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| *Important member of the enterobacteria | | *Important member of the enterobacteria |
| *Cause disease in humans and animals | | *Cause disease in humans and animals |
− | *Oral transmission
| |
| *Reservior of infection in poulty, pigs, rodents, cattle, dogs | | *Reservior of infection in poulty, pigs, rodents, cattle, dogs |
| *Cause enteritis and systemic infection (septicaemia and abortion) | | *Cause enteritis and systemic infection (septicaemia and abortion) |
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| ===Characteristics=== | | ===Characteristics=== |
| | | |
| + | *Gram negative bacilli |
| *Facultative intracellular pathogens | | *Facultative intracellular pathogens |
− | *Non-lactose fermentor | + | *Non-lactose fermentor, oxidase negative |
| *Do not produce urease or indole from tryptophan | | *Do not produce urease or indole from tryptophan |
− | *Utlise citrate as a carbon source | + | *Utilise citrate as a carbon source |
| + | *Reduce nitrates to nitrites |
| + | *Grow on MacConkey |
| + | *Ferment glucose to produce acid and gas |
| *Usually produce hydrogen sulphide | | *Usually produce hydrogen sulphide |
| *Most motile with flagellae (H antigen) | | *Most motile with flagellae (H antigen) |
− | *H antigen can be in phase 1 or phase 2, depending on a genetic switch allowing for one of the H antigen genes to be transcribed | + | *H antigen can be in phase 1 or phase 2, depending on a genetic switch allowing for one of the H antigen genes to be transcribed at any one time |
| | | |
| ===Classification=== | | ===Classification=== |
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| ===Pathogenesis=== | | ===Pathogenesis=== |
| | | |
| + | *Faemcal-oral transmission |
| + | *Comparitively large dose required for infection due to gastric acid, normal intestinal flora and local immunity |
| + | *Enterocolitis: |
| + | **Acute enteritis |
| + | **Bacteria multiply in the intestine and damage epithelial cells |
| + | **Cytotoxin may cause epithelial cell damage |
| + | **Enterotoxin may induce fluid secretion into intestinal lumen |
| + | **Degeneration of microvilli |
| + | *Systemic disease: |
| + | **Bacteria invade the body |
| + | **Bacteria internalised by intestinal epithelial cells |
| + | **Stimulate immune response on reaching the lamina propria |
| + | **Inflammatory response with phagocytosis of bacteria by neutrophils and macrophages |
| + | **Bacteria either destroyed by the phagocytic cells or survive and multiply in the cells to cause systemic disease |
| + | **Intracellular carriage if bacteria no completely removed |
| | | |
| ===Clinical infections=== | | ===Clinical infections=== |