Brucella Flashcards

(45 cards)

1
Q

What are the characteristics of Brucella?

A
  • Gram negative
  • Short rods (Coccobacilli)
  • Aerobic (nonfermentative)
  • Some carboxyphilic
  • Facultatively intracellular pathogen
  • Zoonotic
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2
Q

What are the Brucell species?

A
  • ANY species can infect any animal species
  • B. abortus - cattle
  • B. suis - Swine
  • B. melitensis - Sheep, Goat, Humans
  • B. ovis - Sheep
  • B. canis - dogs
  • B. neotomae - Desert wood rats (restricted host range and geographic distribution)
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3
Q

What is “Clasical Brucella”?

A
  • B. abortus, B. suis, and B. melitensis
  • Lited as protential bio-weapons by CDC
    • Highly infectious
    • Easily aerosolized
    • Difficult to detect
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4
Q

What is the virulence of different Brucella species?

A
  • B. abortus & B. melitensis Highly virulence
  • B. ovis & B. canis Low virulence
  • B. suis Intermediate virulence
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5
Q

How is Brucella transmitted?

A
  • Primarily oral or venereal
  • B. abortus & B. melitensis: More often oral
  • B. ovis, B. suis, & B. canis More often venereal
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6
Q

Differentiation of Brucella Species

A
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7
Q

What is Brucellosis?

A
  • Infections of the reproductive organs
    • Uterus, placenta
    • Testicles, particularly epididymis
  • Causes Abortions
  • Zoonotic disease
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8
Q

What is Erythritol?

A
  • Growth factor
  • Present in placenta and testicle (not in humans)
  • B. abortus, B. suis, & B. melitensis have preference
  • B. canis does not require
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9
Q

What is Brucella abortus?

A
  • Colonies exhibit Smooth to Rough dissociation
  • Change in LPS structure
  • R is avirulent
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10
Q

What is the Habitat for Brucella abortus?

A
  • Obligate pathogen of animals
  • Source of infection: infected or carrier animals
    • Uterine discharges
    • Milk and milk product
    • feces
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11
Q

What is the geographic distribution of Brucella abortus?

A
  • Worldwide
  • Practically eradicated in the US
  • All 50 state and Puerto Rico and Virgin islands are ‘Brucellosis class free’
  • Still detected in states adjacent to Yellow Stone
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12
Q

What is the mode of infection of Brucella abortus?

A
  • Ingstion
  • Venereal transmission
  • Milk from infected cows - for calves
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13
Q

How is Brucella abotus zoonotic?

A
  • Occupational disease for Veterinarians and Slaughter house workers
  • Vets:
    • during vaccination
    • Removal of retained placenta
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14
Q

What are the Virulence Factors of Brucella abortus?

A
  • Endotoxin
  • Abilit to survve in macrophages (Facultatively intracellular)
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15
Q

What diseases does Brucella abortus cause?

A
  • Contagious abortion (Bang’s diesease)
    • Abortion >5 mo, with retained placenta
    • Infertility, mastitis
    • Bull: orchitis and epididymitis
    • Affects joints
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16
Q

What lesions are seen with Brucella abortus?

A
  • Granulomatous and Suppurative
  • Placentitis
  • Endometritis
  • Fetus:
    • Edema and congestion of lungs
    • hemorrhages of the epicardium and splenic capsule
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17
Q

How is Brucella abortus Diagnosed?

A
  • Difficut in bulls and non-pregnant females
    • usually asymptomatic
  • Abortion in cow
    • particularly multiple in a herd
  • Cattle with following signs should be tested:
    • Abortion
    • Increased frequency of retained placenta
    • Testicular enlargement/abscesses
  1. Cultural examination:
    • Sample: Fetal stomach contents, Placenta, Vaginal discharge, semen, Milk, Lymph nodes
    • PCR assay for species confirmation
  2. Serology:
    1. Tube agglutination test
    2. Rapid plate agglutination test
    3. Milk Ring (ABRT) test
    4. Card test
  • Vaccinated animals have IgM
  • Infected animals have IgG
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18
Q

How is the specificity of testing for Brucella abortus increased?

A
  • Repeat test after several weeks
  • Heating serum to 65C for 15 min
  • Treatment ofserum with Rivanol or Mercaptoethanol (degrade IgM)
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19
Q

What other tests are there for Brucella abortus?

A
  • Completement fixation test
  • Particle concentration fluorescence immunoassay - Automated
  • ELISA - very sensitive
20
Q

What is treatment for Brucella abortus?

A
  • Susceptible to aminoglycosides and tetracyclines
  • NOT permitted in Food Animals
  • Permitted in Dogs and humans
21
Q

Is there a vaccine for Brucella abrotus?

A
  • Strain 19 B.abortus biotype 1
    • Live attenuated
    • Only femle calves, 4-12 mo
    • Males are not vaccinated - causes infertility
  • RB51 strain (1996)
    • Rough mutant o strain 2308
    • Lacks O side chain in LPS
    • Cell mediated immunity
    • Used in adults also
22
Q

What is the National Brucellosis Eradication Program?

A
  • Initiated in 1934, formally established in 1954
  1. Detection of infected animals
  2. Reactors are branded and slaughtered-Indemnity payment
  3. Herds with suspects are quarantined
  4. Vaccination of calves
23
Q

How is Brucellosis Status designated? before 1998

A
  • Class-free: No cattle or bison are infected for 12 consecutive months
  • Class A: 2.5 herds/1,000 herds
  • Class B: 15 herds/1,000 herds
  • Class C: >15 herds/1,000 herds
24
Q

What is the Brucellosis Surveillance Program?

A
  • Market testing Program:
    • Blood testing of cattle and bison sold or slaughtered
    • Milk ring test of dairy herds
  • New Strategy: (post 1998)
    • Blood testing of cattle at slaughter
    • Diagnostic laboratory-based abortion surveillance
25
What is the Brucellosis "Rapid Completion Plan?"
26
What was the Brucellosis Status Designation in 1998?
* Class free: * No positive herd detected or one positive herd detected and her was depopulated and a thorough epidemiological investigation is completed * Class A: Second positive herd detected within 24 months
27
What is *Brucella suis?*
* Can infect other animals * 5 Biotypes: * 1, 2, & 3 in pigs * 4 & 5 in rodents and reindeer * 2 in horses
28
What is the mode of infection of *Brucella suis?*
* Ingestion * Nursing pigs from infected sows * Venereal transmission
29
What does Brucellosis cause in Swine?
* Abortion (any time) * Sterility * Still births * Spondylitis * Abscesses in various organs
30
What are the control measures for Brucellosis in Swine?
* USDA National eradication programs is in place * Elimination of the infected herd * Infection occurs in wild and feral swine * NO VACCINE
31
What is *Brucella ovis?*
* Least pathogenic species * Venereal transmission * Causes epididymitis in rams - often unilateral * Causes abortion and infertillity in ewes * *B. abortus* and *B. melitensis* are also involved * *B. abortus* is more common than *B. ovis*
32
What is *Brucella canis?*
* Infects only dogs * Highly conagious * Mode of infection: Oral and venereal
33
What is the Pathogenesis of *Brucella canis?*
1. Urine / Vaginal Secretions / Semen 1. Makes contact with conjuctiva, Oral mucosa, Nasal mucosa 2. Makes contact with genital mucosa 2. *B. canis* is phagocytized 3. Makes it into the lymph nodes 4. Makes it into the blood 5. Reaches the Reproductiv tract 1. Female - goes to uterus / fetus 2. Male - goes to epidiymis / prostate
34
What symptoms does Canine Brucellosis cause in Females?
* Abortion (45 - 55 days) * Aborted puppies show autolysi * Edema and degenerative lesions * Infertility * Persistent vaginal discharge, which is loaded with *B. canis*
35
What symptoms does Canine Brucellosis cause in Males?
* Epididymitis * Prostatitis * Semen will have *B. canis* * In chronic cases, testicular atrophy and sterility
36
What is Brucellosis in Dogs?
* Serious problem in breeding kennels * Occationally *B. abortus, suis or melitensis* * *B canis* infection in humans is mild
37
How is Canine Brucellosis Diagnosed?
* Cultural or PCR examination: * Blood, vaginal discharde, aborted fetuses, semen * Necropsy: lymph nodes and spleen * Serology: Agglutination test
38
How is Canine Brucellosis Treated?
* Antibiotic: * **Aminoglycosides and Tetracyclines** * ***​*Doxycycline and gentamicin combo** * Long term treatment (3mo) * Difficult to achieve complete cure * Disease may relapse * Not recommended for breeding dogs
39
How is Canine Brucellosis Prevented?
* No Vaccine * Breeding Kennels: * Periodic tsting and euthanizing all infected dogs * Pet Dogs: * Spay/Castration * Treatment * Consider Euthanasia
40
How is Brucellosis Controlled/Eradicated in Kennels?
* Quarantine * Testing of all dogs * Segregation of healthy dogs * Euthanizing positive dogs * Rigorous cleaningand disinfection
41
What is Brucellosis in Horses?
* *B. abortus* * Abortion is _rare_ * Arthritis is common * *B. abortus* is associated with: * Poll evil (Atlantal bursitis) * Fistulous withers (Supraspinatus bursitis)
42
What is Brucellosis in Goats?
* *B. melitensis* most common * Abortion * Orchitis
43
What is Brucellosis in Humans?
* *B. abortus, suis, melitensis,* rarely *canis* * *​*No *B. ovis* or *neotomae* * *B. melitensis* causes the most serious infection * "Malta fever" "Undulant Fever" * Long incubation period * ~100 cases per year in the US * Source of Infection: * direct contact * Unpasteruized milk/cheese * Occupational disease * Most prevalent in: Farm workers, Slaughter house workers, Vets * In the last decade, Brucellosis has changed to a **foodborne disease**
44
WWhat are the clinical signs of Brucellosis in Humans?
* Fever * Chills * Malaise * Headache * Joint Pains * Fatigue * 'Chronic fatigue syndrom'
45
What does Brucellosis cause in general?
Infection of the reproductive organs