Infectious Canine Hepatitis
Issue Description
Infectious canine hepatitis is an acute liver infection in dogs caused by canine adenovirus type-1 (CAV-1). CAV-1 also causes disease in wolves, coyotes, and
bears, and encephalitis in foxes. The virus is spread in the feces, urine, blood, saliva, and nasal discharge of infected dogs. It is contracted through the mouth
or nose, where it replicates in the tonsils. The virus then infects the liver and kidneys. The incubation period is 4 to 7 days.
Symptoms
Symptoms include fever, depression, loss of appetite, coughing, and a tender abdomen. Corneal edema and signs of liver disease, such as jaundice, vomiting, and
hepatic encephalopathy, may also occur. Severe cases will develop bleeding disorders, which can cause hematomas to form in the mouth. Death can occur secondary
to this or the liver disease. However, most dogs recover after a brief illness, although chronic corneal edema and kidney lesions may persist.
Diagnosis is made by recognizing the combination of symptoms and abnormal blood tests that occur in infectious canine hepatitis. A rising antibody titer to CAV-1
is also seen. The disease can be confused with canine parvovirus because both will cause a low white blood cell count and bloody diarrhea in young, unvaccinated
dogs.
Treatment
Most dogs recover spontaneously without treatment. Prevention is through vaccination. Most combination vaccines for dogs contain a modified canine adenovirus type-2.
CAV-2 is one of the causes of respiratory infections in dogs, but it is similar enough to CAV-1 that vaccine for one creates immunity for both. CAV-2 vaccine is much
less likely to cause side effects than CAV-1 vaccine. One study has shown the vaccine to have a duration of immunity of at least four years.
CAV-1 is
destroyed in the environment by steam cleaning and quaternary ammonium compounds. Otherwise, the virus can survive in the environment for months in the right
conditions. It can also be released in the urine of a recovered dog for up to a year.
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