Clinical Bacteriology Flashcards
Novobiocin Sensitive
S. epidermidis
Novobiocin Resistant
S. saprophyticus
Catalase negative and in chains
streptococcus
optochin sensitive and bile soluble
S. pneumonia
Optochin resistant and bile insoluble
Viridans strep like S. Mutans
Bacitracin Sensitive
Group A Strep (S. pyogenes)
Bacitracin Resistant
Group B Strep (S. agalactiae)
alpha hemolytic bacteria
S. pneumonia and Viridans Strep
beta hemolytic bacteria
S. aureus, S, pyogenes, S, agalactiae, Listeria
tumbling motility
Listeria monocytogenes
2nd most common cause of uncomplicated UTI in young women
S. saprophyticus, 1st is E. coli (wipe front to back ladies)
Lancet-shaped, gram positive diplococci
S. pneumonia
sepsis in sickle cell anemia and splenectomy
S. pneumonia
Most common cause of Meningitis, otitis media in kids, penumonia, and sinusitis
MOPS - S. pneumonia
causes dental caries
S. Mutans (from Viridans Strep group)
cause SUBacute bacterial endocarditis at damaged valves
S. sanguinis (from Viridans Strep group)
Criteria for Rheumatic fever
Joints - polyarthritis O looks like heart - carditis Nodules - subcutaneous Erythema mirginatum Syndenham chorea S. pyogenes - M protein causes this
rash, sandpaper-like tongue, strawberry tongue, circumoral pallor
Scarlet fever from S. pyogenes
Hippurate test positive
Group B strep, aka S. agalactiae
When to screen pregnant women for S. agalactiae
35-37weeks, if positive tx with intrapartum penicillin prophylaxis
Grow in 6.5% NaCl and bile
Entercocci (group D Strep)
Causes subacute endocarditis in colon CA patients
Strep Bovis
Elek test for toxin
C. diphtheria
Black colonies on Cystine-tellurite agar
C. diphtheria
121C for 15minutes
to kill spores
Tx for C. difficile
metronidazole or oral vancomycin
ulcer with black eschar
cutaneous anthrax
woolsorter’s disease
pulmonary anthrax - starts as flu and progresses to fever, pulmonary hemorrhage, mediastinitis and shock
reheated rice syndrome
bacillus cereus, caused by cereulide
gram positive organism that produces LPS
Listeria
Tx of Actinomyces
penicillin
Tx of Nocardia
sulfonamides
primary TB is localized in what area of lung?
mid lung
secondary TB is localized in what area of lung?
apical lung
Pott Disease
extrapulmonary TB in the vertebrae
interferon-gamma- release assay
more specific test of TB, has fewer false positives from BCG vaccination
PPD is negative if:
no infection or anergy like taking steroids, malnutritin, immunocompromised and in sarcoidosis
Night sweats, fever, weight loss, hemoptysis
Mycobacterium tuberculosis
MAC in AIDS patients
Cord factor
in virulent strains of TB that inhibit macrophage maturation and induces the release of TNF-alpha
Reservoir for Leprosy
Armadillos
Tuberculoid Leprosy
in people with high CMI, largely Th1-response
hypoesthetic hairless plaques on the skin, can’t feel area
tuberculoid leprosy