2 Flashcards
Default shape of bacteria
Coccus
Default shape of bacteria is coccus because it doesn’t have
Mreb cytoskeleton
Elongation of your cell is dependent on your
Mreb cytoskeleton
Curving of bacterial cell is dependent on the
cresentin cytoskeleton
Spore forming genera in gram positive bacilli
Genus bacillus
Genus clostridum
Branching genus appears like a fungi in microscope
Genus nocardia
Genus actinomyces
NON-SPORE-FORMING, NON-BRANCHING, CATALASE POSITIVE:
Corynebacterium
Rothia
Listeria
SPORE-FORMING, NON-BRANCHING, CATALASE POSITIVE:
Bacillus
NON-SPORE-FORMING, NON-BRANCHING, CATALASE NEGATIVE:
Erysiphelotrix
Gardnerella
NON-SPORE-FORMING, BRANCHING:
Nocardia and other actinomyces
Clubbed or irregularly shaped, non-motile, non-capsulated, non-spore- forming, highly pleomorphic
Genus corynebacterium
Why is Corynebacterium highly pleomorphic?
Because it has an incomplete binary fission
Lipophilic (fastidious, slow growers):
C. jeikeium
C. urealyticum
Non-Lipophilic (fermentative/oxidative):
C. ulcerans
C. pseudotuberculosis
C. amycolatum
C. striatum
C. xerosis
C. minutissimum
Non-fermentative:
C.pseudodiphtheriticum
C.auris
C.glucuronolyticum
Inhabits the nasopharynx causes multi organ failure
Corynebacterium diphtheriae
Heat-labile polypeptide; alkaline & iron loving, Carried by TOX gene from β-phage
Corynebacterium diphtheriae
Respiratory Diphtheria (toxigenic)
* Pharyngitis characterized by the development of an ______ that covers tonsils, uvula, palate & pharyngeal wall.
exudative membrane (pseudomembrane)
Color of pseudomembrane
Greyish black-leathery
-edema in the neck area (cervical &
submandibular lymphadenopathy)
-common in children, due to lymphadenopathy
(swelling of lymph nodes)
Bull’s Neck Appearance
Difficulty swallowing
Respiratory Diphtheria
Veldt sore or Barcoo root
Cutaneous diphtheria
It is characterized by slow healing ulcers with dirty gray membrane may or may not develop immunity
Cutaneous diphtheria
is disease of the children (6-8 yrs old)
Diphtheria
Most effective treatment from diphtheria
Diphtheria antitoxin (DAT)
inhibits bacterial growth (also
eliminates streptococcal infection)
Penicillin and erythromycin
- Frequently isolated and most clinical significant
- Urinary pathogen
o Marked by rapid urease production
C. urealyticum
- Indigenous microbiota of inguinal, axillary and rectal areas
- Multi-drug resistant (β-Lactams)
- Common cause to infect:
o prosthetic valve o catheters
o CSF shunts - Common nosocomial pathogen
C. jeikeium
- Zoonotic source of infection
o Unpasteurized milk - Diphtheria-like symptoms
- Diphtheroid group
C. ulcerans
- Zoonotic source of infection mostly seen in cows
- It produces dermonecrotic toxin
- Diphtheroid group
C. pseudotubercolosis
C. pseudotubercolosis
* Common manifestation in man
Suppurative granulomatous lymphadenitis
- Multiple antibiotic resistance pattern
- Prosthetic joint infection; neonatal sepsis
- Nosocomial infection
C. amycolatum
- Erythasma:
o Superficial
o Pruritic infection
C. minutissimum
- Can be confused with C. amycolatum; * Infection immunocompromised patients
C. xerosis
- Hospital-acquired pneumonia and lung abscess
(immunocompromised patients)
C. striatum
- Associated with otitis media in children
C. auris
- Indigenous microbiota of human pharynx
- Can cause respiratory infection, UTI and cutaneous
infection in HIV patients
C. pseudodiphtheriticum
- Prostatitis and non-gonococcal urethritis
- Pathogen of male genitourinary tract
C. glucoronolyticum
urine present as pure culture as predominant organism at greater than
10,000 CFU/L
sole isolate at colony count of greater than
100,000 CFU/mL
What are the culture medium used for isolation in Corynebacterium
5% SBA, 1% TWEEN 80, Rabbit Serum
Cysteine Tellurite Blood Agar (CTBA)
Tinsdale Medium
Lamb Loeffler’s/ PAI coagulated egg/ LSS
non-hemolytic; large, flat, dark-grayish colonies, “daisy-head” (corrugations sa side)
Biotype Gravis
5% SBA
(1% TWEEN 80) (Rabbit Serum)
non-hemolytic; pinpoint, flat, grayish-black, “frog’s egg”
Biotype Intermedius
5% SBA
(1% TWEEN 80) (Rabbit Serum)
hemolytic; small, convex, black colonies, “fried-egg”
Biotype Mitis
5% SBA
(1% TWEEN 80) (Rabbit Serum)
CTBA
1. (+) result:
2. Intermedius:
3. Mitis:
4. (+) brown halo for:
- Black to brown colonies after 48 hours
- Black colonies with gray borders
- Mitis: bleach-like odor
- (+) brown halo for: Diphtheroid group
Tinsdale Medium (+) result
Brown to black with gray to brown halos (C. diphtheriae group)
Enhances pleomorphism and metachromatic granule formation
Loeffler’s Medium/ Pai coagulated egg/ LSS
Gray-white translucent colonies after 12-18 hrs (poached –egg appearance)
Loeffler’s Medium/ Pai coagulated egg/ LSS
preferred medium for isolation of Corynebacterium diphtheria
CTBA
- club-shaped, highly pleomorphic cells arranged in X, V, Y, L, picket fence, Chinese letters, palisade, parallel rows
C. diphtheriae
Why does C. diphtheriae has swollen tip?
Because of excessive production of polyphosphate/ metachromatic granules can also be called as babes-ernst, volutin
is used for metachromatic
granule/Babe’s – Ernst granule observation
Albert & Neisser Staining Method
- used to observe urease production of C. urealyticum
Christensen’s Urea Slant