Burkholderia mallei
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Questions and Answers

Which of the following best describes the genus Burkholderia?

  • Gram-positive, anaerobic cocci
  • Gram-negative, aerobic bacilli (correct)
  • Gram-positive, facultative anaerobic bacilli
  • Gram-negative, obligate intracellular bacteria

What Burkholderia species is known to be pathogenic to animals?

B. Mallei and B. Psueomallei

Where is Burkholderia commonly found in the environment?

  • Only in soil and plants
  • Exclusively in human and animal hosts
  • In water, soil, plants, fruits, and vegetables (correct)
  • In dry desert environments only

What is a key characteristic of Burkholderia spp.?

<p>They are opportunistic pathogens of animals, humans, and plants (C)</p> Signup and view all the answers

What type of environment does Burkholderia spp. prefer?

<p>Aqueous environments (B)</p> Signup and view all the answers

Which of the following is a distinguishing characteristic of Burkholderia mallei?

<p>Non-motile and obligate pathogen (D)</p> Signup and view all the answers

What is the most important virulence factor of Burkholderia mallei?

<p>Carbohydrate capsule (C)</p> Signup and view all the answers

Burkholderia mallei is the causative agent of which diseases?

<p>Glanders and farcy</p> Signup and view all the answers

What animals are the primary hosts and reservoirs for Burkholderia mallei?

<p>Horses, mules and donkeys</p> Signup and view all the answers

Which of the following is TRUE about Burkholderia mallei pathogenesis?

<p>The bacteria spreads via the lymphatics, forming nodular lesions en route to lymph nodes and bloodstream (A)</p> Signup and view all the answers

What is a key pathological feature of Burkholderia mallei infection?

<p>Pyogranulomas that may be localized or systemic (B)</p> Signup and view all the answers

How does Burkholderia mallei persist within the host?

<p>By producing endospores that resist immune clearance (B)</p> Signup and view all the answers

Which of the following statements about Burkholderia mallei strain variations is correct?

<p>Some strains show a predominance of suppurative lesions, while others cause granulomatous lesions (B)</p> Signup and view all the answers

The pus in glanders/farcy is not deemed contagious

<p>False (B)</p> Signup and view all the answers

The disease (of glanders and farcy) predominates in the upper and lower respiratory tracts and skin

<p>True (A)</p> Signup and view all the answers

Which of the following best describes the clinical forms of glanders?

<p>Pulmonary and nasal forms (A)</p> Signup and view all the answers

Which of the following symptoms are characteristic of glanders in equidae?

<p>Swollen nostrils, catarrhal nasal discharge, lymphadenopathy, dyspnea, and pneumonia (B)</p> Signup and view all the answers

How does glanders typically present in equidae?

<p>As an acute respiratory illness with pulmonary and nasal involvement (D)</p> Signup and view all the answers

What is the primary distinguishing feature of farcy (the cutaneous form of glanders)?

<p>The presence of farcy cords or farcy buds, which ulcerate along the cutaneous lymphatics (B)</p> Signup and view all the answers

How does the chronic form of glanders (farcy) manifest?

<p>It presents as tubercle-like nodules along the skin's lymphatic pathways, which ulcerate (C)</p> Signup and view all the answers

Which of the following statements about glanders and farcy is TRUE?

<p>Glanders presents in pulmonary and nasal forms, while farcy affects the skin and lymphatics (B)</p> Signup and view all the answers

Compared to glanders, farcy is generally:

<p>More chronic and slow-progressing (D)</p> Signup and view all the answers

The acute form of Glanders predominates in horses, whereas the chronic form of glanders predominates in donkeys, mules and felids

<p>False (B)</p> Signup and view all the answers

The acute form of glanders is fatal in about two weeks as the patient becomes septicemic

<p>True (A)</p> Signup and view all the answers

What are the routes of transmission for B. Mallei?

<p>Feed, water, fomites, aerosols, wounds</p> Signup and view all the answers

Which of the following vectors has been implicated in the transmission of Burkholderia mallei?

<p>House flies (Musca domestica) (B)</p> Signup and view all the answers

How can carnivores contract Burkholderia mallei?

<p>By consuming glanderous meat</p> Signup and view all the answers

What factor influences the incubation period of Burkholderia mallei?

<p>Species susceptibility, strain virulence, site of infection, and route of transmission (B)</p> Signup and view all the answers

Which of the following animal groups is particularly susceptible to natural Burkholderia mallei infection?

<p>Guinea pigs, hamsters, and felids (B)</p> Signup and view all the answers

_____ and ___ are highly susceptible to natural Burkholderia mallei infection

<p>Guinea pigs and hamsters</p> Signup and view all the answers

The “Strauss reaction” is a diagnostic test involving the intraperitoneal inoculation of Burkholderia mallei cultures in which animal?

<p>Male Guinea pigs (C)</p> Signup and view all the answers

What is the characteristic outcome of a positive Strauss reaction?

<p>Pulmonary fibrosis and nasal ulcers (C)</p> Signup and view all the answers

Which of the following species is believed to be resistant to Burkholderia mallei infection?

<p>Cattle, fowl, rats, and pigs (B)</p> Signup and view all the answers

What is the approximate sensitivity of the Strauss reaction in diagnosing Burkholderia mallei?

<p>20% (B)</p> Signup and view all the answers

How is Burkholderia mallei classified in terms of disease control and public health?

<p>A reportable disease requiring immediate notification (C)</p> Signup and view all the answers

Where should suspect Burkholderia mallei isolates be submitted for confirmation?

<p>A biosafety level 3 (BLS-3) reference laboratory (D)</p> Signup and view all the answers

Which diagnostic method is approved for international trade but may give false positives due to Streptococcus equi cross-reactivity?

<p>Serology tests (C)</p> Signup and view all the answers

What is the principle behind the intradermal-palpebral Mallein test?

<p>It identifies cell-mediated hypersensitivity reactions (B)</p> Signup and view all the answers

B. Mallei infections are treatable

<p>True (A)</p> Signup and view all the answers

Although Glanders is treatable, eradication programs require culling of infected animals

<p>True (A)</p> Signup and view all the answers

Why is vaccination not a viable control strategy for Burkholderia mallei?

<p>Because there’s no vaccine available for glanders</p> Signup and view all the answers

Flashcards

Burkholderia genus

A group of Gram-negative, aerobic bacilli bacteria.

Pathogenic species

B. mallei and B. pseudomallei are known to cause diseases in animals.

Environmental presence

Burkholderia is commonly found in water, soil, and plants.

Opportunistic pathogens

Burkholderia spp. can infect animals, humans, and plants.

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Preferred environment

Burkholderia spp. thrive in aqueous environments.

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Burkholderia mallei

A non-motile, obligate pathogen known for causing glanders.

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Virulence factor

The carbohydrate capsule is key for Burkholderia mallei's virulence.

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Diseases caused by B. mallei

Burkholderia mallei causes glanders and farcy.

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Primary hosts for B. mallei

Horses, mules, and donkeys are primary reservoirs.

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B. mallei pathogenesis

The bacteria spreads through lymphatics, causing lesions.

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Pyogranulomas

Key pathological feature of B. mallei infections, may be localized or systemic.

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Persistence mechanism

B. mallei persists by producing endospores that resist clearance.

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Strain variations

Different strains of B. mallei may cause various types of lesions.

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Contagious pus in glanders

The pus from glanders/farcy is NOT contagious.

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Clinical forms of glanders

Glanders presents in both pulmonary and nasal forms.

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Symptoms of glanders

Characteristic symptoms in horses include swollen nostrils and pneumonia.

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Acute presentation in equidae

Glanders typically manifests as an acute respiratory illness.

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Farcy distinguishing feature

Farcy shows farcy cords or buds that ulcerate along lymphatics.

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Chronic form of glanders

Chronic glanders presents as tubercle-like nodules that ulcerate.

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True about glanders and farcy

Glanders affects respiratory tracts while farcy impacts the skin.

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Comparison of chronic forms

Farcy is generally more chronic and slow-progressing than glanders.

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Fatality of acute glanders

The acute form of glanders can be fatal in about two weeks.

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Transmission routes for B. mallei

B. mallei spreads through feed, water, fomites, and aerosols.

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Vectors for B. mallei

House flies (Musca domestica) are implicated in transmission.

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Carnivore infection route

Carnivores can contract B. mallei by consuming infected meat.

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Incubation period factors

Species susceptibility and strain virulence influence incubation for B. mallei.

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Susceptible animal groups

Guinea pigs, hamsters, and felids are particularly susceptible to infection.

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Strauss reaction diagnostic test

Involves male guinea pigs inoculated with B. mallei cultures.

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Positive Strauss reaction outcome

Results in pulmonary fibrosis and nasal ulcers in test subjects.

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Species resistant to B. mallei

Cattle, fowl, rats, and pigs are believed to be resistant.

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Strauss reaction sensitivity

Approximate sensitivity of the Strauss reaction is about 20%.

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Public health classification

Burkholderia mallei is classified as a reportable disease.

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Confirmation of isolates

Submit suspect B. mallei isolates to a biosafety level 3 laboratory.

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Serology tests accuracy

Serology tests may give false positives due to cross-reactivity.

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Mallein test principle

Identifies cell-mediated hypersensitivity through intradermal testing.

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Treatability of B. mallei infections

Infections caused by B. mallei are treatable.

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Control strategies for glanders

Eradication programs often require culling of infected animals.

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Vaccination viability for B. mallei

No vaccine is available for glanders, making vaccination impractical.

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