Old material Flashcards
What is dermatomycoses?
Cutaneous infection caused by yeast and normally saprophytic filamentous fungi resembling dematophytosis.
What type of immunity plays an important role in protection and recovery from cutaneous mycoses infection?
Cell-mediated
Dermatophyte infections are called what?
Dermatophytosis or ringworm.
What are the 2 phases of infection with cutaneous mycoses?
- ) Initial: little host response, hypertrophy of stratum corneum, with accerlated keratinization, scruffy apperance and hair loss.
- ) Secondary phase: Inflammatory: ranges from erythema to vesiculopustular reactions and suppuration. Local plaques (kerions) may resemble skin tumors.
What is subcutaneous mycoses?
Broad range of infections involving deeper layers of skin, muscle, bone or connective tissues.
What caused this?
Sporothrix schenckii
Causes sporotrichosis
What species do we see Sporothrix schenckii in?
Cats, humans, horses and dogs.
How do most animals get S. schenckii?
What is the pathogenesis?
Traumatic event
Leads to ulcerating cutaneous nodules
Spreads to SQ lymph channels
Pyogranulomatous lesions
Suppurative ulcers develop
Dissemination to joints, viscera and CNS (in cats)
Exudates in Sporothrix yield the highest # of fungi in what species?
Cats
Below is the yeast form of Sporothrix.
Remember: it’s a saprophytic dimorphic fungus.
Yeast grow best at 37 C on blood agar.
What is this?
Sporothrix schenckii
This is the mold form: branching septate hyphae that bear pyriform micoconidia (look like flowers)
This would grow best at 25-30 C on Sabouraud’s agar.
What causes this?
Histoplasma capsulatum var. farciminosum
Pseudoglanders
Epizootic lymphangitis
African Horse Farcy
How is Pseudoglanders transmitted?
What is the pathogenesis?
Wound in the skin/possibly an arthropod bite
Local skin nodule becomes abscessed and ulcerated (mainly head, neck and limbs).
Pyogranulomatous response
Adjacent lymphatics develop similar nodules
**Hematogenous spread and visceral involvement possible. **
A good differential diagnosis for Histoplasma capsulatum var. farciminosum would be what?
Corynebacterium pseudotuberculosis
T/F: Oomycocis is a member of the Kingdom Fungi.
False, it is a member of the *Kingdom Stramenopiles, *
Pythium and Saprolegnia is included under oomycosis.
What causes this?
Cutaneous Pythiosis
Pythium insidiosum
- Swamp Cancer*
- Florida Horse Leeches*
What species is Cutaneous Pythiosis seen in?
Horses, dogs, cattle and cats.
In the cat, Pythiosis causes what type of lesions?
Tumor like masses
What is causing this infection in the horse?
Kunkers or leeches
Caused by: Cutaneous Pythiosis.
Sparsely septated hyphae may be observed within granulomatous coagula (kunkers/leeches).
What is causing this?
Chromoblastomycosis
Typically rare in humans.
Mostly occurs in frogs and toads.
Sclerotic bodies present.
This is a darkly pigmented (dematiacious) fungi.
What is causing this?
Phaeohyphomycosis
Mostly seen in cats and dogs.
Hyphae present.
Darkly pigmented (dematiaceous) fungi
What type of stain would you use to ID Chromoblastomycosis or Phaeohyphomycosis?
Mason-Fontana Stain
To highlight melanin.
What is this?
Curvularia
What is this?
Mycetoma
Specifically a eumycotic mycetoma
Reported in cattle, horses, dogs and cats.
Swelling, granule formation, and a draining sinus tract.
Fungi that cause this: Curvularia, Cochliobolus, and Pseudallescheria
Bacteria that cause this: Nocardia, or Actinomyces.
What causes this?
Saprolegnia
Associated with stress in a pond; typically temperature.
What is systemic mycoses?
The agents of most systemic or deep mycoses are saprophytic fungi.
Usually they are inhaled.
What is Coccidiodes?
A dimorphic fungi that causes systemic mycoses.
- C. immitis = *California
- C. posadasii= Texas, New Mexico, Arizona and South America*
Has been bioweaponized.
What is the main species to get Coccidiodes?
Second most common species?
1st: Dog
2nd: Horse
What is the pathogenesis of Coccidiodes?
Inhalation of arthroconidias and rounding into spherical shaped endospores.
Endospores differentiated into multinucleated: spherules (contains 100’s of endospores).
Spherules rupture and cycle starts.
Arthroconidia, spores and spherules trigger and inflammatory response in the lung and lymph node.
Pulmonary lesions and osteomyelitis.
Pyogranulomatous inflammation.
What is this?
Spherules (sporangia) of Coccidiodes immitis
What is this?
Arthrospores of Coccidiodes immitis.
What is this?
Intracellular, Histoplasma capsulatum var. capsulatum
although it is facultatively intracellular can can survive inside or outside the cell.
Causes Histoplasmosis: symptoms resemble TB
*H. capsulatum var. capsulatum *is most prevalent in what species?
Middle aged dogs (2-7 years)
What is the pathogenesis involved with H. capsulatum var. capsulatum?
Microconidia, hyphal fragments or yeast cells attach to macrophages in the lung.
Minimal respiratory burst occurs.
Mycroconidia and hyphal elements differentiate into yeast and survive in the phagolysosome.
Multiplication inside the cell eventually ruptures the phagocyte.
- Causes disseminated disease: weight loss, diarrhea, dehydration, anemia, hepatomegaly, splenomegaly and mesenteric lymphadenitis.*
- Pulmonary form: coughing, fever, and regional lymphadenopathy.*
What is this?
Histoplasma capsulatum var. capsulatum
Septate bearing spherical to pyriform microconidia and tuberculate macroconidias. (thick walled spheroidal cells.)
What is this?
Histoplasma capsulatum var. capsulatum
Yeast
What are passive carriers of H. capsulatum var. capsulatum?
Bats and birds.
What is causing this?
Blastomyces dermatitidis
Blastomycosis
What are the main species that Blastomyces dermatitidis infects?
Humans and dogs
What is the pathogenesis of Blastomyces dermatitidis?
Microconidia hyphal fragments are inhaled.
Conversion to the yeast form within the alveolar space.
Primary tissue: (lungs) Pulmonary infection
Expression of Bad1 and phagocytosis* *with minimal respiratory burst and down regulation of cytokines.
Inflammatory response involving macrophages and neutrophils resulting in pyogranulomatous lesions in terminal bronchioles.
Secondary tissues: (from the inside out) Nodular lesions can be tubercle like indicative of caseous necrosis.
Draining cutaneous lesions.
What is this?
Blastomyces dermatitidis
Thick walled budding yeast.
What is this?
Blastomyces dermatitidis
Mold: Hyphae with conidiophores with spherical conidia.
What caused this?
Cryptococcus neoformans
Main species it infects is: cats
Sometimes seen in cattle: mastitis also dogs.
Yeast
What is the main reservoir of Cryptococcus neoformans?
Surface dust and dirt.
**Dried pigeon droppings. **(presence of creatinine helps sustain it there for years.)
What is the pathogenesis of Cryptococcus neoformans?
Suppressor lymphocytes are stimulated.
Poor inflammatory response
Myxomatous masses: **high #’s of yeast cells and low #’s of inflammatory cells.
Ulcerative lesions of the mucous membranes: nose, mouth, pharynx, and sinuses as well as CNS involvement.
Eventually masses acquire histiocytes, epitheliod cells and giant cells.
What is this?
Cryptococcus neoformans yeast organisms surrounded by a non-staining capsule (the capsule is an important virulence factor~ protects from phagocytosis and complement system.)
What is this?
Malessezia pachydermatis
Yeast
What is Malessezia pachydermatis causing in this picture and in what species?
What species does it affect in general and what disease processes is it closely associated with?
In the picture it is causing otitis externa in a dog.
Malessezia pachydermatis is mainly associated with causing otitis externa and dermatitis in dogs.
In Westhighland White Terriers specifically it causes seborrhoeic dermatitis and epidermal dysplasia.
What is this?
Candida albicans
Budding yeast cells
What is this?
Candida albicans
Pseudohyphae and a few individual yeast cells.
In the anterior digestive tract of humans, *Candida albicans *causes what?
Thrush
What is the pathogenesis of Candida albicans?
Most frequently affects the mucosal surface (squamous epithelium) of the anterior digestive tract, genital tract and occasionally the respiratory tract causing septicemia.
Causes white to yellow to gray plaques.
Diphtheitic membranes and abscesses.
Mainly neutrophilic, RARELY granulomatous.
What other species besides humans does Candida albicans infect?
Birds, swine, equines, cattle, dogs and cats.
What is the most common Aspergillus spp. in humans and animals?
Aspergillus fumigatus
What is this?
Aspergillus spp.
Asexual fruiting structures that are borne on conidiophores.
What is the pathogenesis of Aspergillus spp.?
Inhalation or ingestion and deposition in tissues.
Pulmonary infections with acute suppurative exudates. In later stages chronic granuloma develops.
PAMP recognition by phagocytic cells triggering an inflammatory response.
Inflammatory response along with virulent factors released by fungus result in tissue damage.
Pigment and catalase delay destruction by phagocytic cells.
In which species do we see disseminated aspergillosis?
Dogs: specifically German Shepherds
In cattle with Aspergillosis, instead of seeing respiratory signs what do we see?
Abortions and mastitis
Although this is rare.
What is this?
What does it cause?
Rhinosporidium seeberi
An aquatic protist.
Granulomatous mucocutaneous infections.
What species is Rhinosporidium seeberi normally present in?
Horses, humans, cattle, mules, dogs, goats and waterfowl.
Particularily in the tropics.
Pictured: polypous rhinitis in a horse.
What caused this?
In what species is this present?
DRIPs
Tilapia
What is this?
Lacazia loboi
Found in dolphins and humans.
What is this?
Lacazia loboi
Yeast like cells.
What is the causative agent of this infectious disease in amphibians?
Chytridiomycosis
Batrachochytrium dendrobatidis
What is this disease in bats?
White Nose Syndrome
Geomyces destructans
Staphylococcus spp. are facultative ______.
Which means they are Oxidase _____.
Anaerobes
Negative
Pathogenic strains of Staphyloccus produce what?
Coagulase
What are pathogenicity islands in Staph species?
Distinct regions of DNA present in the genome of pathogenic bacteria but absent in non-pathogenic species.
Staphylococcal enterotoxins are what?
Neurotoxins
Superantigens (cytokine storms)
Cause projectile vomiting, & explosive diarrhea
Toxic Shock Syndrome Toxin (TSST-1) in Staph species causes what?
Superantigen
Endothelial damage
Fever, shock, skin rash, and multi-system involvement.
How many different hemolytic toxins present in Staph species?
α, β, γ, δ
What is the typical lesion associated with Staphylococcus?
An abscess.
What is the pathogenesis of Staphylococcus spp.?
Adherence of tissue to sterile tissue: MSCRAMMS
Inflammation: cell wall and complement
Progression or elimination: Bacterial factors and Host factors
Replication occurs rapidly: quorum sensing, down-regulation of adhesins, up-regulation of capsule and toxins
Tissue damage destruction: increased inflammation, escape phagocytosis, destruction of leukocytes.
Suppuration and abscess formation. Systemic effects can result from super antigens.
Staphylococcus pseudointermedius causes what in dogs and cats?
Pyoderma, otitis externa, urolithiasis, osteomyelitis, arthritis and mastitis.
Staphylococcus aureus in ruminants causes what?
Mastitis: one of the leading causes.
Alpha toxin which causes β-hemolysis is a key virulence factor.
What is Tick Pyemia in small ruminants?
Ticks which normally carry Anaplasma phagocytophilum which causes immunosuppression predisposes to Staphylococcus aureus infection.
Often times causes mastitis or leads to disseminated abscess formation and even death.
What is this pig suffering from?
Greasy Pig Disease
Staphylococcus hyicus
Exudative epidermitis: exfoliative toxin is key virulence factor.
Staphylococcus aureus in equines causes what?
Mastitis
Spermatic cord abscesses
Pectoral abscesses: Although Corynebacterium pseudotuberculosis is far more common!!!
What is this bird suffering from?
Bumblefoot
Staphylococcus aureus
Chronic pyogranulomatous process of SQ tissues.
Other than draining abscesses, what is the drug of choice when combating Staphylococcus species?
Penicillin
The capsule of Streptococcus spp. is composed of ______ ______, which is a key virulence factor.
Hyaluronic acid (HA)
___ Protein of *Strep *species is antiphagocytic and binds with fibrinogen and Factor H which prevents the complement system of taking effect.
**M **protein
What is this horse suffering from?
Strangles
Streptococcus equi subsp. equi
- Highly contagious febrile rhinopharyngitis involving abscessation of the regional lymph nodes.*
- Serous or purulent nasal discharge, fever, local pain, cough, anorexia, and abscesses.*
- Mainly in young horses.*
When Strangles in horses has gone systemic and you have widespread abscessation it is called what?
Bastard Strangles
A condition called Pupura hemorrhagica from Strep. equi subsp. equi is caused by what type of hypersensitivity?
What are the signs?
Type III Hypersensitivity
SQ swelling, mucosal hemorrhages and fever.
Which species of Streptococcus spp. is more promiscuous and common than Strep. equi subsp. equi in horses?
*Streptococcus equi subsp. zooepidemicus *
- Pneumonia/pyothorax*
- Suppurative osteomyelitis*
- Abscesses*
Naval ill of foals
Pigs that are suffering from cervical lymphadenitis (jowl abscesses) have what type of Strep?
Streptococcus porcinus
Highly contagious
Similar to Strangles in horses.
Streptococcus suis and Streptococcus dysgalactiae cause what in swine?
Which of the 2 is pathogenic in humans?
Secondary pneumonias and endocarditis
Neonatal septicemias
Pneumonia
Arthritis
Meningitis
S. suis is pathogenic in humans
What is the second most common and also a Strep species that causes mastitis in cattle?
Streptococcus agalactiae
What is the causative agent of Puppy Strangles?
Streptococcus canis
Causes septicemia in newborn puppies and kittens.
You have left pleural effusion in a primate, what is the most likely Streptococcus spp. as the causative agent?
Streptococcus pneumoniae
Causes: pneumonia, septicemia and meningitis.
This was a real question from Dr. Soto:
- You are presented with a 5 y/o cocker spaniel with a hx of persistent pyoderma. You collect samples from the edge of the lesion and upon microscopic examination observe Gram positive coccoid bacteria. As part of your DDx in this case, you should have…*
- A. Streptococcus canis*
- B. Staphylococcus aureus*
- C. Staphylococcus pseudointermedius*
- D. All of the above*
- E. None of the above*
D. All of the above
However if you were being asked which is most likely you would say S. pseudointermedius
What is Enterococcus?
Group D Streptococci
Halophiles and thermophiles
E. faecalis and E. faecium are the most important.
- Commonly infect urinary bladder and ear canal and cause otitis externa in dogs.*
- Also reside in the gastrointestinal tract and can cause diarrhea in the young.*
Share antimicrobial resistance genes with S. aureus.
T/F: *Corynebacterium *are acid fast.
False
What is the morphology of Corynebacterium?
Diphteroid, Chinese letters.
*Corynebacterium *possess an exotoxin called _______ ___ that is a major virulence factor.
Phospholipase D
What are the 2 biotypes of Corynebacterium pseudotuberculosis
Equine biotype: **Equines and Bovines
Nitrate positive
Ovine biotype: **Ovine, Caprine and some Bovine
Nitrate negative
What is the pathogenesis of Corynebacterium pseudotuberculosis?
Bacteria enters host via a skin wound, multiply and are phagocytized.
Phagolysosome fusion takes place. Bacteria multiplies within it.
Phagocytic cell dies.
Permeability in blood vessels increase, favors the spread of the organism.
Abscesses develop in primary or secondary sites. Regional lymph nodes.
Typical chronic diseases, granuloma.
Caseous necrosis
What is the major thing that *Corynebacterium pseudotuberculosis *causes in equines?
Pectoral abscesses:* This is the major cause although S. aureus can cause this too. Also referred to as Pigeon fever or Breastbone fever.*
Can also cause ulcerative lymphangitis.
What is causing this in a goat?
What is it causing?
Corynebacterium pseudotuberculosis
Caseous lymphadenitis, abscess
- Has a typical onion ring apperance. *
- Can also appear on visceral organs like the lungs and liver.*
What is causing this in an Arabian oryx?
What is it causing?
Corynebacterium pseudotuberculosis
Abscess; caseous necrosis
What is this cow suffering from?
Corynebacterium pseudotuberculosis
Abscess
What type of hemolysis does C. pseudotuberculosis display?
Gamma hemolysis
On a CAMP test, C. pseudotuberculosis displays inhibitory effects with _______ ______ ______ and synergistic hemolysis with __________ _______.
Inhibitory effects with streptococcoal beta toxin and synergistic effects with Rhodococcus equi.
*Corynebacterium renale *normally colonizes where in cattle and other domestic animals?
The lower genital tract
What is the pathogenesis of Corynebacterium renale?
Adhesins (Pili) attach to urothelium.
Urea breakdown produces ammonia.
Inflammatory process occurs.
Chronic inflammatory process involves: bladder, ureters, renal pelvis, and renal parenchyma causing pyelonephritis.
High alkalinity of urine. Suppression of anti-bacterial defensins. (Inactivation of complement by ammonia.)
In small ruminants Corynebacterium renale causes what?
Ovine posthitis
aka Pizzle rot or Sheath rot
Risk factors are a high protein diet.
Ammonia is thought to initiate the process
High alkalinity of urine.
In horses, dogs and non-human primates, C. renale causes what?
Urinary tract infections
Not zoonotic.
In cattle C. renale causes what?
Ascending urinary tract infection: cystitis, ureteritis, and pyelonephritis.
Acute pyelonephritis
Weght loss, decreased milk prod., uremia, anorexia, and death.
*Arcanobacterium *had it’s name changed to what?
Trueperella
T/F Trueperella is acid fast negative.
True!!
The morphology of Trueperella is what?
Small Gram positive, coccoid-rods
Exotoxin, _____ ___ is the most important virulence factor of Trueperella pyogenes.
Pyolysin O
What is the pathogenesis of Trueperella pyogenes?
Physical or microbial damage
ADHESION: binds collagen and fibronectin
Neuraminidases: aids in binding by exposure of receptors.
Proteases, DNAses, aid in the spread of the organism.
Suppurative processes: abscesses, pyogranulomas, and empyemas.
Trueperella pyogenes is mostly found where?
Mucous membranes: upper respiratory, gastrointestinal and urogenital tract.
Infections most likely endogenous.
What is the major thing Trueperella pyogenes causes in cattle?
Summer mastitis
- Further facilitated by the spread through flies.*
- Pyogranulomatous*
This is the 3rd most common cause of mastitis in cattle (others are Staphylococcus aureus and Streptococcus agalactiae.)
What are other disease processes that Trueperella pyogenes causes in cattle, aside from mastitis?
Purulent infection: can cause abscesses and sloughing.
Locations include: Lung, pericardium, endocardium, pleura, peritoneum, liver, joints, uterus, renal cortex, brain, bones and SQ tissues.
Good DDx include: C. pseudotuberculosis, S. aureus, S. agalactiae, various fungi.
What type of hemolysis does Trueperella display?
β-hemolysis
Which bacteria can be found primarily from the prepuce of boars?
What is the pathogenecity of this bacteria?
Actinobaculum suis
Sexually transmitted to sows