Bug List (Quiz 1) Flashcards
Acute bacterial endocarditis (IV drug use)
Staphylococcus aureus
Scalded skin syndrome
Staphylococcus aureus
Toxic shock syndrome (superantigen)
Staphylococcus aureus, Streptococcus pyogenes (Group A, GAS)
Cocci (sphere-shaped clusters)
Golden
Staphylococcus aureus
Medical device colonization (i.e. catheters, prosthetic valves)
Staphylococcus epidermidis
Scarlet fever
Streptococcus pyogenes (Group A, GAS)
Necrotizing fasciitis (SpeB)
Streptococcus pyogenes (Group A, GAS)
M protein Virulence factor
Streptococcus pyogenes (Group A, GAS)
SpeA and SpeC (exotoxins)
Streptococcus pyogenes (Group A, GAS)
Baby can get from mother during delivery through vaginal canal
Streptococcus agalactiae (Group B)
Neonatal meningitis, sepsis, pneumonia
Streptococcus agalactiae (Group B)
Most common cause of MOPS (Meningitis, Otitis media, Pneumonia, Sinusitis)
Streptococcus pneumoniae
IgA protease virulence factor
Streptococcus pneumoniae
Produces few toxin
Streptococcus pneumoniae
Risk factor: wool sorter’s
Bacillus anthracis
Black, dead skin surrounded by edema
Bacillus anthracis
Cyanosis
Bacillus anthracis
Exotoxins: edema Factor (EF), increases cAMP lethal factor (LF), response for necrosis/cleaves MAPK
Bacillus anthracis
Associated with reheated rice
Bacillus cereus
Pale exudate on soft palate (nerve damage, demyelination)
Corynebacterium diphtheriae
Exotoxin A: inhibits elongation factor 2 (EF-2) to inhibit protein synthesis by ADP ribosylation; necrosis (pseudomembrane formation), similar to Pseudomonas aeruginosa
Corynebacterium diphtheriae
Culture: tellurite agare or Loeffler’s medium
Toxin assay: Elek’s test
Black colonies on cystine-tellurite agar
Corynebacterium diphtheriae
Toxoid vaccine
Corynebacterium diphtheriae
Acquired by patient or mother from food (containment milk/soft cheese/meat)
Listeria monocytogenes
Neonatal meningitis (3rd most common cause)
Listeria monocytogenes
Most common cause of meningitis in adults 60+ and immunocompromised patients
Listeria monocytogenes
Can grow at refrigeration temperatures
Listeria monocytogenes
Motile: actin propellers (around cells and through membranes)
Listeria monocytogenes
Risk factor: animal contact (reptile)
Salmonella (non-typhoidal)
Lower infectiousness (high inoculum, acid-labile)
salmonellas
Poultry/egg transmission
salmonellas
Type III secretion (molecular needle)
salmonellas and shigella
H2S production on TSI agar (black colonies)
salmonellas
No antibiotics typically (if any, fluroquinolones or ceftriaxone)
Salmonella (non-typhoidal)
Fecal-oral route
Developing countries with poor sanitation
Salmonella (typhoidal)
Gastroenteritis (which Salmonella)
Salmonella (non-typhoidal)
Nausea, vomiting, cramps, diarrhea (which Salmonella)
Salmonella (non-typhoidal)
Enteric fever, rash (which Salmonella)
Salmonella (typhoidal)
High infectiousness (low inoculum, acid-stable)
Shigella
Oral-fecal transmission (unwashed hands)
Shigella
Bloody stool, HUS
Shigella
No H2S production on TSI agar
Shigella
Green colonies on hektoin agar
Shigella
MacConkey Agar (lactose negative)
salmonellas and shigella
Immobile, manipulates eukaryotic cytoskeleton (primarily actin filaments) to achieve intracellular motility after invading M cells in Peyer’s patches of gastrointestinal mucosa
Shigella
Acquired from contaminated beef
Enterohemorrhagic Escherichia coli (EHEC)
Bloody diarrhea, HUS
Enterohemorrhagic Escherichia coli (EHEC)
Most common cause of UTIs
Enterohemorrhagic Escherichia coli (EHEC)
Neonatal meningitis (only with K antigen)
Enterohemorrhagic Escherichia coli (EHEC)
Damages endothelial cells in glomerulus; platelet aggregation and decreased platelet count; hemolysis
Enterohemorrhagic Escherichia coli (EHEC)
Shiga-like toxin: inhibits translation of 60S ribosomes
Enterohemorrhagic Escherichia coli (EHEC)
Doesn’t ferment sorbitol
Enterohemorrhagic Escherichia coli (EHEC)
Watery diarrhea (traveler’s diarrhea)
Enterotoxigenic Escherichia coli (ETEC)
Newborns in developing nations at risk
Enterotoxigenic Escherichia coli (ETEC)
High infectious dose (which e coli)
Enterotoxigenic Escherichia coli (ETEC)
low infectious dose (which e coli)
Enterohemorrhagic Escherichia coli (EHEC)
MacConkey Agar (lactose positive, pink) Green on EMB agar
E. coli
Undercooked poultry
Unpasteurized milk
Campylobacter jejuni
Guillain-Barre (ascending paralysis)
Campylobacter jejuni
Invasive, can penetrate intestinal epithelium
Campylobacter jejuni
Thermophilic (grows at 42ºC)
Helicobacter pylori
Peptic ulcer (anorexia, vomiting, epigastric pain, belching)
Helicobacter pylori
Chronic inflammation —> metaplasia and cancer
Helicobacter pylori
Urease positive
Helicobacter pylori
VacA, CagA toxins
Helicobacter pylori
Antibiotics Cure Pylori
Amoxicillin
Clarithromycin (macrolide)
Proton pump inhibitor (PPI)
Helicobacter pylori
- Motile (flagella spins)
Helicobacter pylori
Whooping cough
Bordetella pertussis
Whooping cough
stage 1
Day 2-7, Catarrhal (low-grade fever, coryza, cold symptoms)
Whooping cough
stage 2
Day 14+, Paroxysmal (episodes of spasmodic coughing, vomiting)
Whooping cough
stage 3
Convalescent (gradual resolution)
Acute epiglottis (fever, sore throat, drooling)
Haemophilus influenzae
Neonatal meningitis (type B capsule)
Haemophilus influenzae
Chocolate agar: requires X factor (heme) and V factor (NAD+)
Haemophilus influenzae
Risk factor: smoking
Legionella pneumophila
Headache, confusion
Diarrhea
Legionella pneumophila
Kills macrophages and releases new bacteria (produces necrotizing pneumonia)
Legionella pneumophila
Buffered charcoal yeast extract: requires cysteine and iron
Legionella pneumophila
Urine antigen test
Legionella pneumophila
Chlamydia pneumoniae elementary bodies
infectious form
Chlamydia pneumoniae reticular bodies
replicating form
Weakly gram negative
Chlamydia pneumoniae
Requires silver stain
Legionella pneumophila
Cell wall lacks muramic acid (peptidoglycan component)
Chlamydia pneumoniae
Risk factor: military recruit (young and close quarters)
Mycoplasma pneumoniae
Stevens-Johnson syndrome
Mycoplasma pneumoniae
Not seen on gram stain (no cell wall)
Mycoplasma pneumoniae
Interferes with ciliary actions, initiates shredding of involved mucosa
Mycoplasma pneumoniae
IgM cold angulations cause angulation of RBCs, could lead to RBC lysis
Mycoplasma pneumoniae
Pneumonia, currant jelly sputum
Klebsiella pneumoniae
Abscesses and aspiration pneumonia
Klebsiella pneumoniae
Risk factor: alcoholics
Klebsiella pneumoniae
Risk factors: CF, HIV, and diabetic patients, IV drug users, and burn victims
Pseudomonas aeruginosa
Exotoxin A: inhibits elongation factor 2 (EF-2) to inhibit protein synthesis by ADP ribosylation; necrosis (pseudomembrane formation), similar to diphtheria toxin
Pseudomonas aeruginosa
Blue/green pigment (pyocyanin and pyoverdin)
Pseudomonas aeruginosa
Produces a fruity grape-like odor when plated
Pseudomonas aeruginosa
Thrives in aquatic environments
Pseudomonas aeruginosa
Watery, strong smelling diarrhea
Clostridium difficile
Toxin A & B: disruption of cytoskeleton and intercellular tight junctions; pseudomembrane
Clostridium difficile
Black colonies on cystine-tellurite agar
Corynebacterium diphtheriae
Cholesterol in cell membrane
Mycoplasma pneumoniae