Strep and Staph Flashcards
What are the characteristics of streptococci
- gram (+)
- cocci
- ~<2um
- Singly/pairs/chains
- Faculative anaerobe
- Fastidious
- Commensal in upper resp and low urogenital
Define fastidious
- Fastidious: require additional blood or serum to grow
What are 2 ways to classify streptococci
- Groups
o Hemolysis – alpha, beta, gamma
Beta hemolytic = most pathogenic
o Lancefield group – A, B, C, D
What is the primary pathogenic mechanism of strep? 2 examples
- Pyogenic = abscess and suppuration
- S. suis and pneumoniae
Define Abscess
- Abscess: pus (dead leukocytes and living/dead bacteria) surrounded by intact phagocytes and fibrin
Explain the levels of hemolysis
Hemolysis
* Alpha: incomplete lysis of RBC and oxidation of iron = greenish
o Commensal/opportunistic
* Beta: complete lysis: clear zone of inhibition
o Pathogenic
* Gamma: no ability to lyse RBC
o Non-pathogenic
List 6 virulence factors that strep has. What is their function
- exotoxins: superantigen
- Capsular polysaccharide – prevent phagocytosis
- Hemolysis – cytotoxic
- CAMP – pore forming
- M-protein – antiphagocytic
- Streptokinase – evade host immune system
List the common pathogens causing bovine mastitis
- Common pathogens:
o Strep agalactiae, Staph aureus (contagious)
o Strep dysgalactiae, uberis (environmental or contagious)
o Klebsiella/E. coli (environmental pathogens)
Cause severe mastitis
How to diagnose bovine mastitis
- Use California mastitis test
o Healthy: <200,000 cell/ml
o Allowable: <400,000 cell/ml (in USA <750,000 cell/ml)
What are the clinical signs of bovine mastitis
- Clinically: can be subclinical
o Swelling/heat/red/fever/anorexia/shock - Can cause atrophy of the alveolus
What are the features of Strep. Agalactiae
Strep. Agalactiae: mastitis
* Lancefield group B
* Obligate pathogen of mammary glands in cow
* Commensal in human GI (but it is a different strain than in cows)
* Contagious: direct spread (milking machine)
What is the pathogenesis of Strep. Agalactiae causing mastitis
- Contagious: direct spread (milking machine)
o Milk back flow due to improper use (not complete seal) or teat damage
o Keratin plug expelled in milking so backflow or damage can allow entry
o Bacterial invasion
o Bacteria adhere via pillus
o Colonize teat cistern and ducts – causing inflammation > fibrosis
o Without treatment it can persist in udder
What type of bovine mastitis does Strep. Agalactiae cause
- Causes subclinical mastitis (high SCC/reduced production)
- Can eradicate from herd = low prevalence in CA
What are the virulence factors associated with Strep. Agalactiae and bovine mastitis
- Virulence: type 3 capsular polysaccharide preventing C3 opsonization (avoid phagocytosis) = most important virulence factor
o Toxins: sphingomyelinase/neuramindase/hemolysin/lipoteichoic acid
What are the features of Strep. Uberis and what kind of bovine mastitis does it cause
- Commensal in tonsil and intestine
- Environmental pathogen (enter teat canal and colonize mammary mucosa)
- Clinical mastitis: severity depends on strain and dose
o Migrate to LN
What are the virulence factors associated with Strep. uberis and bovine mastitis
- Virulence: type 3 capsular polysaccharide preventing C3 opsonization (avoid phagocytosis) = most important virulence factor
o Toxins: sphingomyelinase/neuramindase/hemolysin/lipoteichoic acid
What are the subspecies of Strep. dysgalactiae
- Subspecies: dysgalactiae
- Subspecies: equisimilis
What are the features of Strep. dysgalactiae dysgalactiae? What kind of bovine mastitis does it cause
o Lancefield group C
o Alpha hemolytic
o Mastitis in cows
o Contagious and environmental
o Acute and clinical mastitis
o Sporadic in herds
o Associated with teat injury
What are the virulence factors of Strep. dysgalactiae dysgalactiae?
o Virulence factors
Hyaluronidase – spreading factor
M-like protein/fibrinolysin – colonization
Lipoteichoic acid
capsule
What are the features of Strep. dysgalactiae equisimilis ? What kind of disease does it cause
o Lancefield group A, C, G, or L
o Beta hemolytic
o Disease in many species
o Clinically:
Puppy and kitten pneumonia
Horse: metritis and placentitis
Piglet: septicemia/arthritis/meningitis/endocarditis
o Not zoonotic – species specific strain
What are the virulence factors of Strep. dysgalactiae equisimilis ?
o Virulence: streptokinase (convert plasminogen to plasmin = break fibrin)
Prevent walling off of bacteria
What is the pathogenesis of Strep. dysgalactiae equisimilis in pigs
o Pigs: commensal in tonsil and repro – shed in nasal cavity/mammary gland/vaginal and preputial secretions
Common to infect piglet during birth = bacteremia/septicemia
What are the features of Strep suis? What species? What bacterial type?
- Lancefield group D
- Pigs: spread in resp secretions
o Common in weaners and growing pigs - Many serotypes = many pathogenicity
o Serotype 2 most pathogenic - Zoonotic
What are the virulence factors of Strep suis?
- Virulence: capsular polysaccharide (block opsonization) + suilysin (cytotoxic exotoxin = create hole in target cell membrane)