GRAM-NEGATIVE Flashcards
Gram-Negative Cocci
Neisseria
Moraxella
Veillonella
Neisseria gonorrhoeae shape
diplococcus, “imparting kidney bean.”
Neisseria gonorrhoeae virulence factors
pili (hairlike appendages)
OM proteins (Outer membrane proteins)
Neisseria gonorrhoeae clinical disease
Gonorrhea
gonorrhea is a _____________ infection
sexually transmitted
Neisseria gonorrhoeae virulence factor (pili)
enhances attachment to the host cell
also adds to resistance to phagocytosis
Neisseria gonorrhoeae virulence factor (OM protein)
adhesion and attachment to host receptors.
Gonorrhea in males
Urethritis = painful urination
epididymitis
orchitis
yellow, cream-like pus discharge
Gonorrhea in females
1st - Endocervix, vagina, and urethra infection
2nd - Salpingitis = inflammation of fallopian tube
3rd - Pelvic Inflammatory Disease = fever and abdominal pain
Mucopurulent discharge = thick mucus-like
Neisseria gonorrhoeae in the bloodstream
Bacteremia
Gonococcal ophthalmia neonatorum
Gonococcal endocarditis
Neisseria gonorrhoeae treatment
Erythromycin
Tetracycline
Crede’s method (Silver nitrate solution)
Crede’s method (Silver nitrate solution) MOA
denature proteins; inhibiting adhesion
Neisseria meningitidis POE
Inhalation of respiratory droplet
Nasopharynx
Neisseria meningitidis clinical diseases
Bacteremia Meningococcemia
Meningococcal meningitis
meningococci infect the bloodstream, it causes lesions called _________.
petechiae
refers to the appearance on the skin as small, round (non-raised) red to purple spots. It is typically caused by hemorrhage (escape of blood from ruptured blood vessel.
Petechiae
larger petechiae
ecchymoses
can be a severe disease caused by your meningococcus, leading to death.
Waterhouse-Friderichsen Syndrome
Neisseria meningitidis treatment
Penicillin G
Third generation cephalosporins
- Ceftriaxone
- Cefotaxime
is included in the same bacterial family as Neisseria due to morphological and biochemical similarities.
Moraxella
is a significant opportunist pathogen that mainly affects
immunocompromised/immunosuppressed individuals.
Moraxella cattarhalis
Moraxella cattarhalis clinical syndromes
Meningitis
Endocarditis
Sinusitis
Otitis media
Bronchopulmonary infections
Neonatal conjuctivitis
Moraxella cattarhalis
Amoxicillin- clavulanate
Cephalosporins (2nd and 3rd)
TMP-SMX
This species rarely cause diseases
Veillonella spp
Veillonella spp clinical disease
meningitis
endocarditis
osteomyelitis
Veillonella spp
Vancomycin
Tetracycline
Aminoglycosides
Ciprofloxacin
Gram-Negative Bacilli (Enterobacteriaceae Coliform)
Escherichia
Klebsiella
Proteus
Gram-Negative Bacilli (Enterobacteriaceae Non-Coliform)
Shigella
Salmonella
Yersinia
Gram-Negative Bacilli (Non-fermentative)
Pseudomonas
Acinetobacter
Burkholderia
Gram-Negative Bacilli (Others related enteropathogenic)
Vibrio
Helicobacter
Gram-Negative Bacilli (Other miscellaneous)
Bordetella
Brucella
Francisella
Haemophilus
Legionella
Pasteurella
Opportunistic and most ferment lactose
Coliforms
Escherichia coli virulence factors
O antigen
K Antigen
H antigen
Antigen; somatic, liposaccharide, heat and alcohol resistant
O antigen
Antigen; fimbrial,polysaccharide or protein, interfere with agglutination
K antigen
Antigen; flagellar and movement
H antigen
Escherichia coli clinical diseases
UTI
Gastroenteritis
Meningitis
sepsis
UTI symptoms
Frequent urination
Dysuria
Hematuria
Pyuria
UTI can cause
cystitis
pyelonephritis
inflammation of the lower urinary tract (bladder).
Cystitis
refers to the inflammation of the upper urinary tract (kidneys).
Pyelonephritis
E. coli-associated diarrheal mdiseases or intestinal tract infections associated with diarrhea.
Gastroenteritis
Enterotoxins bind to the epithelial cells of the small intestines causing a disruption to the physiology of the cells.
Toxigenic diarrhea
bacteria invade the walls of the small and large intestines causing a disruption in the architecture of the tissues. This leads to injury.
Invasive diarrhea
Stool: larger fecal volume, little-to-no blood.
Toxigenic diarrhea
Stool: smaller in volume, evident blood in stool. Also includes ulceration.
Invasive diarrhea
Stool: smaller in volume, evident blood in stool. Also includes ulceration.
Invasive diarrhea
Enteropathogenic E. coli (EPEC)
Infantile diarrhea