate may be diagnostic; however, in all instances biopsy is the preferred method for definitively diagnosing canine and feline skin tumors. Prognosis and treatment depend on the diagnosis.

Use of itraconazole and either lime sulphur or Malaseb Concentrate Rinse® to treat shelter cats naturally infected with Microsporum canis: an open field trial

In an open non-randomized study, 90 cats with severe dermatophytosis were treated with 21 days of oral itraconazole at 10 mg/kg and one of three topical antifungal rinses applied twice weekly: lime sulphur (LSO); reformulated lime sulphur with an odour-masking agent (LSR); or a 0.2% miconazole nitrate and 0.2% chlorhexidine gluconate rinse (MC). Weekly examinations and fungal cultures were used to monitor the cats response to therapy. If at day 42 of treatment cats were still strongly fungal culture positive and/or developing new lesions, they were retreated with oral itraconazole and LSO. Cats were not prevented from licking the solutions and none developed oral ulcerations. Thirty-one cats were treated with LSO, 27 with LSR and 32 with MC. The median number of days to cure was 30 (range 10-69 days) and 34 (range 23-80 days) for LSO and LSR, respectively. Thirty-two cats were treated with MC, and 13 of 32 cats required repeat treatment because of persistent culture-positive status and development of new lesions. Median number of days of treatment for the 19 cats that cured with MC was 48 (range 14-93 days). When the number of days to cure was compared between the groups, there was a significant difference between cats treated with LSO and LSR (P=0.029) and cats treated with LSO and MC (P=0.031), but no significant difference between the number of days to cure for cats treated with LSR and MC (P=0.91).

Diagnosis and treatment of dermatophytosis in dogs and cats.: Clinical Consensus Guidelines of the World Association for Veterinary Dermatology

BACKGROUNDnDermatophytosis is a superficial fungal skin disease of cats and dogs. The most common pathogens of small animals belong to the genera Microsporum and Trichophyton. It is an important skin disease because it is contagious, infectious and can be transmitted to people.nnnOBJECTIVESnThe objective of this document is to review the existing literature and provide consensus recommendations for veterinary clinicians and lay people on the diagnosis and treatment of dermatophytosis in cats and dogs.nnnMETHODSnThe authors served as a Guideline Panelxa0(GP) and reviewed the literature available prior to September 2016. The GP prepared a detailed literature review and made recommendations on selected topics. The World Association of Veterinary Dermatology (WAVD) provided guidance and oversight for this process. A draft of the document was presented at the 8th World Congress of Veterinary Dermatology (May 2016) and was then made available via the World Wide Web to the member organizations of the WAVD for a period of threexa0months. Comments were solicited and posted to the GP electronically. Responses were incorporated by the GP into the final document.nnnCONCLUSIONSnNo one diagnostic test was identified as the gold standard. Successful treatment requires concurrent use of systemic oral antifungals and topical disinfection of the hair coat. Woods lamp and direct examinations have good positive and negative predictability, systemic antifungal drugs have a wide margin of safety and physical cleaning is most important for decontamination of the exposed environments. Finally, serious complications of animal-human transmission are exceedingly rare.

Efficacy of disinfectants containing accelerated hydrogen peroxide against conidial arthrospores and isolated infective spores of Microsporum canis and Trichophyton sp.

BACKGROUNDnAccelerated hydrogen peroxide is a proprietary disinfectant formulation that is available for both commercial and home use and is labelled as antifungal.nnnHYPOTHESIS/OBJECTIVESnTo determine the antifungal efficacy of accelerated hydrogen peroxide disinfectants against Microsporum and Trichophyton spp.nnnMETHODSnThree products formulated as ready to use and three concentrates were used. Concentrates were tested at dilutions of 1:8, 1:16 (recommended dilution) and 1:32. One product was a surgical instrument disinfectant. Sterile water, sodium hypochlorite (1:32 dilution) and over-the-counter 3% hydrogen peroxide were used as controls. Conidial suspensions contained ~9.6xa0×xa010(5) /mL Microsporum canis, ~1.0xa0×xa010(7) /mL M.xa0gypseum or ~2.0xa0×xa010(7) /mL Trichophyton sp. and were tested at 1:10 dilution. Isolated infective spore suspensions of M.xa0canis from an untreated cat and T.xa0erinacei from an untreated hedgehog were tested at 1:10, 1:5 and 1:1 spore-to-disinfectant dilutions.nnnRESULTSnToo many colonies to count were present on untreated control plates. Accelerated hydrogen peroxide and household hydrogen peroxide inhibited growth of both pathogens in conidial (1:10 dilution) and spore suspensions (1:10, 1:5 and 1:10 dilution). There was no lack of efficacy of products that were >12xa0months old.nnnCONCLUSIONS AND CLINICAL IMPORTANCEnAccelerated hydrogen peroxide products are an option for environmental disinfection of surfaces exposed to M.xa0canis and Trichophyton sp. after appropriate gross decontamination and mechanical cleaning with a detergent. The results from conidial testing were identical to those of isolated infected spore testing, which suggests that accelerated hydrogen peroxide products with label claim as antifungal against Trichophyton mentagrophytes may be suitable as an alternative disinfectant to sodium hypochlorite.

Efficacy of eight commercial disinfectants against Microsporum canis and Trichophyton spp. infective spores on an experimentally contaminated textile surface.

BACKGROUNDnAn important part of treatment of dermatophytosis is the removal of infective material and decontamination of the environment. It is recognized that the role of disinfectants is to kill infective material not removed during the mechanical removal of debris and gross cleaning steps. A widely used disinfectant in the home is a dilute solution of sodium hypochlorite.nnnHYPOTHESIS/OBJECTIVESnTo determine whether over-the-counter products, particularly ready-to-use formulations, with label claim as fungicidal are effective against Microsporum or Trichophyton spores isolated from cat hair.nnnMETHODSnEight commercial disinfectants were tested in vitro for fungicidal efficacy using three different trials and a 10 min contact time, as follows: a standard 1:10 spore dilution suspension test; 1 and 5 mL of disinfectant solution applied to contaminated gauze fabric; and, to simulate home use, one and five sprays of disinfectant applied to contaminated gauze. Good efficacy was defined as a product that completely inhibited growth.nnnRESULTSnAll products completely inhibited growth in the suspension test. Four of eight products showed complete inhibition of growth of both pathogens on the textile test after 1 mL or one spray; however, all eight products showed complete inhibition of pathogen growth after 5 mL or five sprays.nnnCONCLUSIONS AND CLINICAL IMPORTANCEnAggressive removal of contaminated material followed by thorough application of commercial ready-to-use disinfectants labelled as fungicidal against Trichophyton mentagrophytes are alternatives to dilute sodium hypochlorite.

The prevalence of immediate and delayed type hypersensitivity reactions to Microsporum canis antigens in cats

Spontaneous recovery from Microsporum canis infections in cats is thought to be dependent on the development of a competent immune response. The purpose of this study was to determine the prevalence of positive delayed type hypersensitivity reactions in cats with and without dermatophytosis. Four groups of cats were intradermally skin tested with M canis extract and test sites were evaluated both subjectively and objectively at 0, 24 and 48 h after injection. Delayed intradermal testing (IDT) reactions were absent in cats not exposed to dermatophytosis (n=20); infected–recovered cats (n=38 culture negative lesion negative and n=43 lesion negative but culture positive) had significantly larger IDT reactions than unexposed cats and cats that were still actively infected (n=18). Based on the results of this study, IDT with M canis extract can be used to assess the cellular immune response of cats with dermatophytosis.