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<big><center>[[Infectious agents and parasites|'''BACK TO INFECTIOUS AGENTS AND PARASITES''']]</center></big>
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#REDIRECT[[:Category:Chlamydophila species]]
<big><center>[[Bacteria|'''BACK TO BACTERIA''']]</center></big>
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''Chlamydophila psittaci'' involved in [[Nasal cavity - inflammatory#In Cats|feline rhinotracheitis]] together with [[Herpesviridae|herpes virus 1]] C.psittaci more frequently infects the conjunctival epithelium -> chronic conjunctivitis, see [[Bacterial infections#Feline Chlamydiosis|feline chlamydiosis]]
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*May cause [[Joints - inflammatory#In Sheep|arthritis in sheep]] and [[Joints - inflammatory#In Cattle|arthritis in cattle]]
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===Overview===
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*Host adapted and non-host adapted species varying in virulence for different hosts
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*Species cause specific diseases in particular hosts
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*Repsiratory, enteric, pleural and reproductive diseases in animals and humans
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*Conjunctivitis, arthritis, abortion, urethritis, enteritis, pneumonia, encephalomyelitis
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*Manifestation varies from subclinical to severe systemic infections
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*Intestinal infections often subclinical and persistent
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*Human infections usualy acquired from infected birds, causing psittacosis or ornthosis, causing respiratory infections
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===Characteristics===
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*Obligate intracellular bacteria
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*Gram negative bacteria with outer membrane, LPS, ribosomes, DNA and RNA
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*Peptidoglycan cell wall resistant to lysozyme
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*Only grow in presence of living eukaryotic cells
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*Unable to synthesis ATP therefore require intermediates from host cells
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*Not stained by Gram stain
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*Two morphological forms
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**Elementary body, the infective extracellular form, which is small, metabolically inert and osmotically stable; surrounded by cytoplasmic membrane, outer membrane with LPS, but no peptidoglycan
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**Retiuculate body: larger, metabolically active, osmotically fragile
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*Elementary body survives in the environment for several days
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===Pathogenesis and pathogenicity===
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*Elementary body enters host epithelial cells by receptor-mediated endocytosis
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*Transformation into larger reticulate body within endosome; known as an inclusion
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*Reticulate body divides by binary fission to form many new chlamydia cells
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*Reticulate bodies mature and condense to form elementary bodies
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*Elementary bodies released from dying host cells after about 72 hours to infect other cells
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*Persistent infections can occur if replication delayed by environmental conditions such as presence of interferon gamma
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*Many infections subclinical due to intracellular existence of ''chlamydia'' preventing inflammatory reactions
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*Chronic infections  may fail to induce an immune response, or may repeatedly stimulate the immune system, causing a delayed hypersensitivity reaction and tissue damage
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*Prolonged faecal shedding of organisms
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*Clinical infections occur in non-natural host species
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*CLinical signs depend on route of infection and degree of exposure
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===''Chlamydophila psittaci''===
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*Causes notifiable psittacosis in birds
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===''Chlamydophila abortus''===
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*Ovine enzootic abortion
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*Especially in intensive systems
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*Ewe lambs may acquire infection at birth and abort in their first pregnancy
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*Infection via ingestion or inhalation causes a bacteraemia
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*Bacteria localise in placenta and cause placentitis, leading to late abortion or premature weak lambs
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*Necrosis of cotyledons and oedema of adjacent tissue, as well as dirty pink uterine discharge
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*Aborted lambs well preserved
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*Large numbers of chlamydiae shed in placenta and uterine discharges; survive in environment for several days
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*Abortion rates may reach 30% in susceptible flock
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*Ewes infected late in pregnancy may not abort, but may abort during the next pregnancy
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*No other clinical signs in aborting ewes
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*Fertility not impaired
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*Survival of elementary bodies in faeces and wild birds are a source of infection from one lambing season to the next
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*Ewes may be carriers for several years
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*Venereal transmission from infected rams
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*Some immunity develops after infection, protecting ewes from subsequent disease
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*Live attenuated vaccines prior to breeding or inactivated vaccines during pregnancy
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*Vaccines prevent infection but will not clear infection from persistently-infected animals
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*Vaccination of ewe lambs prior to breeding
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*Treatment: long-acting oxytetracyclines during an outbreak to protect in-contact pregnant ewes
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*Control: isolate aborted ewes; destroy placentas, thorough cleaning
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*Also abortion in cattle, goats and pigs
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*Serious infection in pregnant women
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===''Chlamydophila felis''===
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*Host adapted species in cats
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*Feline interstitial pneumonia and conjunctivitis
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*Diagnosis by antigen detection in ocular/nasal secretions - ELISA, PCR, Kosters, fluorescent antibody test
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*Vaccine
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===Diagnosis===
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*Direct microscopy of smears and tissues e.g. organs from aborted foetuses, liver/spleen from avian cases
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*Kosters (modified Ziehl-Neelson) stain of placental smears shows small red rods
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*Blue inclusions in cytoplasm of Giemsa-stained cells
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*Methylene blue stain with darkfield microscopy
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*Fluorescent antibody stain
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*Antigen detection kits for diagnosis from swabs
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*ELISA to detect ''Chlamydophila'' LPS
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*Isolation in embyonated eggs and McCoy cells as well as animal tissues
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*PCR to detect chlamydial DNA
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*Serological tests: complement fixation, ELISA, indirect immunofluorescence
 
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