(1/22/15) Streptococci (Bailey) Flashcards
streptococcus sp. is a gram ____ cocci that is composed of chains and is non-_____ forming. it is a _____ ____ and catalase (test) ______
- positive
- spore
- facultative anaerobe
- negative
what are the three ways to classify streptococcus?
- hemolysis pattern
- lancefield group
- species (often not necessary)
hemolysis pattern that has partial hemolysis and green discoloration of hemoglobin
alpha
hemolysis pattern that shows a clear zone of COMPLETE hemolysis
beta
hemolysis pattern that has NO zone of clearing
gamma
what group of Beta hemolysis streptococci is responsible for causing the most human diseases
A
acute pharyngitis, pyoderma, streptococcal pneumonia, necrotizing fascitis, childbed fever, and foodborne outbreaks are all characteristics of which group of streptococcal diseases
A
the S progenies in group A streptococci (GAS) are responsible for what two diseases?
- streptococcal acute pharyngitis (strep throat)
- scarlet fever (strep throat + red skin rash)
fever that was fairly common until the mid-20th century and is rarely seen in developed countries now. the US outbreaks in the 80’s and 90’s were due to the emergence of virulent strains
Acute Rheumatic Fever
where is the only site of infection that is followed by Acute Rheumatic Fever (1-4 weeks past strep throat)
pharynx
in reference to acute rheumatic fever, infection must invoke _____ response
immune
-(could be considered an auto immune disease)(no more than 10% of ppl are susceptible)
you can completely prevent acute rheumatic fever infection by treating strep throat with a full course of _____
penicillin
actue rheumatic fever has a high susceptibility to recurrence, thus ______ antibiotics into adulthood or for life
prophylactic
active inflammation in the glomeruli of the kidney that turns urine smokey due to proteins, leukocytes and erythrocytes, and renal failure (dialysis)
acute post-streptococcal glomerulonephritis
what are four ways that acute post-streptococcal glomerulonephritis is different that acute rheumatic fever?
unlike ARF
- can follow pharyngitis or pyodermal infections
- susceptibility common
- recurrent attacks are rare
- not reliably prevented by penicillin
what ages do not get strep throat?
1-2 year olds
____ % of school aged children may carry Group A infections without symptoms
20
what two ways does a person encounter group A infections?
- live on the skin and mucous membranes
- person to person transmission (respiratory drops, hand to hand, food, skin wounds….)