Enterobacteriaceae Flashcards
Enterobacteriaceae general characteristics. (3)
- Growth on MacConkey (aerobic)
- Glucose fermentation
- Oxidase NEGATIVE
What is Lipid A?
Component of LPS
-Endotoxin
What is the O antigen?
2nd component of LPS
-Bases for Serogrouping
T/F: Enterobacteriaceae commonly show antimicrobial resistance.
True
Enterobacteriaceae - Families (7)
- Escherichieae
- Edwardsiellae
- Salmonella (Shigella)
- Citrobactereae
- Klebsiellae (Enterobacter/Pantoea/Hafnia)
- Proteae (Morganella/Providencia)
- Yersiniae
Enterobacteriaceae - Key Characteristics:
-Reduce Nitrate to Nitrite
ALL Enterobacteriaceae
Enterobacteriaceae - Key Characteristics:
-Strong Lactose Fermentors (Pink/Red on MacConkey)
- E. coli
- Klebsiella
- Enterobacter
Enterobacteriaceae - Key Characteristics:
-Hydrogen Sulfide production (H2S+)
- Salmonella
- Proteus
- Citrobacter
- Edwardsiella
Enterobacteriaceae - Key Characteristics:
-Urease Positive (strong)
- Proteus
- Morganella
- Providencia
Enterobacteriaceae - Key Characteristics:
-NONMotile
- Shigella
- Klebsiella
- Yersinia at 22C (Nonmotile at 37)
Enterobacteriaceae - Key Characteristics:
-Voges-Proskaeuer (VP) Positive
- Klebsiella
- Enterobacter
- Panteoea
- Hafnia
Enterobacteriaceae - Key Characteristics:
-Phenylalanine Deaminase (PAD) Positive
- Proteus
- Morganella
- Providencia
KIA/TSI Slant Characteristics:
-K/K (red/red)
-NO Fermentation (Glucose/Lactose)
-Excludes all Enterobacteriaceae (ALL all Glucose)
DDx:
-Pseudomonas
KIA/TSI Slant Characteristics:
-K/A (red/yellow)
-Glucose Fermentation
-NO Lactose fermentation
DDx:
-Shigella
-Serratia
-Morganella
-Providencia
-Yersinia
KIA/TSI Slant Characteristics:
-K/A/H2S+ (red/black)
-Glucose Fermentation
-NO Lactose Fermentation
-H2S production (black)
DDx:
-Salmonella
-Proteus
-Citrobacter
-Edwardsiella
KIA/TSI Slant Characteristics:
-A/A (yellow/yellow)
-Glucose and Lactose Fermentation DDx: -E. coli -Klebsiella -Enterobacter
E. coli:
- Fermentation
- Indole
- Enzyme activity
E. coli:
- Lactose/Glucose Fermentation
- Indole POSITIVE
- B-glucoronidase activity
E. coli strain capable of producing Shiga Toxin?
- Associated Complication
- Serotype
EHEC (Enterohemorrhagic E. coli)/STEC (Shiga Toxin E. coli)
- Hemolytic Uremic Syndrome (HUS)
- O157:H7
E. coli strain causing waterborne secretory (watery) diarrhea?
- Toxin
- Main cause of what?
ETEC (Enterotoxigenic E. coli)
- Cholera-like Toxins
- “Traveler’s Diarrhea”
E. coli strain causing Dysentery?
-Toxin
EIEC (Enteroinvasive E. coli)
-Shiga-like toxin (T3SS)
E. coli strain causing Dysentery similar to tha caused by Shigella, but does NOT produce Shigalike Toxin?
-Transmission
EPEC (Enteropathogenic E. coli)
-Person-to-Person
E. coli strain causing infant diarrhea in underdeveloped countries?
-U.S. population at risk?
EAggEC (Enteroaggregative E. coli)
-HIV+ - Chronic Refractory Diarrhea
EHEC 0157:H7 - Culture characteristic?
Does NOT ferment Sorbitol in Sorbitol MacConkey plates
EIEC characteristics Vs. other E. coli.
- NONmotile
- Lactose NONfermenting
*similar to Shigella
Typhoid Fever:
- Organisms
- Infection site
Salmonella typhi or paratyphi
-Traverse bowel wall and embed within Reticuloendothelial cells of Liver, Spleen and Gall Bladder
What is the most common organisms causing Shigellosis in the U.S.?
*Underdeveloped countries
S. sonnei
*S. flexneri in underdeveloped countries
Shigella:
- Inoculum
- Complications (2)
Small inoculum (100-200 bacteria)
Complications:
- S. dysenteriae can cause HUS
- S. flexneri can lead to PostInfectious Arthritis in HLA-B27+ Patients
Klebsiella:
- MC manifestation
- Characteristic feature
Pneumonia (Necrotizing)
-“Current Jelly” sputum
What Klebsiella spp. is known to cause neonatal sepsis?
K. oxytoca
Klebsiella association with Upper Airway Infection.
Rhinoscleroma (Chronic Granulomatous Dz)
-K. rhinoscleromatis
Yersinia isolation conditions.
- Temp
- Medium
Isolation at Room Temp. in selective media (CIN agar)
Humans are accidental hosts of Yersinia (zoonotic); what type of climate is this most often found?
Cold climates
Yersinia is an important cause of what?
Transfusion related sepsis
What Yersinia spp. produces necrotizing granulomata resembling TB?
Y. pseudotuberculosis
What Yersinia spp. causes the plague?
Y. pestis