Bacteriology - skin infections Flashcards

1
Q

What type of lesion does Staphylococcus pseudointermedius infection create?

A

Pustules; erythema, papules, collarettes

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2
Q

Function of Langerhan cells

A

Reside in epidermis (stratum spinosum / squamous cell layer) and take up/process antigens in skin infections => APCs

A part of the skin’s immune system // normal host defense mechanisms that prevent bacterial skin infections

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3
Q

What are the skin’s resident microflora and where do they reside?

A

Staphylococcus epidermis (coagulase negative)
- Reside in stratum corneum
- highest in moist, protected skin areas of the body (folds of skin, abdomen)

Opportunisitic

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4
Q

Surface Pyoderma
- inciting cause
- sterile or non-sterile site?

A

Staphylococcus pseduointermedius causes >90% of canine surface pyodermas
- Non-sterile site b/c within stratum corneum

S. pseudointermedius = coagulase+, transient flora

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5
Q

Superficial Pyoderma
- Two most common types
- sterile or non-sterile sites?

A
  1. Impetigo - puppy pyoderma
  2. Superficial Follculitis

Sub-corneal infections = Sterile site!

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6
Q

Describe the pathogenesis of Deep Pyodermas:

A

S. pseudointermedius +/- gram negatives (e.g., E. coli, Proteus spp., Pseudomonas aeruginosa)
- invade hair follicle -> infection spreads to the dermis, +/- subcutaneous tissue

Bacterial Furuculosis (draining tract), Acral Lick Dermatitis/Granuloma, Callous Pyoderms

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7
Q

Bumble Foot
- Inciting cause
- Pathogenesis

A
  • Staphylococcus aureus = opportunistic pathogen (normal flora)
  • BIRDS: poor perching -> trauma of foot -> S. aureus invades
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8
Q

Greasy Pig Disease
- Inciting cause
- Pathogenesis

A
  • Streptococcus hyicus ss hyicus = opportunisitc pathogen (normal flora)
  • PIGS: damage/trauma to skin -> S. hyicus ss hyicus invades
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9
Q

Diamond Skin Disease
- Inciting cause
- Pathogenesis

A
  • Erysipelothrix rhusiopathiae
  • ingested via environmental contamination (mostly by carrier animals) -> myocardial disease, septic arthritis from septicemic spread -> raised, erythemic diamond-shaped lesions
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10
Q

Pustular Dermatitis
- Inciting cause
- Signalment

A
  • Streptococci spp.
  • Nursing piglets
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11
Q

Dermatophilosis
- Inciting cause
- Pathogenesis

A
  • Dermatophilus congolensis
  • CATTLE & HORSES!
  • prolonged wetting of skin by rain creates the ideal moist environment for the bacteria, which is spread by direct contact with carrier animals and/or fomites
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12
Q

Contagious Foot Rot (Sheep)
- Inciting cause
- Pathogenesis

A
  • Dichelobacter nodosus and Fuseobacterium necrophorum
  • warm/wet environment -> normal flora/opportunisitc F. necrophorum causes initial interdigital dermatits -> pathogenic D. nodosus attaches (via pili) & release protease
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13
Q

Mycobacteria
- habitat
- how are these bacilli organisms gram(+), yet stain gram(-)?
- differential stain to determine?
- VFs and pathogenesis?

A
  • habitat = obligate parasites (permanent host) OR are saprophytic (environment // decaying vegetation)
  • Gram positive: catalase (+)
  • Stain gram negative b/c they have a lipid-rich cell wall => Acid-fast stain for differentiation!
  • VFs: = Cord Factor (inhibit chemotaxis of neuts, leukocytes) and can survive/replicate in tissue MØ => granulomatous inflammation
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14
Q

Mycobacterial infections

Canine Leproid Granuloma Syndrome
- transmission
- canine signalment
- clinical signs
- tx

A
  • transmission = mycobacteria transmitted via biting insects
  • canine signalment = short-coated breeds (boxers)
  • clinical signs = absence of systemic signs; non-pruritic and non-panful nodules (usually on head) that may ulcerate if large enough
  • tx = self-limiting/curable condition :)
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15
Q

Mycobacterial infections

Feline Lepropsy Syndrome
- pathogenesis
- lesions

A
  • pathogenesis = mycobacteria transmitted through wounds
  • lesions = granulomatous cutaneous or SQ nodules (usually head / limbs) that may ulcerate
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16
Q

Mycobacterial Infections

Feline / Canine Panniculitis Syndrome
- pathogenesis
- dx technique
- tx

A
  • Pathogenesis = trauma to skin (e.g., cat fight) -> dirt w/ mycobacteria contaminates the wound -> the mycobacteria grow rapidly in fatty tissues (inguinal area!!)
  • Dx = FNA + cytology of nodules (NEVER from a draining tract!)
  • Tx = Surgery!

“Panniculitis” = inflammation of subcutaneous fat

prior to wound debridement...
17
Q

Staphylococcal infections

How would you sample and treat a surface pyoderma versus superficial pyoderma?

A

Surface Pyoderma - NONSTERILE site
- direct impression smears; sticky tape, swab -> looking for NON normal flora organisms (transient bacteria like Staph pseudointermedius) that can cause surface pyodermas

Superficial Pyoderma - STERILE site
- presumptive dx and treat empirically -> C&S if non-responsive to therapy from an *intact pustule

Superficial pyodermas typically respond WELL to empirical tx :)

18
Q

Staphylococcal infections

How to collect a sample of a deep pyoderma?

A

Punch biopsy! (need to enter the deep dermis layer!)
- NEVER FROM A DRAINING TRACT!

19
Q

Staphylococcal infections

Why is Culture +/- Susceptibility Testing contraindicated for surface and superficial pyodermas?

A
  • Surface: susceptibility tests are based on drug concentrations reached in the serum and NOT on the surface (topical antimicrobials)
  • Superficial: b/c these pyodermas typically respond well to empirical treatment
20
Q

Staphylococcal infections

Why can pyodermal infections caused by Staphylococcus pseduointermedius be difficult to treat?

A

Staphylococcus pseudointermedius:
1. facultative intracellular parasites (won’t be killed by hydrophilic abx like cephalosporins)
2. increasing antimicrobial resistance (methicillin-resistance)
3. biofilm production (overcome action of ABXs)

S. pseudointermedius = transient organism of skin’s flora; coagulase+

Methicillin (INN, BAN) or methicillin (USAN) is a narrow spectrum beta-lactam antibiotic of the penicillin class.A