Difference between revisions of "Salmonella"

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*Important member of the enterobacteria
 
*Important member of the enterobacteria
 
*Cause disease in humans and animals  
 
*Cause disease in humans and animals  
*Oral transmission
 
 
*Reservior of infection in poulty, pigs, rodents, cattle, dogs
 
*Reservior of infection in poulty, pigs, rodents, cattle, dogs
 
*Cause enteritis and systemic infection (septicaemia and abortion)
 
*Cause enteritis and systemic infection (septicaemia and abortion)
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===Characteristics===
 
===Characteristics===
  
 +
*Gram negative bacilli
 
*Facultative intracellular pathogens
 
*Facultative intracellular pathogens
*Non-lactose fermentor
+
*Non-lactose fermentor, oxidase negative
 
*Do not produce urease or indole from tryptophan
 
*Do not produce urease or indole from tryptophan
*Utlise citrate as a carbon source
+
*Utilise citrate as a carbon source
 +
*Reduce nitrates to nitrites
 +
*Grow on MacConkey
 +
*Ferment glucose to produce acid and gas
 
*Usually produce hydrogen sulphide
 
*Usually produce hydrogen sulphide
 
*Most motile with flagellae (H antigen)
 
*Most motile with flagellae (H antigen)
*H antigen can be in phase 1 or phase 2, depending on a genetic switch allowing for one of the H antigen genes to be transcribed
+
*H antigen can be in phase 1 or phase 2, depending on a genetic switch allowing for one of the H antigen genes to be transcribed at any one time
  
 
===Classification===
 
===Classification===
Line 52: Line 55:
 
===Pathogenesis===
 
===Pathogenesis===
  
 +
*Faemcal-oral transmission
 +
*Comparitively large dose required for infection due to gastric acid, normal intestinal flora and local immunity
 +
*Enterocolitis:
 +
**Acute enteritis
 +
**Bacteria multiply in the intestine and damage epithelial cells
 +
**Cytotoxin may cause epithelial cell damage
 +
**Enterotoxin may induce fluid secretion into intestinal lumen
 +
**Degeneration of microvilli
 +
*Systemic disease:
 +
**Bacteria invade the body
 +
**Bacteria internalised by intestinal epithelial cells
 +
**Stimulate immune response on reaching the lamina propria
 +
**Inflammatory response with phagocytosis of bacteria by neutrophils and macrophages
 +
**Bacteria either destroyed by the phagocytic cells or survive and multiply in the cells to cause systemic disease
 +
**Intracellular carriage if bacteria no completely removed
  
 
===Clinical infections===
 
===Clinical infections===

Revision as of 18:44, 16 February 2008

BACK TO ENTEROBACTERIACEAE
BACK TO BACTERIA
BACK TO INFECTIOUS AGENTS AND PARASITES
  • Some serotypes tend to be more species specific, whereas others can affect a wide range of species. For example:
  • Salmonella enteritidis
  • Salmonella typhimurium
    • Widespread in most species.
  • Salmonella dublin
  • Cattle
  • Salmonella cholerae suis
  • Salmonella montevideo
    • Produces outbreaks from contaminated imported meat and bone meal.


Overview

  • Important member of the enterobacteria
  • Cause disease in humans and animals
  • Reservior of infection in poulty, pigs, rodents, cattle, dogs
  • Cause enteritis and systemic infection (septicaemia and abortion)
  • Salmonella may be carried sub-clinically
  • Some human strains cause enteric fever (S. Typhi causes typhoid), also gastroenteritis, septicaemia or bacteraemia

Characteristics

  • Gram negative bacilli
  • Facultative intracellular pathogens
  • Non-lactose fermentor, oxidase negative
  • Do not produce urease or indole from tryptophan
  • Utilise citrate as a carbon source
  • Reduce nitrates to nitrites
  • Grow on MacConkey
  • Ferment glucose to produce acid and gas
  • Usually produce hydrogen sulphide
  • Most motile with flagellae (H antigen)
  • H antigen can be in phase 1 or phase 2, depending on a genetic switch allowing for one of the H antigen genes to be transcribed at any one time

Classification

  • Single species, Salmonella enterica
  • Over 2400 pathogenic serotypes or serovars identified
  • Grouped into 9 groups according to O antigen (lipopolysaccharide) by the Kauffmann-White scheme - determined by slide agglutination of the bacteria with specific antisera
  • Categorised into serovars depending on and H (flagellar) antigen, e.g. Salmonella enterica subspecies enterica serovar Tymphimurium; must also determine phase of H antigen

Pathogenesis

  • Faemcal-oral transmission
  • Comparitively large dose required for infection due to gastric acid, normal intestinal flora and local immunity
  • Enterocolitis:
    • Acute enteritis
    • Bacteria multiply in the intestine and damage epithelial cells
    • Cytotoxin may cause epithelial cell damage
    • Enterotoxin may induce fluid secretion into intestinal lumen
    • Degeneration of microvilli
  • Systemic disease:
    • Bacteria invade the body
    • Bacteria internalised by intestinal epithelial cells
    • Stimulate immune response on reaching the lamina propria
    • Inflammatory response with phagocytosis of bacteria by neutrophils and macrophages
    • Bacteria either destroyed by the phagocytic cells or survive and multiply in the cells to cause systemic disease
    • Intracellular carriage if bacteria no completely removed

Clinical infections

Diagnosis

Treatment

Control