Gram Positive Rods (Exam 1) Flashcards
List the aerobic spore forming gram positive rods
bacillis anthracis
bacillis cereus
List the anaerobic spore forming gram positive rods
clostridium spp
List the non-spore forming gram positive rods
Listeria
corynebacterium
What type of shape does listeria have
uniform
What type of shape does corynebacterium have
irregular cornyform
What type of disease does bacillus anthracic give rise to
anthrax
What type of disease does bacillus cereus give rise to
gastroenteritis
What organism displays a box car like arrangement
bacillus anthracis
How will bacillus anthracis appear on gram stain
gram positive rods, boxy car with spores in chains
Describe the O2 requirements for anthrax and its motility
non-motile
aerobic: needs O2 to survive
If bacillus anthracis does not have o2 what occurs
it makes a spore
Where is anthrax found
ubiquitous, air, water, soil, vegetation
What are virulence factors produced by bacillus anthracis
capsule
anthrax toxin
endospore
What type of capsule is seen on bacillus anthrax
poly-D glutamic capsule: amino acid/protein capsule
What type of charge does the bacillus anthrax capsule have
negative charge
What is the function of bacillus anthrax capsule
inhibits host phagocytosis and host immune response
What encodes the capsule of anthrax
pxO1 plasmid
What encodes the anthrax toxin
pXO1
How many components compose the anthrax toxin
three
What are the three components of the anthrax toxin
Protective antigen (PA) Edema factor (EF) Lethal factor (LF)
What are the different ways the anthrax toxin can combine
EF+PA= edema toxin LF+PA= lethal toxin
WHat is te physiological effect of edema toxin from anthrax
activates adenylate cyclase. increases cAMP causing edema
What is the physiological effect of the lethal toxin of anthrax
Zinc dependent protease cleaves MAP kinase causing cell death
What are the different types of anthrax
cutaneous
inhalation
gastrointestinal
How is anthrax transmitted
most commonly infects wild and domestic hoofed animals
spread through direct contact with bacteria and spores
Is anthrax human to human transfer
no
What is the most common form of anthrax
cutaneous
How will cutaneous anthrax present
enters through skin, first cause edema (edema toxin) then a black pustule eschar (lethal toxin)
How is pulmonary anthrax transmitted
inhalation of spores from contaminated soil, dried or processed skins, and hides, or infected animals
Do spores have a taste or smell
no
How many anthrax spores do you need for infection
2500
How will pulmonary anthrax present
initial influenza symptoms: fever, myalgia, cough malais
rapid progression into respiratory distress, fever, shock, and death
What organism is associated with mediastinal widening
bacillus anthrax (inhalation)
Describe the course of infection of inhalation anthrax
Into the lungs. Macrophages ingest the spores and go to mediastinal lymph nodes
Spores germiante into active bacilli and produce toxins that lyse the macrophages and release bacilli into bloodstream
More toxins produced
What are possible ways to get GI anthrax
ingesting undercooked meat from anthrax infected animals
drink unchlorinated water harboring anthrax spores
How will GI anthrax present
abdominal distress, fever, septicemia, death
What population is at risk of developing anthrax
workers who process hides, hair, wool, bone, and bone products
ranchers
veterinarians
bioterrorism
How is anthrax diagnosed
Culture on blood agar
gram stain
PCR for anthrax toxin genes
How does anthrax cultured on blood agar help identify
characteristic colony morphology: large, dry, colonies with irregular edges
What are two forms of bacillus cereus
Emetic
Diarrhea
What is the incubation and duration time of emetic bacillus cereus
<6 hours incubation
8-10 hours duration
What is the incubation and duration time of diarrhea bacillus cereus
> 6 hours incubation
20-36 hours duration
What toxin is responsible for the emetic form of Bacillus cereus
heat stable enterotoxin
What toxin is responsible for the diarrhea Bacillus cerus
heat labile enterotoxin
How does the heat labile enterotoxin lead to diarrhea
increases cAMP, leads to profuse watery diarrhea
What foods are associated with emetic bacillus cereus
rice
What foods are associated with diarrhea bacillus
meats and veggies
How will bacillus cereus lead to ocular infections
transmission via trauma to the eye with an object contaminated with soil
What toxins are involved in ocular infections of bacillus cereus
necrotic toxin
cereolysin
phospholipase C
How will listeria monocytogenes appear on gram stain
gram positive rods
What is the oxygen requirement of listeria monocytogenes
facultative anaerobe, intracellular
Describe the motility of listeria monocytogenes
highly motile
What are the two ways that listeria is highly motile
flagella and actin tails
How does flagella aid in listeria movement
extracellular, allows end over end tumbling motility
How does actin tails aid in listeria movement
intracellular
Where are listeria monocytogenes found
Normally found in soil, vegetation, water, and intestinal tract of many animals
What is the preferred temperature for Listeria growth
1-45C
Describe how listeriosis will present in pregnant women
flu like illness
How does a pregnant women get listeria
ingestion
What is a concern for pregnant women who get listeria
crosses the placenta
Describe how listeriosis will present in a fetus
still born
How did a fetus contract listeria
crossed the placenta
How does listeriosis present in a newborn
neonatal meningitis
How did a newborn contract listeria
during birth
How will listeriosis present in immunocompromised/elderly adults
meningitis
How did immunocompromised and elderly adults get listeria
ingestion
How is listeriosis transmitted
ingestion of contaminated food
What foods are common for listeria
milk soft cheeses cold cuts hotdogs raw veggies coleslaw
What is the incubation of listeriosis
11-70 days, average 31
What does the long incubation for listeriosis causes
hard to trace a source
What is the pathogenesis of listeria
Invades M cells escapes the phagosomes multiplies uses actin tail for motility infects adjacent cells to avoid the immune system
What are the ways in which listeria causes disease
adheres and invades
escapes phagosome
uses actin tail for motility
How do listeria adhere and invade
Internalins
What are the internalins of listeria
InlA and InlB
What do internalins do in listeria
interact with glycoprotein receptors on host cell surface
How do listeria escape phagosome specifically
Listeriolysin O (LLO)
What does Listeriolysin O do
lyse the phagosome after endocytosis
How does listeria use actin
ActA protein
What does ActA protein do
form the actin tail
How is listeria diagnosed
culture
cold enrichment
weakly b hemolytic with s. aureus
CAMP test
What organism is a CAMP test used to diagnose
Listeria
What occurs during a CAMP test
listeria is beta hemolytic when in the presence of S. aureaus; arrowhead shapes
What organism can cold enrichment be used to identify
listeria
What does listeria do in cold enrichment
grows at colder temps than other organisms
How will cornybacterium diptheria appear on gram stain
gram positive rods with irregular club like shape
What is the reservoir for cornybacterium diptheria
humans
What are the two types of diphtheria infections
respiratory
cutaneous
How is respiratory diptheria infections transmitted
respiratory aerosols
How is cutaneous diphtheria infections transmitted
skin contact
What is the main virulence factor of corynebacterium diptheria
diptheria toxin
What is the diptheria toxin
phage mediated, produced at site of infection and dissemianthe through the blood
Where are receptors for diphtheria toxin
on heart and nerve cells
What is the mode of action of the diptheria toxin
ADP ribosyl transferase
Inactivates elongation factor 2 to inhibit protein synthesis
What organism is associated with a thick gray pseudomembrane in the pharynx
respiratory diptheria
What causes the damage in respiratory diptheria
exotoxin
How will respiratory diptheria present
malais, sore throat, fever, exudative pharyngitis
What is incubation period for respiratory diptheria
2-4 days
What are potential complications of respiratory diptheria
myocarditis
neurotoxicity
What will happen if you scrape the pseudomembrane of diptheria
it will bleed
Why will the pseudomembrane of diptheria bleed
combination of bacteria, WBC, and necrotic tissue
How will cutaneous diptheria present
chronic non healing ulcer
How does one get cutaneous diptheria
skin contact, gains entry to subcutaneous tissue through break in skin
How is cornybacterium diptheria diagnoses
cysteine tellurite blood agar
How does cornybacterium diptheria appear on cysteine tellurite blood agar
grayish black colonise (tellurite)
brown halos surrounding (cysteine)
What is the vaccination for diptheria
DTap
Tdap