Bacti Final Exam Flashcards
What are the characteristics of Clostridium? (gram positive or negative, aerobic or anaerobic, etc)
-Gram positive
-rods/bacillus (short rods)
-Anaerobic
-Spore forming (anaerobic transmission)
-Toxin producing
Which clostridium species are histotoxic and which are neurotoxic?
-Histotoxic: C. perfringens (also enterotoxic), C. chauvoei, C. haemolyticum, C. novyi. C. septicum
-Neurotoxic: C. botulinum, C. tetani
Which species of Clostridium is both enterotoxic and histotoxic?
C. perfringens
Which species of Clostridium is the fastest replicating bacteria?
C. perfringens
How are the different subtypes of C. perfringens identified?
The type of toxin it produces (toxinotype A-E)
What are the virulence factors for C. perfringens?
-Alpha toxin: hydrolyzes the cell membranes
-Perfringolysin O: binds to cholesterol and forms pores resulting in cell death
-Glycosidases and lipases
-Sialidase: removes sialic acid residues from host cells
-capsule
What condition does C. perfringens cause? What are the symptoms of this condition?
Gas gangrene: necrotizing cellulitis and myonecrosis, edema, hemorrhage, gas production, toxemia
What are the virulence factors for C. chauvoei?
-Alpha toxin: pore forming hemolysin
-Beta toxin: DNAase
-Sialidase: removes sialic acid causing tissue disruption
-Chauveolysin: similar to perfringen toxin, binds cholesterol and causes cell death
What disease does C. chauvoei cause in cattle? Describe what the associated lesions look like.
Blackleg: muscles have a dark, emphysematous center with hemorrhage and edema around the outside
What are the symptoms of Blackleg?
High fever, lameness, anorexia, visible swelling of affected muscles, affected muscle will have rancid butter odor, sudden death
Where does C. chauvoei reside? How does it get there?
Resides in intestine, liver, and other tissues
Ingestion of contaminated feces and then spores travel to liver and other tissues or the bacteria enters externally through a wound (need germination of spores for disease to occur)
Describe the pathogenesis of C. chauvoei.
Spores in muscles -> decreased the O2 levels -> anoxia causes bruising and gadding of young cattle (exercise intolerance) germination -> toxin production
How can you diagnose a C. chauvoei infection?
-Fecal smear and gram stain
-PCR
-Culture at 37C
How do you treat a C. chauvoei infection? Is there a vaccine available?
-There is a vaccine
-Tx is usually unsuccessful, IV penicillin followed by IM
What is the main virulence factor of C. haemolyticum?
Phospholipase C
What disease does C. haemolyticum cause in ruminants? What are the symptoms?
-Redwater disease
-Clinical signs: hemoglobinuria, fever, pale/icteric MM, abortion, agalactia
Describe the pathogenesis of a C. haemolyticium infection.
Ingestion of spores -> travel to liver -> spore germination in liver -> vegetation growth and production of phospholipase C -> hemolytic crisis and rapid death
How do you treat a C. haemolytcum infection? Is there a vaccine available?
-Vaccine available in endemic areas
-Treat with broad spectrum abx such as tetracycline and blood transfusion if needed
What are the virulence factors of C. noyvi?
-Alpha toxin: breaks down cytoskeleton
-Beta and delta toxins: cell membrane damage
What disease does C. noyvi cause in rams? Describe its pathogenesis
-Bighead
-Fighting injury -> activation of spores -> edema in head and neck -> death
What disease does C. noyvi cause in ruminants?
Pseudoblackleg: spores get to liver causing hemolytic crisis and death
How do you diagnose a C. noyvi infection?
Gram stain liver lesions: large gram positive rods with spores at the ends
How do you treat a C. noyvi infection? Is there a vaccine available?
-Toxoid vaccine is effective
-No effective treatment
What condition is caused by C. botulinum? What is the main clinical sign?
Botulism, flaccid paralysis
What species does C. botulinum affect?
Ruminants, horses, minks, birds
How are the different subtypes of C. botulinum categorized? How many groups are there?
There are 7 types based on the type of botulinum toxin produced
How does an animal contract a C. botulinum infection?
-Ingestion of botulinum toxin from contaminated plant or animal material
-Ingestion of spores
-Wound contamination
Describe the pathogenesis of a C. botulinum infection.
Ingestion of toxin -> absorption into the blood -> toxin enters cholinergic nerve cells -> heavy chain of toxin forms a pore -> light chain hydrolyze the docking proteins -> inhibition of acetylcholine release -> flaccid paralysis
What can occur if C. botulinum affects the respiratory muscles?
Respiratory failure -> death
How can you diagnose a C. botulinum infection?
-Culture anaerobically on blood agar
-PCR
How do you treat a C. botulinum infection?
-Pump stomach
-Antitoxin tx
-Vaccination with toxoid
-Guanidine and aminopyridine to stimulate acetylcholine release (counteracts inhibitory effects of toxins)
-Germane to intensify neural impulses and effects of Ach
Describe the shape of C. tetani.
Drumstick or tennis racket shaped with spores on the end
What is the C. tetani toxin called and how is it released?
Tetanospasmin, it is released upon lysis of the clostridial cell
What condition is caused by C. botulinum? What are the clinical signs?
-Causes tetanus, main clinical sign is spastic paralysis
-Other clinical signs: fecal and urinary retention, high fever and sweating, death (~50% of cases)
Describe the pathogenesis of ascending tetanus.
spore is ingested -> spores germinate in anaerobic environment -> toxins are released and absorbed into bloodstream -> toxin binds to nearest cholinergic receptor -> endocytosis brings toxin into the cell -> toxins enter vesicles and travel retrograde up the axon into cell body -> light chain hydrolyzes docking proteins inhibiting the release of GABA messengers -> sustained clonic/tonic spasms
Describe the pathogenesis of descending tetanus.
pore is ingested -> spores germinate in anaerobic environment -> toxins are released and absorbed into bloodstream -> toxin ends up in CNS -> generalized tetanus
Which species are more prone to ascending tetanus and which are more prone to descending tetanus? Which type is more dangerous to the animal?
Species not prone to tetanus get the ascending type (dogs and cats)
Species more susceptible to tetanus get the descending type (humans and horses)
Ascending type is more severe
How do you diagnose a C. tetani infection?
-Culture wound exudate on blood agar and look for hemolysis and swarming motility
-PCR
How do you treat a C. tetani infection?
-Antitoxin injection
-Toxoid vaccination
-Sedatives and muscle relaxants
-Penicillin or metronidazole
What are the two AST test methods? Which one measures a zone of inhibition and which measures a minimum inhibitory concentration?
-Kirby Bauer: measures a zone of inhibition
-Broth microdilution: measures a minimum inhibitory concentration
How do you interpret a broth microdilution plate (how do you determine what the MIC is)?
The first concentration without a dot in the well is the MIC for that drug (if you see a dot that means there is bacterial growth)
The “rules” in the CLSI guidelines are based on what?
Rules are based on the expected serum concentration if the drug is given systemically
What are two reasons why you would get a no interpretation (NI) result for a drug on an AST?
-There is no rule for that host-bug-drug scenario
(Ex: there are very few drugs that have had sensitivity tests done in camels, but you can extrapolate data from related species)
-The concentrations tested in lab do not align with the interpretation guidelines
(Ex: the rules say the concentration range is 2-20 but the concentrations on your plate only go from 8-20)
Why is the drug with the lowest MIC not always the best drug to use?
Each drug is evaluated at different concentrations and have different rules so you cannot compare their MIC values to each other
What is the mechanism of resistance for MRSA? What drugs is it resistant to?
-Resistant to Oxacillin and Penicillin… therefore resistant to all beta lactams
-MRSA has the MecA gene which codes for an altered PBP target protein that beta lactams cannot bind to
In general, what are the AST rules for topical drugs?
There are no rules for topical drugs, they are established based on expected serum concentrations if the drug is given systemically
In general, what are the AST rules for drugs to be used in birds?
-No rules for birds
-Enrofloxacin is illegal for use in birds
What pathogen(s) is/are most likely to cause equine mastitis?
Staph spp
Describe the distribution of equine mastitis.
usually unilateral
What pathogen(s) is/are most likely to cause canine or feline mastitis?
E. coli, staph, and strep
What factors are associated with mastitis in canines and felines?
-Ascending infection
-Trauma
-Unsanitary environment
What is the difference between clinical and subclinical mastitis in dairy cows?
-Clinical: visible changes to milk and udder, and decreased production
-Subclinical: no visible changes to milk or udder, may or may not have decreased production
When testing for mastitis, what cell type are you testing for? What number indicates mastitis is present?
Testing for somatic cells, >200,000 cells/ml indicates mastitis
What is the difference between contagious and environmental mastitis?
-Contagious mastitis can spread from cow to cow
-Environmental mastitis is contracted through the environment
What are the 3 bacteria that cause contagious mastitis in cows?
-Staph aureus
-Strep agalactiae
-Mycoplasma spp
What are 4 species of bacteria that cause environmental mastitis in cows?
-E. coli
-Enterococcus spp
-Coagulase neg staph
-Strep uberis
What should you do if you culture a milk sample for mastitis and grow 3 or more species of bacteria for an individual cow?
Collect a new sample
How should you manage cows with contagious mastitis?
-Milk infected cows last
-Cull infected cows
-Maintain a closed herd
-Proper milking technique and maintenance of milking equipment
How should you manage cases of environmental mastitis?
-There is a vaccine to prevent E. coli mastitis
-Sanitation, clean up the environment
-Treat individual cows as needed
Describe the structure of Staph aureus.
Gram positive cocci, forms grape-like clusters
What results would you expect to see if growing S. aureus on blood agar and mannitol salt agar plates?
-Beta hemolysis on blood agar plate
-All staph will grow on mannitol salt agar but strep will not
-Most staph do not ferment mannitol (it stays pink), but staph aureus does ferment it (it turns yellow)
Is S. aureus coagulase positive or negative? What would we expect to see visually with this result, and what does it tell us about the organism’s pathogenicity?
-Coagulase positive, would expect a clump at the bottom of the tube
-Coagulase positive are generally the only species of staph that are pathogenic, coagulase negative are usually commensals and do not cause infections
Describe the structure of Strep agalactiae.
Gram positive cocci, can be single cocci, pairs, or long chains
What Lancefield group is S. agalactiae in?
B
What is the CAMP test? What result would indicate the presence of S. agalactiae?
-It tests for hemolytic synergism
-Look for an “arrow” of enhanced hemolysis, if present, it indicates the bacteria is S. agalactiae
What test can you run to differentiate staph and strep species?
Catalase test: strep is neg (no bubbles) and staph is positive (bubbles)
Exception: staph aureus is catalase neg