Gram (+) Cocci, G(-) Cocci, G(+) Aerobic Rods Flashcards
Which gram positive cocci are beta hemolytic?
S. pyogenes (Group A)
S. agalactiae (Group B)
S. aureus
Which media isolates staphylococci?
Mannitol Salt Agar (MSA)
Mannitol fermentation = yellow colonies = S. aureus
Staphylococcus epidermis = growth but no color change
What does phenylethyl alcohol agar (PEA) isolate?
Gram positive bacteria
What differentiates Enterococcus from other streptococci
Bile esculin (+)
Black colonies
Which gram positive cocci are catalase positive?
Staphylococci
Micrococcus
Which gram positive cocci are catalase negative?
Streptococcus
Enterococcus
Reagent for catalase test?
3% H2O2
What does free coagulase react with?
Coagulase reacting factor (CRF)
This forms a visible clot in coagulase test tube test
What does bound coagulase not react with?
CRF
In coagulase slide test
Clumping = +
What is PYR (+)?
Enterococcus or S. pyogenes = (+)
Other streptococci = (-)
What color is PYR if positive?
Pink/red
What is positive for LAP (leucine amino peptidase)?
Streptococcus
Enterococcus
Pediococcus
Tests for enzyme that hydrolyzes peptide bonds
Bile solubility (+)?
S. pneumoniae, colonies disintegrate
Differentiates E. faecalis (-), colonies remain intact, and differentiates other alpha hemolytic strep
What is CAMP (+)?
S. agalactiae
Lyses RBCs of S. aureus
Gram stain of Staphylococcus
G(+) cocci in grape-like clusters
Staphylococcus colonies
Large
Creamy yellow
Beta hemolytic
Non-motile
Resistant to bacitracin
S. aureus
Staphylococcus Scalded Skin Syndrome
Toxic Shock Syndrome
Food poisoning
S. saprophyticus
Honeymooners Disease - UTI in sexually active women
Normal flora in urogenital tract
Novobiocin resistance (separates from S. epidermidis)
Which staphylococcus is coagulase (+)?
S. aureus
Which staphylococci is novobiocin Resistant?
S. saprophyticus
Micrococcus
Gram (+) cocci in tetrads
Strict aerobes
Normal flora of skin, mucosa, oral pharynx
Small, yellow, smooth colonies
Susceptible to bacitracin
Lysostaphin resistant (-)
Micrococcus
Bacitracin susceptible (in G + cocci, catalase +)
Micrococcus
Novobiocin resistant
S. saprophyticus
Gram stain of streptococcus
Gram (+) cocci in chains
Think: Strips
Hemolysins for S. pyogenes
Streptolysin S: stable in presence of O2, large beta hemolysis zone around colonies
Streptolysin O: inhibited when exposed to O2, enhanced hemolysis around stabs in agar
S. pyogenes diseases
Suppurative (pus)
Strep throat
Scarlet fever
Necrotizing faciitis
Bacteremia
Rheumatic fever (damage to heart valves)
S. pyogenes biochemical tests
PYR (+)
LAP (+)
Bacitracin S
S. agalactiae
Normal flora of GI tract and urogenital tract
Small, translucent, small zone of beta hemolysis
Early onset: <7 days, pneumonia and sepsis
Late onset: 1 wk-3 months, meningitis
Adults: UTI, wound/soft tissue infection, pneumoniae, bacteremia
Check in pregnant women and treat at delivery
S. pyogenes vs. S. agalactiae
Group A: PYR (+), Bacitracin S
Group B: PYR (-), Bacitracin R, Hippurate (+), CAMP (+)
S. pneumoniae (gram stain shape, normal flora)
Lancet shaped diplococci
Normal flora of nasopharynx
Alpha hemolytic
Small colonies in un-encapsulated strains, larger mucoid round colonies in encapsulated strains (Quelling reaction)
Diseases of S. pneumoniae
Bacterial pneumonia, otitis media, meningitis
S. pneumoniae biochemical tests
Optochin susceptible
Bile solubility (+)
Enterococcus faecalis/faecium
Normal human flora of GI and vaginal tract
Large, gray colonies with a sheen
Non-hemolytic
Catalase (-)
PYR (+)
Bile esculin (+)
Optochin resistant - resistant to more antibiotics than other GPC
Group D Strep (Non-Enterococcus)
PYR (-)
LAP (+)
Associated with Chlamydia
Neisseria gonorrheae
Halo around colonies
Corynebacterium on CTBA and TIN
LAP (+)
Strepcoccus
Enterococcus
PYR (+)
S. pyogenes
Enterococcus
Bile esculin (+)
Enterococcus
Group D
Which organisms have necrotizing fasciitis?
S. pyogenes
Bacillus anthracis
B. anthracis vs other Bacillus sp
Non-hemolytic
B cereus vs other Bacillus
Penicillin resistant
S. mutans disease
Dental caries
Viridans normal flora
Respiratory tract
GI
Urogenital tract
Abiotrophia and Granulicatella
Nutritionally deficient strep
Requires cysteine or pyridoxal supplements to grow
Grows satellite colonies around S. aureus
Optochin susceptible
S. pneumoniae
Bacitracin susceptible
S. pyogenes
Bile solubility (+)
S. pneumoniae
PYR and 6.5% NaCl (+)
Enterococcus
Differentiates Group D
Aerococcus
Forms biofilms, clumps platelets
Airborne
UTI, Endocarditis, bacteremia
6.5% NaCl (+) but bile esculin (-)
Gram (+) clusters
Capnophilic
Neisseria
Media for Neisseria
SBA
Chocolate
MTM
Martin-Lewis
NYC
Superoxol test
N. gonorrhoeae
Neisseria gonorrhoeae
Usually seen in men
Can cause conjunctivitis in babies
Need CO2
Coffee bean diplococci
Accompanied with Chlamydia
Waterhouse-Friederichsen Syndrome
Neisseria meningitidis
Serological groups in the US (Neisseria)
B, C, Y
Moraxella catarrhalis
Hydrolyzes tributyrin
Hockey puck colonies - slide around if you push with a stick
Wagon wheel for older colonies colonies
Reduces nitrate
Cannot produce acids from carbohydrates
N. cinerea vs Neisseria gonorrhoeae and Moraxella
N. cinerea: susceptible to Colistin
The others are resistant
N. gonorrhoeae does NOT grow on this agar
SBA
N. gonorrhoeae utilizes what sugar(s)?
Glucose
N. meningitidis utilizes what sugar(s)?
Glucose
Maltose
N. lactamica utilizes what sugar(s)?
Glucose
Maltose
Lactose
N. sicca utilizes what sugar(s)?
Glucose
Maltose
Sucrose
Moraxella catarrhalis utilizes what sugar?
None. Hydrolyzes butyrate/tributyrin
Media for G(+) aerobic bacilli
SBA
Chocolate
PEA
Cystine tellurite blood agar (CTBA)
Modified Tinsdale Agar (TIN)
Loeffler
Human blood bilayer Tween agar
Columbia Colistin-naladixic agar
Resistant to penicillin
B. cereus
B. cereus is serious about resistance!!
Bacillus
Gram (+) bacilli in chains (looks like boxcars)
Has spores that help with desiccation and heat in soil
Transmission: trauma, ingestion, inhalation, injection
B. cereus
Food poisoning, eating contaminated food with spores
Wound and eye infections, ex: kid playing in soil and rubbing eye
Beta hemolytic
Catalase (+)
Motility (+)
Hemolysis (+)
PEA (+)
Gelatin hydrolysis (+)
Positive for a bunch of things basically
Penicillin resistant
Bacillus anthracis vs other bacillus
Non-hemolytic
Bacillus anthracis gram stain and colony morphology
Gram stain: string of pearls
Colonies: Medusa head/beaten egg white
Bacillus anthracis biochemical tests
Catalase (+)
Motility (-)
Gelatin hydrolysis (-)
Hemolysis (-)
PEA (-)
Penicillin sensitive
Basically opposite of B. cereus except catalase
Bacillus anthracis diseases
Cutaneous anthrax: necrotic skin
GI anthrax: ingesting spores, lesions in intestines
Inhalation: respiratory, flu-like symptoms
Injection: necrotizing fasciitis, injecting spores
What are the 2 catalase (+), non-spore forming GPRs?
Corynebacterium
Listeria
What separates C. diphtheriae from other Corynebacterium?
Urease (-)
Media for Corynebacterium
Loeffler
CTBA and TIN (halo)
Corynebacterium characteristics
Halo on CTBA and TIN agar
Chinese characters and palisades (parallel rods to each other)
Metachromatic granules
Elek Test/Immunodiffusion test: form lines of precipitation
Catalase (+)
Bile esculin (-)
Non-acid fast
Growth on SBA
Non-spore forming
Corynebacterium diseases
Respiratory, tonsils, pharynx
Cutaneous
Ulcers
Listeria monocytogenes
Found in: soil, water, GI tract of animals and humans
In cold foods like ice cream, cheese, meats, raw vegetables
Tumbling and umbrella motility at RT, non-motile at 37 deg
High mortality in CNS infected patients
Listeria biochemical tests
CAMP - block hemolysis
Catalase (+)
Bile esculin (+) - differentiates S. agalactiae
Hippurate (+)
Beta hemolysis, CAMP (+) block hemolysis
Growth in 6.5% NaCl
Clue cells
Gardnerella vaginalis
Gardnerella vaginalis
Bacterial vaginosis (BV)
Hemolysis (+) on HBT (human blood tween)
Urease (+)
Catalase (-)
Oxidase (-)
Non-motile
Erysipelothrix thusiopathiae
Zoonotic infection from puncture wound or abrasion. Skin disease (Erysipeloid)
Brush-like pattern in motility agar
H2S (+)
Catalase (-)
Esculin hydrolysis (-)
Arcanobacterium haemolyticum
Curved G(+) rods, possible branching
Beta hemolytic
Reverse CAMP (inhibits beta lysin in S. aureus)
Lactobacillus
LONG chains of G(+) rods
Catalase (-)
Maintains vaginal pH
Alpha hemolytic
Susceptible to most antibiotics so testing is not done
Acinomycete
Branching, filamentous G(+)
In soil in humid/tropical environments
Transmission: wounds, abrasions on skin
Nocardia asteroides
Resistance to intracellular killing
- inhibits phagosome-lysosome fusion
- steals iron (produces nocobactin)
Colonies look like stars
Nocardia brasiliensis
From skin puncture (thorn/wood splinter)
Swelling, draining sinuses with pus, sulfur granules
Actinomycete that is NOT partially acid fast
Streptomyces
Whipple Disease
Tropheryma whipplei
Red, orange colonies
From farm animals
Rhodococcus
Caramel odor strep
Viridans - S. angiosus
Lysozyme resistant (+)
Tsukamurella
Pink/orange/red colonies
Rhodococcus
Farm animals