General Micro Flashcards
Bacteria that are the cause of neonate meningits
- Group B Streptococcus agalactiae
- L. monocytogenes
- E. coli
Bacteria that cause menigitis at 6 mos
- Nesseria meniginitidis
2. H. influenzae type B
CSF that is positive for increased protein, PMNs, increased pressure, and decreased glucose
Bacterial infection
CSF that is normal/increased proteins, lymphocytes, nrml pressure, and nrml glucose
Viral infection
CSF that is increased in proteins, lymphocytes, increased pressure, and increased glucose
Fungal (C. neoformans)
Cause of Rheumatic fever
Group A beta hemolytic streptococcus pyogenes
How do you differentiate between Strep and Staph
Staph = + catalase Strep = - catalase
Endocarditis associated with IV drug use
Staph aureus (often tricuspid valve)
Endocarditis associated with prosthetic valve
Staph epidermidis
Pleomorhic Gram negative that causes both pneumonia and meningitis in children (>6 months old); also conjunctivitis and otitis media
H. influenzae
Virulence Factors of H. influenzae
Capsule
Pili
Anit-IgA protease
Diseases caused by Streptococcus pneumonia
Pneumonia (brown sputum/localized)
Adult meningitis
Otitis media
Most common bacterial cause of exacerbation of COPD; 2nd most common?
H. influenzae; Moraxella catarrhalis
Most common causes of otitis media (3 bacteria)
Streptococcus pneumonia, Moraxella catarrhalis, Haemophilus influenzae
Virulent factors of Staphylococcus aureus
Protein A- binds to IgG Fc region Exotoxins (exofoliatin - scaled skin syndrome, TSST-1) Hemolysin Leukocidins Penicillin binding protein
Pneumonia (thick, gelatinous sputum) most common in alcoholics
Klebsiella pneumoniae
Diseases Caused by Pseudomonas aeruginosa
BE PSEUDO Burn wound infections Endocarditis Pneumonia assoc. with CF pt. External otitis Urinary tract infections Diabetic osteomyelitis
What can be diagnosed by cold agglutinins?
Mycoplasma pneumona
Name the two fungi like bacteria
Nocardia and Actinomycetes
What presents with pt. exposed to Candida albicans that are immune normal
oral thrush, vaginitis, and diaper rash
What presents with pt. exposed to Candida albicans that are immunocompromised
Disseminations, esophagitis, and the features seen in normal hosts
Anaerobic Gram positive rod normal flora that is fungal like with a beaded, filamentous appearance and sulfur granule findings
Actinomycetes israelii
Treatment for Nocardia? Actinomyces?
SNAP
Sulfa (bactrim) = nocardia
Actinomycetes = Penicillin
Fungi that appear as pseudohyphae
Candida albicans
Gram positive rod that is not a normal flora. Acid fast
Nocardia aasteroides
What does H1N1 pertain to?
H1N1 refers to the type A influenzae virus which has two proteins that give it its variability. H= hemagglutinin and N = neuraminidase
What is the cause of fever of unknown origin?
Myobacterium avium-intracellulare
Facultative intracellular organisms
Listen Sall Yer Friend Bruce Must Leave Listeria Salmonella Yersinia Francisella Brucella Myobacterium Legionella
Obligate intracellular organsisms
Chlamydia and Ricketssia
What is the cause of a gelatinous sputum? Why?
Klebsiella. Klebsiella has a capsule that is very gelationous
Beta hemolysis findings; Alpha hemolysis findings
beta = clear alpha = green
What is a Quellung reaction? What is used to identify?
Quellung reaction is the use of antibodies that identify antigenic capsule of Strep. pnuemo. Findings show swelling of the bacterial capsule
What type of streptococcus is optichin negative?
Streptococcus viridans
Organism that lack a cell wall and cause an atypical community acquired pneumonia
Mycoplasma pneumonia