Difference between revisions of "Chlamydia and Chlamydophila species"

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*Host adapted and non-host adapted species varying in virulence for different hosts
 
*Host adapted and non-host adapted species varying in virulence for different hosts
*Different species cause specific diseases in particular hosts
+
*Species cause specific diseases in particular hosts
 
*Repsiratory, enteric, pleural and reproductive diseases in animals and humans
 
*Repsiratory, enteric, pleural and reproductive diseases in animals and humans
 +
*Conjunctivitis, arthritis, abortion, urethritis, enteritis, pneumonia, encephalomyelitis
 +
*Manifestation varies from subclinical to severe systemic infections
 
*Intestinal infections often subclinical and persistent
 
*Intestinal infections often subclinical and persistent
 +
*Human infections usualy acquired from infected birds, causing psittacosis or ornthosis, causing respiratory infections
  
  
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*Only grow in presence of living eukaryotic cells
 
*Only grow in presence of living eukaryotic cells
 
*Unable to synthesis ATP therefore require intermediates from host cells
 
*Unable to synthesis ATP therefore require intermediates from host cells
*Grow in embyonated eggs and McCoy cells as well as animal tissues
 
 
*Not stained by Gram stain
 
*Not stained by Gram stain
*Kosters (modified Ziehl-Neelson, small red rods) or fluorescent antibody stain required for detection
 
*Blue inclusions in cytoplasm of Giemsa-stained cels
 
*Antigen detection kits for diagnosis from swabs
 
 
*Two morphological forms
 
*Two morphological forms
 
**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
 
**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
 
**Retiuculate body: larger, metabolically active, osmotically fragile
 
**Retiuculate body: larger, metabolically active, osmotically fragile
 
*Elementary body survives in the environment for several days
 
*Elementary body survives in the environment for several days
 
  
  
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*Reticulate bodies mature and condense to form elementary bodies
 
*Reticulate bodies mature and condense to form elementary bodies
 
*Elementary bodies released from dying host cells after about 72 hours to infect other cells
 
*Elementary bodies released from dying host cells after about 72 hours to infect other cells
*Persistent infections can occur if replication delayed by environmental conditions
+
*Persistent infections can occur if replication delayed by environmental conditions such as presence of interferon gamma
 
*Many infections subclinical due to intracellular existence of ''chlamydia'' preventing inflammatory reactions
 
*Many infections subclinical due to intracellular existence of ''chlamydia'' preventing inflammatory reactions
 
*Chronic infections  may fail to induce an immune response, or may repeatedly stimulate the immune system, causing a delayed hypersensitivity reaction and tissue damage
 
*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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*Ovine enzootic abortion
 
*Ovine enzootic abortion
*Contagious ovine abortion in late pregnancy
+
*Especially in intensive systems
 +
*Ewe lambs may acquire infection at birth, and abort in their first pregnancy
 
*Infection via ingestion or inhalation causes a bacteraemia
 
*Infection via ingestion or inhalation causes a bacteraemia
*Bacteria localise in placenta and cause placentitis, leading to abortion
+
*Bacteria localise in placenta and cause placentitis, leading to late abortion or premature weak lambs
*Abortion rates may reach 30%
+
*Necrosis of cotyledons and oedema of adjacent tissue, as well as dirty pink uterine discharge
 +
*Aborted lambs well preserved
 +
*Large numbers of chlamydiae shed in placenta and uterine discharges; survive in environment for several days
 +
*Abortion rates may reach 30% in susceptible flock
 +
*Ewes infected late in pregnancy may not abort, but may abort during the next pregnancy
 +
*No other clinical signs in aborting ewes
 
*Fertility not impaired
 
*Fertility not impaired
 
*Survival of elementary bodies in faeces and wild birds are a source of infection from one lambing season to the next
 
*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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*Vaccines prevent infection but will not clear infection from persistently-infected animals
 
*Vaccines prevent infection but will not clear infection from persistently-infected animals
 
*Vaccination of ewe lambs
 
*Vaccination of ewe lambs
 +
*Also abortion in cattle, goats and pigs
 +
  
  
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===Diagnosis===
 
===Diagnosis===
  
 
+
*Direct microscopy of smears and tissues e.g. organs from aborted foetuses, liver/spleen from avian cases
===Treatments===
+
*Kosters (modified Ziehl-Neelson) stain of placental smears shows small red rods
 +
*Blue inclusions in cytoplasm of Giemsa-stained cells
 +
*Methylene blue stain with darkfield microscopy
 +
*Fluorescent antibody stain
 +
*Antigen detection kits for diagnosis from swabs
 +
*ELISA to detect ''Chlamydophila'' LPS
 +
*Isolation in embyonated eggs and McCoy cells as well as animal tissues
 +
*PCR to detect chlamydial DNA
 +
*Serological tests: complement fixation, ELISA, indirect immunofluorescence

Revision as of 10:34, 18 May 2008

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Chlamydophila psittaci involved in feline rhinotracheitis together with herpes virus 1 C.psittaci more frequently infects the conjunctival epithelium -> chronic conjunctivitis, see feline chlamydiosis

Overview

  • Host adapted and non-host adapted species varying in virulence for different hosts
  • Species cause specific diseases in particular hosts
  • Repsiratory, enteric, pleural and reproductive diseases in animals and humans
  • Conjunctivitis, arthritis, abortion, urethritis, enteritis, pneumonia, encephalomyelitis
  • Manifestation varies from subclinical to severe systemic infections
  • Intestinal infections often subclinical and persistent
  • Human infections usualy acquired from infected birds, causing psittacosis or ornthosis, causing respiratory infections


Characteristics

  • Obligate intracellular bacteria
  • Gram negative bacteria with outer membrane, LPS, ribosomes, DNA and RNA
  • Peptidoglycan cell wall resistant to lysozyme
  • Only grow in presence of living eukaryotic cells
  • Unable to synthesis ATP therefore require intermediates from host cells
  • Not stained by Gram stain
  • Two morphological forms
    • 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
    • Retiuculate body: larger, metabolically active, osmotically fragile
  • Elementary body survives in the environment for several days


Pathogenesis and pathogenicity

  • Elementary body enters host epithelial cells by receptor-mediated endocytosis
  • Transformation into larger reticulate body within endosome; known as an inclusion
  • Reticulate body divides by binary fission to form many new chlamydia cells
  • Reticulate bodies mature and condense to form elementary bodies
  • Elementary bodies released from dying host cells after about 72 hours to infect other cells
  • Persistent infections can occur if replication delayed by environmental conditions such as presence of interferon gamma
  • Many infections subclinical due to intracellular existence of chlamydia preventing inflammatory reactions
  • Chronic infections may fail to induce an immune response, or may repeatedly stimulate the immune system, causing a delayed hypersensitivity reaction and tissue damage
  • Prolonged faecal shedding of organisms
  • Clinical infections occur in non-natural host species
  • CLinical signs depend on route of infection and degree of exposure


Chlamydophila psittaci

  • Causes notifiable psittacosis in birds


Chlamydophila abortus

  • Ovine enzootic abortion
  • Especially in intensive systems
  • Ewe lambs may acquire infection at birth, and abort in their first pregnancy
  • Infection via ingestion or inhalation causes a bacteraemia
  • Bacteria localise in placenta and cause placentitis, leading to late abortion or premature weak lambs
  • Necrosis of cotyledons and oedema of adjacent tissue, as well as dirty pink uterine discharge
  • Aborted lambs well preserved
  • Large numbers of chlamydiae shed in placenta and uterine discharges; survive in environment for several days
  • Abortion rates may reach 30% in susceptible flock
  • Ewes infected late in pregnancy may not abort, but may abort during the next pregnancy
  • No other clinical signs in aborting ewes
  • Fertility not impaired
  • Survival of elementary bodies in faeces and wild birds are a source of infection from one lambing season to the next
  • Ewes may be carriers for several years
  • Venereal transmission from infected rams
  • Some immunity develops after infection, protecting ewes from subsequent disease
  • Vaccines prevent infection but will not clear infection from persistently-infected animals
  • Vaccination of ewe lambs
  • Also abortion in cattle, goats and pigs


Chlamydophila felis

  • Host adapted species in cats
  • Feline interstitial pneumonia and conjunctivitis
  • Diagnosis by antigen detection in ocular/nasal secretions - ELISA, PCR, Kosters, fluorescent antibody test
  • Vaccine



Diagnosis

  • Direct microscopy of smears and tissues e.g. organs from aborted foetuses, liver/spleen from avian cases
  • Kosters (modified Ziehl-Neelson) stain of placental smears shows small red rods
  • Blue inclusions in cytoplasm of Giemsa-stained cells
  • Methylene blue stain with darkfield microscopy
  • Fluorescent antibody stain
  • Antigen detection kits for diagnosis from swabs
  • ELISA to detect Chlamydophila LPS
  • Isolation in embyonated eggs and McCoy cells as well as animal tissues
  • PCR to detect chlamydial DNA
  • Serological tests: complement fixation, ELISA, indirect immunofluorescence