Micro: Active Recall Flashcards
Coagulase Positive denotes what organism?
Staphyloccocus aureus
Coagulase Negative indicates what further step to differentiate the organism?
Novobiocin sensitivity test
Sensitive: S epidermidis
Resistant: S. sapropyticus
Toxin responsible for scarlet fever
Erythrogenic toxin
Highly antigenic toxin seen in S. pyogenes causing antibody formation
Streptolysin O
Test to document antecedent pharyngitis for RHD
ASO (anti-streptolysin O) titer
Weakest defense of the Group A Strep w/c inhibits the complement activation and prevent phagocytosis
M protein
Test to document antecedent skin infection in post-strep GN
Anti-DNAse B titer
Toxin responsible for the rapid progression of necrotizing fascitis
Exotoxin B
Toxin responsible for ascending infection in cellulitis
Hyaluronidase (spreading factor)
How do you differentiate from enterococcus and nonenterococcus
6.5% NaCl
Pathogenic factor seen in S. pneumoniae responsible for colonization
IgA protease
Virulence factor which inhibits a signal transduction in cell division, seen in bacillus anthracis
Lethal factor
Calmodulin dependent adenylate cyclase seen in bacillus anthracis
Edema factor
Virulence factor seen in anthrax which mediates entry of the other factors into the cell without which, no effects will be manifested
Protective antigen
Most common cause of death in anthrax
Pulmonary hemorrhage
Bacterial pathogens which produce endospores
Bacillus
Clostridium
Emetic form of food poisoning from bacillus cereus implicates which pathogenic factor?
Heat stable Enterotoxin
Protease which cleaves proteins involved in glycine release from the spinal cord, seen in Clostridium tetani
Tetanospasmin
Pattern of paralysis in Clostridium botulism
Descending pattern of flaccid paralysis
Test for toxigenicity of Corynebacterium diphtheriae
Modified Elek Test
Forms dark black clononies on potassium tellurite agar
Corynebacterium diphtherieae
Shows rapidly spreading growth on egg yolk agar
Clostridium perfingens
Drug often implicated in in-hospital clostridium difficile infection
Clindamycin
also seen in 2nd and 3rd gen cephalosporins and clindamycin
Causes pseudomembranous colitis
Clostridium difficile
Beta-prophage encoded toxins
[ABCDE] Shiga-like toxin Botolinum toxin Cholera toxin Diphtheria toxin Erythrogenic toxin
Injection of diphtheria toxin to determine susceptibility to infection
Schick test
Test designed to indicate whether or not a person is immune to scarlet fever
Dick test
Exhibits tumbling motility
Listeria Monocytegenes
Pathogenic factor which propels the bacteria through the membranes of one human cell to another, seen in Listeria
Actin rockets
Antibiotics found in Thayer Martin Agar
Vancomycin, Polymyxin/ Colistin, and Nystatin
Factors required for growth of H. influenzae on chocolate agar
V factor (NAD) X factor (hematin)
Factor which promotes adherence and invasion into epithelial cells causing opaque colonies, seen in N gonorrheae
Opa protein
Usual coinfection with Gonorrhea and treatment regimen
Chlamydia; Ceftriaxone + Doxycycline
Most common cause of epiglottitis
Haemophilus influenzae
What organism is cultured on Bordet-Gengou agar or Regan Lowe charcoal medium?
Bordatella pertussis
Factor responsible for “whooping” cough
Tracheal cytotoxin
Staining used for Legionella
Silver stain
Where is legionella cultured?
Charcoal yeast agar
Causative organism of pontiac fever
Legionella pneumophila
Gram negative rod, lactose fermenter, urease positive
Klebsiella pneumoniae
What type of agar is used to culture C. jejuni?
Skirrow’s agar
Produces lactose fermenting colonies on EMB or MacConkey agar
Escherichia coli
E.coli strain most commonly associated with HUS
O157: H7
Organisms implicated in neonatal meningitis
Group B Strep
E. coli
Listeria monocytogenes
Factor which inhibits the 60S subunit of ribosomes, resulting in decreased protein synthesis in GIT mucosa
Shiga-like toxin
Factor responsible for pseudomembranes (mucosal cell death)
Exotoxin A and B of C difficile
Factor which inhibits elongation factor 2 resulting in decreased protein synthesis, seen in pseudomonas
Exotocin A of Pseudomonas
Test used to detect salmonella antibodies in patient’s serum
Widal test
Osteomyelitis in burn patients is often caused by:
Pseudomonas aeruginosa
Osteomyelitis in IV drug abusers is often caused by:
Staphylococcus aureus
Osteomyelitis in sickle cell anemia
Salmonella choleraesuis
Exhibits shooting star motility
Vibrio cholera
Exhibits swarming motility
Proteus mirabilis
Where is pseudomonas grown
Cetrimide agar
Medium used to grow Mycobacterium tuberculosis
Lowenstein-Jensen medium
Most important virulent factor of TB which inhibits WBC migration
Cord factor