FD6 PBL Flashcards
Describe the properties of Listeria monocytogenes
- small
- motile
- gram +ve
- nonsporeforming
- extremely resistant
- diphtheroid coccobacillus
- grows under a wide temp range (4-44 degrees)
- Ubiquitous saprophyte- lives in plant soil enviro
Why is its ability to grow at 4 degrees important?
- important diagnostic aid
- cold enrichment method - isolation of the organism from brain tissue but not from placental or fetal tissues
What are the natural reservoirs of L.monocytogenes?
- soil
- mammalian GI tracts
- both contaminate vegetation
How does animal-animal transmission of Listeria occur?
- via fecal-oral route
- through abrasions in the buccal cavity (dry pasture)
When is Listeria most prominent?
- primarily a winter-spring disease of feedlot/ housed ruminants
When do outbreaks of Listeria normally occur after feeding poor-quality silage
- over 10 days after
- (4-6 weeks)
Which animals to L.monocytogenes affect?
- sheep
- cattle
- humans
What is the incubation period of Listeria?
- 3-70 days
What is this? and why
- Listeria
- small, gram +ve rods
- sometimes arranged in short chains
- can be mistaken for strepococci
Which temp is lethal to L.monocytogenes?
50 degrees
What pH range will Listeria grow in?
- pH 4-9.6
Does Listeria grow better in aerobic or anaerobic conditions?
- anaerobic
What is the relationship between silage and Listeria?
- listeria can survive up to 3 months in livestock manure
- silage may become a source of infection if soil containing Listeria is included
- improperly prepared silage (pH >5.4), prelonged, slow exposure to air (secondary fermentation)- allows organism to multiply
- high levels of iron
- poorly stored silage can be contaminated with vermin
- close grazing with soil ingestion also can be a cause
What is the best way to prevent silage becoming a source of Listeria infection?
- well compacted silage
- cover immediatley after harvest
- well wrapped
- produce intensively fermented silages and store for over 30 days
- acid additive to wet silages
Why are the advantages of feeding silage?
- faster forage preserving methods
- high quality
- lower loss when harvesting, storing and feeding
- inexpensive to store
- wide seasonal harvesting window
- doesnt need to be fed fresh
- cheaper
How does Listeria reach the brain?
- L.monocytogenes travel by way of circulating blood,
- enters nerve fibres, primarily trigeminal nerve/ facial nerve and is transported to the brain stem
- the nuclei 5th and 7th are in the caudal brain stem
What can Listeria cause in general?
- septicemia
- abortion
- latent infection
What are the clinical signs in animals with Listeria?
- initially:
- anorectic
- depressed
- dioriented
- propel themselves into corners
- lean against walls
- circling toward affected side
- facial paralysis, drooping ear
- deviated muzzle
- flaccid lip
- lack of menace response
- continous salivation
- paralysis of masticatory muscle
- terminally affected animals:
- recumbancy and death
What is the recovery rate in goats/ sheep?
- 30% with prompt, aggressive therapy
Recovery rate of Listeria in cattle?
- 50%
When do Listeric abortions occur?
- last trimester without premonitory signs
- fetuses normally die in utero
- rate may reach 20% in flocks
How long can Listeria be shed in milk/ via vagina?
- > 1 month
Where do Listeria infections acquired via ingestion tend to localize?
- in intestinal wall
- results in prolonged fecal excretion
Describe the virulence and infectivity of Listeria
- L.monocytogenes ingested
- may survive the stomach enviro and enter intestine where it penetrates the intestinal ep cells
- the organism is taken up by macrophages and non-phagocytic cells
- L.monocytogenes surface protein interalin required for the uptake by non-phagocytic cells (binds to receptors on host cells)
- bacterium initially located in vacuole after uptake
- L.monocytogenes secrete listeriolysin O protein (breaks down vacuole wall and enables bacteria to escape into cytoplasm)
- L.monocytogenes replicate in cytoplasm
- then transported around the body by blood, most being inactivated with reaching liver/ spleen
- L.monocytogenes able to utilise actin molecules of the host to propel the bacteria into neighbouring host cells
- cross blood-brain barrier and placental barrier
In listeric encephalitis, where are microcropic lesions confined to?
- pons
- medulla oblongata
- anterior spinal cord
What lesions would be found in an animal with septicemic listeriosis?
- small necrotic foci in any organ, esp liver
- haemorrhagic gastroenteritis
What could be seen in aborted fetuses? (Listeria)
- slight to marked autolysis
- clear to blood-tinged fluid in the serous cavities
- numeroud small necrotic foci in the liver (esp right half)
- necrotic foci may be found in lungs/spleen
- shallow erosions, 1-3mm, may be present in abomasal mucosa
- autolytic changes may mask these lesions
Describe the placental lesions seen in Listeria
- severr diffuse necrotizing and supprative placentitis ofboth the cotyledons and the inter cotyledonary
- aborted foetus - multiple 1mm yellow/ white foci in many organs, large numbers in liver
- these foci are areas of acute necrotising hepatitis in which the gram +ve listeria microbes are numerous
- these lesions identical to campylobacteriosis and brucellosis (except the trophoblasts)
What are the differential diagnosis of Listeria?
- toxaemia (last 4 wks of pregnancy)
- brain abscesses
- peripheral vestibular lesions (middle ear infections)
- Gid (tapeworm cyst in brain)
How do you test for Listeria?
- isolate L.monocytogenes from the placenta, foetus or uterine discharges after an abortion
- blood/ CSF can be cultured in animals with septicaemia/ encephalitis
- at necropsy, the liver, kidneys and spleen can be cultured in septicaemic animals/ pons, medulla with encephalitis
- L.monocytogenes isolated from nasal discharges, urine, faeces or milk
How is Listeria cultured?
- samples directly plated on blood agar and simultaneously cultured with a cold enrichment procedure
- growth may take 3 months
- use biochemical tests to identify colonies
What is the difference in CSF in an animal with Listeria?
- increased protein content and mild pleocytosis composed of large mononuclear cells
How can Listeriosis be differentiated from pregnancy toxemia or ketosis in cattle?
- careful clinical examination
- CSF changes
- 3-OH butyrate concs well below 3mmol/L
- and facial/ ear paralysis absent in preg toxaemia and ketosis
What tests are used to identify presence of Listeria?
- use rabbit polyclonal anti-Listeria antiserum
- peroxidase-antiperoxidase technique
- ELISAs
- immunoflurescence
- immunochromatography
- immunomagnetic separation
- PCR