Produces anthrax toxin and requires thiamin as a growth factor
Non motile and Non haemolytic
Other Bacillus species
No capsule present
Produces emetic toxin and does not require thiamin for growth
Motile and haemolytic
Anthrax is the only disease associated with Bacillus anthracis
Anthrax is a zoonosis
Types of human anthrax
Occupational disease of Vets
Farmers
Woolsorters
Cutaneous Anthrax
Incubation period ranges from 1-19 days, usually 2-7 days<|>Begins with Pruritic papule<|>Papule enlarges with ring of vesicles seen within 2-4 days<|>Erythema and edema develops<|>No pus and lesion is painless unless there is a secondary infection
Pathogenicity of Bacillus anthracis
Depends on the capsule (poly-D-glutamic acid: inhibit phagocytosis)
Toxin has 3 components: Protective antigen (PA)
Edema factor (EF)
Lethal factor (LF)
Toxin production
1. Spore develops into vegetative organism
2. Organism enters blood
3. Resists phagocytosis and multiplies
4. Toxin is produced leading to symptoms
Laboratory diagnosis of anthrax
Specimen: pus
Blood
Sputum
Faeces
Food
Laboratory diagnosis steps
1. Culture on blood or selective agar plates with incubation in 5% CO2
2. Gram stain to observe rods in chains
3. Detection of capsule
Growth on blood agar
Nonhaemolytic gray to white colonies
Rough texture and ground-glass appearance
Comma-shaped outgrowths (medusa head) may project from the colony
Phage typing
Lysis by a specific anthrax gamma bacteriophage is helpful in the identification of the organism
Immunofluorescence staining
B. anthracis can be identified in dry smears by immunofluorescence staining technique
Treatment of anthrax
Penicillin
Ciprofloxacin
Erythromycin
Doxycycline
Control of anthrax
Infected dead animals should be deeply buried with lime or the carcass burnt
Quarantine of healthy animals during outbreaks
Animal products should be autoclaved
Use of protective clothing and gloves for handling infected animals
Vaccination of animals and humans
Other Bacillus species
Motile
Haemolytic
Non-pathogenic
May occasionally cause opportunistic infections especially Bacillus cereus
Bacillus cereus may produce an enterotoxin causing food poisoning
Food poisoning types
Emetic type
Diarrheal type
Emetic type food poisoning
Heat stable toxin<|>Occurs 1-5 hours after ingestion of rice<|>Nausea, vomiting, abdominal cramps, and occasionally diarrhea<|>Self-limiting and recovery occurs within 24 hours
Diarrheal type food poisoning
Heat labile toxin<|>Incubation period of 8-16 hours<|>Profuse diarrhea, abdominal pain, and cramps<|>Enterotoxin may be preformed in the food or produced in the intestine
B. subtilis are lab contaminants and now cause disease in immunocompromised patients