Exam 3: Anaerobes Flashcards
What are the 2 anaerobes in the group Neurotoxic Clostridia
- C. tetani
2. C. botulinim
What are the 5 Clostridum spp. of Vet importance?
- C. perfringens (type A-E)
- C. difficile
- C. spiroforme
- C. piliforme
Pathology of the intestine
Enteropathy
Absorption of lg. #s of toxins
Enterotoxemia
What are the 4 major toxins produced by Clostridium perfringens
Alpha, Beta, Iota, Epsilon
Which toxin is produced by all strains of Clostridium perfringens?
Alpha
Where is clostridium perfringens commonly found?
soil, poo, GIT,
Clostridium perfringens __, __, and __, May survive in soil as spores
B, C, D
What are the 3 predisposing factors for Clostridial proliferation in the SI?
- Poor husbandry
- Diet change
- Stress
Dz. caused by Clostridium perfringens that can affect many spp.of animals and results in sudden death, w/o C/S
Necrotizing haemorrhagic enteritis
What are the 6 Enterotoxeaemia Dzs caused by Clostridium perfringens Type B and C?
- Lamb dysentery
- Calf enterotoxaemia
- Pig enterotoxaemia
- Foal enterotoxaemia
- Struck
- Goat enterotoxaemia
What aged lambs are affected with lamb dysentery?
less than 3wks
What aged calves are effected with calf enterotoxaemia?
Well-fed calves less than 1 mo
What aged bigs are affected with pig enterotoxaemia?
Newborn
What aged foals are affected by foal enterotoxaemia?
Less than 12wks
What aged sheep are affected with struck?
Adults
What aged goats are affected with Goat enterotoxaemia
Adults
C. perfringens infection in lambs
Lamb dysentery
What C. perfringens strain causes lamb dysentery
Type B
C/S of lamb dysentery
- Abdominal distension and pain
- Bloody poo
- sudden death
What are the 3 factors predisposing sheep to lamb dysentery
- Low proteolytic activity in neonatal intestine
- Immature intestinal microbiota
- Dietary inflluences in older sheep
What are 2 reasons a lamb may have low proteolytic activity in their intestine causing lamb dysentery
- trypsin inhibitors from milk
2. low pancreatic secretion
What is another name for pulpy kidney dz in sheep
overeating dz
What type of C. perfringens causes overeating dz?
C. perfringens type D
What causes pulpy kidney dz in sheep?
gorging on a high grain diet or succulent pasture
What toxin is overproduced in pulpy kidney dz. leading to toxemia
Epsilon toxin
What are the C/S of overeating dz?
- encephalomalacia/ dullness
- Hyperglycemia and glycosuria
- fluid-distended intestine
- pulpy kidney
What are the 4 ways you can dx Pulpy kidney
- C/S
- Staining and micro. exam
- Anaerobic culture
- Toxin detection in GIT
Tx of Pulpy kidney
Hyperimmune serum given early
T/F C. difficile enterocolitis can affect humans
T
What organs become infected with C. difficile enterocolitis
Caecum and colon
What are the 3 risk factors of C. difficile enterocoitis
- Antibiotic use
2 old age - Hospitalization
T/F. Neonates are resistant and cannot spread C. difficile
F. Resistant, but may ccarry toxigenic strains
T/F. in C. difficile, Endospores are widespread and found in high numbers in tissues
F. Widespread, but low numbers in tissues
What are the 2 toxins produced by C. difficile enterocolitis
- Tox A: D+ mucosal dam.
2. Tox B: cytotoxin
How can C. difficile be transmitted?
Nosocomial
Imbalance of microbial homeostasis
Dysbiosis
C. _____ produces fatal colitis in humans, rodents, horses, pigs. . .
difficile
T/F C. difficile can be treated with broad-spectrum abx
F. will kill normal microbial flora and allow C. difficile to rapidly proliferate
What are the two ways to Dx C. difficile?
- Culture
2. Direct toxin detection
What media should be used when culturing c. difficile?
one that allows for germination of spores
Tx. options for C. difficile?
- Fluids
- Probiotics
- FMT
What abx. can you use to tx C. difficile in horses?
clindamycin
What is a FMT?
Fecal Microbial Transplantation, transfer stool from a healthy donor to infected GIT
What does Clostridium perfreingens type A cause
- Necrotic enteritis
- Necrotizing enterocolitis
- Canine haemorrhaic Gastroenteritis
What does Clostridium perfringens type B causes?
- Lamb dysentery
2. Haemorrhagic enteritis
What does Clostridium perfringens type C cause
- Struck
- Goat enterotoxaemia
- Haemorrhagic enteritis and enterotoxemia
What does Clostridium perfringens type D cause
- Pulp kidney
2. Enterotoxaemia
What does Clostridium perfringens type E causes?
- Haemorrhagic enterits
What does Clostridium difficile cause?
Colitis
What does Clostridium spiroforme cause?
Enterotoxemia and explosive diarrhea
What spp. are affected with Clostridium spiroforme
Rabbits
What does Clostridium piliforme cause
Tyzzer’s Dz
What causes Enterotoxemia and Explosive Diarrheal dz in rabbits?
Clostridium spiroforme
Which Antimicrobials are contraindicated in rabits with Enterotoxemia due to their selective effect on G+ bacteria
- Lincomycin
- Clindamycin
- Erythromycin
What Bacterium causes Tyzzer’s Dz?
Gram negative Clostridium piliforme
Dz. characterized by acute, fatal, D+ in lab animals associated with focal liver necrosis
Tyzzers Dz
what are predisposing factors of Tyzzers dz
- poor sanitation
2. stress
C/S.. of Tyzzer’s dz
- D+
- Anorexia
- dehydration
- Lethargy
- Death
Tx of Tyzzer’s dz
Oxytetracycline
Gram (-), Non-spore forming bacteria
Fusobacterium necrophorum
What diseases is caused by Fusobacterium necrophorum
- Foot rot
- Necrotic laryngitis
- Liver abscess
Where are Fusobacterium commensals?
- Resp tract
- GIT
- Genital tract
Fusobacterium necrophorum are synergistic with what two bacterium?
- Trueperella pyogens
2. Dichelobacter nodosus
2 ways to Dx Fusobacterium necrophorum
- Anaerobic culture
2. PCR
Tx of foot rot?
- Remove necrotic skin
- Antiseptic foot baths
- Antimicrobials
What Antimicrobials can be used to tx Foot rot?
- penicillin
- metronidazole
- Clindamycin
- chloramphenicol
T/F. obligate anaerobes do not tolerate oxygen
T
Where are obligate anaerobes commonly found?
GIT
T/F All anaerobes are gram negative
F. gram negative or positive
Gram positive, spore forming, anaerobes
Clostridium
Anaerobic infections are mostly of _____ origin
Endogenous
Large, Gram positive, anaerobic bacterial rods
Clostridium
T/F. Clostridium spp are motile
T
Which clostridium spp is not motile
C. perfringens
T/F. clostridium is non spore forming
F.
Where is clostridium spp commonly found?
soil, GIT
_____ toxin from C. perfringens is one of the most lethal toxins and considered as bioterrorism agent
Epsilon
What are the 3 classificatons of clostridium spp.
- neurotoxic clostridia
- Histotoxic clostridia
- Enteropathogenic and enterotoxaemia producing clostridia
What are the 2 members of the Neurotoxic clostridia group?
- C. tetani
2. C. botulinum
What are the 5 members of the Histotoxic clostridia group?
- C. chauvoei
- C. septicum
- C. novjii type A and B
- C. haemolyticum
- Sordelli
What are the two members of the Enteropathogenic clostridia group?
- C. perfringens
2. C. difficle
Group of clostridia that cause localized lesions in m. and liver causing toxemia
Histotoxic clostridia
Group of clostridia that affect neuromuscular function w/o inducing observable tissue damage
Neurotoxic clostridia
____ is a common predisposing factor for host response to clostridial infection
Necrosis
What are the 7 spp. of Clostridium of vet. imprtance?
- C. tetani
- C. botulinum
- C. chauvoei
- C. septicum
- C. novyi type A-B
- C. perfringens
- C. difficle
Which chlostridial spp causes Blackleg in ruminants?
C. chauvoei
Which chlostridial spp causes Tetanus horses and humans
C. tetani
Which chlostridial spp causes Malignant oedema in sheep
C. Septicum
Which chlostridial spp causes Infectious necrotic hepatitis in sheep?
C. novyi type a and b
Which chlostridial spp causes Botulism in a wide range of animals?
C. botulinum
Acute, potentially fatal intoxication with neurotoxic clostridia causing spastic paralysis
Tetanus
Where is Clostridium tetani commonly found?
Soil and poo
Where does Clostridium tetani grow in the animal?
contaminated wounds
Potent neurotoxin produced by Clostridium tetani.
Tetanospasmin
Hemolysin that destroys tissues and is produced by Clostridium tetani
Tetanolysin
What are the two types of tetani?
- Ascending
2. Descending
What is Ascending Tetani?
Toxin travels from regional motor n. in the limb to other parts of the body
What is Descending tetani?
Toxin in the blood affects motor n. centers in the brain and then spreads to the limbs
Which spp. experience Ascending tetani?
Less susceptible spp. like dogs and cats
Which spp. experiences Descending tetani?
Susceptible spp. like horse and humans
What is the incubation period for tetanus?
5-10 days
What is latent tetanus
When wound at the site of infection is healed
C/S of tetanus
- Stiffness
- Localized spasms
- Altered heart and resp. rate
- Dysphagia (trouble swallowing)
Administered promptly to neutralize unbound toxin
Antitoxin
given to Promotes active immune response
Toxoid
Tx. of Clostridium tetani?
- Antitoxin
- Toxoid
- Anti-Tetanus equine serum
- Lg. dose of penicillin
- Sx
T/F. There is a vacc. available for Tetanus
T
T/F. All horses should be immunized for Clostridium tetani.
T
Serious, potentially fatal intoxication by ingestion of pre-formed neurotoxin
Botulism
____ Toxin is the most powerful exotoxin and inhibits neurotransmitter release, causing flaccid paralysis
Botulinum
What is the diff. between tetanus and botulinum toxin?
Tetanus toxin travels up the n. axon to the ventral horn, whereas botulinum toxin remains at the NMJ
What are the 4 types of Botulism in humans?
- Foodborne botulism
- Wound botulism
- Infant botulism
- Inhalation botulism
When do c/S of botulism appear?
3-17 days
C/S of Botulism
- Dilated pupil
- Dry mucus memb. and dec. salivation
- Tongue flaccidity
- Paralysis of resp. m.
What are 2 ways to dx Botulism?
- Toxin in serum
2. toxin in food and stomach
C. Botulinum and toxins are select agents.
What does that mean?
bio-agents with potential to pose a severe threat to public health and safety
T/F. There is a vacc. available for Clostridium botulinum
T
Acute exogenous infections with necrotizing myositits caused by histotoxic clostridiaa C. chavoei
Blackleg in sheep
What spp. are affected by blackleg
Sheep and cows
What is the pathogenesis of blacklet
Infection through wounds anaerobic environments deposition of endospores Dermination and multiplication toxins causing tissue destruction
What causes the distinctive smell of black leg?
Fermentation of m. glycogen
What parts of the animal are affected with blackleg?
lg. mm. masses:
Limbs, back, neck
What is another name for malignant oedema?
Gas gangrene
What causes gas gangrene
Clostridium novyi type A and B, and C. hemolyticum
What types of wounds can become infected with Gas gangrene?
Deep, anaerobic traumatic wounds
Prevention of malignant oedema?
Sx tx of wounds to remove any dead tissue and promote drainage
What does Clostridium novyi type A cause?
Gas gangrene
What does Clostridium novyi Type B cause?
Black Dz (infectious necrotic hepatitis)
What does Clostridium hemolyticum cause
Liver damage and bacilliary hemoglobinuria
T/F. the best way to dx Clostridium Septicum is though anaerobic culture
F. takes to longs, should do direct fluorescent ab. staining
Tx of Clostridium septicum
Penicillin
Control of Clostridium septicum
Vacc.
What is Braxy?
Abomasitis of sheep caused by exotoxins of C. septicum
What is Malignant edema?
exogenous infection through wound or endogenous through dormant spores present in m. tissues
What are some risk factors for C. septicum infectons?
- IM inj.
- Tail docking
- Shearing
- Parturition
- Castration
What is the pathogenesis of C. septicum
Local Exotoxins > Excessive infam. > Edema > Necrosis > Gangrene