E. Coli Flashcards
Causes mild dehydration and Causes enteritis
ETEC
has Clinical syndrome similar to Shigella dysentery
EIEC
Dysentery-like diarrhea with fever
EIEC
Elicits mucosal inflammation, epithelial necrosis, and ulceration
EIEC
primary cause of hemorrhagic colitis or bloody diarrhea
EHEC
2 Syndromes CAUSED by EHEC
Hemolytic Uremic Syndrome
Thrombotic Thrombocytopenic Purpura
Causes mucoid diarrhea and is often persistent
EAggEC
Starts with watery diarrhea and abdominal pain
EAggEC
Increases mucus secretion, which forms a layer overlying the epithelium of the small intestine
EAggEC
Bfp, Intimin
EPEC
STa, LT-I, EtpA, P Pili, Dr fimbriae
ETEC
No toxins; damages intestinal wall by Mechanical Cell destruction
EIEC
Shiga-like toxins; Intimin-Tir mediated attachment and effacement
EHEC
Bundle forming fimbriae, ST enterotoxins: EAST (Enteroaggregative Stable Enterotoxins) and SHET (Shigella Enterotoxins), Dispersins, Hemolysins,
EAggEC
Contaminated food, water, fomites
EPEC
Contaminated water, improperly treated drinking water, water
ETEC
Contaminated food and water
EIEC
EAggEC
Ingestion of contaminated food; person-person transmission
EHEC
Infectious dose of 10^6
EPEC
ID of 10^8 (elderly are susceptible to low doses)
ETEC
ID of 10^6 to 10^10
EIEC
low ID; 10 organisms by ingestion
EHEC
10^10 organisms (ID)
EAggEC
IP of 6-49 hours
EPEC
IP of 14-30 hours
ETEC
IP of 2-8 days
EHEC
IP of 2-48 hours
EIEC
IP of 8-18 hours
EAggEC
E. Coli in sorbitol MacConkey Agar
Colorless colonies
E. Coli in Eosin Methylene Blue Agar
Blue-black colonies with metallic green sheen
Identification for EPEC
Polymerase Chain Reaction
DNA hybridization methods (detection of EAF and gene encoding bfp)
Fluorescent Actin Staining
Presence of LT in E.Coli detected thru:
Rabbit Ileal Loop Method Adult Rabbit skin Method Tissue Culture Tests Serological Tests Genetic Probes
Presence of ST in isolates:
Infant Mouse Test
Genetic Probes
Detection of ETEC:
Non-radioactively labeled oligonucleotides DNA probes
PCR
EIEC detection:
Sereny Test
Cell Culture Test
VMA enzyme-linked immunosorbent assay
Identification of EHEC strains
Cytotoxic effects of VERO and HELA cells
DNA Probes
Detection of EAggEC
Agglutination tests w/ specific antisera H
Type of gastroenteritis that infect the large intestine and produce shiga toxin that causes bloody diarrhea
Hemorrhagic Colitis
IP of hemorrhagic colitis:
1-6 days
Symptoms include: marked edema on portions of colon and absence of pathogens in stool
Hemorrhagic Colitis
Results from abnormal premature destruction of RBC
HUS (Hemolytic Uremic Syndrome)
Decreased output of urine
oliguria
Paleness of skin
Pallor
Symptoms include: Oliguria Pallor Edema thrombocytopenia microangiopathic hemolytic anemia
HUS
reduced delivery of oxygen to the tissues
Microangiopathic Hemolytic Anemia
Deficiency of platelets in the blood
Thrombocytopenia
Characterized by clotting in small blood vessels in the body; less prominent neurological manifestations; Purpura; fatigue; tachycardia
TTP
Purple-colored spots
Purpura
May decrease the amount of diarrhea
Bismuth Subsalicylate
Alternative drug for Trimethoprim/Sulfamethoxazole
Clotrimoxazole
Reduces duration of diarrhea; for children
Trimethoprim/sulfamethoxazole
Strictly for Adults; disrupt the enzyme topoisomerase II, a DBA gyrase that is necessary for the replication of the microorganism
Ciprofloxacin
Drug for EPEC
Oral Neomycin
Genus of E. Coli
Escherichia
Family of E. Coli
Enterobacteriaceae
Acute, profuse, watery diarrhea w/c rarely becomes persistent
Stools are not bloody, mucoid, or dysenteric
EPEC
Diarrhea without fever
ETEC
Abrupt onset of watery diarrhea that is nondysenteric
ETEC
found on the cell wall of E. Coli
LPS (Lipopolysaccharide)