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| − | {{review}}
| + | #REDIRECT[[:Category:Yersinia species]] |
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| − | ===Overview===
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| − | *Cause [[Intestine Pathogens - Pathology|intestinal disease]] in animals and are important zoonoses
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| − | *10 species of which [[Yersinia pestis|''Y. pestis'']], [[Yersinia pseudotuberculosis|''Y. pseudotuberculosis]] and [[Yersinia enterocolitica|''Y. enterocolitica'']] are pathogenic to animals and humans; [[Yersinia pestis|''Y. pestis'']] is the most pathogenic
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| − | *Rodents provide a reservoir of [[Yersinia pestis|''Y. pestis'']], which is the cause of human plague; fleas transmit the infection to other animals and humans
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| − | *[[Yersinia pseudotuberculosis|''Y. pseudotuberculosis'']] and [[Yersinia enterocolitica|''Y. enterocolitica'']] reside in the intestine of domestic and wild animals and birds
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| − | *Birds may cause mechanical transfer of the organisms
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| − | ===Characteristics===
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| − | *Enterobacteria, but grow more slowly and at lower temperatures than other enterobacteria
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| − | *Gram negative, non-spore forming, facultative anaerobes - rods or colibacilli
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| − | *Non-lactose fermentors
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| − | *Facultative intracellular pathogens
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| − | *Show bipolar staining in Giemsa-stained smears from animal tissue
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| − | *Pathogenic strains identified by serotyping and biotyping
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| − | ===Pathogenesis===
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| − | *[[Yersinia enterocolitica|''Y. enterocolitica'']] and [[Yersinia pseudotuberculosis|''Y. pseudotuberculosis'']] enter the intestinal mucosa via M cells of the Peyer's patches
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| − | *Engulfed by macrphages in the mucosa
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| − | *All three invasive species are facultative intracellular organisms and grow inside macrophages
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| − | *Plasmid and chromosomal-encoded virulence factors required for survival and multiplication in macrophages
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| − | *Survive in phagolysosomes and do not interfere with degranulation or lysosomal fusion
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| − | *Resistant to macrophage killing mechanisms
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| − | *Antiphagocytic proteins secreted by the organisms interfere with host [[Neutrophils - WikiBlood|neutrophils]]
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| − | *[[Yersinia pestis|''Y. pestis'']] is more invasive than the other species and also possesses and antiphagocytic capsule and a plasminogen activator which aids systemic spread; endotoxin also contributes to its pathogenicity
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| − | *Transport within macrophages to mesenteric lymph nodes
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| − | *Replication in lymph nodes and development of necrotic lesions, with neutrophil invasion
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| − | *The bacteria destroy the macrophages causing septicaemia
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| − | ===Clinical infections===
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| − | *''[[Yersinia pestis]]''
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| − | *''[[Yersinia pseudotuberculosis]]''
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| − | *''[[Yersinia enterocolitica]]''
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| − | ===Diagnosis===
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| − | *''Yersinia'' species grow on blood agar and MacConkey agar at room temperature.
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| − | *''Y. pseudotuberculosis'' and ''Y. enerocolica'' are motile, unlike ''Y. pestis''
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| − | *Biochemical tests to identify particular species
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| − | *Specific fluorescent antibody staining of lymph node aspirates to identify ''Y. pestis''
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| − | ===Control===
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| − | *Control ''Y. pestis'' by controlling rodent population and flea control of cats
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| − | *Control of other ''Yersinia'' species difficult due to their ubiquity
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| − | ===Treatment===
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| − | *Euthanase or isolate animals suspected of ''Y. pestis'' infection; Streptomycin, doxycycline, gentamicin or chloramphinol
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| − | *Long-acting tetracyclines, trimethoprim-sulphonamides, aminoglycosides and chloramphicol effective against ''Y. pseudotuberculosis'' and ''Y. enterocolica''
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