- •Bordetella,
- •General Overview of
- •Human Disease &
- •Bordetella pertussis
- •Epidemiology of
- •Incidence & Severity of
- •Incidence of Pertussis in USA
- •Age Distribution
- •Changes in Age Distribution
- •Clinical Progression of Pertussis
- •Virulence Factors Associated with Bordetella pertussis
- •Virulence Factors Associated
- •Laboratory Culture, Prevention &
- •Differential Characteristics of
- •Francisella tularensis
- •Francisella
- •Francisella tularensis Infections
- •Clinical Presentation of Tularemia
- •Epidemiology of F. tularensis Infection
- •Biochemical Variants (Biovar) of
- •Virulence Factors of
- •Laboratory Culture, Prevention &
- •Antibody Response to Francisella tularensis Infections
- •Brucella spp.
- •Brucella
- •Brucella
- •Epidemiology of Brucellosis
- •Incidence of Brucellosis in USA
- •Brucellosis in Animals
- •Human Brucellosis & Associated Species
- •Brucellosis in Humans
- •Brucellosis in Humans (cont.)
- •Clinical Presentation of
- •Diagnosis & Treatment of
- •Control & Prevention of Brucellosis
- •REVIEW
- •General Overview of
- •Human Disease &
- •Review of Bordetella pertussis
- •Bordetella pertussis Infections
- •Bordetella
- •Epidemiology of
- •Changes in Age Distribution
- •Clinical Progression of Pertussis
- •Virulence Factors Associated
- •Review of Francisella tularensis
- •Francisella
- •Francisella tularensis Infections
- •Clinical Presentation of Tularemia
- •Epidemiology of F. tularensis Infection
- •Biochemical Variants (Biovar) of
- •Review of
- •Brucella
- •Brucella
- •Epidemiology of Brucellosis
- •Brucellosis in Animals
- •Human Brucellosis & Associated Species
- •Brucellosis in Humans
- •Brucellosis in Humans (cont.)
Epidemiology of F. tularensis Infection
Rabbits, ticks & muskrats are main reservoirs in US
Two biochemical varieties
•F. tularensis bv. tularensis (a.k.a., Jellison Type A)
•F. tularensis bv. palaearctica (a.k.a., Jellison Type A)
Jellison Type A strains are the major biovar associated with severe disease in North America
•Most commonly, transmission by tick vectors from rabbit reservoirs or direct contact with rabbits
Biochemical Variants (Biovar) of
Francisella tularensis
Virulence Factors of
Fransicella tularensis
Antiphagocytic capsule
•Thin lipid capsule present in pathogenic strains
Facultative intracellular parasite that can survive in macrophages of the reticuloendothelial system
Laboratory Culture, Prevention &
Treatment of F. tularensis
Nonmotile
Fastidious and slow-growing
Requires cysteine-supplemented specialized media wi
Requires prolonged growth
Disease prevention:
•Avoidance of reservoirs and vectors
•Protective clothing and gloves
•Laboratory personnel should be made aware of potential for Fransicella in clinical specimens
Antibody Response to Francisella tularensis Infections
Brucella spp.
Brucella
Infections
Brucella
Infections
(cont.)
Epidemiology of Brucellosis
Animals are natural reservoir
•Cattle, goats, sheep, swine, bison, elk, dogs, foxes, coyotes
500,000 human cases per year worldwide
Less than 100 annual cases in the U.S. due to successful control of the disease in livestock and the animal reservoir
Transmission via i) ingestion of contaminated milk or cheese, or ii) direct contact with infected animals or animal products
Because it can be transmitted to humans, brucellosis is one of the most regulated diseases of cattle in the U.S.