Exam 2 Flashcards
Coliform bacteria characteristics
- Lactose positive
- E. Coli
- Klebsiella
- Enterobacter
E. Coli general characteristics
Lactose positive, oxidase negative, motile rods
Definition of a serotype
Complete antigenic formula of an organism
Includes O-antigen, finbriae, flagella, capsule, ect
Cell associated virulence factors
Endotoxins, capsule, fimbrial adhesions, non-fimbrial adhesions,
E. coli extracellular virulence factors
Enterotoxin, cytotoxin, siderophores
E. coli -> PIGS (enterotoxic) age group and symptoms
Neonate - weanling ages
Watery diarrhea, dehydration, but will still drink, older animals will have white-grey diarrhea (not so watery), very smelly feces
E. coli -> PIGS (enterotoxic)
Adhesion factors list:
F4 , F5, F6, F18, F41, non-fimbrial adhesions
E. coli -> PIGS (enterotoxic)
Adhesion factor F4 Aka (K88)
Mannose resistant, pigs only, genes expressed at body temperature
On plasmids
E. coli -> PIGS (enterotoxic)
Adhesion factor F5 Aka (K99)
Pigs and bovine, mannose resistant, temperature dependent,
only causes neonatal diarrhea
E. coli -> PIGS (enterotoxic)
Adhesion factor F6 Aka (987P)
Mainly extrachromosomal, neonatal
E. coli -> PIGS (enterotoxic)
Adhesion factor F41
Chromosomal, mannose resistant, pigs and bovine, frequently with F5, RARE
E. coli -> PIGS (enterotoxic)
Non-fimbrial adhesions
Adhesions involved in diffuse adherence
E. coli -> PIGS Enterotoxin
LT -> heat labile
High molecular weight, strong antigen, activates adenylate cyclase, decrease Na absorption, increase CL and HCO3 secretion
E. coli -> PIGS Enterotoxic
Heat stabile list
STa, STb, EAST1
Common traits
- low molecular weight
- little antigenic
- withstand 15 minutes 121degrees Centigrade
E. coli -> PIGS Enterotoxic
Heat stable STa
Activation of guanylate cyclase system, decrease Na+ absorption, increase secretion of HCO3 and CL
E. coli -> PIGS Enterotoxic
Heat stable STb
Increase prostaglandin E2 –> secretion of water and electrolytes
Stimulation of 5-hydrotryptamine secretion
E. coli -> PIGS Enterotoxic
Heat stable EAST1 (Enteroaggregtive E. coli Heat Stable Toxin)
Closely related to STa
Also in EPEC, AEEC, VTEC
E. coli diseases in pigs: Enterotoxigenic (ETEC)
Characteristics mostly are age dependant
Neonates: F5, F6, F41, STa, STb & non-hemolytic
Neonate- 4 weeks: F4, LT, STa, STb, EAST1, hemolytic
Weanling diarrhea: F4, F18, STB, EAST1, hemolytic
E. coli in pigs epidemiology
General
E.coli can be found in the GI of healthy sows, there has to be an equilibrium between maternal immunity and infection pressure, if this equilibrium breaks there will be disease
E. coli in pigs epidemiology
How to increase infection pressure
Low hygiene
Presence of ETEC diseased piglets
Lowering maternal immunity
Appearance of a new type
E. coli in pigs epidemiology
Problems that effect pig immunity
Sow : MMA or her first delivery
Piglets: low birth weights, other infections
If a pig has too many piglets
E. coli in pigs PATHOGENESIS
Ascend from lower bowel
Oral uptake
Small intestine
Colonization
E. coli in pigs: ETEC
Diagnosis
Detection of virulence factors, agglutination tests, PCR
E. coli in pigs: ETEC
Treatment
Hydration (SQ, IP) or PO with electrolyte + glucose + AA
Antimicrobials (based on a susceptibility profile)
E. coli in pigs: ETEC
Prevention
- Keep infection pressure low and maternal immunity high
- Hygiene: prevent spread
- Vaccination: sows, inactive (different serotypes), purified adhesion factors and LT, vaccinate sows 2-6 wks b4 partus
- Selection for receptor free piglets (F4)
E. coli in pigs: VTEC -> verotoxigenic
Oedema disease - post weaning
Mixed ETEC/VTEC - Odema and diarrhea
E. coli in pigs: VTEC
Virulence factors
Adhesion small bowel: F18
Specific receptor (if absent = resistant)
Exotoxin- VT2e or Stx2e: media necrosis
Endotoxin: acute mortality
E. coli in pigs: VTEC
Epidemiology
Sow to piglet
Weaning-> stress, GI flora changes, maternal immunity
Excretion -> increased infection pressure -> contamination of others
E. coli in pigs: VTEC Toxin production (speeds)
Endotoxin
Leads to media necrosis
Hyper acute: enterorrhagia
Acute: permeability of blood vessels oedema (CNS and dyspena)
Slower: intravascular coagulation (CNS)
ENDOTOXIN: shock and acute mortality
E. coli in pigs: VTEC
Symptoms
- Less than 3 weeks after weaning
- Multiple piglets effected
- Clinical: acute mortality (some), diarrhea(some), anorexia,
oedema -> hoarse voice, CNS symptoms, dyspnoea, swollen eyelids
E. coli in pigs: VTEC
Diagnosis
Clinical signs
Pathological findings
Bacteriology
Conformation: demonstration of virulence factors (PCR)
E. coli in pigs: VTEC
Treatment
- Sick animals: fasting, antimicrobials (susceptibility testing due to resistance)
- Healthy animals: antimicrobial therapy
- incubation time of toxin 2-3 days (symptoms after treatment possible)
E. coli in pigs: VTEC
Prevention
- Reduce stress
- Feed composition
- Adapt GI flora: probiotics, organic acids, zinc oxide (2400ppm kills, put in feed for 14 days after weaning), vaccination
- Selective of receptor (F18) negative animals
E. coli in pigs: EPEC –> Enteropathigenic
More rare, little known about its general role
Diarrhea
Attaching and effacing
T3SS (needle) and injection of effector proteins
Diagnosis
- isolation + PCR (eae (intimin) gene)
E. coli diseases in pigs: UTI
- Most important pathogen in UTI in pigs (& other mammals)
- E. coli infection originated most likely from intestine
- Virulence factors in pigs? (Research)
- Predisposition factors: hygiene, water intake, obstipation, age, individual difference
E. coli diseases in pigs: UTI
Symptoms
Anorexia
Hematuria
Vaginal exudate
General malaise (sometimes)
E. coli diseases in pigs: UTI
Diagnosis
Bacteriology (semi quantitative from 10^3 - 10^5 on)
E. coli diseases in pigs: UTI
Treatment
Culling (due to fertility problems)
Antibiotics approximately 3 weeks
E. coli diseases in pigs: MMA & PPDS
- Metritis-mastitis-aglacitiae
- Post Partum Dysgalactiae Syndrome
- Etiology: hereditary, hormonal, feed, infections agents E. coli, (Klebsiella spp., Enterobacter spp., Citrobacter spp.
E. coli diseases in pigs: Septicemia
Secondary to enteric infection
Rarely primary
E. coli diseases in Bovines
ETEC: less than 3 days of age
EPEC/EHEC: animals older than one week
Septicemic: neonates, lack of colostrum
E. coli diseases in Bovines: ETEC
Symptoms
Watery diarrhea –> dehydration
Animals less than 3 days old (neonates)
E. coli diseases in Bovines: ETEC
Virulence factors
- Fimbriae: F5(most common), F41, F17(role unclear), CS31A(related to F4 frequently diarrhea in older animals)
- Toxins: STa, STb
E. coli diseases in Bovines: ETEC
Pathigenesis
Oral uptake
Multiplication
Enterotoxin production
- (secondary septicemia)
E. coli diseases in Bovines: ETEC
Effects on Pathogenesis
Equilibrium between immunity and infection pressure
Colostrum- too little, too late, too low in antibodies
Infection- to early, or to high infection pressure
E. coli diseases in Bovines: ETEC
Diagnosis
ELISA
Culture + virulence factors (agglutination or PCR)
E. coli diseases in Bovines: ETEC
Treatment
Sick:
- Separate,
- Hydration,
- Antibiotics (high resistance, diarrhea + fever: parenteral therapy, no fever: colistin PO)
- NSAID (shock)
E. coli diseases in Bovines: ETEC
Prevention
Dairy farms
- Hygiene : separate calves from mothers
- Colostrum: of multi-partus animals
- Antibiotics p.o. (4-5d, colistin)
- Vaccination of dams
- Antibodies PO
E. coli diseases in Bovines: EHEC and EPEC
EPEC: eae EHEC: eae + VT (VT1 and/or VT2) ***Zoonosis**** Specific stereotypes Age 1-8wks Mucoid diarrhea +/- blood Mainly large intestine Therapy: antibiotics
E. coli diseases in Bovines: Mastitis
No known virulence factors DD: Gram +/- -- infection -> G- has fever -> loss of quarter Prevention: hygiene Treatment: systemic antibiotics
E. coli diseases in Bovines: Septicemiae
Virulence factors
- ExPEC
- Facultative pathogenic (freq in GI tract)
- Virulence factors: serum resistance, iron uptake systems, endotoxin, capsule, adhesion factors (P, F17, AfaE-Vlll, CS31A), CNF1, CNF2 toxins
E. coli diseases in Bovines: Septicemiae
Pathogenesis
Per os
Umbilical chord
Colostrum
E. coli diseases in Bovines: Septicemiae
Symptoms
- Hyper acute: acute mortality and shock
- Acute: General symptoms, Fast mortality
- Slower: organ localization, poly arthritis, pneumonia, pleuritis, menigo-encephalitis
E. coli diseases in Bovines: Septicemiae
Diagnosis
- Clinical: age, symptoms, colostrum, low gamma globulins in serum
- Isolation and PCR virulence genes
E. coli diseases in Bovines: Septicemiae
Treatment / prevention
NSAID (shock)
Antibiotics (susceptibility testing)
Gamma globulins: plasma from older animals
Prevention: colostrum
E. coli diseases in Cats and dogs: Enteric
Dog: frequently with other pathogens
ETEC, EPEC, VTEC, EIEC:seen in clinically healthy and diarrheic
Pups: CNF1 E. coli: association w/ diarrhea and septicemia
Cats (???) not so common
E. coli diseases in cats and dogs: cystitis and pyometra
Cystitis
Dogs: fimbriae: type 1, F12, F13(associated with human UTI)
Specific stereotypes (O2, O4, O6, O83)
50% a-hemolytic
Same strains seen in pyometra
Cat: seldom (high osmolarity of urine is antibacterial)
E. coli diseases in poultry and other birds
Most important disease in broilers and layers
Facultative pathogen
Normal E. coli flora has ~10% pathogenic serotypes
E. coli diseases in poultry and other birds
Stereotypes / virulence factors
Serotypes: O1, O2, O78
Virulence factors: not fully understood
E. coli diseases in poultry and other birds
Clinical appearance
Neonatal: coliobacillsis
Respiratory: colibacillosis and septicemia
Peritonitis (layers)
Coli granuloma (old backyard chickens)
Otitis media (part of swollen head syndrome)
Chronic respiratory colibacillosis and arthritis
E. coli diseases in poultry and other birds
Pathogenesis
Contamination of eggshell Neonatal contamination Manipulation of chicks All lead to yolk rest infection. Excretion in feces -> can be inhaled
E. coli diseases in poultry and other birds
Pathogenesis in layers
Peritonitis
Endrogenic infection
Start of lay
Chronic form in older birds
E. coli diseases in poultry and other birds
Diagnosis
Pathological lesions
Isolation E. coli from different internal organs (liver, spleen, lungs)
E. coli diseases in poultry and other birds
Treatment / prevention
Treatment: Very difficult, Antibiotics: susceptibility testing needed
Prevention: hygiene, stress, temperature, vaccine (Zoetis, Poulvac) for breeding stock immunization
E. coli diseases in poultry and other birds
Broilers
Scabby hip/ Necrotic dermatitis E. coli O78, O2 Frequently also other bacteria Difficult to diagnose (feathers) Found at slaughter Prevention: lower the density
E. coli diseases in rabbits: RPEC
- Can also be EPEC (eae positive)
- Diagnosis: clinical symptoms, isolation and sub-typing (needed)
- Treatment: antibiotics
Salmonella General Characteristics
- Obligate symbiont
- Virulence: host specific serotypes (typhoid)
Host adapted/ restricted serotypes
Also, non-host specific serotypes - Quite resistant in environment: protected by organic material & in dry place
Salmonella General Characteristics
Zoonotic aspects
Zoonotic - non host specific, some host adapted/restricted
Non-zoonotic - host specific, some host adapted/restricted
Antimicrobial resistance and the zoonotic aspect are a matter of concern
Salmonella
Pathogenesis
Facultative intracellular
Differences in Pathogenesis between:
- host adapted (typhoid) + host restricted
- non host adapted
Salmonella
Pathogenesis
Per os
Inhalation
Salmonella and Bovines
Symptoms: S. Typhimurium
Different serotypes possible but mainly: S. Typhimurium, S. Dublin
S. Typhimurium- diarrhea (ileum and lg. intestine) + general symptoms
Tissue localization: abortion and udder
Salmonella and Bovines
Symptoms: S. Dublin
- Calves: diarrhea, general symptoms, tissue localization: lung, liver, spleen.
- Adult: diarrhea, general symptoms, organ dependent symptoms: abortion and mastitis (persisting intracellular) -> carriers
Salmonella and Bovines
Diagnosis
Live animals: fecal material, milk (sub clinical mastitis), respiratory: BAL, arthritis puncture, abortion (fetus, placenta, vagina)
Dear animals: ileum & other organs
Salmonella and Bovines
Treatment
Isolation of sick animals
Fluid therapy
Antimicrobials
NSAID
Salmonella and Pigs
Types
S. Choleraesuis: typhoid
Non host specific salmonella
Salmonella and Pigs
Clinical symptoms in >50kg animals
Most common subclinical
Diarrhea and general symptoms
Slow spread
Hyper acute form (>70-80kg) acute mortality
Acute form is frequent with cyanosis
Chronic form is nonspecific with stunted growth
Is Salmonella from Pigs zoonotic?
Yes
Most common cause Salmonella and Pigs?
Mainly S. Typhimurium
Also S. Derby
Salmonella and Pigs
Diagnosis
Bacterial culture
ELISA (antigen)
ELISA (antibodies) difficult to intemperate used for control programs
Salmonella and Pigs
Treatment
Antimicrobials
Eventually general support (NSAID)
Salmonella and Pigs
Prevention
Manage AI and AO (clean and disinfect) Organic acids in drinking water or feed - short chain fatty acids - medium/long chain fatty acids are more antimicrobial Feed composition (want smaller pieces) vaccination
Salmonella In horses
Types
Salmonella abortus-equi
*rare!
Pathogenesis depends on uptake (mares have symptoms)
Salmonella in horses
Diagnosis and treatment
D: Bacteriology
T: Antimicrobials
- elimination from reproductive organs is difficult (intracellular)
Salmonella in Horses
Non host specific salmonella
Pathogenesis
Short incubation time hours to 6 days
Salmonella in Horses
Non host specific salmonella
Symptoms (mild)
Mild - general symptoms (fever, anorexia, depression)
- slight diarrhea, diagnosis difficult (feces isolate unsuccessful) - self limiting
Salmonella in Horses
Non host specific salmonella
Symptoms (acute)
Fever, anorexia, mild colic, 24hr diarrhea, sever symptoms and cyanosis, shock (possible), laminitis, slow recovery (possible relapse) can lead to chronic
Salmonella in Horses
Non host specific salmonella
Symptoms (chronic)
Intermittent diarrhea, intermittent anorexia,my eight loss, intermittent fever
Salmonella in Horses
Non host specific salmonella
Symptoms (hyper acute)
Foals, sever general symptoms, eventually diarrhea Endotoxin shock (24-72hr) --> death
Salmonella in Horses
Non host specific salmonella
Symptoms (tissue localization)
Foal
Bring it to clinic depending on organ affected
Frequent arthritis
Salmonella in Horses
Non host specific salmonella
Diagnosis
Neutropenia
Culture
Salmonella in Horses
Non host specific salmonella
Therapy / prevention
Hydration IV Shock: NSAID (no cortico steroids -> laminitis) Antimicrobials Watch for carriers!! Prevention: hygiene
Salmonella in cats and dogs
Type/symptoms
No host specific serovars
Enteritis and septicemia
Salmonella in cats and dogs
How do they aquire?
Food!
Dogs are carriers 0-36%
Cats are carriers 0 - 20%
Salmonella in cats and dogs
Diagnosis and treatment
- Culture, ELISA, PCR
- Hydration & antibiotics (contraindication with animals in good condiment –> carriers!!
Salmonella in pigeons: Paratyphus
Types
S. Typhimurium var. Copenhagen
Specific colonial lineage
PT 2 and 99
Non-zoonotic
Salmonella in pigeons: Paratyphus
Disease
Acute paratyphus: mainly during breeding
Chronic: one wing hanging down (tissue localization), intermittent shedding
Salmonella in pigeons: Paratyphus
Symptoms in a flock
Anorexia, weight loss, diarrhea, limping, unable to fly, breeding difficulties, apathetic, polyurea -polydipsia, mortality
Salmonella in pigeons: Paratyphus
Diagnosis and treatment
D: bacterial culture, rapid slide agglutination
T: Antimicrobials (highly susceptible), immune therapy inactive vaccine (not prevention of infection but reduces severity), hygiene
Enterobacteriaceae General characteristics… Go!
- Gram neg
- Facultative anaerobic
- Rods or coccobacilli
- Oxidase negative (mostly)
- Present in H2O, soil and G.I.
Salmonella in psittaciformes (parrots) and passeriformes (birds)
Types
- Psittaciformes • Very rare
* Passerformes: S. Typhimurium (other clone than Columbiformes)
Salmonella in psittaciformes and passeriformes
Pathogenesis
Salmonella in psittaciformes and passeriformes
Salmonella in psittaciformes and passeriformes
Symptoms
DD. rodentiosis (Yersinia pseudotuberculosis) • Apathic, • Reduced feed and water intake • Chronic • Diarrhea (most of the time)
Salmonella in Poultry
Types
• Typhoid/paratyphoid Salmonella
- S. Pullorum
- S. Gallinarum
• Non-typhoid Salmonella
- S. Enteriditis
• Other: Typhimurium, Virchow, Paratyphi B, Infantis, Agona, Newport(US)
—- Quite complex and variable epidemiology
Typhoid Salmonella in poultry
S. Pullorum/Gallinarum
• Antigenically same (1, 9, 12:-: -), Antigenically similar to S. Enteriditis (1, 9, 12:g,m:-)
• Vaccination against SE gives false positives in serology
- PCR only differentiation
- REPORTABLE
- Elimination programs in place
Typhoid Salmonella in poultry
Turkeys
S. enterica ssp. arizonae
Typhoid Salmonella in poultry
S. Pullorum
- Pullorum disease
* Chicken, turkey, pheasant • Younger animals (
Typhoid Salmonella in poultry
S. Pullorum Symptoms
• Acute sepsis
• General symptoms
• Differences in virulence of the strains
• Typical granulomatous lesions stomach, liver and myocardium
• Adults: oophoritis with deformed yellow-greenish follicles
- Survivors become carriers! Both vert and horz. transmission
Typhoid Salmonella in poultry
Diagnosis / Treatment
• Bacterial culture
• Serology: slide agglutination
— Care: cross reactivity with SE vaccination
— False positives due to Streptococci Lancefield D
T: Only for hobby poultry: antibiotics, but no elimination (intracellular) • Reportable
Typoid Salmonella in poultry
Turkeys
Mainly in the USA, Different serotypes, Only younger animals (General symptoms with mortality up to 50%)
Typoid Salmonella in poultry
Turkeys: Diagnosis/treatment/control
- Diagnosis: culture
- Treatment: Best eradication
- Control by serology (slide agglutination): difficult, Different serotypes, False negatives
Paratyphoid Salmonella in poultry
S. Enteriditis
Zoonotic (egg contamination) -> Consumption of undercooked, raw egg
• Used to be the most frequent serotype causing zoonotic infection
• Decreased enormously due to vaccination, Vaccination is imposed legally in Europe (not in the US), Eggs from positive laying flocks can only be used after heating
Paratyphoid Salmonella in poultry
Other Serotypes
- Geographical differences in prevalence of different serotypes
- Differences in time (evolution)
- Many are serotypes are zoonotic
- EU: breeding animals must be free of Enteriditis, Typhimurium, Virchow, Hadar, Infantis, Paratyphi B var. Java
- 30% broilers are positive
- At slaughter, up to 80% positive (cross contamination)
- In US, decontamination of carcasses with bleach (not allowed in EU)
Paratyphoid Salmonella in poultry
Remediation in positive flocks (no elimination)
- No vaccine
- Pro-, prebiotics
- Fatty acids
Klebsiella
Types
- Klebsiella pneumoniae
* Klebsiella oxytoca
Klebsiella
General
- In waters, soil, environment, GI tract
- Coliform
- Important in nosocomial infections and health care associated infections in humans (sepsis, UTI, respiratory) ( to a much lesser instance in animals)
- Opportunistic pathogen
- Non human primates
Klebsiella
Equine metritis
- Vaginitis, infertility, abortion
* Transmission: stallion, fomites, vaginal specula & biopsy equipment (vets!!)
Klebsiella
Equine Umbilical infections
- Mainly animals with too little colostrum consumed (rather susceptible to a lot of infections…)
- Omphalitis, and further septicaemiae, arthritis, pneumonia, pyelonephritis
Klebsiella Dogs (rare finding)
- Pyometra
* Cystitis
Klebsiella: bovine
Mastitis
Klebsiella infections in animals
Treatment
- Natural resistance to amoxy/ampi (chromosomal β-lactamase)
- Susceptible to amoxy+clav
- High level of acquired resistance • Difficult to treat
Yersinia
Types
• Y. pestis • Y. pseudotuberculosis • Y. enterocolitica • Y. ruckeri- Fish pathogen * Replicates at 40C
Y. pestis
PLAGUE! Infects humans and cats
travels by fleas and wild rodents
Yersinia pestis
Virulence factors
- Capsule
- Toxins (many different) • Iron acquisition
- Many virulence genes are located on plasmids
Yersinia pestis
Epidemiology
- Endemic areas
• Western North America, southern Asia, Southern and west Africa, north- central South America
• Mainly in warm months: temperatures above 270C, Y. pestis does not produce a coagulase that blocks the fleas proventriculus (where Y. pestis XXX)
• Parallels presence of rodent hosts (enzootic and epizootic) - Historically from ships
• Today mainly from rural wild animals (Sylvatic plague)
Yersinia pestis
Epidemiology: • Reservoir • Transmission
R: Tolerant rodents
Tr: • Fleas • Multiplication in proventriculus • Airborne • oral
Yersinia pestis
Infections in cats (including wild cats)
Symptoms
After ingestion of infected pray
Symptoms
• Fever, depression, sneezing, coughing, CNS disturbances
• Lymphadenitis, tonsillitis, cranial and cervical edema, pneumonia • Mortality
Yersinia pestis
Diagnosis / Treatment
Diagnosis • Culture • PCR • Serology Treatment: • Antibiotics • Rarely acquired resistances
Yersinia pseudotuberculosis
General
• Closely related to Y. pestis • Obligate symbiotic • Pathogenic significance: - Rodents, Birds, Zoonotic • Facultative intracellular
Yersinia pseudotuberculosis
Virulence factors
- Cell wall: endotoxin
- Adhesins; Adhesion on basolateral ileal epithelial cells and M cells
- Toxins (on plasmids)
- Iron Uptake (on Pathogenicity Islands)
Yersinia pseudotuberculosis
Pathogenesis
,