Corynebacterium/Trueperella/Rhodococcus Flashcards
What is Corynebacterium?
- Gram positive
- Nonspore forming rod (pleomorphic)
- Club shaped
- Several species
What are the species of Corynebacterium?
- C. equi - Rhodococcus equi
- C. suis - Actinbaculum suis
- C. pyogenes - Trueperella pyogenes
What is C. diphtheriae?
- Causes diphtheria in children
- Diphtheria toxin
- A-B toxin, gene on a prophage
- Not an animal pathogen
What is C. ulcerans?
- Emerging pathogen
- Produces diphtheria toxin
- Causes diphtheria
- An animal Pathogen
- hence a zoonotic agent
What diseases does C. pseudotuberculosis cause?
- Sheep & Goats: Caseous Lymphadenitis
- Horses:
- Ulcerative Lymphangitis
- External (Pigeon Fever) abscesses
- Internal abscesses
What are the Biotype of . pseudotuberculosis?
- Ovis - Sheep and goats
- Nitrate reduction test negative
- Equi - Horses and cattle
- Nitrate reduction test positve
- PCR assay can be used to differentiate
What are the Virulence factors of C. pseudotuberculosis?
- Facultative intracellular pathogen
- Surface lipid coat protects the organism in teh phagocytic cells
-
Exotoxin: Phospholipase D (PLD) - Protective antigen
- Cytolytic
-
Mycolic acid: Protection
- Permits the organism to survive intracellularly
What is the pathogenesis of C. Pseudotuberculosis?
- Organism is present in the GI tract and soil
- Enters through skin breaks / Ingestion or inhalation
- Form micro abscesses at the site of entry
- Disseminated by phagocytic cells via lymph or blood to lymph nodes
- Phospholipase D increases vascular permeabiliy and spreads the infection
What is Caseous Lymphadenitis?
- Chronic and contagious disease in sheep and goats
- Abscesses in the skin, lymph nodes and internal organs
- Two forms:
- External: Infection of the skin, subcutaneous tissue and peripheral lymph nodes
- Internal: Abscesses in lungs, liver, kidneys, spleen and internal lymph nodes
What are the forms of C. pseudotuberculosis in Horses?
- 3 forms:
- Ulcerative lymphangitis - less common
- External Abscesses
- Internal Abscesses
What is Ulcerative Lymphangitis?
- Inflammation of the lyphatic vessels
- Formation of abscesses on the legs
- Abscesses break and exude thick greenish pus
- Resembles farcy
- May spread to internal organs
What are External Abscesses of C. pseudotuberculosis?
- Single large abscess, often in the pectoral region
- Pigeon fever or Breast bone fever
- Thick capsule and filled with yellow to tan pus
What are Internal Abscesses with C. pseudotuberculosis?
- Difficult to diagnose
- Weight loss, fever, depression, colic
- Most often in the liver
How is C. pseudotuberculosis diagnosed?
- External abscesses are easy to diagnose
- Bacteriologic culture
- Diptheroid rods in stained smears of the pus
- Isolation and PCR confirmation
How is C. pseudotuberculosis Treated?
- Antibiotics:
- Penicillin, ampicillin, erythromycin, gentamicin, chloramphenicol and tetracycline with rifampin (penetrates the abscess)
- Not very effective because of the thick abscess capsule and intracellular location
- External abscesses - Surgical incision to drain
Is there a vaccine for C. pseudtuberculosis?
- Inactivated whole cell wall and supernatant containing phospholipase D (protective)
- Commercially available
What Corynebacterium species cause UTIs?
- C. renale* most common
- C. pilosum
- C. cystitidis
- Predominantly in cows
What are the Virulence factors of C. renale?
- Fimbriae - Attachment
- Urease - Ammonia
What is he pathogenesis of C. renale?
- Attachment to the epithelial cells of the urinary reproductive tracts
- Ascends to the kidneys to cause pyelonephritis
What Diseases does C. renale / C. cystitidis cause in Cattle?
- Hemorrhagic cystitis
- ulceration of the bladder
- Ureteritis and Pyelonephritis
- Clinical Signs:
- Fever
- Anorexia
- Arched back
- Frequent urination
- Urine will have albumin
- Leukocytes
- Blood clots