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Basics

Basics

Overview

CHV causes a systemic infection in immunologically naïve animals; systemic disease in pups <2–3 weeks of age is usually fatal; systemic infection in naïve pregnant dams causes fetal death, mummification, and abortion. Pups born to immune dams develop life-long infection. After primary infection, CHV becomes latent in neurons of sensory ganglia, but can recrudesce when animals are stressed or are receiving immunosuppressive treatments leading to excretion in nasal secretions; recrudescence associated with mild respiratory illness or mild to severe ocular disease. Prevalence of latent infection is high; CHV ocular disease in adult animals is common, but underdiagnosed.

  • Mature non-pregnant animals usually have inapparent, localized infections in the nasopharynx or external genitalia.
  • Localized genital infections reported in both sexes.

Signalment

  • All members of the canine family are susceptible.
  • Death usually occurs between 9 and 14 days after birth; range is from 1 day (prenatal infection) to about 1 month (neonatal infection).
  • Most commonly reported in purebred dogs, although there is no breed predilection. Ocular signs associated with CHV are common, but underdiagnosed.

Signs

  • Dyspnea.
  • Serous to mucopurulent nasal discharge.
  • Anorexia.
  • Grayish yellow or green, soft, odorless stool.
  • Persistent, agonizing crying.
  • Encephalitic signs.
  • Severe gasping before death.
  • Petechial hemorrhages on the mucous membranes occasionally seen.
  • Incubation period in neonatal pups is 4–6 days.
  • Onset sudden; death occurs 12–36 hours later.
  • Some pups are found dead without premonitory signs.
  • Occasionally, pups with mild signs survive but often later develop ataxia, persistent vestibular signs, or blindness.
  • Mature females may have lymphofollicular or hemorrhagic lesions in the vagina.
  • Infertility-evidence of increased seroprevalence in kennels with reproductive problems.
  • Conjunctivitis-CHV is a common cause of acquired idiopathic conjunctivitis.
  • CHV ulcerative keratitis-common sequelae of recrudescent infections.

Causes & Risk Factors

  • CHV-typical herpesvirus; only one serotype described; latent infection is endemic in domestic dogs; young, naïve females and their newborn pups at greatest risk.
  • Closed breeding kennels-CHV endemic; infection is less common and most adults are immune; newly introduced breeding bitches at high risk.
  • Abortion storms with massive pup losses can occur when pregnant bitches maintained in private homes are assembled for whelping.
  • Immunosuppressive drugs may provoke reactivation of latent CHV with associated transient ocular disease.

Diagnosis

Diagnosis

Differential Diagnosis

  • Bacteria (brucellosis, coliform bacteria, or streptococci), toxoplasmosis, toxic substances-no typical gross lesions of CHV.
  • MVC (canine parvovirus type 1)-causes enteric or respiratory disease; no characteristic CHV lesions.
  • Distemper and canine adenovirus type 1 (canine hepatitis)-uncommon; no characteristic CHV renal lesions.

CBC/Biochemistry/Urinalysis

Thrombocytopenia may occur

Diagnostic Procedures

  • Immunofluorescence or immunoperoxidase staining; reveal viral antigen in most organs, especially in the lesion areas.
  • Cell cultures-viral isolation accomplished from several tissues, especially lung and kidney; refrigerate (don't freeze) samples.
  • PCR from samples of suspected tissues; e.g., conjunctival swabs; PCR can be used to screen for naïve animals prior to breeding.

Pathologic Findings

Gross

  • Characteristic lesions-disseminated focal necrosis; hemorrhage in several organs.
  • Kidneys-diffuse hemorrhagic areas, necrotic foci, and hemorrhagic infarcts pathognomonic.
  • Lungs, liver, adrenal glands-diffuse foci of hemorrhage and necrosis.
  • Small intestine variably affected.
  • Lymph nodes and spleen-generalized enlargement; consistent finding.
  • Panuveitis.

Histopathologic

  • Foci of perivascular necrosis-with mild cellular infiltration; kidney, lung, liver, spleen, small intestine, and brain.
  • Lesions in the CNS of recovered pups-non-suppurative ganglioneuritis; meningoencephalitis; necrosis in the cerebellum and retina; acidophilic intranuclear inclusions may be observed but are not abundant.
  • Necrotizing lesions-may be seen in fetal placentas.

Treatment

Treatment

Medications

Medications

Drug(s)

N/A

Contraindications/Possible Interactions

Use of systemic immunosuppressive drugs in adult animals may induce recrudescence of latent CHV possibly leading to ocular disease (conjunctivitis and/or keratitis).

Follow-Up

Follow-Up

Miscellaneous

Miscellaneous

Age-Related Factors

  • Dogs of all ages susceptible.
  • Fatal illness occurs only in pups infected during the neonatal period (1–10 days after birth).

Pregnancy/Fertility/Breeding

Infection of dams during last 3 weeks of gestation-fetal infections with death and mummification, or ill pups that die shortly after birth.

Abbreviations

  • CHV = canine herpesvirus
  • CNS = central nervous system
  • MVC = minute virus of canines
  • PCR = polymerase chain reaction

Suggested Reading

Evermann JF, Ledbetter EC, Maes RKCanine reproductive, respiratory, and ocular diseases due to canine herpesvirus. Vet Clin North Am Small Anim Pract 2011, 41:10971120.

Author John S. Parker

Consulting Editor Stephen C. Barr