Exam 2 Flashcards
Mycobacterium stain what?
Gram positive, acid fast positive, ROD SHAPE. do NOT have an outer membrane
What contributes to acid fast staining?
Mycolic acid
What type of infection does mycobacterium cause?
chronic granulomatous infections
What are the virulence factors of mycobacterium
- Lipid rich (mycolic acid containing) cell wall
- Lipoarabinomannan- inhibits phagosome-lysosome fusion
- Cell protein antigens
True or False - under optimum conditions obligate pathogens can survive in a contaminated envior for extended periods
True
How is TB transmitted
inhalation and ingestion
Pathogenesis of TB
- Cell mediated immune response is important in the destruction of bacilli. If bacilli survive, infected macrophages are killed following stimulated release of macrophage- derived cytotoxins and enzymes. Type IV hypersensitivity or delayed type hypersensitivity-> which leads to tissue destruction.
- Caseous necrosis and mineralization followed by liquefaction and cavity formation resulting from enzymatic action. Rupture of these granulomas allows dissemination.
What does TB lesions consist of
- Granulomas
- Epithelioid macrophages
- Caseous necrosis
- multinucleated giant cells (Langhan’s cell)
What are the primary drugs for TB?
-Isoniazid, Rifamycins, Ethmanbutol, Pyrazinamide
What are the secondary drugs for TB?
-Aminoglycosides, Fluoroqunilones
Why is Mycobactrium bovis important?
- Causes zoonotic TB
- Ingestion, inhalation and less frequently by contact with mucous membranes and broken skin
- Wide host range
- GI tract is the main portal of entry
What are some clinical signs of M. bovis?
- Enlarged regional lymph nodes and generalized wasting (cachexia) are seen in advanced disease stages. Pulmonary forms may be associated with chronic cough.
- Larger stages firm, nodular lesions are evident in target organs and associated lymph nodes
M. bovis transmission
- Aerosol transmission most common among cattle
- May be shed in milk, prior to widespread pasteurization resulted from drinking/handling contaminated milk
- Can enter body at any site (badgers transmission through skin wounds)
M. bovis diagnostic test
- Tuberculin hypersensitivity skin test
- Rare: Imaging techniques, culture
- Post mortem exam/histo-> granulomatous lesions in lymph nodes and major organs
Tx for M. bovis
- Not recommended for animal esp. infected cattle
- Testing and culling of infected animals
- For humans, combo antimicrobial agents used
What is Mycobacterium avium subsp. Paratuberculosis = Johne’s disease
- A chronic, progressive granulomatous enteritis
- Primary host-ruminants (cattle)
- Excretion of organism through milk
Pathogenesis of Mycobacterium avium subsp. Paratuberculosis = Johne’s disease
- infection through ingestion of contaminated material milk or in utero
- Localizes macrophages in the intestine, local LN
- Develops granulomatous enteritis, cachexia
Diagnosis of Paratuberculosis (johne’s disease)
- Detection of host response to infection
- Humoral immune response: ELISA or agar gel
- Cell mediated immune response: Hypersensitivity skin test
- Acid-fast stain
- Culture
- PCR
What is Mycobacterium leprae
- Leprosy or Hansen’s disease
- Chronic granulomatous debilitating disease
- Transmission from shedding through nose not from the skin
What is Mycobacterium lepraemurium
- Feline and murine (rodent) leprosy
- Solitary or multiple cutaneous nodules or ulcerated lesions
- Very fastidious organism
- Granulomatous dermatitis and panniculitis
Campylobacter, helicobacter and lawsonia all have what in common?
- All have typical gram-negative cell wall
- All are opportunistic, extracellular pathogens
- Except Lawsonia intracellularis -> obligate intracellular pathogen
Characteristics of Campylobacter
- Curved motile gram negative rods (seagull shaped)
- Microaerophilic (require low O2 to grow)
- Inhabit the GI tract or lower genital tract
- Difficult to isolate; needs special culture requirements
Characteristics of Campylobacter jejuni
- Major cause of intestinal illness and diarrhea in humans and animals
- Poor hygiene and management
- Young animals
- Infection by ingestion of contaminated materials
What bacteria is associated with subsequent Guillain-Barre syndrome
Campylobacter jejuni
C. jejuni infection is associated with
Superficial erosive colitis, ileitis and fluid loss, apparently with invasion of bacteria since bacteremia is a common event in C. jejuni enteritis.
Diagnosis and treatment of C. jejuni
Diagnosis: culture of feces, PCR
Treatment: Self-limiting diarrhea illness, macrolides, fluoroquinolones in severe cases
Characteristics of Campylobacter fetus subsp. venerealis
- obligate animal parasite
- subclinical infection is preputial crypts of bulls
- transmission at breeding -> organisms migrate to the uterus and fallopian tubes following estrus
- Breeding/artificial insemination with infected bull or semen
Pathogenesis of Campylobacter fetus subsp. venerealis
-Endometritis and salpingitis (infection/inflammation of fallopian tubes) or varying severity may cause transient infertility and early embryonic death
Diagnosis of Campylobacter fetus subsp. venerealis
-Detect organism in smegma, preputial washes or semen
Characteristics of Campylobacter fetus subsp. fetus
- commensals in the intestinal tract of cattle and sheep
- Causes ovine genital campylobacteriosis
- Sheep > ingestion through contaminated food/water > bacteremia > inflammation of placenta and abortion
- Cattle: occasional abortion
Characteristics of Helicobacter spp.
- small, spirally curved gram-negative rods
- microaerophilic, and some require hydrogen
- motile (bipolar flagella)
- pathogenic and commensals present in the gastric mucosa and intestine
Characteristics of Helicobacter pylori
- Gram negative microaerophilic bacterium in the stomach
- Causes gastric ulcers
- Associated with gastric neoplasms
Virulence factors and pathogenesis of H. pylori
-adhesins, flagella, endotoxin and extracellular urease, mucinase, vacuolating cytotoxin, catalase/SOD
Helicobacter hepaticus and helicobacter bilis are what?
mouse pathogens involved in hepatic necrosis, nonsuppurative hepatitis, heptocellular tumors
Heliobacter mustelae is involved in what
hypergastrinemia and peptic ulcers in ferrets
Characteristics of Lawsonia intracellularis
- Small, spirally curved gram-negative rod
- Lawsonia are intracellular bacteria which replicate in the apical cytoplasm of enterocytes- obligate intracellular pathogen
- Associated with porcine proliferative enteropathy
- Causes reduced weight gain and proliferative hemorrhagic enteropathy
- Mainly seen in weaner pigs and yearling foals
Characteristics of Spirochetes
- Gram negative bacT
- Slender, helically coiled, spiral organisms, move with corkscrew or flexing motion
- Darkfield microscopy
- Tight/loose coiled morphology due to flagella (axial filaments/endoflagella) located in periplasmic space
T/F Leptospira is saprophytes
True- saprophytes are free living in water
Describe the characteristics of a Leptospira infection
- Pathogenic species maintained in the renal tubules or reservoir animals
- Reservoir animals excrete the bacteria through urine and contaminate envior.
- Pathogenic species survive for a short period in ponds, rivers, surface water, moist soil and mud
- Direct contact with urine or contaminated water results in infection
What is the natural habitat of lepto
Proximal convoluted tubules of kidney (sometimes genital tract)
Virulence factors of Lepto
- Cell associated: Endoflagella, outer membrane proteins, LPS (different from other gram negative bacT)
- Extracellular: Hemolysins, protein cytotoxins
What are the types of pathology of Lepto?
- Acute and chronic inflammation of various organs most notably the liver and kidneys
- During bacteremia phase, intravascular hemolysis petechial hemorrhages and DIC
- Jaundice (hepatitis)
- Nephritis (acute, chronic interstitial nephritis)
- Placentitis and abortion
- Mastitis
Describe leptospirosis in dogs
- acute febrile illness
- Renal or hepatic injury, uveitis, pulmonary hemorrhage, abortion
- Clinical signs: PU/PD, Dehydration, vomiting, diarrhea, lethargy, abdominal pain
- Signs of hepatic and renal failure, including icterus
- Bleeding abnormalities and DIC
What is the gold standard test for Lepto?
Microscopic agglutination test
How does the Microscopic agglutination test work?
MAT- measures antibody titers to leptospira serovars using an agglutination test which uses live leptospira serovars
What is leptospira borgpetersenni serovar hardjo
it is host adapted in cattle resulting in reproductive failure due to early embryonic death and repeat breeding
What are the most common causes of equine lepto
Serovars Pomona and Grippotyphosa
Characteristics of Borrelia
- Gram negative
- Loosely coiled spirochete commonly cause arthropd (tick-borne) infections
- Linear Chromosome