Transcript MALLEUS
MALLEUS
SRI CHUSNIATI
Departement of Vet. Microbiology Faculty of Veterinary Medicine Airlangga University
MALLEUS
INGUS JAHAT GLANDERS FARCY ROTZ
O : Eubacteriales F : Brucellaceae G : Malleomyces Sp : -Malleomyces mallei Malleus -Malleomyces pseudomallei = Pseudomonas pseudomallei Mellioidosis
Caused :
Malleomyces mallei = Pseudomonas mallei = Burcholderia mallei
Sources of infection : secrete from nostril, excreta from chronic vulnus, saliva, tears, urine and feces
Routes of infection
: Oral Inhalation Skin wound The characterized of the disease : zoonotic, acute and chronic Majority host sensitive at horse and equidae Human : fatal at about + 95% if no handled Dog, cat, goat moderate sensitive Sheep, pig, cattle guinea pig, mice resistant as an animals experimental
Morphology : Straight bacilli, pleumorphic, aerobic 0,3-0,5 um x 0,7-5 um Non motile Negative Gram Spore & capsule negative Easy growth at standard medium Biochemistry characterized : Indol, nitrate reduction, MR/VP negative H 2 S, NH 3, Enzymes of : Catalase, oxidase and gelatinase positive
Clinical symptoms
Acute performs Fever, disphnoe Discharge from nostril at periodically Swelling at submaxillaris lymphoglandulae + painfull Cachexia to be died at 2 weeks Chronic performs Its too weak, cough, discharge from nostril, intermittent fever Swelling at submaxillaris lymphoglandulae Lesion/nodules in internal noose and skin farcy
Pathology anatomy :
Rhinitis catarrh purulent High degree infection rupture in septum nasi star spots Pulmo & pleura: gray's nest Cavum thorax : fibrins exudates Liver, lymph, testis caseous Swelling at submaxillaris lymphoglandulae specific Skin : ulcus & nodule as a lymph circulations to fall off their hairs & cicatrisation 3 kinds of malleus : Nose of malleus Lung of malleus Skin of malleus can be represented together
Nose of malleus : Nodules at septum nasi out obstruction on cavum nasi mucopurulent secrete and ulcers.
Swelling at submaksilaris lymphoglandulae If recovery perform Cicatrisation on skin substances with star broke Lung of malleus : Majority by adverse of nose malleus infection Nodules consist of pus & poly morfo nuclear (PMN) cell at the outer rings Chronic Skin substances damage and than they would be substitute with cicatrix skin substance TBC like perform Skin of malleus : Series Nodules perform at surface of lymph node circulation (systemic infection by lymph node circulations).
Broke out perform ulcus/ulcera with pus excreta
Pathogeneses:
Inhalation rhinitis catharalis purulenta eruption at mucous of nose. Proteolysis enzyme presented (bacteria) mucous irritation
Ulcera sica
discharge nasal & ulcera. “keropeng” (outer skin fall out) & cicatrisation perform cicatrisation with star perform/stella tract cough. rhinitis distribute to be nasopharynx Bacteria in bronchus ulcer auscultation examinations exudates sounds of ronchi
Oral digestives tract. Proteolytic enzyme mucous irritation ulcera bacteria distributed after insertion from blood circulation lymph node circulation of eyes, feces and urine.
predilection (lung & septum nasi). The bacteria avilable at discharge of nose, pus from the part of swelling body, saliva, tear From skin vulnus (temporary) node circulation nodules series at outer surface of lymph node circulation hematogen broke out excreta, if the vulnus skin to be dried lymph ulcus & pus would be produced “keropeng”.
Diagnosis :
Clinical symptom Mallein test • Ophthalmic mallein test 2-3 drops of mallein saccus conjunctiva R/ + conjunctivitis purulent after 1-2 days.
• Intra dermal test 0,1 cc mallein id measuring the thick of skin before injection and 12 hours after injection if > 60% + < 60% -
If the test have a negative result weeks from the first R/ + + malleus re-test in after 2-3 please to be killed free from malleus -Isolation and identification To be isolation from lesion & will be growth up on - Glycerin agar - Glycerin potato adverse examination by biochemistry test
-Biologist test - intra peritoneal administrated against to guinea pig/ male mice orchitis -Serologist test
Handling material (going to be laboratories) : infected animal (ante mortem) : serum → serologist Swab by sterile cotton of nasal discharge (pus) → bacteriologist test infected animal (post mortem) : Swelling organ substances (cavum nasi, lung, testicle, liver): - Still make it fresh - Growth up on Glycerin agar - Test by male guinea pig after injected intra peritoneal
DD/.
Nasal discharge Strangles = “ Ingus tenang” = Adenitis equorum = Droes c/ Streptococcus equi (Gram +) acute Curve of fever was specific illustrated : Initial of action at performing abscess on lymph node The peak of body temperature was presented The broke out abscess (spontaneous /chirurgic) declined body temperature gradual recovery
Nodules and skin ulcers Epizootic lymphangitis / “selakarang” Histoplasma farciminosa (fungi) Ulceratif lymphangitis
Corynebacterium pseudotuberculosis
Melioidosis
Pseudomonas pseudomallei
distributed the biggest nodules (“bungkul bungkul”) Dourine
Trypanosoma equiperdum
“Dollar spot” predilection at mucose membrane Swelling lymph node Tbc Neoplasma
Therapeutics :
Its too difficult, because :
Predilection at septum nasi The recovery process was to long term processed, with fatal implication Verry contagious No vaccination