Fusobacterium & Dichelobacter Flashcards
What is Fusobacterium? How does it respond to antibiotics?
obligate anaerobic, Gram-negative, filamentous rods
(fuso = fusiform = spindle-shaped/spherococoid - pleomorphic)
- sensitive to kanamycin
- resistant to vancomycin
What unique substance does Fusobacterium produce? Where is it commonly found?
butyric acid
normal flora at mucosal sites of the gut, urogenital tract, and oral cavity
What 3 species of Fusobacterium act as opportunistic pathogens?
- F. nucleatum - humans (most common oral pathogen)
- F. canifelium - dogs, cats (bite wounds)
- F. necrophorum - sheep, cattle
Diseases associated with Fusobacterium nucleatum in humans:
What are the 2 subspecies (biotypes) of Fusobacterium necrophorum?
- F. necrophorum subsp. necrophorum (biotype A) - virulent
- F. necrophorum subsp. funduliforme (biotype B) - less virulent
How does Fusobacterium necrophorum affect humans and sheep/cattle?
HUMANS = strain B (necrobacillosis)
- Lemierre’s syndrome: sepsis after bacterial throat infection leading to pain, throat/neck swelling, and respiratory signs
SHEEP/CATTLE = strain A (necrobacillosis)
- calf diphtheria
- liver abscesses
- footrot
- metritis
Fusobacterium necrophorum causes polymicrobial infections. What are 4 other associated pathogens?
- Trueperella pyogenes - G+, facultative anaerobe
- Porphyromonas levii - G-, obligate anaerobe
- Prevotella melaninogenica - G-, obligate anaerobe
- Dichelobacter nodosus - G-, obligate anaerobe
What 3 virulence factors aid in Fusobacterium necrophorum attachment to host cells?
- hemagglutinins
- pili
- outer membrane proteins (FomA)
What 4 toxins act as virulence factors for Fusobacterium necrophorum?
- leukotoxin - lyses leukocytes (neutrophil and macrophage apoptosis)
- LPS - endotoxin
- hemolysin - lyse erythrocytes to impair oxygen transport and create an anaerobic environment
- dermonecrotic toxin - lyse collagen
What 2 media does Fusobacterium necrophorum grow best on?
- blood agar supplemented with hemin and vitamin K1
- Fusobacterium selective agar (FSA)
(in an anaerobic culture)
What molecular analysis is used to confirm a Fusobacterium necrophorum infection?
PCR - IktA gene —> codes for leukotoxin
How are Fusobacterium necrophorum infections treated?
- antibiotic therapy (penicillin G, sulfonamides, metronidazole, ampicillin, florfenicol, ceftiofur)
- surgical intervention to debride infected tissue
What is calf diphtheria? What are the most affected hosts?
ulcerative necrosis of the cheek, tongue, pharynx, and larynx caused by Fusbacterium necrophorum
- AKA: oral necrobacillosis, necrotic pharyngitis or laryngitis
calves under 3 months
What are the 2 forms of calf diphtheria?
- oral form (necrotic stomatitis) - ulceration of the oral mucosa and swelling of the cheek
- laryngeal form (necrotic laryngitis) - ulceration of the larynx
What are 3 symptoms of the oral form of calf diphtheria?
- cheek swelling
- salivation
- tongue ulceration
What are the clinical features of the laryngeal form of calf diphtheria? What 2 things are commonly seen on postmortem examination?
stridor (“roaring”) and difficulty feeding (laryngeal obstruction)
- caseous necrosis
- soft tissue swelling
What are the 5 steps of the pathogenesis of calf diphtheria?
- eating abrasive feeds/tube feeding
- abrasions/trauma
- invasion of Fusobacterium necrophorum
- inflammation
- necrosis, ulceration, and abscesses in oral cavity, pharynx, and larynx
What is expected on a bacterial culture from specimen expected to be infected with Fusobcterium necrophorum?
polymicrobial —> F. necrophorum + Trueperella pyogenes from laryngeal swabs from animals with clinical laryngitis
What are 2 options for calf diphtheria treatment?
- systemic administration of sulfonamides or tetracyclines
- NSAIDs
(early treatment is more effective)
What is the most likely causative agent of liver abscesses in feedlot cattle (and rarely feedlot lambs)?
Fusobacterium necrophorum + Trueperella pyogenes