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| ===Pathogenesis=== | | ===Pathogenesis=== |
| | | |
− | *Faemcal-oral transmission | + | *Faecal-oral transmission |
| *Comparitively large dose required for infection due to gastric acid, normal intestinal flora and local immunity | | *Comparitively large dose required for infection due to gastric acid, normal intestinal flora and local immunity |
| *Enterocolitis: | | *Enterocolitis: |
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| **Degeneration of microvilli | | **Degeneration of microvilli |
| *Systemic disease: | | *Systemic disease: |
− | **Bacteria invade the body
| |
| **Bacteria internalised by intestinal epithelial cells | | **Bacteria internalised by intestinal epithelial cells |
| **Stimulate immune response on reaching the lamina propria | | **Stimulate immune response on reaching the lamina propria |
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| **Bacteria either destroyed by the phagocytic cells or survive and multiply in the cells to cause systemic disease | | **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 | | **Intracellular carriage if bacteria no completely removed |
| + | **Invasive potential of certain strains e.e ''Salmonella'' Dublin associated with carriage of a large plasmid, encoding genes to allow intracellular survival in macrophages and also to allow iron acquisition |
| + | **''Salmonellae'' are facultative intracellular organisms, allowing them to move from the gut in macrophages and cause a bacteraemia and lesions throughout the body |
| + | **Possession of Pathogenicity islands associated with virulence |
| | | |
| ===Clinical infections=== | | ===Clinical infections=== |
| + | |
| + | *Some serotypes are host-specific, some are not |
| + | *''S.'' Tymphimurium infects many species; causes severe diarrhoea; non-invasive; causes of food poisoning in humans, e.g. from infected poultry |
| + | *''S. enteritidis'': non species-specific; losses in young birds; causes food poisoning in humans |
| + | *''S.'' Dublin: invasive serovar; infects cattle |
| + | *''S.'' Cholerae-Suis: primarily infects pigs; also causes severe human disease |
| + | *''S.'' Pullorum: infects poultry; egg-transmitted; causes bacillary white diarrhoea, known as pullorum disease |
| + | *''S.'' Gallinarum: infectes older birds; known as howl typhoid |
| + | *''S.'' Pullorum and ''S.'' Gallinarum now rare in UK due to eradication programs including the Pullorum test (whole blood slide agglutination to detect antibody to both ''S.'' Pullorum and ''S'' Gallinarum |
| + | *''S.'' Abortis-ovis: infects sheep |
| + | *''S.'' Abortus-equi: infects horses outside of the UK |
| + | *''S.'' Typhi, ''S.'' Paratyphi: infect humans |
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