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‫بسم ا الرحمن الرحيم‬
GENUS:
BORDETELLA
Prof. Khalifa Sifaw Ghenghesh
Small, Gram-negative coccobacilli
Strict aerobes.
X and V factors not required for
growth
Three species:
–B. pertussis,
–B. parapertussis
–B. bronchiseptica
Bordetella species
Bordetella bronchiseptica
Leifson flagella stain
Scanning electron micrograph of
Bordetella bronchiseptica
Bordetella pertussis
Whooping Cough
– Paroxysmal coughing

Require blood, or starch or
charcoal for growth
– Bordet-Gengou medium (BGM)

Strict aerobe
Optimal temp. > 35-36oC
ANTIGENICITY
3 Major Agglutinogens >1, 2 and 3
Detected by using adsorbed,
single-agglutinin sera
3 serotypes pathogenic to man
– Type 1,2
– Type 1,3
– Type 1,2,3

All 3 have a role in immunity
Virulence Factors
Pertussis toxin (PT): an exotoxin
which enters target cells and
activates their production of cAMP,
a molecule that acts as a second
messenger in cell protein synthesis
regulation
Tracheal cytotoxin: causes
ciliated epithelial cell destruction
Hemoagglutinin: a cell surface
protein which helps the bacterium
bind to the host cell surface
PATHOGENESIS
highly contagious bacterium
Non-invasive disease
Man > only natural host
Incubation period >> 1-2 weeks
Enters respiratory tract via
inhalation > binds to and
destroys the ciliated epithelial
cells of the trachea and bronchi.
Symptoms last for many weeks
LABORATORY DIAGNOSIS
1. Bacterial Culture:
Specimen:

– Pernasal swab on flexible wire
– Specimens on several successive days>
higher isolation rates.
– Transport media should not be used

Culture:

– Immediately on BGM
– Incubate for at least 1 week

Identification:
– Serological
2. Detection of Bacterial Antigens
Bordetella antigens in serum and
urine using specific antiserum
Immunofluorescence Technique:

– Bacteria in nasopharyngeal
secretions labelled with fluoresceinconjugated antiserum > examined
with ultraviolet microscopy.

3. Detection of Bordetella
Antibody:

Sera and nasopharyngeal secretions
examined for Ab > Agglutination
Tests, ELISA
Bordetella pertussis
TREATMENT
Erythromycin
–For 2 weeks
–May reduce the severity of
illness if given before
paroxysmal stage.
–No clinical effect when the
infection is established
–May be given to protect nonvaccinated infants
CONTROL
Vaccination:

– Safe and >90% effective.
– Adsorbed vaccine (i.e. with adjuvant).
- Contains all 3 agglutinogens.
- Minimum 3 doses.
- Minor adverse reactions:
- Erythema and local swelling, slight
feverishness
- Possible neurological sequelae

- Acellular pertussis vaccine
Bordetella parapertussis
–a respiratory pathogen that can
cause mild pharyngitis.

Bordetella bronchiseptica
–a cause of pneumonia, otitis
media, and other respiratory
infections in animals.

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Lecture 23 Bordetella

  • 1. ‫بسم ا الرحمن الرحيم‬ GENUS: BORDETELLA Prof. Khalifa Sifaw Ghenghesh
  • 2. Small, Gram-negative coccobacilli Strict aerobes. X and V factors not required for growth Three species: –B. pertussis, –B. parapertussis –B. bronchiseptica
  • 5. Scanning electron micrograph of Bordetella bronchiseptica
  • 6. Bordetella pertussis Whooping Cough – Paroxysmal coughing Require blood, or starch or charcoal for growth – Bordet-Gengou medium (BGM) Strict aerobe Optimal temp. > 35-36oC
  • 7. ANTIGENICITY 3 Major Agglutinogens >1, 2 and 3 Detected by using adsorbed, single-agglutinin sera 3 serotypes pathogenic to man – Type 1,2 – Type 1,3 – Type 1,2,3 All 3 have a role in immunity
  • 8. Virulence Factors Pertussis toxin (PT): an exotoxin which enters target cells and activates their production of cAMP, a molecule that acts as a second messenger in cell protein synthesis regulation Tracheal cytotoxin: causes ciliated epithelial cell destruction Hemoagglutinin: a cell surface protein which helps the bacterium bind to the host cell surface
  • 9. PATHOGENESIS highly contagious bacterium Non-invasive disease Man > only natural host Incubation period >> 1-2 weeks Enters respiratory tract via inhalation > binds to and destroys the ciliated epithelial cells of the trachea and bronchi. Symptoms last for many weeks
  • 10. LABORATORY DIAGNOSIS 1. Bacterial Culture: Specimen: – Pernasal swab on flexible wire – Specimens on several successive days> higher isolation rates. – Transport media should not be used Culture: – Immediately on BGM – Incubate for at least 1 week Identification: – Serological
  • 11. 2. Detection of Bacterial Antigens Bordetella antigens in serum and urine using specific antiserum Immunofluorescence Technique: – Bacteria in nasopharyngeal secretions labelled with fluoresceinconjugated antiserum > examined with ultraviolet microscopy. 3. Detection of Bordetella Antibody: Sera and nasopharyngeal secretions examined for Ab > Agglutination Tests, ELISA
  • 13.
  • 14. TREATMENT Erythromycin –For 2 weeks –May reduce the severity of illness if given before paroxysmal stage. –No clinical effect when the infection is established –May be given to protect nonvaccinated infants
  • 15. CONTROL Vaccination: – Safe and >90% effective. – Adsorbed vaccine (i.e. with adjuvant). - Contains all 3 agglutinogens. - Minimum 3 doses. - Minor adverse reactions: - Erythema and local swelling, slight feverishness - Possible neurological sequelae - Acellular pertussis vaccine
  • 16. Bordetella parapertussis –a respiratory pathogen that can cause mild pharyngitis. Bordetella bronchiseptica –a cause of pneumonia, otitis media, and other respiratory infections in animals.