Enterobacteriaceae- E coli Flashcards
Enterobacteriaceae overview
Reside in the GI tract of humans and animals Benefits: microbian antagonism -breakdown and absorption of the food -Waste processing -Vitamin K production 40 genera, 180 spp Gram - facultative anaerobic Rods or coccobacilli Oxidase negative Present in water, soil environment and GI tract of humans and animals- not environmental really Coliform bacteria Lactose += ecoli,
Genus Escherichia
E. coli- only clinically relevant one
Major pathogen in several animal species
Gram-negative coccobacilli
Lactose positive, oxidase negative, motile rods
E. Coli
Serotype: complete antigenic formula of an E coli
ex. O:26, K:60, F:41, H:11
O- O antigen (surface antigen- part of LPS)
H-Flagella
F-Fimbriae
K-Capsule
V diverse
E. Coli: pathogenicity
Strain dependent
Facultative pathogenic (eg. APEC)
Obligate pathogenic but then age dependent (few)
Differentiation between pathogenic and non-pathogenic strains not always evident but associated with:
-Certain serotypes (serotyping)
-Virulence genes (pathotyping-virotyping)
-Combinations of virulence genes
-Biotype (for RPEC only)
E. Coli: infections
Intestinal pathogenic strains Extra-intestinal pathogenic strains (ExPEC) -Respiratory -Septicemia -UTI -Pyometra -Mastitis
E. Coli: virulence factors
Depend on the pathotype Cell associated: -Endotoxin -Capsule -Fimbrial adhesions -Non-fimbrial adhesions
Extracellular
- Enterotoxins (work on intestine)
- Cytotoxins (toxicity for other cell types)
- Siderophores (septicemia)
E. Coli: Enteric Pathotypes
ETEC (enterotoxigenic) EHEC (Enterohemorrhagic) VTEC/STEC (Verotoxigenic/Shiga-like toxic) EPEC (Enteropathogenic) RPEC (Rabbit pathogenic)
E. Coli: Extra-intestinal pathotypes
APEC (Avian pathogenic) Necrotoxigenic (NTEC)- cattle Mastitis causing E coli- Cattle MMA in pigs UPEC- dogs
E. Coli: pigs
ETEC- Diarrhea VTEC-Oedema disease EPEC UTI MMA
E. Coli: Cattle
ETEC Septicemia: NTEC EPEC EHEC/VTEC Mastitis
ETEC in piglets- adhesion factors
Adhesion factor: F4 -Solely in pigs -Neonatal to post weaning F5 -Receptor only in very young animals: neonatal F6 -Neonatal F41 -Frequently together with F5 -Rare -Neonatal F18 -Oedema disease, from weaning on Non-fimbrial adhesions
ETEC in piglets- Enterotoxins (on plasmids)
- Heat labile toxin (LT)
- high molecular weight
- strong antigen: vaccination - Heat stable
- STa, STb
- EAST1 (enteroaggregative E coli heat stable toxin)
- Low molecular weight
- Little antigenic
ETEC in piglets- Virulence factors
Age dependent importance Neonatal ETEC -F4; F5; F6; F41 -STa; STb -Non hemolytic
Neonatal till 3 weeks
- F4
- LT; STa; STb; EAST1
- Hemolytic
Post weaning diarrhea
- F4; F18
- LT; STa; STb; EAST1
- Hemolytic
ETEC in piglets- Virulence and pathogenesis
In the intestine of healthy sows
Equilibrium between maternal immunity and infection pressure
Break in equilibrium=disease
-Increase infection pressure: low hygiene; presence of ETEC diseased piglets
-Lowering of maternal immunity
Sow: MMA (no milk); first delivery
Piglet: low birth weight; other infection
Too many piglets per sow
-Appearance of new type
ETEC in piglets: Piglet diarrhea
Distortion of equilibrium between immunity and microbial load: bacterial challenge too high and/or immunity too low (mainly maternal)
ETEC in piglets: Diagnosis
Symptoms and age:
- remain drinking
- v smelly feces
- dehydration
- Older piglets diarrhea (white, grey, not as watery)
- Bacteriology + Detection of virulence factors
- PCR
- Agglutination
ETEC in piglets: Treatment
Hydration (SC, IP) (PO, electrolyte solution plus glucoses and amino acids)
Antimicrobials (susceptibility profile)
ETEC in piglets: Prevention
Hygiene and management: prevention of spread, cleaning and disinfection
Vaccination sows:
-Inactivated vaccines: different strains (with different F factors)
-Purified adhesion factors and LT
-Two injections of which the last one 2-6 weeks before partus
-Live vaccine
Vaccination of piglets (only of use for F4)
-Live vaccine for (post) weaning diarrhea
Selection of receptor free piglets (F4)
VTEC- Oedema disease in piglets: Virulence and pathogenesis
- Adhesion small bowl: F18
- Specific receptor
- Adhesion from approx of 10 days on - Exotoxin
- VT2e or Stx2e: media necrosis (blood vessels) - Exotoxin: acute mortality
Oral intake of pathogenic E coli
Adherence and proliferation in intestine
Shiga toxin damages blood capillaries and increases fluid loss
Clinical Signs
VTEC- Oedema disease in piglets: Virulence and pathogenesis
Sow to piglet Weaning: stress -Change in intestinal flora -Maternal immunity Excretion -> infection pressure increase -> contamination other piglets Toxin production: media necrosis -Hyperacute: enterorhagia -Acute: permeability blood vessels oedema (CNS and dyspnea) -Slower: intravascular coagulation Endotoxin: shock and acute mortality
VTEC- Oedema disease in piglets: diagnosis
Symptoms: -<3 wks after weaning -Multiple piglets affected CS Bacteriology and confirmation virulence factors
VTEC- Oedema disease in piglets: Clinical signs
Acute mortality (some)
Diarrhea (rare)
Anorexia
Oedema: hoarse voice, CNS, dyspnoea, swollen eyelids
VTEC- Oedema disease in piglets: Treatment
Affected animals:
-fasting (elimination of toxin)
-Increase of intestinal peristaltic
-antimicrobial therapy (note: quite some resistance, susceptibility test)
Not yet affected animals
-antimicrobial therapy: incubation time of toxin 2-3 days (so you may still see symptoms after tx)
VTEC- Oedema disease in piglets: Prevention
Reduce stress at weaning (no castration, no vaccination, keep temp constant)
Feed composition: feed restriction; increase fiber content; starter feed before weaning
Adaptation of intestinal flora (reduction of E coli and toxin): probiotics; organic acids (have antibacterial effects); Zin oxide (in feed for first 14 days after weaning)
Antimicrobials
Vaccination in piglets at age of 2-4 days (live vxn contains recombinant VT2e)
Selection of receptor F18 negative animals
EPEC diarrhea in piglets: virulence and pathogenesis
Rarer, little known about its general role
Diarrhea at weaning
Virulence factors:
-BFP- bundle forming pilli, initial attachment
-Attaching and effacing- intimate attachment
-eae
-T3SS (needle) and injection of effector proteins