Fasciola hepatica

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  • Fasciola Hepatica
    • Definition
      • liver fluke migrate through parenchyma
      • reach small bile duct --> large bile duct, mature and lay eggs
      • life cycle depend on temp and rainfall
      • parenchyma destroyed, inflammation, fibrosis, anaemia
    • Clinical signs
      • Sheep
        • Sub-acute= late autumn, rapid conditioon loss, anaemia, oedema
        • Acute= anaemia, pale mm, weak, hyperalbumin, rapidly fatal
        • Chronic= winter/spring, **** blood in bile duct, poor condition, anaemia, hyperalbumin, oedema, chroic scour
      • Cattle
        • Acute= rare in cattle as fibrous liver
        • Subacute = late autumn, poor perfomance, (growth/yeild)
        • chronic = similar to sheep, brisket and vental oedema also
    • Diagnostics
      • PM = fluke in parenchyma and bile duct
      • biochem
        • AST= not liver specific (skeletal and cardiac)
        • GLDH = liver specific elevated in acute disease
        • GGT = good indicator bile duct damage
      • faecal egg count - only chronic where adults present
      • Blood Ab ELISA - only indicated exposure
    • Treatment
      • Triclabendazole = all stages, sheep and cattle dranch
      • nitroxynil = adults only, sheep and cattle, sc injection
      • clorsulon= adults only, sheep and cattle sc injection
      • oxyclozanide= adults only, sheep and cattle oral
      • closantel= adults/ late immature, sheep drench
      • only oxyclozanide licensed during lactation
    • Prevention
      • limit snail habitat - drain land
      • prevent cattle/ sheep access to snail habitat (marsh/ boggy field)
      • Untitled
  • Sheep
    • Sub-acute= late autumn, rapid conditioon loss, anaemia, oedema
    • Acute= anaemia, pale mm, weak, hyperalbumin, rapidly fatal
    • Chronic= winter/spring, **** blood in bile duct, poor condition, anaemia, hyperalbumin, oedema, chroic scour

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