Enterobacteriaceae Flashcards
What biochemical test are all enterobacteriacea negative for?
Oxidase
What are the lactose fermenters?
Klebsiella E. coli Enterobacter Serratia Citrobacter
What are the non lactose fermenters?
Proteus Edwardsiella Salmonella Providencia Morganella Yersinia Shigella
LF
IMViC + -++
Urease +
Indole +
Klebsiella oxytoca
LF IMViC + + - - Urease - H2S - Lysine + Ornithine + Lactose +
Beta hemolytic
Large colonies
E. coli
LF IMViC - - + + Ornithine + Lysine + Arginine -
Enterobacter aerogenes
LF IMViC - - + + Ornithine + Lysine - Arginine +
Enterobacter cloacae
NLF
IMViC - - + +
Ornithine +
Lysine +
Serratia
LF IMViC - + - + Ornithine - Lysine - H2S + Urease + ONPG +
Citrobacter freundii
LF IMViC - + - + Ornithine - Lysine - H2S -
Citrobacter koseri
LF IMViC - - + + Ornithine - Lysine + Urease + Indole -
Klebsiella pneumoniae
NLF
IMViC + + - -
Urease +
H2S +
Proteus vulgaris
NLF
IMViC - + - +
Urease +
H2S +
Proteus mirabilis
NLF IMViC + + - Urease - H2S + ONPG + Fish or reptiles!
Edwardsiella
NLF IMViC - + - V Urease - H2S + ONPG - Ornithine +
Salmonella non typhi
NLF IMViC - + - V Urease - H2S + ONPG - Ornithine - Lysine +
Salmonella typhi
NLF IMViC + + - - H2S - Ornithine + PDA +
Morganella
NLF IMViC + + - + PDA + Ornithine - Urease +
Providencia stuartii
NLF IMViC + + - Sucrose fermenter Urease - Ornithine-
Yersinia pestis
NLF IMViC + + - Sucrose fermenter Ornithine + Urease + Bulls eye on CIN
Yersinia entercolitica
NLF IMViC - + - - H2S - Ornithine + Nonmotile
Shigella sonnei
NLF
IMViC - + - -
H2S -
Ornithine -
Shigella dysenteriae
What organisms are H2S +?
Prince Edward Cooks Salmon
Proteus Edwardsiella Citrobacter Salmonella
What organisms are nonmotile at 37?
SKY
SHIGELLA
KLEBSIELLA
YERSINIA
What organisms are PDA positive?
PPM
PROTEUS
PROVIDENCIA
MORGANELLA
What organisms are positive for vogues?
SERRATIA
ENTEROBACTER
KLEBSIELLA
What color is E. coli O157:H7 on SMAC?
Colorless
what shigella spp is group A?
dysenteriae (most severe)
what shigella spp is group B?
flexneri
What shigella spp is group C?
boydii
what shigella spp is group D?
sonnei (most common)
what organisms are A/A on TSI?
(sun over desert) (y/y) S- serratia E- escherichia E- enterobacter K- klebsiella
what organisms are A/A H2S+ on TSI?
C- citrobacter
A- arizona
P- proteus
(cap the geyser)
what organisms are K/A H2S + on TSI?
(moon over desert) C- citrobacter A- arizona S- salmonella E- edwardsiella
what organisms are K/A on TSI?
moon over desert S- shigella Ci- citrobacter P- providencia P- plesiomonas P- proteus Y- Yersinia
Test differentiates klebsiella and enterobacter and their reactions
Ornithine
Klebsiella -neg
Enterobacter- pos
O antigen use
Serological grouping of salmonella shigella
H antigen use
Serotype salmonella
K antigen function
Envelope
Prevent phagocytosis
Increase virulence
E. coli infections
UTI
Septicemia
Neonatal sepsis and meningitis
Diarrhea
Edwardsiella infections
Opportunistic
Bacteremia
Wounds
Bipolar staining organism
Yersinia
Lactose negative
Shigella Edwardsiella Salmonella Citrobacter Serratia Proteus Morganella Providencia Yersinia
H2S +
Edwardsiella
Salmonella
Citrobacter
Proteus
VP +
Klebsiella
Enterobacter
Serratia
Urease +
Proteus
Morganella
Citrobacter freundii infections
Nosocomial
Klebsiella infections
Pneumonia
UTI
Septicemia
Enterobacter infections
Opportunistic and nosocomial
UTI
RTI
wounds
Serratia infections
Opportunistic
Pneumonia
Septicemia
Proteus infections
UTI
Wound
Septicemia
Providencia infections
UTI
Diarrhea
Yersinia enterocolitica infections
Diarrhea
Enterohemorrhagic (EHEC /STEC) pathogenicity
Diarrhea
Hemorrhagic colitis
HUS
most common cause of renal failure in children
EHEC disease mechanism and gram stain
Toxins
RBCs
ETEC infections
Travelers diarrhea
ETEC disease mechanism and gram stain
Toxins
No polys / RBCs
EIEC infections
Bloody diarrhea
Dysentery like
EIEC disease mechanism and gram stain
Invasive ness
POLYS / RBCs / mucus
EPEC infections
Diarrhea in infants
EPEC disease mechanism and gram stain
Adherence
No polys/ RBCs
EAEC infections
Diarrhea
Differentiate VP + GNR
Klebsiella - ornithine -, oxytoca indole +
Serratia - NLF
Enterobacter - ornithine +, aerogenes arginine -, cloacae lysine -
Differentiate H2S + GNR
Citrobacter - LF
Salmonella - indole -
Proteus - urease + , vulgaris- indole +
Edwardsiella - indole +
Differentiate PD + GNR
Proteus vulgaris - ++- - H2S
Proteus mirabilis - -+-+
Morganella - ++- -
Providencia ++-+
What organism is sometimes mistaken for salmonella and will agglutinate salmonella polyvalent antiserum?
Citrobacter freundii
Drugs of choice for treatment of enterobacteriaceae infections
Aminoglycosides
Sulfamethoxazole-trimethoprim
3rd generation cephalosporins
If K antigen is present what must be done to detect O antigen? Why?
Boiled for 30 minutes
Covers O antigen and is heat labile
Kauffman white classification
Classify salmonella based on O and H antigens
Only DNAse + organism
Serratia
Lysine +
E. coli Klebsiella Enterobacter aerogenes Salmonella Serratia
Indole +
Proteus vulgaris
Providencia
Morganella
E. coli
ETEC E. coli produces a toxin similar to what other organism
Vibrio cholerae
Antibiotics to treat infections
Aminoglycosides
Beta lactams
Quinolones