HACEK Flashcards
Colonizes the________;_______ pathogens
oropharynx
opportunistic
• Slow-growing (dysgonic) GNB, fastidious, growth enhanced by increased carbon dioxide
HACEK
HACEK
• Cause bacterial_______and ______
endocarditis (heart valves with vegetative lesions) & peritonitis
- less common cause
Haemophilus (H. paraphrophilus, etc.)
- bites by cattle/sheep/pigs/horses;
periodontitis
Aggregatibacter aphrophilus (formerly H. aphrophilus), A. actinomycetemcomittans
- human bites or fights (clenched fist wounds)
Eikenella corrodens
- affects pediatric population
Kingella spp. (K. denitrificans & K. kingae)
Gram stain: small coccobacillus
Colony morphology: raised, convex, granular, yellowish
Aggregatibacter aphrophilus
Gram stain: very small coccobacillus
Colony morphology: small colonies that adhere to agar
Aggregatibacter actinomycetemcomitans
Gram stain: straight bacilli, spindles, rosettes
Colony morphology: smooth, opaque, adherent to agar
Cardiobacterium hominis
Gram stain: straight bacilli
Colony morphology: usually pits the agar
Eikenella corrodens
Gram stain: coccoid to straight bacilli, chains and pairs, square ends
Colony morphology: two types: spreading and corroding or smooth and convex ß-hemolysis under colony
Kingella kingae
Gram stain: long, thin bacilli; tapered ends
Colony morphology: flat colonies, irregular in shape, may appear purple
Capnocytophaga spp.
Indole +
Cardiobacterium hominis
Smells like bleach
Ornithine +
Eilenella corrodens