Pathobiology And Microboiology Of Respiratory Infections Flashcards
What are proteobacteria?
Phylum of gram negatives including E.coli, Salmonella, Vibrio, Helicobacter
Where are proteobacteria found in the respiratory tract?
URT+LRT
What types of infection are more common, primary or secondary?
Secondary
How do secondary bacterial infections occur?
Facilitated by initial viral or sometimes parasitic infection or by environmental stress
Are bacterial infections most commonly pure or mixed?
Mixed
What viruses can cause infections of the URT and spread down to cause bronchitis and bronchiolitis?
Influenza virus (horses, pigs, dogs)
Bovine respiratory syncytial virus
What pathogens are associated with feline upper respiratory disease?
Usually associated with viral infection - FHV-1 or FCV
Some bacteria can be primary pathogens - Chlamydia felis, Bordatella bronchiseptica
What pathogens are associated with canine upper airway disease (CIRD)
Often primary viral infection with
Bordatella bronchiseptica
How severe does small animal upper airway disease tend to be?
Self limiting, can usually recover without the need for antimicrobials
What would an URT infection that hadn’t subsided after 10 days indicate?
What could you give?
Systemic disease
Doxycycline
Why is culturing from nasal swabs a bad idea?
Will culture commensals
Chlamydia and mycoplasma are not culturable
what is the observation period for URT disease?
10 days
What is the drug of choice for severe (e.g. bronchopneumonia) or persisting infections?
Doxycycline
Describe chlamydia felis
obligate intracellular
Gram negative rods
How does chlamydia felis usually manifest in cats?
Bilateral conjunctivitis
Possible nasal discharge (can be mucopurulent)
How could you identify chlamydia felis?
PCR
Koster’s stain
Outline the reproductive cycle of chlamydia
Infection with EB
Reticulate body formation, multiplication and maturation
Elementary body release
What is the difference between elementary and reticulate bodies?
EB - infecting particles, metabolically inactive
RB - metabolically active, multiply in cells
Describe Bordatella bronchiseptica
Strict aerobes,
Small gram negative rods
Coccobacillus shape
What is Bordatella bronchiseptica associated with in pigs?
Atrophic rhinitis
Where is B. Bronchiseptica normally found in dogs?
URT (Commensal)
What needs to happen before Bbronchiseptica can cause tracheobronchitis or bronchopneumonia in dogs?
Viral infection (e.g. distemper), stress, immunosuppressive drugs
Describe the pathogenesis of B.bronchiseptica
Initial trauma
Adherence to respiratory epithelium of trachea
Proliferation
Release of toxins -> irritation and coughing
Epithelial necrosis
Peribronchial inflammation and bronchopneumonia
SECONDARY infection - e.g. beta haemolytic strep
What antimicrobial therapy would you recommend for mild pneumonia?
Doxycycline
What antimicrobial therapy would you recommend for severe pneumonia or pyothorax?
Fluroquinolone
AND
Penicillin or Clindamycin
Describe pasteurella multocida
Gram negative rod
Oral commensal
SMELLS LIKE MICE
In which part of the respiratory tract does P.multocida typically cause disease?
LRT
What respiratory pathology is P.Multocida associated with?
SUPPURATIVE pneumonia + pleuritis
What gross clues are present in lungs that the cause of the pneumonia is bacteria?
Hyperaemic rim
- increased arterial blood flow delivering inflammatory cells
What causes ‘snuffles’ in rabbits?
PASTEURELLA MULTICIDA
What clinical signs are associated with snuffles?
Chronic nasal discharge and sneezing
Sinisitis/rhinitis
Respiratory disease
Sometimes head tilt due to otitis media
Lungs - Pulmonary abscesses
Where does P.multocida colonise in rabbits?
Resp tract
Middle ear
Genitalia
Occasionally lungs
URT or LRT
Describe actinomyces sp.
Gram positive Aerobe
Branching filaments
Responsive to penicillin
Where is actinomyces found normally?
Oral cavity
How can actinomyces cause lower respiratory disease?
Pyogranulomatous lesions on the pleura (often w/ pyothorax)
Respiratory distress main CS
Where are nocardia found?
Soil
Describe nocardia
Gram positive
Branching filaments
ACID - FAST
RESISTANT TO PENICILLIN