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− | * There are many different serotypes of [[Salmonella|''Salmonella'']].
| + | There are many different serotypes of [[Salmonella|''Salmonella'']]. |
− | ** All can produce disease BUT only a few commonly produce illness in UK.
| + | All can produce disease BUT only a few commonly produce illness in UK. |
− | ** ''Salmonella'' poses a serious risk to man.
| + | ''Salmonella'' poses a serious risk to man. |
− | ** Some serotypes tend to be more species specific, whereas others can affect a wide range of species. For example:
| + | [[Salmonella|'''''Salmonella enteritidis''''']] |
− | *** [[Salmonella|'''''Salmonella enteritidis''''']]
| + | [[Salmonella|'''''Salmonella typhimurium''''']] |
− | *** [[Salmonella|'''''Salmonella typhimurium''''']]
| + | Widespread in most species. |
− | **** Widespread in most species.
| + | [[Salmonella|''''' Salmonella dublin''''']] |
− | *** [[Salmonella|''''' Salmonella dublin''''']]
| + | Cattle |
− | **** Cattle
| + | [[Salmonella|'''''Salmonella cholerae suis''''']] |
− | *** [[Salmonella|'''''Salmonella cholerae suis''''']]
| + | Pigs |
− | **** Pigs
| + | Usually speticaemic. |
− | **** Usually speticaemic.
| + | Not very common now. |
− | **** Not very common now.
| + | [[Salmonella|'''''Salmonella montevideo''''']] |
− | *** [[Salmonella|'''''Salmonella montevideo''''']]
| + | Produces outbreaks from contaminated imported meat and bone meal. |
− | **** Produces outbreaks from contaminated imported meat and bone meal.
| + | Strains are often named after where they were first isolated. |
− | ** Strains are often named after where they were first isolated.
| + | Typing is important for epidemiology. |
− | ** Typing is important for epidemiology.
| + | All strains can occur epizootically, enzootically and sporadically. |
− | ** All strains can occur epizootically, enzootically and sporadically.
| + | All strains can also produce very similar changes. |
− | ** All strains can also produce very similar changes.
| + | Salmonellosis is NOT very common in the dog and cat. |
− | * Salmonellosis is NOT very common in the dog and cat.
| + | However, the horse is often a carrier. |
− | * However, the horse is often a carrier.
| + | Stress may precipitate the disease, meaning Salmonellosis is seen often in veterinary hospitals. |
− | ** Stress may precipitate the disease, meaning Salmonellosis is seen often in veterinary hospitals.
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− | ===Pathogenesis===
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− | * Disease is often seen associated with stress.
| + | Disease is often seen associated with stress. |
− | * organisms penetrate enterocytes before crossing the mucosa and entering macrophages.
| + | organisms penetrate enterocytes before crossing the mucosa and entering macrophages. |
− | ** After entering macrophages, organins may then either remain localised to the gut, or are carried round the body to cause disease.
| + | After entering macrophages, organins may then either remain localised to the gut, or are carried round the body to cause disease. |
− | * There are 2 main types of disease- '''septicaemic''' and '''enteric'''.
| + | There are 2 main types of disease- '''septicaemic''' and '''enteric'''. |
− | ** Each outbreak causes only one type of disease.
| + | Each outbreak causes only one type of disease. |
− | ** Type of disease is linked to serotype- some serotyopres produce septicaemia, whereas others remain localised in the gut.
| + | Type of disease is linked to serotype- some serotyopres produce septicaemia, whereas others remain localised in the gut. |
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− | ====Septicaemic Salmonellosis====
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− | * Septicaemic salmonellosis is very dramatic and produces death quite suddenly.
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− | * [[Diarrhoea|diarrhoea]] is often not seen before death.
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− | * This form of the disease is unusual in the very young.
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− | =====Pathogenesis=====
| + | Septicaemic salmonellosis is very dramatic and produces death quite suddenly. |
| + | [[Diarrhoea|diarrhoea]] is often not seen before death. |
| + | This form of the disease is unusual in the very young. |
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− | * The organism [[Colon - Anatomy & Physiology|colon]]ises bowel epithelium, where it affects the [[Peyer's Patches - Anatomy & Physiology|Peyers patches]].
| + | |
− | ** It then invades macrophages, which enable it to invade across the epithelium to the submucosa. It may then either
| + | The organism [[Colon - Anatomy & Physiology|colon]]ises bowel epithelium, where it affects the [[Peyer's Patches - Anatomy & Physiology|Peyers patches]]. |
− | *** Remain localised to submucosa, or
| + | It then invades macrophages, which enable it to invade across the epithelium to the submucosa. It may then either |
− | *** Spread to the lymph nodes and enter the circulation to become septicaemic.
| + | Remain localised to submucosa, or |
− | * Animals may die at this stage (30%), but this depends on such factors as the infecting dose and strain.
| + | Spread to the lymph nodes and enter the circulation to become septicaemic. |
− | * Is similar to septicaemic[[Escherichia coli|'' E. Coli'']].
| + | Animals may die at this stage (30%), but this depends on such factors as the infecting dose and strain. |
| + | Is similar to septicaemic[[Escherichia coli|'' E. Coli'']]. |
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| =====Clinical===== | | =====Clinical===== |
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| ** Bruise-like dark purplish-red blotched may be seen. | | ** Bruise-like dark purplish-red blotched may be seen. |
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− | =====Pathology=====
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− | * Intestines
| + | Intestines |
− | ** May show mild catarrhal enteritis, becoming fibrinous lower down.
| + | May show mild catarrhal enteritis, becoming fibrinous lower down. |
− | ** The bowel is generally flaccid, reddened and filled with fluid.
| + | The bowel is generally flaccid, reddened and filled with fluid. |
− | ** Ecchymotic and petechial haemorrhages on serosa and mucosa.
| + | Ecchymotic and petechial haemorrhages on serosa and mucosa. |
− | ** Enlarged, haemorrhagic mesenteric lymph nodes.
| + | Enlarged, haemorrhagic mesenteric lymph nodes. |
− | * Excessive blood-tinged peritoneal fluid.
| + | Excessive blood-tinged peritoneal fluid. |
− | * Lungs are collapsed and frothy.
| + | Lungs are collapsed and frothy. |
− | * Heart is often dilated with ecchymotic haemorrhages.
| + | Heart is often dilated with ecchymotic haemorrhages. |
− | * Viscera have a "half-cooked appearance"
| + | Viscera have a "half-cooked appearance" |
− | ** Pale in colour.
| + | Pale in colour. |
− | ** The [[Liver - Anatomy & Physiology|liver]] and kidneys are also flabby and may have subcapsular haemorrhages.
| + | The [[Liver - Anatomy & Physiology|liver]] and kidneys are also flabby and may have subcapsular haemorrhages. |
− | ** The [[Liver - Anatomy & Physiology|liver]] may contain small white foci of necrosis known as '''paratyphoid granulomas'''.
| + | The [[Liver - Anatomy & Physiology|liver]] may contain small white foci of necrosis known as '''paratyphoid granulomas'''. |
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| =====Diagnosis===== | | =====Diagnosis===== |
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− | * By culture of blood and from mesenteric lymph nodes (which are oedematous and red).
| + | By culture of blood and from mesenteric lymph nodes (which are oedematous and red). |
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| ====Enteric Salmonellosis==== | | ====Enteric Salmonellosis==== |
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− | * Enteric Salmonellosis shows differences in clinical presentation between species.
| + | Enteric Salmonellosis shows differences in clinical presentation between species. |
| ** '''Horse''' - acute fatal colitis. | | ** '''Horse''' - acute fatal colitis. |
| ** '''Cows''' - lingering febrile [[Diarrhoea|diarrhoea]] with passage of pseudomembranes. | | ** '''Cows''' - lingering febrile [[Diarrhoea|diarrhoea]] with passage of pseudomembranes. |