10 – Listeria Flashcards

1
Q

Microbiological characteristics

A
  • Biocontainment level 2
  • Short gram-positive rods,
  • Coccoid
  • Facultative anaerobes
    o Growth enhanced by CO2
  • Small beta-hemolytic colonies on blood agar
  • Grow under a wide range of conditions
    o 3-4.5 degrees C
    o pH 5.6-9.6
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2
Q

L. monocytogenes microbial characteristics

A
  • Facultative intracellular parasite
  • Displays ‘tumbling’ motility in broth
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3
Q

Natural host or habitat

A
  • Part of normal microbiota
    o Intestinal tract
    o Found in feces (human and animals)
    o Can be recovered from milk of sheep after lambing
    o Raw diary and meat products
  • Decaying plant material (ex. silage, pH range 5.9-9.6)
  • Can survive in environment for long periods (reported 2 years in dry soils)
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4
Q

Taxonomy

A
  • Catalase positive or not to differentiate from Strept. Or Entero.
  • If positive
    o CAMP R. equi
    o CAMP S. aureus
    o Hemolysis
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5
Q

Virulence factors

A
  • Internalin A and B
  • Listerolysis O
  • Actin-polymerizing protein
  • Phospholipase C
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6
Q

Internalin A and B

A
  • Surface proteins which bind to host cells
  • Induces phagocytosis which is first step in invasion
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7
Q

Listerolysin O

A
  • pH dependent pore forming toxin
  • lyses phagosome
  • *allows organism to escape into cytoplasm
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8
Q

Actin-polymerizing protein

A
  • Hijacks cell actin, push organisms into adjacent cells
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9
Q

Phospholipase C

A
  • Disrupts membranes
  • Involved in organism spreading from cell-to-cell
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10
Q

L. monocytogenes (ruminants)

A
  • Present in feed to be ensiled and grows in decaying plant material
  • Target silage pH varies (should be less than pH5)
    o Insufficient acidic silage can harbour viable organisms
  • Ingested along with feed
  • *enter body through mouth
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11
Q

Compromised barriers allowing L. monocytogenes to enter

A
  • Mucosal damage
  • Teeth cutting
  • Tooth loss
  • *often get neural form
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12
Q

Neural form of L. monocytogenes

A
  • Will migrate via trigeminal nerve into brain
  • Acute meningoencephalitis and micro abscesses
    o ‘circling’ diseases
    o Neurological signs
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13
Q

L. monocytogenes (ruminants): ingested or inhaled

A
  • Sepsis and abortions
    o Predilection for uterus and fetal tissue in ruminants
    o Aborted fetuses=biohazardous (especially for pregnant women)
    L. monocytogenes: abortion is sporadic
  • Typically occurs in animals without prior clinical signs
  • Fetus born macerated or very weak if alive
  • Effect on fertility transient (recovered animals through to be resistant to reinfection)
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14
Q

L. monocytoses: control

A
  • Antimicrobial prophylaxis with tetracycline has been used
  • Remove abort uses
  • Test silage
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15
Q

L. monocytogenes (chickens)

A
  • Sporadic in poultry and waterfowl (young birds most susceptible)
  • Septicaemic and encephalitic form
  • Perhaps associated with cold, wet conditions
  • ID of source is key!
    o Can be difficult, found in poultry litter, birds shed in feces
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16
Q

L. monocytogenes (chickens): septicaemic form

A
  • emaciation
  • diarrhea
17
Q

L. monocytogenes(chickens): encephalitic form

A
  • depression
    -incoordination
    -nervous signs
18
Q

L. monocytogenes (dogs and cats)

A
  • Uncommon (high infectious dose required)
  • Similar pathogenesis as people
    o Ingested by eating contaminated food
    o Disease can be GI or neurological/systemic
  • GI disease characterized by fever, diarrhea, and vomiting
19
Q

L. monocytogenes (humans): people at risk

A
  • Pregnant women: 10x more likely to be infected (abortion)
  • Older adults: 4x
  • Compromised immune systems
    o Cancer, HIV/AIDS
    o Less obvious: liver or kidney disease
20
Q

Syndromes associated with Listeria in people

A
  • Transient carriage in GIT
  • Acute symptomatic illness
    o During pregnancy, flu like symptoms, mother recovers and maybe fetal depending on gestational age
  • Newborns can be very severely ill
  • Non-pregnant adults
    o Sepsis, meningoencephalitis
    o Focal infection (abscesses) at variety of sites
21
Q

L. monocytogenes most often acquired from contaminated food

A
  • uncooked meats and veggies
  • raw dairy products
  • processed foods
    *grows at 4 degree C in the fridge
    *CFIA recalls all food products contaminated with it
22
Q

Unusual presentation of Listeria in person

A
  • Did not have encephalitis
  • Only affected with endophthalmitis
  • *hypopyon is not uncommon in large animals with encephalitis
23
Q

Hypopyon

A
  • Accumulation of WBCs in the anterior chamber of eye
  • Purulent material in eye may=infection in brain
24
Q

Endophthalmitis

A
  • Inflammation that affects the interior of the eyeball
25
Q

L. ivanovii

A
  • previously know has L. monocytogenes serotype 5
  • cause of abortion in ruminants (3-5 weeks following exposure to spoiled feeds)
  • outbreaks of abortion reported in sheep
    -mores host SPECIFIC
26
Q

Species to collect

A
  • Septicaemic form: viscera (liver, kidney, spleen)
  • CNS form: CSF, brain stem
  • Abortions: placenta, fetus
  • Silage: aseptically collect 100g in sterile container
27
Q

Sample handling

A
  • Culture ASAP
  • May freeze at -20 degree C to prevent growth of contaminants
28
Q

Lab ID

A
  • Grown using traditional culture methods (ex. blood agar)
  • Selective media readily available
  • Cold-enrichment may facilitate growth
29
Q

Zoontic/interspecies transmission

A
  • Pregnant women should avoid contact with sheep and goats particularly during lambing and kidding
  • Vets and abattoir workers
  • L. ivanovii may be isolated from severly immunocompromised people
30
Q

Treatment options

A
  • Therapy
  • Drugs
  • Control measures
31
Q

Therapy

A
  • Ruminants: high dose penicillin
  • Companion animals: ampicillin + gentamicin
32
Q

Drugs to avoid/intrinsic resistance

A
  • Cephalosporins
  • Fluoroquinolones
33
Q

Control measures

A
  • Removing poor quality silage from feeding