Corynebacteria. Listeria Flashcards
In what dye are the metachromatic granules highly stained
Aniline dye
Give the shape of corynebacterium
Rod, in parallel or acute angle with irregular swelling at one end
What do u call the irregular swelling in one end of coryne
Babes-Ernst bodies
True or false. C. Diph are resitant to heat and killed by drying
False. Killed by heat. Resistant to drying
How long can they stay in dust? C. Diph
102 days
C diph grows best on ——- environment
Anearobe at 37
They can be found where? C diph
Fresh and salt water soil and air
Their characteristic on blood agar
Small, granular, gray, irregular edges
Reduced tellurite is positive of what
Staph, strep, coryne
Give the rxn in tellurite agar
Brown to black with halo
This medium grows more coryne than other org
Loeffler
Other name for potassium tellurite
Modified tinsdale
True or False. All coryne subtypes are toxigenic.
False
What causes toxigenicity in c diph
Phage gene
Invasiveness due to
Bacterial gene
Resistant drugs to listeria
Fluoroquinolones
Cephaloaphorins
DOC for listeriosis
Ampicillin plus gentamicin
Erythro. Cotri
Diphteria is spread via
Droplet and contact trans
It desires low iron content for growth.
C diph
What level of iron does c diph growth is optimal and suppressed
Optimal 0.14
Supp 0.5
Diph toxin is heat labile. True or false
True
Which fragment of diph toxin binds to CD9 and HBEGF
Fragment b
This inhibits polypeptide chain elongation via ef 2
Fragment a
This is responsible for the neurotoxic and necrotizing effect of diph toxin
Abrupt cessation of protein synthesis
This is manifested as cervical adenitis and submandibular edema
Bullneck
Diphteria incubation period
2-6 days
How many weeks does the bcteria persist in untreated infxn
6 weeks
With treated diph, they become less comm at what day/week
Less than 4 days
Most common loc of virulence
Upper respi tract
Exudates in nasal
Serosanguinous or seropurulent
Doc for diph
Pen and ery x 14 days
What co existing org is also killed with ery and pen?
Strep
Elimination is documented when?
24 h post last say of meds. 2 cons negative, 24 h apart
Tellurite can have definite colonies in how many hours?
36-48h
Loeffler slant yields microbe in how many hours?
12-18h
What does negative culture but positive PCR means?
Positive
This test shows a precipitation line post 48hours at 45 degrees
Mod elek test
Used to detect tox gene
Pcr
What must be done prior to diph antitoxin administration? When must it be done?
Skin test. Same day of dx.
Cutaneous diph are treated for how many days?
10 days and cleanse with soap and water
Where is the primary lesion in diph
Throat
Prophylaxis for diph
Ery x 10 days
IM Pen G, 1 dose
Active vaccination
When does heart problem occurs?
When respi symptoms are improving at 2-3 weeks
Neuro prob occurs when and involves what.
Soft palate, pharyngeal wall. Sensory and motor nerve.
This coryne doesnt produce toxins.
Diphtheroids
Diphteroids asso with cath infxns
C striatum
Causes pharyngitis
C. Haemolyticum
Causes skim ulcers
Bovis. Haemolyticum. Ulcerans
Causes bacteremia and sepsis
Xerosis. Group D2, E, JK. Pyogenes. Bovis
This virulence actor hydrolyses sphingomyelin promoting spread of what org
Phospholipase D. Diphtheroids
This causes alkalinization of urine and leads to struvite formation
Urease
Doc for diphteroids
PM FR
Pen. Macrolide. Fluoro. Rifam
This culture media is used for listeria
Mueller Hinton agar
This non spore forming, gram positive have peritrichous flagella
Listeria
Motile and esculin positive non spore forming gram positive
Listeria
What do u call the movement of listeria
Tumbling end over end motolity at 22-28
True or false. Listeria grows in 4degree, low ph and high salt
True
This virulence factor promotes phagocytosis. Cell surface protein
Internalin
This promotes formation of filopods which are elongates protrusions
ActA
This promotes the lysis of phagolysosome.
Listeriolysin O.
True or false. This organism can move from cell to cell without being exposed to abs
True
What happens to immunocompetent patients with listeria
Febrile gastroenteritis. Self limiting
Occurs in immunocom with listeria
Meningo and bacteremia
Disseminated form of listeria
Granulomatosis infantiseptica
This listeria serotype causes late onset syndrome
Serotype ivb