Gram Negative Cocci Flashcards
Neiserria have an optimal growth in
Moist temp
Obligate aerobic
Non motile
Non hemolytic
Neisseria
How many percent of CO2 does neisseria have
2-8%
Carbohydrate fermenters of neiserria
Glucose
Maltose
Most of the colonies are pigmented exccept
N.flava
N.flavescens
N.subflava
Where is the Direct inoculation of specimens
At the bedside
Neiserria are sensitive to
Drying
Extremes of temp
Microscopy of neisseria
Gram - diplococci
With coffee or kidney bean shaped
Major pathogens in neiserria
N.gonorrheae
N.meningitidis
Biochemical tests in neiserria
+ oxidase
+ catalase
Never considered part of the normal flora
N.gonorrheae
Only known host in n.gonorrheae
Man
N.gonorrheae is found in
Urogenital tract
Anorectal area
Oropharynx
Conjunctiva
Mode of transmission of n.gonorrheae
Sexual contact
N.gonorrheae produce an
IgA protease
Antibody found in mucous membrane secretions
IgA
Culture in n.gonorrheae
CAP
Pvf of n.gonorrheae
Common pili
Colonial types
T1 & T2 (virulent)
T3 & T5 (avirulent)
Means of flow of seed and brothel
Gonorrheae
Incubation period of gonorrheae
2-7 days
Symptoms of gonorrheae
Purulent discharge
Lower abdominal pain
Dysuria (men)
Dysuria and vaginal bleeding (women)
Untreated gonococcal cervicitis may cause what
Sterility
Perihepatitis
It is a syndrome where untreated gonococcal cervicitis may cause sterility and perihepatitis
Fitz-hugh-curtis syndrome
Infection where there is rectal pain and bloody stools
Anorectal infections
Gonococcal eye infection during vaginal delivery through an infected birth canal
Conjunctivitis
Other term for conjunctivitis
Ophthalmia noenatorum
Most important factor in the lab diagnosis of n.gonorrhea
Specimen collection and handling
Specimens in n.gonorrheae
Pus and secretions from urethra Cervix Prostate Rectal mucosa Throat Joint fluid
Used for collection of the specimen
Dacron or rayon swabs
This swab should be avoided due to the presence of toxic fatty acids in the cotton fibers
Cotton swab
Non gonococcal urethritis
C.trachomatis
Smears for gs should be prepared from these specimens
Urogenital specimens
Cultures for confirmation
Bap
Cap
Specimens on swab should be prepared onto media in what pattern
Z pattern
And
Cross streaked with a loop
Agar with all the TMA components + trimethoprim lactate
Modified thayer martin agar
Agar where vancomycin conc. is increased
Martin lewis medium
Chocolate agar with an enrichment supplement and antibiotics
Thayer martin agar
A transparent medium with lysed horse blood, horse plasma, and yeast dialysate
Nyc medium
Antimicrobial agents in nyc medium
Vancomycin
Colistin
Trimethoprim
Amphotericin B
Genital mycoplasma
Mycoplasma hominis
Ureaplasma urealyticum