Bacteriology - Not on Sketchy Flashcards
3 examples for other Cougulase Negative Staphylococci?
S. Haemolyticus
S.Lugduenesis
S.Hominis
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S. Hemolyticus
Transmission and Resivoir
Resivoir - Part of Normal Skin flora
Opportunistic Pathogen - Wound Infection, Endocarditis, Bacteremia and Sepsis.
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S. Hemolyticus
Lab Diagnosis
S. Hemolyticus - Lab Diagnosis:
Cougulase Negative and Gram Positive
Beta Hemolysis
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S. Lugdunensis
Transmission and Pathogesis
Oppurtonistis Pathogen - Skin flora
Aggressive Endocarditis and Other involvement in Cardiovascular Infections.
(Cougulase Negative and Gram Positive)
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S. Hominis
Hemolytic Activity
Transmission
No Hemolytic Activity (Gamma) but Contribuits to Body Odor :)
Cougulase Negative and Gram Positive
Opportunistic Pathogen from Skin Flora
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Common features of the Streptococcus Genus: (4)
Gram-Positive Cocci
Arranged in Pairs or Chains
Facultative Anaerobe
Catalase Negative (and Isolation on Blood Agar)
Strep. Hemolysis Classification on Blood agar:
Alpha - Examples for Bacteria
Beta - Examples for Bacteria
Gamma - Examples for Bacteria
Strep. Hemolysis Classification on Blood agar:
Alpha - S. Pneumoniae / S. Virdans
Beta - S. Pyogenes / S. Agalactiae
Gamma - Enterococcus Faecalis
Hemolysis Classification on Blood agar:
Alpha - Meaning
Beta - Meaning
Gamma - Meaning
Hemolysis Classification on Blood agar:
Alpha - Green or Partial Hemolysis, Reduction of Hb
Beta - Complete Hemoysis Colonies
Gamma - None Hemolysis Colonies
Strep. Lancifield Classification (A-U) - Antigen Dependent (A-G in human) Examples for :
A -
B -
D -
Strep. Lancifield Classification (A-U)
A - S.Pyogenes
B - S. Agalactiae
D - S. Bovis and E. Facaelis
Molecular Classification of Strep. (16S rRNA)
Pyogen Examples
Pyogen Examples
S. Pyogenes, S.Agalactiae
Molecular Classification of Strep. (16S rRNA)
Anginosus Examples
Anginosus
S. Anginosus
Molecular Classification of Strep. (16S rRNA)
Mitis Examples
Mitis
S.Pneumoniae and S.Mitis
Molecular Classification of Strep. (16S rRNA)
What is unique about Sanguinis and Mutans?
Dental Carries
Virdans Group Diseases for:
Sanguis and Oralis
Mutans
Bovis
Sanguis and Oralis - Endocarditis
Mutans - Dental Caries
Bovis - Malignancies of GI
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Streptococcus Mutans
Metabolic Products (Cariogenesis)
Streptococcus Mutans
Metbolizes Sugars to Lactic Acid allowing for Low pH enviorment.
Produces Polysacchrides from Sucrose.
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Other Aerobic Spore Formers Bacilli:
Antibiotics Producers + Antibiotic
(Try to Remember at least 3 examples)
Brevibacillus Brevis - Gramicidin
Bacillus Subtilis - Bacitracin
Bacilus Cereus - Cerexin
Paenibacillus Polymyxa - Polymyxin
Bacillus Circulans - Circulin
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Other Aerobic Spore Formers Bacilli:
Kind Used for Testing Heat Sterilization Procedures
Geobacillus Stearothermophilus
Used for Testing Heat Sterilization Procedures
Other Aerobic Spore Formers Bacilli:
Kinds Occasionally isolated from Gastroeneritis
(Try to Remember at least 3 examples)
B. Subtilis ,B. Circulans ,B. Coagulans ,Brevibacillus Brevis, B. Pumilus
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Conditions for Anaerobic Gram Negative Rods
CO2 and O2 Values - Finegold
CO2 - More than 10%
O2 - less than 8%
Anaerobic Gram Negative Rods
4 Enzymes Missing
1) Cytochromes for Oxygen Metabolism
2) Supraoxide Dismutase
3) Catalase (Partly)
4) Peroxidase (Partly)
Anaerobic Gram Negative Rods
Noraml Flora of Oral Cavity (1:10 - Aero/Anaero)
Peptococcus
Peptostreptococcus
Lactobacillus
Bifidobacterium
Prophyromonas
Fusobacterium
Anaerobic Gram Negative Rods
Noraml Flora of Colon (1:1000 - Aero/Anaero)
Peptococcus
Peptostreptococcus
Lactobacillus
Bifidobacterium
Prophyromonas
Fusobacterium
Eubacterium
Anaerobic Gram Negative Rods
Noraml Flora of Skin (10:1 - Aero/Anaero)
P. Acnes
Propionibacterium
Prevotella
Bacteroides
Anaerobic Gram Negative Rods
Noraml Flora of Vagina (Changing Aero/Anaero)
Peptostreptococcus
Lactobacillus
Bifidobacterium
Eubacterium
Anaerobic Gram Negative Rods
Peptococcus - Normal Flora of…
Colon and Oral Cavity
Anaerobic Gram Negative Rods
Peptostreptococcus - Normal Flora of…
Colon, Vagina and Oral Cavity
Anaerobic Gram Negative Rods
Lactobacilus - Normal Flora of…
Colon, Vagina and Oral Cavity
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Anaerobic Gram Negative Rods
Bifidobacterium - Normal Flora of…
Colon, Vagina and Oral Cavity
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Anaerobic Gram Negative Rods
Bacteroids - Normal Flora of…
Colon, Skin and Oral Cavity
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Anaerobic Gram Negative Rods
Prophyromonas- Normal Flora of…
Colon and Oral Cavity
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Anaerobic Gram Negative Rods
Eubacterium - Normal Flora of…
Colon and Vagina
Anaerobic Gram Negative Rods
Upon displacement from normal flora enviorment to dying body tissue:
Examples, Conditions met and General Consequences
Conditions - 1) Lower O2: Shock, Angiopathy and DM
2) Barrier Cut - Aspiration, Operation and Trauma
Results in Endogenous Infection and Complex Pathogenesis
Anaerobic Gram Negative Rods
Antibiotics Treatment:
What should be determined before given? Which type?
Only after MIC Determination
Metronidazole - Effective against most anaerobes
Clindamycin, Chloramphenical are also a possibility
Moraxella Genus
Lab Findings and General Charcteristics
Gram Negative
Diplococci
Oxidase Positive
White Colonies on Culture Media
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Moraxella Genus
Normal Flora of…
Moraxella Genus - Normal Flora of…
Skin, Upper respiratory Tract and Genitourinary Tract.
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Moraxella Catarrhalis
Specific Biochemical Features (other than Oxidase+)
Obligate Anaerobe
Beta-Lactamase+
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Moraxella Catarrhalis
Epidemiologic Factors, Diseases and Treatments
Epidemiologic Factors - Childrens or Respiratory patients
Diseases - Bronchopneumonia, Bronchitis, Sinusitis and Otitis Media
Treatment - Amoxicillin with Clavulinic Acid
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Moraxella Lacunata
Disease
Treatment
Moraxella Lacunata
Subacute Conjectivitis
Amoxicillin with Clavulinic Acid
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Moraxella Osloensis and Moraxella Nonliquefaciens
Normal Flora of…
Kind of Infection
Moraxella Osloensis and Moraxella Nonliquefaciens
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Skin surface, Mucosal Membranes of Mouth and Genitourinary Tract.
Causes Rare Opportunistic Infections
How can we diffretiate between N. Meningitidis and N. Gonorrohea?
N. Meningitidis has a Capsule and Ferments Maltose while N. Gonorrohea Does Not.
Other Apathogenic Neisseria:
Important Species (Try to remember at least 3)
Other Apathogenic Neisseria:
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Lactemica , Subflava, Flavescens, Mucosa, Pharyngitidis, Pharyngococcus
Other Apathogenic Neisseria:
Rare Pathogenesis Consequence
Cultivation in contrast to Pathogenic Neisseria
Rare Pathogenesis - Respiratory Tract Infections, Endocarditis or Conjunctivitis (N.Lactamica)
Cultivation - Easier, Normal Neiserria Media, Ferments several Sugars
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Other Apathogenic Neisseria:
General Features and Habitat
General Features - Gram-, Aerobic, Oxidase+
Habitat - Oral and Nasopharyngeal
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Proteus Spicies
Most Infections Source
Other Kinds
Most Infections by P. Mirabilis
Other less infective - P. Penneri, P. Vulgaris
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EAEC - Enteroaggregative E. Coli
MOA, Disease
EAEC - Enteroaggregative E. Coli
MOA - Attachment to epitheial cells of Small Intesine by Pili , Bacterial Aggregation and release cytotoxins
Sever wattery diarrhea in Children in developing countries (Chronic >14 days)
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EIEC - Enteroinvasive E. Coli
MOA, Disease, Plasmid Activity
EIEC - Enteroinvasive E. Coli
MOA - Colon Destruction of Epithelial Cells
Dysentery - Wattery Diarrhea, Mucos and Fever
Plasmid Activity - Full Invasion of Plasmid from Shigella
EPEC - Enteropathogenic E. Coli
Transmission ,MOA, Disease
EPEC - Enteropathogenic E. Coli
Transmission - Nursing homes Outbreaks
MOA - Attachment to epitheial cells of Small Intesine by Intimin/Tir Complex - Pedestal Formation!
Wattery Diarrhea in Newborns
Salmonella Genus
Biochemical Properties
Types in Animal GI, Gastroenteitis
Salmonella Genus
Biochemical Properties - H2S+, Lactose(-)
Types in Animal GI,Gastroenteitis - S.Enteriditis and S. Typhimurium
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Vibrionaceae Familly
General Characteristics
Vibrionaceae Familly
Gram Negative, Comma Shaped
Oxidase Positive
Primarily Found in Water
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Vibrio Parahaemolyiticus
Lab Diagnosis
VF
Incubation time
Vibrio Parahaemolyiticus
TCBS Medium Culture
Enterotoxin
24hrs
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Vibrio Parahaemolyiticus
Transmission and Symptomes
Vibrio Parahaemolyiticus
Shellfish, Undercooked asian food or Sea water
Self Limited Severe Gastroenteritis with Diarrhea
Wound Infection from Sea Water
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Vibrio Vulnificus
Transmission
VF
Diseases
Vibrio Vulnificus
Shellfish, Undercooked asian food or Sea water
VF: Capsule, Cytolysins, Collagenases, Proteases, Siderophores (Iron-Carrier Enzyme)
Severe Wound infection - Erythema, Bullae Formation and Necrosis
Sepsis (Septicemia)
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Plesiomonas Shigelliodes
Lab Diagnosis
Transmission
Clinical Feature
Plesiomonas Shigelliodes
Gram Negative, Motile and Oxidase Positive
Transmitted by Seafood
Gastroenteritis with Wattery/Bloody Diarrhea
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Aeromonas Hydrophila
Lab Diagnosis
Treatment
Aeromonas Hydrophila
Gram Negative, Rod Shaped, Facultative Anaerobic
Oxidase and Indole Positive
Fluroquinalone : Ciprofloxacin
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Aeromonas (e.g. A. Hydrophila)
Transmission
Clinical Features
Transmitted by Meat and Dairy Products/ Immunocompremised Paitents
Bloody Diarrhea from food infection
Wound Infection - Cellulitis from Infected Water
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Bulkholderia, Stenotrophomonas and Acinetobacter
General Common Features
Bulkholderia, Stenotrophomonas and Acinetobacter
Contaminate Moist Hospital Sites - Nosocomial Infection
Sinks, Showers, Respirators
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Burkholderia Mallei
Disease Related
Burkholderia Mallei - Glanders Disease
- Effects Donkeys and Horses as well
- Highly Infectious
- Skin and Mucosal Ulcers
- Inhalation can cause pneumonia
- Lymphangitis and Sepsis (Lethal)
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Burkholderia Pseudomallei
Transmission and Pathogenesis
Burkholderia Pseudomallei
In Tropical Countries soil
Highly Infectious and Could be dormant for years
Re-Occurance upon stress
Peritichous Polar Flagella
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Burkholderia Pseudomallei
Disease Related
Burkholderia Pseudomallei - Disease Related
- Meliodosis - Endemic Glanders like disease
- Chronic Lung Disorders
- Upper Lobe Pulmanry Disease
- Acute Bacteremia (From cutaneous Infection)
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Burkholderia Cepacia Complex (BCC)
Reservoir
Pathogenesis
Treatment
Burkholderia Cepacia Complex (BCC)
- Plant Pathogen but opportunistic pathgen in Cystic Fibrosis (Rare Otherwise)
- Motile with Peritrichous Polar Flagella
- Highly drug Resistant
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H. Haemolyticus
H. Haemolyticus
Gram(-) Coccobacillus
Diagnosis: Has Hemolytic Activity
Diagnosis: Choclate Agar with Factor V and X
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H. Parainfluenzae
H. Parainfluenzae
Gram(-) Coccobacillus
Similar Diseases to Influenzae
Diagnosis: Choclate Agar with Factor V only
H. Parahaemolyticus
H. Parahaemolyticus
Gram(-) Coccobacillus
Diagnosis: Has Hemolytic Activity
Diagnosis: Choclate Agar with only Factor V
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H. Aegypticus
Symptomes
H. Aegypticus
Conjectivitis and Brazilian Purpuric Fever (In children)
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H. Aegypticus
Diagnosis
H. Aegypticus
Gram(-) elongated Rod
Diagnosis: Choclate Agar with Factor V and X
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H. Ducreyi
Transmission and Symptomes
H. Ducreyi
STD
Painfull Ulcus molle - Chanceroid (Unlike Syphillis)
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H. Ducreyi
Diagnosis and Treatent
H. Ducreyi
Gram(-) elongated Rod
Diagnosis: Choclate Agar with Only Factor X
Treatment: Erythromycin, Fluroquinolone
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Other Haemophilus:
H. Haemolyticus
H. Haemolyticus
Gram(-) Coccobacillus
Diagnosis: Has Hemolytic Activity
Diagnosis: Choclate Agar with Factor V and X
Stenotrphomonas Maltophilia
Transmission and Characteristics
Stenotrphomonas Maltophilia
- 3rd most common gram negative pathogen
- Isolated from sputum of Cystic Fibrosis Paitents
- Nosocomial - IV Catheters, Disinfectant solutions
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Stenotrphomonas Maltophilia
Clinical Features and Treatment
Stenotrphomonas Maltophilia
- Lung infection (CFTR) and Sepsis
- MDR potential
- Treated with Trimethoprim and Sulfamethoxazole
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Acinetobacter Baumanii
Characteristics and Diagnosis
Transmission
Acinetobacter Baumanii
- Gram Negative, Coccobacilli, Obligate Anaerobe
- Oxidase Positive, Non-Fermenting
- Ubiquitous Saprophytes
- Nosocomial - Opportunistic for Paitents with broad spectrum antibiotics
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Acinetobacter Baumanii
Pathogenesis
Clinical features
Treatment
MACI and PACI
Acinetobacter Baumanii
- Forms Biofilms in Catherters develop to Bacteremia
- Sepsis, UTI, RTI, Wound infections
- MDR - Treatment based on in vitro susceptibillity tests (like Disc Diffusion)
- MACI - Multi-resistant Acinetobacter Baumanii
- PACI - Pan-resistant Acinetobacter Baumanii
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Cariogenesis
- Process and Outcome
- Causitive Agents
- Advanced Stage agents
Cariogenesis
- Demnirlization of Enamel, Dentin or Cementum by lactic acids produced by -
- S.Mutans or S.Sanguis usually
- Lactobacilus Spp. is involved in later stages
Bacteroides Fragilis
General Charactersistics
VF (Non toxic)
Toxin
Bacteroides Fragilis
Polysacchride Capsule, Flora of GI, Anaerobe
Hyalurodinase, Fubrinolysin, DNase, Heparinase
Heat-Labile Zinc Metaloprotease
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Pervotella Disiens
General Charcteristics
VF
Pervotella Disiens
Vagina Flora, Anaerobe
IgA Protease
Collagenase and Fibrinolysin
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Fusobacterium Genus
VF
Clinical Symptomes
Diagnostics
Fusobacterium Genus
Anaerobe Gram Negative Rod, With oral spirochates cause Infections
Plaut-Vincet Angina -Ulceritive Tonsillitis could progress to Gingivitis
Geisma Stain
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Streptococcus Bovis
Clinical Presentation
Assosiation with
Dominant subtype
Streptococcus Bovis
Mitral Valve Endocaritis after GI surgery
In general Bacterima Could indicate Colorectal Cancer
S. Gallolyticus
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Borrelia Recurrentis
Transmission
Pathogenicity
Clinical Presentation and Treatment
Borrelia Recurrentis
Louse Vector between Humans
Capable of Antigenic Variation
Epidemic Relapsing Fever, Treat by Tetracyclines
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Borrelia Hermsii
Transmission
Pathogenicity
Clinical Presentation and Treatment
Borrelia Hermsii
Zoonosis transmission via Ticks
Capable of Antigenic Variation
Endemic Relapsing Fever, Treat by Tetracyclines
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Erysipelothrix Rhusiopathiae
`General Features
Erysipelothrix Rhusiopathiae
Gram Positive
Rod
Zoonosis (Pigs)
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Erysipelothrix Rhusiopathiae
Pathogensis
Erysipelothrix Rhusiopathiae
Erysiploid -Skin mild infection
(Similar to S.Pyogenes’s Erysipleas)
Endocarditis (Rarely)
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Erysipelothrix Rhusiopathiae
Erysipeloid -Symptomes
Erysipelothrix Rhusiopathiae - Erysipeloid Symptomes:
Pain
Skin lesions without pus
Violaceus (Purple Spots)
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Erysipelothrix Rhusiopathiae
Diagnosis, Treatment and Prevention
Erysipelothrix Rhusiopathiae
Diagnosis: Small transparnt colonies on Blood agar
Treatment: Self limiting (4 wks max) or Penicillin
Prevention: Vaccination of Pigs or Gloves
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Lactobacillus (L.acidophilus, L.Casei, L. Fermentum)
General Features
Lactobacillus (L.acidophilus, L.Casei, L. Fermentum)
Gram Positive
Rod Shape
Part of Oral, Gut and Vagina Normal Flora - Acidic Environments
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Lactobacillus (L.acidophilus, L.Casei, L. Fermentum)
Clinical Features
(Try to remember 3 Pathologies as they are rare)
Lactobacillus (L.acidophilus, L.Casei, L. Fermentum)
Lactose Fermenter that is used as Probiotic
Involved in late complications of Dental Caries
Rarely causes (Endo. Pathogen): Endocarditis, Meningitis, Cellulitis, Orbital Osteomylitis, Ptostatitis, Saplpingitis, Sepsis
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Lactobacillus (L.acidophilus, L.Casei, L. Fermentum)
Diagnosis
Lactobacillus (L.acidophilus, L.Casei, L. Fermentum)
Culture from CSF/Amniotic Fluid/Exodate
Rogosa Medium - Anaerobic conditions with low pH and High Glucose
Blood Agar - 5% CO2 24hrs. White-Yellowish Colonies with Yogurt Smell.
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Lactobacillus (L.acidophilus, L.Casei, L. Fermentum)
Treatment (When acts as Endogenous Pathogen)
Lactobacillus (L.acidophilus, L.Casei, L. Fermentum)
Dependent of Susceptability Test
could be Vancoyscin Resistant!
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Bifidobacterium Bifidum
General Features
Bifidobacterium Bifidum
Gram Positive Rod
Dominant Friendly Bacteria of the Intestine
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Bifidobacterium Bifidum
Found in Which Individuals
Medical Significance
Industrial Significance
Bifidobacterium Bifidum
Found in Breast-Fed Infants
Prevents colonization of Pathogens and Used as Probiotics
Manufacturing of Yogurt
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Prebiotics
Definition
Examples
Prebiotics
Non-Digestble foods aiding good bacteria flurish
Oligosaccharide-Fibers or Resistant Starch found in Fruits of Whole grains
Probiotics
Definition
Examples
Probiotics
Friendly gut bacteria found in fermented foods
Lactobacilli and Bifidobacteria
Porphyromonas
General Features
VF
Porphyromonas
Aanaerobic Gram-negative rod
Flora of Mouth and GI
Trypsin-like activity, Collagenase
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Salmonella Genus
Biochemical Properties
Types Adapted to Human, Enteric Fever
Salmonella Genus
Biochemical Properties - H2S+, Lactose(-)
Types Adapted to Human, Enteric Fever - S. Typhi and Parathyphi A, B and C (I.e. Abdominal Typhi - Picture)
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Salmonella Genus
Biochemical Diagnostic Methods
1) Eosin-Methylene Blue (EMB) medium: pink colonies (lactase negative)
2) Brillant-green medium: Lactose, dextrose, saccharose with Andrade indicator will appear
with no color (salmonella is lactose negative, E. Coli will show red)
3) Bismuth-sulfite medium: on bismuth salt + sodium sulfite medium, salmonella H2S
production will cause bismuth sulfide to be colored black (selective for salmonella)
4) Salmonella-Shigella (Hektoen) medium: black colonies (to distinguish from shigella)
Black plate under salmon
Salmonella Genus
Serology
- Slide agglutination- specific antibody to identify bacteria ‘O’ and ‘H’ antigens
- Gruber-Widal test (tube agglutination)- serial dilutions of Ag to detect Ab in serum
2 other Causative Agents of Tuberculosis
(other than Mycobacteria Tuberculosis)
2 other Causative Agents of Tuberculosis
- Mycobacterium Bovis - Cattles milk to Human, Childhood scrofuloderma, BCG Vaccine derived from it (Live Attenuated).
- Mycobacterium Africanum - West African countries
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Facultative Pathogenic Mycobacteria
Runyon Classification : Group II
Runyon Classification : Group II
- Slow growers, Scotochromogens (only in dark)
- Mycobacterium Scrofulaceum : from Soil or water to Oropharynx in Childern. Granulomatous cervical lymphadenitis. Treated by surgical removal.
- Mycobacterium Xenopi
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Facultative Pathogenic Mycobacteria
Runyon Classification : Group IV
Runyon Classification : Group IV
- Rapid growers (<7 days) , Non-chromogens
- Mycobacterium Chelonae: from soil/water/animals, causing subcutanous lesions.
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Facultative Pathogenic Mycobacteria
Runyon Classification : Group III
Runyon Classification : Group III
- Slow growers, Non-chromogens
- Mycobacterium Avium complex: from soil/water/animals, Lung-TB/Dissaminated-TB in AIDS paitents. Diagnosis by microscopy and treatment with Clarithromycin and Azithromycin.
- Mycobacterium Ulcerans: from soil/water. “Buruli” Skin ulcers and Abcesses
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Facultative Pathogenic Mycobacteria
Runyon Classification : Group I
Runyon Classification : Group I
- Slow growers, Photochromogens (only in light)
- Mycobacterium Marinum : from Fish, Lung-TB in AIDS paitents
- Mycobacterium Kansasii: Lung and Systemic disease. Could be MDR-TB.
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Facultative Pathogenic Mycobacteria
Runyon Classification : 3 Parmeters
Runyon Classification
Based on:
- Rate of growth
- Yellow pigment production
- If it was produced in the dark/light
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What are the facultative pathogenic mycobacteria? (2 examples)
Mycobacterium Avium Complex (MAC)
Mycobacterium Kansasii
Mycobacterium Marinum
Mycobacterium Ulcerans.
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Which mycobacteria is apathogenic?
Mycobacterium Smegmatis
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Serovariants of Leptospira Inerrogans
L. Icterohaemorrhagiae (Rats)
L. Canicola (Dogs)
L. Pomona (Pigs)
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Causative Agents of Lyme Disease?
Borrelia Garini
Borrelia Burgdorferi
Borrelia Afzelii
What type of Vaccine is there for a Bacterium of the Salmonella Genus? Which Bacterium?
Live Attenuted Vaccine for Paratyphi and Typhi
(Syringe in Seagall’s Leg)
How can we distinguish between S.Typhi+Paratyphi to Enteridis?
S.Typhi and Paratyphi have the Vi Capsular Antigen
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Medically Important Shigella Spicies:
Shigella Dysenteriae
Shigella Flexneri
Shigella Boydii
Shigella Sonnei
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Serney test for Shigella
Innoculation of Shigella in Rabitt shows Kertoconjectivitis
Treatment for Shigella Infections
TMP-SMX
Trimethoprim and Sulfonamides
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What is the Tenesmus Sensation caused by Shigella?
Tenesmus
Constant need for Defication while eventaully turns out unproductive
Which of the Yersinia Genus posess the Pla?
Yersinia Pestis - Pla, Plasminogen Activator Protease Gene
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Yersinoisis
How does it menifest with each pathogen related?
Yersinoisis
1) Y. Enterocolitica - Gastroenteitis and Enterocolitis
2) Y.Pseudotuberculosis - Gastroenteitis and Mesenteric Lymphadenitis
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Adult complications of Yersinoisis
Adult complications of Yersinoisis - Bechterew Disease
Spondylosis Ankylopoetica with Arteritis (IC acculomation)
Abcesses in Abdomen
Hepatitis
Osteomylitis
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What are the 3 types of Infection Menifestations in Y. Pestis?
3 Types of Infection Menifestations in Y. Pestis
- Bubonic Form - LAD aka Buboes
- Septicemic Form - Hemmoraghic Inflammation, Abcess, DIC
- Pneumonic From - Black Blood Cough with Pneumonia
What are the Bacteria relative to the Diphteroid Group?
Diphteroids
Corynebacterium Pseudodiphtheriticum, Corynebacterium Ulcerans, Corynebacterium Minutissimum, Corynebacterium Urealyticum.
Legionella pneumophila is a bacterium grown on _____ ________ ____ ____ with iron and cysteine.
Legionella pneumophila is a bacterium grown on buffered charcoal yeast extract - BCYE with iron and cysteine.
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Campylobacteria Genus
More Examples apart from C. Jejuni
Campylobacteria Genus
Campylobacter Coli, Campylobacter Fetus and Campylobacter Upsaliensis - All causing Gastroenteritis
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B. Suis
Reservoir and Disease
B. Suis
Pigs
Swine brucellosis
B. Melitensis
Reservoir and Disease
B. Melitensis
Goats and Sheep
Malta fever
B. Abortus
Reservoir and Disease
B. Abortus
Cattle
Bang disease
B. Canis
Reservoir and Infection
B. Canis
Dogs
rarely causing infection
Bordetella Genus
More Examples apart from B. Pertussis
Pathogenesis
Bordetella Genus
B. Parapertussis, B.Bronchiseptica - with filamentous haemaglutinin, pertactin, fimbriae causing RTI
B. Petrii - Only Bordetella not obligate Aerobe
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Bartonella Quintana
Diseases Associated
Bartonella Quintana
5 Days Fever / Trench Fever
Subacute Endocarditis (3 Week to Culture)
Bacillary Angiomatosis (Like B.Hensle)
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C. Perfringens
A and C Types Acording to the Toxin and Symptomes
C. Perfringens
- “A” type : (ε) Enterotoxin - Food Poisoning: watery diarrhea with abdominal cramps
- “C” type: β-toxin - Necrotizing Enteritis (Often Fatal) : necrotic lesions in jejunum, bloody diarrhea, peritonitis, shock
Other Gas Gangrane Clostridia
Clostridium Septicum
Clostridium Septicum
- Motile with peritrichous flagella
- Associated with Colon tumor
- VF: α-toxin with necrotic and hemolytic activity
- Diagnosis by blood culture
- Necrotizing fasciitis
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Other Gas Gangrane Clostridia
Clostridium Novyi
Clostridium Novyi
- General features: motile with peritrichous flagella Three types based on the toxin produced: A, B (pathogenic) and C (non-pathogenic)
- Virulence factors: α, β, δ, ε toxins with haemolytic (necrotic activity), phospholipases and lipases
- Clinical feature: Toxemia
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Other Gas Gangrane Clostridia
Clostridium Histolyticum
Clostridium Histolyticum
- Animals and Humans are Targets
- α-Toxin - Necrotizing Muscle Tissue - Killing Lab Animals in hours time
- β-toxin - 7 Collagenases in complex
- Rest are Proteases, Elastases and Hemolysins
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Treponema Genus and Non-Venereal Treponemal Diseases (Treponematosis):
Treponema Pallidum Vincentii
Treponema Pallidum spp. Endemicum
- Ulcerative Tonsillitis - Plaut Vincent Angina
- Combination with Fusobacterium Nucleatum in oral cavity causes fusospirochetal infection
- Necrosis in tosils could extened to Acute ulceritive Gingivitis
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Treponema Genus and Non-Venereal Treponemal Diseases (Treponematosis):
Treponema Pallidum spp. Pertenue
Treponema Pallidum spp. Pertenue
- Yaws - South America, Central Africa (Endemic)
- Granulomatosus Disease
- Secondary Skin lesions
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Treponema Genus and Non-Venereal Treponemal Diseases (Treponematosis):
Treponema Pallidum spp. Endemicum
Treponema Pallidum spp. Endemicum
- Bejel (Endemic Syphilis) - Africa/Asia/Australia
- Transmission through Eating utensils
- Initial Oral Lesion
- Secondary Skin lesions
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Diphteroids - Definition
Diphteroids
Non-Pathogenic Corynebacterium species
Members of the Normal skin and Throat flora
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Actinomyces - Other Species
2 names
Actinomyces - Other Species
Actinomyces Naeslundii (Mister lunas with nice nose)
Actinomyces Odontolyticus
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Oritentia Tsutsugamushi
Diagnosis and Treatment
Oritentia Tsutsugamushi
- Giesma Stain
- Doxycycline
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Oritentia Tsutsugamushi
Pathogenesis and Disease
Oritentia Tsutsugamushi
- Reservoir and Transmission through Red Mites
- Phospholipase: Allowing for degradation of Phagosome membrane
- In host cell, Binary fission is very slow (up to 12 hours)
- Scrub Typhus :Abrupt fever, headache, myalgia, in less than 50% also maculopapular rash. up to 15% mortality rate.
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Mycoplasmatales
Species and Morphology
Mycoplasmatales
- Smallest living organism
- Significant genera are Mycoplasma (125 species) and Ureaplasma (7 species)
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Mycoplasmas
General Features and Morphology
Mycoplasmas
- Facultative anaerobes (except M. pneumoniae, which is an obligate aerobe)
- Grow slowly and require exogenous Sterols for Membrane
- Small colonies
- No Cell Wall
- Membrane Glycolipids and Proteins
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Mycoplasmas
M.Genitelium: Habitat, Pathogenesis, Diseases and Culturing
M.Genitelium
- Habitat: Genitourinary tract
- Pathogenesis: transmitted by sexual contact (STD)
- Diseases: Non-Gonococcal urethritis (NGU), PID
- Culture: from first part of urine or from ejaculate (urethral discharge)
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Mycoplasmas
M. Hominis: Habitat, Pathogenesis, Diseases, Treatment and Culturing
M. Hominis
- Habitat: Genitourinary tract
- Pathogenesis: transmitted by sexual contact (STD)
- Diseases: Non-Gonococcal urethritis (NGU), Pyelonephritis, Postpartum fevers, systemic infections in immunocompromised patients.
- Culture: 4 days long, Metabolizes Arginine
- Treatment: Clindamycin
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Ureaplasma Urealyticum
Habitat
Pathogenesis
Diseases
Treatment
Culturing
Ureaplasma Urealyticum
- Habitat: Genitourinary and Respiratory tract
- Pathogenesis: transmitted by sexual contact (STD)
- Diseases: Non-Gonococcal urethritis (NGU), Pyelonephritis, Spontaneous abortion, Premature birth
- Culture: Urea containing media
- Treatment: Erythromycin
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Chlamydia Genus
Chlamydia Psittaci
Chlamydia Psittaci
- Zoonotic, Obligate Intracellular
- Parrots/Birds to Human Pathogen:Walking Pneumoniae, Meningitis and Myocarditis
- Macrolides as Treatment
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Chlamydia Genus
Chlamydophilla Pneumoniae
Chlamydophilla Pneumoniae
- Grows intracellularly - Macrophages/Endothels/SMC
- Called TWAR agent - Serotypes TW + AR
- Obligate Human Pathogen:Walking Pneumoniae and Hoarseness
- Macrolides as Treatment
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