Lecture 14 - Clostridium Flashcards
What are the histotoxic clostridiums?
Perfringens Chauvoei Haemolyticum Novyi type B + C Septicum Spordelli
What are the enterotoxic clostridiums?
Perfringens Colinum Difficile Piliforme Spiroforme
What are the general charactersitics of C. Chauvoei?
Gram+
Motile
Obiligate anaerobe
Subterminal/subcentral spores
What are the virulence factors in C. Chauvoei?
Alpha + beta + Delta
Neuraminidase
What does alpha toxin in C. Chauvoei do?
Hemolysin
What does beta toxin in C. Chauvoei do?
DNAase
What does delta toxin in C. Chauvoei do?
Pore forming
Where does C. Chauvoei infections tend to come from?
Soil, seeded by infected animals
How does C. Chauvoei get introduced into animal?
Spores ingested and transported from GI tract to other tissues
What cell type takes up C. Chauvoei?
Macrophages, will stay dorminant here
What disease is commonly associated with C. Chauvoei?
Blackleg
What animal/age group tends to be most affected by blackleg?
Young well fed cattle
Besides blackleg what other major symptom is seen with C. Chauvoei?
Gas gangrene aka malignant edema
What animals tend to come down with gas gangrene from C. Chauvoei?
Sheep and Cattle
Where does germination of C. Chauvoei spores occur?
Anoxic tissues
What role does alpha toxin play in the pathogenicity of C. Chauvoei?
Generates the lesion, metabolism of this is what creates the gas
What does a lesion cause by C. Chauvoei tend to look like?
Dry, dark, emphysematous
What causes blackleg physiologically?
Gangrenous cellulitis + myositis
What is needed to culture C. Chauvoei?
Strict anaerobe, rich in cysteine and water soluble vitamins
What is the basic treatment for C. Chauvoei?
Vaccination + Combo IV penicillin
What are the general characteritics of C. haemolyticum?
Gram+
Motile
Obligate anaerobe
Nonencapsulated
What does the spore from C. haemolyticum look like?
Large oval, highly heat resistant
What disease is seen with C. haemolyticum?
Red water disease
What animal is most commonly infected with C. haemolyticum?
Ruminants
When do C. haemolyticum infections occur most often?
Summer + Fall
What is the virulence factor in C. haemolyticum?
Beta toxin
What is beta toxin known as?
Phospholipase C
How long does death take with C. haemolyticum?
hours to days
What occurs with a C. haemolyticum infection?
Colonization of liver Liver fluke causes damage to the area now germinates Toxinogenesis Hemolytic crisis
What symptoms are seen with C. haemolyticum infections?
Fever + Pale icteric mucous membranes + Anorexia + Agalactia + Red urine
What diagnostic features are seen with C. haemolyticum?
Lesions in liver are pale, raised, and surrounded by bluish red zone
What is the basic treatment for C. haemolyticum?
If caught early broad spectrum AB’s (tetracycline)
Antitoxin
Blood transfusion
When should a vaccine for C. haemolyticum be given?
6 months
3 to 4 weeks before exposure
What are the general characteristics of C. Novyi?
Gram +
Motile
Obligate anaerobes
Non-encapsulated
What do spores from C. Novyi look like?
Large oval, highly heat resistant
What two disease are seen with C. Novyi?
Big head + Black disease
What does black disease conincide with?
Liver flukes (fasciola hepatica)
What animal is most commonly seen with black disease + big head?
Adult sheep in summer and fall
What are the virulence factors seen in C. Novyi?
Alpha + Beta + Novyilysin
What does alpha toxin do in C. Novyi?
Glycosyl transferase - cell signaling
What does beta toxin do in C. Novyi?
phospholipase C - cell membrane
What does novyilysin do in C. Novyi?
Pore forming - cholesterol rafts on cell membrane
What is the general pathogensis of C. Novyi?
Necrotizing + Lethal
What type of C. Novyi causes big head?
Type A
What happens with big head disease?
Due to rams head butting
Muscles —> spores germinate
leading to edema in head + neck + cranial thorax
What color is the edema in big head disease?
yellow
What does type B C. Novyi cause?
Infectious necrotizing hepatitis aka black disease
How does black disease occur?
Spore migrate to Kupffer cells in liver (dorminant)
Liver cell injury occurs –> spores germinate
Death quickly
What is the basic treatment for C. Novyi?
None
What are ways to control C. Novyi?
Decrease occurence of flukes
Prophylactic vaccination with bacetrin
What are the general characteristics of C. septicum?
Gram+
Motile
Short + Stout pleomorphic rods
Can form filaments in some exudate
Where does C. septicum occur in nature?
Soils + Intestines
How is C. septicum acquired?
Ingestion + Wound infection
What virulence factors does C. septicum have?
Alpha toxin
What does alpha toxin in C. septicum do?
Pore forming lethal toxin
Binds to GPI on cell surface
What occurs with C. septicum pathologically?
Endothelial damage leading to systemic effects
Edema
What do you see clinically with C. septicum in poultry?
Gangerenous dermatitis
What do you see generally with a C. septicum infection?
hemorrhagic, edematous, necrotizing process
Crepitant swelling
Fever +Tachycardia + Anorexia + Depression
How long is the course of C. septicum?
Death in about one day
What is the general treatment for C. septicum?
VERY GUARDED
Penicillin or tetra cycline
Debride/drain wounds
When should vaccines be given for C. septicum?
calves 3 to 4 months
sheep/goats at weaning
What are the general characteristics of C. sordellii?
Gram +
Spore-forming
Anaerobic rod
What is C. sordellii associated with in ruminants and horses?
Fatal myositis + Hepatic disease
What is the likely scenario of how a young adult horse came down with C. sordellii?
Grazing during frosty + stormy fall-like conditions
What are the basic clinical manisfestations of C. sordellii?
Acute myopathy
Rhabomyolysis
Sudden onset of muscle weakness
What causes the sudden onset of muscle weakness with C. sordellii?
TesL, leathal toxin in myofibers
What occurs with Rhabomyolysis in C. sordellii?
Breakdown of muscle tsisue
Leads to myoglobin the blood
toxic to kidneys
Whats the treatment for C. sordellii?
NO TREATMENT
What are the general characteristics of C. perfringens type A?
Spore-forming
Nonmotile, encapsulated, obligate anaerobic ROD
What leads to an infection by C. perfringens type A?
Contamination of wounds + partuition + Injuries + Inj site
What is the virulence factor in C. perfringens type A?
Alpha toxin
What does the alpha toxin do in C. perfringens type A?
Phospholipase
Hemolytic + Necrotizing
What are the clinical manesfestations of C. perfringens type A?
Extensive invasion of damaged muscle tissue
Gas production
What is the characteristic of C. perfringens type A on BAP?
Bowtie, double hemolysis
What is the treatment for C. perfringens type A?
Ineffective normally
Penicillin if you want to try
When should vxn for C. perfringens type A be given?
at 3 months, then given annually
What category is C. perfringens type A in?
Histotoxic
What are the virulence factors in C. perfringens?
Alpha + Beta + Epsilon + Iota + Enterotoxin + Necrotic enteritis toxin
What does alpha toxin in C. perfringens do?
Phospholipase C - cell membranes
What does beta toxin in C. perfringens do?
pore forming
targets intestinal + nerve cells
What is beta toxin in C. perfringens susceptible to?
Trypsin
What does epsilon toxin do?
Attacks cytoskeleton of epi/endothelial cells of brain
What activates epsilon toxinin C. perfringens?
trypsin digestion
What does iota do in C. perfringens?
Disorganizes cytoskeleton
What does the enterotoxin do in C. perfringens?
Attacks BOTH small intestine epithelium + tight junction proteins
What does the necrotic enteritis do in C. perfringens?
Pore forming toxin = necrotic enteritis in chickens
What are the minor toxins in C. perfringens?
Kappa + Mu + Perfringolysin O + B-2 toxin
What is the presentation of type A C. perfringens?
Massive destruction of villi + coagulation necrosis of SI
What is the virulence factor for type A C. perfringens?
Cp enterotoxin
What diseases are caused by type A C. perfringens in poultry, dogs, horses, and pigs?
Pigs = Diarrhea
Horses = colic
Dogs + Chickens = Nectrotic enteritis
What is the clinical manesfestation of type B/C C. perfringens in foals?
Acute dystentery + Toxemia + Rapid death
What is the clinical manesfestation of type B/C C. perfringens in Pigs?
Acutely ill w/i few days of birth
Diarrhea + Dysentery + Redding of anus
What is the clinical manesfestation of type B/C C. perfringens in calves?
Acute diarrhea + Abdominal pain + Convulsions + Opisthotonos
What is the clinical manesfestation of type B/C C. perfringens in lambs?
Stop nursing + Listless + Recumbent + Blood-tinged diarrhea
What is the clinical manifestation of type D C. perfringens?
Pulpy kidney + Overeating disease
What is the comparitive rate of occurence in Goat + Cattle + Sheep?
Sheep > Goat > Cattle
What is the virulence factor for type D C. perfringens?
Epislon toxin - protoxin needed trypsin
What is the clinical manisfestaion of type D C. perfringens in Calves?
Suabcute - recover
What is the clinical manisfestaion of type D C. perfringens in Goats?
Peracute to chronic - Watery diarrhea with or without blood
What is the clinical manisfestaion of type D C. perfringens in Lambs?
Sudden death - neurologic + diarrhea
What is the pathogenesis of type D C. perfringens?
Hyperemic areas of intestine + pericardial sac
Autolysis of kidney = pulpy kidney disease
What is the basic treatment for C. perfringens?
Most of the time cases are too acute
Vxn for C/D avalible
What are the general characteristics of C. difficile?
Gram postive
Motile
Encapsulated
Spore forming
Where is C. difficile normally found?
Large intestines
What major symptom is C. difficile linked to?
Diarrhea
What are the virulence factors in C. difficile?
Adhesins
Capsule
TcdA - TcdB - Cdt
What does TcdA do in C. difficile?
Cell death + enterotoxin = production of prostaglandins
What does TcdB do in C. difficile?
Cytolysin
What does Cdt do in C. difficile?
B - binds to cell
A - Cytoskeleton = cell death
What is the major treatment for C. difficile?
Metronidazole
What are the general characteristics of C. colinum?
Fastidious - spare spore former
No known toxin
What does C. colinum do to poultry?
Ulcerative enteritis + Necrotizing hepatitis
What animal is infected by C. spiroforme?
Rabbits, typhlocolitis