Block 4 Flashcards

1
Q

Actinomyces overview

Gram pos or neg?
what do they look like?
describe?
what do they require?
are the motile?

A

Gram pos., club shaped rods with filamentous branching,
facultative/strict anaerobe, capnophilic (requires CO2), non-motile

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2
Q

Actinomyces overview

(bacteria surrounded by macrophages and
neutrophils) are formed and in chronic progressive infections the outer
zone of lesion has granulomatous characteristics

what is this?

A

Sulphur granules

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3
Q

Actinomyces overview

what animals usually get these?
where?
why?

A

Commensal of the oral cavity (mucosa and tooth surface) and mostly
cause infection in cattle when there is a break in the mucosa- therefore,
infections are typically endogenous

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4
Q

Actinomyces overview

if an infection is growing from within an organism, it is called?

A

endogenous

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5
Q

Actinomyces overview

are both mammals and humans affected?

A

Affects mammals and humans

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6
Q

Actinomyces overview

what about the Virulence factors?

A
  • Virulence factors: not well understood
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7
Q

Actinomyces overview

what about the Pathogenesis?
example?

A

Pathogenesis: Actinomyces has an affinity for bone
* There is a break or disruption of the oral mucosa barrier which allows the
bacteria to directly spread into the bone and can cause bone lysing in
chronic infections

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8
Q

Actinomyces overview

can it spread via blood or lymphatics?

A

Can also spread via blood or lymphatics

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9
Q

Actinobacillus lignieresi

what is it?
who gets it?
Dx?
DDx?
Tx?

A

-Wooden/timber tongue
-affects ruminants and horses but mostly cattle
-found in nasppharynx , enters through breaks in the mucosa and forms granulomas
-DX drooling, face swelling, histology, microscopic granules
-actinomyces bovis–lumpy jaw
-must catch early
difficult surgery
-cautious use of iodine treatments due to toxicity

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10
Q

Actinomyces bovis

Chronic and progressive granulomatous abscess that extends to the mandible, maxilla, and other bony tissue
of the head
* Eventually normal bone gets replaces by porous bone with sinus tracts containing pus

what is it?+

A

Pyogranulomatous osteomyelitis AKA Lumpy jaw in cattle

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11
Q

Actinomyces bovis

Pyogranulomatous osteomyelitis AKA Lumpy jaw in cattle
Transmission?
Predisposing factor?

A
  • Transmission: bacteria enters via penetrating wounds such as course hay or stick puncturing the oral mucosa
  • Predisposing factor: trauma to the oral mucosa
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12
Q

Actinomyces bovis

Pyogranulomatous osteomyelitis AKA Lumpy jaw in cattle
CS?
Dx?
Tx?
Prevention?

A
  • CS: facial swelling and distortion, draining of purulent exudate from fistulous tracts, loose teeth, dyspnea due to
    swelling into the nasal cavity
  • Dx: culture purulent material (capnophilic), examine crushed sulfur granules under the microscope from
    unopened lesions, rads to see degree of bone destruction
  • Tx: very long antibiotic treatment (3-12 mo.) with high doses of penicillin, surgical removal/excision if lesions are
    small, generally euthanasia is the best option
  • Antibiotic treatment typically fails due to the microcolonies being walled off- hard for the antibiotics to reach the bacteria
  • Prevention: decrease risk of potential mechanical injury, remove foreign bodies

*Actin on my mandible

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13
Q

Dermatophilus overview

is it Commensal?
Gram + or -
describe
can it ever be zoonotic?

A
  • Gram pos., filamentous branching, aerobic so attracted to skin and is an obligate skin pathogen, also can be zoonotic

*Not commensal

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14
Q

Dermatophilus overview

How does it reproduce?

A

Reproduce by motile asexual zoospores, the filamentous hyphae will germinate
* Hyphae separate and appear like train tracks, then they produce coccoid fragments that become motile zoospores

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15
Q

Dermatophilus overview

how is it transmitted?

A

Transmission: contact via infected animals or indirect contact by arthropod mechanical vectors
* Can also infect humans by direct contact (rare) so be sure to wear gloves and use antibacterial soap

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16
Q

Dermatophilus overview

predisposing factors?

A

Predisposing factors (all break down skin protective layers): persistently wet skin, humidity, high temperatures, ectoparasites

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17
Q

Dermatophilus overview

Pathogenesis?

A

Pathogenesis: normal protective layer of skin barriers have to be weakened or deficient and then the bacteria will breach the
skin given the opportunity
* Once zoospores germinate to produce the hyphae, the hyphae will penetrate down into the epidermis and then spread in all
directions which results in a sever inflammatory response with scab and crust formation, epidermal abscesses, and hyperkeratosis

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18
Q

Dermatophilus overview

where is it more more prevelent?
who gets it?

A

More prevalent in the tropics (commonly seen here at St. Kitts) but is seen worldwide in cattle, sheep, goats, horses and
sometimes pigs, dogs, and cats

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19
Q

Dermatophilus overview

what does an acute infection look like?
chronic infection?

A

Acute infections: lesions heal spontaneously in 2-3 weeks
* Chronic infections: invasion of epithelium, scabs, proliferation and release of motile zoospores

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20
Q

Dermatophilus overview

what is necessary for it to occur?
what happens to cattle/goats/horses?
sheep?

A

Moisture is key

Cattle/goats/horses get dermatophilosis or cutaneous streptothricosis, horses also get rain rot or mud fever, **sheep get lumpy
wool **or strawberry foot rot

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21
Q

Dermatophilus congolensis

zoonotic?
what result?

A

yes
Can see significant morbidity and mortality in endemic areas
* Mortality mostly seen with secondary infections

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22
Q

Dermatophilus congolensis

Pathogenesis?

A

Pathogenesis: exudative epidermatitis with scab formation (dermatophilosis)
* First, bacteria will colonize in the hair follicles and penetrate the layers of the skin
* Next, there is an inflammatory response that causes keratinization followed by scab and crust formation
* Lastly, the cutaneous keratinization will form wart-like lesions and the hair will matte together
*shit poor freaking horse!

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23
Q

Dermatophilus congolensis

CS?
Dx?
Tx?
Prevention?

A

CS: epidermal abscesses, hyperkeratosis, scab formation
* Dx: appearance of lesions (very recognizable), histo or stained smears of scabs, cytology of fresh crust stained
with Giemsa
* Tx: injectable antibiotics primarily used
* Can use topicals to help prevent secondary infections, but they are not very effective against D. congolensis
* Q. Why are injectable AB indicated versus topical? Topicals wouldn’t reach all skin legions past epidermis
* Prevention: isolate and treat infected animals, shelter from rain, decrease scratch hazards in the grazing area,
reduce tick infestation
* Can do prophylactic treatment in endemic regions but antimicrobial resistance needs to be considered

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24
Q

Truperella

gram + or-
describe

A

Gram pos., pleomorphic, facultative
anaerobic, capnophilic, non-motile

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25
Q

Truperella

is it commensal?
where is it found?

A

yes
Found in the environment or on mucosa
of GI tract/resp. tract/urogenital tract of
cattle and swine

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26
Q

Truperella

who gets it and what does it cause?
what does it work synergistically with?

A

Opportunistic bacteria in cattle, sheep
and swine and causes suppurative
infections of any type in any location
(infections can lead to bacteremia)
* Commonly works synergistically with
Fusobacterium necrophorum

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27
Q

Truperella

hemolytic toxin that kills
neutrophils and macrophages, also
dermatonecrotic and fatal for lab
animals

what is it?

A

Pyolysin

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28
Q

Truperella

Truperella pyogenes- Summer mastitis
what is it?
who gets it?
when does it occur?
how does it occur? hint what 3 bacteria…

A

Mastitis of non-lactating cows and heifers during the summer
months
* Works synergistically with: Peptostreptococcus indolicu and
Streptococcus dysgalactiae
* All 3 bacteria work together to cause Summer mastitis

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29
Q

Truperella

Truperella pyogenes- Summer mastitis
transmission?
cs?

A
  • Transmission: Hydrotea irritans (head fly)
  • CS: swollen/hard/painful/hot udder quarter with enlarged
    teat (on teat ends)
  • Rice grain like clots and green to yellow pus will be secreted from
    the udder
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30
Q

Truperella

Truperella pyogenes- Summer mastitis
Dx?
Tx?
Prevention?

A

CS: swollen/hard/painful/hot udder quarter with enlarged
teat
* Rice grain like clots and green to yellow pus will be secreted from
the udder
* Dx: gram stain smear of purulent material, necropsy, culture
* Tx: penicillin, but possibility of resistance
* Prevention: no vaccine, prevent the primary cause, vector
control

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31
Q

Actinobaculum suis

gram + or -
describe
who gets it (gender specifically)

A

Gram pos., rods, anaerobe,
non-motile

  • **Commensal **of the preputial diverticulum of boars, but NOT found
    as a commensal in sows * So, causes problems in the sows but not the boars
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32
Q

Actinobaculum suis

transmission
speed of development?
result?

A

Transmission: only during coitus
* Disease develops quickly
* Porcine cystitis (UTI) and pyelonephritis in 3-4 weeks following coitus, and is potentially fatal due to renal failure

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33
Q

Actinobaculum suis

cs?
prevention?

A

CS: anorexia, arching up back, dysuria, hematuria (painful urination, blood in urine)
Prevention: artificial insemination

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34
Q

REVIEW QUESTION:
What are the 3 acid fast partial
bacteria?

A

corynebacterium
rhodococcus
nocardia

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35
Q

Anaerobes overview

what is required to grow?
example?
where can they be found?

A

Require anaerobic conditions to grow, an example of this is necrotized tissue
* Can be found in small amount in the GI tract (typically cecum, colon, and
rectum) of mammals

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36
Q

Anaerobes overview

gram + are called?
gram - are called?

A

There are gram pos. spore forming and gram neg. non-spore forming species

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37
Q

Anaerobes overview

When sending bacterial samples to the lab for testing, what must you use?

A

When sending bacterial samples to the lab for testing, you must use anaerobic
transport conditions

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38
Q

Anaerobes overview

characteristics of infections?
origin?
examples?

A

Infections are usually localized, oral and GI tract associated, and extend from
mucosal surfaces
* Commonly from endogenous origin
* Can see bacterial dissemination and a secondary localization
* Infections can include: abscesses, wound infections, aspiration pneumonia,
intra-abdominal infections, bacteremia, enteric infection, toxemia
* Mixed bacterial infection and synergistic relationships can occur

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39
Q

Clostridium overview

gram + or -?
describe?
what relevence Epsilon toxin?

A

Very large gram pos. rods, anaerobic, flagella for motility (except C. perfringens), rapid multiplication,
endospore forming, toxin producing
* C. perfringens produces Epsilon toxin, which is one of the most lethal and can be used as a bioterrorism agent

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40
Q

Clostridium overview

where found?
where located in animals?
what happens to the bacteria?
what sort of animals have a higher number of bacteria?

A

Found throughout the soil and can be seen in the GI tract of animals and humans
* Ultimately bacteria ends up in the feces
* Higher numbers of bacteria are found in carnivores

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41
Q

Clostridium overview

what is Caillas anthracis
is it contagious?
how transmitted
bioterrorism relevance?

A

Humans (wool sorters disease)
pulmonary-inhalation of spores and can take 2 months to manifest, rare but deadly

bioterrorism attacks in the US wen turning spores into powder form
not contagious

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42
Q

Clostridium overview

NEUROtoxic clostridia:
what is it?

A

NEUROtoxic clostridia: C. tetani and C. botulinum affect neuromuscular function

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43
Q

Clostridium overview

HISTOtoxic clostridia:
what is it?

A

HISTOtoxic clostridia: C. chauvoei, C. septicum, C. novyi, C. haemolyticum, cause localized lesion in the
muscle and liver

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44
Q

Clostridium overview

ENTEROtoxic clostridia:
what is it?

A

ENTEROtoxic clostridia: C. perfringens and C. difficile target the intestinal lining first and interfere with
protein synthesis

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45
Q

Clostridium overview

Predisposing factor?

A

Predisposing factor: necrotic tissue (the more necrotic tissue the higher chance of Clostridium spread)
* Vicious circle of necrotic tissue providing the environment for Clostridium growth, and then Clostridium producing
toxins that cause more necrosis

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46
Q

Clostridium tetani

? is a severe and potentially fatal intoxication with a NEUROtoxic clostridia causing SPASTIC
PARALYSIS

A

Tetanus

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47
Q

Clostridium tetani

where is it found?
who is most susceptible?

A

Found in the soil (usually the source of infection) or in the feces in low numbers
* Horses are the most susceptible species followed by humans and other species of animals

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48
Q

Clostridium tetani

transmission?

A

Transmission: wound gets contaminated with endospores from the environment

49
Q

Clostridium tetani

toxins?
MOA?

A

Toxins: tetanospasmin (neurotoxin) and tetanolysin (tissue destruction and necrosis)
* MOA: tetanospasmin block neurotransmitters resulting in continuous stimulation or spastic paralysis
* There is irreversible binding of the toxin of the receptor and GABA cannot do its job of inhibition
*inhibition is stopped

50
Q

Clostridium tetani

toxin spreads FROM the regional motor nerve in the limb TO other parts of the body
(dogs & cats)

what is this called?

A

Ascending tetanus

*all dogs go to heaven

51
Q

Clostridium tetani

toxin in the blood stream spread FROM the head/neck TO other parts of the body
(horses & humans), and more commonly results in death
what is this called

A

Descending tetanus

52
Q

Clostridium tetani

where do spasms start?
IP?
CS?

A

spasms start near head
IP: 5-10 days
* CS: stiffness in the head/neck, localized spasms, altered HR and resp. rate, dysphagia
*difficulty swallowing

53
Q

Clostridium tetani

Dx?
what relevance immunity?

A

Dx: CS and look for wound/portal of entry
* Latent tetanus: wound site of infection is already healed
* Not beneficial to culture and toxins in serum or tissue is very challenging to find
* IMPORTANT: animals that recover are not necessarily immune because the toxin could have been in an
amount too low to reach the threshold to stimulate antibodies

54
Q

Clostridium tetani

**know all 6 Tx- what are they?

A

Antitoxin: administered quickly to neutralize unbound toxin, quick but short term protection
* Anti-tetanus serum: passive immunization, gives a boost
* Toxoid: inactive vaccine to promote an immune response, based on TOXIN and not the bacteria
* Penicillin: give in large doses to kill bacteria that are producing toxins
* Surgical debridement and flush with peroxide (makes the wound an aerobic environment)
* Supportive care: reduce stimuli (put in a dark/quiet area), sedatives, muscle relaxants

55
Q

Clostridium tetani

Prevention & control?

A

Prevention & control: vaccine in the key! Tetanus is a 100% preventable disease
* Toxoid immunization, prophylactic treatment post exposure with a toxoid booster, wound management, aseptic surgical
techniques and sterilization of surgical equipment
* Rapid case ID, surveillance and promote awareness

56
Q

Clostridium botulinum

is a severe and potentially fatal intoxication by INGESTION (food) of pre-formed NEUROtoxins
causing FLACCID PARALYSIS
* Toxin type determines species from the wide group of neurotoxic clostridia (types A-G)

what is this called?

A

Botulism

57
Q

Clostridium botulinum

where found?
who gets it?

A

Found in rotting carcasses, decaying vegetation and contaminated canned foods due to germination
of endospores and growth of vegetative cells

  • Many animals species along with humans are all susceptible for botulism
58
Q

Clostridium botulinum

Transmission?

A

bacteria is growing on food and producing toxins, animals then consumes food containing
TOXINS
which are absorbed into the GI tract resulting in bacteremia
*stays on neuromusculas juction (sp?)

59
Q

Clostridium botulinum

Toxin?
MOA?
result?

A

Toxin:** botulinum toxin is the most powerful exotoxin** (a very tiny amount can kill a human)
* MOA: the toxin blocks ACH release from vesicle, AKA the excitatory neurotransmitter is blocked with results in
flaccid paralysis
* Death due to paralysis of respiratory muscles

60
Q

Clostridium botulinum

what effect aquatic birds?

A

Aquatic birds: Type E, consume toxins from the same source (like maggots containing toxins), will see
protrusion of 3rd eyelid

61
Q

Clostridium botulinum

what effect humans

A

Humans: foodborne (rare but fatal, ingestion of toxins that have been formed in contaminated food),
wound/needles, infant (honey on pacifier, most common), inhalation (rare, unnatural so bioterrorism?)

**btw.. the honey comment is bullshit. My german nanny used to do it all the time. Also, Timmy had GI issues and I put caro syrup in every bottle (although I did replace the syrup often). just sayin…

62
Q

Clostridium botulinum

IP?
CS?

A

IP: 3-17 days after ingestion of toxin
* CS: dilated pupils (1st CS), dry mucous membranes, decreased salivation, tongue flaccidity, dysphagia,
abdominal breathing

63
Q

Clostridium botulinum

Dx- 2 ways, what are they?

A

Dx: 2 ways to confirm
* Toxins in serum of animal
* Toxins in food/stomach contents of animal

64
Q

Clostridium botulinum

Tx?
Prevention and control?

A

Tx: depends on the stage/degree of infection
* Prevention & control: toxoid vaccination of cattle in endemic regions, don’t feed/eat food that is
suspected to have clostridium bacteria, prepare and preserve food accordingly

65
Q

Clostridium chauvoei

is a severe exogenous infection by HISTOtoxic clostridia, causing necrotizing myositis
* 100% fatality
what is it called?

A

Blackleg

66
Q

Clostridium chauvoei

where found?
susceptible species?

A

Bacteria is found throughout the environment
* Susceptible species: mainly young cattle (3 mo. to 2 years) and sheep of any age

67
Q

Clostridium chauvoei

Transmission & pathogenesis

A

exogenous infection of a wound (anaerobic environment), bacteria will
geminate and multiple thus producing toxins that cause tissue destruction
* Fermentation of the muscle glycogen will accumulate gas with a distinctive smell
* Bacteremia and toxemia will result in death within 24 hours
* Targets muscles with large mass: limbs, back, neck

68
Q

Clostridium chauvoei

CS?
Tx?
Prevention?

A

CS: febrile (fever), emphysematous swelling (condition causing shortness of breath) and crepitation (crackling or rattling sound) due to gas accumulation, lameness, potentially see
lesion on myocardium and diaphragm (post-mortem)
* Tx: no treatment, the disease process is too fast
* Prevention: vaccination

69
Q

Clostridium novyi & Clostridium hemolyticum

an exogenous, necrotizing, wound infection caused by HISTOtoxic
clostridia
is called?

A

Malignant edema or Gas gangrene

70
Q

Clostridium novyi & Clostridium hemolyticum

who gets it?
predisposing factors?
prevention?

A

Many species are susceptible including sheep, horses, and cattle
* Predisposing factors: deep/traumatic anaerobic wound
* Prevention: surgically remove necrotizing missle tissue and promote drainage, can give penicillin prophylactically

71
Q

Clostridium novyi & Clostridium hemolyticum

* Exogenous
* Gas gangrene
* Big head in rams

what is it and is it extrovert or introvert?

A

C. novyi Type A
extrovert

72
Q

Clostridium novyi & Clostridium hemolyticum

Endogenous
* Black disease (infectious necrotic
hepatitis)
* Predisposing factor: fluke
damage

what is it and is it extrovert or introvert?

A

C. novyi Type B
introvert

73
Q

Clostridium novyi & Clostridium hemolyticum

Endogenous (GI commensal)
* Liver damage (lots of blood)
* Bacillary hemoglbinuria
* Mainly affects cattle and sheep

what is it?

A

C. hemolyticum

74
Q

Clostridium

? is a HISTOtoxic
clostridia
from either an exogenous or
endogenous infection
* Braxy: abomasitis of sheep caused by exotoxins of
C. septicum
* Exogenous: via wounds
* Endogenous: dormant spores present in the
muscle

A

Clostridium septicum
Malignant edema or Braxy

75
Q

Clostridium

Clostridium septicum
Predisposing/risk factors:

A

Predisposing/risk factors: IM injections, shearing,
docking, lambing, traumatic parturition,
castration
* Local exotoxins cause inflammation and myositis
that ultimately results in edema and necrosis

76
Q

Clostridium

Clostridium septicum

Diagnosis, treatment, control ?

A

Dx: **direct fluorescent antibody
staining **test
* Anaerobic culture is not
necessarily rewarding and it
takes a significant amount of
time
* Tx: can use penicillin if caught
early enough
* Prevention & control: routine
vaccination with a
multicomponent toxoid (one
vaccine for several
bacteria/diseases)

77
Q

Clostridium perfringens

bacteria with biotypes A-E based on their
toxins is called?

A

ENTEROtocxic bacteria

78
Q

Clostridium perfringens

ENTEROtocxic bacteria
* 4 major toxins?
how produced?

A
  • 4 major toxins: Alpha, Beta, Iota, Epsilon
  • Alpha is produced by ALL C. perfringens strains
  • Enterotoxin: produced by ALL C. perfringens strains
79
Q

Clostridium perfringens

ENTEROtocxic bacteria
where are the 4 found?

A

Found in the soil, feces, and GI tract (commensal) (in small numbers) of
animals and humans
* Types B, C, D: can survive in the soil as spores
* Type A: more likely to survive in the gut (especially of
carnivores)

80
Q

Clostridium perfringens

ENTEROtocxic bacteria
Predisposing factors:

A

Predisposing factors: STRESS
* Literally anything that may result in change to the gut
microbiota
* Examples: inappropriate husbandry, sudden diet changes,
temp changes, poor ventilation

81
Q

Clostridium perfringens

ENTEROtocxic bacteria

C. perfringens causes…

A

C. perfringens causes necrotizing
hemorrhagic enteritis in many animal
species and can result in sudden death
without signs

  • Hemorrhagic so we see a lot of blood in the
    intestines
82
Q

enterotoxaemia caused by costridium perfringes type B and C

This is the disease: lamb dysentery

what is the C.perfringens type?
what is the host?

A

B
lambs less than 3 wks

83
Q

enterotoxaemia caused by costridium perfringes type B and C

This is the disease: calf enterotoxaemia

what is the C.perfringens type?
what is the host?

A

B and C
well-fed calves less than 1 month

84
Q

enterotoxaemia caused by costridium perfringes type B and C

This is the disease: pig enterotoxaemia

what is the C.perfringens type?
what is the host?

A

C
newborn piglets

85
Q

enterotoxaemia caused by costridium perfringes type B and C

This is the disease: foal enterotoxaemia

what is the C.perfringens type?
what is the host?

A

B
foals less than 1 week

86
Q

enterotoxaemia caused by costridium perfringes type B and C

This is the disease: struck

what is the C.perfringens type?
what is the host?

A

C
adult sheep

87
Q

enterotoxaemia caused by costridium perfringes type B and C

This is the disease: goat enterotoxaemia

what is the C.perfringens type?
what is the host?

A

C
adult goats

88
Q

4 steps

Virulence factors and pathogenesis Step 1
Rapid mucus-associated
proliferation
–>?
–> sialidases remove sialic acid from cells–> ?

resulting in binding sites for other clostridial
toxins and enzymes

A

Rapid mucus-associated
proliferation
–> mucin degrading enzymes –>
break down mucus

–> sialidases remove sialic acid from
cells _-> epithelial cells easier to reach
à binding sites for other clostridial
toxins and enzymes

–>binding sites for other clostridial
toxins and enzymes

89
Q

Virulence factors and pathogenesis Step 2

Toxin production (alpha
perfringolysin O)–>?

A

Toxin production (alpha
perfringolysin O) –> influx
neutrofiles, …

90
Q

Virulence factors and pathogenesis Step 3

Epithelial sloughing and capillary
congestion–>?

A

Epithelial sloughing and capillary
congestion –> haemorrhages,
increased vascular permeability, …

91
Q

Virulence factors and pathogenesis Step 4
Intestinal necrosis–>?
resulting in systemic circulation, shock,
rapid death

A

Intestinal necrosis –> absorption of
inflammatory cytokines and toxins

–>into systemic circulation, shock,
rapid death

92
Q

Necrotic Enteritis in Poultry

what is it?
how does it occur?
what sort of poultry affected?

A

C. perfringens types and and c –> toxins damage small intestine and liver (NetB pore-forming toxin)

opportunistic pathogen found in healthy gut flora of chickens

broilers 2-6 weeks old

93
Q

Necrotic Enteritis in Poultry

predisposing factors?

A

Predisposing factors:
- High dietary amounts of animal by-products (fish meal), wheat, barley, oats (~NSP)
- Mycotoxin contamination à harm gut integrity à favorable pathogen environment
- Coccidiosis (Eimeria spp.) à leakage of plasma proteins by damage to epithelial cells + enhanced
mucus production in intestine

94
Q

Necrotic Enteritis in Poultry

Clinical signs

A

Clinical signs
- Acute, dark diarrhea
- Increasing flock mortality
- Ruffled feathers, lethargy, inappetence

95
Q

Necrotic Enteritis in Poultry

what kind of disease is this and how do you get it?

A

Foodborne disease (consumption of chicken meat!)

96
Q

Clostridium perfringens

is caused by C. perfingens type B (toxins Alpha, Beta,
Epsilon) mostly effecting lambs that are less than 3 weeks of age
* Abdominal distention, pain, blood stained feces, necrotic intestines, sudden death

what is it?

A

Lamb dysentery

97
Q

Clostridium perfringens

Lamb dysentery
Predisposing factors?

A

Predisposing factors: remember the intestinal system is not fully developed in
neonatal lambs
* Low proteolytic activity in the neonatal intestine
* Presence of trypsin INHIBITORS in the colostrum & low levels of pancreatic secretion (not
enough trypsin pro-enzyme)
* Decreased trypsin means decreased digestion of Beta toxins
* Immature intestinal microbiota
* Dietary influences in older lambs
* Abrupt change in diet to a rich diet like a spring pasture
* The lambs will overeat/gorge on this energy rich diet which will decreases intestinal
motility (hypomotility)

98
Q

Clostridium perfringens

is caused by C. perfingens type D and affects lambs
between 3-10 weeks of age

what is it?

A

Pulpy kidney disease or Overeating disease

99
Q

Clostridium perfringens

Pulpy kidney disease or Overeating disease

Predisposing factors?
toxins?

A

Predisposing factors: overeating or goring on a high grain diet or rich pasture
* Toxins: Epsilon toxin is produced and activated by proteolytic enzymes resulting in toxemia

100
Q

Clostridium perfringens

Pulpy kidney disease or Overeating disease

Pathogenesis?

A

lambs ingest a massive amount of food which allows ”carry over” of food into the intestines
along with a massive amount of starch and sugar
* Bacteria love sugar and this is a good substrate for bacterial proliferation

101
Q

Clostridium perfringens

Pulpy kidney disease or Overeating disease

CS?
post-mortem findings?

A

CS: (these are unique)
* Focal symmetrical encephalomalacia: dullness, convulsions, terminal coma
* Hyperglycemia and glycosuria (increased sugar content in blood and urine)
Post-mortem findings:
* Fluid distended intestines with petechial hemorrhage of the serosa
* Rapid kidney autolysis: pulpy cortical softening

102
Q

Clostridium perfringens

Pulpy kidney disease or Overeating disease
* Dx?

A
  • CS such as sudden death (in unvaccinated animals) and/or post-mortem findings
  • Microscopy of stained intestinal fluids
  • Anaerobic culture to determine biotype, but not commonly done
  • Toxin detection in intestinal content
103
Q

Clostridium perfringens

Pulpy kidney disease or Overeating disease
Tx?
Prevention and control?

A

Tx:
* Hyperimmune serum when applicable
* Antimicrobials are usually not of much use and can cause more dysbiosis of the normal microbiota
* Prevention & control: vaccine is key!
* Routine vaccination of the toxoid in farm animals
* Avoid predisposing factors such as sudden diet changes or overeating

104
Q

Clostridium difficile

what is bacteria that causes sometimes fatal enterocolitis in man species of animals and humans?

A

Enterotoxic

*commensal
*horses

105
Q

Clostridium difficile

what is the primary cause?

A

primary cause of hospica acquired enterocolitis of humans who have received antibiotics or chemo
*neonates are resisitance but can carry toxogenic strains

Endospores are widespread and should be found in low numbers in a normal gut microbiota

106
Q

Clostridium difficile

Predisposing factors?

A

antibiotic treatment and/or hospitalization (especially long term), old age, clindamycin in horses is a significant risk factor

107
Q

Clostridium difficile

transmission

A

fecal-oral route and infection occurs die to dysbiosis (imbalance of microbial homeostasis)

108
Q

Clostridium difficile

toxins?

A

2 toxins usually work synergistically and increase the amount of damage:
-tox A enterotoxin- mainly causes diarrhea and some mucosal tissue damage
-tox b cytotoxin affects the intestinal cell lining

109
Q

Clostridium difficile

Dx?

A

anaerobic culture but bacteria is sensitive and needs a selective media, direct toxin detection (tissue culture assay, ELISA, agglutination) * Gold standard test: tissue culture assay with specific antibody naturalizations for Tox
B

110
Q

Clostridium difficile

Tx

A
  • Tx: supportive care, stop antibiotics if possible, give probiotics, avoid anti-diarrhea meds (want to continue
    getting rid of toxins), fecal microbial transplant (healthy stool transplanted into sick patients GI)
111
Q

Clostridium spp.

Clostridium spiroforme
what is it?

A

ENTEROtoxemia and explosive diarrhea disease of
rabbits between 4-8 weeks old

112
Q

Clostridium spp.

Clostridium spiroforme

Commensal bacteria that produced what ?
what result?

A

Commensal bacteria that produced Iota toxin but
typically causes problems following owners
medicating with “left over” antibiotics
* Causes fluid distention with hemorrhage of the
intestines and serosal surface

113
Q

Clostridium spp.

what 3 antibiotics are contraindicated in rabbits? why?

A

Antibiotics contraindicated in rabbits: lincomycin,
clindamycin, erythromycin

* These antibiotics can induce clostridial enterotoxemia
due to their selective effect of gram pos. bacteria
(basically they suppress the normal gut microbiota)

114
Q

Clostridium spp.

Clostridium piliforme
gram + or -
what does it cause, to who? how does it present?

A

Gram neg. clostridium causing Tyzzer’s disease
of many species
* Lab animals: acute fatal diarrhea with
associated focal liver necrosis

115
Q

Clostridium spp.

Clostridium piliforme

Predisposing factors?
CS?
Tx?
Prevention?

A

Predisposing factors: poor sanitation, stress
* CS: watery diarrhea, anorexia, dehydration,
lethargy, death
* Tx: oxytetracycline
* Prevention: disinfection and decontamination
of the lab animal cages

116
Q

Fusobacterium necrophorum

gram + or -
describe

A

Gram neg. and NON-spore forming bacteria that can be involved in a wide range of anaerobic and
mixed bacterial infections

117
Q

Fusobacterium necrophorum

common names?
where found?
does it work synergistically? with what?

A

Foot rot, Necrotic laryngitis, liver abscess

  • F. necrophorum is found as a commensal in the respiratory, GI and genital tracts of many animals and
    also found in the environment
  • In severe infections, you will commonly see F. necrophorum, Trueperella pyogenes(also commensal) and Dichelobacter nodus
    working synergistically
118
Q

Fusobacterium necrophorum

transmission?
Cs?
Dx?

A

Transmission: a break in mucosal or epithelial barriers allow for entrance of the bacteria
* CS: extensive pus and necrosis
* Dx: CS, PCR, anaerobic culture

119
Q

Fusobacterium necrophorum

tx?
prevention?
do genetics play a role?

A

Tx: remove necrotic tissue, dip in antiseptic foot bath, antimicrobials
* Penicillin, metronidazole (targets anaerobic bacteria), clindamycin, chloramphenicol
* Not effective: aminoglycosides and sulfonamides
* Prevention: keep feet dry, avoid mechanical injury, vaccinate (sheep, cattle)

genetics play a role