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35 Cards in this Set

  • Front
  • Back
What hosts does Borrelia burgdorferi infect?
dogs
cattle
horses
What disease does Borrelia burgdorferi cause?
Lyme (Disease) Borreliosis
What type of bacteria are Borrelia burgdorferi?
gram negative bacteria with a loosely coiled spirochete morphology
What kind of stains work best for Borrelia burgdorferi
gram stain is visible but bacteria is very thin so often use Giemsa, darkfield, immunofluorescence, silver stains, etc.
What are the atmospheric requirements for Borrelia burgdorferi?
Microaerophilic (high CO2, low O2)
difficult to grow
need special media
Borrelia burgdorferi habitat (source)
highly adapted to arthropod vectors
Ixodes ticks
- ixodes scapularis is primary tick vector in the NE and SE USA
-Ixodes pacificus is the primary vector in western USA
- also Ixodes ricinus and Dermacentor variabilis
Reservoir mammalian hosts of Borrelia burgdorferi
small rodents and deer
--- possibility that dogs might also serve as host
***do not survive in the environment
How is Borrelia burgdorferi transmitted?
acquired via tick bites from adults or nymphs (most aggressive)
therefore there is restricted distribution in the US (where the ticks are)
What are the virulence factors for Borrelia burgdorferi?
1. motility - non-motile mutants can't invade
2. resistance to host innate immunity
3. Endotoxin - none, but does have an LPS analog which elicits inflammation
4. Outer surface Proteins (OSP) - OspA and OspB
How do Outer Surface Proteins work as a virulence factor for Borrelia?
OspA and OspB
-phase variation of surface antigens: delayed immune recognition (~3 weeks)
- may play a role with invasion and is also pro-inflammatory
What is the pathogenesis of Borrelia burgdorferi?
- Borrelia enters through tick bite (usually spring and fall)
- initially multiplies in skin
- body's defenses can clear the organism, OR enters the circulation and disseminates (slow humoral response helps persistence)
-Enters tissues with target organs including joints, LNs, muscle, pericardium, peritoneum, and meninges
-inflammation in the target organ leads to clinical signs
- at this point, body defenses can clear the organism or organisms can survive intracellularly in target organs with poss. autoimmune rxn resulting in chronic disease
What does the LPS analog of B. burdorferi act on?
monocytes, synoviocytes, keratinocytes --- which causes the release of IL-1
What diseases do Borrelia burgdorferi cause?
Lyme Disease in humans and Borreliosis in dogs, horses, and cattle
What clinical signs do you see in dogs with Borrelia burgdorferi infections?
exposure may be widespread (serologic surveys)
infections is usually asymptomatic
canine dz is milder than in humans and delayed onset
signs: fever, inappetance, lethargy, sudden onset of lameness with pain in two or more joints (shifting leg lameness) or ADR
What clinical signs would you see in horses infected with Borrelia burgdorferi?
in endemic areas, 10% or horses may be seropositive
may be asymptomatic
signs: fever, lameness (arthritis), sore back *myositis), signs of depression (endephalitis) and blindness (uveitis)
-in utero infections may occur resulting in abortion (very rare) or infections in foals obsv. at weaning
What clinical signs would you see in cattle infected with Borrelia burgdorferi?
in utero infections may occur resulting in deaths of calves
one report of arthritis, myocarditis, and pneumonitis in a cow in Wisconsin
What clinical signs would you see in humans infected with Borrelia burgdorferi?
days to weeks after infection (rash around area of tick bite, may contain infection at this point)
weeks to months (infect. becomes systemic; clinical symptoms: fever, fatigue, rash, arthritis, lymphadenopathy, central and peripheral NS)
Years- (chronic arthritis and neuro symptoms; infection of heart muscle)
Immunity seen with Borrelia burgdorferi
Antibody Mediated: spirochetes are killed by antibody and complement; but Ab production is delayed -- implications for diagnosis)
Immune Mediated Damage: cross-reactive Ab (autoimmune dz) may be involved in some lesion develop. (heart muscle and CNS lesions)
Diagnosis of Borrelia burgdorferi
-history (geographical area) and clinical signs (+/- response to treatment)
-direct observ. or staining of tissues or fluids (Blood, CSF, joint fluid, urine (pcr if avail.))
-isolation (modified Kelly medium) from skin biopsy or CT (difficult)
-serology more reliable than staining/isolation
Treatment of Borrelia burgdorferi infections
-Doxycycline or amoxicillin (30days) -- note anti-inflamm effects of doxy
- Re-eval after 30 d (quantitative C6 to eval response, MBA and UA to assess renal damage)
- may retreat IF get intense response on IDEXX SNAP or quant C6
-Macrolides are also effective
Control of Borrelia burgdorferi infections
Tick control - prevent exposure and check for ticks
vaccination
Public Health considerations- Dogs may be carriers; animals may also be a source of ticks
Brachyspira hyodysenteriae is a major pathogen of what species?
pigs - relatively uncommon in US
What type of bacteria are Brachyspira?
gram negative spirochetes
obligate anaerobes
highly motile
fastidious growth requirements
what is the source of Brachyspira hyodysenteriae
- can survive several months in manure effluent, but asymptomatic pigs are the major reservoir
- other brachyspira are normal GIT flora
What specific disease is caused by Brachyspira hyodysenteriae?
Acute and Chronic Swine Dysentery in Weanling Pigs
What clinical signs would you see in Acute and Chronic Swine Dysentery in Weanling Pigs?
-mild disease may present with mucoid diarrhea with flecks of blood
-acute exposure in susceptible animals can result in severe diarrhea + death (profuse, bloody diarrhea with mucus -dysentery)
Treponema is a major pathogen of....
major pathogen of humans and rabbits
What are the two species of Treponema we are concerned with?
Treponema pallidum
Treponema brennaborense
What is the source of Treponema spp.?
normal flora of the oral cavity and rumen (and genital tract)
What disease does Treponema pallidum cause?
syphilis
What 2 diseases are caused by Treponema brennaborense?
Bovine papillomatous digital dermatitis
Sheep (ovine footrot)
Bovine papillomatous digital dermatitis
heel warts or hairy footwarts in dairy cows
spirochetes are found in SQ and deeper tissues
-feet have moist, painful, strawberry-like lesions on skin or chronic, raised wart like lesions
ulcerations on heel and around hoof result in lameness
How do you diagnose Bovine papillomatous digital dermatitis?
clinical signs (lesions) and histopathology of biopsies (organisms - silver stain)
How do you control Bovine Papillomatous digital dermatitis?
Bacterin vaccine every 6 months
Ovine Footrot
may exacerbate the condition caused by Dichelobacter nodosus