Obligate Intracellular Bacteria Flashcards
General characteristics of rickettsiales group
small, aerobic
obligate intracellular
gram neg
How do rickettsiales survive inside host cells?
infect immune cells
avoid destruction by lysosomes
How are rickettsiales bacteria transmitted?
vectors: ticks, fleas, flukes
Virulence and pathogenicity of rickettsiales
endotoxins
form immune complexes and trigger hypersensitivity reactions
E. canis host
dog, human, cat, primates
E. ewingii host
dog, human, white-tailed deer
E. ruminatium host
ruminants
E. canis host cell
monocytes, macriohages, lymphocytes
E. ewingii host cell
neutrophils
E. ruminantium host cell
vascular endothelial cells, neutrophils
E. canis reservoir host
mutiple
wild canids and primates
E. ewingii reservoir host
white-tailed deer
E. ruminantium reservoir host
wild and domest ruminants
Disease caused by E. canis
Canine monocytotropic ehrlichiosis
Disease caused by e. ruminantium
heartwater
Disease caused by E. ewingii
Canine granulocytic ehrlichiosis
Distribution of E. canis
World wide
Clinical forms of E. canis
acute
subclinical
chronic
can be seen in cats too
Clinical signs of acute E. canis
fever
anorexia
lymphadenopathy
bleeding
thrombocytopenia
Describe subclinical E. canis
PCR neg but bacteria are still present in low/undetectable levels
Clinical signs of chronic E. canis
severe thrombocytopenia
anemia
leucopenia
bone marrow hypoplasia
Diagnosis of E. canis
history of tick bite
clinical signs
epistaxis
thrombocytopenia
IFA
ELISA
PCR
culture and isolation
snap tests
blood stains
Treatment of E. canis
doxycycline for 4 weeks
transfusion
Prevention of E. canis
tick control
Clinical signs of E. ewingii
mild fever
arthitis
muscular stiffness
Diagnosis of E. ewingii
PCR
snap test
Treatment of E. ewingii
doxycycline
Prevention and control of E. ewingii
tick control
NO VACCINE
Causative agent of rocky mountain spotted fever
rickettsia rickettsii
Where is rocky mountain spotted fever endemic?
USA, south america and mexico
How is rickettsia rickettsii transmitted?
ticks
Is rickettsia rickettsii zoonotic?
yes - infects dogs and humans
What is the target cell of R. rickettsii?
vascular endothelial cells
Reservoir for R. rickettsii
rodents and ticks
Where does R. rickettsii localize within the tick?
midgut, small intestine and ovaries
Where does R. rickettsii localize in mammals?
endothelial cells
What are the two forms of rocky mountain spotted fever in dogs?
subclinical and acute
Clinical signs of acute rocky mountain spotted fever in dogs?
loss of appetite
fever
depression
edema
neurological signs
anemia
rash on the ear
petechiae on oral mucosa
testicular inflammation
Diagnosis of rocky mountain spotted fever
history, PE, clinical signs
IFA, IHC
PCR
culture - not routinely performed
Treatment and control of rocky mountain spotted fever
doxycycline given within 5 days of onset
tick prevention
NO vaccine
Causative agent of Q Fever
Coxiella burnetii
Hosts/reservoirs of Q fever
ruminants
zoonotic
Can coxiella burnetii be excreted from the host?
yes - excreted in milk, urine and feces
Clinical signs of Q fever
mostly subclinical
abortion
sever placentitis
malaise
anorexia
Treatment and control of Q fever
tetracyclines
supportive care
quarentine
proper management/sanitation
vaccination
What makes coxiella burentii a potential bioterrorism agent?
contains spore-like forms that are resistant to heat, drying and common disinfectants
Diagnosis of Q fever
stain with Wright-Giemsa or modified Ziehl-Neelson
serology
PCR
culture
Appearance of coxiella burnetii with modified Ziehl-Neelson stain
red/pink
How is neorickettsia transmitted?
WORMS not ticks
aka trematodes/flukes
General characteristics of neorickettsia
gram neg
obligate intracellular
pleomorphic
Distribution of neorickettsia
the Americas, Europe and Australia
Disease caused by N. helminthoeca
Salmon-poisoning disease
Disease caused N. risticii
Potomac horse fever
What animals are affected by salmon poisoning disease
dogs, coyote, fox, bears
What cells are targeted by N. helminthoeca
monocytes, macrophages, intestinal epithelium
Hosts and intermediate hosts of N. helminthoeca
intermediate host 1: snail
intermediate host 2: fish
definitive host: canids
Clinical signs of N. helminthoeca
fever
ocular discharge
vomiting
weight loss
bloody diarrhea
lymphadenopathy
death in 6-10 days if left undreated
Diagnosis of slamon-poisoning disease
history, PE, clinical signs
trematode eggs in feces
IFA
PCR
culture (takes a long time)
Treatment of salmon-poisoning disease
hospitalization
fluids, blood transfusion
doxycycline - to treat the bacteria
fenbendazole - to treat the worms
Prevention of salmon-poisoning disease
no vaccine
prophylactic doxycycline
no raw/undercooked/smoked fish
Target cell of N. risticii
monocyes, macrophages, intestinal epithelium
Hosts and intermediate hosts of N. risticii
intermediate host 1: snails
intermediate host 2: insects
equine and bats = definitive host
What is a differential for N. risticii (potomac horse fever)?
salmonella
Clinical signs of potomac horse fever
fever
anorexia
depression
diarrhea
leucopenia
colic
increased digital pulses
laminitis
abortion
death
Diagnosis of potomac horse fever
clinical signs, history, PE
response to tetracyclines
IFA
PCR
culture
Treatment of potomac horse fever
tetracyclines
fluids, anti-inflammatorues,polymyxin B, supportive shoeing
Prevention of potomac horse fever
vaccine - but vaccinated horses can still get PHF
detract insects
General characteristics of Wolbachia spp
gram neg
pleomorphic
high strain variation
infects arthopods and filarial nematodes - obligate intrtacellular
What bacterial pathogen is associated with heartworm disease?
Wolbachia (pipientis)
symobiotic relationship with heartworms
How does Wolbachia cause infection in dogs infected with heartworm?
when adult worms or larvae die - wolbachia proteins are released
causing inflammation and antibody-antigen complexes
Treatment for Wolbachia (associated with heartworm)
doxycycline - treats both bacteria and worms
Prevention of Wolbachia
heartworm prevention
What disease is caused by E. ruminantium?
Heartwater disease
Where is E. ruminantium endemic to?
Africa and the Caribbean
What is the target cell of E. ruminantium?
endothelial cells and neutrophils
Target host of E. ruminantium
ruminants and wild animals
Reservoir of E. ruminantium
tick
Clinical signs of Heartwater disease
edema of heart and lungs
hydropericardium, hydrothorax
peracute: convulsions, sudden death
acute: fever, anorexia, respiratory signs, dyspnea, chewing, twitching, tremors, circling, aggressive behavior, lateral recumbency, paddling, frothing at mouth- death within 1 week
subacute: prolonged fever, mild CNS signs, mild ataxia - animal either recovers or dies in 1-2 weeks
Diagnosis of Heartwater Disease
necropsy, staining of brain tissue
ELISA
IFA
PCR
Treatment of Heartwater disease
tetracyclines
Prevention and control of heartwater disease
vaccination in endemic areas
tick control
General characteristics of anaplasma spp
gram neg
pleomorphic
form morulae
multiple species and high strain variation
Vector for anaplasma spp
ticks
Reservoir for A. phagocytophilum
white-footed mouse, small mammals, deer
Reservoir for A. platys
ticks, wild canids
Reservoir for A. marginale
carrier animals in the herd
wild mammals
Target cell for A. phagocytophilum
neutrophils
Target cell for A. platys
platelets
Target cell for A. marginale
erythrocytes
Where is A. phagocytophilum endemic?
America, Europe, Asia
Where is A. platys endemic?
Americas, Caribbean, Europe, Asia, Australia
Where is A. marginale endemic?
tropical and subtropical regions
What disease is caused by A. phagocytiphilum?
granulocytic anaplasmoses
Host for A. phagocytoplilum
horses, cattle, sheep, dogs, cats, goats, deet, rabbits, rats, snakes, humans
very wide host range
Clinical signs of A. phagocytophilum in horses
fever, depression, limb edema, ataxia, jaundice, petechial hemorrhages, leukopenia
recovery in 2-3 weeks
Clinical signs of A. phagocytophilum in dogs
can be sub-clinical/chronic in older dogs: occasional polyarthritis, morulae in neutrophils
fever
anorexia
lethargy
immune suppression
mild thrombovytopenia
Treatment of A. phagocytophilum
tetracyclines
Diagnosis of A. phagocytophilum
PCR
culture (human cell line)
IFA
ELISA
SNAP test - dogs
What are some concers when serologically testing for anaplasma spp?
may cross-react with other species of anaplasma
Prevention of A. phagocytophilum
tick prevention
no vaccine
What disease is caused by A. platys?
Canine cyclic thrombocytopenia
Clinical signs of A. platys
typically asymptomatic
fever
depression
anorexia
cyclic thrombocytopenia (10-14 day cycles)
Diagnosis of A. platys
PCR
blood smears
serology
cannot culture
Concerns when using blood smears to diagnose A. platys
may be false neagtives due to cyclic nature of the disease
Treatment of A. platys
doxycycline
supportive care
Prevention of A. platys
tick prevention
NO vaccine
What disease is caused by A. marginale?
Bovine anaplasmosis aka Gall sickness
What other mode of transmission can a ruminant contract A. platys from besides tick vectors?
iatrogenic infection
and maybe even lice
Clinical signs of A. platys
fever
weakness
depression
dyspnea
jaundice
brown urine - not hemoglobinuria
macrocytic anemia
post mortem: splenomegaly
Does age affect susceptibility to A. platys?
yes
calves are more resistant
cattle over 2 years old can develop a fatal disease
cattle that recover = carriers
Diagnosis of A. platys
blood smears
post mortem smears of lung, liver, kindey and spleen
card agglutination
ELISA
complement fixation
PCR
blood inoculation into splenectomized calf
culure is not usually done
Treatment of A. platys
tetracyclines and imidocarb
blood transfusion
Prevention of A. platys
tick control
vaccine in endemic regions - not in USA