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Bacillus Anthracis (gram positive bacilli)

 Bacillus

Gram positive, aerobic/ facultative anaerobes, spore forming rod. 

They are present in soil, dust, air, water and frequently isolated as contaminated in bacteriological culture media.

The causative Agent of Anthrax is the most important pathogen of group is bacillus Anthracis.

Bacillus Anthracis

Morphology

Gram positive, non acid fast, non motile, non capsule, blunt ended bacilli in single or in pairs chain.

Bacilli have centrally located oval endospores.

Rectangular, bamboo- stick appearance.

Spores can survive in soil for very long period of time.

Size; 1-1.5 X 3-10 micrometre in size.

Characteristics

Non motile, non capsulated, long chain Medusa head colony.

It lives in soil at mesophilic temperature.

Bacilli are strictly aerobes that grow at optimum temperature 37degree celcius, PH; 7.5-8 on enrich media as;

Nutrient agar

Blood agar; when specimen cultured after 24hrs.

Bacilli produce non hemolytic.

ASColi test (serological test); test positive if person infected.


Sources and mode of Infection

Major sources;

Handling infected animal

Contaminated animal products

Inhaling Anthrax spores from contaminated bone meal fertilizer.

Contaminated hides

Transmitted by;

Infection

Ingestion of spores

Through infected animal's skin


Pathogenesis

Anthrax is primarily a disease of animals like cattle and sheep.

Infected animals discharge large number of bacilli from mouth, nose and rectum.

Animals are Infected by ingestion of spores present in soil.

Anthrax presents in three forms;

1. Cutaneous anthrax

2. Pulmonary anthrax

3. Intestinal Anthrax

1. Cutaneous anthrax

Common in farmers, who handle animals.

Shaving brushes with infected animal hairs.

Cause edema, lesion filled with serum.

Occurs septicemia cause meningitis.

2. Pulmonary anthrax

Common in workers in wool factories.

Hemorrhagic meningitis may occur.

3. Intestinal Anthrax

Who eat improperly cooked meat.

Carcasses of infected or dying animal of Anthrax.

Affect throat, stomach, intestine.

Laboratory diagnosis

Specimen collection

Lesion, sputum, blood

Microscopic examination and morphology

Gram positive 

Culture characteristics and staining

Nutrients agar; colonies show Medusa head appearance.

Direct immunofluorescence

Reliable in identification of bacillus 

ASColi test

Used in making rapid diagnosis, if test is positive. 


Prevention

Animal known to have died of bacillus Anthracis must buried in such a way that soil is not contaminated.

Treatment

Tetracycline, Ciprofloxacin and Erythromycin are effective in cutaneous form of anthrax.

In case of pulmonary anthrax, multidrug therapy is recommended.

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