Gram Negative Rods - Respiratory Tract Flashcards
GN cocobacillary rods
Requires factor X hemin and V NAD in chocolate agar
H influenzae
GN cocobacillary rods
Satellite phenomenon around S aureus
H influenzae
GN cocobacillary rods
Polyribitol phosphate
IgA protease
H influenzae type B
Spectrum of disease of H influenzae
HaEMOPhilus Epiglotitis Meningitis Otitis media Pneumonia
Stridor
Cherry red epiglottis
Thumb sign
Given ceftriaxone
Epiglotitis
H influenzae
Stridor
Stipple sign
Given racemic epinephrine
Laryngotracheal bronchitis
Parainfluenza virus types 1 and 2
GN coccobacillary rods
Bordet Gengou agar
Regan Lowe charcoal medium
B pertussis
GN coccobacillary rods
Filamentous hemagglutinin which mediates attachment
False adenylate cyclase which inhibits phagocytosis
B pertussis
B pertussis toxins
Pertussis toxin - ADP ribosylation and lymphocytosis
Tracheal cytotoxin - epithelial damage and ‘whoop’
Paroxysmal patterns of hacking coughs that end with inspiratory whoop
Production of copious amounts of mucus
No pulmonary parenchymal involvement
Pertussis or Tuspirina
B pertussis
Phase with the highest yield in bacterial culture for pertussis
Catarrhal phase
1-2 weeks
With symptoms but no cough yet
DOC for pertussis
Erythromycin
Acellular vaccine with diphtheria and tetanus toxoids
DTaP vaccine
Vaccine containing type B capsular polysaccharide conjugated with diphtheria toxin
Given 2-18 mos
HiB vaccine
GN coccobacillary rods
Silver stain
Charcoal yeast agar with more iron and cystein
Legionella pneumophila