Enterics/Anaerobes I Flashcards
Antiphagocytic capsule
B. fragilis
GI anaerobic abscesses
B. fragilis
Clostridium
Only G+ spore formers
Clostridium
Vaccine = formalin inactivated toxin
Clostridium tetani
A1 fragment ADP-ribosylates GTP binding protein (which incr CFTR, causing osmotic diarrhea)
V cholera
V Parahaemolyticus
Black tar heroine users
Clostridium botulinum
Rho-family GTPase rearranges actin + stress fibers
Clostridium diff
Associated w/ poor sanitation
V cholera
V Parahaemolyticus
Only anaerobic endospore formers
Clostridium
Disease due to exotoxins and hydrolytic enzymes
Clostridium
Abrupt + severe diarrhea + dehydration
V cholera
V Parahaemolyticus
Acute mesenteric lynphadenitis
Yersinia enterocolitica
Fe-sequestering
V vulnificus
Descending flaccid paralysis
Clostridium botulinum
Swarming on motility test
Proteus
Curved, G-, oxidase +
V cholera V Parahaemolyticus
Aggressive abx: clinda, erythromycin, metronidazole
B. fragilis
Toxin B = kills colon cells
Clostridium diff
“boxcar” bacili
Clostridium perfringens
severe watery diarrhea
V. cholera
KIA Slant = yellow w/ gas
lactose fermented (E. coli, Klebsiella, Enterobacter)
G+ tennis rackets/lollipops
Clostridium tetani
Exotoxin mediated = abx don’t work
Clostridium tetani
lockjaw + risus sardonicus 1-2wks post exposure
Clostridium tetani
Dysentery
Shigella
Non-invasive toxin
V cholera V Parahaemolyticus
Tryptophan –> Indole
Shigella (negative = Salmonella)
Wound inf in fishermen
V vulnificus
KIA Slant = Black w/ gas
glu fermented, H2S formed (Salmonella, Proteus)
Motile w/ polar flagella
V cholera
V Parahaemolyticus
Raw meat/milk with human-human transmission
Campylobacter jejuni Campylobacter fetus
Non-inflmm watery diarrhea for 8-12h (no fever, no vomiting)
Clostridium perfringens
“Sea gull” appearance
Campylobacter jejuni Campylobacter fetus
Incr risk if vit K deficiency (liver disease)
V vulnificus
Black colonies
P melaninogenic
Rice water stool
V cholera
Negative motility test
Shigella, Klebsiella
Dx via TCBS + MacConkey Agar
V cholera V Parahaemolyticus
AB exotoxin, phage encoded
V cholera V Parahaemolyticus
Infant diarrhea
E. coli
Slender, curved G- rod
H. pylori
Small dose = massive death
Campylobacter jejuni Campylobacter fetus
Non-invasive bacteria = not eliminated by host
H pylori
Purple on EMB
weak lactose fermenters (Klebsiella)
Toxin A = diarrhea
Clostridium diff
Grows in higher pH
V cholera
V Parahaemolyticus
Vomiting, diarrhea, abd cramps
V vulnificus
KIA Slant = completely red
no carb fermentation (Pseudomonas)
Pseudomembraneous colitis
Clostridium diff
Trx = metronidazole
Clostridium diff
AB neurotoxin = tetanospasmin
Clostridium tetani
Cleavage of V-snares and T-snares
Clostridium botulinum
Toxin-coregulated pilus needed for GI colonization
V cholera V Parahaemolyticus
Cultured microaerobically
Campylobacter
grow at 42’C
Campylobacter jejuni
Campylobacter fetus
CN damage (vision, dysphagia) –> resp failure
Clostridium botulinum
G-, oxidase +, spirals
Campylobacter jejuni
Campylobacter fetus
VacA + CagA on PAI
H pylori
Fluoroquinolone resistance
Campylobacter jejuni Campylobacter fetus
raw canned foods, honey
Clostridium botulinum
Causes Guillan-Barre Syndrome (oligo saccharide abs w/ myelin protein)
Campylobacter jejuni
Campylobacter fetus
clips V-snare via Zn metalloprotease
Clostridium tetani
7 antigenic types (A-G)
Clostridium botulinum
Diarrhea form seafood
V. parahaemolyticus
Fever, then bloody diarrhea w/ pus
Campylobacter jejuni Campylobacter fetus
Related to clinda, imipenem, ceftaxidine, moxifloxacin
Clostridium diff
Pink/red on MacConkey Agar
E. coli (lac+)
Hyperbaric oxygen, PCN, protein-inh for enzymes
Clostridium perfringens
alpha-PLC, collagenases, proteases
Clostridium perfringens
Infects lining of small intestine, causes systemic spread
Campylobacter jejuni
Campylobacter fetus
Green + metallic sheen on EMB
lactose fermenters (E. coli)
Clear/white on MacConkey Agar
Shigella/Salmonella (lac-)
Semi-selective + differential media
EMB MacConkey Agar
US Gulf Coast
V vulnificus
Blistering, hemorrhagic bullae
V vulnificus
KIA Slant = red w/ yellow butt
glu fermented only (Shigella)
Floppy Baby Syndrome
Clostridium botulinum (toxin B)
Clear on EMB
nonlactose fermenters (Salmonella)
Food poisoning (diarrhea, cramps, vomiting)
Salmonella typhimurium
Aquatic ecosystems
V cholera
V Parahaemolyticus
Sorbitol negative
EHEC
Gas gangrene + myonecrosis
Clostridium perfringens
Fever + Watery –> bloody diarrhea
Clostridium diff
Common in DM
Clostridium perfringens
Serotypes include O1 (LPS) and O139
V cholera
V Parahaemolyticus
toxin blocks release of GABA and glycine
Clostridium tetani
MC in warm months
V cholera V Parahaemolyticus