Fastidious Gram Neg Bacilli Flashcards

1
Q

General characteristic of Fastidious Gram Negative Bacilli?

A
  • NO growth on MacConkey
  • Slow growth on enriched media
  • Pinpoint colonies
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2
Q

Fastidious Gram Negative Bacilli - Organisms

A
  • Francisella tularensis
  • Brucella
  • Bordetella
  • Steptobacillus maniliformis
  • Legionella
  • Capnocytophagia canimorsus
  • Pasteurella
  • Camplylobactor jejuni
  • H. pylori
  • Haemophilus spp.
  • Coxiella
  • HACEK group
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3
Q

Francisella tularensis:

  • Requires
  • Oxidase
  • Urease
  • B-lactamase
  • Causes
A
Francisella tularensis:
-Requires Sulfhydryl compounds (cysteine/cystine)
-Oxidase NEGATIVE
-Urease NEGATIVE
-B-lactamase POSITIVE
Causes Tularemia:
-Rabbit fever
-Deer Fly fever
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4
Q

Brucella:

  • Culture medium/condition
  • Transmission
  • Clinical Sxs (6)
A

Brucella:

  • Chocolate agar w/ CO2
  • Lifestock/Unpasteurized Dairy
  • Fever w/ Lymphadenopathy
  • Hepatosplenomegaly
  • Malodorous sweat
  • Spontaneous abortion
  • Hepatitis (Granulomas)
  • Endocarditis (Ass w/ Mortality)
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5
Q

Bordetella:

  • Requires (3)
  • Culture media (2)
  • Culture condition
  • Colony morphology
  • Causes
A
  • Nicotinic Acid
  • Cysteine
  • Methionine
  • Bordet-Gengou/Regan-Lowe media
  • 35C w/ CO2
  • Whooping cough
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6
Q

Streptobacillus moniliformis:

  • Media
  • Colony morphology
  • Gram Stain
  • Causes
A
  • Thioglycolate Broth
  • Puffball/Cottonball morphology
  • Tangles of Gram Variable w/ filamentous rods w/ moniliform swellings
  • Rat Bite Fever
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7
Q

Legionella:

  • Requires
  • Agar
  • Colony morphology
  • Gram stain
  • ID Confirmation
  • MC Serogroup
A
  • L-cysteine
  • BCYE Agar (2-5 days)
  • Whitesh colonies
  • Gram INVISIBLE
  • Direct fluorescent Ab/Latex Agglutination
  • L. pneumophila (serogroup 1) - Urinary Ag
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8
Q

Capnocytophaga canimorsus:

  • Agar/Requirements
  • Gram stain morph
  • Catalase
  • Oxidase
  • Infection
A
  • Chocolate agar w/ CO2
  • Thin, spindle-shaped
  • Catalase POSITIVE
  • Oxidase POSITIVE
  • Soft tissue infection (Dog/Cat bite)
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9
Q

Pasteurella:

  • Oxidase
  • Catalase
  • Indole
  • Causes
A

Pasteurella:

  • Oxidase POSITIVE
  • Catalase POSITIVE
  • Indole POSITIVE (Strong)
  • ST infection (dog/cat bite)
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10
Q

Campylobacter jejuni:

  • Oxidase
  • Catalase
  • What distinguishes it from other Campy?
  • Gram Stain
  • Medium/Condition
A

Campylobacter jejuni:

  • Oxidase POSITIVE
  • Catalase POSITIVE
  • Hippurate Hydrolysis POSITIVE
  • “Seagull shaped” (tiny, curved)
  • Campy BAP at 42C
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11
Q

H. pylori:

  • Gram stain
  • Diagnosis Tests
  • Antibody formation
A
  • Spiral bacillus
  • Urea breath test
  • Stool antigen
  • Histology
  • IgG Anti-H.pylori at 4 weeks
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12
Q

Haemophilus spp.

  • Does not grow on what?
  • Medium
  • Colony morphology
A
  • NO growth on MacConkey or SBA
  • Chocolate agar
  • Small colonies
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13
Q

H. influenza:

  • X-factor
  • V-factor
  • Hemolysis
A

H. influenza:

  • X-factor - POSITIVE
  • V-factor - POSITIVE
  • Hemolysis - NEGATIVE
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14
Q

H. parainfluenza:

  • X-factor
  • V-factor
  • Hemolysis
A

H. parainfluenza:

  • X-factor - NEGATIVE
  • V-factor - POSITIVE
  • Hemolysis - NEGATIVE
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15
Q

H. haemolyticus:

  • X-factor
  • V-factor
  • Hemolysis
A

H. haemolyticus:

  • X-factor - POSITIVE
  • V-factor - POSITIVE
  • Hemolysis - POSITIVE
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16
Q

H. parahaemolyticus:

  • X-factor
  • V-factor
  • Hemolysis
A

H. parahaemolyticus:

  • X-factor - NEGATIVE
  • V-factor - POSITIVE
  • Hemolysis - POSITIVE
17
Q

H. aegyptius:

  • X-factor
  • V-factor
  • Hemolysis
A

H. aegyptius:

  • X-factor - POSITIVE
  • V-factor - POSITIVE
  • Hemolysis - POSITIVE
18
Q

H. ducreyi:

  • X-factor
  • V-factor
  • Hemolysis
A

H. ducreyi:

  • X-factor - POSITIVE
  • V-factor - NEGATIVE
  • Hemolysis - NEGATIVE
19
Q

Coxiella:

  • Gram stain
  • Diagnosis
A
  • Pleomorphic coccobacilli

- Serology (blood)/PCR (tissue)

20
Q

Coxiella - Q-fever:

  • Organism
  • Granulomas found? (characteristic)
A
  • C. burnetti
  • Liver and Bone Marrow
  • “FIbrin Ring”
21
Q

HACEK Group:

  • causes
  • culture requirments
A

Endocarditis

  • 48-72 hours
  • Chocolate agar w/ CO2
22
Q

HACEK Group:

-Organisms

A
  • Aggregatibacter aphrophilus
  • Aggregatibacter actinomycetemcomitans
  • Cardiobacterium hominis
  • Eikenella corrodens
  • Kingella spp.
23
Q

What are the y-proteobacteria?

A

Obligate Intracellular

  • Coxiella
  • Francisella
  • Legionella