Brucella + Brucellosis Flashcards

1
Q

What are some synonyms for brucellosis?

A
  • malta fever
  • mediterranean fever
  • undulant fever
  • contagious abortion
  • infectious abortion
  • enzootic abortion
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2
Q

Describe the microbiology of brucella

A
  • gram negative small coccobacilli
  • non-motile, non-sporulating
  • aerobic, capnophilic, catalase +
  • urease + (except B. ovis)
  • facultative intracellular
  • multiple species
  • environmental persistence (withstands drying, temp, pH, humidity)
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3
Q

What are the 6 species of Brucella and what types are they?

A
  • B.abortus, B. melitensis, B suis - smooth
    • possess O=polysaccharide (OPS)
    • cause most disease
  • B.ovis, B.canis - rough
    • do not produce OPS
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4
Q

Describe the taxonomy of Brucella

A
  • phylum: alpha Proteobacteria
  • order: Rhizobiales
  • family: Brucellaceae
  • genus: Brucella
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5
Q

What are the clinical signs in ruminants?

A
  • largely sub-clinical until the final trimester
  • repro failure, abortion
  • most infected cattle will only abort once, but excrete large amounts of bacteria after calving
  • calves then born will be weak/ unhealthy
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6
Q

What is the main route of introduction for Brucella?

A
  • animal movement
    • introdction of infected animals into herd/ flock
    • shared grazing
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7
Q

How does Brucella affect non-pregnant animals?

A
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8
Q

Describe the process of infection of Brucella in pregnant and non-pregnant animals

A
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9
Q

Clinical signs in pigs?

A
  • similar to ruminants
  • may see swollen joints and tendon sheaths
  • lameness, incoordination
  • posterior paralysis
  • spondylitis
  • abscesses in various organs
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10
Q

Clinical signs in horses?

A
  • vague lameness
  • classically ‘fistulous withers’ - infected bursae
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11
Q

Clinical signs in marine animals?

A
  • similar to all others
  • plus meningoencephalitis
  • subcutaneous abscesses
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12
Q

Who is at risk for human brucellosis?

A
  • cattle ranchers/ dairy farmers
  • vets
  • abattoir workers
  • meat inspectors
  • lab workers
  • hunters
  • travelers
  • consumers of unpasteurized dairy products
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13
Q

How is zoonotic Brucella transmitted?

A
  • conjunctiva or broken skin contacting infected tissues
  • ingestion
  • inhalation of infectious aerosols
  • inoculation with vaccines
    • incubation: 7-21 days- several months
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14
Q

What are Brucella’s mechanisms of pathogenesis?

A
  • intracellular existance in vivo
  • facultatively extracellular intracellular pathogen
  • reside within non-professional phagocytes such as macrophages and from Brucella containing Vacuoles (BCVs)
    • invisible for immune system (stealth pathogen)
    • pre-activated macrophages e.g. with IFN-y, successfully kill invading Brucella cells
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15
Q

What virulence factors does Brucella lack?

A
  • Capsules
  • Adhesins
  • Fimbriae
  • Excreted toxins
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16
Q

Describe the Virulence: Type IV secretion system

A
  • Injection needle
    • injects effector proteins in cytoplasm cell
    • T4SS is crucial for establishment of the replicative niche- an endoplasmic reticulum (ER) derived vacoule
    • Brucella T4SS mutants are highly attenuated
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17
Q

What are the different diagnostic tests for Brucella?

A
  • serological testing
  • testing of milk
  • examination of smears
  • culture of products of abortion
  • tissues collected post mortem
  • bacteriological identification
18
Q

How is microscopy used in diagnostics?

A
  • smears of milk, vaginal discharge or placenta
  • stamp’s modified Ziehl-Neelsen method
  • gram negative bacteria, not truly acid fast, but they are resistant to decolourization by weak acids
19
Q

How can culture be used in diagnostics?

A
  • tissue are often contaminated and Brucella are slow growing so:
    • due to slow growth, selective media are usually required on primary growth
    • use a selective media e.g. Farrells’s medium containing 10-20% v/v horse serum
    • serum detroxe agar generally recommended only for subculture
    • use 10% CO2
20
Q

How is typing used in diagnostics?

A
  • generally only in Reference Labs
    • serology based on variants of surface OPS
    • susceptibility to phages
    • growth on media containing dyes
    • CO2 requirement, H2S production
  • molecular tests (in nonreference labs)
    • based on tandem repears, variable repeats
    • multilocus sequence typing
    • PCR based
21
Q

How is serology used in diagnostics?

A
  • LPS surface antigens (OPS) very immunogenic
  • other organisms share epitopes and cause cross-reaction
    • Yersinia enterocolitica O:9 real probelm
  • incubation period variable depending on challengs
  • abortion may precede serological reaction
  • antibodies present in serum and milk
  • cost, sensitivity and specificity important issues in survelliance programme
  • take vaccination into account
22
Q

How is Brucella controlled?

A
  • Pasteurisation of milk
  • vaccination of cattle, sheep, goate in enzootic areas
    • but level of post-vaccination serological reactions requires cessation if prevalence <2%
  • eradication testing and culling
  • continure surveillance milk/ blood
  • identification of herds and individual animals
  • epidemiological tracing
23
Q

How is Brucella controlled by vaccination?

A
  • reduction from >5% prevalence to <2% by vaccination
    • cattle: B.abortus S19 (smooth) or RB51 (rough)
    • sheep and goats: B.melitensis Rev1 (smooth)
    • no vaacine for swine/ humans
  • protective efficiency of smooth strains = 80%
  • protective efficiency of rough B.abortus RB51 is lower
  • all exert insufficient pressure for disease eradication
24
Q

When should you not use a live vaccine?

A
  • in pregnant animals
25
Q

What are the costs to the world economies?

A
  • africa - >10%
  • India - 16%
  • asia - $3.4 billion
  • Argentina - B.abortus - $60 million
  • Brazil - $450 million/year
26
Q
A
27
Q

What is Brucella linked to?

A
  • goats milk
28
Q

WWho identified small cocci in spleen?

A
  • Sir David Bruce
  • cultured bacteria
  • reproduced the disease
  • named micrococcus melitensis
29
Q

What did Bernhard Bang discover in 1897?

A
  • causative agent of contagious abortion
  • milk pasteurized in 1930
30
Q

Historical timeline of Brucella?

A
  • 1930 - 40% of cattle infected
  • 1962 - free calf vaccination (live S19)
  • 1967 - herd scheme - slaugher, incentives
  • 1971 - compulsory areas, replace with Brucella free animals
  • 1979 - eradicated
  • 1991 - OBF region of EU
  • 1993 - reintroduced to Wales from France
31
Q

Describe the microbiology of brucella?

A
  • gram -ve
  • small
  • coccobacilli
  • aerobic
  • facultative intracellular
  • catalase +ve
  • non-sporulating
  • non-motile
  • capnophilic
  • urease +ve - not B.ovis
  • environmentally persistent
32
Q
A
33
Q

WHich species does B.abortus infect?

A
  • cattle
  • bison
  • buffalo
  • HUMAN
34
Q

Which species does B.melitensis infect?

A
  • sheep
  • goats
  • HUMAN
35
Q

Which species does B.suis infect?

A
  • swine
  • European hares
  • reindeer
  • rodents
  • HUMAN
36
Q

Which species does B.canis infect?

A
  • dogs
  • HUMAN
37
Q

Which species does B.ovis infect?

A
  • sheep
38
Q

WHich species does B.neotomae infect?

A
  • rodents
39
Q

B.maris, B.pinnipediae, B.cetaceae?

A
  • marine mammals (seals, walruses, whales, dolphins)
  • maybe humans
40
Q
A