Yersinia Flashcards

1
Q

Yersinia sp

A

Non lactose fermenting gram neg rods

Motile (except Y. pestis, which causes plague)

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2
Q

Yersinia enterocolitica and psudotuberculosis

A

Zoonosis found in intestinal tract of wild mammals, birds, and domestic mams (commensals/reservoir for infection which can lead to food poisoning and diarrheal disease). Bird may act as amplifier host bc they shit everywhere and transfer organism mechanically. Both grow in wide temp range (4-42o)

enterocolitica causes sporadic abortion in ewes, gastroenterocolitis in humans, and sub clinical enteric infections in pigs and wild animals

Psudotuberculosis- humans enterocolitis or mesenteric lymphadonitis, sporadic abortion in cow, sheep and goat, and enteritis in young animals (sub clinical common in older) and mesenteric lymphadenitis causing severe abdominal pain which presents as appendicitis in farm animals. Also, common in caged birds and rodents, causing septicemia and massive number of deaths in pet stores

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3
Q

Yersinia pestis

A

In endemic areas, wild rodents are important reservoirs of infection. Fleas, esp Oriental rat flea transmit the infection to man and other animals

Cats more likely to show signs of infection bc eat rodents

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4
Q

Y. ruckeri

A

Causes perioral haemorrhagic inflammation in fish

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5
Q

Yersinia pathogenesis

A

Pathogenic enteric yersinia invade M cells of peyers patches and prevent phagocytosis

Virulence on plasmid and chromosomal factors which are required to survive and inhibit phagocytosis

Y. enterocolitica nd pseudotuberculosis are enhanced by yops (type 3 secretion system) which interfere with normal function of host phagocytic cells

Allows extracellular bac to adhear to surcafe of host cells and secrete/inj bac effector proteins (yops) into cytosol to disable/alter function. In GI mucosa, back precent phago and replicate in mesenteric lymph nodes and can develop necrotioc lesions and neutrophil infiltration

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6
Q

Y clinical infections

A

Pseudotb generally subclinical, but enteric disease common in farmed animals in Oz/NZ. Septicemia occurs in lab rodents and get from other rodents or contaminated food. In birds, overcrowding, sudden death , feather ruffling, and necrotic foci in liver at PM are common.

Cause diarrhea and weight loss, leads to emaciation and death. Some die suddenly of septicemia. Bc rapid onset, sometimes cant treat

Y. enterocolitica is primarily a human enteric pathogen, wild and domestic animals act as reservoirs. Pig is natural revisor for serotype 03 biotype 4- humans

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7
Q

Y diagnosis

A

Histo exam of intestinal lesion
Culture
Plate on Mac for growth at 37 or 22- non lac fermenting
Cold enrichment (grow at 4 for a few days, bc most cant survive on that)
Serotyping

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8
Q

Plague

A

Caused by y. pestis
3 biotypes
Zoonotic infection transmitted by rodents transferred by fleas (Urban and Sylvatic cycle)
Endemic to Africa, Asia, and parts of USA
Some sp are more susceptible then others, prairie dog is really susceptible

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9
Q

Y. pestis clinical infection

A

can infect both dogs and cats in endemic areas, but cats are particularly susceptible bc eat rodents

Cats with pneumonic plague are a source of human infection through aerosol generation and should be euth. Human infection can be acquired through cat scratches, bits, and fleas from infected cats

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10
Q

Plague syntromes in man

A

Bubonic- fever, painful lymphadenopathy (LN swell and rupture pus)
Sypticaemic- fever, hypotension (from pus to blood) w/wo bubo
Pneumonic- cough, haemoptysis, w/wo bubo (blood to lung)

Meningitis- fever, nuchal rigidity usually w/ bubo

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11
Q

Virulence factors of y. pestis

A

F1 antigen (Fraction 1)- plasmid encoded capsule to prevent opsinisation
HPI- Fe acquisition
Ymt- plasmid pro, phospolipase D required for survival in flea midgut
Hms locus- required for efficient transmission to sub q site. With out, will replicate in midgut, but cant lodge in proventriculus for transmission
Pla- plasmid encoded and essential to disseminate from sub q site to LN or bloodstream

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12
Q

Y. pestis diagnosis

A
Specimens sent to specialised labs
Giemsa stain- bipolar rods
Culture
DFA test
Passive haemagglutination on paired samples from infected cats. Rising titer suggests active infection
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13
Q

Y pestis treatment and control

A

Cats suspected to be positive should be kept in isolation
IV tetracycline or chloramphenicol for bubonic
In endemic areas, dogs/cats should be routienly treated for fleas
Rodent control

Effective human and animal based surveillance
avoid sick/dead animals
Avoid endemic/outbreak areas
Vaccination (military) 
Insect repellents
Isolate human cases/contact
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14
Q

Pseudomonas aeruginosa and Burkholderia sp

A

Gram neg rods
Obligate aerobes
Oxidise carbs (non fermentative), but Oxidase and catalase positive
Motile by one or more polar flagella ( B. mallei no motile)
Grow well on mac

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15
Q

Pseudomonas aeruginosa

A

Opportunistic pathogen- Mink seem to be very suceptable

Causes mastitis in cow- associated with contaminated water for washing mam glands, and intrammamary antibiotic insertion
Fleece rot in sheep- associated with prolonged rainfall, causing suppurative dermatitis and pyocyanin pigment production which discolors the wool
Dog/cat olitis externa
Captive reptiles- necrotic stomatitis (severe mouth infection)

Environmental organism and found on skin, mucous membs, and feces

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16
Q

P. aeruginosia diagnosis

A

Specimens sent out for lab diagnosis- sometimes includes green pus

Grow on mac (non fermenting) and blood agar
Identify by colonial morphology and charasteristic odour- pyocyanin production, green shine

Ox pos

17
Q

p. aeruginosia treatment and control

A

Predisposing causes and sources of infection identified and eliminated

Very resistant to antibiotics, so lab susceptibility testing necessary. Aminoglycoside and anti-pseudomonal beta lactam are usually effective

Vac farmed mink and chinchillas

18
Q

Glanders

A

Caused by Burkholderia mallei
G neg rod
Rare- seen only in Middle East, India, Mongolia, China
Contagious disease of Equidae and characterized by formation of nodules and ulcers in the respiratory tract and skin (usually follows lymph nodes)
Humans and carnivores are also susceptible, so possible to use as bioterrorism agent (cat 3 pathogen)

Transmission by ingersion of food or water ocntaminated by nasal discharges of infected horses, also by inhalation or skin abrasions

19
Q

Glanders clinical features

A

Acute septicemia with fever, mucopurulent nasal discharge and resp signs
Chronic disease more common with nasal, pulmonary and cutaneous forms
Ulceritive nodules develop on the mucosa of nasal turbinates and septum

Animals may diea after months or recover and shead org form RT or skin- prognosis not well defined

20
Q

Glanders diagnosis

A

Clinical signs
Lab diagnosis- warn before send
Grows on simple media
Serology

21
Q

Glanders treatment/control

A

Test and slaughter
Clean and disinfect contaminated area

Antibiotics inappropriate bc treated animals may carry organism and transmit it

22
Q

Mielioidosis

A

Caused by Burkholderia pseudomallei
Endemic in soil and water in south east asia and tropical OZ/Darwin

Infection from ingestion, inhalation or skin abrasion from soil/water contact

Opportunistic pathogen, stress-immunosuppression predisposes to clinical disease

Many animal sp (including man) are susceptible- found in zoo in France
Subclinical infections occur where the organism may remain latent and then re-activate. Infection might be acute, chronic, septicemic, respiratory, disseminated and characterized by abscess formation

May be cultured on blood or Ashdowns medium (purple)

23
Q

Aeromonas

A

Gram neg rods
Grow at room temp
Non lactose fermenting, but ox pos

Primarily pathogens of reptiles and fish

24
Q

Aeromonas hydrophila

A

B haemolytic, causing enteritis, and food poisoning in man

25
Q

Aeromonas salmonicida

A

Brown pigment production

Furunculosis in salmonids- localized abscesses and ulcers ->production loss