Clostridia, Coryne, Listeria, Staph Flashcards

1
Q

Look into C.tetani toxin and treatment

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What toxins does C.perfringens make

A
  • Lecithinase: an alpha-toxin breaks down lecithin
    -enterotoxins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the symptoms of C.perfringens?

A

Similar to B.cereus: nausea, vomitting, fever, self limiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where does Clostridia live?

A

typically in the soil or feces. Spores are the main vector

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What bacteria causes gas production in the area of infection (wound)? how does this help the bacteria ?

A

-Clostridia
-interferes with blood supply
-tissue distention
-necrotizing toxin and hyaluronidase secretion
-tissue necroses -> hemolytic anemia -> toxemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is gas gangrene? what is it caused by ?

A
  • Clostridial myonecrosis
  • Caused by a mix of clostridia, cocci, and gram-negative organisms eating tissue
    -characterized by gas production, distention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the clinical presentation of clostridium in an contaminated wound and food poisoning? where would you collect specimins

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What tests can be used to ID clostridia?

A

-agar: hemolysis, anaerobic
-typcial signs: gas production during carb ferm test, lecithinase, activity
-ELISA for specific toxin
-PCR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is treatment of invasive clostridia?

A

-removal of infected tissue
- use of antimicrobial drugs (penicillin)
-Hyperbaric oxygen: detoxification
- treatment with anti-toxins
- preventative measures: containment of wound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are three geneus of aerobic non-spore forming gram-positive bacteria

A

Corynebacterium, Listreia, and Erysipelotthrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the two geneus of gram-positive, spore forming aerobic bacteria?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the general characteistics of Corynebacterium

A

-aerobic
-non-sporeforming
-forms clubbed ends at the end of the rods = irregular rod shape
- High G-C content
-small

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How do you ID CoryneBacteria diphtheriae?

A

-aniline dye/monochromatic dye is used to stain the bacteria, causing the clubbed ends to be purple and the body to be green

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does Coryne look under blood agar? What special agar can you use to help?

A

Small, granular, grey, irregular
-Tellurite agar: brown-black with brown-black halo (halo is unique)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the two types of Diptheria? How is it spread?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the toxin that C.diphtheriae produce? how does it work?

A

-small and breaks into fragments held by disulfide bond
FINISH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the pathology of respiratory diphtheria

A

-toxin is absorbed into membranes: destroys epithemium and starts inflammation response
-psuedomembrane forms: made of necrotic tissue, RBC, and WBC formed at the back of the throat
-Enlarged lymphnodes : “bull neck” due to edema of neck
-Toxin can disseminate systemically -> leads to paralysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the pathology of cutaneous diphtheria?

A

-membrane forms around infected wound
-little toxin is absorbed due to skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the clinical findings for resp diptheria

A

-Sore throat
-low-grade fever
-prostration
-dyspnea
-systematic irregulatiries: cardiac, vision, speech, swallowing, movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How do you ID C.diphtheriae (3)? where do you get the samples from the patient(2)?

A

-take samples before antimicrobials
-swabs from nose, throat or lesion under visible membrane
-Stain -> clubed rods
-selective agars: tellurite
-toxin testing: antitoxin tests, PCR, ELISA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What factors cause resistence to C.diphtheria?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How do you treat diphtheria?

A

-Prevent toxin-producing baccteria
-antimicrob: penicillin, erythromycin
- specific anti-toxin at infection site: stops disease progression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is a convalescent carrier?

A

A carrier of a pathogen who sheds pathogens for awhile after reported infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the general characterisitcs of Listeria?

A

-ubiquitious: soil, vegitation, sewage, water, silage, slaughterhouse waste, healthy animals
-Hardy: large temp range, pH and O2 amount alowed for growth. Salt tolerant(halotolerant)

25
What is the species of listeria that casuses illness? How about Coryne?
Listeria: Monocytogenes Coryne: diphtheriae
26
What is the morphology of Listeria
-stumpy gram positive rod -motile: tumbling motility at 22-28 C -non-spore forming -Catalase positive -variable hemolytic activity
27
-selective bile and esculine agar: allows for detection of esculin hydrolysis creating black halos -chromagar: Listeria's production of beta-glucosidase, causing a blue green color on Chromagar. Halo will appear on two species, and not the other four -Rapid L'mono: Uses xylose fermentation
28
What is the pathology of Listeria?
-Causes Listeriosis -Febrile Listerial Gastroenteritis: self-limiting gastroenteritis, non-invasive. Happens when you ingest very contaminated food -Invasive Listerosis (cell penetration): uses actin-tail to move into adjcent cells -Immunocompromised: systematic infections. Can develop meningitis high mortality rate -Can cause severe pregnancy complications with few symptoms: pre-term births, abortions, stillbirths -Causes 19% of all food borne deaths
29
How do you ID Listeria?
-Motility -Catalase posisitve -CAMP test -PCR, sero -Gram-positive
30
How do you treate Listeria?
FINISH
31
What are some characterisitcs of Erysipelothrix rhusiopathae?
-Gram-positive: rapid decoloarization - alpha-hemo -small, transparent, glistening colonies -gram-stain dependent of growth conditinos -catalase, oxidase, and indole negative - turns TSI black
32
Where does E.rhusiopathiae live?
33
What does a E.rhusiopathiae infectoin look like?
34
How do you treat a E.rhusiopathiae infection?
35
What are the general characteristics of staphlococcus?
-Gram-positive cocci that like to grow in clusters -non-motile -non-spore forming -differentiated via coagulase: fibrinogen->fibrin -positive: only one is S.aureus - neg: norm. in biota, but can be opportunistic
36
What is micrococcus?
-use to be apart of staph genus -environmental -same gram stain, slightly different agar -rarely associated with disease
37
What does Staph aureus look like on agar?
-grown under microaerobic to aerobic at 37 C (20-25 for pigment) -round, smooth, raised colonies -aureus is golden, while other staph is grey or while -varying degrees of hemolysis
38
How do you ID STaph (biochem)
-Cat. positive -slow ferments many carbs -no gas production -rel. heat resistent and drying, as well as fairly high salt tol.
39
What is the MOA to Penicillin, ampicillin, ticarcilin, ect resistence
-beta-lactamase, typically plasmid-derived -Chr derived: FINISH
40
What is the MOA of staph vancomycin resistance
41
What is bacterial tolerance?
42
What gives Staph its antigenicity?
-peptidoglycan: simulates monocytes, chemoattractant for PMNs -teichoic acid -protein A: an adhesive that coats coag-pos staph. bound to peptidoglycan. IgG affinity -Capsule: inhibits phagocytosis
43
what are the four strains of hemolysis? what do they each degrade? Which one is invovled in MRSA
44
What are the exfoliative toxins?
45
What is staph scalded skin syndrome? what is toxic shock syndrome? what are they caused by?
46
What is the presentation of TSS?
47
Where is S.aureus found?
-Clothing, bedlinens, ect -body
48
What are enterotoxins?
Toxins that produce food borne illnesses. stable to heat, resistant to gastric acid and int enzymes. Short incu period till typicall food borne illness
49
What is impetigo? What is folliculities, What are furuncles? what are carbuncles
A superficial infection of S.aurues
50
What is bacteremia
51
What is endocarditis?
52
what is osteomyelitis
53
what is septic arthritis
54
Where do you collect samples from patient for S.aurues
55
How do you ID S.aurues?
56
how do you tell staph versus strep?
cat test
57
What is treatment of S.aurues
58
Where does S.aurus come from?
59