Mycobacterium and Associated Diseases Flashcards

1
Q

What makes up the membrane of Mycobacterium?

A
  • Mycolic acid
  • Acyl lipid
  • Lipoarbinomannan (LAM)
  • Arabinogalactan
  • Peptidoglycan porins and a lipid bilayer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the general morphologic characteristics of Mycobacterium?

A
  • Unique cell wall
    • high lipid content
      • Mycolic acids, complex waxes, unique glycolipids (up to 60% of the dry weight of the organism)
  • Rod shaped
  • Non motile
  • Over 100 species and subspecies
    • non pathogenic
    • obligate intracellular pathogens
    • opportunistic pathogens
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does the unique cell wall of Mycobacterium do?

A
  • Ability to resist:
    • Dehydration
    • acid or alkali inactivation
    • heat / cold
    • several common antibiotics
    • Common disinfectants
  • Can survive in soil for up to a year
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How well do mycobacterium grow?

A
  • Very slow
    • slow doubling times 12 - 24 hours
    • Colonies arise in 2-6 weeks or longer
    • rapid growers in 48 - 72 hours
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the pathogenesis of Mycobacterium?

A
  1. Intracellular survival - most important virulence property
  2. Cellular antigen stimulate cell mediated and humoral immune responses
  3. immune response leads to granulomas
  4. Caseous necrosis at center of granulomas may lead to calcification or liquefaction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How is Mycobacterium diagnosed?

A
  • Direct examination of the organism after acid-fast staining
  • Tuberculin skin test
    • determine delayed-type hypersensitivity reaction
  • Culture
  • Antibodies by Agar-gel immunodiffusion, ELISA, CF and IFA
  • PCR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why does Acid-fast staining work with Mycobacterium?

A
  • Complex cell wall retains carbol-fuchsin dye when decolorized with acid-alcohol
  • Allows for differential staining
    • other bacteria stain blue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What diseases are cause by Mycobacterium?

A
  • Johne’s disease - ruminants
  • Crohn’s disease - humans (?)
  • Pulmonary tuberculosis - humans & animals
  • Hansen’s disease - humans (leprosy)
  • Feline leprosy
  • Avian tuberculosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the causative agent of Johne’s Disease?

A

Mycobacterium avium subspecies paratuberculosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What animals does Johne’s Disease affect?

A
  • Cattle
  • Sheep
  • Goats
  • Deer
  • Antelope
  • Llamas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the symptoms of Johne’s Disease?

A
  • Weight loss
  • Diarrhea
  • Bottle Jaw
    • Submandibular Edema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the pathogenesis of Johne’s Disease?

A
  • Infection results in granuloma formation
  • Thickens intestinal wall and impairs function
    • Diarrhea, poor absorption of nutrients
    • Animal eats but rapidly lose weight
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How is Johne’s Disease transmitted?

A
  • Enters with healthy looking infected animal
  • Spreads very slowly
  • Infects very young animals
    • contaminated feed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is Johne’s Disease controlled?

A
  • Prevent indroduction of infected animals
  • Raise newborns in clean environment fed milk free of M. paratuberculosis
  • Identify and remove infected animals
  • Infected herds tested yearly
    • Cull positives
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the treatment for Johne’s Disease?

A
  • Not curable by antibiotics
    • Cost prohibitive
  • Cull from herd
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the causative agent of Bovine Tuberculosis (TB)?

A
  • Mycobacterium tuberculosis
  • M. bovis
  • M. africanum
  • M. microti
  • M. canettii
17
Q

What does Bovine Tuberculosis cause?

A
  • Pulmonary disease
18
Q

How is Bovine Tuberculosis contolled?

A
  • Eradication program 1924
    • milk pasteurization
    • cull positive animals
19
Q

How is Tuberculosis Transmitted?

A
  • Aerosol
    • Coughing humans or animals
  • Contaminated unpasteurized milk
20
Q

How is Tuberculosis diagnosed?

A
  • Tuberculin skin test (DTHs)
  • X-ray
  • Culture
  • ELISA - serum antibodies
21
Q

What is the treatment for Tuberculosis?

A
  • Combination therapy using anti TB drugs:
    • Streptomycin
    • P-aminosalicylic acid
    • isoniazid
    • Pyrzinamide
    • cycloserine
    • ethambutol
    • rifampin
  • Emergence of multi drug resistant pathogens is a major concern
22
Q

What is the causative agent of Hansen’s Disease?

A

Mycobacterium leprae

23
Q

What is Hansen’s disease?

A
  • Leprosy
  • Disease of skin and nervous system
  • Found mostly in Asia, Africa, and SA
24
Q

How is Hansen’s Disease transmitted?

A
  • Close contact
  • Exposure to infected armadillos
    • nasal secretions and mammary ducts
25
Q

What is the causative agent of Feline Leprosy?

A

Mycobacterium lepraemurium

26
Q

What is Cat leprosy?

A
  • Localized skin infection on the head and limbs
  • Most reported cases in New Zealand
    • Also in Pacific coast of US and CAN
  • Affects those <3 years old
27
Q

How is Cat Leprosy transmitted?

A
  • Rats and mice
28
Q

What is Mycobacterium avium ssp avium?

A
  • Widespread in birds
    • Affects all organs
  • Ubiquitous in soil, water, bird droppings
  • Causes Tuberculosis in people
  • Common in swine
    • Granulomas in lymph nodes of head and GI tract
    • lesions present in 1-3% of slaughtered hogs
  • Rare in cattle, dogs, cats, and people
    • major concern for AIDS patients