Branching Filamentous Gram-Positive Flashcards
Actinomycetes with Mycolic acid in cell wall; Acid-fast
Lawsonella, Segniliparus
Actinomycetes with Mycolic acid in cell wall; Partial Acid-fast
Nocardia, Rhodococcus, Gordonia, Tsukamurella, some Corynebacterium
Actinomycetes without Mycolic acid in cell wall
Nocardiopsis, Actinomadura, Streptomyces, Amycolatopsis, Desmospora, Dermatophilus, Dietzia, Kroppenstedtia, Pseudonocardia, Saccharomonospora, Saccharopolyspora, Thermoactinomyces, Williamsia
Actinomycetes causing pulmonary nocardiosis, mycetoma, catheter-based sepsis, osteomyelitis, skin and UTI infections; affecting old or immunocompromised patients
Nocardia spp.
Composition of Nocardia cell wall peptidoglycan
Diaminopimelic acid (DAP), Arabinose, Galactose
Appearance of Nocardia in agar
Substrate hyphae and aerial hyphae
Microscopic appearance is beaded with hyphae; Partial Acid-fast, Gram stain shows small yellow-orange kidney-shaped with club-like structure
Nocardia spp
Nocardia spp. biochemical properties
Strictly aerobic, Catalase & Urease positive, Lysozyme resistant
Nocardia culture media
SDA, LJ, BHI, BCYE, MTM; Incubate at 30°C for 2-3 weeks at ambient air
Nocardia spp. in tap water agar
Extensive hyphae
Distinguishing features of Nocardia asteroides
Negative for casein, xanthine, and tyrosine hydrolysis
Distinguishing features of Nocardia brasiliensis
Positive for casein and tyrosine hydrolysis
Rhodococcus equi significance
Causative agent of pneumonia, UTI, bacteremia, and infections in immunocompromised patients (HIV)
Appearance of Rhodococcus equi colonies
Mucoid orange to red or salmon-pink non-hemolytic colonies
Microscopic appearance is gram-positive coccobacilli with zigzag scanty branching pattern
Rhodococcus equi
Biochemical properties of Rhodococcus equi
Positive for Urease, Catalase, and CAMP
Causative agent for pericarditis, bacteremia, brain abscess, actinomycetoma with glabrous waxy heaped gray-white colonies under the microscope
Streptomyces spp.
Microscopic appearance of a gram-positive atypical bacilli with spore-like bodies and extensive branching; musty basement odor; lysozyme sensitive
Streptomyces spp.
Streptomyces spp. growth characteristics
Extensive hyphae in tap water agar
Causative agent for Whipple’s disease (GIT infection with impaired absorption and digestion)
Tropheryma whipplei
Tropheryma whipplei characteristics
Gram-positive actinomycete
Gold standard for Tropheryma whipplei diagnosis
PAS stain in gastrointestinal biopsy
First identification test of Tropheryma whipplei
PCR of duodenum biopsy