Listeria, Pseudomonas, Various Anerobes Flashcards

1
Q

Describe the physical structure of Listeria monocytogenes

A

Thinnish G+ Rods

Hemolysis on Blood Agar

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2
Q

Listeria monocytogenes temperature preference?

A

Psychrophile

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3
Q

Listeria monocytogenes is motile at ________

Diptheroids is motile at ________

A

Room Temp, Not 37C

Not room temp, 37C

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4
Q

Listeria monocytogenes infection occurs where molecularly?

A

intracellular

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5
Q

Clinical presentation on Listeria monocytogenes

A

Native Flora in Animals
Infection following ingestion of infected food
Diarrhea, Dysentery, Meningitis, Bacteremia`

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6
Q

Who gets Listeria monocytogenes?

A

IC and Infants

Also, 2 perinatal versions

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7
Q

Clinical presentation of early onset perinatal Listeria monocytogenes

A

Stillbirth with granulomas

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8
Q

Clinical presentation of late onset perinatal Listeria monocytogenes

A

Infant bacterial meningitis

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9
Q

How is Listeria monocytogenes typically contracted?

A

Contaminated Food

Long term refrigerator storage of meats and cheese

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10
Q

Pathogenesis of Listeria monocytogenes?

A
Siderophores that bind Fe
Intracellular -- uptake via Internalin
low pH of lyso activated listerilysin O
Break out of lysosome
ActA causes actin to propel Listeria to other cells
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11
Q

Name two other bacterium that use Act A mechanism

A

Rikketsia and Shigella

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12
Q

How is Listeria monocytogenes treated?

A

Ampicillin preferred
Erythromycin will do in a pinch

No Vaccine because intracellular

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13
Q

Physical structure of pseudomonas aeruginosa

A

G- Rod with Single Polar Flagellum
Robust Metabolic Capacity
Fruity Aroma
Blue-green fluorescent pigments

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14
Q

Metabolism of pseudomonas aeruginosa?

A

Respiratory, but can use anerobic with NO3

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15
Q

Pseudomonas aeruginosa quorum sensing leads to….

A

Biofilm Formation

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16
Q

Clinical Presentation of Pseudomonas aeruginosa?

A
Opportunistic, Nosocomial Infections
Skin Biofilms
CF Patients
Otitis Externa
Eye Infections
UTI
Bacteremia/Sepsis (Leukemia Patients)
Ecthyma gangrenosum
Folliculitis
17
Q

Who is most prone to develop Pseudomonas aeruginosa biofilms?

A

Burn Patients, Diabetics

18
Q

What is ecthyma gangrenosum?

A

Erythematous, Non-pyogenic ulcerations

19
Q

Two sources of Pseudomonas aeruginosa folliculitis?

A
Contaminated Water (Hot Tub)
Acne
20
Q

T or F. Pseudomonas aeruginosa is typically foundin the URT flora

A

F. Only in CF patients

21
Q

Pathogenesis of Pseudomonas aeruginosa?

A
Adhesion pili
Hypermutable and Persister Strains
Biofilms deter Phagocytosis
LPs endotoxin
Type 3 secretion system secretes toxins
22
Q

Toxins secreted by Pseudomonas aeruginosa

A

Exotoxin A and S – ADP ribosylation (s sigs apop)
Elastase – Destroy Elastins in the Lungs
Pyocyanin/Pyochelin – Make toxic O2 radicals

23
Q

How is Pseudomonas aeruginosa controlled?

A

Sterile precautions with burn patients
Topical antimicrobials on wounds
Prevent BF formation

24
Q

Best therapy usually for Pseudomonas aeruginosa?

A

Cipro + Aztreonam

25
What should you do before long-term Pseudomonas aeruginosa therapy?
Assess resistance profile
26
Significance of Acinetobacter baumanii?
Nosocomial infections Ventilator associated pneumonia, septicemia Highly Resistant
27
Significance of Burkholderia cepacia?
Similar to Pseudomonas aeruginosa | Catheter associated UTI
28
Anerobes typically have a _____ redox potential.
Negative
29
How are the low-redox potential regions preferred by anerobes typically maintained?
Facultative organisms like E. Coli
30
Physical structure of Bacteroides fragilis
G- Rod of the Colon
31
Virulence factors of Bacteroides fragilis?
Antiphagocytic Capsule SOD and CAT (Not as badly affected by O2) Extracellular Enzymes (Neurominidase, Heparinase)
32
Significance of Prevotella melaninogenicia?
Oral G- Coccobacillis | VF: Collagenase
33
Significance of Porphyromonas gingivalis?
Oral G-Rod Gingivitis, Oral Abscess Also infects other warm, moist areas
34
Significance of Fusobacterium?
Oral and Colonic G- Fusiform Infectious in osteomyelitis
35
Significance of Peptostreptococcus?
Colonic G+ Coccus | Infection of Blood and Pleura/Lungs
36
Significance of Propionibacterium acnes?
Epidermal G+ Pleomorphic Rod | Acne and Brain Abscesses
37
Pathogenesis of various anerobes?
Normal flora enter unprotected area via trauma | Production of tissue destructive enzymes causes an abscess
38
How to treat anerobes?
Drain accumulated fluid Bacteroides/Prevotella -- Metronidazxole and Clinda Other -- Pen G