salmonella Flashcards
First recognised as
the agent of typhoid fever by Eberth in 1880
characteristics
Gram-negative motile non-sporing rod
Sterotypes
2400 different serotypes according to the Kauffman-White scheme
67 ‘O’ antigens, cell wall lipopolysaccharide
H antigens from flagella
Serotypes named according to particular combination of O and H antigens
Salmonella enterica 7 subspecies
I, II, IIa, IIIb, IV, V and VI
Most food poisoning strains come from which subspecies
1 - Salmonella Typhimurium
group 1
adapted to man
Salmonella serovars Typhi, Paratyphi
Cause enteric fever
group 2
adapted to animals serovar Dublin, Typhimurium: Cattle serovar Cholerae-suis: pigs serovars Galinarum, Pullorum: poultry Can cause enteric fever type diseases
group 3
non host- adapted
2400 serovars carried asymtomatically in animals and birds
cause food poisoning in humans
Incubation time
6- 48hr
symptom?
can last for ?
Chronic consequences
Nausea, vomiting, diarrhoea, abdominal cramp, fever, headache
May last for 1 -7 days
Chronic consequences may arise several weeks later e.g. arthritis
Fatality
usually less than 1% (compared with up to 10% with Typhi)
During Enteritidis outbreaks, 3.6% mortality in nursing homes among elderly
Virulence mechanisms
how many genes involve?
Located in ?
- 30 genes approx. involved in invasion phenotype
- Located in ‘pathogenicity island’ 35-40 kb
- Contact-dependent Type III secretion system delivers bacterial proteins to host cells
- Contact with enterocytes triggers formation of invasomes for attachment
- Bacterial signals cause polymerisation of host cell actin and cytoskeletal rearrangements
- Ruffles and blebs form on host cell surface and draw salmonellae into cells
- Salmonella multiplies in vacuoles
- Penetration of Salmonella into cytoplasm of epithelial cells triggers an influx of leucocytes at the infected area
- Release of prostglandins causes mucosal inflammation
- Bacterial cells release an enterotoxin within inflamed tissue which activates host adenyl cyclase enzyme
- This results in fluid loss from gut and diarrhoea
Salmonella Enteritidis
associated food
undercooked egg dishes
poultry meat
Salmonella Typhimurium associated food
Beef, dairy produce, pork lamb, chicken turkey
Other serotypes associated food
Cheese, salami, cream-filled desserts, shrimp, frog legs, yeast, coconut, sauces and salad dressing, cake mixes, dried gelatin, peanut butter, cocoa, and chocolate