Escherichia Coli (E.coli) Flashcards

1
Q

What bacteria is shown in the following gram stain?

A

E.coli: Gram Negative rods

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2
Q

Where does e. coli form part of the bpdy’s microbiota?

A

Large bowel

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3
Q

E.coli can use sugar lactose as an energy source.

What does it produce as a waste product?

A

Lactic acid

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4
Q

Name some infections which can be caused by E. coli. (in general terms)

A
  • Intestinal infections
  • Toxin-mediated disease
  • Extra-intestinal infections
    • Urinary tract
    • Intra-abdominal
    • Biliary tract
    • Bloodstream
    • Neonatal meningitis

Specific disease causing strains of E coli

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5
Q

How many pathotypes of diarrhoeagenic bacteria are there?

A

6

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6
Q

What is ETEC?

A

Enterotoxigenic E coli

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7
Q

What is the leading cause of travelers’ diarrhoea?

A
  • ETEC (Enterotoxigenic E coli)

(common in lower-income countries)

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8
Q

How is ETEC transmitted?

A

Faeco-oral transmission

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9
Q

What toxins does ETEC produce?

A

Heat-stable (ST)

Heat-labile (LT)

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10
Q

How does ETEC cause symptoms?

A

Toxins stimulate lining of intestines

–> causes them to:

  • Secrete excessive fluid
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11
Q

What are the symptoms of an ETEC infection?

A
  1. Watery diarrhoea
  2. Abdominal cramping
  3. Fever
  4. Nausea
  5. Vomiting
  6. Loss of appetite
  7. Headaches
  8. Muscle aches
  9. Bloating

(Less common)

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12
Q

How long does it take for the onset of symptoms from an ETEC infection and how long does it usually last?

A

Onset: 1-3 days

Lasts: 3-4 days

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13
Q

What is EPEC?

A

Eneteropathogenic e.coli

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14
Q

What is does STEC stand for?

A

Shiga toxin-producing E.coli

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15
Q

What does STEC cause?

A
  1. Haemorrahgic colitis (bloody diarrhoea)
  2. Haemolytic uraemic syndrome (HUS= acute renal failure, haemolytic anaemia and thrombocytopenia)
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16
Q

Are there some strains of e.coli which are capable to causing disease outside of the GI tract?

A

Yes

17
Q

How do e.coli eneter the bladder?

A

Uropathogenic e.coli

Transferred from rectum to urethra

Migrate to bladder

Cause cystitis

18
Q

Differentiate betwen e.coli and pyelonephritis

A
19
Q

What is the mechanism for infection of uropathogenic e. coli? (UPEC)

A
  • Adhesins:
    • bind to proteins on uroepithelium
    • Mediate adhesion, invasion of uroepithelium, formation of intracellular bacterial communities
  • Toxins:
    • LPS (lipopolysaccharides)
    • alpha Haemolysin
20
Q

Why might e.coi be the commonest cause of bloodstream infections in the UK?

A

Patients usually 75+

Use of urinary catheters

21
Q

Which antibitics are commonly used to treat E.coli infections?

A
  • Trimethoprim
  • Nitofurantoin