Exam 2 Flashcards
(121 cards)
Mycobacterium stain what?
Gram positive, acid fast positive, ROD SHAPE. do NOT have an outer membrane
What contributes to acid fast staining?
Mycolic acid
What type of infection does mycobacterium cause?
chronic granulomatous infections
What are the virulence factors of mycobacterium
- Lipid rich (mycolic acid containing) cell wall
- Lipoarabinomannan- inhibits phagosome-lysosome fusion
- Cell protein antigens
True or False - under optimum conditions obligate pathogens can survive in a contaminated envior for extended periods
True
How is TB transmitted
inhalation and ingestion
Pathogenesis of TB
- Cell mediated immune response is important in the destruction of bacilli. If bacilli survive, infected macrophages are killed following stimulated release of macrophage- derived cytotoxins and enzymes. Type IV hypersensitivity or delayed type hypersensitivity-> which leads to tissue destruction.
- Caseous necrosis and mineralization followed by liquefaction and cavity formation resulting from enzymatic action. Rupture of these granulomas allows dissemination.
What does TB lesions consist of
- Granulomas
- Epithelioid macrophages
- Caseous necrosis
- multinucleated giant cells (Langhan’s cell)
What are the primary drugs for TB?
-Isoniazid, Rifamycins, Ethmanbutol, Pyrazinamide
What are the secondary drugs for TB?
-Aminoglycosides, Fluoroqunilones
Why is Mycobactrium bovis important?
- Causes zoonotic TB
- Ingestion, inhalation and less frequently by contact with mucous membranes and broken skin
- Wide host range
- GI tract is the main portal of entry
What are some clinical signs of M. bovis?
- Enlarged regional lymph nodes and generalized wasting (cachexia) are seen in advanced disease stages. Pulmonary forms may be associated with chronic cough.
- Larger stages firm, nodular lesions are evident in target organs and associated lymph nodes
M. bovis transmission
- Aerosol transmission most common among cattle
- May be shed in milk, prior to widespread pasteurization resulted from drinking/handling contaminated milk
- Can enter body at any site (badgers transmission through skin wounds)
M. bovis diagnostic test
- Tuberculin hypersensitivity skin test
- Rare: Imaging techniques, culture
- Post mortem exam/histo-> granulomatous lesions in lymph nodes and major organs
Tx for M. bovis
- Not recommended for animal esp. infected cattle
- Testing and culling of infected animals
- For humans, combo antimicrobial agents used
What is Mycobacterium avium subsp. Paratuberculosis = Johne’s disease
- A chronic, progressive granulomatous enteritis
- Primary host-ruminants (cattle)
- Excretion of organism through milk
Pathogenesis of Mycobacterium avium subsp. Paratuberculosis = Johne’s disease
- infection through ingestion of contaminated material milk or in utero
- Localizes macrophages in the intestine, local LN
- Develops granulomatous enteritis, cachexia
Diagnosis of Paratuberculosis (johne’s disease)
- Detection of host response to infection
- Humoral immune response: ELISA or agar gel
- Cell mediated immune response: Hypersensitivity skin test
- Acid-fast stain
- Culture
- PCR
What is Mycobacterium leprae
- Leprosy or Hansen’s disease
- Chronic granulomatous debilitating disease
- Transmission from shedding through nose not from the skin
What is Mycobacterium lepraemurium
- Feline and murine (rodent) leprosy
- Solitary or multiple cutaneous nodules or ulcerated lesions
- Very fastidious organism
- Granulomatous dermatitis and panniculitis
Campylobacter, helicobacter and lawsonia all have what in common?
- All have typical gram-negative cell wall
- All are opportunistic, extracellular pathogens
- Except Lawsonia intracellularis -> obligate intracellular pathogen
Characteristics of Campylobacter
- Curved motile gram negative rods (seagull shaped)
- Microaerophilic (require low O2 to grow)
- Inhabit the GI tract or lower genital tract
- Difficult to isolate; needs special culture requirements
Characteristics of Campylobacter jejuni
- Major cause of intestinal illness and diarrhea in humans and animals
- Poor hygiene and management
- Young animals
- Infection by ingestion of contaminated materials
What bacteria is associated with subsequent Guillain-Barre syndrome
Campylobacter jejuni