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Vibrio

FacultyofAgricultureandForestry

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Vibriocholerae
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Thecauseofcholera

GeneralHazardousdisease

Rankedbytheinternationalquarantinedisease

DiagnosisrequiresimmediatenotificationTHLand
WHO

Evenoneincidentisclassifiedasanepidemic

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Vibriocholerae

Gramnegative
Oneoftheflagellaofthecellfromthe
Threadedrod

Fermentsglucose,sucroseandmannitol
Apositivelysineandornithinedecarboxylasetests
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Theclinicalpicture

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Infectivedose

1001000bacteria

Riskgroups:malnourishedandsick

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Virulencefactors

Choleratoxin

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(similartotheETECbacterium,theLTtoxin)

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lysogenicbacteriophageCTX

ItencodesaVPI(Vibriopathogenicityisland),whichis
thenecessarygenesforTCP,aswellasthereturnpilus
Choleratoxin

otherweakervirulencefactors

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Occurrence

man
animals
foods
surroundings

MostintheFarEastandCentralAmerica
Asymptomaticcarriers
dogs,cowsoirettomiachickenscarriers
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riversandbays

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Factorsthatcouldleadtotheinfection

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Epidemics

Appearsextentthat,inseveralcountriesandcontinentspervasive
longlastingepidemicsandpandemics

Pandemicsdescribedinthe1800s
6wasthefirstclassicalO1serotype
7pandemicbeganinIndiain1961(ElTorbiotype)
1991andspreadtoSouthAmerica
8pandemicisO139Benegalbiotypeandstartedin1992
IndiaandspreadfasterthanO1

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Vibriocholerae

IsdividedonthebasisoftheOantigenofmorethan200serogroup

OnlyO1andO139serotypescausingepidemicsand
panepidemioita

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VibriocholeraewhichdonotagglutinateO1andO139
antiserumclassifiedasnonO1,andnonO139Vibrio
cholerae(nonagglutinableVibriocholeraeorVibrionon)

Vibriocholeraenonpathogenscanbe,butarenot
causeepidemics,butinfectionsandsepsis

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Vibriocholeraedetection

Vibriocholeraeismaintainedinthefaeces,ifitisdamp,
ThesuspectfecalsampleistransportedinCaryBlair
Transportbroth

AtoastbytheTCBSplatform(Thiosulphatecitratebilesalts
sucrose)
Ink612h+TCBSmediumuusintamaljaus
Ink1824htoVibriocholeraecolonieswerevisible
thesoftyellowoflooks,thecenterofwhichiselevated
oksidaasipositiivisettestedO1andO139sera

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Vibriocholeraerapidtest

fecesunderamicroscope

addedO1andO139antiserum

ifitisfoundcirculatingmicrobialstoppingitshouldbe
suspectVibriocholeraepositivesamples

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Vibriocholeraesubtypes

O1isdividedintotwobiotype
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TheclassicandElTor

Separationbytestinghemolysis,hemagglutination,
phagetyping,polymyxinBsensitivity,andVoges
Proscauerreaction.

ThenewestwaytoPCRorotherbiotyyppispesifisigenes
identified(TCPA
andrtxC)

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Vibriocholeraeinthesameserotype,andbiotype

canbeseparatedbyphagetyping

O1has145phagetype

O139only5

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Otherseparationmethods

theenzymebyelectrophoresis

ribotyyppauksella

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Vibriospp

Vibriocholerae
V.parahaemolyticus
Vibriovulnificus

V.fluvialis
V.mimicus
V.alginolyticus
V.hollisae
A.Furniss

Morethan20speciesareknown

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V.parahaemolyticus

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V.vulnificus

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