Micriobio: Gram positive Flashcards
which type of bacteria has a cell wall/cell membrane
this is in gram positive. it is mostly peptidoglycan for support and has lipotechoic acid which induces TNF and IL1.
which type of bacteria has an outer membrane
this is in gram negatives and it has lipid A which induces TNF and IL1. it also can have O polysaccharide which is the antigen
which type of bacteria has the periplasm?
this is in the gram negative and it has hydrolytic enzymes including beta lactamases
which bacteria has a capsule that is not made of polysaccharide?
B anthracis and it is made of D glutamate
why can’t you stain mycoplasma
no cell wall. the cell membrane contains steroids
why can’t you stain mycobacteria
cell wall has mycolic acids and a high lipid content
pneumonic for those that don’t stain
These Microbes May Lack Real Color Treponema Mycobacteria Mycoplasma Legionella (silver stain) Rickettsia (intracellular parasite) Chlamydia (intracellular and lacks muramic acid)
Giemsa stain
Certain Bugs Really Try my Patients Chlamydia Borrelia Rickettsiae Trypanosomes Plasmodium
PAS stain
tropheryma whipplei
Ziehl Nelson Stain
Nocardia and Mycobacteria- this is an acid fast stain
India ink stain
cryptococcus neoformans
Silver stain
fungi, legionella, H pylori
special media requirements for H influenzae
chocolate agar with factor V (NAD+) and factor X (hemetin)
special media for Neisseria
thayer martin or VPN media
V- vanco against gram positives
P- polymyxin against gram neg except Neisseria
N - nystatin against fungus
special media for Bordetella pertussis
Bordet Gengoup (potato agar)
special media for C diptheriae
tellurite agar. loffler medium
special media for TB
lowenstein Jensen agar
special media for M pneumoniae
Eaton agar, requires cholesterol
lactose fermenting bugs
these guys like E coli are pink on Maconkey and purple with a green metallic sheen on EBM or eosin methylene blue
special media for legionella
charcoal yeast extract with iron and cystine
special media for fungi
Sabouraud agar.
pneumonic for obliagate aerobes
Nagging Pests Must Breathe
Nocardia, Pseudomonas, MycoBacterium,
pneumonic for oligate anerobes
can’t breathe air
clostridium
bacteriodes
actinomyces
remember that anerobes are resistant to all aminoglycosides because they require O2 to be taken up into the cell.
intracellular bugs
Really Cold
Rickettsia
Chlamydia
Facultative intracellular
Some Nasty Bugs May Live FacultativeLY Salmonella Neisseria Brucella Mycobacteria Listeria franciesella Legionella Yersinia pestis
encapsulated bacteria
SHiN
S. pneumonia
H influenza
N meningitidis
catalase positive organisms
PLACESS psuedomonas listeria aspergillus candida Ecoli S aureus Serratia
3 conjugate vaccines
S pneumonia, H influenza, N meningitidis
urease positive bugs
cryptococcus H pylori Proteas Ureplasma Nocardia Klebsiella S epidermidis S saprophyticus
color of serratia marcescens
red pigment.
function of protein A
binds to Fc region of IgG. prevents opsonization and phagocytosis
bug that expresses protein A
Staph aureus
IgA protease function
enzyme that cleaves IgA
bugs that have IgA protease
SHiN organisms
M protein function
helps prevent phagocytosis
bug that has M protein
group A strep
endotoxin is gram negative or positive
negative
exotoxin is gram negative or positive
both
where is the endotoxin
in the cell membrane of the gram negative bacteria and it is released when the cell is lysed
where is the exotoxin?
secreted from the cell
endotoxin location of genes
bacterial chromosome
exotoxin location of genes
plasmid or bacteriophage
which two bacteria have exotoxins that inhibit EF2
corynebacteria diptheria and psuedomonas aerginosa
shiga and shiga like exotoxin effect
inactivate the 60S ribosome by removing the adenine from the rRNA
Enterotoxigenic Ecoli has two exotoxins
Heat labile- overactivates cAMP and increases Cl secretin into the gut.
Heat stabile- increases guanylyl cyclase increasing cGMP and decreasing NaCL reabsorption in the gut
edema factor exotoxin found in which bug
bacillus anthracis. mimics the adnylate cyclase enzyme and increases cAMP. gives the black border on eschar lesions
cholera toxin
this is in vibrio cholera and it overactives adenylate cyclase and increases cAMP by permanently activating Gs. causes increase in Cl secretion into the gut and water to follow
pertussis toxin
seen in bordatella pertussis. increase cAMP by disabling Gi impairing phagocytosis to permit survival. this causes whooping cough
tetanospasmin enterotoxin
this is in C tetani. it is a protease that cleaves the SNARE proteins, preventing NT release. this works on the inhibitory GABA and glycing neurons of the Renshaw cells of the spinal cord. causes risus sardonicus and lock jaw
alpha toxin
this is from C perfringes. it is a phospholipase or lecithinase that degrades tissue and cell membranes. gives gas gangrene and double hemolysis on blood agar
streptolysin O enterotoxin
this is in S pyogenes. protein that degrades cell membrane. lyses RBCs, contributes to beta hemolysis etc.
Exotoxin A
this is found in psueodmonas where it is an inihbitor of E2F and it is found in Strep pyogenes where it brings the MHC II and TCR in proximity to cause an overwhelming release of IFN gamma and IL2 leading to shock. toxic shock syndrome