Chapter 16

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<p>Classic shape of Campylobacter</p>

Classic shape of Campylobacter

Comma-shaped, “seagull wing,” spiral rods

<p>Comma-shaped, “seagull wing,” spiral rods</p>
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<p>Gram reaction of Campylobacter</p>

Gram reaction of Campylobacter

Gram-negative

<p>Gram-negative</p>
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<p>Is Campylobacter motile?</p>

Is Campylobacter motile?

Yes, highly motile; darting corkscrew motion

<p>Yes, highly motile; darting corkscrew motion</p>
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<p>Type of shape of Campylobacter</p>

Type of shape of Campylobacter

Helical, curved, pleomorphic; paired forms look like gull wings

<p>Helical, curved, pleomorphic; paired forms look like gull wings</p>
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<p>Clinical signs of Campylobacter in animals</p>

Clinical signs of Campylobacter in animals

Diarrhea (sometimes bloody), fever, abdominal pain, infertility, abortion in cattle

<p>Diarrhea (sometimes bloody), fever, abdominal pain, infertility, abortion in cattle</p>
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<p>Clinical signs of Campylobacter in humans</p>

Clinical signs of Campylobacter in humans

Vomiting, diarrhea (bloody), fever, abdominal pain; may be asymptomatic

<p>Vomiting, diarrhea (bloody), fever, abdominal pain; may be asymptomatic</p>
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<p>Treatment for Campylobacter</p>

Treatment for Campylobacter

Antibiotics and supportive fluids

<p>Antibiotics and supportive fluids</p>
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<p>Does Campylobacter grow at 37°C?</p>

Does Campylobacter grow at 37°C?

It grows at room temperature; does not grow at 42°C; 37°C is possible but not optimal for all species

<p>It grows at room temperature; does not grow at 42°C; 37°C is possible but not optimal for all species</p>
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What signs does Helicobacter cause?
What signs does Helicobacter cause?
Gastritis, vomiting, melena, “coffee-ground” vomit, anemia; may develop ulcers; many animals asymptomatic
Gastritis, vomiting, melena, “coffee-ground” vomit, anemia; may develop ulcers; many animals asymptomatic
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Why is Helicobacter important in human medicine?
Why is Helicobacter important in human medicine?
H. pylori discovered as major cause of gastric ulcers and stomach cancer; changed ulcer treatment
H. pylori discovered as major cause of gastric ulcers and stomach cancer; changed ulcer treatment
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Animal species affected by Helicobacter
Animal species affected by Helicobacter
Dogs, cats, ferrets, humans
Dogs, cats, ferrets, humans
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What do we see in ferrets with Helicobacter?
What do we see in ferrets with Helicobacter?
Ulcers, anorexia, teeth grinding, melena, dehydration; possible sudden death from perforation
Ulcers, anorexia, teeth grinding, melena, dehydration; possible sudden death from perforation
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What is Helicobacter linked to in dogs and cats?
What is Helicobacter linked to in dogs and cats?
Gastritis, vomiting; H. heilmannii linked to gastric lymphoma
Gastritis, vomiting; H. heilmannii linked to gastric lymphoma
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Why does stomach pH matter in Helicobacter infections?
Why does stomach pH matter in Helicobacter infections?
High acid → ulcers; Low acid → gastric cancer risk
High acid → ulcers; Low acid → gastric cancer risk
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How do we diagnose Helicobacter?
How do we diagnose Helicobacter?
Endoscopic gastric biopsy, impression smear, culture; urease-positive testing
Endoscopic gastric biopsy, impression smear, culture; urease-positive testing
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Animals affected by Lawsonia intracellularis
Animals affected by Lawsonia intracellularis
Pigs, hamsters, horses (not zoonotic)
Pigs, hamsters, horses (not zoonotic)
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Is Lawsonia intracellularis zoonotic?
Is Lawsonia intracellularis zoonotic?
No, not zoonotic
No, not zoonotic
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How is Lawsonia transmitted?
How is Lawsonia transmitted?
Fecal-oral route
Fecal-oral route
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Lesions in pigs (acute form)
Lesions in pigs (acute form)
Thickened ileum, hemorrhage, bloody diarrhea, dehydration, anemia, shock
Thickened ileum, hemorrhage, bloody diarrhea, dehydration, anemia, shock
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Lesions in pigs (chronic form)
Lesions in pigs (chronic form)
Mild diarrhea, poor weight gain for 4–6 weeks
Mild diarrhea, poor weight gain for 4–6 weeks
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Signs in hamsters with Lawsonia
Signs in hamsters with Lawsonia
Wet tail: diarrhea, dehydration, rapid weight loss, thickened intestines
Wet tail: diarrhea, dehydration, rapid weight loss, thickened intestines
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Treatment for Lawsonia
Treatment for Lawsonia
Antibiotics, IV fluids, nutritional support, plasma transfusion (severe)
Antibiotics, IV fluids, nutritional support, plasma transfusion (severe)
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Is there a Lawsonia vaccine?
Is there a Lawsonia vaccine?
Yes, available for pigs
Yes, available for pigs
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Stain used to identify Lawsonia
Stain used to identify Lawsonia
Warthin-Starry silver stain (deep brown)
Warthin-Starry silver stain (deep brown)
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Shape of Leptospira
Shape of Leptospira
Thin, tightly coiled spiral rods
Thin, tightly coiled spiral rods
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Gram reaction of Leptospira
Gram reaction of Leptospira
Gram-negative (stains poorly)
Gram-negative (stains poorly)
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Is Leptospira motile?
Is Leptospira motile?
Yes, highly motile with internal flagella
Yes, highly motile with internal flagella
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Where is Leptospira found?
Where is Leptospira found?
Urine of infected wildlife; contaminated ponds, streams, puddles; survives in water for weeks–months
Urine of infected wildlife; contaminated ponds, streams, puddles; survives in water for weeks–months
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How do we diagnose Leptospira?
How do we diagnose Leptospira?
Serology (titers), fluorescent antibody testing, dark-field microscopy; culture difficult
Serology (titers), fluorescent antibody testing, dark-field microscopy; culture difficult
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How does Leptospira cause disease?
How does Leptospira cause disease?
Enters skin/mucosa → bloodstream → kidneys, liver, spleen, CNS → organ failure
Enters skin/mucosa → bloodstream → kidneys, liver, spleen, CNS → organ failure
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What are serovars?
What are serovars?
Different antigenic varieties; vaccines are serovar-specific; no cross-protection between many
Different antigenic varieties; vaccines are serovar-specific; no cross-protection between many
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Wildlife reservoirs for Leptospira
Wildlife reservoirs for Leptospira
Raccoons, skunks, rodents, feral swine; water sources
Raccoons, skunks, rodents, feral swine; water sources
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What does Leptospira cause in dogs?
What does Leptospira cause in dogs?
Vomiting, diarrhea, PU/PD, icterus, lethargy, dehydration; kidney/liver failure; some become carriers
Vomiting, diarrhea, PU/PD, icterus, lethargy, dehydration; kidney/liver failure; some become carriers
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Is Leptospira zoonotic?
Is Leptospira zoonotic?
Yes — major zoonotic pathogen; waterborne outbreaks common
Yes — major zoonotic pathogen; waterborne outbreaks common
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Is there a Leptospira vaccine?
Is there a Leptospira vaccine?
Yes — canine vaccine for serovars Canicola, Grippotyphosa, Icterohaemorrhagiae, Pomona
Yes — canine vaccine for serovars Canicola, Grippotyphosa, Icterohaemorrhagiae, Pomona
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<p>What is the problem with the Leptospira vaccine?</p>

What is the problem with the Leptospira vaccine?

Limited cross-protection; higher risk of reactions; does not cover Autumnalis
Limited cross-protection; higher risk of reactions; does not cover Autumnalis
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<p>Clinical signs of Leptospira in cattle</p>

Clinical signs of Leptospira in cattle

Abortion, stillbirth, decreased milk; calves: renal signs, dehydration, fever, icterus
Abortion, stillbirth, decreased milk; calves: renal signs, dehydration, fever, icterus
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<p>Tests for Leptospira</p>

Tests for Leptospira

Serology, FA testing, dark-field microscopy; urine morphology preserved with formalin
Serology, FA testing, dark-field microscopy; urine morphology preserved with formalin
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Can we culture Leptospira?
Can we culture Leptospira?

Very difficult; requires special conditions; dark-field microscopy preferredand may not yield successful results.

<p>Very difficult; requires special conditions; dark-field microscopy preferredand may not yield successful results. </p>
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Shape of Borrelia
Shape of Borrelia
Loosely coiled spirochete
Loosely coiled spirochete
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Size of Borrelia
Size of Borrelia
Very small; cannot be seen with standard light microscopy
Very small; cannot be seen with standard light microscopy
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Is Borrelia motile?
Is Borrelia motile?
Yes; highly motile with internal flagella bundles
Yes; highly motile with internal flagella bundles
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Vector for Borrelia
Vector for Borrelia
Ixodes scapularis and Ixodes pacificus ticks
Ixodes scapularis and Ixodes pacificus ticks
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Stages of Lyme disease in humans
Stages of Lyme disease in humans
Localized rash → early disseminated disease → chronic disseminated disease
Localized rash → early disseminated disease → chronic disseminated disease
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Tick attachment time for transmission
Tick attachment time for transmission
24–48 hours
24–48 hours
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Clinical signs in dogs with Lyme disease
Clinical signs in dogs with Lyme disease
Shifting-leg lameness, fever, lethargy, anorexia, lymph node enlargement; kidney signs rare
Shifting-leg lameness, fever, lethargy, anorexia, lymph node enlargement; kidney signs rare
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Testing for Lyme disease
Testing for Lyme disease
Initial ELISA or IFA, confirmed with Western Blot
Initial ELISA or IFA, confirmed with Western Blot
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Treatment for Borrelia infection
Treatment for Borrelia infection
28-day doxycycline; amoxicillin if GI upset; early treatment prevents long-term damage
28-day doxycycline; amoxicillin if GI upset; early treatment prevents long-term damage