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LessonFourteenBrucellaSpecies精選pptNewwordsandphrasesBrucellaCoccobacillaryCoccobacilliDecolouriseZiehl-NeelsenstainCarbolfuchsinAerobicCapnophilicCatalaseOxidaseB.ovisSuppurationCaseationPredilectionAllantoicErythritolSteroidHormonePlacentaeUndulantPyrexiaMalaisefatigueOsteomyelitisUreaseMacConkeyB.

abortusbiotype2VenerealUterusConjunctivaInhalationEndotoxinThoracicductParenchymatous精選pptTextBrucellaspeciesaresmallGram-negativerods(0.5~0.7μm×0.6~1.5μm)thatoftenappearcoccobacillary.Theyarenon-motile,non-sporeformingandpartiallyacid-fastinthattheyarenotdecolourisedby0.5percentaceticacid(乙酸)inthemodifiedZiehl-Neelsen(MZN)stain.Thecarbolfuchsinisretainedandthebrucellaeappearasred-stainingcoccobacilli.精選pptThebrucellaeareaerobicandcapnophilic,catalase-positive,oxidase-positive(exceptB.

ovisandB.neotomae),urease-positive(exceptB.

ovis)andwillnotgrowonMacConkeyagar.B.ovisandB.abortusbiotype2requiremediaenrichedwithbloodorserum.Thegrowthofotherbrucellaeisenhancedonenrichedmediabuttheyareabletogrowonnutrientagar.精選pptBrucellaspeciesareobligateparasitesandeachspecieshasapreferrednaturalhostthatservesasareservoirofinfection.Brucellaehaveapredilectionforungulate(有蹄動物的)placentas,foetalfluidsandtestes(睪丸)ofbulls,rams,boarsanddogs.B.abortusisexcretedinbovinemilkandcanremainviableinmilk,wateranddampsoilforupto4months.精選pptTransmissionisbydirectorindirectcontactwithinfectiveexcretors(排菌者).TherouteofinfectionisoftenbyingestionbutvenerealtransmissionmayoccurandisthemainrouteforB.ovis.Thebrucellaepossessanendotoxinthatcontributestothepathogenesis,asdoesasurfacecellwallcarbohydratethatisresponsibleforbindingtoB-lymphocytes.精選pptSoonafterentryintothehostthebrucellaeareengulfedbyphagocyticcellsinwhichtheysurvive,multiplyandaretransportedtotheregionallymphnodes.Theorganismspasstothethoracicductandthenviatheblood-streamtoparenchymatous(實質的)organsandothertissuessuchasjoints.Granulomatous(肉芽腫)focicandevelopintissuewithoccasionalsuppurationandcaseation.精選pptBrucellosisisessentiallyadiseaseofthesexuallymatureanimal,thepredilectionsitesbeingthereproductivetractsofmalesandfemales,especiallythepregnantuterus.Allantoicfactorsstimulatethegrowthofmostbrucellae.Thesefactorsincludeerythritol,possiblysteroidhormonesandothersubstances.Erythritolispresentintheplacentaandmalegenitaltractofcattle,sheep,goatsandpigsbutnothumans.ErythritoldoesnotstimulatethegrowthofB.ovisandinhibitsB.abortusstrain19,theattenuatedvaccinalstrain.精選pptApyogranulomatousreactionoccursinaffectedplacentaeandabortionoccursfrommid-gestationonwards.Apparentlynormal,butinfectedneonatescanbebornbuttheinfectionisoflimiteddurationintheseanimals.Femalesusuallyabortonlyonce,afterwhichadegreeofimmunitydevelops,andtheanimalsremaininfectedandlargenumbersofbrucellaecanbeexcretedinfoetalfluidsatsubsequentparturitions.PermanentinfertilitymayoccurinmaledogsinfectedwithB.canis.精選pptHumanscanbeinfectedbyalltheBrucellaspecies,exceptB.ovisandthenon-pathogenicB.neotomae,anddevelopundulantfever.Themanifestationsareanundulatingpyrexia,malaise,fatigue,nightsweats,muscleandjointpains,butnotabortion.Osteomyelitisisthemostcommoncomplication.HumanscanalsodevelopahypersensitivitytotheantigensofbothvirulentB.abortus

andthevaccinalstrain19.精選pptThemycobacteriaarethinrodsofvaryinglengthsandsometimesbranchingfilamentousformsoccurbuttheseeasilyfragmentintorods.Inpreviouslyunexposedanimals,localmultiplicationofthemycobacteriaoccursandtheresistancetophagocytickillingallowscontinu

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