Coliforms & Klebsiella Flashcards

1
Q

What genera make up Coliforms?

A

Citrobacter
Eneterobacter
Escherichia
Klebsiella

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2
Q

How do all Coliforms grow on MacConkey agar? How can Citrobacter, Enterobacter, and Klebsiella be differentiated?

A

lactose fermenters = purple

  • Citrobacter = H2S gas and black on TSI
  • Enterobacter = CO2 gas and yellow in TSI, urease negative
  • Klebsiella = CO2 gas and yellos in TSI, urease positive
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3
Q

What are the main 4 sites of colonization of Coliforms?

A

4 tubular tracts
1. GI tract
2. respiratory tract
3. urogenital tract
4. mammary glands

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4
Q

What 3 species of Klebsiella are of veterinary importance? What are these members of ESKAPE resistant to?

A
  1. K. aerogenes (ESKAPE)
  2. K. pneumoniae (ESKAPE)
  3. K. oxytoca

carbapenem

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5
Q

What is the main unique characteristic of Klebsiella when grown on a plate? What are other important characteristics?

A

highly mucoid colony due to their very thick capsule, making it not accessible to phagocytes and antibiotics

  • Gram-negative (LPS)
  • lactose fermenter
  • non-motile (no flagella/H antigen)
  • no H2S gas
  • urease positive
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6
Q

What 2 characteristics contribute to the serotype diversity of Klebsiella? What does this lead to?

A
  1. LPS —> 8-11 O serotypes
  2. capsule —> 77-80 K serotypes
    - lack flagella = no H serotype

antigenically different —> same vaccine will not work for all strains

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7
Q

What are the 2 types of K. pseudomoniae based on the size of their capsule?

A
  1. classical with usual capsule thickness
  2. hypercapsulated hypervirulent strain (additional virulence factors)
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8
Q

How can an isolated colony of Klebsiella be differentiated from the classical type or hypercapsulated type?

A

string test - hypermucoviscous phenotype colony will have a long string when gathered by a toothpick/inoculation loop and picked up
(snot = mucoid capsule organized in a glycocalyx)

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9
Q

What 5 cellular structures contribute to Klebsiella’s virulence factors?

A
  1. capsule (slime layer) - evades phagocytosis and immune evasion
  2. lipopolysaccharide (endotoxin) - evade serum killing factors and phagocytosis
  3. type I fimbriae - adherence to host surfaces and conjugative plasmid exchange
  4. biofilm formation - survival in harsh environment
  5. outer membrane proteins - protection from antimicrobials
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10
Q

What 4 Klebsiella products factor into its virulence?

A
  1. siderophores - rob iron from host cell
  2. urease - allow growth in urinary tract
  3. colibactin toxin - interefere with host cell cycle, induce DNA damage, or cause colorectal cancer
  4. 5 different plasmids - multidrug resistance
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11
Q

Why is Klebsiells super resistant to diverse antimicrobials?

A

leading trafficker of multidrug-resistant encoding plasmids:
1. pKPN3
2. pKPN4
3. pKPN5
4. pKPN6
5. pKPN7

(ESKAPE)

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12
Q

Major virulence factors in Klebsiella:

A
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13
Q

What are the 3 habitats of Klebsiella? In what environment is it especially abundant?

A
  1. mouth, skin, vulva, teats, and colon of vertebrates
  2. bowel and respiratory tract of humans and animals
  3. feces, soil, water, sewage, plants

dairy farms and cows

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14
Q

What are the 2 modes of transmission of Klebsiella?

A
  1. from flora —> causes infection during stress
  2. oral-fecal route
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15
Q

What 2 species of Klebsiella cause a majority of infections? What signs do each cause?

A
  1. K. pneumoniae - pneumonia, mastitis
  2. K. oxytoca - colitis, sepsis, mastitis
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16
Q

How does Klebsiella infection cause different signs based on the source of infection?

A

4 tubular tracts
- ulcerative colitis: abdominal pain, discomfort, diarrhea, bloating, flatulance, constipation, nausea, headaches, peritonitis, joint/muscle pain, fatigue, weakness
- UTI: fever, lower abdominal pain, bloody urine, frequent urination, back pain, vomiting
- pneumonia: high fevers, chills, flu-like symptoms, cough, yellow/bloody mucus, shortness of breath, chest pain
- mastitis

(also: septicemia, liver abscesses, meningitis, soft tissue infections)

17
Q

When is it most common for Klebsiella to cause liver abscesses?

A

(pus formed inside liver)
cattle in feedlots

18
Q

What are the most common diseases caused by classical Klebsiella infections and the hypervirulent strain?

A

CLASSICAL: bacteremia, pneumonia, surgical site infection, UTI

HYPERVIRULENT: meningitis, endophthalmitis, liver and splenic abscesses, soft tissue infection

19
Q

What are possible specimen Klebsiella can be isolated from?

A
  • urine (UTI)
  • pus (wound infection)
  • sputum (respiratory tract infection)
  • blood (bacteremia)
  • CSF (meningitis)
  • sterile body fluids and stool
20
Q

What biochemical tests can be done to diagnose Klebsiella infection?

A
  • Gram -
  • oxidase -
  • MacConkey agar lactose fermenter
  • TSI CO2 +
  • motility -
  • urease +
21
Q

What are the 2 major factors that make Klebsiella super virulent?

A
  1. mucoid capsule
  2. AMR plasmids