Exam 3: Gram-negative Rods Part 1: Enterobacteriaceae Flashcards

1
Q

What are the different types of proteobacteria?

A

Alphaproteobacteria
Betaproteobacteria
Gammaproteobacteria

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2
Q

What is enterobacteriaceae?

A

A large and diverse family of gram negative rods found free living and as part of the indigenous flora of people and animals

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3
Q

How do enterobacteriaceae grow?

A

Rapidly under aerobic and anaerobic conditions and are metabolically active

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4
Q

What is enterobacteriaceae a primary inhabitant of?

A

Lower GI tract

It is the main facultative anaerobic portion of the bacterial content of the cecum and colon

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5
Q

What are other places that enterobacteriaceae can be found?

A

Female genital tract
Transient colonizers of the skin and oral cavity
Small numbers may be present in the respiratory tract of healthy animals

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6
Q

What is the most common species of enterobacteriaceae among the indigenous flora of mammals and some birds?

A

E. coli

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7
Q

What is the morphology of enterobacteriaceae?

A

Medium-sized gram negative rods

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8
Q

What is used for the identification and subtyping of enterobacteriaceae?

A

LPS, capsule/slime layer, and flagellar antigens

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9
Q

What is flagella called as antigenic determinants?

A

H antigens

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10
Q

What are cell surface polysaccharide (capsule, slime layer) antigens called?

A

K antigens

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11
Q

What does LPS contain?

A

O polysaccharide chains called O antigens

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12
Q

What are features of enterobacteriaceae that contribute to classification?

A

All are facultative anaerobes
All ferment glucose
All reduce nitrates to nitrite
All are cytochrome oxidase negative

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13
Q

What is a useful characteristic for initial differentiation of enterobacteriaceae?

A

Rapid fermentation of lactose

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14
Q

What are the toxins of enterobacteriaceae?

A

All possess LPS and its effects are often seen in infections

Some produce exotoxins

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15
Q

Describe the pathogenicity of enterobacteriaceae

A

Some species have unique pathogenic features that allow them to produce GI or systemic infections in previously healthy animals
Most do no infect unless predisposing infections occur

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16
Q

What are the most common sites of opportunistic infections with enterobacteriaceae?

A

Wound and urogenital tract infections, but they may occur at any body site, especially in septicemia

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17
Q

What makes enterobacteriaceae the most variable of all bacteria in susceptibility to antimicrobial agents?

A

Combination of chromosomal and plasmid-mediated resistance

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18
Q

What is enterobacteriaceae usually resistant to?

A

High concentration of penicillin G, erythromycin, and clindamycin

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19
Q

What is E. coli the dominant species of in aerobic culture?

A

Feces or intestinal yields

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20
Q

What are the major diseases caused by E. coli?

A

Enteric infections
Septicemia
Urinary tract infections
Mastitis

21
Q

What are the various schemes that E. coli can be identified by?

A
Biotyping
Serotyping
Phage-typing
Colicin-typing
Virulence factor expression
22
Q

How many O, K, and H antigens have been identified with E. coli with serotyping?

A

174 O antigens
80 K antigens
53 H antigens

23
Q

What are the 6 classes of E. coli that cause diarrheal disease?

A
Enterotoxigenic E. coli (ETEC)
Enteroinvasive E. coli (EIEC)
Enterohemorrhagic E. coli (EHEC)
Enteropathogenic E. coli (EPEC)
Enteroaggregative E. coli (EAEC)
Adherent-invasive E. coli (AIEC)
24
Q

What is ETEC an important cause of?

A

Diarrhea in infants and travelers in regions of poor sanitation

25
What is the clinical sign of ETEC?
Diarrhea without fever
26
What does ETEC require?
Fibriae-mediated colonization and elaboration of one or more enterotoxins (ST or LT)
27
What does EPEC induce?
Watery diarrhea similar to ETEC
28
What is the adherence of EPEC strains to the intestinal mucosa due to?
Rearrangements of actin in the vicinity of adherent bacteria to form "attaching and effacing" lesions
29
What does EHEC cause?
A diarrheal syndrome distinct from EIEC in that there is copious bloody discharge and no fever
30
What is the most well-known EHEC serotype?
O157:H7
31
What does EIEC cause?
Dysentery-like diarrhea in humans with fever
32
What is the mechanism EIEC?
It penetrates and multiplies within epithelial cells of the colon causing widespread cell destruction
33
What does EIEC apparently lack?
Fimbrial adhesins, LT or ST toxin, and shiga toxin
34
What is the distinguishing factor of EAEC strains?
Their ability to attach to tissue culture cells in an aggregative manner
35
What are EAEC strains associated with?
Persistent diarrhea in young children
36
What is AIEC associated with?
Crohn's disease in humans Histiocytic ulcerative colitis in dogs Chronic bloody-mucoid diarrhea and weight loss
37
What does flagella of uropathogenic E. coli contribute to?
UTI colonization
38
What does flagella of enterotoxigenic E. coli contribute to?
Adhesion
39
What are most septicemias in people caused by?
Strains with K1 capsular polysaccharide
40
What does K1 do?
Enhances invasiveness and increases resistance to phagocytosis and serum killing
41
What does LPS contribute to?
Septicemic disease
42
What is fimbriae an essential virulence factor in E. coli for?
Adherence to host cell surfaces
43
What does fimbriae do in enterotoxigenic E. coli?
Mediates adherence to glycoproteins on the surface of intestinal epithelial cells
44
What are the primary types of enterotoxins?
LT and ST
45
What are LT and ST essential virulence factors for along with fibriae?
ETEC
46
What is shiga toxin?
A heat-labile high MW toxin produced by Shigella dysenteriae
47
What is alpha-hemolysin?
RTX toxin frequently produced by certain porcine E. coli | It damages cell membranes
48
What has type III secretion system?
EPEC