Bacteriology and Mycology Flashcards
Campylobacter
– Gram – rods
– Curved (“Vibrios”)
– Spiral when grouped
– Aerobes or microaerophilic
– 3-15% O2, 3-5% CO2
– Some grow optimally at 42°C
– Flagella
– Darting or corkscrew motility
– Wet mounts useful in diagnostics
* Hanging drop
– Commensals
– Obligate parasites
– Mucosa of GIT
– Glandular crypts of genital tract and GIT
Important Campylobacter
– C. jejuni
– Enteritis in many (including man)
* Abortion and hepatitis
– C. coli
– Similar to C. jejuni
– Organism seen commonly in pigs
– C. fetus subsp. venerealis
– Bovine venereal campylobacteriosis
* Endometritis, infertility and abortions
– C. fetus subsp. fetus
– Abortion in cattle and sheep
– L. intracellularis
– Proliferative enteritis in pigs
Campylobacter spp. (Parasitic properties)
– Attach
– Fibronectin binding proteins
– Pili (F antigens) ?
– Lipoproteins
– Flagella (H antigen) ?
* Colonisation
– LPS (O antigen) ?
– Invade
– Strain dependent (serovars)
– Capsule (S layer)
– Cause inflammation
– Enterotoxins
* Cholera Toxin and Heat Labile toxin
* Hypersecretory diarrhoea similar to ETEC
– Cytotoxins
* Shiga-like toxins – cell death and
haemorrhage similar to EHEC
– Endotoxins
– Intracellular survival
– C. jejuni can survive within macrophages
* Disease severity, duration of symptoms
and relapse
C. jejuni
– Found in the intestinal tract of normal and diseased
animals
– Causes mild to moderate febrile (fever), enteritis with diarrhoea in several animals including humans.
– Occasional cause of abortion in sheep and other species and vibrionic hepatitis in chickens
– Vibriosis = diseased caused by curved bacteria
C. jejuni (Host Factors)
– Young, pregnant and immunocompromised
– Superficial erosive colitis and ileitis
– Fluid loss
– Water, mucus and blood stained diarrhoea
– Extracellular immune arm important
– Local IgA to H antigen
– Intestinal immunity
– Colostrum in newborns important
– Humoral antibody (IgG and IgM) to surface antigens (mainly O antigens) important in systemic immunity
– Recovered can sometime still shed ?
– Commensal versus carrier ??
– Vaccine ??
– Care with antimicrobial therapy
– Worry about antimicrobial resistance
development
* Animal and public health
– Treat in severe cases ?
C. jejuni (Environmental Factors)
– Faecal-oral transmission
– Direct or indirect (exogenous)
– Stress and physiological status can facilitate
endogenous disease in carriers
* Reduce stress and improve
husbandry/nutrition
– Can be shed in milk and contaminate meat
during slaughter
* Zoonoses
– Close contact
– Reduce stocking density
– Poor hygiene
– Improve to control and prevent
– Survive in water
– Faecal contamination
– Treatment of water to control and prevent
* Chlorination
* Filtration
C. jejuni (Zoonoses)
– Self limiting diarrhoea in humans
– Various sequelae
* Guillain-Barre-Stohl Syndrome
– Severe neurological disease
– Acute immune-mediated
demyelination of peripheral nerves
– Follows infection with serotype O19
(20-40%)
– Genetic predisposition in the
individuals
– Illness often lasts months and in
some cases is associated with
permanent incapacitation or even
death
– Food safety issue in poultry, pigs and cattle
Path of C. jejuni
Ileum and large intestine –> susceptible animal –> attrated to and colonise mucus —> localise in glandular crypts –> invade intestinal epithelial cells –> mild (usually) to severe GIT illness –> Bacteraemia:
EITHER:
- Guillain-Barre syndrome (human)
- Abortion (sporadic to outbreak)
OR:
Recovery and shedding
C. fetus subsp. venerealis
– OBLIGATE PARASITE
– Bovine reproductive tract
* Preputial crypts of older bulls
* Vagina of carriers
– 1-2 years of carriage
– Endometritis, temporary infertility and occasional
abortion
– Serotype/subsp. intermedius also recognised
– Also known as serotype A-sub 1
* Serotype A-1 refers to subsp. veneralis
– S-layer
C. fetus subsp. venerealis (Factors)
Parasitic properties
– Obligate parasite bovine reproductive tract
– Surface array proteins (S layer)
* Repetitive array of proteins on the outer cell wall
– Antiphagocytic, inhibits complement and
provides antigenic variation
Host factors
– Asymptomatic infections common
* Preputial crypts in bulls > 5 years old protect
organisms and result in prolonged carrier
state.
– More common in beef herds
* Natural mating
– Immunity and immune response important
* Humoral as it is extracellular in nature
– Immune status of the herd dictates clinical signs
* Acute (no previous exposure), chronic
infection (if local vaginal antibodies
produced)
C. fetus subsp. venerealis (Immunity)
– Protective immune responses develop between 6-12 weeks after infection
– Recovery is antibody mediated
* Immobilsation and opsonisation of the
bacteria
Uterus response
– IgG1 predominant Ig in uterus and is derived
from serum
– IgG1 immobilises and opsonises the bacteria
– Once engulfed by phagocytic cells it is rapidly
destroyed
– Bacteria are gradually eliminated from uterus
and fallopian tubes within 6 months
– Vaginal response
– Locally produced IgA is the predominant Ig in
the vagina
– IgA immobilises but does not opsonise
bacteria.
– IgA binding blocks the opsonising function of
IgG
* This my account for the persistence
of bacteria in the cervix and vagina
for up to 2 years
– Incidence of carrier cows that retain infection from one gestation to the next is
low, it is often enough to permit disease to persist in large beef herds.
– There is a period of convalescent immunity
following recovery in which they are protected
from re-infection
– However, cows eventually become susceptible
to re-infection
C. fetus subsp. venerealis (vaccination)
– Bivalent killed vaccine containing the two serotypes;
veneralis and intermedius
– Has a preventive effect
– Immunity lasts <12 months
– May also be of assistance in treatment and cure
of carriers ?
* IgG1 ✓
Pathogenesis of Bovine venereal campylobacteriosis
Preputial cavity
Venereal infection
Infection of vagina, cervix and uterus
endometreosis
THE EITHER:
1. sporatic abortion
2. Infertility (extended cycles and repeat breeding)
3. Development of immunity (IgA or IgG1)
IgA –> Vagina Cervix –> carrier 1-2 years
IgG1 –> Uterus —> Resistance to reinfection
C. fetus subsp. venerealis (Control and prevention)
– Good husbandry
– The use of young bulls that have tested negative
– Culture and antibody !!
– PCR useful
– Breed virgin heifers to young negative tested bulls
– Replacement heifers or cows
– Culture/PCR and antibody tested negative
before entering the breeding herd
– If endemic
– Annual vaccination
* Immunity is short-lived
* Boosters in bulls and cows 1 month prior
to joining
– Cull bulls
– Rest the herd for a breeding season
* Eliminating the bacteria
– Use of Artificial Insemination (AI) (with semen
treated with antimicrobials) can eliminate the
organism
Order Spirochaetales
– Slender, flexible and helically coiled
– Motile by rapid rotation around long axis and by flexing
– Anaerobes, microaerophilic or aerobes
– Differentiations based on morphology and antigenic
properties rather than biochemical tests
– Gram negative but stains poorly
– Darkfield and silver stains work best
– 4 pathogenic genera
– Brachyspira (formerly Serpulina)
– B. hyodysenteriae → swine dysentery
– Borrelia
– B. anserina → avian spirochaetosis
– B. burgdorferi → Lyme disease
– B. theileri → tick spirochaetosis in cattle
– Leptospira
– Leptospira serovar Hardjo → abortion and
agalactica in cattle
– Leptospira serovar Pomona → abortion and
stillbirth in pigs
– Leptospira serovar Icterohaemorrhagiae →
mild disease in rodents, fulminant (sudden and
severe) leptospirosis in various incidental hosts
including humans tick spirochaetosis in cattle
– Treponema
– T. pallidum → syphilis in humans
Leptospira
– Strict aerobe
– Grow best at 30°C
– Morphologically and physiologically similar
– Thin spiral organisms
– Occur in many animal species and humans
– Considerable heterogeneity amongst the genus
– Serological (antigenic) classification has been used for many years
– The organism is excreted in the urine (leptospiruria) as it tends to colonise in the kidney tubules
Leptospirosis
– In the incidental (dead-end) host
– Acute and subacute disease
– Severe to moderate disease
– Septicaemia and endotoxaemia
* Haemorrhages and fever
– Nephritis, hepatitis, agalactica and meningitis
– In the reservoir host
– Chronic or subclinical disease
* Abortion, stillbirth, infertility, nephritis and
inflamed iris (iridocyclitis)
– Obligate parasites
– Disease ➔ Localisation and proliferation
Leptospirosis factors
Parasitic properties
– Haemolysins
* Cytotoxin
– Endotoxins
* Gram negative LPS cell wall
* Low potency
– LPS may mediate adherence of neutrophils to endothelial cells and platelets
* Role in thrombocytopaenia
– LPS is immunogenic and responsible for serovar specificity
– Glycoprotein cytotoxins ?
Environmental factors
– Host adaptive
– Survives in the environment for up to 6 weeks
(not a saprophyte as it doesn’t replicate)
* Prefers warm, moist, neutral or slightly
alkaline pH
– Contaminated water is an important infectious
source
Leptospirosis pathogenesis
– Entry via mucous membranes or damaged skin
– Pass into circulation via lymphatic
– Disease results from systemic infection and
localisation
– Disease spectrum depends on the serovar and the
host infected
– Incidental host → acute disease * Damage to endothelium of small blood vessels and leakage of blood and leptospires into tissue * Host develops a marked antibody response and there is rapid elimination of the pathogen * Or overwhelming infection can lead to death
– Reservoir host → chronic disease
* Passes into the kidney and resides in the
lumen of the proximal convoluted tubules
and shed in urine
* Weak antibody response which facilitates
persistent infection (months or years)
* Venereal transmission possible
Leptospirosis Immunity and Vaccination
– Protective antibody is serovar specific
– Agglutination and/or opsonisation
– Persistent infection may result from inability of
antibody to reach sites of infection in the
absence of inflammation
* More often related to reservoir host-
adapted poor antigenicity
– Vaccination (bacterin) is used for most prevalent
serovars in a species/region.
– Immunity lasts 12 months, therefore need
annual booster
– Passive acquired antibody is protective
(usually for the first 6 months)
– Can reduce the incidence of shedding,
particularly when vaccinated young animals
(reservoir host)
– Incidental host can be fully protective
Leptospirosis zoonosis
– Occupational zoonosis of dairy farmers and abattoir
workers
– Headache, fever, muscle pains and
conjunctivitis
– Vaccination of herd can reduce shedding and
zoonotic risk
– Dairy design can also reduce risk
– Wear protective equipment
– Disinfect the dairy and improved dairy hygiene
Leptospirosis (Control and Prevention)
– Ideally elimination of carriers
– Reduce environmental contamination
– Vaccination may help reducing shedding in reserve host
– Vaccinating dogs is effective (protects against
some serovars)
– Antimicrobial therapy not advisable in cattle or pigs
– Often not curative, can still culture the
organism from urine samples
– Companion animals and man use doxycycline
– Can be lengthy up to one month
– Deal with urine waste
– Disinfecting and clean the dairy regularly
– Water treatment and security
– Pest control
– Rodents can be reservoir or incidental hosts
and mechanical vectors
– Dairy design and farmer education
– Most cases in young dairy farmers 20-24 yrs
Genus Mycoplasma
– Class Mollicutes
– Obligate extracellular parasites of animals
and plants
– Smallest and simplest free living
– NO CELL WALL
– Cannot synthesis peptidoglycans
– Cytoplasm bound by a cytoplasmic
membrane
– VERY FRAGILE
* Do not survive long outside the host
* Susceptible to heat, desiccation,
disinfectants and detergents
– Resistant to antibiotics that interfere with cell
wall synthesis
* Penicillin
– PLEOMORPHIC
– Filamentous, spherical, hollow rings and pear
shape
– Facultative anaerobes and microaerophilic
– Even when given required nutrition supplements and optimal conditions, they grow SLOWLY
- require COMPLEX media for culture
– Some are impossible to grow in the lab
– PCR and serology are useful diagnostic
aids
“fried egg apperance”
Mycoplasma
No cell wall
Motile
– Commensal
– Host specific
– Chronic disease
* Respiratory
* Urogenital (including mammary
gland)
* Serosal surfaces (joints, peritoneum, pleura)
– Anaemia
* Parasites of erythrocytes