Micro - Gram Positive Rods Flashcards

1
Q

What two genera stain acid fast?

A

Mycobacterium

Nocardia

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2
Q

Two genera that spore endospores… What rapid test can help differentiate them and what are the test results?

A

Bacillus = catalase positive

Clostridium = catalase negative

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3
Q

The two important Bacillus species that cause disease are… What illness is each associated with?

A

Bacillus cereus = food poisoning

Bacillus anthracis = anthrax

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4
Q

What plate do Bacillus spp grow best on?

A

Blood agar

-do not grow well on selective plates

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5
Q

Bacillus anthracis colonies have this defining characteristic on a blood agar plate called…

A

“Ground-glass”, powdery, white

  • rapidly growing
  • flat
  • trailing edges coming out of colonies (“Medusa head”)
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6
Q

Bacillus anthracis colonies have this type of consistency when picked up with a loop…

A

“Sticky” consistency, like beaten egg whites

  • tenacious colonies
  • stays raised after being picked up with loop
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7
Q

What does B. anthracis look like gram stained?

A

Broad rods in long chains, gram positive

  • boxcar-shaped
  • blunt ends
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8
Q

What are some features that emerge in a B. anthracis gram stain as the culture ages (2)?

A

Cells decolorize easily as they age, looking gram-negative

Endospores form

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9
Q

B. anthracis possess this virulence factor… What type of stain should we do to see it?

A

Capsule

India ink

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10
Q

What is the term for a gram positive positive organism that stains and looks gram negative

A

Gram variable

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11
Q

How is B. anthracis usually transmitted to people?

A

From livestock, especially handling wool

  • zoonotic infection
  • anthrax aka woolsorters’ or ragpickers’ disease
  • also exposure from soil, lab
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12
Q

99% of anthrax is infection of this organ…

A

Skin

  • eschar (depressed black necrotic ulcer) formation
  • deadlier if spores are inhaled, systemic
  • GI if spores are ingested
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13
Q

One way to differentiate Bacillus cereus and Bacillus anthracis is to look at the type of hemolysis that each causes…

A

B. cereus = beta-hemolytic

B. anthracis = non-hemolytic

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14
Q

Another way to differentiate Bacillus cereus and Bacillus anthracis is to look at which organism is motile…

A

B. cereus = motile

B. anthracis = non-motile

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15
Q

As its name suggests, Corynebacterium are associated with this unique gram stain shape… It also display cells laying in parallel rows called…

A

Club-shaped
-“coryne” = Greek for club shaped

Palisades

  • Chinese letters
  • also V, L, U patterns
  • pleomorphic
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16
Q

Based on their 16S rRNA analysis, Corynebacteria resemble (2)…

A

Mycobacterium

Nocardia

  • acid fast organisms
  • lots of lipids on their cell walls
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17
Q

C. diphtheriae causes this to form in the throat…

A

Sticky pseudomembrane

  • bleeds when removed
  • blocks airway
  • asphyxiation or cardiac failure cause of death
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18
Q

What is the major virulence factor of C. diphtheriae? What is the gene that encodes this?

A

Diphtheria toxin

tox gene

  • not all strains of Corynebacterium diptheriae carry this gene
  • only toxin producing strains cause diptheria
19
Q

C. diptheriae causes two types of infections…

A

Respiratory

  • droplet transmission
  • swelling of neck
  • toxins cause severe myocarditis

Cutaneous
-nonhealing ulcers with dirty gray membrane

20
Q

The appearance of a “bull neck” is symptomatic for what type of disease? Caused by what type of bacteria?

A

Respiratory diphtheria

Corynebacterium diphtheriae

21
Q

Can people infected with C. diphtheriae be treated with antibiotics? Why or why not?

A

No

Toxin needs to be inactivated because they are attacking heart muscles. Treat with anti-toxin
-cultured in horses

22
Q

How are C. diphtheriae cultures collected and what culture specimens are sent to the lab (2)?

A

Throat swab

Nasopharyngeal swab

23
Q

What are the selective media to culture C. diphtheriae (2)? One of these two media can be ran in parallel with this other medium called…

A

Cystine-tellurite agar
OR
Tinsdale agar
-fosfomycin used to select for bacteria

Loeffler’s serum medium

24
Q

What do C. diphtheriae colonies look like on Tinsdale or Tellurite agar?

A

Black colonies with brown halos

-tellurite reductase and cystinase breakdown their substrates

25
What do C. diphtheriae colonies look like on Loeffler's serum medium?
Characteristic purple metachromatic granules inside cells | -grow overnight and stain with methylene blue
26
What tests are done to determine if a toxogenic strain of C. diphtheriae is producing the diphtheria toxin (2)?
Immunodiffusion test Guinea pig lethality test
27
Erysipelothrix rhusiopathiae - how is it transmitted?
From animals | -zoonotic infection
28
Although TSI slants are usually reserved for gram negative bacteria, culturing Erysipelothrix rhusiopathiae on a TSI slant gives this result...
H2S production
29
What pattern does Erysipelothrix rhusiopathiae produce in a gelatin tube stab incubated at 22C for a day? What does this indicate about the organism?
Test tube brush cleaner around stab line Organism is motile
30
What kinds of infection does Erysipelothrix rhusiopathiae cause?
Skin infections (erysipeloid)
31
How is Lactobacillus beneficial to the mucous membrane?
Produces lactic acid, decreasing pH of mucous membrane and makes condition unfavorable for pathogens to grow - normal vaginal and GI flora - in probiotics
32
What is happening to Lactobacillus during a period of bacterial vaginosis?
Lactobacillus numbers decline and pH increase, allowing other organisms to overgrow -polymicrobial
33
What should we do with a vaginal discharge specimen to check for bacterial vaginosis? What kind of cell are we looking for?
Gram stain the vaginal discharge -use Nugent scoring system Clue cell - lack of Lactobacilli - overgrowth of many other organisms
34
Bacterial vaginosis - a patient with this condition has a discharge pH of...
pH > 4.5
35
How is the "whiff test" done for bacterial vaginosis?
Add 10% KOH onto discharge. Smell strong fishy odor
36
A person must be positive for how many conditions to be diagnosed with bacterial vaginosis?
Any of these 3: ``` Milky discharge pH > 4.5 Clue cells No visible Lactobacilli Positive whiff test ```
37
How is Listeria monocytogenes usually transmitted?
In dairy products - unpasteurized or contaminated products - infected animals
38
What growth condition is unique for Listeria?
Can grow at 4C
39
Listeria is motile and moves about in a manner called... What peculiar feature is produced when Listeria is stabbed into a medium and incubated?
Tumbling motility - best at 28C, reduced at 37C - seen in wet mount Thicker "umbrella head" near top of agar and fine thin line going into the gel
40
What condition does a Listeria infection cause in a healthy person? In pregnant women?
Gastroenteritis Stillbirth
41
What specimen sample should we use to culture Listeria? What method do we use to isolate the bacteria?
Stool Cold enrichment technique - inoculate in enrichment broth and incubate at 4C - all warm growing stool flora inhibited - do a subculture onto a blood agar plate and incubate at 37C everyday or every other day to maximize Listeria recovery
42
Listeria and ___ are often confused because they are both beta hemolytic and look like short rods
Streptococcus, particularly group B | -both weak beta hemolytic
43
What rapid test can be used to differentiate Listeria from Streptococcus and what are the results for each organism?
Listeria = catalase positive Streptococcus = catalase negative
44
Of the important gram positive rods, which ones are motile?
Bacillus cereus Erysipelothrix rhusiopathiae Listeria monocytogenes