5.1 Gram + cocci Flashcards

1
Q

3 major genera of gram + cocci, and their results on the catalase test:

A

Staphylococcus - positive
Streptococcus - negative
Enterococcus - negative

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2
Q

what is the catalase test? what does it tell us?

A

Catalase: an enzyme breaking down hydrogen peroxide (H2O2) into water (H2O) and oxygen (O2).
It is a virulence factor for some pathogens (helps resist the oxidative burst in phagocytes)

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3
Q

staphylococcus characteristics. morphology of populations? where are they found? do they survive in environment? are they commonly pathogenic? host specificity? what kind of infections do they cause?

A
  • Grape-like clusters (in vivo→in clinical samples, not in cultures)
  • Commensals of skin and exposed mucosae of animals and humans
  • Survive well in environment
  • Numerous species, but most are non-pathogenic
  • Some host-specificity (but not as strong as for streptococci)
  • Opportunist pathogens
  • Typically cause purulent infections
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4
Q

3 important staphylococcus spp. in animals, and the species they infect commonly

A

S. aureus: Human, numerous animal species
S. pseudintermedius, SIG: Dogs, cats (others, humans from animals)
S. hyicus: Pigs

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5
Q

What are opportunistic pathogens?

A

Normally commensal in the body but can cause disease when the host’s resistance is altered.

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6
Q

diseases caused by staphylococcus aureus

A

Causes several diseases:
* Pus and local necrosis
* Localized infections (abscess)
* Tendency to bacteremia (blood)
* Skin and wound infections
* Urinary tract infections (humans, dogs, cats)
* Bovine mastitis (other animal species)
* Bumblefoot in chickens (foot abscess)
* “contagious”, cause of hospital-acquired infections
* Methicillin-resistant S. aureus (MRSA)

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7
Q

what is MRSA? how do its properties arise, genetically/mechanistically?

A

methicillin-resistant staphylococcus aureus
>cause of staph infections that is difficult to treat due to resistance to some antibiotics
> Resistant to all β-lactams because of the presence of mecA, a gene that produces a penicillin binding protein (PBP2a) with low affinity for β-lactam antibiotics

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8
Q

What species can be infected by/transmit MRSA?

A

cats, pigs, dogs, horses, humans…

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9
Q

what type of animals does staphylococcis pseudointermedius commonly infect? what tyope of pathogen is it?

A
  • Opportunist pathogen of dogs and cats
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10
Q

what issues can staphylococcus pseudointermedius cause in dogs?

A

-UTI
-reproductive tract infections
-resp tract infections
-otitis externa
-canine pyoderma

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11
Q

what is MRSP? what species is it a problem in?

A
  • Methicillin-resistant S. pseudintermedius = MRSP
  • Relatively recent emergence of MRSP
  • A more important problem in dogs than MRSA
    >otitis externa, pyoderma
  • Often multiresistant
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12
Q

what is Staphylococcus hyicus? what species/animals does it commonly infect and what disease does it cause? Symptoms?

A

Exudative epidermitis: “Greasy pig disease”

  • Under 7 weeks old
  • Reddening of the skin, erosions at the coronary band, anorexia
  • Systemic involvement and it can be fatal
  • Death in 3-5 days in acute disease
  • Reddened areas of skin turn into brown spots, producing serum exudates
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13
Q

Staphylococcus spp.: laboratory diagnosis strategies

A
  • Smear and Gram stain of clinical material
  • Culture and identification (1 day)
  • Antimicrobial susceptibility testing (1 day)
  • Molecular methods: mecA for MRSA and MRSP
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14
Q

Staphylococcus spp.: treatment and prevention

A
  • Treatment with antimicrobials and elimination of primary cause (opportunistic pathogen!)
  • Mastitis: prevention by detection of subclinical infections, hygiene, milking equipment, treatment with antimicrobials
  • Frequent antimicrobial resistance ➔ Susceptibility testing
  • No vaccine available
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15
Q

streptococcus spp. general characteristics: morphology of colonies, habitat, envrionmental survival, infection types caused, host specificity?

A
  • Chains of cocci
  • Commensals of mucous membranes of animals and humans (usually not skin)
  • Does not survive well in environment
  • Relatively “fastidious”
  • Pyogenic infections+++
  • Strong host-specificity
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16
Q

Virulence factors of streptococci

A
  • Capsule (antiphagocytic)
  • Antiphagocytic surface proteins (M-proteins)
  • Toxins (β-haemolysin)
  • Superantigens (Strep toxic shock toxins, cytokine storm)
17
Q

virulence factors of staphylococci

A

Variable virulence factors arsenal, depending on strain.
eg. Hemolysins, Leucocidins, Enterotoxins, etc.

  • Fibronectin-binding proteins: Adhesin, colonization of wound
  • DNAse, lipase, elastase, hyaluronidase: Host tissue penetration
  • Hemolysins: Damage cell membranes, necrosis
  • Leucocidins: Cytolysis of leucocytes
  • Enterotoxins: Diarrhea
  • Toxic shock syndrome toxin: Superantigen, shock
  • Coagulase: Fibrin protects from phagocytosis
  • Biofilm: Shielding from host defenses and antibiotics
18
Q

Some important Streptococcus spp.

A

S. equi subsp. zooepidemicus
S. equi subsp. equi
S. suis
S. canis
S. agalactiae

19
Q

S. equi subsp. zooepidemicus: what type of pathogen is it? what species does it infect? what type of infections?

A
  • Important opportunist pathogen of horses (and
    other species)
  • “The” cause of purulent infections in horses
  • Diverse infections: Upper respiratory tract infections, “mild strangles”, pneumonia, abscesses, wounds, urogenital tract, mastitis, etc
  • Foal septicemia and its sequelae (if no colostrum)
  • Zoonosis (uncommon in humans)
20
Q

what type of disease does S equi subsp. equi cause? how is it transmitted?

A

streptococcus equi subsp. equi
>strangles in horses, commonly infect upper airway and lymph nodes of the head and neck

  • Highly contagious, severe pharyngitis and associated
    lymphadenitis of lymph nodes of head and neck
  • Transmitted by discharges of disease and infected guttural pouch carriers
21
Q

how can we treat/prevent S. equi subsp. equi infections?

A
  • Treatment/prevention: Isolation and quarantine (until 3 negative PCR results), cleaning and disinfection, early treatment with penicillin (before abscesses)
  • Vaccines available, none perfect. Long-lasting but not always complete immunity after infection
22
Q

what are the properties of S. canis infection? what species? what symptoms?

A

– Opportunistic purulent infections (dog, cat)
– Minor pathogen, variety of infections: urogenital infections, mastitis, wound infections, otitis externa
– Toxic shock syndrome and necrotizing fasciitis

23
Q

what disease is caused by S. agalactiae?

A

highly contagious, subclinical mastitis (cows)

24
Q

what disease is caused by S. suis? what species?

A

-septicemia and meningitis/encephalitis (death)
-is zoonotic
-commonly in pigs

25
Q

Streptococcus spp.: laboratory diagnosis strategies

A
  • Smear and Gram stain of clinical material
  • Culture and identification
  • Antimicrobial susceptibility testing ? Usually not necessary

-can look for Hemolysis (β-hemolysis and pyogenic species)

26
Q

Streptococcus spp.: treatment and prevention

A
  • Neonatal septicemia: foals require colostrum!
  • Treatment of cuts, wounds, predispositions
  • Antimicrobial treatment: Penicillin G for pyogenic streptococci. Resistance to penicillin still rare (in animals, but different in humans)
  • Mastitis: hygiene, antimicrobial treatment
  • Vaccination:
    – Strangles (i.m., intranasal, lip)
    – S. suis: not yet available
27
Q

enterococci characteristics: type of bacteria, habitat, type of pathogen, infections caused…

A
  • Gram positive cocci
  • Normal intestinal flora
  • Numerous species (major: E.faecalis, E.faecium)
  • Low grade pathogens, true opportunists (predisposing factors +++)
  • Diverse types of infections
  • Mastitis, wound infections, UTI, secondary infection; Nosocomial +++++
28
Q

enterococci antibiotic resistance profile and consequences

A
  • Naturally resistant to many antimicrobial agents, especially E. faecium
  • Frequent acquired resistance
  • Major problem in human hospitals and some veterinary hospitals
  • “Vancomycin Resistant Enterococci”: Superbugs; part of the ESKAPE group of hospital-acquired infections