Exam 3 tables Flashcards
What are the 3 cocci genuses?
Staphylococcus, Streptococcus, and Neisseria
What are the catalase test results for the Gram-positive cocci?
Neisseria gets no test since it’s Gram-negative.
Staphylococcus is catalase-positive
Streptococcus is catalase-negative
What are the coagulase test results for Staphylococcus?
Neisseria gets no test because it is not gram-positive, and therefore, not catalase-positive.
Streptococcus gets no test because it is not catalase-positive.
Staphylococcus aureus is coagulase-positive
Staphylococcus epidermidis is coagulase-negative
Staphylococcus saprophyticus is coagulase-negative
Info about Staphylococcus aureus?
Gram-pos, catalase-pos, coagulase-pos, cocci
Protein A
Pyogenic diseases
Food poisoning
TSS
Scalded skin
Furuncle/carbuncle
Impetigo
Info about Staphylococcus epidermidis?
Gram-pos, catalase-pos, coagulase-neg, cocci
Nosocomial
Normal flora enters bloodstream
Facts about Staphylococcus saprophyticus?
Gram-pos, catalase-pos, coagulase-neg, cocci
Community-acquired UTI in sexually active young women
Facts about Streptococcus pyogenes?
Gram-pos, catalase-neg, cocci
Group A-beta
M protein, 80+ types
Type-specific immunity
Scarlet fever
Streptococcal toxic shock
Necrotizing fasciitis
Facts about Streptococcus agalactiae?
Gram-pos, catalase-neg, cocci
Group B-Beta
Neonatal meningitis, pneumonia, sepsis
Pregnant women need screening and treatment
Transmitted from vagina during delivery
Facts about Streptococcus mutans?
Gram-pos, catalase-neg, cocci
Group NA-Alpha
Type of viridian streptococci
Normal on teeth, makes plaque
Facts about Streptococcus pneumoniae?
Gram-pos, catalase-neg, cocci
Group NA-Alpha
Common name: pneumococcus
Shape: diplococci
Pneuomonia, meningitis
Facts about Neisseria gonorrhoeae?
Gram-neg, cocci
Common name: Gonococcus
Diplococci shape
Sexual transmission
No capsule
No maltose
Fimbriae, IgA protease
Gonorrhea
Ophthalmia neonatorum
Facts about Neisseria meningitidis?
Gram-neg, cocci
Common name: Meningococcus
Diplococci shape
Respiratory transmission
Capsule present
Maltose present
Meningitis
Meningococcemia
Bacteria in CSF
What 3 bacteria have a common name?
Streptococcus pneumoniae, or Pneumococcus
Neisseria gonorrheae, or Gonococcus
Neisseria meningitidis, or Meningococcus
What causes folliculitis?
Staphylococcus aureus
Reservoir of folliculitis?
Humans (nose specifically)
Transmission of folliculitis?
Contact
Notes on folliculitis?
Staphylococcus aureus infects hairs and causes boils, or furuncles. Pus, inflamed tissue
What causes impetigo?
Staphylococcus aureus or Streptococcus pyogenes
Reservoir of impetigo?
Human skin
Transmission of impetigo?
Poor skin hygiene
Notes about impetigo?
Self-inoculation. Crusting sores
What causes gastroenteritis/food poisoning (intoxication)
Staphylococcus aureus and Bacillus cereus (not under gastroenteritis, just food poisoning)
Notes about gastroenteritis/food poisoning/intoxication?
Enterotoxin, short incubation period, feel effects quickly
What causes scalded skin syndrome?
Staphylococcus aureus
Transmission of scalded skin syndrome?
Contact
Notes about scalded skin syndrome?
Exfoliatin toxin causes fever and large amounts of skin slough, and serous fluid
What causes toxic shock syndrome (TSS)?
Staphylococcus aureus
Transmission of toxic shock syndrome (TSS)?
Colonization of vagina and nose
Notes about toxic shock syndrome (TSS)?
TSST, an exotoxin, from tampon use (in vagina or in nose)
Fever, vomiting, sunburn-like rash peels
Multi-organ involvement
What causes endocarditis and neonatal sepsis?
Staphylococcus epidermidis
Reservoir of endocarditis and neonatal sepsis?
Normal flora on skin and mucous membranes
Transmission of Endocarditis and neonatal sepsis?
Contact transmission
Notes about Endocarditis and neonatal sepsis?
Almost always nosocomial
Bacteremia, biofilm on catheters
Novobiocin sensitive
What causes UTI?
Escherichia coli (typical UTI), Staphylococcus saprophyticus
Notes about UTI from Staphylococcus saprophyticus?
Almost always community-acquired
Common cause of UTI in sexually active young women
Cause of erysipelas?
Streptococcus pyogenes
Transmission of erysipelas?
Contact
Notes about erysipelas?
Raised rash. Mainly legs, somewhat face
Like orange peel skin
Cause of necrotizing fasciitis?
Streptococcus pyogenes
Transmission of necrotizing fasciitis?
Contact
Notes about necrotizing fasciitis?
Exotoxin = protease
Also an MRSA
Cause of strep throat?
Streptococcus pyogenes
Transmission of strep throat?
Respiratory droplets
Notes about strep throat?
Pharyngitis
Cause of scarlet fever?
Streptococcus pyogenes
Notes about scarlet fever?
Rash, erythrogenic toxin
Cause of streptococcal toxic shock syndrome?
Streptococcus pyogenes
Notes about streptococcal toxic shock syndrome?
Pyogenic exotoxin
Massive release of cytokines (helper T cells and macrophages)
Cause of rheumatic fever?
Streptococcus pyogenes
Notes about rheumatic fever?
Autoimmune complication of pharyngitis
Immune system attacks heart valves
Uncontrollable movements of limbs or face - chorea
Antibodies attack antigens of joint, heart, and brain tissue
What causes acute glomerulonephritis?
Streptococcans pyogenes
Notes about acute glomerulonephritis?
Autoimmune complication of skin infection
Hypertension, edema of face and ankles
Smoky urine / hematuria
Antigen-antibody complexes on the glomerular basement membrane
Cause of neonatal meningitis, sepsis?
Streptococcus agalactiae
Reservoir of streptococcus agalactiae?
Genital tract of some women
Notes about Streptococcus agalactiae?
Can be transferred to infant during delivery. Prevalent cause of neonatal pneumonia, sepsis, and meningitis
Group B
What causes endocarditis and dental caries?
Streptococcus mutans
Cause of pneumococal pneumonia?
Streptococcus pneumoniae
Reservoir of pneumococcal pneumonia?
Human
Transmission of pneumococcal pneumonia?
Respiratory
Notes about pneumococcal pneumonia?
Not communicable
Vaccine exists
Cause of pneumococcal meningitis, which is also typical meningitis?
Streptococcus pneumoniae
Reservoir of pneumococcal meningitis?
Human
Transmission of pneumococcal meningitis?
Respiratory
Notes about pneumococcal meningitis?
Most common bacterial cause of meningitis (typical meningitis)
Capsule exists
Vaccine exists
Cause of gonorrhea and PID?
Neisseria gonorrheae
Reservoir of gonorrhea?
Human
Transmission of gonorrhea?
Sexual
Notes about gonorrhea?
Gram-negative, diplococcic
Fimbriae
Anal, pharyngeal, and eyes effect
“Silent” disease
Possible PID
Cause of ophthalmia neonatorum?
Neisseria gonorrheae
Reservoir of ophthalmia neonatorum?
Human
Transmission of ophthalmia neonatorum?
Birth
Notes about ophthalmia neonatorum?
Neonatal conjunctivitis
Gonorrhea in the eyes of babies
Cause of meningococcal meningitis?
Neisseria meningitidis
Reservoir of meningococcal meningitis?
Human
Transmission of meningococcal meningitis?
Respiratory
Notes about meningococcal meningitis?
Rash, meningococcal septicemia or meningococcemia
Petechiae - rash of red and purple spots
3 pyogenic bacteria with capsules?
Streptococcus pneumoniae, Neisseria meningitidis, Haemophilus influenzae
Types of anthrax?
Cutaneous, ingestion, pulmonary, injection
Cause of anthrax?
Bacillus anthracis
Reservoir of anthrax?
Soil
Transmission of anthrax?
Contact, ingestion, inhalation, injection
Notes about anthrax?
Gram-pos, endospore-forming, aerobic, exotoxin
Cutaneous - painless ulcers
Gastrointestinal - vomiting, pain, dysentery
Pulmonary - “woolsorter’s disease”, most fatal
Contaminated heroin
Second cause of food poisoning?
Bacillus cereus
Reservoir of Bacillus cereus, food poisoning?
Grains
Transmission of Bacillus cereus, food poisoning
Ingestion
Notes about Bacillus cereus, food poisoning
Enterotoxins cause “fried rice syndrome”, very fast effects
Just need to drink water and replace the fluids lost in diarrhea
What causes gas gangrene?
Clostridium perfringens
Reservoir of gas gangrene?
Soil, human colon
Transmission of gas gangrene?
Contact w/ contaminated soil or feces
Notes about gas gangrene?
Causes myonecrosis (muscle death), food poisoning
Treatment: removal of necrotic tissue, hyperbaric chamber
What causes tetanus?
Clostridium tetani
Tetanus reservoir?
Soil
Transmission of tetanus?
Break in skin (parenteral i think)
Notes about tetanus?
Obligate anaerobe
Exotoxin - tetanospasmin - INHIBITS MUSCLE RELAXATION - SPASTIC PARALYSIS
Opisthotonos - hyperextension, arching back
Lock-jaw
Vaccine (DTP and booster)
What causes C-diff?
Clostridium difficile
Reservoir of C-diff?
Human colon
What diseases are caused by Staphylococcus aureus?
Folliculitis, impetigo, gastroenteritis, scalded skin syndrome, toxic shock syndrome
What diseases are caused by Streptococcus pyogenes?
Impetigo, erysipelas, necrotizing fasciitis, strep throat, scarlet fever, streptococcal toxic shock syndrome, rheumatic fever, acute glomerulonephritis
What diseases are caused by Neisseria gonorrhoeae?
Gonorrhea, PID, opthalmia neonatorum
What diseases are caused by Streptococcus pneumoniae?
Pneumococcal pneumonia, pneumococcal meningitis
Transmission of C-diff?
Fecal-oral
Notes about C-diff?
Antibiotic-associated diarrhea, suppression of normal colonic flora
What causes botulism?
Clostridium botulinum
Reservoir of botulism?
Soil
Transmission of botulism?
Ingestion
Notes about botulism?
Ingestion of exotoxin = FLACCID PARALYSIS, muscles cannot contract
Caused by improper canning, infants ingesting honey
Treatment = antitoxin, antibodies
Used for Botox
What diseases are caused by Listeria monocytogenes?
Meningitis, sepsis, gastroenteritis
What causes atypical meningitis and sepsis?