Haemophilus and Histophilus species

Chapter 26


Haemophilus and Histophilus species




Genus Characteristics


There have been a number of recent name changes to members of the Haemophilus genus. The species Histophilus somni now encompasses the organisms formerly known as Haemophilus somnus, Histophilus ovis and Histophilus agni. Haemophilus paragallinarum has been reassigned to the genus Avibacterium (see Chapter 21). Haemophilus piscium strains are included in the species Aeromonas salmonicida (see Chapter 19). Haemophilus and Histophilus species are small Gram-negative rods, less than 1 µm wide by 1–3 µm, but can be coccobacillary or produce short filaments. Capsules can be produced by H. influenzae and H. parasuis. Traditionally Haemophilus species had to have, by definition, an absolute requirement for one or both of the growth factors: X (haemin) that is heat-stable and V (nicotinamide adenine dinucleotide; NAD) that is heat-labile. However, Histophilus somni is able to grow in the absence of these factors although growth is enhanced by their presence. Haemophilus and Histophilus species are motile, facultative anaerobes, produce acid from glucose, reduce nitrates, and are variable in the oxidase and catalase tests. They are nutritionally fastidious, will not grow on MacConkey agar and grow best on chocolate agar (supplying the X and V factors) under 5–10% CO2 at 37°C.




Pathogenesis


The most significant pathogens of these species are Haemophilus parasuis which causes Glasser’s disease in pigs and Histophilus somni which casuses a variety of conditions in domestic ruminants (Table 26.1). Even within the pathogenic species, there is a high level of strain variability; some strains appear to be avirulent whereas others are consistently isolated from pathological specimens and possess a range of virulence factors. Traditionally Haemophilus species are classified by serotyping. Unfortunately no clear relationship exists between serotype and pathogenicity although some serotypes such as H. parasuis, serotype 3, are isolated only from mucosae and never from systemic sites (Oliveira et al. 2003). Genetic characterization of these organisms has identified many putative virulence genes but in most cases the role of the virulence attributes has not been conclusively demonstrated in vivo. Histophilus somni is resistant to the lethal effects of phagocytes and serum, in part through the production of immunoglobulin-binding proteins which bind the Fc portion of bovine IgG. It can adhere to epithelium and is toxic to endothelial cells to which it also adheres. Immunoglobulin-binding proteins may mediate adherence to host cells and in addition, these proteins have two direct repeat regions which contain Fic (filamentation-induced by c-AMP) domains. These motifs mediate cyotoxicity through induction of cytoskeletal collapse (Worby et al. 2009). Infections of lungs, body cavities and joints are serofibrinous and/or suppurative. Thrombotic vasculitis leading to encephalitis and meningitis as well as haemorrhagic necrotizing processes are caused by H. somni. Young or previously unexposed animals are most susceptible to H. somni and Haemophilus infections with stress factors contributing to the development of signs of disease.



Virulence attributes of Haemophilus parasuis are not well defined. In common with H. somni it produces lipo-oligosaccharide and a number of outer membrane proteins. Table 26.1 summarizes the diseases or significance of H. somni and Haemophilus species associated with animals, while virulence factors are summarized in Table 26.2.




Laboratory Diagnosis



Specimens


Haemophilus species are fragile and the specimens should be protected from drying and cultured as soon as possible (within 24 hours) after collection. Refrigeration and transport media may not be particularly beneficial and deep freezing, below −60°C, is the only reliable method for the preservation of these bacteria. The type of specimen required will depend on the disease or lesions present. Results of isolation require careful interpretation because of the prevalence of commensal, apparently non-pathogenic, strains on mucosal sites. Isolation of these organisms from mucosal sites is not necessarily proof of their involvement in the clinical signs observed and further tests for pathogenicity may be required. Studies are ongoing to establish definitive virulence markers in the major animal pathogens, Histophilus somni and Haemophilus parasuis. Isolation from systemic sites is diagnostically significant.




Isolation


X or V factors must be supplied for all the Haemophilus species but not for Histophilus somni. The X factor (haemin) is heat-stable and present in adequate amounts in 5% blood agar. V factor is present in red cells and is susceptible to NADases present in most bloods. In chocolate agar the V factor is released from the red cells, the NADases are destroyed, and the heat-stable X factor is still present. Staphylococcus aureus grown as a streak across a blood agar plate will provide the V factor and V-factor-requiring haemophili will grow as satellite colonies near the streak. Commercial media, with supplements, are available for Haemophilus species but chocolate agar is the most satisfactory medium for the haemophili isolated from animals. Selective media have been designed for H. somni but their performance has not been consistently successful. The chances of isolating H. somni from contaminated specimens is increased if the specimens are first incubated in an infusion broth.


The growth of many of the Haemophilus species is enhanced by 10% CO2. As this atmosphere is not inhibitory for any of them, CO2 should be used for routine isolation. Inoculated chocolate agar plates are incubated under 10% CO2 at 35–37°C for three to four days, although some growth may be seen after 24 hours.

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Jul 18, 2016 | Posted by in PHARMACOLOGY, TOXICOLOGY & THERAPEUTICS | Comments Off on Haemophilus and Histophilus species

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