Enterobacteriaceae Flashcards

1
Q

how would you differentiate Aeromonas spp from other beta-hemolytic GNB that are cream-color on MAC such as Salmonella and Shigella (NLFs)?

A

Like Vibrio and Plesiomonas, Aeromonas is oxidase positive; Salmonella and Shigella are Enterobacteriaceae which are all oxidase negative; Also most clinically sig aeromonads are indole-positive

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2
Q

Name all the Enterobacteriaceae you can think of, differentiated into Lactose and Non-lactose fermenters

A

LFs: E. coli, Klebsiella, Enterobacter; Citrobacter +/- NLFs: Salmonella, Shigella, Morganella, Serratia, Yersinia, Edwardsiella, Proteus, and Providencia

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3
Q

What antigens are used to help ID strains of E. coli, especially when causing serious enteric disease?

A

The O and H antigens; (K antigen can mask the O antigen during agglutination testing

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4
Q

What tests helps differentiate E. coli from Klebsiella if the E. coli looks mucoid (it is usually dry) and is not causing beta hemolysis?

A

E. coli is indole positive; So is K. oxytoca though, so citrate can help, as well as motility: E. coli is motile, and is citrate negative in contrast to Klebsiella pneumo and oxytoca

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5
Q

DIff E. coli and Klebs based on MR and VP

A

E. coli is MR+, VP = Klebs are MR =, VP +

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6
Q

what biochemical test is positive in Enterobacter that helps diff it from Klebsiella, since they look much the same on MAC, are both VP and citrate +

A

Ornithine decarboxylase, Enterobacter usually produces/ is POS

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7
Q

How is Enterobacter cloacae differentiated from E. aerogenes?

A

E. cloacae is Lysine decarboxylase NEG and Arginine dihydrolase POS; E. aerogenes is the opposite think CA: lA, La (cloacae, lowercase l, upper A for no lysine, yes arginine, and vice versa for aerogenes

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8
Q

what 3 Enterobacteriaceae are phenylalanine deaminase positive?

A

Proteus, Providencia, and Morganella

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9
Q

How could you diff Edwardsiella from the also H2S positive Proteus, since both are also clear and colorless on MAC, motile, and Proteus can be indole positive if vulgaris spp?

A

Edwardsiella tarda is PAD negative and urease negative

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10
Q

How are Providencia rettgeri and Morganella biochemically different from Proteus? How are they diff from each other then?

A

H2S negative; Morganella is citrate negative!!

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11
Q

What Shigella spp is most common in the U.S. and how can it be distinguished from other Shigella?

A

Shigella sonnei. It is the only ONPG positive SHigella ( late lactose fermenter)

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12
Q

what is the most serious serotype of Shigella (why?) and how is it diff from the other serotypes biochemically?

A

Serotype A, has both enterotoxin and neurotoxin. It is mannitol negative in contrast to the other 3 serotypes, and of courses ONPG negative (which only sonnei is positive for)

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13
Q

The Typhi/ paratyphi Salmonella are what in regards to citrate vs the other (animal reservoir) Salmonellas?

A

citrate negative; those that cause the usual GI illness (enterica subspecies enterica serotype Choleraesuis? but not Typhi) but not enteric fevers are citrate positive

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