Bacteria - Gram Negative Flashcards
Morphology of Neisseria
Gram negative diplococci
Neisseria tests
Oxidase positive
Chocolate Agar Growth (heated blood agar)
VPN agar (Vancomycin, Polymixin, Nystatin) or Thayer Martin agar
Immunologic Deficiency putting patients at risk for Neisseria
C5-C9 deficiency unable to produce MAC complex
Virulence factors of Neisseria
Fimbriae - pili shows antigenic variation
IgA protease - for survival in mucosa
Transmission of Neisseria meningitides
Respiratory droplets
Neisseria meningitides and gonorrhea ferments what sugars?
M: Glucose and Maltose
G: Glucose
Capsule of Neisseria meningitides
Polyssacharide Capsule
Pathogenesis of neisseria meningitides
Colonization of nasopharynx production of Lipopolyssacharide, causing inflammation response Increased capillary permeability Petechial rash Shock
Chacteristic PE finding of Neisseria Meningitides
Petechial rash from thrombocytopenia
Waterhouse Friderichsen Syndrome
Adrenal Insufficiency from hemorrhage from Neisseria Meningitides
Treatment and prophylaxis of choice in Neisseria Meningitides
Ceftriaxone
(treatment)
Rifampin (prophylaxis)
Where does neisseria gonorrheae usually stay and live?
Facultative Intracellular in PMNs
does not gram stain if intracellular
Capsule of Neisseria Gonorrhae
NO capsule
Clinical manifestations of Gonorrhea
Male - urethritis, prostatitis
Female - PID, white purulent discharge
Both - septic arthritis, usually knee
Fitz Hugh Curtis Syndrome is?
Spread of PID into peritoneum
Violin String Adhesions in liver are associated with
Neisseria gonorrheae
Neonatal conjunctivitis is usually caused by what organism
Neisseria Gonorrheae
Treatment of choice for gonorrhea
Ceftriaxone
plus Macrolide / Doxycyline) Chlamydia treatment
Klebsiella, Enterobacter, and serratia all cause?
Hospital acquired pneumonia, UTI. MDR
Lactose fermenting enterobactericae
Klebsiella, Enterobacter, Serratia, E coli
Pink colonies on MacConkey agar signify
Lactose fermenters
Enterobacter morphology
Motile gram negative
Serratia morphology
Motile gram negative, with red pigment
Klebsiella is usually associated with what conditions
Alcoholic
Abcesses
Aspiration