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#REDIRECT[[:Category:Actinobacillus species]]
 
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===Overview===
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*Mainly pathogens of farm animals
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*Commensals of mucosa of upper respiratory tract and oral cavity
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*Cannot survive long in the environment, therefore carrier animals are important in their transmission
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*Cause [[Chronic Inflammation - Pathology#Granulomatous Inflammation|granulomatous inflammation]]
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===''Actinobacillus'' characteristics===
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*Small Gram negative coccobacilli
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*Oxidase negative
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*Do not grow on MacConkey
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*Non-motile
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*Facultative anaerobes which ferment carbohydrates to produce acid
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===''Actinobacillus lignieresii''===
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*Pathogenesis and pathogenicity:
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**Commensal in the mouth and intestinal tract of cattle and sheep
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**Penetrates damaged mucosa to cause chronic granulomatous inflammation of soft tissues, a condition known as Actinobacillosis
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**Enodogenous, sporadic infection
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**Lesions in the tongue, cheek, lips and sometimes in the lower gut and lungs from aspiration
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**Often spreads from the site of infection to lymphatics, and may cause pyogranulomatous lymphadenitis
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**[[Muscles Inflammatory - Pathology#Wooden tongue|Myositis]] and formation of fibrous tissue in the lesions lead to hardening of the tissue, hence the condition is known as 'wooden tongue' in cattle
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**In sheep abscesses with thick walls are produced
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**Feeding is impaired, causing loss of condition
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**Infection in the oesophageal groove can cause tympany and enlargement of the retropharyngeal lymph node, causing difficulty in swallowing and breathing
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**[[Bacterial skin infections - Pathology#Bacterial granulomatous dermatitis|Cutaneous lesions]] in cattle and sheep
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**Contamination of the environment via ulcerating lesions
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*Diagnosis:
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**Induration of tongue
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**Tissue sections may demonstrate pyogranulomatous foci containing club colonies
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**Gram negative rods may be present in smears from exudates
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**Cultures on blood agar and MacConkey agar, incubated for 24-72 hours
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**Blood agar: small, sticky, non-haemolytic clonies
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**MacConkey agar: slow lactose fermentation
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*Treatment:
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**Sodium iodide parenterally, or potassium iodide orally
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**Potentiated sulphonamides or a penicillin/streptomycin combination
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**Rough feed should be avoided
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===''Actinobacillus pleuropneumoniae''===
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*Contagious porcine pleuropneumonia especially of pigs under 6 months
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*Endemic in UK
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*12 serotypes causing the same disease
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*Different serotypes in different regions, with serotypes 3,6 and 8 the most common in the UK
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*Pathogenesis and pathogenicity:
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**Virulent strains possess capsules which are antiphagocytic and immunogenic
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**Fimbriae allow the bacteria to attach to cells of the respiratory tract
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**Damaged [[Neutrophils - WikiBlood|neutrophils]] in the lungs produce lytic enzymes
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**The sustained inflammatory response causes tissue necrosis
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**Lungs consolidated and necrotic with fibrinous pleuisy at post mortem
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**Produce three cytotoxins which belong to the repeats-in-structural-toxin (RTX)  cytolysin family
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**RTX toxins:
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***Several peptide repeats within the molecules
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***Produced by various Gram-negative bacteria
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***Possess four contiguous genes, A, B, C and D
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***A is the structural gene; B and D are required for secretion; C allows post-translational activation of the gene product of A into a functional product
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***ApxI is a strong haemolysin with cytolytic activity
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***ApxII is a weak haemolysin
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***ApxIII is a cytotoxin
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***Different ''Actinobacillus pleuropneumonia'' serotypes secrete a particular combination of toxins; American serotypes secrete ApxI and II; European serotypes secrete ApxII and III
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***Toxins introduce pores into cell membranes
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*Clinical signs and epidemiology:
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**Acute disease in susceptible herds with high morbidity and mortality (up to 50%)
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**In acute outbreaks, pigs may be dyspnoeic, pyrexic or anorexic
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**Blood-stained froth surrounding nose and mouth
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**Cyanosis
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**Pregnant sows abort
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**Causes [[Respiratory Bacterial Infections - Pathology#Actinobacillus pleuropneumoniae|pneumonia]] in pigs
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**Carrier herds have some immunity, protecting from acute disease, where lesions are often subclinical, and deaths sporadic
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**Lung scarring and pleural adhesions in many recovered animals
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**Solid immunity develops in recovered animals to all serotypes
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**The disease is spread between herds by carrier pigs
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*Diagnosis:
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**Haemorrhagic consolidation close to the main bronchi and fibrinous pleuritis may be suggestive
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**Specimens are cultured on chocolate agar and blood agar in 5-10% carbon dioxide for 2-3 days
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**Small colonies surrounded by clear haemolysis
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**No growth on MacConkey agar
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**Positive CAMP reaction with [[Staphylococcus spp.|''Staphylococcus aureus'']]
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**Most strains are NAD-dependent (grow on Heated Blood agar)
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**Immunofluorescent- or PCR-based techniques
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**The bacteria on the [[Tonsils - Anatomy & Physiology#Palatine|palatine tonsil]] may remain undetected by serological tests and swabbing, and can therefore cause an outbreak in naive pigs
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*Treatment:
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**Antibiotics depending on the strain of bacteria
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**Prophylactic antibiotics for in-contact pigs
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*Control:
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**Killed and polyvalent bacterin vaccines as well as a subunit vaccine are available 
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**Improve ventilation, avoid chilling and overcrowding
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===''Actinobacillus equuli''===
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*Commensal of the equine intestinal and reproductive tract
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*Pathogenesis and clinical signs:
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**Foals infected ''in utero'' or or after birth via the umbilicus
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**Infection at birth causes severe enteritis and septicaemia within 24 hours, known as sleepy foal disease
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**Foals become pyrexic and recumbent
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**Death usually occurs within 1-2 days
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**In foals that survive neonatal infection the condition progresses to cause joint infections and purulent nephritis, enteritis or pneumonia
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**''A. equuli'' in [[Joints Inflammatory - Pathology#In Horses|arthritis of horses]]
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**Abortion, septicaemia and [[Peritoneal Cavity Inflammatory - Pathology#In horses|peritonitis in horses]]
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*Diagnosis:
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**Specimens cultured on blood agar and MacConkey agar and incubated aerobically for 1-3 days
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**Sticky colonies with variable haemolysis on blood agar
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**Lactose-fermenting colonies on MacConkey agar
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*Treatment and control:
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**Antimicrobials ineffective unless early in course of disease
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**Blood trasfusion and administration of colostrum
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**Good hygiene
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**Consider prophylactic antibiotics for new-born foals
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**Bacteria susceptible to streptomycin, tetracyclines and ampicillin
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*In other animals:
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**Septicaemia in piglets
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**Arthritis and enteritis in pigs
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**Enteritis in calves
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**RTX group cytotoxin present
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===''Actinobacillus suis''===
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*May be present in upper respiratory tract of sows
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*Pathogenicity and clinical signs:
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**Infection of piglets via aerosol or possibly skin abrasions
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**Fatal septicaemia in piglets 1-8 weeks old
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**Mortality up to 50% in some litters
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**Fever, respiratory distress, prostration and paddling of forelimbs seen in piglets
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**Petechial and ecchymotic haemorrhages in many organs
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**Interstitial pneumonia, pleuritis, meningoencephalitis, myocarditis and arthritis
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**Causes abscesses in joints and lungs of older pigs
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**Carried in the nasopharynx of pigs and nose of horses
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**Carriage may confer immunity to the more severe pleuropneumonia
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*Diagnosis:
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**Specimens cultured on blood agar and MacConkey agar for 1-3 days
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**Sticky haemolytic colonies
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**Pink, lactose-fermenting colonies on MacConkey agar
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*Treatment and control:
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**Bacteria usually susceptible to ampicillin, carbenicillin, potentiated sulphonamides and tetracyclines
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**Disinfect contaminated pens
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*Other animals:
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**Septicaemia and pneumonia in foals
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**Pneumonia in pigs and horses
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===''Actinobacillus seminis''===
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*Epididymitis in young rams (4-8 months)
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*Polyarthritis in lambs
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*Organism found in prepuce
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*Opportunistic infection causing abscesses in epididymides
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*May be purulent discharge onto scrotal skin
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*Specimens cultured on blood agar and incubated aerobically for 1-3 days produce pin-point haemolytic colonies which are catalase-positive; no growth on MacConkey agar
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===''Actinobacillus actinomycetemcomitans''===
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*Epididymitis in rams
 
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