Encephalitis:
- It is defined as inflammation of the encephalon (brain).
- It includes those diseases in which inflammatory lesions occur in the brain, whether there is inflammation of the nervous tissue or primarily of the vessel walls.
- It is characterized by initial hyperexcitability followed by paralysis and unconsciousness.
- The meninges and spinal cord may be involved in an encephalitis, causing varying degrees of meningoencephalomyelitis.
- It may be a primary ailment or a secondary lesion or consequence to disease elsewhere in the system.
Etiology:
- Viral agents: Rabies, Pseudo-rabies, Japenese B-encephalitis
- Cattle: Sporadic bovine encephalomyelitis, Bovine malignant catarrh, Infectious bovine rhinotracheitis
- Horse: Infectious encephalomyelitis, Bona disease
- Pig: Viral encephalitis, Hog cholera, African swine fever
- Sheep and goat: Scrapie, Louping ill, Visna, Viral caprine leukoencephalomyelitis,
- Dog: Canine distemper
- Bacterial infections: Listeria, Necrobacillus infection, Enterotoxemia, Salmonella, Erysipelas, Borrelia burgdorferi
- Parasitic agents: Migrating larvae, Multiceps multiceps, Toxoplasmosis, Nervous coccidiosis, Neospora caninum, Hypoderma bovis, Oestrus ovis migration, Sarcocystis neurona
- Toxic agents: Lead, arsenic, salt poisoning, ipomia plant
- Fungal agent: Cryptococcosis
Clinical Findings:
- In case of infection, fever, anorexia and depression develops
- Mania, aggressiveness, stupor
- Circling movement, head pressing
- Clonic convulsion, muscular tremor, pawing on ground
- Frothy salivation from commissure of mouth
- Champing of jaws and hyperesthesia
- Spastic paralysis in either sides
- Ataxia or incoordination of gait
- Nystagmus of eyeball
- Unilateral facial paralysis due to Listeriosis
- Blindness of eye reflex
- Prostration- unable to stand, head is drawn under body
- Unilateral or bilateral blindness in horse
Diagnosis:
- Complete neurological examination of animals
- Blood test to rule out infections, inflammatory conditions
- Serological test for confirmation of certain infectious disease
- Analysis of CSF for biochemical, cellular and microbiological aspects.
Differential diagnosis:
- Acute cerebral edema: Less excitement, no fever, history of salt poisoning
- Poisoning: Salivation, history of poisoning, no fever, blindess, acute onset
- Avitaminosis-A: Young animal suffer, no fever, ataxia, hyperaesthesia, respond to vitamin-A therapy
- Encephalomalacia: History of grain engorgement, thiamine deficiency, respond to Vitamin-B therapy
- Meningitis: Temperature reaction, hyperaesthesia, rigidity of muscles, examination of C.S.F will assist diagnosis.
Treatment:
- Antibiotics are indicated for bacterial infection. Selection of antibiotics are based on sensitivity test of bacterial culture. Ampicillin, chloramphenicol is used for 5-7 day.
- Supportive therapy through administration of intravenous fluid and electrolyte therapy
- Stomach tube feeding is done during acute phase.
- Sedation of animals during excitement prevent animal from injuring itself. Diazepam @ 1mg/kg, IV or PO or chlorpromazine @ 0.5-4.4 mg/kg, IV, 3.2mg/kg, PO, TID-QID in dogs
- Corticosteroid therapy to reduce inflammation. Dexamethasone @ 10-30 mg, IM/IV OD
- Specific antidote is used against case of poisoning
- Use of mannitol to reduce intracranial pressure.