Bacteriology 11: Miscellaneous gram- pathogens Flashcards

1
Q

Bordetella bronchiseptica
gram?
Main hosts?
Diseases?

A

Gram - rods

Dogs, Cats, pigs

Canine cough
Tracheobronchitis/Pneumonia
Atrophic Rhinitis

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2
Q

Pseudomonas aeruginosa
Gram?
Main hosts?
Diseases?

A

Gram- rods

Horses, Dogs, Cats, chinchillas, reptiles

Superinfections
keratitis, dermatitis, burn and wound infections
otitis externa
Stomatitis, septicemia

not good pathogen

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3
Q

What type of bacteria is bordatella?

A

Gram negative, short rods

OBLIGATE AEROBES

Oxidase positive, motile

Grows on MacConkeys
-Compared to Pasteurella multocida

Species of veterinary importance
-Bordetella bronchiseptica
-Bordetella avium

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4
Q

Where does bordetella come from?

A

BORETELLA BRONCHISEPTICA

OBLIGATE parasite of ciliated respiratory
epithelium

Maintained in carrier animals (not normal
flora)

Infected or carrier dogs who are “coughing are the main source of infections for naïve dogs”

Occasionally, infections can arise from bacteria present on their own respiratory epithelium (recrudescence)

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5
Q

How is bordetella transmitted?

Factos?

A

Inhalation is primary mode of transmission through
aerosolized droplets
-Risk Factors
- Introduction of new animals
- Ventilation
- Density of animals

Disease (Canine Cough) is considered to be CONTAGIOUS

Can get “large outbreaks” of disease in housed
animals

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6
Q

How does bordetella cause disease?

A

Uniquely adapted to set up conditions that allow colonization and disease of the respiratory tract
-Bind to respiratory cilia via fimbriae/pertactin

-Induce ciliostasis, death of cells and subsequent inflammation via dermonecrotic cytotoxin and tracheal cytotoxin

-Also has an osteotoxin which is important in Atrophic Rhinitis
- Decreased phagocytosis and killing of bacteria via other exotoxin

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7
Q

What specific diseases does bordetella cause?
3 specific diseases

A

Canine Infection Traceobronchitis
- Kennel cough

Tracheobronchitis/Pneumonia

Atrophic Rhinitis

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8
Q

How can you tell if a dog has kennel cough?

A

Usually see sudden onset of dry, hacking (“goose-honking”) cough that may be productive (common) or non-productive

Cough may be exacerbated by exercise, excitement or pressure of collar

Can also be elicited by tracheal palpation (inconsistent)

Gagging, retching or nasal discharge can also be observed in some cases

Do NOT usually show signs of systemic illness and if they do – should suspect more serious/underlying diseaseCanine Cough - retching

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9
Q

What it the big deal about Canine cough?
respiratory and conclusions after bacterial infection

A

B. bronchiseptica and/or viruses
can cause the initial damage and
allows secondary invasion by
other bacteria that may enter the
lower respiratory tract

e.g., Klebsiella pneumoniae

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10
Q

Are there other agents involved with Kennel cough?

A

YES

mycoplasma

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11
Q

Tracheobronchitis and/or Pneumonia description
range?
species?
involvement of other bacteria/viruses?

A

Wide range of animals (dogs, cats, horses, rodents, people) may be infected

Usually involves other bacteria or
viruses
-Predisposing (e.g., Mycoplasma,
herpesvirus or calicivirus in cats)
-Secondarily (e.g. Klebsiella
pneumoniae, E. coli)

It is the secondary invaders that
cause serious dz (e.g., pneumonia)

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12
Q

Atrophic rhinitis description:

Host?
Diseases?

A

Sows are the carriers of B. bronchiseptica and transfer infection to piglets

B. bronchiseptica invades initially and causes a mild, transient form of the
disease
-B. bronchiseptica: dermonecrotoxic exotoxin and osteotoxin

Secondary invasion by toxigenic P. multocida (type D) results in a more severe and progressive form of disease (osteolytic)
-P. multocida DERMONECROTIC TOXIN

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13
Q

How do you diagnose bordatella infections?

A

Canine cough=
-presumptive diagnosis

Tracheobronchitis/ pneumonia=
-nasal swabs, cultured or multiplex PCR
-additional sampling in lungs itself

Atrophic Rhinitis=
-clinical diagnosis and lesions usually sufficient
-swabs of nasopharynx and culture for isolation of B. bronchiseptica and P. multocida
- ELISA and multiplex PCR for detection or toxigenic strains of p. multocida

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14
Q

How do treat bordatella infections?

self limiting infection

A

Normally it passes over after a week; but if there is infection in the lungs you will want to use antibiotics

Regardless using antibiotics may reduce length of time of coughing and help prevent secondary complications

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15
Q

What are some issues with bordatella?

A

Some dogs can continue to shed the bacteria for up
to 3 months after cessation of signs!

-So they should not take the dogs near susceptible dogs in this time future
-Relapses may occur if “stressed”
-Treatment may shorten shedding

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16
Q

What kind of bacteria are Pseudomonas?

A

Gram- rods

Obligate aerobes

Highly motile

Classical colony morphology on blood agar

Oxidase +

ONLY 1 species has significant veterinary importance

IMPORTANT : isolation of ANY other Pseudomonas spp arises from contamination (except fish)

17
Q

Where does Pseudomonas aeruginosa come from?

A

UBIQUITOUS in environment

loves water

NOT considered normal flora

Can survive in weird places
- old disinfectants
-sterile water for injection
-medical equipment

18
Q

What are the Virulence factors of Psudomonas aeruginosa?

A

PILI

EXOTOXINS
KILLS CELLS

ENDOTOXINS

PYOCYANINS & FLUOROSCEIN
-green coloration
-kills and damages tissue

BIOFILM

19
Q

How does Psydomonas aeruginosa cause disease?

A

It is constantly in environment

Therefore they are SECONDARY to compromised host tissues
Need underlying injury or damage to causes disease

OPPORTUNISTIC PATHOGEN
–NEED significant host compromise to cause disease

20
Q

Superinfection is always involved with P. aeruginosa?

A

NO

21
Q

What is superinfection?

A

First some underlying disease/predisposing factor causes tissue damage (=devitalised/compromised tissues)

This will disrupt the normal flora and allow other (good) pathogens to cause an infection (=primary infection)

The bacterial infection is diagnosed and treated with (often prolonged) antimicrobial therapy & which may kill the 1º bacteria

But underlying disease/predisposing factor NOT addressed in therapy and so still have compromised/damaged tissues

AND P. aeruginosa, although a weaker pathogen, has widespread antibiotic resistance, so it can survive in the face of antibiotic therapy, & therefore can invade & cause 2°infection at this time

22
Q

What bacteria cause SUPERINFECTIONS?

A

Pseudomonas aeruginosa

Nocardia spp

Klebsiella pneumoniae

Bacillus cereus

Enterococcus etc

23
Q

Outline a specific clinical example of SUPERINFECTION?

A

Endometritis mares

24
Q

Superinfections key point is?

A

YOU NEED to treat/cure the underlying process and treat the bacteria causing the superinfection by doing a susceptibility test as they are usually VERY resistant

25
Q

What disease do Opportunistic infections- Pseudomonas aeruginosa cause?

A

Corneal ulcers (kereatitis ) many animal species

Dermatitis “Green wool” sheep

26
Q

Does Pseudomonas aeruginosa cause wound infections?

A

YES

all species

BURN wounds (a lot of EXUDATION–moisture)

loves moist environments

27
Q

What kind of hosts or species does Pseudomonas aeruginosa like to cause disease in?

A

very COMPROMISED/SUSCEPTIBLE hosts/SPECIES

Abscesses/pneumonia/septicemia
-farmed mink/chinchillas

Infectious stomatitis (mouth rot)
-snakes, lizards and turtles

28
Q

Are Psuedomonas aeruginosa good or bad pathogens?

A

bad