Causative agent
- Burkholderia (Pseudomonas) pseudomallei
Differential diagnosis
- Tuberculosis
- Actinobacillosis
- Actinomyces pyogenes infection
- Corynebacterium pseudotuberculosis
infection
1. History taking
- High prevalence in wet season after heavy
rainfall or flood with high humidity and
temperature
- Transmission from contaminated
environment, through wounds or
cutaneous abrasion, inhalation or
ingestion
- Outbreak originates from soilborn infection
and the organism can survive for
many months in soil and water
- Predisposed by starvation, parturition,
abortion or other stresses
- Host : ruminants, horse, pig, pets various
wild animals and man
2. Clinical examination
- Loss of body weight, weakness, anorexia
and recumbency
- Nervous signs : abnormal gait, posterior
paresis, walk in circle or blindness
- Respiratory signs : coughing, occular or
nasal discharge
- Mastitis, metritis, orchitis, arthritis or
abortion
3. Necropsy
- Multiple abscesses (size 0.1-5 cm) in lung,
liver, spleen, kidney, uterus, udder lymph
nodes trachea and joints
- Abscesses surrounded by thick wall and
filled with caseous greenish yellow pus
- Large abscesses replace testicular tissue
causing distention of scrotal sac
- Lung, consolidation with reddish
atelectasis
|
4. Histopathological observation
- Mixed purulent and granulomatous inflammation
which consist of caseous center surrounded by
inner capsule of epithelioid cells and outer capsule
of fibrous tissue. No giant cells
- Microabscesses in brain and spinal cord
5. Microscopic examination
- Pus, nasal discharge, spinal fluid, blood, serum,
milk smear and stain : Gram negative bipolar rod
6. Bacterial isolation
Specimen : Pus, nasal discharge, spinal fluid, blood,
milk, visceral organs, spinal cord, testis,
uterus and udder
Medium : blood agar, MacConkey agar and
glyceral-base agar incubate 37°C
aerobically for 24 to 48 hr
- Colony : β-hemolysis colonies on blood agar
extremely rough to mucoid, cream or bright and
shiny red cart wheel colonies in MacConkey agar
Table : Some biochemical difference between
B. pseudomallei and Ps. aeruginosa
|
B.pseudomallei |
Ps.aeruginosa |
Dextrose oxidation |
+ |
+ |
MacConkey agar |
+ |
+ |
Oxidase |
+ |
+ |
Motility |
+ |
+ |
Gelatinase |
+ |
+ |
Cetrimide agar |
- |
+ |
Nitrate reduction |
+ |
+ |
Nitrite reduction |
- |
+ |
Pigment |
None |
pyocyanin
|
|
|
flnorecin |
|