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{{review}}
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{{frontpage
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|pagetitle =Pseudomonas and Burkholderia species
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|pagebody = ''Pseudomonas'' and ''Burkholderia'' species are gram-negative rods that are found in the soil and water worldwide. Both species cause opportunistic infections.
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|contenttitle =Content
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|contentbody =<big><b>
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<categorytree mode=pages>Pseudomonas and Burkholderia species</categorytree>
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</b></big>
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|logo =bugs-logo copy.png
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===Overview===
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*Organisms found in soil and water worldwide
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[[Category:Bacterial Organisms]]
*''Burkholderia mallei'' causes [[Respiratory Bacterial Infections - Pathology#Glanders|glanders]]; rodents act as reservoir of infection
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[[Category:Gram_negative_bacteria]]
*''Burkholderia pseudomallei'' causes meliodosis
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[[Category:Rods]]
*''Pseudomonas aeruginosa'', found on skin, mucous membranes and in faeces, causes opportunistic infections
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===Characteristics===
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*Gram-negative rods
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*Obligate aerobes
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*Oxidase and catalase positive
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*''Pseudomonas'' species and ''Burkholderia pseudomallei'' motile by polar flagellae
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*''Burkholderia mallei'' non-motile
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===''[[Pseudomonas aeruginosa]]''===
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===''Burkholderia mallei''===
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*Causes [[Respiratory Bacterial Infections - Pathology#Glanders|glanders]], a contagious disease of ''Equidae''
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*Nodules and ulcers in respiratory tract and on skin
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*Largely eradicated but sporadic cases in Middle East, India, China
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*Pathogenesis:
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**Transmited by ingestion of food/water contaminated by nasal discharge of infected ''Equidae''; occasionally via inhalation or skin wounds
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**Organism invades nasopharyngeal mucosa and spreads to other tissues via lymphatics
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**Presence of ''B. mallei'' in host causes hypersensitivity reaction
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*Clinical infections:
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**Acute septicaemic form with fever, mucopurulent nasal discharge and respiratory signs; death within weeks
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**Chronic disease more common:
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***Nasal form: [[Nasal Cavity Inflammatory - Pathology#Infectious causes of rhinitis|rhinitis]]; ulcerative nodules develop on mucosa of nasal septum and lower part of turbinates; purulent blood-stained nasal discharge; regional lymphadenitis
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***Respiratory form: respiratory distress; granulomatous lesions throughout lungs
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***Cutaneous form (farcy): lymphangitis; nodules along lymphatic vesselsof limbs; ulcers develop and discharge pus
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***May die after several months or recover and shed organisms from respiratory tract or skin
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**Carnivores may contract disease by eating infected carcasses
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*Diagnosis:
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**Specimens include discharges from lesions and blood for serology
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**Grows on media containing 1% glycerol; most strains are non-lactose fermenters on MacConkey agar
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**Complement fixation and agglutination
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**Serology
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**Mallein test: mallein injected intradermally below lower eyelid; local swelling and discharge indicates positive reation
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*Treatment/control:
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**Test and slaughter policy where disease exotic
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**Disinfection of contaminated areas using formalin or an iodophor
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===''Burkholderia pseudomallei===
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*Causes [[Respiratory Bacterial Infections - Pathology#Melioidosis (Pseudoglanders)|melioidosis]] - endemic in Asia and Australia
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*Primarily infects rodents
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*Pathogenesis:
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**Infection via ingestion, inhalation or skin wounds from environment
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**Exotoxin, dermonecrotic protease and lecithinase implicated in pathogenicity
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**Strain virulence and host immunosuppression important
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*Clinical infections:
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**Opportunistic infection with stress and immunosuppression predisposing to disease
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**Abscesses develop in many organs including lungs, spleen, liver, joints, CNS, upper respiratory tract
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**Chronic, debilitating, progressive disease with long incubation period
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**Many animal species susceptible
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**Referred to as pseudoglanders in horses
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*Diagnosis:
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**Specimens: pus from abscesses, affected tissues, blood
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**Fluorescent antibody technique on tissue smears
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**Blood agar and MacConkey agar plates, incubated aerobically
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**Colonies have musty smell
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**Lactose fermentation on MacConkey
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**Slide agglutination
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**ELISA, complement fixation and indirect haemagglutination tests for serum antibodies
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*Treatment/control: slaughter of infected animals where exotic
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[[Category:Pseudomonas and Burkholderia species]][[Category:Gram_negative_bacteria]][[Category:Rods]]
 
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