Campylobacter and Helicobacter Flashcards

1
Q

Campylobacter

A

-gram negative
-curved, comma or seagull shaped
-microaerophilic
-needs nutritious media (blood containing)
-some grow at elevated temp= 42 degrees
-biocontainment level 2

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2
Q

Helicobacter characteristics

A

-gram negative
-long spiral shaped corkscrew shape (tight coils)
-microaerophilic
-culture independent methods often used (serology, PCR used instead)
-biocontainment level 2

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3
Q

Habitat and host

A

-both genera animal associated

-Campylobacter: intestinal tract of birds and mammals, reproductive mucosa and gall bladder of cattle

-Helicobacter: stomach and GI tracts of mammals and birds
*about 50% of us have some H. pylori in our stomachs

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4
Q

Helicobacter spp virulence factors

A

little known

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5
Q

Campylobacter jejuni virulence factors

A
  1. flagella- motility
  2. Outer membrane adhesion proteins= adhesion
  3. Superoxide dismutase and catalase= intracellular survival
  4. Cytolethal-distending toxin= cell death
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6
Q

C. fetus sussp venerealis

A

-causes Vibrosis
-typically occurs in cattle exposed for first time
-organism ascends from vagina to cause intrauterine infection
-Sexually transmitted transmission (natural or AI)
-vaccinations play role

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7
Q

Presentations of C. fetus subsp venerealis

A

-Presentations:
1. silent carrier
2.temporary infertility
3. early embryonic death
4. abortions (rarely exceeds 10%)

**cows will naturally clear infection; bulls silent carriers

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8
Q

C. fetus subsp fetus

A

-abortion in final 6wks of pregnancy in ewes (and can see pyrexia and vaginal discharge) and abortion in cattle
-transmitted through ingestion and travels to gallbladder and pregnant uterus
**multifocal hepatic necrosis
-highly contagious within herd/flock
-incubation 7-25days
-control abortion outbreaks with antimicrobials
-vaccinations play a role

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9
Q

Human infections with C. fetus subsp fetus

A

-infections have been reported
-presents as septic abortions, proctitis and proctocolitis, and sepsis
-related to contact with animals and possibly eating raw food

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10
Q

C. jejuni subsp jejuni

A

-Common cause of gastroenteritis; typically self limiting disease (5-10days)

-infection by ingestion (unpasteurized dairy, contaminated water, poultry products)

-very low infectious dose (<500organisms)= cross contamination in kitchen (especially chicken!)

-infection of food by fecal contamination

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11
Q

Guilain-Barre Syndrome

A

-rare sequelae following campylobacteriosis from C. jejuni supsp jejuni

-an acute demyelinating disease of the peripheral nerves= weakness and tingling in extremities, can become systemic (paralysis)

-no known cure but most recover

-20-40% of people with GBS were infected with Campy in last 3 weeks

-no correlation between infection, severity and likelihood of developing GBS

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12
Q

Campylobacter species in dogs and cats

A

Take positive fecal cultures with grain of salt!! Because they are commonly found in healthy animals
-association with disease not clear
-commonly C. jejuni, coli, or upsaliensis
-may act as household reservoir

May be linked with disease in animals under 6mths
-Often self-limiting
-can use antimicrobials if high fever, blood diarrhea

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13
Q

Helicobacter spp. and gastric ulcers

A

-H. pylori linked with gastric ulcers (grew in broth culture, and completed Koch postulates on himself)
-not just stress which was presumed for long time because thought bacteria could not be living in stomach acid
**Helicobacter decreases stomach acidity

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14
Q

Helicobacter spp in animals

A

-associated with gastritis in host animals

-found in healthy animals, and may have some link to disease but not well studied

-clinical signs in dogs (that may be associated): vomiting and weight loss

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15
Q

Sample collection

A

1.Campy Enteric disease= feces or rectal swabs

  1. Campy Reproductive disease= vaginal mucous, preputial washings, abortuses (Stomach contents and placenta)
  2. Helicobacter- biopsies of affected tissues
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16
Q

Handling of campybacter

A

-delicate, needs transport media
**C. fetus must reach the lab ASAP

17
Q

Lab ID of Helicobacter

A

-histological exam of gastric biopsies
-may need special staining (silver stains)

18
Q

Lab ID of Campybacter

A
  1. Culture
    -specialized methods (atmosphere conditions, gas packs)
    -filter paper on agar plates that Campy must swim through
  2. Molecular detection (esp. C fetus)= PCR assays
  3. Phase contrast microscopy or dark field
19
Q

Zoonotic transmission

A

Campylobacter
-foodborne
-pets as carriers
-raw food diets
-C. upsaliensis infections= pet contact

Helicobacter found in humans and animals
-H. pylori in cats
-H. canis and H. felis found in dogs, cats, people

20
Q

Treatment options

A

-no susceptibility testing guidelines

-intrinsic resistance to glycopeptides, lipoglycopeptides, lincosamides, oxazolidinones

-in companion animals, no real need to treat