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Rhodococcus equi
infectious disease
| Question | Answer |
|---|---|
| Rhodoccus equi general info | gram+ rods or cocci. Salmon-pink, mucoid, non-hemolytic colonies. Aerobic, non-motile. CAMP test pos. Major respiratory pathogen in foals |
| Clinical condition: Foals | Suppurative bronchopneumonia and pulmonary abscessation, abdominal abscesses, osteomyelitis |
| Clinical condition: horses | superficial abscessation, abdominal abscesses, osteomyelitis |
| clinical condition: pig, cattle | Mild cervical lymhadenopathy |
| clinical condition: cats | subcutaneous abscessation, mediatinal granulomas |
| clinical conditions: immunosuppressed humans | penumonia |
| clinical signs | hematogenous granulomatous or suppurative inflammation of mesenteric LN and osteomyelitis and arthritis. sudden onset of fever. anorexia. coughing, dyspnea, weight loss, exercise intolerance. loud/moist rales |
| acquired via | inhalation of dust. may be present in high numbers in horse feces. |
| env influences | dry weather, poor grass coverage. |
| pathogenesis | survive and multiply in macrophage. encodes several proteins (VapA) |
| virulence | principally associated w/ large plasmid, VAP. |
| equine suppurative bronchopneumonia diagnosis | differentiating lower respiratory tract infections w/ WBC, Fibrinogen, radiography, ultrasonography. Bacterial culture from tracheobronchial aspirate, tissue. PCR from tracheobronchial aspirate, tissue |
| equine suppurative bronchopneumonia treatment | combination of oral rifampin and macrolide for up to 10wk. response of therapy monitored by radiography/ultrasonagrophy and plasma fibrinogen. supportive therapy |
| equine suppurative bronchopneumonia control | no vaccine. screening foals twice a wk by clinical examination. prevention of dust inhalation. limit foal density. limit time spent indoor. |