Infectious agents involved

There are many different agents that can cause of tracheobronchitis. The most common are parainfluenza virus, Bordetella bronchiseptica, and mycoplasma. Canine adenovirus type 2, reovirus, and canine herpes virus are thought to possibly contribute to the disease, as well. Although any one of these organisms can cause symptoms of the disease, the majority of cases are the result of more than one organism.

The most common viral agent is parainfluenza virus. This common virus will cause mild symptoms lasting less than 6 days unless there is involvement of other bacteria, as is usually the case. Most 5-way vaccines and 'kennel cough' vaccines offer some protection against this virus.

Bordetella bronchiseptica is the most common bacteria isolated from dogs with tracheobronchitis. Clinical signs of infections occur 2-14 days after exposure, and if uncomplicated with other agents, symptoms will last around 10 days. However, after the infection has been resolved, the affected animal will continue to shed the bacteria for 6 to 14 weeks and can spread the disease to other susceptible animals during that time. Bordetella is one of the agents protected against through the use of intranasal 'kennel cough' vaccines. Parainfluenza and Bordetella most commonly appear together in infectious tracheobronchitis, creating a disease that normally lasts from 14-20 days.

Symptoms

The most common symptom is a dry hacking cough sometimes followed by retching. Many owners describe the cough as having a 'honking sound.' A watery nasal discharge may also be present. With mild cases, dogs continue to eat and be alert and active. Many times, there is a recent history of boarding or coming in contact with other dogs. In more severe cases, the symptoms may progress and include lethargy, fever, inappetence, pneumonia, and in very severe cases, even death. The majority of severe cases occur in immunocompromised animals, or young unvaccinated puppies.

Diagnosis

Diagnosis is usually based on the

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