Difference between revisions of "Actinobacillus species"
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− | # | + | {{review}} |
+ | |||
+ | {{toplink | ||
+ | |backcolour = | ||
+ | |linkpage =Bacteria | ||
+ | |linktext =BACTERIA | ||
+ | |pagetype=Bugs | ||
+ | }} | ||
+ | <br> | ||
+ | ===Overview=== | ||
+ | |||
+ | *Mainly pathogens of farm animals | ||
+ | *Commensals of mucosa of upper respiratory tract and oral cavity | ||
+ | *Cannot survive long in the environment, therefore carrier animals are important in their transmission | ||
+ | *Cause [[General Pathology - Chronic Inflammation#Granulomatous Inflammation|granulomatous inflammation]] | ||
+ | |||
+ | |||
+ | ===''Actinobacillus'' characteristics=== | ||
+ | |||
+ | *Small Gram negative coccobacilli | ||
+ | *Oxidase negative | ||
+ | *Do not grow on MacConkey | ||
+ | *Non-motile | ||
+ | *Facultative anaerobes which ferment carbohydrates to produce acid | ||
+ | |||
+ | |||
+ | ===''Actinobacillus lignieresii''=== | ||
+ | |||
+ | *Pathogenesis and pathogenicity: | ||
+ | **Commensal in the mouth and intestinal tract of cattle and sheep | ||
+ | **Penetrates damaged mucosa to cause chronic granulomatous inflammation of soft tissues, a condition known as Actinobacillosis | ||
+ | **Enodogenous, sporadic infection | ||
+ | **Lesions in the tongue, cheek, lips and sometimes in the lower gut and lungs from aspiration | ||
+ | **Often spreads from the site of infection to lymphatics, and may cause pyogranulomatous lymphadenitis | ||
+ | **[[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 | ||
+ | **In sheep abscesses with thick walls are produced | ||
+ | **Feeding is impaired, causing loss of condition | ||
+ | **Infection in the oesophageal groove can cause tympany and enlargement of the retropharyngeal lymph node, causing difficulty in swallowing and breathing | ||
+ | **[[Bacterial skin infections - Pathology#Bacterial granulomatous dermatitis|Cutaneous lesions]] in cattle and sheep | ||
+ | **Contamination of the environment via ulcerating lesions | ||
+ | *Diagnosis: | ||
+ | **Induration of tongue | ||
+ | **Tissue sections may demonstrate pyogranulomatous foci containing club colonies | ||
+ | **Gram negative rods may be present in smears from exudates | ||
+ | **Cultures on blood agar and MacConkey agar, incubated for 24-72 hours | ||
+ | **Blood agar: small, sticky, non-haemolytic clonies | ||
+ | **MacConkey agar: slow lactose fermentation | ||
+ | *Treatment: | ||
+ | **Sodium iodide parenterally, or potassium iodide orally | ||
+ | **Potentiated sulphonamides or a penicillin/streptomycin combination | ||
+ | **Rough feed should be avoided | ||
+ | |||
+ | ===''Actinobacillus pleuropneumoniae''=== | ||
+ | |||
+ | *Contagious porcine pleuropneumonia especially of pigs under 6 months | ||
+ | *Endemic in UK | ||
+ | *12 serotypes causing the same disease | ||
+ | *Different serotypes in different regions, with serotypes 3,6 and 8 the most common in the UK | ||
+ | *Pathogenesis and pathogenicity: | ||
+ | **Virulent strains possess capsules which are antiphagocytic and immunogenic | ||
+ | **Fimbriae allow the bacteria to attach to cells of the respiratory tract | ||
+ | **Damaged neutrophils in the lungs produce lytic enzymes | ||
+ | **The sustained inflammatory response causes tissue necrosis | ||
+ | **Lungs consolidated and necrotic with fibrinous pleuisy at post mortem | ||
+ | **Produce three cytotoxins which belong to the repeats-in-structural-toxin (RTX) cytolysin family | ||
+ | **RTX toxins: | ||
+ | ***Several peptide repeats within the molecules | ||
+ | ***Produced by various Gram-negative bacteria | ||
+ | ***Possess four contiguous genes, A, B, C and D | ||
+ | ***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 | ||
+ | ***ApxI is a strong haemolysin with cytolytic activity | ||
+ | ***ApxII is a weak haemolysin | ||
+ | ***ApxIII is a cytotoxin | ||
+ | ***Different ''Actinobacillus pleuropneumonia'' serotypes secrete a particular combination of toxins; American serotypes secrete ApxI and II; European serotypes secrete ApxII and III | ||
+ | ***Toxins introduce pores into cell membranes | ||
+ | *Clinical signs and epidemiology: | ||
+ | **Acute disease in susceptible herds with high morbidity and mortality (up to 50%) | ||
+ | **In acute outbreaks, pigs may be dyspnoeic, pyrexic or anorexic | ||
+ | **Blood-stained froth surrounding nose and mouth | ||
+ | **Cyanosis | ||
+ | **Pregnant sows abort | ||
+ | **Causes [[Respiratory Bacterial Infections - Pathology#Actinobacillus pleuropneumoniae|pneumonia]] in pigs | ||
+ | **Carrier herds have some immunity, protecting from acute disease, where lesions are often subclinical, and deaths sporadic | ||
+ | **Lung scarring and pleural adhesions in many recovered animals | ||
+ | **Solid immunity develops in recovered animals to all serotypes | ||
+ | **The disease is spread between herds by carrier pigs | ||
+ | *Diagnosis: | ||
+ | **Haemorrhagic consolidation close to the main bronchi and fibrinous pleuritis may be suggestive | ||
+ | **Specimens are cultured on chocolate agar and blood agar in 5-10% carbon dioxide for 2-3 days | ||
+ | **Small colonies surrounded by clear haemolysis | ||
+ | **No growth on MacConkey agar | ||
+ | **Positive CAMP reaction with [[Staphylococcus spp.|''Staphylococcus aureus'']] | ||
+ | **Most strains are NAD-dependent (grow on Heated Blood agar) | ||
+ | **Immunofluorescent- or PCR-based techniques | ||
+ | **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 | ||
+ | *Treatment: | ||
+ | **Antibiotics depending on the strain of bacteria | ||
+ | **Prophylactic antibiotics for in-contact pigs | ||
+ | *Control: | ||
+ | **Killed and polyvalent bacterin vaccines as well as a subunit vaccine are available | ||
+ | **Improve ventilation, avoid chilling and overcrowding | ||
+ | |||
+ | ===''Actinobacillus equuli''=== | ||
+ | |||
+ | *Commensal of the equine intestinal and reproductive tract | ||
+ | *Pathogenesis and clinical signs: | ||
+ | **Foals infected ''in utero'' or or after birth via the umbilicus | ||
+ | **Infection at birth causes severe enteritis and septicaemia within 24 hours, known as sleepy foal disease | ||
+ | **Foals become pyrexic and recumbent | ||
+ | **Death usually occurs within 1-2 days | ||
+ | **In foals that survive neonatal infection the condition progresses to cause joint infections and purulent nephritis, enteritis or pneumonia | ||
+ | **''A. equuli'' in [[Joints Inflammatory - Pathology#In Horses|arthritis of horses]] | ||
+ | **Abortion, septicaemia and [[Peritoneal Cavity Inflammatory - Pathology#In horses|peritonitis in horses]] | ||
+ | *Diagnosis: | ||
+ | **Specimens cultured on blood agar and MacConkey agar and incubated aerobically for 1-3 days | ||
+ | **Sticky colonies with variable haemolysis on blood agar | ||
+ | **Lactose-fermenting colonies on MacConkey agar | ||
+ | *Treatment and control: | ||
+ | **Antimicrobials ineffective unless early in course of disease | ||
+ | **Blood trasfusion and administration of colostrum | ||
+ | **Good hygiene | ||
+ | **Consider prophylactic antibiotics for new-born foals | ||
+ | **Bacteria susceptible to streptomycin, tetracyclines and ampicillin | ||
+ | *In other animals: | ||
+ | **Septicaemia in piglets | ||
+ | **Arthritis and enteritis in pigs | ||
+ | **Enteritis in calves | ||
+ | **RTX group cytotoxin present | ||
+ | |||
+ | |||
+ | ===''Actinobacillus suis''=== | ||
+ | |||
+ | *May be present in upper respiratory tract of sows | ||
+ | *Pathogenicity and clinical signs: | ||
+ | **Infection of piglets via aerosol or possibly skin abrasions | ||
+ | **Fatal septicaemia in piglets 1-8 weeks old | ||
+ | **Mortality up to 50% in some litters | ||
+ | **Fever, respiratory distress, prostration and paddling of forelimbs seen in piglets | ||
+ | **Petechial and ecchymotic haemorrhages in many organs | ||
+ | **Interstitial pneumonia, pleuritis, meningoencephalitis, myocarditis and arthritis | ||
+ | **Causes abscesses in joints and lungs of older pigs | ||
+ | **Carried in the nasopharynx of pigs and nose of horses | ||
+ | **Carriage may confer immunity to the more severe pleuropneumonia | ||
+ | *Diagnosis: | ||
+ | **Specimens cultured on blood agar and MacConkey agar for 1-3 days | ||
+ | **Sticky haemolytic colonies | ||
+ | **Pink, lactose-fermenting colonies on MacConkey agar | ||
+ | *Treatment and control: | ||
+ | **Bacteria usually susceptible to ampicillin, carbenicillin, potentiated sulphonamides and tetracyclines | ||
+ | **Disinfect contaminated pens | ||
+ | *Other animals: | ||
+ | **Septicaemia and pneumonia in foals | ||
+ | **Pneumonia in pigs and horses | ||
+ | |||
+ | |||
+ | ===''Actinobacillus seminis''=== | ||
+ | |||
+ | *Epididymitis in young rams (4-8 months) | ||
+ | *Polyarthritis in lambs | ||
+ | *Organism found in prepuce | ||
+ | *Opportunistic infection causing abscesses in epididymides | ||
+ | *May be purulent discharge onto scrotal skin | ||
+ | *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 | ||
+ | |||
+ | |||
+ | ===''Actinobacillus actinomycetemcomitans''=== | ||
+ | |||
+ | *Epididymitis in rams |
Revision as of 09:38, 25 September 2008
This article has been peer reviewed but is awaiting expert review. If you would like to help with this, please see more information about expert reviewing. |
|
Overview
- Mainly pathogens of farm animals
- Commensals of mucosa of upper respiratory tract and oral cavity
- Cannot survive long in the environment, therefore carrier animals are important in their transmission
- Cause granulomatous inflammation
Actinobacillus characteristics
- Small Gram negative coccobacilli
- Oxidase negative
- Do not grow on MacConkey
- Non-motile
- Facultative anaerobes which ferment carbohydrates to produce acid
Actinobacillus lignieresii
- Pathogenesis and pathogenicity:
- Commensal in the mouth and intestinal tract of cattle and sheep
- Penetrates damaged mucosa to cause chronic granulomatous inflammation of soft tissues, a condition known as Actinobacillosis
- Enodogenous, sporadic infection
- Lesions in the tongue, cheek, lips and sometimes in the lower gut and lungs from aspiration
- Often spreads from the site of infection to lymphatics, and may cause pyogranulomatous lymphadenitis
- 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
- In sheep abscesses with thick walls are produced
- Feeding is impaired, causing loss of condition
- Infection in the oesophageal groove can cause tympany and enlargement of the retropharyngeal lymph node, causing difficulty in swallowing and breathing
- Cutaneous lesions in cattle and sheep
- Contamination of the environment via ulcerating lesions
- Diagnosis:
- Induration of tongue
- Tissue sections may demonstrate pyogranulomatous foci containing club colonies
- Gram negative rods may be present in smears from exudates
- Cultures on blood agar and MacConkey agar, incubated for 24-72 hours
- Blood agar: small, sticky, non-haemolytic clonies
- MacConkey agar: slow lactose fermentation
- Treatment:
- Sodium iodide parenterally, or potassium iodide orally
- Potentiated sulphonamides or a penicillin/streptomycin combination
- Rough feed should be avoided
Actinobacillus pleuropneumoniae
- Contagious porcine pleuropneumonia especially of pigs under 6 months
- Endemic in UK
- 12 serotypes causing the same disease
- Different serotypes in different regions, with serotypes 3,6 and 8 the most common in the UK
- Pathogenesis and pathogenicity:
- Virulent strains possess capsules which are antiphagocytic and immunogenic
- Fimbriae allow the bacteria to attach to cells of the respiratory tract
- Damaged neutrophils in the lungs produce lytic enzymes
- The sustained inflammatory response causes tissue necrosis
- Lungs consolidated and necrotic with fibrinous pleuisy at post mortem
- Produce three cytotoxins which belong to the repeats-in-structural-toxin (RTX) cytolysin family
- RTX toxins:
- Several peptide repeats within the molecules
- Produced by various Gram-negative bacteria
- Possess four contiguous genes, A, B, C and D
- 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
- ApxI is a strong haemolysin with cytolytic activity
- ApxII is a weak haemolysin
- ApxIII is a cytotoxin
- Different Actinobacillus pleuropneumonia serotypes secrete a particular combination of toxins; American serotypes secrete ApxI and II; European serotypes secrete ApxII and III
- Toxins introduce pores into cell membranes
- Clinical signs and epidemiology:
- Acute disease in susceptible herds with high morbidity and mortality (up to 50%)
- In acute outbreaks, pigs may be dyspnoeic, pyrexic or anorexic
- Blood-stained froth surrounding nose and mouth
- Cyanosis
- Pregnant sows abort
- Causes pneumonia in pigs
- Carrier herds have some immunity, protecting from acute disease, where lesions are often subclinical, and deaths sporadic
- Lung scarring and pleural adhesions in many recovered animals
- Solid immunity develops in recovered animals to all serotypes
- The disease is spread between herds by carrier pigs
- Diagnosis:
- Haemorrhagic consolidation close to the main bronchi and fibrinous pleuritis may be suggestive
- Specimens are cultured on chocolate agar and blood agar in 5-10% carbon dioxide for 2-3 days
- Small colonies surrounded by clear haemolysis
- No growth on MacConkey agar
- Positive CAMP reaction with Staphylococcus aureus
- Most strains are NAD-dependent (grow on Heated Blood agar)
- Immunofluorescent- or PCR-based techniques
- The bacteria on the palatine tonsil may remain undetected by serological tests and swabbing, and can therefore cause an outbreak in naive pigs
- Treatment:
- Antibiotics depending on the strain of bacteria
- Prophylactic antibiotics for in-contact pigs
- Control:
- Killed and polyvalent bacterin vaccines as well as a subunit vaccine are available
- Improve ventilation, avoid chilling and overcrowding
Actinobacillus equuli
- Commensal of the equine intestinal and reproductive tract
- Pathogenesis and clinical signs:
- Foals infected in utero or or after birth via the umbilicus
- Infection at birth causes severe enteritis and septicaemia within 24 hours, known as sleepy foal disease
- Foals become pyrexic and recumbent
- Death usually occurs within 1-2 days
- In foals that survive neonatal infection the condition progresses to cause joint infections and purulent nephritis, enteritis or pneumonia
- A. equuli in arthritis of horses
- Abortion, septicaemia and peritonitis in horses
- Diagnosis:
- Specimens cultured on blood agar and MacConkey agar and incubated aerobically for 1-3 days
- Sticky colonies with variable haemolysis on blood agar
- Lactose-fermenting colonies on MacConkey agar
- Treatment and control:
- Antimicrobials ineffective unless early in course of disease
- Blood trasfusion and administration of colostrum
- Good hygiene
- Consider prophylactic antibiotics for new-born foals
- Bacteria susceptible to streptomycin, tetracyclines and ampicillin
- In other animals:
- Septicaemia in piglets
- Arthritis and enteritis in pigs
- Enteritis in calves
- RTX group cytotoxin present
Actinobacillus suis
- May be present in upper respiratory tract of sows
- Pathogenicity and clinical signs:
- Infection of piglets via aerosol or possibly skin abrasions
- Fatal septicaemia in piglets 1-8 weeks old
- Mortality up to 50% in some litters
- Fever, respiratory distress, prostration and paddling of forelimbs seen in piglets
- Petechial and ecchymotic haemorrhages in many organs
- Interstitial pneumonia, pleuritis, meningoencephalitis, myocarditis and arthritis
- Causes abscesses in joints and lungs of older pigs
- Carried in the nasopharynx of pigs and nose of horses
- Carriage may confer immunity to the more severe pleuropneumonia
- Diagnosis:
- Specimens cultured on blood agar and MacConkey agar for 1-3 days
- Sticky haemolytic colonies
- Pink, lactose-fermenting colonies on MacConkey agar
- Treatment and control:
- Bacteria usually susceptible to ampicillin, carbenicillin, potentiated sulphonamides and tetracyclines
- Disinfect contaminated pens
- Other animals:
- Septicaemia and pneumonia in foals
- Pneumonia in pigs and horses
Actinobacillus seminis
- Epididymitis in young rams (4-8 months)
- Polyarthritis in lambs
- Organism found in prepuce
- Opportunistic infection causing abscesses in epididymides
- May be purulent discharge onto scrotal skin
- 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
Actinobacillus actinomycetemcomitans
- Epididymitis in rams