Gonorrhea lol and enteropathogenic infections

Question 1

What infections does Gonorrhea cause

Answer 1

endocervicitis in women

urethritis in men

Question 2

Who is more symptomatic with gonorrhea infection?

Answer 2

men usually - purulent discharge

Question 3

Bacteriology of E coli ?

Answer 3

facultative aerobic gram -

ferments lactose

Question 4

What is the appearance of E coli on EMB agar

Answer 4

metallic green sheen

Question 5

Ecoli is the most common cause of what two diseases?

Answer 5

UTI and septicemia

Question 6

In neonates ecoli is the second most common cause of septicemia after what other infection?

Answer 6

group B strep

Question 7

Describe disease with ETEC?

Answer 7

Travelers diarrea - watery

Question 8

Describe disease with EIEC?

Answer 8

invasive - bloody diarrhea

Question 9

Describe disease with EHEC? What toxin causes the symptoms?

Answer 9

adults - mild bloody
kids - HUS - think post cheeseburger eating

-shiga toxin

NO Fever, PMNs or pus - noninvasive

Question 10

What is the usual serotype that causes EHEC?

Answer 10

O157, H7

Question 11

What is the treatment for EHEC?

Answer 11

supportive care ONLY

antibiotics are contraindicated

Question 12

Bacteriology of salmonella

Answer 12

gram - rod
facultative anaerobe
nonlactose fermenting

Question 13

How can we remember that salmonella is motile?

Answer 13

“salmon swim upstream” - they have flagella

Question 14

What is the classic rash that occurs in typhoid fever?

Answer 14

rose spots

Question 15

Salmonella is the most common cause of osteomyelitis in what group of patients?

Answer 15

sickle cell patients

Question 16

What is the most common cause of bacterial gastroenteritis in the us? food poisoning?

Answer 16

gastroenteritis: campylobacter

food poisoning: C perfiringens

Question 17

Remind me again how we differentiate the enterobacteria (using lactose, H2S, motile)

Answer 17

Lactose fermenters: E coli, Klebsiella
Nonlactose fermenters:
Non motile, non h2S producers: shigella, yersinia
Motile, H2S producers: salmonella, proteus

Question 18

What is special about shigella in comparison to salmonella and ecoli?

Answer 18

low infectious dose required - acid resistant

Question 19

What pathogen causes rice water stools

Answer 19

cholera

Question 20

bacteriology of cholera

Answer 20

curved gram negative rods

oxidase positive

Question 21

bacteriology of campylobacter

Answer 21

curved gram negative rods

oxidase positive

Question 22

What is the reservoir for campylobacter

Answer 22

poultry

Question 23

What are some post-infective complications of campylobacter

Answer 23

1. GBS

2. reactive arthritis