Bacillus Flashcards

1
Q

What is Bacillus?

A
  • Gram positive rods
  • Spore-forming
  • Several species
  • Most are nonpathogenic (saprophytic)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Bacillus anthracis?

A
  • Gram Positive Rods
    • long chains in culture
    • Short chains in tissue
  • Central Spores
  • Capsule
  • First bacterium shon to cause disease
  • Rober Koch in 1877
    • Koch’s postulates
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the Bacillus anthracis spores?

A
  • Formed when cells are exposed to air
  • Rarely in blood and tissues
  • High CO2 inhibits sporulation
  • Spores are highly resistant
    • Can remain dormant for decades
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are B. cereus and B. licheniformis?

A
  • No invasive ability but grow in tissues weakened by injury
  • Mastitis in cows and abscesses in animals
  • B. cereus - food borne intoxication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is B. cereus?

A
  • Normal soil bacterium
    • also in grains and spices
  • Food borne intoxications
  • Emetic Form:
    • Incubation period of 1 - 6 h
    • Nausea, vomiting, and abdominal cramps
    • Heat stable enterotoxin (5 KDa)
  • Diarrheal Form:
    • Incubation period of 8 - 16 h
    • Abdominal cramps and diarrhea
    • Heat labile enterotoxin (50 KDa)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the colony morphology of Bacillus anthracis?

A
  • Nonhemolytic
  • Ground Glass appearance
  • Medusa Head
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the Types of Bacillus anthracis?

A
  • Types A - Worldwide
    • Strains:
      • Sterne - Avirulent, used for vaccine
      • Vollum - virulent
      • Ames - virulent
  • Type B - Southern Africa
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the Virulence Factors of Bacillus anthracis?

A
  • Capsule
  • Exotoxins
    • pXO2
      • Codes for capsule
      • Prevents phagocytosis
    • pXO1
      • Codes for:
        • Protective antigen (PA)
        • Edema Factor (EF)
        • Lethal Factor (LF)
      • Cytotoxicity and cell death
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the Tripartite toxins of Bacillus anthracis?

A
  • EdTx: Edema factor and Protectie antigen
    • Adenylate cyclase enzyme
    • Increases cAMP → edema
  • LeTx: Lethal factor and protective antigen
    • Zn metalloprotease
  • Protective antigen facilitates entry of edem and lethal factor into the target cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the Capsule of Bacillus anthracis?

A
  • Encoded by pXO2
  • Poly D-glutamic acid
  • The negative charge on the capsule inhibits phagocytosis of the vegetative cells
  • Sterne strain is noncapsulated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the mode of infection of Bacillus anthracis?

A
  • Ingestion or Inhalation of spores
  • Contaminated feed (Bone meal) and water
  • Skin infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the pathogenesis of Bacillus anthracis

A
  • Massive bacteremia
  • Systemic signs of anthrax
  • Death
  • 80% of the organisms in blood and 20% in spleen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is Anthrax in Animals?

A
  • Cattle, sheep, and goats are most susceptible
  • Horses intermediat susceptibility
  • Pig and dogs are generally resistant
  • Wild ruminants are susceptible
  • Lab animals - Guinea pigs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is anthrax in Ruminants?

A
  • Usually acute
  • High fever with death in 1 - 2 days
  • Dead animals will have blood exuding from orifices
  • Necropsy is not recommened
  • Spleen is enlarged, dark, and exudes thick, black colored blood when cut
  • Enlarged lymph nodes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Anthrax in horses?

A
  • Generally acute
  • Death in 1 - 3 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is anthrax in pigs?

A
  • Rare
  • Edematous swelling of the head and neck
17
Q

What is cutaneous anthrax?

A
  • Skin infection
  • Not common in animals
18
Q

How is Bacillus anthracis Diagnosed?

A
  • Suspected based on clinical signs, pathological findings, and epidemiological data
  • Occurs in an area in systemic cyclicity
  • Only in a few animals, generally in summer following wet spring
  • Suspected cases reported immediately to state public health officials
  • Premise should be quarantined
  • Blood sample (ear vein) or swabs of exuding blood or edematous lesions for microscopic examination
    • String of Pearls
  • Fluorescent antibody technique to demonstrate capsule
  • PCR for virulence genes
19
Q

How is Bacillus anthracis treated and prevented?

A
  • Acute cases will NOT recover
  • Early stages:
    • Penicillin, Ciproflaxin, amoxicillin, erythromycin, etc
  • Penicilin and Oxy are very effective
  • Vaccination in endemic areas
    • Sterne vaccine - live spore vaccine with no plasmid for capsule
    • Immunity because of antibodies against PA (Factor 2)
20
Q

What are the control measures for Bacillus anthracis?

A
  • Rapid diagnosis, quarantine, vaccination, and surveillance
  • Carcasses of dead animals should be burned or buried deep
  • Opening of the carcasses should be avoided
21
Q

What is Anthrax in Humans?

A
  • Occupational, accidental or terroristic
  • 3 Forms:
    • Cutaneous anthrax
    • Gastrointestinal anthrax
    • Inhalation anthrax
    • Injection anthrax
22
Q

What is cutaneous anthrax?

A
  • Most common
  • Head, neck, hands, legs
  • Skin break
    • spores enter and germinate
  • Skin lesion: itchy redness to dark blister to black eshcar
23
Q

What is Gastrointestinal Anthrax?

A
  • Eating meat contaminated with spores
  • Highly fatal
  • Not reported in the US
24
Q

What is inhalation Anthrax?

A
  • Most serious form
  • Inhalation of spores
  • Signs:
    • Cough with/without blood
    • Fever
    • muscle pain
    • malaise
  • Death in 1 - 7 days
  • Only 18 cases in US in 20th century
    • between 10/4/01 and 11/20/01 - 11 cases, 5 deaths
25
Q

What is Woolsorter’s Disease?

A
  • Occupational disease
  • Hide and wool handlers
  • Inhalation of spores
  • Respiratory distress and death in 24 h
26
Q

How is Bacillus anthracis a Agent of Biological Warfare?

A
  • Easy to acquire
  • Can be stored in dry form for decades
  • Easy to disseminate
  • US military developed a strain of anthrax so lethal
    • just 8 gallons could kill everyone on earth