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GRAM	
  –ve	
  Bacteria:	
  BACILLI	
  
	
   ENTEROBACTERIACEAE	
  ‘Coliforms’	
  
BACTERIA	
   Salmonella	
   Escherichia	
   Campylobacter	
  
S.enterica	
   E.coli	
   C.jejuni	
   C.fetus	
  
PATHOGENISIS	
   Primary	
  pathogen	
  
Acute	
  enteritis	
  and	
  systemic	
  infection	
  
(septicemia/abortion)	
  
Phagocytosed:	
  Facultative	
  intracellular	
  
Salmonellosis	
  
1°/Opportunistic	
  
UTI,	
  Pyometra	
  (dog/cat)	
  
Acute	
  mastitis	
  
Avian	
  colibacillosis	
  
Colisepticemia	
  
Thermophillic	
  
Humans:	
  Enteric	
  disease	
  
C.jejuni:	
  enteropathogen	
  of	
  
man	
  and	
  animal;	
  food	
  
poising	
  -­‐>	
  Collitis	
  
Non-­‐thermophilic	
  
Sheep	
  &	
  Cattle:	
  Infertility	
  
and	
  abortion	
  
C.coli	
  
Pigs	
  
TOXIN	
   Cytotoxicity	
  for	
  enterocytes	
  (diarrhea)	
   α-­‐haemolysin	
  
High	
  affinity	
  Fe-­‐a	
  (Aerobactin)	
  
K-­‐antigens:	
  capsules	
  (prevent	
  phag/mimic	
  
antigen)	
  
ETEC:	
  Enterotoxin	
  (LT	
  &	
  ST)	
  
EPEC:	
  effacing	
  lesions	
  
EHEC:	
  SLT;	
  haemorragic	
  
Verotoxin:	
  Oedema	
  &	
  haem:	
  pigs	
  
Colonisation,	
  attachment,	
  invasion	
  and	
  toxin	
  production	
  
Colon	
  damage	
  =	
  	
  necrosis	
  of	
  absorptive	
  epi	
  cells,	
  erosion	
  
of	
  mucosa,	
  crypt	
  abscesses	
  and	
  infiltration	
  of	
  inflame	
  cells	
  
	
  
Functional	
  flagella:	
  Virulence	
  factors	
  (non-­‐flagellate	
  do	
  
not	
  colonise	
  in	
  vivo)	
  	
  
SPREAD	
   Persist	
  in	
  gut/gall	
  bladder:	
  con’t	
  excreted	
  in	
  faeces	
  
after	
  clinical	
  recovery/stress	
  
Flora	
  of	
  colon	
  (L.I):	
  abundant	
  in	
  faeces	
  
Extraintestinal	
  
Blood	
  -­‐>	
  septicemia	
  
Cattle,	
  sheep,	
  dog,	
  chickens,	
  wild	
  birds	
  carry	
  C.jejuni	
  in	
  
intestines	
  –	
  Hyperendemic	
  on	
  farms	
  
Alimentary	
  tract	
  of	
  reptiles	
  and	
  mammals	
  
CHARACTERISTICS/
STERILISATION	
  
Facultative	
  anaerobe	
  
Classification:	
  O	
  (group)	
  and	
  H	
  (serovar)	
  
agglutination	
  with	
  known	
  antiserum	
  
Grouped:	
  Kauffmann-­‐White	
  scheme*	
  
Aerobic	
  
O	
  and	
  H	
  antigens	
  AND	
  K	
  (fimbrial)	
  
Classification:	
  
Antigen	
  combinations	
  
Fimbriae:	
  adhesion	
  
Curved	
  G-­‐ve	
  
Microaerophilic	
  =	
  hard	
  to	
  grow	
  
V.sensitive	
  to	
  drying	
  
Active	
  immunity	
  can	
  develop,	
  but	
  sterile	
  env	
  means	
  not	
  
exposed.	
  
TRANSMISSION	
   Faecal-­‐Oral	
  route:	
  large	
  dose	
  due	
  to	
  gastric	
  acidity	
  &	
  
gut	
  flora/fauna	
  
Faeces	
  
Respiratory	
  
Blood	
  
Fecal-­‐oral	
  and	
  passive	
  (colostrum)	
  
	
  
DIAGNOSIS	
   Isolate;	
  enrichment	
  (selenite	
  broth);	
  incubate	
  to	
  inc	
  
N0;	
  inc	
  sensitivity;	
  strong	
  selective	
  medium	
  (XLD)	
  
Urease	
  -­‐ve	
  
Indole	
  -­‐ve	
  
Non-­‐lactose	
  fermenter	
  
Utilise	
  citrate	
  as	
  sole	
  C	
  
Produce	
  H2S	
  (Black	
  colonies)	
  
Lactose	
  fermenter	
  (Yellow)	
  
Vaccination	
  (passive;colostrum)	
  –	
  
insufficient=overgrowth	
  in	
  S.I.	
  endotoxin	
  
absorption	
  and	
  death	
  (watery	
  mouth	
  in	
  lambs)	
  
	
  
Oxidase	
  test:	
  -­‐ve	
  	
  
Reduce	
  NO3
-­‐
	
  to	
  NO2
-­‐
	
  
Proteolytic	
  digestion	
  of	
  gelatine	
  
Identify	
  with	
  API	
  20E	
  system	
  of	
  20	
  biological	
  tests	
  
	
  
ETEC:	
  Enterotoxigenic	
  	
  	
  	
  	
  	
  	
  EPEC:	
  Enteropathogenic	
  	
  	
  	
  	
  	
  	
  	
  	
  EHEC:	
  Enteroheamoragic	
  
GRAM	
  –ve	
  Bacteria:	
  BACILLI	
  
	
  
	
   NON-­‐ENTERIC	
  
BACTERIA	
   Psudomonas	
   Brucella	
   Bordatella	
   Pasturella	
   Mannheimia	
   Mycoplasma	
  
P.aeruginosa	
   B.abortus	
   B.bronchispetica	
   B.avium	
   P.multocida	
   M.haemolytica	
   Spirochaetes:	
  swine	
  
dysnentry,	
  lyme	
  
disease,	
  leptospirosis	
  
	
  
Rickettsia:	
  Tick	
  &	
  
Louse	
  borne	
  
	
  	
  
Chlamydophilia:	
  live	
  in	
  
cells,	
  look	
  viral;	
  
enzootic	
  abortion,	
  
feline	
  conjunctivitis	
  	
  
	
  
	
  
*No	
  cell	
  wall	
  
peptidoglycan	
  
PATHOGENISIS	
   Opportunistic	
   Facultative	
  
intracellular	
  	
  
Brucellosis	
  
Disease	
  when	
  
infects	
  LOWER	
  
RESP	
  tract	
  
Brodatellosis	
  	
  
Kennel	
  Cough	
  
Rhinotra
cheitis	
  in	
  
poultry	
  
1°:	
  Fowl	
  cholera	
  (septicemia)	
  
and	
  epizootic	
  haem	
  sep	
  
(cattle	
  –	
  not	
  in	
  UK)	
  
Atrophic.r	
  (pigs)	
  
Snuffles;	
  pasteurellosis	
  
(rabbits)	
  
2°:	
  LUNGS	
  following	
  
mycoplasmal;	
  Pig	
  enzootic	
  
pneumonia/	
  wound	
  infections	
  
Previously	
  Pasteurella	
  
haemolytica	
  
Epizootic	
  pneumonia	
  
(cattle)	
  and	
  sheep;	
  
pasteurellosis	
  
Severe	
  mastitis	
  
(sheep/goats)	
  
Colonise	
  (use	
  pili)	
  in	
  ciliated	
  
tracheal	
  epithelium:	
  exudate;	
  
nasal	
  discharge	
  
TOXIN	
   Secretes	
  pyocyanin	
  
(green/blue	
  puss)	
  
Fimbria	
  
Exotoxin	
  A	
  (inhib	
  
host	
  protein	
  syn),	
  
Elastase	
  (destroy	
  
elastin),	
  proteases,	
  
hydrolytic	
  enzymes	
  
Penetrate	
  
mucosa;	
  
Phagocytosed;	
  
Granulomatou
s	
  inflame	
  
reactions	
  
Adenylate	
  cyclase	
  cytolysin:	
  
(w/RTX):	
  immobilises	
  
neutrophils	
  
LT	
  dermonecrotic	
  toxin:	
  
turbinate	
  atrophy	
  in	
  pigs	
  
Fimbriae,	
  filamentous	
  
haemaglutanin	
  =	
  adhesion	
  
5	
  capsular	
  serotypes	
  
(A,B,D,E,F)	
  
A&D;	
  normal	
  flora.	
  Some	
  
produce	
  osteolytic	
  toxin	
  
B&E;	
  haem	
  sept	
  cattle	
  	
  
Cytotoxin;	
  leukotoxin:	
  RTX	
  
group	
  toxins:	
  crucial	
  for	
  
pathogenicity	
  in	
  
septicaemia	
  and	
  
pneumonia	
  
SPREAD	
   Look	
  like	
  
enterobacteria	
  
Free	
  living	
  
Smell!	
  	
  
Multiple	
  antibiotic	
  
resistance	
  –	
  plasmids	
  
w/R-­‐factors	
  and	
  
chromosomally-­‐
encoded	
  efflux	
  pump	
  
genes	
  
Grow	
  on	
  MacConkey	
  
Spleen,	
  liver,	
  
lymphatics	
  
UPPER	
  RESP	
  tract	
  of	
  dogs,	
  
cats,	
  pigs,	
  rabbits	
  (*NOT	
  
ruminants)	
  
UPPER	
  RESP	
  mucosa	
  and	
  GI	
  
tracts	
  of	
  domestic	
  and	
  wild	
  
animals	
  
	
  
CHARACTERISTICS	
   Small	
  G-­‐ve	
  
coccobacilli	
  
Major	
  O-­‐
antigen	
  
Eradicated	
  in	
  
UK	
  
Grow	
  on	
  MacConkey	
   Short	
  rods	
  
Some	
  coccobaccili	
  
Bipolar	
  staining	
  
Catarrhal	
  odour	
  
Large,	
  grey	
  colonies	
  on	
  blood	
  
agar	
  
Do	
  NOT	
  grow	
  on	
  MacConkey	
  
Stains	
  β-­‐haemolytic	
  on	
  
blood	
  agar	
  
Grows	
  weakly	
  in	
  MacC	
  	
  
DIAGNOSIS	
   TREAT:	
  
Gentamicin/Tobramy
cin/	
  3
rd
	
  generation	
  
cephalosporins	
  
(fluorinated	
  4-­‐
quinolones)/surgery	
  
Serological	
  
tests	
  (milk	
  
ring)	
  
	
  
	
   	
  
Non-­‐fermenters:	
  Strict	
  aerobes	
  
Respiratory	
  metabolism	
  
Glucose	
  fermenters	
  
Oxidase	
  +ve	
  (cytochrome	
  C)	
  -­‐>	
  O2	
  
	
  
GRAM	
  –ve	
  Bacteria:	
  BACILLI	
  
	
  

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Ophthamology Revision
 

Gram negative bacilli

  • 1. GRAM  –ve  Bacteria:  BACILLI     ENTEROBACTERIACEAE  ‘Coliforms’   BACTERIA   Salmonella   Escherichia   Campylobacter   S.enterica   E.coli   C.jejuni   C.fetus   PATHOGENISIS   Primary  pathogen   Acute  enteritis  and  systemic  infection   (septicemia/abortion)   Phagocytosed:  Facultative  intracellular   Salmonellosis   1°/Opportunistic   UTI,  Pyometra  (dog/cat)   Acute  mastitis   Avian  colibacillosis   Colisepticemia   Thermophillic   Humans:  Enteric  disease   C.jejuni:  enteropathogen  of   man  and  animal;  food   poising  -­‐>  Collitis   Non-­‐thermophilic   Sheep  &  Cattle:  Infertility   and  abortion   C.coli   Pigs   TOXIN   Cytotoxicity  for  enterocytes  (diarrhea)   α-­‐haemolysin   High  affinity  Fe-­‐a  (Aerobactin)   K-­‐antigens:  capsules  (prevent  phag/mimic   antigen)   ETEC:  Enterotoxin  (LT  &  ST)   EPEC:  effacing  lesions   EHEC:  SLT;  haemorragic   Verotoxin:  Oedema  &  haem:  pigs   Colonisation,  attachment,  invasion  and  toxin  production   Colon  damage  =    necrosis  of  absorptive  epi  cells,  erosion   of  mucosa,  crypt  abscesses  and  infiltration  of  inflame  cells     Functional  flagella:  Virulence  factors  (non-­‐flagellate  do   not  colonise  in  vivo)     SPREAD   Persist  in  gut/gall  bladder:  con’t  excreted  in  faeces   after  clinical  recovery/stress   Flora  of  colon  (L.I):  abundant  in  faeces   Extraintestinal   Blood  -­‐>  septicemia   Cattle,  sheep,  dog,  chickens,  wild  birds  carry  C.jejuni  in   intestines  –  Hyperendemic  on  farms   Alimentary  tract  of  reptiles  and  mammals   CHARACTERISTICS/ STERILISATION   Facultative  anaerobe   Classification:  O  (group)  and  H  (serovar)   agglutination  with  known  antiserum   Grouped:  Kauffmann-­‐White  scheme*   Aerobic   O  and  H  antigens  AND  K  (fimbrial)   Classification:   Antigen  combinations   Fimbriae:  adhesion   Curved  G-­‐ve   Microaerophilic  =  hard  to  grow   V.sensitive  to  drying   Active  immunity  can  develop,  but  sterile  env  means  not   exposed.   TRANSMISSION   Faecal-­‐Oral  route:  large  dose  due  to  gastric  acidity  &   gut  flora/fauna   Faeces   Respiratory   Blood   Fecal-­‐oral  and  passive  (colostrum)     DIAGNOSIS   Isolate;  enrichment  (selenite  broth);  incubate  to  inc   N0;  inc  sensitivity;  strong  selective  medium  (XLD)   Urease  -­‐ve   Indole  -­‐ve   Non-­‐lactose  fermenter   Utilise  citrate  as  sole  C   Produce  H2S  (Black  colonies)   Lactose  fermenter  (Yellow)   Vaccination  (passive;colostrum)  –   insufficient=overgrowth  in  S.I.  endotoxin   absorption  and  death  (watery  mouth  in  lambs)     Oxidase  test:  -­‐ve     Reduce  NO3 -­‐  to  NO2 -­‐   Proteolytic  digestion  of  gelatine   Identify  with  API  20E  system  of  20  biological  tests     ETEC:  Enterotoxigenic              EPEC:  Enteropathogenic                  EHEC:  Enteroheamoragic  
  • 2. GRAM  –ve  Bacteria:  BACILLI       NON-­‐ENTERIC   BACTERIA   Psudomonas   Brucella   Bordatella   Pasturella   Mannheimia   Mycoplasma   P.aeruginosa   B.abortus   B.bronchispetica   B.avium   P.multocida   M.haemolytica   Spirochaetes:  swine   dysnentry,  lyme   disease,  leptospirosis     Rickettsia:  Tick  &   Louse  borne       Chlamydophilia:  live  in   cells,  look  viral;   enzootic  abortion,   feline  conjunctivitis         *No  cell  wall   peptidoglycan   PATHOGENISIS   Opportunistic   Facultative   intracellular     Brucellosis   Disease  when   infects  LOWER   RESP  tract   Brodatellosis     Kennel  Cough   Rhinotra cheitis  in   poultry   1°:  Fowl  cholera  (septicemia)   and  epizootic  haem  sep   (cattle  –  not  in  UK)   Atrophic.r  (pigs)   Snuffles;  pasteurellosis   (rabbits)   2°:  LUNGS  following   mycoplasmal;  Pig  enzootic   pneumonia/  wound  infections   Previously  Pasteurella   haemolytica   Epizootic  pneumonia   (cattle)  and  sheep;   pasteurellosis   Severe  mastitis   (sheep/goats)   Colonise  (use  pili)  in  ciliated   tracheal  epithelium:  exudate;   nasal  discharge   TOXIN   Secretes  pyocyanin   (green/blue  puss)   Fimbria   Exotoxin  A  (inhib   host  protein  syn),   Elastase  (destroy   elastin),  proteases,   hydrolytic  enzymes   Penetrate   mucosa;   Phagocytosed;   Granulomatou s  inflame   reactions   Adenylate  cyclase  cytolysin:   (w/RTX):  immobilises   neutrophils   LT  dermonecrotic  toxin:   turbinate  atrophy  in  pigs   Fimbriae,  filamentous   haemaglutanin  =  adhesion   5  capsular  serotypes   (A,B,D,E,F)   A&D;  normal  flora.  Some   produce  osteolytic  toxin   B&E;  haem  sept  cattle     Cytotoxin;  leukotoxin:  RTX   group  toxins:  crucial  for   pathogenicity  in   septicaemia  and   pneumonia   SPREAD   Look  like   enterobacteria   Free  living   Smell!     Multiple  antibiotic   resistance  –  plasmids   w/R-­‐factors  and   chromosomally-­‐ encoded  efflux  pump   genes   Grow  on  MacConkey   Spleen,  liver,   lymphatics   UPPER  RESP  tract  of  dogs,   cats,  pigs,  rabbits  (*NOT   ruminants)   UPPER  RESP  mucosa  and  GI   tracts  of  domestic  and  wild   animals     CHARACTERISTICS   Small  G-­‐ve   coccobacilli   Major  O-­‐ antigen   Eradicated  in   UK   Grow  on  MacConkey   Short  rods   Some  coccobaccili   Bipolar  staining   Catarrhal  odour   Large,  grey  colonies  on  blood   agar   Do  NOT  grow  on  MacConkey   Stains  β-­‐haemolytic  on   blood  agar   Grows  weakly  in  MacC     DIAGNOSIS   TREAT:   Gentamicin/Tobramy cin/  3 rd  generation   cephalosporins   (fluorinated  4-­‐ quinolones)/surgery   Serological   tests  (milk   ring)         Non-­‐fermenters:  Strict  aerobes   Respiratory  metabolism   Glucose  fermenters   Oxidase  +ve  (cytochrome  C)  -­‐>  O2    
  • 3. GRAM  –ve  Bacteria:  BACILLI