Gastrointestinal Infections II (21) Flashcards

1
Q

Salmonella is gram-[positive/negative]

A

negative

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2
Q

What are the two primary species of salmonella? Which is the one of veterinary importance?

A

salmonella bondori
salmonella enterica

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3
Q

Different serotypes of salmonella have different specificity for different hosts. What are the categories?

A

host-adapted
non-host adapted

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4
Q

What is the most common cause of food-borne salmonellosis in the USA? Is it host-adapted or non-host adapted?

A

s. typhimurium
s. enteritidis

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5
Q

T/F: Salmonella is part of normal flora of GI tract

A

FALSE

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6
Q

How do animals shed salmonella?

A

in feces

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7
Q

If there is a salmonella invasion, it can lead to ____ or become a _____

A

acute infection
or become a carrier

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8
Q

What is the most common source of salmonella infection?

A

fecal contamination

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9
Q

Salmonella can persist up to [days/months/years] in the environment

A

years

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10
Q

What is the primary route of infection for salmonella?

A

feco-oral

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11
Q

What are host factors that prevent disease of salmonella?

A

innate defense in GI tract
normal flora or antibodies from previous exposure

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12
Q

What are factors that promote successful infection of salmonella?

A

virulence of serotype
high challenge dose
host susceptibility

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13
Q

How does salmonella multiply and spread?

A

binding & replication extracellularly
invasion and replication intracellularly
cross epithelium
phagocytosis and inflammation
invasion of lamina propria

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14
Q

How does salmonella survive in the lamina propria and submucosa? This makes salmonella a _____

A

in macrophages
facultative intracellular pathogen

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15
Q

Salmonella spreads to lymphatics and the circulatory system. This type of dissemination leads to either ______ or ______

A

acute infection
carrier state

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16
Q

T/F: Carriers of salmonella shed it constantly

A

FALSE - only some intermittently

17
Q

How does salmonella damage and thus cause diarrhea?

A

malabsorption - direct cell damage and inflammation

exudation and hypersecretion - inflammatory response - leakage of exudate, hypersecretion

18
Q

What is the net result of salmonella causing damage?

A

malabsorption
exudation
hypersecretion

19
Q

What are clinical syndromes associated with salmonella?

A

hemorrhagic entercolitis
septicemia
fetal infection

20
Q

What is hemorrhagic enterocolitis?

A

inflammation in lamina propria and submucosa
enterotoxin - NOT significant
diarrhea - foul smelling, blood, vomiting, fever

21
Q

ETEC cause [foul-smelling/normal] diarrhea, and salmonella causes [foul-smelling/normal] diarrhea

A

ETEC: normal
salmonella: foul-smelling

22
Q

What is septicemia regarding salmonella?

A

endotoxemia
s. Dublin: leading to ischemia and terminal dry gangrene

23
Q

What does s. dublin cause?

A

septicemia

leads to ischemia and terminal dry gangrene

24
Q

A calf has this on its legs. What caused this, and what is it characterized by?

A

septicemia - s. dublin

ischemia and terminal dry gangrene

25
Q

What does fetal infection of salmonella lead to?

A

abortion
release of pGF2a causing luteolysis

26
Q

What is the immune role against salmonella?

A

antibodies are primarily directed to the O side chain

27
Q

Infection of salmonella often leads to _____. Why?

A

long-term carrier status

immune system fails to clear the INTRACELLULAR organism - protected from antibodies, antimicrobials, and complement

28
Q

Differentiate active vs passive carriers

A

active: have constant (easy to detect) and intermittent (extremely difficult to detect)

passive: shed bacteria in feces (no invasion)

29
Q

How do you diagnose acute infection of salmonella? What is the gold standard?

A

gold standard: isolation of salmonella - REPEATED
fecal sample
rectal biopsy
blood
dead animals

30
Q

How do you treat salmonella?

A

FLUID THERAPY!
endoserum, polymyxin B, anti-inflammatory drugs

31
Q

How do you treat salmonella?

A

immunization - bacterins