LEGIONELLA Flashcards

1
Q
  • Faintly staining, thin, gram-neg, bacillary or
    coccobacillary
  • Fastidious, Aerobic, motile and noncarbohydrate fermenting
A

Legionella

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2
Q

o Legionella pneumophila
o Legionella micdadei (Pittsburg
pneumonia Agent)
o Legionella bozemanii (WIGA Agent)
o Legionella dumoffii

A

Legionella species

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3
Q

● Only genus in the family Legionellaceae
● Primarily acquired through inhalation

A

Legionella

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4
Q

catalase and gelatinase;
weak-positive in

A

(+)
oxidase

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5
Q

Major reservoirs of legionella

A

Hot water system, cooling towers
and evaporative condensers.

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6
Q

They can infect and multiply within some freeliving amoebe/amoeba (species of Hartmanella,
Acanthamoeba and Naegleria), ciliated protozoa
(Tetrahymena), and biofilms

A

Characteristics of Legionella:

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7
Q

isolated from
legionella

A

lakes, rivers, hot springs and mud

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8
Q

They can tolerate up to _______

A

3 mg/L of chlorine, and
thus resist water disinfection treatments.

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9
Q

Cannot grow
legionella

A

on routine media: BAP

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10
Q

BCYE w/ L-cysteine (pH 6.9)
-Agent of Legionnaire’s disease (1,4 and 6)
and Pontiac fever.

A

Legionella pneumophila
● Medium

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11
Q

● Invades the bronchoalveolar macrophages,
which is a facultative intracellular pathogen.
● Isolated in air-conditioned units, cooling
towers, humidifiers and nebulizers

A

Legionella pneumophila

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12
Q

Aka: legionelliosis (febrile and pneumonic
illness)

● Symptoms: High fever, non-productive
cough, headache, neurological and severe
bronchopneumonia

A

Legionnaire’s disease

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13
Q

Non-fatal respiratory infection
Main symptom is pneumonia.

A

Pontiac fever

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14
Q

● MOT for Legionnaire’s disease

A

: Airbone spread, inhalation of aerosol

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15
Q

● Symptoms: for Legionnaire’ s disease

A

High fever, non-productive
cough, headache, neurological and severe
bronchopneumonia

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16
Q

most
common method for Legionnaire’s disease.

A

Indirect Fluorescent Antibody (IFA)

17
Q

detecting
common Legionella species in LRT. (+)
yellow or green-colored bacilli.

A

Direct Fluorescent Antibody

18
Q

Rapid methods

A

● DNA test (PCR)
● Urine antigen test

19
Q

detects L. pneumophila
as early as 3 days from infection

A

Urine antigen test:

20
Q

Culture
Selective Media for Legionella

A

BCYE with L-cysteine, ferric salt
and -ketoglutarate

21
Q

weakly acid-fast

A

L. micdadei

22
Q

intracellularly and extracellulary
located in phagocytes

A

Legionella

23
Q

● Faint staining, undetectable in Gram
staining.
● Prolonging smear for 10 minutes

A

Staining

24
Q

Culture used in Legionella and its appearance

A

Buffered Charcoal Yeast Extract
appear sticky and exhibit a ”rainbow color”