Test 2- Burkholderia Flashcards
Genus Burkholderia
Gram negative
Aerobic
Rods
Catalase positive
- Taxonomically not yet very clear
- Many new description of species
- Mostly environmental bacteria:
• Pathogenic species:
• B. mallei: glanders
- B. pseudomallei: melioidosis
- B. cepacia (humans, frequently in cystic fibrosis patients)
• Plant pathogens
B. mallei: glanders
general
• BSL3 agent
- Has been used in WW I
- Primarily Equine pathogen
————-Also infects felines, dogs, humans,…
• When diagnosed: has to be declared
————- Now mainly in Asia and South America
B. mallei: glanders
• Symptoms
• Nodules and ulcers, pyogranulomatous
- Orchitis
- Skin respiratory tract
- Great variability in severity
Virulence factors for B. Malleli
Virulence factors; non specific
- Capsule
- LPS
B. mallei: glanders
Transmission
• Ingestion: feed, water
- Inhalation
- wounds
B. mallei: glanders Pathogenesis
- Chronic
- Debilitating
Entry– Pharynx, skin
Spread- via lymphatic and blood
Nodular lesions in lymph nodes, lung, liver, spleen, nose and skin
B. mallei: glanders Pathology
Suppurative lesions
- Nodular:
neutrophils, fibrin, red blood cells - Granulomatous:
Central: necrotic granulomatous
Surrounded by
epithelial cells, giant cells
lymphocytes embedded in granulation tissue- CAN MAKE TX HARD
B. mallei: glanders Symptoms
• Acute infection
• Fever
- Nasal discharge
- Lymphadenitis (head & neck)
• Frequently fatal (2 weeks)
B. mallei: glanders Symptoms
Chronic
• You should not see this (declaration at acute phase)
- Fever & respiratory problems
- Skin abscesses (cranial lymph nodes)
Is B. mallei zoonotic?
YES!
B. mallei: glanders
B. mallei: glanders Diagnosis
• Isolation and identification
• Serology: Care for false positives
• Difficult
• Few laboratories do it
• Cross reactions (false positive)
—–Environmental group of bacteria
• CFT, ELISA, HAI
• Horses CFT is official test, but creates sometimes false positives
• Intradermo test (mallein test)
- Type IV hypersensitivity
- Cellular
B. Mallei Prevention:
- No vaccination available
- Screening and culling of positive animals
- After outbreak: bedding, feed should be disinfected (burned)
• Avoid contact with horses from endemic areas
Treatment of B. mallei
• Outbreak should be notified to competent authorities
• Culling of positive animals
Burkholderia pseudomallei, Melioidosis
• Melioidosis
• pyogranulomatous infections • Reportable disease
• Real saprophyte- JUST IN NATURE NOT CONTAGIOUS
• In water rich environments
• Frequently infections after flooding’s, heavy rain fall • Swampy terrain
• Rice paddies
- Melioidosis
- pyogranulomatous infections • Reportable disease
- Real saprophyte
- In water rich environments
- Frequently infections after flooding’s, heavy rain fall
- Swampy terrain
- Rice paddies
• Endosymbiont of environmental amoeba
• Wide host range: large dissemination possibilities
- Mammalians
- Mainlysheep&goat
- Rodents: reservoir in endemic regions (Tropical and subtropical)
• Avian (rather rare)
• Reservoir in Amoeba