Anaerobic Gram Positive Bacilli Flashcards
Similarities between Clostridium spp. and Bacillus spp.
- Spore-forming
- Gram positive (+)
Differences between Clostridium spp. and Bacillus spp.
CLOSTRIDIUM
* Anaerobic
* Catalase (-)
BACILLUS
* Aerobic
* Catalase (+)
Gram stain reaction of Clostridium spp.
Gram Positive (+)
Catalase reaction of Clostridium spp.
Catalase Negative (-)
Morphology of Clostridium spp.
Bacilli
Aerotolerance of Clostridium spp.
Anaerobic
Habitat of Clostridium spp.
Humans and Animals
Are Clostridium spp. asaccharolytic?
No, they are SACCHAROLYTIC
Which species of Clostridium are asaccharolytic?
- Clostridium tetani
- Clostridium septicum
Clostridium tetani and Clostridium septicum are capable of _______.
Swarming
These organisms are capable of swarming.
- Clostridium tetani
- Clostridium septicum
Clostridium spp. are capable of producing ______.
Toxins
Clostridium spp. are classified based on the ______.
toxin produced
Categories of Clostridium spp. based on the toxin produced
- Neurotoxin
- Histotoxin
- Enteric
Neurotoxic Clostridium spp.
- Clostridium tetani
- Clostridium botulinum
Histotoxic Clostridium spp.
- Clostridium septicum
- Clostridium perfringens
Enteric Clostridium spp.
Clostridium difficile
The causative agent of Myonecrosis
Clostridium perfringens
Clostridium perfringens is the causative agent of ________.
Myonecrosis
Myonecrosis is commonly known as _________.
Gas Gangrene
Myonecrosis is a ______ infection.
cutaneous
________ causes food poisoning, particulary PORK POISONING.
Clostridium perfringens
Which specific type of food poising do Clostridium perfringens cause?
Pork Poisoning
________ causes Pig Bel (Type C) necrotic enteritis.
Clostridium perfringens
Clostridium perfringens causes which specific type of necrotic enteritis?
Pig Bel (Type C)
Is Clostridium perfringens encapsulated?
Yes
Is Clostridium perfringens motile?
No, it is non-motile
Which physical characteristic differentiates Clostridium perfringens among other species?
Box Car appearance
It exhibits a box car appearance
Clostridium perfringens
The spore of Clostridium perfringens is located _________.
subterminally
Clostridium perfringens produces a double hemolysis on _______.
Blood Agar Plate
________ produces a double hemolysis on BAP.
Clostridium perfringens
Clostridium perfringens produces a ________ on BAP.
double hemolysis
Describe the inner hemolysis exhibited by Clostridium perfringens on BAP.
Complete zone of hemolysis (β) due to Teta toxin
The inner hemolysis of Clostridium perfringens on BAP is _______.
β-hemolysis
The outer hemolysis of Clostridium perfringens on BAP is _______.
α-hemolysis
Describe the outer hemolysis exhibited by Clostridium perfringens on BAP.
Incomplete zone of hemolysis (α) due to alpha-toxin and lecithinase
Which is responsible for the complete zone of hemolysis of Clostridium perfringens on BAP?
Teta Toxin
Which is responsible for the incomplete zone of hemolysis of Clostridium perfringens on BAP?
- Alpha Toxin
- Lecithinase
Known factor in Reverse CAMP Test
CAMP
Unknown factor in Reverse CAMP Test
Phospholipase C
What is the purpose of Nagler reaction?
To identify the presence of α-toxin or lecithinase
Nagler reaction is also known as _______.
Lecithinase Test
Explain the principle of Nagler reaction
To identify the alpha toxin produced by Clostridium perfringens. The α-toxin is lecithinase, which will hydrolyze the phospholipid lecithin that can be seen in the culture media (egg-yolk based media). The activity of lecithinase is demonstrated by the growth of the bacteria on the agar containing egg yolk and the presence of α-toxin on the other half as well as no or free from α-toxin on the remaining half.
Positive result for Nagler Reaction
- (+) PPT/opalescence on the side withour anti-toxin or
- (+) No PPT/opalescence on the side with anti-toxin
It inhibits opalescence and lecithinase.
Anti-toxin
Which agar is used for Nagler reaction?
- McClung Toabe
- Neomycin Egg Yolk Agar
The culture media for Nagler reaction contains _______.
Lecithin
Which toxin targets the CNS?
Neurotoxin
Which toxin targets the tissues?
Histotoxin
Which toxin targets the GIT?
Enteric
Clostridium botulinum is also known as _________.
Canned Good Bacillus
It is also known as “Canned Good Bacillus”.
Clostridium botulinum
Why is Clostridium botulinum called canned good bacillus?
It is present or produced in canned goods
Clostridium botulinum is the causative agent of __________.
- Food botulism
- Wound botulism
- Infant botulism
The causative agent of food, wound, and infant botulism.
Clostridium botulinum
Spore description of Clostridium botulinum
- Oval
- Subterminal
Virulence factors associated with Clostridium botulinum
- Toxin-labile
- Botulinum Toxin
A neurotoxin that is most potent and powerful.
Botulinum Toxin
Clostridium botulinum blocks the release of _______.
Acetylcholine
Infections associated with Clostridium botulinum
- Wound botulism
- Infant botulism (floppy baby syndrome, SIDS)
Spore in wound
Wound botulism
Honey bee is also known as _______.
Floppy Baby Syndrome
Is Clostridium botulinum cultured?
Not commonly
How is Clostridium botulinum identified?
Through Cytotoxin assay using serum
What is the purpose of Cytotoxin assay in Clostridium botulinum?
To identify the presence of botulinum toxin
Which Clostridium sp. is lipase (+)?
Clostridium botulinum
Clostridium tetani is also known as _______.
Tuck Head/Drumstick/Lollipop Bacillus
It is also known as “Tuck head/Drumstick/Lollipop Bacillus”.
Clostridium tetani
Why is Clostridium tetani called tuck head/drumstick/lollipop bacillus?
Because its spore is round and found terminally
Clostridium tetani is the causative agent of _______.
Tetanus
__________ is the causative agent of Tetanus.
Clostridium tetani
“lock jaw”
Tetanus
“devil’s grin”
Risus Sardonicus
“arching of the back”
Opisthotonus
How is Clostridium tetani transmitted?
Through direct inoculation in to the wound
Virulence factors associated with Clostridium tetani
Tetanospasmin
What kind of toxin is tetanospasmin?
Neurotoxin
It is associated with spasmic contractions or lock jaw.
Tetanospasmin
Is Clostridium tetani cultured?
Not commonly
Which specimen is used in Cytotoxin assay for the detection of botulinum toxin?
Serum
The causative agent of antibiotic-associated pseudomembranous colitis.
Clostridium difficile
Most commonly associated antibiotic for Clostridium difficile
Clindamycin
Spore description of Clostridium difficile
Oval and subterminal
Which agar is used for Clostridium difficile?
Cycloserine-Cefoxitin Fructose Agar (CCFA)
Clostridium difficile ferments _______.
Fructose
Which tests are done to detect the toxin produced by Clostridium difficile?
- EIA
- Cytotoxin assay
Which specimen is used to detect the presence of toxin produced by Clostridium difficile?
Stool
The only non-motile species of Clostridium
Clostridium perfringens
The only species of Clostridium that can ferment lactose
Clostridium perfringens
Lactobacillus acidophilus is a normal flora of the ________.
Mouth, GIT, Vaginal Canal
________ is also known as Doderlein Bacillus.
Lactobacillus acidophilus
Lactobacillus acidophilus is also known as _______.
Doderlein Bacillus
Is Lactobacillus acidophilus pathogenic?
No
But they can be an opportunistic pathogen
An organism which is an occupational hazard in meat, poultry, and fish handlers.
Lactobacillus acidophilus
Which culture is used to propagate Lactobacillus acidophilus?
Tomato Juice Agar
Which species is found in Yakult?
Lactobacillus casei
Lactobacillus casei is found famously in ______.
Yakult
Lactobacillus casei is also known as _______.
Shirota Strain
Shirota strain is pertaining to _______.
Lactobacillus casei
What is the gram stain reaction and aerotolerance of Lactobacillus spp.?
Gram Positive (+) Anaerobic Bacilli
It causes lumpy jaw
Actinomyces bovis
Actinomyces bovis causes ______.
lumpy jaw
What is the gram stain reaction and aerotolerance of Actinomyces spp.?
Gram Positive (+) Anaerobic Bacilli
It characterized by the presence of lesion on the sinus tract; draining sinus tract with sulfur granules.
Actinomyces israeli
These are the causative agents of Periodontal Molar Tooth Colony Disease
- Bifidobacterium dentium
- Eubacterium lentum
Bifidobacterium dentium and Eubacterium lentum are the causative agents of _________.
Periodontal Molar Tooth Colony Disease
What is the gram stain reaction and aerotolerance of Bifidobacterium dentium and Eubacterium lentum spp.?
Gram Positive (+) Anaerobic Bacilli
A skin flora, normally causing pimples.
Propionibacterium acnes
An organism which requires 20% bile.
Bacteroides fragilis
Bacteroides fragilis requires _______.
20% bile
What color does Bacteroides fragilis colonies exhibit?
Black
Bacteroides fragilis is a normal flora of the _______.
GIT
______ produces a foul odor.
Bacteroides fragilis
What is the gram stain reaction and aerotolerance of Bacteroides fragilis?
Gram Negative (-) Anaerobic Bacilli
Which organism is it?
- Black colonies
- Red fluorescence on UVL
Porphyromonas asaccharolytica
Which organism is it?
- Black colonies
- Red fluorescence on UVL
- Saccharolytic
Prevotella melaninogenica
What is the gram stain reaction and aerotolerance of Porphyromonas asaccharolytica?
Gram Negative (-) Anaerobic Bacilli
What is the gram stain reaction and aerotolerance of Prevotella melaninogenica?
Gram Negative (-) Anaerobic Bacilli
Which organism is it?
- Breadcrumb colonies
- Fusiform bacilli
Fusobacterium nucleatum
Which organism is it?
Vincent’s angina
Fusobacterium necrophorum
Which organism is it?
Pitting of the agar
Bacteroides ureolyticus
What is the gram stain reaction and aerotolerance of Fusobacterium nucleatum?
Gram Negative (-) Anaerobic Bacilli
What is the gram stain reaction and aerotolerance of Fusobacterium necrophorum?
Gram Negative (-) Anaerobic Bacilli
What is the gram stain reaction and aerotolerance of Bacteroides ureolyticus?
Gram Negative (-) Anaerobic Bacilli
Which organism is it?
- SPS Sensitive
- Indole and Catalase (-)
Peptostreptococcus anaerobius
What is the gram stain reaction and aerotolerance of Peptostreptococcus anaerobius?
Gram Positive (+) Anaerobic Cocci
Which organism is it?
Catalase (+)
Peptostreptococcus asaccharolyticus
What is the gram stain reaction and aerotolerance of Peptostreptococcus asaccharolyticus?
Gram Positive (+) Anaerobic Cocci
Which organism is it?
Staphylococcus like
Peptostreptococcus niger
What is the gram stain reaction and aerotolerance of Peptostreptococcus niger?
Gram Positive (+) Anaerobic Cocci
Which organism is it?
Most pathogenic anaerobic cocci
Finegoldia magna
What is the gram stain reaction and aerotolerance of Finegoldia magna?
Gram Positive (+) Anaerobic Cocci
Which organism is it?
- Red fluorescence in UVL
- Nitrate (+)
Veilonella parvula
What is the gram stain reaction and aerotolerance of Veilonella parvula?
Gram Negative (-) Anaerobic Cocci
What is the gram stain reaction and aerotolerance of Megasphera?
Gram Negative (-) Anaerobic Cocci
What is the gram stain reaction and aerotolerance of Acidaaminococcus?
Gram Negative (-) Anaerobic Cocci