33 Pseudomonas and Moraxella Flashcards

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1
Q

Which species of pseudomonas is the most important?

A

P. aeruginosa

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2
Q

Where is pseudomonas found?

A
  • Ubiquitous. Not part of the normal flora.
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3
Q

Describe the structure of pseudomonas. Gram stain. Oxidase?

A
  • Motile, straight or slightly curved, G (-). Arranged in pairs or single, obligate anaerobes unless nitrate or arginine present. Yes
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4
Q

What is the colonial morphology of P. aeruginosa? Something characteristic of it?

A
  • Arranged in pairs or single, have green pigmentation and have the characteristic of grapelike odor.
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5
Q

What does pseudomonas has that is useful to differentiate from enterobacteriacea?

A
  • The presence of cytocrome oxidase.
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6
Q

Which strain of Pseudomonas is the most medically relevant species?

A

P. aeruginosa

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7
Q

What type of delivery system does P. aeruginosa has?

A
  • Type III secretion system
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8
Q

What are the 4 structural components of P. aeruginosa that facilitate adherence, which is critical for establishing infection?

A
  • Flagella, pili, lipopolysaccharide (LPS) and alginate.
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9
Q

What is the most important virulence factor for P. aeruginosa and what does it do?

A
  • Exotoxin A = disrupts protein synthesis. Much like diphtheria toxin but less potent.
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10
Q

What are the two color pigments that P. aeruginosa and combined what characteristic color does it give?

A
  • Blue and yellow-green that gives it a bright light green color.
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11
Q

What does the pyocyanin produced by P. aeruginosa do and what color is it?

A
  • Its an enzyme that catalyses the production of superoxide and hydrogen peroxide, stimulates IL-8 release that attract neutrophils. It is blue.
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12
Q

What does the pyoverdin produced by P. aeruginosa do and what color is it?

.

A
  • It’s a siderophore that binds iron for use in metabolism and regulates the secretion of virulence factors such as exotoxin A. It is yellow-green.
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13
Q

What are the two enzymes that act together to degrade elastin, resulting in damage to elastin-containing tissues and producing the lung parenchymal damage and hemorrhagic lesions (ecthyma gangrenosum) associated w/ disseminated P. aeruginosa infections?

A
  • LasA (serine protease) and LasB (zinc metalloprotease)
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14
Q

What is the reason for the inherit resistant against many antibiotics that P. aeruginosa has?

A
  • It has a mutation of porin proteins.
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15
Q

What are the organs that P. aeruginosa can affect?

A
  • Pulmonary, eye, ear, bacteremia and endocarditis, skin and soft-tissue, UTI, and localized gastrointestinal tract, Nervous, and musculoskeletal system.
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16
Q

What are the clinical manifestations of P. aeruginosa infection in the lungs?

A
  • From asymptomatic colonization to tracheobronchitis to severe necrotizing bronchopneumonia.
17
Q

What predisposes patients for P. aeruginosa colonization in the lungs?

A
  • History of broadspectrum antibiotics, use of mechanical ventilation equipment. Cystic fibrosis, other chronic lung diseases, or neutropenia.
18
Q

What is the most recognized skin infection of P. aeruginosa?

A
  • Infections of burn wounds, folliculits (from hot tubs, swimming pools).
19
Q

What is the most common way of causing UTI by P. aeruginosa?

A
  • Indwelling urinary catheters.
20
Q

What is the most recognized ear infection of P. aeruginosa?

A
  • External otitis from swimming (Swimmer’s ear)
21
Q

What is the treatment for P. aeruginosa infection?

A
  • A combination of active antibiotics.
22
Q

What is the most important pathogen of Moraxella?

A
  • M. catarrhalis.
23
Q

Describe the structural morphology of M. catarrhalis.

A
  • Strictly aerobic, oxidase-positve, G(-) diplocco.
24
Q

What do infections of M. catarrhalis cause?

A
  • Common cause of bronchitis and bronchopneumonia (in elderly patients), sinusitis, and otitis (previously healthy people)
25
Q

What is the treatment for M. catarrhalis infection?

A
  • It is resistant to penicillins but are uniformly susceptible to most other antibiotics