Lect 13 Flashcards
Haemophilus influenzae
- gram status
- motility
- shape
- gram negative
- non-motile
- coccobacillus
Haemophilus influenzae has two different strains: describe them
- encapsulated strains
- non-encapsulated strains: non-typeable
- part of normal flora
- still capable of causing disease
Haemophilus influenzae virulence factors
- PRP capsule
- neuraminidase and a IgA protease
- Fimbriae
- LOS
- lipooligosaccharide
type B Haemophilus influenzae is responsible for what disease
- PNA in infants and young children
non-encapsulated Haemophilus influenzae strains possess what that bind to mucins on the ciliated epithelial cells of the respiratory tract
adhesins (HAP)
In Haemophilus influenzae infection, loss of cilia, inflammation, and sloughing of damaged epithelial cells all result from secretion of what virulence factor
LOS
describe Haemophilus influenzae growth on a blood agar
- blood agar growth is only acheived as a satellite phenomenon around other bacteria
- colonies of Haemophilus influenzae appear as convex, smooth, pale, grey or transparent colonies

Haemophilus influenzae has what result on catalase and oxidase tests
positive
Haemophilus influenzae detection is done via what test
ID-latex particle agglutination test (LAT)
treatment of Haemophilus influenzae
- B-lactams (amoxicillin/clavulanic acid)
- if resistance, or highly invasive infection, use 3rd generation cephalosporin
90% of all human infections resulting from legionella pneumophilia are from what serogroup
serogroup 1
legionella pneumophilia
- gram status
- shape
- gram negative
- pleomorphic bacillus
how do legionella pneumophilia survive
-
survive intracellularly
- inhibit phagolysosome fusion
- phagosome surroundes itself with ER studed with ribosomes
- replicate inside phagosome
- host cell is killed when the phagosome lyses, releasing toxic enzymes

legionella pneumophilia infection results in one of what two diseases
- pontiac fever
- Legionnaire’s disease
describe pontaic fever
- caused by legionella pneumophilia
-
self limited illness
- resolve spontaneously without treatment
describe Legionnaires’ disease
- caused by legionella pneumophilia
- a severe, acute atypical PNA with a high mortality rate (75% w/o treatment)
- CAP
Describe how Legionnaires diseases goes from infection -> PNA
- entry of bacilli into macrophages
- multiplication of bacteria in macrophages
- death of macrophages
- release of chemotactic factors
- influx of monocytes and PMNs
- acute fibropurulent necrotizing PNA
legionella pneumophilia is found in what type of environements
moist environments
in nature, legionella pneumophilia survive and replicate within what
protozoans
transmission of legionella pneumophilia
- aerosols
- no person to person transmission
risk factors for legionella pneumophilia
- any compromise in pulmonary and/or immune function
- smoking
- chronic lung or heart dz
- immunosuppression
- elderly
- alcoholics
how is legionella pneumophilia diagnosed
- culture on Buffered charcoal yeast extract (BCYE) - gold standard
- rapid test for antigen in urine
- EIA test
DOC treatment for legionella pneumophilia-> legionnaires
- DOC: levofloxacin
psuedomonas aeruginosa
- gram status
- shape
- oxygen required?
- motile?
- gram negative
- bacillus
- aerobic
- motile: single flagellum
psuedomonas aeruginosa is blue-green in color due to the production of what two pigments
- Pyoverdin: green
- Pyocyanin:blue; virulence factor
function of pyocyanin psuedomonas aeruginosa
- blue pigment
- catalyzes ROS production - tissue damage
list the virulence factors of psuedomonas aeruginosa
- pyocyanin
- Endotoxin A-B
- Elastases
- Alginate
- LPS
function of alginate in psuedomonas aeruginosa
-
mucoid polysaccharide/slime layer
- adherence
- inhibits mucociliary escalator
- important in CF (cystic fibrosis)
- inhibits complement and antibody binding
transmission of psuedomonas aeruginosa occurs via
- fomites
- plants
- fruits
- hands
what media support growth of psuedomonas aeruginosa? Expected results?
- BAP
- MacConkey
- produce blue-green pigment
- may tinge sputum or pus
treatment of psuedomonas aeruginosa NP infections
- combo
- Cefepime (4th gen ceph) + Levofloxacin (fluoroquinolone)