Companion Animal Pathogens Flashcards

(49 cards)

1
Q

List 9 Vector born Bacterial Pathogens

A

Vector born Bacterial Pathogens
* Rickettsia rickettsia
* Anaplasma phagocytophilum
* Ehrlichia canis
* Neorickettsia helminthoeca
* Mycoplasma hemofelis
* Borrelia burgdorferi
* Bartonella henselae
* Francisella tularensis
* Yersinia pestis

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2
Q

List the 4 main rickettsiales? What are their common features?

A

Rickettseiales
* Obligate intracellular parasite
* Gram (-) rod
o Anaplasatacae lack part of the cell wall
* Cant culture
* Associated with ticks

Rickettsia rickettsia
Anaplasma phagocytophilum
Ehrlichia canis
Neorickettsia helminthoeca

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3
Q

List the vector, cell preference, host, and disease caused by Rickettsia rickettsia

A
  • Vector: tick (Dermacentor spp.)
    o Transmission required minimum attachment of 6-20h
    o Nymphs can transmit (transovarial transmission can occur)
  • Cell preference: endothelium
  • Host: dogs/human
  • Disease: rocky mountain spotted fever
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4
Q

What is the incubation time and clinical signs of Rickettsia rickettsia

A
  • Incubation: 2-14d

o Fever (most consistent finding)
o Early cutaneous lesions: edema/hyperemia
o Petechia/ecchymoses on MM
o Myalgia/joint pain/swelling
o Neurologic signs
o Necrosis (due to vasculitis)

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5
Q

What are the virulence factors of Rickettsia rickettsia

A
  • Virulence
    o Adhesion = outer membrane protein A (attach too receptor of host cell)
    o Phospholipase D lyse vacuole inside cell to escape into cytosol
    o Cell-cell spread = vasculitis (hallmark)
    o Cell mediated immunity = apoptosis oof infected cells = endothelial injury
    o = lymphohistiocytic vasculitis
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6
Q

What is the pathogenesis of Rickettsia rickettsia

A
  • Pathogenesis
    o Enter via bite f infected tick
    o Disseminated in blood
    o Invade and replicate in endothelium in small arteries/venules
    o Cause vasculitis and perivasculitis
    o Increase vascular permeability = edema and DIC
    o Hypotension = shock/petechiae/organ damage
     Renal failure
     CNS damage due to brain edema
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7
Q

How to diagnose Rickettsia rickettsia? What samples?

A

o Sample: blood/serum/cutanous biopsy
o Test: serology (best) – need 4 fold seroconversion
/IHC/PCR
 Not culture (need BSL3 lab)

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8
Q

How to treat Rickettsia rickettsia?

A
  • Tx: doxycycline
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9
Q

List the vector, cell preference, host, and disease caused by Anaplasma phagocytophilum

A
  • Vector: tick (ixodes spp.)
    o Need 36-48h of attachment
  • Cell preference: granulocytes
    o Forms membrane-enclosed morulae
  • Host: dogs
    o Also cat/human/ruminant/horse/camelid
    o Reservoir: deer/rodent/chipmunk/vole
  • Disease: tick borne fever
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10
Q

What is the incubation time and clinical signs of Anaplasma phagocytophilum

A
  • Incubation: 14-20d
  • Clinically
    o Acute fever/lethargy/weak/inappetence
    o Generalized lymphadenopathy/splenomegaly
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11
Q

What is the lifecycle/pathogen of Anaplasma phagocytophilum

A
  • Lifecycle
    o Attach to P-selectin glycoprotein on neutrophil
    o Enter neutrophil via cavaeole mediated endocytosis
    o Dysregulate neutrophil function and bypass phagolysosome
    o Inhibit superoxide production and neutrophil motility
    o Reduce neutrophil transmigration into tissues (more stay in circulation)
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12
Q

List the vector, cell preference, host, and disease caused by Ehrlichia canis

A
  • Vector: ticks (rhiipicephalus/dermacentor – brown dog tick mainly)
  • Cell preference: monocyte/macrophage
    o Form membrane enclosed morulae
  • Host: dog
    o Reservoir: also canids
  • Disease: canine monocytic erlichioosis
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13
Q

What is the pathogenesis of Ehrlichia canis

A
  • Pathogenesis
    o Mononuclear cells attracted to tick bites
    o Carried to LN and escape into circulation
    o Localize in ln/spleen/liver
    o Replicate in macrophage/monocyte
    o Cause lung hemorrhage/epistaxis and vasculitis/thrombocytopenia
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14
Q

What is tthe incubation and clinical signs of Ehrlichia canis

A
  • Incubation: 8 – 20d
    o Phase 1: 8-20d = acute
     Fever/anorexia/enlarged LN/dyspnea = spontaneously resolve
    o Phase 2; 2-4 months = subclinical
     Immunocompetent dogs will eliminate infection
    o Phase 3: fail to eliminate = chronic
     GSD =more severe
     Hemorrhage/epistaxis/peripheral edema
     Hyphemia/blind/retinal detachment
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15
Q

How to diagnose Ehrlichia canis

A
  • Dx: blood smear + cytology
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16
Q

List the vector, cell preference, host, and disease caused by Neorickettsia helminthoeca

A
  • Vector: liver fluke
  • Cell preference: RBC
  • Host: dog
    o Reservoir: #1 = snails, #2 = freshwater fish (salmon)
    o Ingestion of liver fluke from fish
    o Very fatal in dogs
    o Will shed lots of fluke eggs
  • Disease: salmon poisoning
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17
Q

What is the incubation period and clinical signs of Neorickettsia helminthoeca

A
  • Incubation: 2-14d (up to 1 month)
  • Clinically
    o Local granulomatous reaction on GI mucosa
    o Peripheral lymphadenopathy
    o Fever 5-7d after ingestion
    o Diarrhea/v+ after 2 weeks
    o Anorexia and wasting
    o Death 18d after ingestion
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18
Q

How is Neorickettsia helminthoeca diagnosed (sample? test?)

A

o Sample: LN aspirate
o Cytology

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19
Q

How are Anaplasmataceae diagnosed (samples? tests?)

A

Anaplasmataceae
* Sample
o Blood – cytology
o Serum – antibody testing/ELISA
o Aspirate – histo/PCR
o Fecal – feces float

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20
Q

What does the 4Dx SNAP test evaluate for

A
  • 4Dx SNAP ELISA
    o Ehrlichia
    o Borriella
    o Anaplasma
    o Dirofilarial
    o Should confirm with PCR/serology
21
Q

How to treat rickettsiales

A

Rickettsiales
* Tx; doxycycline (mainly)
o Praziquantel (kill flukes)
o Antiemetic
o Fluids

22
Q

How to prevent rickettsiales

A
  • Control/Prevent
    o Remove ticks
    o Tick prevention tx
    o Prevent from eating rotting carcasses (fish)
23
Q

List the vector, cell preference, host, and disease caused by Mycoplasma hemofelis

A

Hemotropic Mycoplasma: feline infectious anemia
Mycoplasma hemofelis
* Vector: ticks/flea
o Oral/bite wounds
* Cell preference: RBC
o Adhere to surface of RBC
* Host: cats mainly (hemocanis – dogs)

24
Q

What is the pathogenesis of Mycoplasma hemofelis

A
  • Pathogenesis
    o Depressions formed by attachment leads to fraaggility of cells
    o Macrophages removed from surface of RBC
    o Autoimmune rxn – parasite RBC antigen complex = immune mediated osmotic fragility
25
What are the clinical signs of Mycoplasma hemofelis
* Clinically o Acute anemia – 2-34d o Pyrexia o Latent infection  Sequester in the spleen – reoccur under stress
26
How to diagnose Mycoplasma hemofelis (samples? tests?)
o Blood – blood smear/cytology o Confirm with PCR o No culture
27
How to treat Mycoplasma hemofelis
* Tx: doxycycline/fluoroquinolones
28
List the vector, cell preference, host, and disease caused by Borrelia burgdorferi
* Vector: ticks (ixodes pacificus on west and scapularis on east) also flea/lice * Cell preference: no cell type preference * Host: Dogs (golden retriever/Bernese) o Reservoir: rodent/small mammal/deer/birds * Disease: lyme
29
What are the 3 virulence factors of Borrelia burgdorferi
* Virulence o Outer surface proteins – adhere in tick o Surface lipoproteins – stimulate inflammation o Flagella
30
What is the lifecycle of the vector that causes lyme
o Can be infected at any point o Larve > feed o Overwinter o Nymph > feed o Summer = adult o Die at 2 yo when they lay their eggs
31
What is the pathogenesis of Borrelia burgdorferi infection
* Pathogenesis o Adequate attachment time = can transmit bacterium (may be eliminated before clinical disease) o Bacteria multiply in the skin and enter circulation o Most circulating organisms killed by phagocytes/complement o Slow humoral response o Bacteremia/migration o Cross endothelium o Colonize synovial cells and activate IL8 and attract neutrophils o Neutrophilic polyarthritis = fibrin and fluid accumulate o Spirochetes can change to spherical forms to protect themselves
32
What are the clinical signs of Borrelia burgdorferi infection
o No skin rash – usually subclinical o 2-5 months after exposure  Shifting lameness with painful joints o 24- 8 weeks post exposure = lyme nephritis  Rare and fatal renal fail  Protein losing nephropathy due to immune complex deposition  V+/peripheral edema/pleural effusion/ascites
33
How is Borrelia burgdorferi infection diagnosed (sample/tests)
* Dx: o Blood – antigen capture Elisa but difficult to interpret o Biopsy of cutaneous lesions o Synovial sample – fluorescent antibody testing o PCR
34
How is Borrelia burgdorferi infection treated
* Tx: doxycycline o Tx proactively and empirically
35
List the vector, cell preference, host, and disease caused by Bartonella henselae
* Disease: cat scratch fever * Host: human/dog * Vector: flea (also tick/flies/mites/lice/cat bites) * Cell: macrophage/endothelium/RBC
36
What are the bacterial features of Bartonella henselae
o Gram (-) aerobe, rod o Facultative intracellular o Bind and invade RBC extracellular protein (deformin)
37
What are the clinical signs of Bartonella henselae
o Fever o Endocarditis o Myocarditis o Granulomatous lymphadenitis o Cardiac arrhythmia o Granulomatous rhinitis o Epistaxis
38
List the vector, cell preference, host, and disease caused by Francisella tularensis
* Vector: flea/tick (D. variabilis and andersoni, A. americanum)/fly/mosquito * Cell preference: monocyte/macrophage * Host: humans * Disease: tularemia
39
How is Francisella tularensis transmitted
* Transmit: direct contact with infected or ingestion of infected animals water o Very infectious
40
What is the incubation period and clinical signs of Francisella tularensis for cats and dogs
* Incubation : 1-10 d * Clinically o Forms: ulcerative/ulceroglandular/ocular/typhoidal/pneumonic o Cats most susceptible  Hepatomegaly/splenomegaly  Icterus/depression/anorexia  Oral/lingual ulcer  Necrosis o Dogs: anorexia/low fever/+/- sudden death after contact with infected carcass  Uveitis/conjunctivitis o Septicemia in susceptible animals = DIC/SIRS/multiorgan dysfunction syndrome
41
What are the bacterial features of Yersinia pestis
* Gram (-) coccobacillus
42
List the vector, cell preference, host, and disease caused by Yersinia pestis
* Host: cat/human o Reservoir: rodents * Vector: flea o Als direct contact/ingestion of infected/cat bites * Cell: mononuclear cells
43
What is the incubation period and clinical signs of Yersinia pestis
* Incubation: 1-7d * Clinically o Bubonic = LN infect o Pneumonic = pneumonia/fever/cough o Systemic = septicemia o Cat = early signs are fever/lymphadenopathy/ocular discharge  Bacteremia = bacteria in saliva
44
What are the common lesions of Yersinia pestis
o Necrotizing lymphadenitis o Lot of petechiae o Abscess o Lingual ulcer/cutaneous disease
45
How is tularemia and the plague diagnosed? (sample/tests)
* Sample: be careful! (very infectious) o Swab from wound/ulcer o Tissue/whole body o Blood * Test o IHC o Serology o PCR
46
How is tularemia and the plague treated?
* Tx: gentamicin/doxycycline/enrofloxacin
47
How is tularemia and the plague prevented?
* Prevent: reduce arthropod exposure/limit exposure to dead reservoir hosts
48
List the 3 common tick types of western CA? + common names
* Western CA o Dermacentor andersoni: rocky mountain wood tick o Dermacentor variabilis: American dog tick o Rhipicephalus sanguineus: brown dog tick
49
List the 3 common tick types of eastern CA? + common names
* East CA o Ixodes pacificus: western black legged tick o Ixodes scapularis: black legged deer tick o Ambylomma americanum: lone star tick