Difference between revisions of "Rhodococcus equi"

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*Causes [[Peritoneal cavity - inflammatory#Peritonitis|peritonitis]]
 
*Causes [[Peritoneal cavity - inflammatory#Peritonitis|peritonitis]]
 
*[[Bacterial infections#Rhodococcus equi|Pneumonia]] in foals
 
*[[Bacterial infections#Rhodococcus equi|Pneumonia]] in foals
 +
 +
===Overview===
 +
 +
*Gram-positive aerobic saprophyte found worldwide
 +
*Found in soil and intestinal tract of animals
 +
*Replicates at warm temperatures in soils contaminated by faeces of herbivores
 +
*Opportunistic respiratory pathogen of foals under 6 months causing suppurative bronchopneumonia
 +
 +
 +
===Characteristics===
 +
 +
*Grows on non-enriched media
 +
*Salmon-pink mucoid colonies due to capsule and pigment production
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*No haemolysis on blood agar
 +
*Aerobic, non-motile
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*CAMP test-positive
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*Catalase positive, oxidase negative, weakly acid-fast
 +
*Found as cocci and rods
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*Intracellular pathogen
 +
 +
 +
===Pathogenesis and pathogenicity===
 +
 +
*Organism present in faeces or healthy foals as well as adult horses
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*Pastures can become heavily contaminated, leading to outbreaks
 +
*Transmission via inhalation of dust contaminated with ''R. equi''
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*Virulence associated with specific surface antigens encoded by a large plasmid
 +
*Capsular polysaccharide and mycolic acids in cell wall prevent phagocytosis
 +
 +
 +
===Clinical infections===
 +
 +
*Bronchopneumonia and lung abscessation in foals less than 4 months
 +
*Acute disease in 1 month-old foals: acute fever, anorexia, bronchopneumonia
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*Insidious disease in 2-4 month-old foals with coughing, dyspnoea, weight loss, exercise intolerance, loud, moist rales on lung auscultation
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*Occasionally diarrhoea
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*Granulomatous ulcerative enterocolitis and mesenteric lymphadenitis in some foals following ingestion of contaminated sputum
 +
*Foals over 6 months refractory to pulmonary infection
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*Superficial abscesses in horses over 6 months
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*Occasional infections in pigs and cattle, causing cervical lymphadenopathy
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*Subcutaneous abscesses and mediastinal granulomas in cats
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*Pneumonia in HIV patients
 +
 +
 +
===Diagnosis===
 +
 +
*History of disease on the farm, age of foals affected and clinical signs
 +
*Auscultation and rediography of thorax confirms pulmonary disease
 +
*

Revision as of 11:53, 20 July 2008

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Overview

  • Gram-positive aerobic saprophyte found worldwide
  • Found in soil and intestinal tract of animals
  • Replicates at warm temperatures in soils contaminated by faeces of herbivores
  • Opportunistic respiratory pathogen of foals under 6 months causing suppurative bronchopneumonia


Characteristics

  • Grows on non-enriched media
  • Salmon-pink mucoid colonies due to capsule and pigment production
  • No haemolysis on blood agar
  • Aerobic, non-motile
  • CAMP test-positive
  • Catalase positive, oxidase negative, weakly acid-fast
  • Found as cocci and rods
  • Intracellular pathogen


Pathogenesis and pathogenicity

  • Organism present in faeces or healthy foals as well as adult horses
  • Pastures can become heavily contaminated, leading to outbreaks
  • Transmission via inhalation of dust contaminated with R. equi
  • Virulence associated with specific surface antigens encoded by a large plasmid
  • Capsular polysaccharide and mycolic acids in cell wall prevent phagocytosis


Clinical infections

  • Bronchopneumonia and lung abscessation in foals less than 4 months
  • Acute disease in 1 month-old foals: acute fever, anorexia, bronchopneumonia
  • Insidious disease in 2-4 month-old foals with coughing, dyspnoea, weight loss, exercise intolerance, loud, moist rales on lung auscultation
  • Occasionally diarrhoea
  • Granulomatous ulcerative enterocolitis and mesenteric lymphadenitis in some foals following ingestion of contaminated sputum
  • Foals over 6 months refractory to pulmonary infection
  • Superficial abscesses in horses over 6 months
  • Occasional infections in pigs and cattle, causing cervical lymphadenopathy
  • Subcutaneous abscesses and mediastinal granulomas in cats
  • Pneumonia in HIV patients


Diagnosis

  • History of disease on the farm, age of foals affected and clinical signs
  • Auscultation and rediography of thorax confirms pulmonary disease