Etiology

  • family Paramyxoviridae
    • genus Respirovirus
  • (-) ssRNA, enveloped. 150-200nm. ๊ตฌํ˜•, ๋‹คํ˜•์„ฑ.
  • human parainfluenza virus 1๊ณผ ๋น„์Šทํ•œ ์ž„์ƒ ์ฆ์ƒ

Clinical signs

  • ๊ฐ์ˆ˜์„ฑ ์žˆ๋Š” ์„ฑ์ˆ™ ๋งˆ์šฐ์Šค : ๊ตฌ๋ถ€๋ฆฐ(hunched) ์ž์„ธ, ruffled fur, ์ฒด์ค‘ ๊ฐ์†Œ, ํ˜ธํก ๊ณค๋ž€, chattering sound(์žฌ์ž˜๊ฑฐ๋ฆฌ๋Š”), ์‹ฌํ•˜๋ฉด ํ์‚ฌ
  • ์ €ํ•ญ์„ฑ ์žˆ๋Š” ์„ฑ์ˆ™ ๋งˆ์šฐ์Šค : ๋ฌด์ฆ์ƒ
  • ๋ฉด์—ญ ๊ฒฐํ• ๋˜๋Š” ์–ต์ œ ๋งˆ์šฐ์Šค : wasting syndrome
  • ๋žซ๋“œ : ๋งˆ์šฐ์Šค์— ๋น„ํ•ด ๋ณ‘๋ณ€ ์ ์Œ. ์ฒด์ค‘ ์ •์ฒด, ์‚ฐ์ž ์ˆ˜ ๊ฐ์†Œ. ํ˜ธํก๊ธฐ ๋ณ‘๋ณ€์€ ๊ฑฐ์˜ ์—†์Œ.
  • ๋‹ค๋ฅธ ํ˜ธํก๊ธฐ ์งˆ๋ณ‘ ๋‚˜ํƒ€๋‚ด๋Š” ๋ณ‘์›์ฒด์™€ ํ˜ผํ•ฉ ๊ฐ์—ผ โ†’ ์ž„์ƒ ์ฆ์ƒ์ด ์‹ฌํ•ด์ง.
    • Mycoplasma pulmonis, Rodentibacter pneumotropicus, PVM, CAR bacillus

Epizootiology

  • ๋งˆ์šฐ์Šค, ๋žซ๋“œ, ํ–„์Šคํ„ฐ, ๊ธฐ๋‹ˆํ”ผ๊ทธ, (ํ† ๋ผ) ๊ฐ์—ผ
  • ์ „์—ผ์„ฑ ๋งค์šฐ ๋†’์Œ (aerosol๋กœ ์ „ํŒŒ)
  • morbidity : 100% ์ฆ์ƒ์€ ๊ฑฐ์˜ ๋‹ค ๋‚˜ํƒ€๋‚จ
  • mortality : 0~100%
  • ๋ฉด์—ญ๊ฒฐํ• ๋งˆ์šฐ์Šค์—์„œ๋Š” ์ง€์†๊ฐ์—ผ, immunocompetent : ์ง€์†๊ฐ์—ผX
  • ๋ง‰ ์ –์„ ๋—€ ๋งˆ์šฐ์Šค๊ฐ€ ๊ฐ€์žฅ ๋ฏผ๊ฐ.
  • 5-7์ฃผ๋ น ๋™๋ฌผ์—์„œ ๋ฐ”์ด๋Ÿฌ์Šค ์ „ํŒŒ โ†’ 7-14์ผ ๋‚ด์— ํ•ญ์ฒด๊ฐ€ ํ˜•์„ฑ, ๋ฐ”์ด๋Ÿฌ์Šค ์—†์–ด์ง.

Pathology

  • ๋ถ€๊ฒ€ : ์ž๋‘(plum)-colored. partial(์ผ๋ถ€์—๋งŒ)~complete(์ „์ฒด์ ), consolidation
  • ํ‰๊ฐ•, ์‹ฌ๋ง‰์— ์•ก์ด ์ฐธ
  • ๋ฐ”์ด๋Ÿฌ์Šค ๋ณต์ œ๋Š” airway epithelium, type โ…ก pneumocyte, alveolar macrophage์—์„œ. (type โ… ์€ ์ ๊ฒŒ ๊ฐ์—ผ๋จ)
  • ๊ฐ์ˆ˜์„ฑ ์žˆ๋Š” ๋งˆ์šฐ์Šค์—์„œ ๊ธฐ๊ด€์ง€ ํ๋ ด, ๊ฐ„์งˆ์„ฑ ํ๋ ด (๊ฐ์ˆ˜์„ฑ ๋‚ฎ์œผ๋ฉด ๊ธฐ๊ด€์ง€ํ๋ ด๋งŒ)
  • multinucleated syncytium์ด ๋•Œ๋•Œ๋กœ SCID mouse์—์„œ ๊ด€์ฐฐ

Differential diagnosis