Curved, Gram-Negative Bacilli Flashcards

1
Q

General characteristics of Vibrio species

A
  • Gram-negative curved or comma-shaped bacilli.
  • Motile (polar, monotrichous flagellum), EXCEPT Vibrio metschnikovii; they exhibit “darting: or “shooting star” motility
  • Non-spore-forming
  • Facultative anaerobic
  • Aquatic organisms that are found in fresh water, brackish or estuarine water, and marine or salt water
  • Grow in alkaline media
  • Most are halotolerant, some are halophilic
  • Glucose fermentation
  • Catalase(+), EXCEPT Vibrio metschnikovii
  • Oxidase(+), EXCEPT Vibrio metschnikovii
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2
Q

What is the common name of V. cholerae ?

A

Komabacillus

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3
Q

Habitat of V. cholerae

A

Human colon

Can survive and grow in brackish water

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4
Q

What is the infectious dose of V. cholerae and why ?

A

They are sensitive to gastric acid hence high dose is required, 10^10 organisms per mL

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5
Q

Transmission of V. cholerae

A

Fecal-oral route, contaminated waters

Eating raw shellfish from contaminated waters

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6
Q

What are other names of cholera ?

A

Asiatic cholera or epidemic cholera

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7
Q

What is the incubation period of cholera ?

A

12 hours up to 3 days depending on the size of the inoculum ingested

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8
Q

Symptoms of cholera

A

sudden onset:
nausea
vomiting
abdominal cramps

profuse “rice water” diarrhea (stool resembles water in which the rice has been boiled) that may be as many as 10 to 30 per day
containing mucus, epithelial cells, and large numbers of vibrios

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9
Q

What can happen if cholera is left untreated ?

A
a rapid fluid and electrolyte loss that leads to:
dehydration
hypovolemic shock
metabolic acidosis
death in a matter of hours.
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10
Q

How does motility and mucinase assist V. cholerae in causing disease ?

A

aid in the penetration of the protective mucin layer that coats the surface of the gastroenteric mucosa

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11
Q

Characteristics of choleragen

A

cholera toxin is a heat-labile enterotoxin
the genes for which are encoded in a lysogenic phage consists of 2 subunits: A (active) subunits and binding (B) subunits

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12
Q

Differentiate the two peptides comprised of the A subunit of choleragens

A

A1 persists toxin activity, activates adenylate cyclase; hypersecretion of electrolytes (Na+, K+, HCO3−) and water out of the cell

A2, which facilitates penetration of the A1 subunit into the enterocyte

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13
Q

What is the structure of a choleragen ?

A

There are five B subunits per toxin molecule, arranged in a ring around a central core that contains the enzyme A1

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14
Q

What is the role of the B subunit of choleragens ?

A

B subunit binds the A2 subunit to the GM1 ganglioside receptor on the cell membrane of the enterocytes

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15
Q

Which antigenic structure forms the basis of a serotyping scheme that classifies the 139 strains of V. cholerae, designated from O1 to O139 ?

A

O antigen

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16
Q

What is the basis of the V. cholerae strains being designated into 3 major serogroups ?

A

agglutination with V. cholerae O1 polyvalent antiserum

17
Q

Characteristics of serogroup V. cholerae O1

A

agglutinated by V. cholerae O1 antiserum

Includes virulent strains producing cholera toxin

Associated with epidemic cholera

18
Q

Characteristics of serogroup V. cholerae non-O1

A

NOT agglutinated by V. cholerae O1 antiserum

Includes V. cholerae O2 up to V. cholerae O138

Does NOT produce cholera toxin; appear to produce a different enterotoxin

associated with isolated cases of diarrheal disease (NOT epidemic-associated)

19
Q

Characteristics of serogroup V. cholerae O139

A

Not agglutinated by V. cholerae O1 antiserum

caused large epidemics of cholera in Bangladesh, India, and neighboring countries in 1992

Produces cholera toxin

Makes polysaccharide capsule like other non-O1 strains

20
Q

What serogroup of V. cholerae is known as Bengal strain ?

A

V. cholerae O139

21
Q

In the El tor strain of V. cholerae what has it shown in the Greig test ?

A

lysis of goat or sheep erythrocytes

22
Q

What is the current predominant cholera pathogen ?

A

El Tor biotype of V. cholerae O1

23
Q

What has been considered as the predominant epidemic strains of V. cholerae ?

A

Ogawa and Inaba strains

24
Q

Differentiate the serotypes of V. cholerae O1

A

Ogawa has determinants A, and B (Ogawa)

Inaba has determinants A, and C (Inaba)

Hikojima produces all 3 antigens (A, B, C)

25
Q

Prevention and control of V. cholerae

A

improvement of sanitation, particularly of food and water

Patients should be isolated

their excreta disinfected

Repeated injection of a vaccine containing either lipopolysaccharides extracted from vibrios or dense Vibrio suspensions can confer limited protection to heavily exposed persons