Bacterial diseases Flashcards

(44 cards)

1
Q

Types of toxicity of Clostridial diseases (3) - depending in kind of tissue damage

A

1 Enterotoxic
2 Histotoxic
3 Neurotoxic

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2
Q

What Clostridium types are related to enterotoxin diseases?

A
  1. Clostridium perfringes
  2. Clostridioides difficile
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3
Q

Clasification in general of Clostridial bacteria

A

Anaerobic
Gram (+)
Sporulated rods

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4
Q

Which is the only Clostridial bacteria that is Gram -

A

Clostridium piliforme

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5
Q

For most of all Clostridium diseases infection is needed, except for __________, that ingestion of the toxin will cause the disease

A

Botulism

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6
Q

What is the purpose of sporulation in this type of bacteria?

A

That can pass in between hosts in a vegetative form and is resistant to a los of adversities in the environment

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7
Q

How many toxotypes are identified in the family of Clostridium perfringes ?

A

7
A,B,C,D,E,F,G,

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8
Q

Which serotypes of C. Perfringens are the most commonly associated with enteric disease in horses (foals)?

A

Type A, B and C

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9
Q

What are the main toxins identified in Clostridial enteric diseases ?

A

CPA - alpha
CPB - beta
ETX - epsilon
ITX - iota
CPE - enterotoxin
NeTB
NetF

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10
Q

Which toxins does C. perfringes type A and B the codify?

A

Type B : CPA, CPB and ETX
Type C: CPA, CPB2, PFG, TPEL

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11
Q

Why is believed that foals are more susceptible to C. Dif?

A

Because colostrum has calostral trypsin inhibitors that protects the toxins from degradation by trypsin in the stomach

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12
Q

Describe the pathogenesis of Clostridium perfringens

A
  1. Spores ingested from feces or soil, 2. Trypsin inhibitors prevents lysis of CPB, 3. Bacterial colonization in intestinal mucosa, 4. CPB toxin damage endothelial cells and create cell pores
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13
Q

How does CPB toxin cause cell death?

A
  1. Create cell pores (Ca+, Na+ and Cl- in the cell and K+ escapes the cell)
  2. Endothelia damage : vascular damage, thrombosis and necrosis
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14
Q

Typical gross pathologic lesions in C. perfringens

A

Ulcerative enteritis (diffuse or multifocal)
Orange pseudomembrane
Endotoxemia lesions

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15
Q

Histophatological findings in C. perfringens

A

Hemorrhagic and necrotizing enteritis/colitis

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16
Q

Best diagnosis tools for C. perfringens

A

ELISA - CPBtoxin
PCR - bacteria but bacteria may not be always present

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17
Q

NetF toxin how does it affect the cells and which toxin type has been isolated?

A

Type A
B - pore forming

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18
Q

What are the principal toxins generated by Clostridioides difficile?

A

TcdA - toxin A
TcdB - toxin B
CDT - ADP ribosylating binary toxin

19
Q

Pathogenesis of Clostridioides difficile?

A

Ingestions of spores, germinate in the intestines, toxin production

20
Q

How does the main toxins of C. difficile, cause damage?

A

TcdA - Binds to multiple carbs receptors
TcdB - Not known yet
CDT - Cytoskeletal alterations, induce apoptosis, change intracellular signaling by GTPase inactivation

21
Q

Typical histopathological lesions of C. difficile?

A

Volano-ulcers -focal disruptions of the mucosa with release of neutrophils, fibrin and debris

22
Q

Which other Clostridium types other than difficile and perfringens have been related to enteric diseases ?

A

Paeniclostridium sordelli

23
Q

In Clostridial gas gangrene, which bacteria are involved?

A

C. perfringens type A (most common)
C. septicum
C. chauvoei
C. novyi
C. ramosum
C. sporogenes
C. fallax
P. sordelli

24
Q

What is the pathogenesis of gas gangrene?

A
  1. Contamination of wounds, parturition, vaccination or trauma, 2. less REDOX potential, metabolite decomposing protein and acid pH, 3. promote germination of spores and toxins
25
What similar disease exist in cows?
Blackleg (Clostridial myositis) due to C. Chauvoei
26
Does gas gangrene can presented without history of wound or trauma?
Yes, it can be patent in muscle or heart
27
Mechanism of action of toxins in how they cause damage?
Enzymes: - Collagenases - DNAses - Hyaluronidases - Neuroaminidases
28
Clinical signs of gas gangrene?
Muscle tremors, tissues swollen, red, hot and painful, skin will turn dark, crepitation
29
How to diagnose gas gangrene?
Isolation of bacteria in subcutaneous exudate, fluorescent antibody test, IHC, anaerobic culture
30
Which disease is caused by Clostridium piliforme?
Tyzzer´s disease
31
Characteristics of C. piliforme
Obligate intracellular and Gram -
32
Which population is mainly affected?
Foals <45 days old Due to coprophagia <5 weeks Foals born in March-April
33
Pathogenesis of Tyzzer´s disease
Ingestion of spores, spores colonization of ileum, cecum and/or colon, direct damage to enterocyte, absorbed blood, liver portal circulation and will be reach liver
34
Main organs affected in Tyzzer´s disease
1. Liver 2. Heart 3. Intestines
35
Characteristics of histophatology findings for Tyzzer´s disease
Filament of bacteria seen in hepatocytes, visualized with GIEMSA or silver stains
36
Which bacteria cause infectious necrotic hepatitis ?
Clostridium novyi
37
How many toxinotypes have been identified in C. novyi?
4 A,B,C,D, and B is the one related to the disease
38
Which genes can encode C. novyi type B that make it trigger the disease?
TcnA - alpha - main virulence factor TcnB - beta toxins
39
Pathogenesis of C. novyi ?
Ingestion of the spores, reach intestines and is absorbed, get to the liver, keeps latent in Kupffer cells and geminate in anaerobic environments
40
How does TcnA toxin affects the cell?
Has a monoglycosyl transferase activity that inactivates GTP-binding proteins in endothelial cells and cause cytoskeletal disruption and increased vascular permeability
41
How does TcnB toxin affects the cell?
Indice direct hepatic necrosis but usually no as fatal as toxin a
42
Gross important pathological findings in C. novyi?
In horses necrosis is focal and ruminant is multifocal, gas in parenchyma
43
Histopathological lesions for C. novyi?
Stain positive to Okajima stain Multiple hemorrhage affecting other organs
44
Diagnosis for infectious necrotic hepatitis?
Hx of previous cases Cl Sx Liver biopsy PCR frozen samples No culture due to strict intracellular