Difference between revisions of "Streptococci"
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− | # | + | {{review}} |
+ | |||
+ | {{toplink | ||
+ | |backcolour = | ||
+ | |linkpage =Bacteria | ||
+ | |linktext =BACTERIA | ||
+ | |pagetype=Bugs | ||
+ | }} | ||
+ | <br> | ||
+ | |||
+ | ===Overview=== | ||
+ | |||
+ | *Cause suppurative infections in many different animals | ||
+ | *Cause abscess formation and septicaemia | ||
+ | *Cause mastitis, metritis, polyarthritis, meningitis | ||
+ | *Often commensals on mucous membranes of upper respiratory and lower urogenital tract | ||
+ | *Opportunistic infections | ||
+ | |||
+ | |||
+ | ===Characteristics=== | ||
+ | |||
+ | *Gram positive cocci forming chains | ||
+ | *Catalase negative, facultative anaerobes | ||
+ | *Fastitidious - require enriched media such as blood or serum | ||
+ | *Small haemolytic, translucent colonies, some mucoid | ||
+ | *Catalase negative | ||
+ | *Susceptible to desiccation | ||
+ | |||
+ | |||
+ | ===Identification=== | ||
+ | |||
+ | *Beta haemolysis (complete with clear zones surrounding colonies) | ||
+ | *Alpha haemolysis (partial with green zones surrounding colonies) | ||
+ | *Lancefield grouping - serology based on group-specific polysaccharide in cell wall | ||
+ | *Biochemical testing | ||
+ | |||
+ | |||
+ | ===Pathogensis and Pathogenicity=== | ||
+ | |||
+ | *Beta-haemolytic strains more pathogenic than alpha-haemolytic strains | ||
+ | *Virulence factors include streptolysins, hyaluronidase, DNase, streptokinase and proteases | ||
+ | *''S. pyogenes, S. pneumoniae'' and some strains of ''S. equi'' have polysaccharide capsules which are antiphagocytic | ||
+ | *''S. pyogenes'' and ''S. equi'' have antiphagocytic cell wall M proteins | ||
+ | |||
+ | |||
+ | ===Clinical infections=== | ||
+ | |||
+ | *Primary or secondary infections following viral infection | ||
+ | *Neonatal septicaemia related to maternal genital tract infection | ||
+ | *Strangles | ||
+ | **Highly infectious disease of horses caused by ''Streptococcus equi'' subsp. ''equi'' | ||
+ | **Upper respiratory tract disease with fever and abscessation of regional lymph nodes | ||
+ | **Outbreaks in groups of young horses | ||
+ | ** | ||
+ | |||
+ | |||
+ | ===Diagnosis=== | ||
+ | |||
+ | *Swabs of pus or exudate cultured on blood agar and MacConkey agar | ||
+ | *No growth on MacConkey except ''S. faecalis'' | ||
+ | *PCR, Lancefield grouping and biochemical tests | ||
+ | |||
+ | |||
+ | ===Treatment=== | ||
+ | |||
+ | |||
+ | ===Control=== | ||
+ | |||
+ | |||
+ | |||
+ | *Haemolytic streptococci of Lancefield group C are common inhabitants of the equine nasopharynx | ||
+ | *''Streptococcus zooepidemicus'' and ''S. equisimilis'' are usually non-pathogenic | ||
+ | *''S. equi'' is more pathogenic and is the cause of [[Respiratory Bacterial Infections - Pathology#Strangles|strangles]] with [[Nasal Cavity Inflammatory - Pathology#Strangles|rhinitis]], [[Nasopharynx Inflammatory - Pathology|pharyngitis]], lymphadenitis, [[Muscles Inflammatory - Pathology#Abscesses|myositis]] | ||
+ | *''S. equi'' may be involved in [[Bacterial skin infections - Pathology#Systemic bacterial infections|cutaneous lesions]] | ||
+ | [[Respiratory Bacterial Infections - Pathology#In Horses|URT inflammation in horses]] | ||
+ | |||
+ | * [[Peritoneal Cavity Inflammatory - Pathology#In pigs|peritonitis in pigs]] | ||
+ | |||
+ | *''S. zooepidemicus'' can cause similar signs to [[Respiratory Bacterial Infections - Pathology#Strangles|strangles in horses]], may accompany [[Bronchi and Bronchioles Inflammatory - Pathology#Chronic obstructive pulmonary disease (COPD)|COPD]] | ||
+ | |||
+ | *May cause [[Paranasal Sinuses Inflammatory - Pathology|sinusitis]] in horses | ||
+ | |||
+ | * Can cause vascular fragility, leading to [[General Pathology - Haemostasis#Haemorrhagic Disease Due To Vascular Fragility|haemorrhagic disease]]. | ||
+ | *Secondary invadors after [[Respiratory Viral Infections - Pathology#Equine influenza|Equine influenza]] | ||
+ | *''S. suis'' in [[Respiratory Bacterial Infections - Pathology#Streptococcal pneumonia|pneumonia]] of pigs | ||
+ | |||
+ | *In [[Pleural Cavity & Membranes Inflammatory - Pathology#Pyothorax (Thoracic empyema)|pyothorax]] | ||
+ | * In [[Bones Inflammatory - Pathology#Osteomyelitis|osteomyelitis]] | ||
+ | |||
+ | *In infectious [[Joints Inflammatory - Pathology#In Sheep|arthritis of sheep]], [[Joints Inflammatory - Pathology#In Cattle|arthritis in calves]], [[Joints Inflammatory - Pathology#In Horses|arthritis in horses]] and [[Joints Inflammatory - Pathology#In Pigs|arthritis in pigs]] | ||
+ | |||
+ | *In horses sometimes [[Muscles Degenerative - Pathology#Ischaemia|purpura haemorrhagica]] follows, especially during recovery from [[Respiratory Bacterial Infections - Pathology#Strangles|strangles]] | ||
+ | *In [[Cavity & Gingiva - Pathology#Catarrhal Stomatitis|catarrhal stomatitis]] | ||
+ | |||
+ | *In [[Bacterial skin infections - Pathology#Deep pyoderma|deep pyoderma]] and subcutaneous abscesses |
Revision as of 12:05, 29 December 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
- Cause suppurative infections in many different animals
- Cause abscess formation and septicaemia
- Cause mastitis, metritis, polyarthritis, meningitis
- Often commensals on mucous membranes of upper respiratory and lower urogenital tract
- Opportunistic infections
Characteristics
- Gram positive cocci forming chains
- Catalase negative, facultative anaerobes
- Fastitidious - require enriched media such as blood or serum
- Small haemolytic, translucent colonies, some mucoid
- Catalase negative
- Susceptible to desiccation
Identification
- Beta haemolysis (complete with clear zones surrounding colonies)
- Alpha haemolysis (partial with green zones surrounding colonies)
- Lancefield grouping - serology based on group-specific polysaccharide in cell wall
- Biochemical testing
Pathogensis and Pathogenicity
- Beta-haemolytic strains more pathogenic than alpha-haemolytic strains
- Virulence factors include streptolysins, hyaluronidase, DNase, streptokinase and proteases
- S. pyogenes, S. pneumoniae and some strains of S. equi have polysaccharide capsules which are antiphagocytic
- S. pyogenes and S. equi have antiphagocytic cell wall M proteins
Clinical infections
- Primary or secondary infections following viral infection
- Neonatal septicaemia related to maternal genital tract infection
- Strangles
- Highly infectious disease of horses caused by Streptococcus equi subsp. equi
- Upper respiratory tract disease with fever and abscessation of regional lymph nodes
- Outbreaks in groups of young horses
Diagnosis
- Swabs of pus or exudate cultured on blood agar and MacConkey agar
- No growth on MacConkey except S. faecalis
- PCR, Lancefield grouping and biochemical tests
Treatment
Control
- Haemolytic streptococci of Lancefield group C are common inhabitants of the equine nasopharynx
- Streptococcus zooepidemicus and S. equisimilis are usually non-pathogenic
- S. equi is more pathogenic and is the cause of strangles with rhinitis, pharyngitis, lymphadenitis, myositis
- S. equi may be involved in cutaneous lesions
- S. zooepidemicus can cause similar signs to strangles in horses, may accompany COPD
- May cause sinusitis in horses
- Can cause vascular fragility, leading to haemorrhagic disease.
- Secondary invadors after Equine influenza
- S. suis in pneumonia of pigs
- In pyothorax
- In osteomyelitis
- In infectious arthritis of sheep, arthritis in calves, arthritis in horses and arthritis in pigs
- In horses sometimes purpura haemorrhagica follows, especially during recovery from strangles
- In catarrhal stomatitis
- In deep pyoderma and subcutaneous abscesses