Gram (+) Bacteria - Cocci Flashcards
Catalase (+) Cocci?
Staphylococcus
Staphylococcus is ____ (+)
Catalase (+)
Catalase (-) Cocci?
Streptococcus/Enterococcus
Streptococcus/Enterococcus are _____ (-)
Catalase (-)
Catalase (+) organisms do what?
Reduce hydrogen peroxide and form bubbles
Catalase (+) and Coagulase (+) Cocci?
Staphylococcus Aureus
Catalase (+) and Coagulase (-) Cocci?
Staphylococcus Epidermidis
Staphylococcus Saprophyticus
What color is often described with Staphylococcus Aureus?
Golden yellow clusters
Respiratory condition caused by Staphylococcus Aureus that is usually after?
Pneumonia after a viral infection
Examples of skin and soft tissue conditions caused by Staphylococcus Aureus?
Folliculitis Cellulitis Impetigo Furuncles Wounds and Abscesses
Heart condition caused by Staphylococcus Aureus?
Acute and Necrotizing Endocarditis
– Think IV drug users (Tricuspid valve)
Bone condition caused by Staphylococcus Aureus?
Septic Osteomyelitis
Staphylococcus Aureus causes what GI condition?
Gastroenteritis
Gastroenteritis from Staphylococcus Aureus is mediated by what toxin?
Preformed Enterotoxin
Staphylococcus Aureus causes what skin condition that is toxin mediated?
Scalded Skin Syndrome
Scalded Skin Syndrome from Staphylococcus Aureus is mediated by what toxin?
Exfoliative Toxin A and B
Symptoms and age group for Scalded Skin Syndrome from S. Aureus?
Peeling of skin
- Affects children and infants
Staphylococcus Aureus causes what multi-system condition that is toxin mediated?
Toxic Shock Syndrome
Toxic Shock syndrome from Staphylococcus Aureus is mediated by what toxin?
TSST-1
Symptoms of Toxic Shock Syndrome from S. Aureus?
Fever, nausea, watery diarrhea
Peeling of PALMS and SOLES
Shock, hypotension, death
Staphylococcus Epidermidis is catalase ___ and coagulase ___
Catalase (+)
Coagulase (-)
Virulence factor of Staphylococcus Epidermidis?
Biofilms
What does Staphylococcus Epidermidis often affect?
Prosthetic components
Catheters
Heart valves
Staphylococcus Epidermidis can cause?
Subacute Endocarditis and frequent contamination of blood cultures
Staphylococcus Saprophyticus is catalase ___ and coagulase ___
Catalase (+)
Coagulase (-)
Staphylococcus Saprophyticus is a common cause of?
Community acquired UTI
Streptococcus/Enterococcus are catalase __
(-)
Streptococcus groups that do Complete Hemolysis (beta)?
Streptococcus Pyogenes
Streptococcus Agalactiae
Streptococcus groups that do Partial Hemolysis (alpha)?
Streptococcus Pneumoniae
Viridans Streptococcus
Attributes of Streptococcus Pyogenes?
Beta Hemolytic Group A
Gram (+) bacteria
Catalase (-)
Virulence factor of Streptococcus Pyogenes and its action?
Protein M
= Inhibits complement activation
What bacteria causes Streptococcal Pharyngitis?
Streptococcus Pyogenes
Symptoms of Streptococcal Pharyngitis?
Fever
Lymphadenopathy
Exudate and purulent infection of palatine tonsils
Scarlet fever is caused by what bacteria?
Streptococcus Pyogenes
Scarlet Fever is caused by what toxin from Streptococcus Pyogenes?
Pyrogenic Exotoxin
Symptoms and common age group for Scarlet Fever mediated by Pyrogenic Exotoxin from Streptococcus Pyogenes?
School age children
= Red, Sandpaper rash on TRUNK AND NECK ONLY, Strawberry tongue!
What bacteria causes Erysipelas?
Streptococcus Pyogenes
Symptoms and common age group for Erysipelas from Streptococcus Pyogenes?
60-80 year olds
= Warm, sunburn appearance of the FACE
What bacteria causes Necrotizing Faciitis?
Streptococcus Pyogenes
Symptoms of Necrotizing Faciitis from Streptococcus Pyogenes?
Purple discoloration and painful
Staphylococcus Aureus and Streptococcus Pyogenes can both cause what?
Impetigo
Cellulitis
What often follows a Streptococcus Pharyngitis case?
Rheumatic Fever
- Caused by Streptococcus Pyogenes
Rheumatic Fever has antibodies and CD4+ T cells against?
M protein
Symptoms of Rheumatic Fever?
Fever Large Joints Mitral Valvulitis Sydenham Chorea Subcutaneous Nodules Erythema Marginatum
Sydenham Chorea
Asymmetric jerking, hopping gait and grimacing
- Seen with Rheumatic Fever
Erythema Marginatum
Ring shaped rash
- Seen with Rheumatic Fever
What causes Post-Streptococcal Glomerulonephritis?
Streptococcus Pharyngitis or a skin infection
- From streptococcus pyogenes
What gets deposited where with Post-Streptococcal Glomerulonephritis?
Antigen-Antibody complex in the glomerular basement membrane
Symptoms and age group for Post-Streptococcal Glomerulonephritis?
Children
= Edema, hypertension, hematuria and proteinuria
With Rheumatic Fever and Post-Streptococcal Glomerulonephritis, what are the (+) tests?
Antibodies to Streptolysin O and DNase B
Attributes of Streptococcus Agalactiae
Beta Hemolytic
Group B
Gram (+)
Catalase (-)
Where does Streptococcus Agalactiae colonize?
Vagina
Streptococcus Agalactiae colonizes the vagina and can affect babies in utero. What does it cause?
Neonatal Meningitis
Sepsis
Pneumonia
Attributes and tests of Streptococcus Pneumoniae?
Alpha hemolytic Quellung Reaction (+) and Optochin Sensitive
What bacteria is the MOST COMMON CAUSE of community acquired pneumonia and meningitis in children?
Streptococcus Pneumoniae
Virulence factor of Streptococcus Pneumoniae?
IgA protease
Streptococcus Pneumoniae causes what respiratory condition?
Pneumococcal Pneumoniae
Symptoms of Pneumococcal Pneumoniae?
Lung Consolidation
Fever, cough, shortness of breath, chest pain
Streptococcus Pneumoniae causes what neuro condition?
Meningitis
Triad of symptoms of Meningitis?
Fever > 100.4
Nuchal Rigidity
Mental Status changes
What bacteria can cause Otitis Media?
Streptococcal Pneumoniae
Symptoms and common age group for Otitis Media?
Children 6-24 months old
= Ear pain, pulling at ear, hearing loss, drainage
3 most common bacterias that can cause Otitis Media?
Streptococcus Pneumoniae
Haemophilus Influenzae
Moraxella Catarrhalis
Job of the spleen?
Opsonize and clear bacteria
Encapsulated bacteria can cause ____ disease in ASPLENIC patients
Severe
3 most common encapsulated bacteria that can cause severe disease in ASPLENIC patients?
Streptococcus Pneumoniae
Haemophilus Influenzae
Neisseris Meningitis
Attributes of Viridans Group Streptococci
Alpha Hemolytic - greenish hemolysis
Gram (+)
Catalase (-)
Diseases caused by Viridans Group Streptococci?
Dental Cavities
Subacute Bacterial Endocarditis
Pathogenesis of this organism is similar to HACEK organisms?
Viridans Group Streptococci
Attributes of Enterococci Group D
Gamma Hemolytic
Grows on bile and is 6.5% NaCl
Normal Bowel Flora
Infections caused by Enterococci Group D?
Wound infections
UTIs
Biliary tract infections
Attributes of Group D Non-Enterococci?
Grows on bile and IS NOT 6.5% NaCl
Main member of Group D Non-Enterococci?
Streptococcus Bovis
Streptococcus Bovis is a member of what group and causes what?
Group D Non-Enterococci
= Colon cancer
What is a common bacterial cause of colon cancer?
Streptococcus Bovis
- Group D Non-Enterococci bacteria