Micro Path Flashcards
Staphylococcus aureus symptoms, lab values/clinical findings?
*Symptoms: *Acute endocarditis, osteomyelitis, toxic shock syndrome, scalded skin syndrome, rapid onset food poisoning (meats, mayonnaise, custard). Cavity lung lesions.| *Lab Values/Clinical findings: *Catalase (+), coagulase (+), clusters. MRSA found in anterior nares of CARRIERS. G+ cocci in clusters.
Staphylococcus epidermidis symptoms, lab values/clinical findings?
*Symptoms: *IV catheter and prostehtic device infections with biofilms.| *Lab Values/Clinical findings: *Catalase (+), coagulase (-), novobiocin sensitive.
Staphylococcus saphrophyticus symptoms, lab values/clinical findings?
*Symptoms: *UTIs (2nd most common cause).| *Lab Values/Clinical findings: *Catalase (+), coagulase (-), novobiocin resistant.
Streptococcus pneumoniae symptoms, lab values/clinical findings?
*Symptoms: Granulomatous vasculitis with eosinophilia. Most often presents with ASTHMA, sinusitis, skin lesions, and peripheral neuropathy (e.g., wrist/foot drop, extreme pain); can also involve heart, GI, and kidneys.| *Lab Values/Clinical findings: *Catalase (-), optochin sensitive, bile soluble. Rusty sputum. Alpha hemolytic (green). Cannot be cultured in bile. Quellung reaction.
Virdians group streptococci (S. mutans, S. sanguis) symptoms, lab values/clinical findings?
*Symptoms: *Dental caries, subacute bacteria endocarditis.| *Lab Values/Clinical findings: *Catalase (-) optochin resistant, not bile soluble. Alpha hemolytic (green).
Streptococcus pyogenes symptoms, lab values/clinical findings?
*Symptoms: *Sandpaper like rash (Scarlet fever), rheumatic fever (doesn’t occur following a cutaneous skin infection; only with sore throat), impetigo, cellulitis, pharyngitis, erysipelas, post-Streptococcal glomerulonephritis (hematuria, type III hypersensitivity).| *Lab Values/Clinical findings: *Bacitracin sensitive. Beta hemolytic (clear). G+ cocci in chains.
Streptococcus agalactiae symptoms, lab values/clinical findings?
*Symptoms: *Neonatal meningitis, pneumonia, sepsis.| *Lab Values/Clinical findings: *Bacitracin resistant. Beta hemolytic (clear).
Enterococcus faecalis symptoms, lab values/clinical findings?
*Symptoms: *Vancomycin-resistant enterococcus faecalis (VREF). Endocarditis following genitourinary procedures.| *Lab Values/Clinical findings: *Gamma hemolytic (no hemolysis). Growth in bile AND 6.5% NaCl.
Streptococcus bovis symptoms, lab values/clinical findings?
*Symptoms: *Sepsis and subacute endocarditis; associated with colon cancer.| *Lab Values/Clinical findings: *Gamma hemolytic (no hemolysis). Growth in bile but not 6.5% NaCl.
Corynebacterium diphtheriae symptoms, lab values/clinical findings?
*Symptoms: *Pseudomembranous pharyngitis (gray-white). Lymphadenopathy. Toxin results in cardiac and CNS necrosis.| *Lab Values/Clinical findings: *Gram positive rod with metachromatic granules. Spore forming. Cysteine-tellurite agar.
Clostridium tetani symptoms, lab values/clinical findings?
*Symptoms: *Tetanus after traumatic implantation. Spastic paralysis, trismus (lockjaw), and risus sardonicus.| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Clostridium botulinum symptoms, lab values/clinical findings?
*Symptoms: *Food poisoning (canned food), flacid paralysis in babies (unpasteurized honey).| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Clostridium perfringens symptoms, lab values/clinical findings?
*Symptoms: *Watery diarrhea (reheated meat), gas gangrene, necrotizing enteritis.| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Closteridium difficle symptoms, lab values/clinical findings?
*Symptoms: *Pseudomembranous colitis (due to clindamycin, ampilcillin)| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Bacillus anthracis symptoms, lab values/clinical findings?
*Symptoms: *Painless black eschar with edematous ring (cutaneous). Spore inhalation leading to rapid fever, pulmonary hemorrhage, mediastinitis, and shock (pulmonary/Woolsorters’ disease).| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Bacillus ceres symptoms, lab values/clinical findings?
*Symptoms: *Food poisoning (reheated rice).| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Listeria monocytogenes symptoms, lab values/clinical findings?
*Symptoms: *Amnionitis, sepsis, spontaneous abortion in pregnant women. Neonatal meningitis (vaginal transmission), elderly meningitis. Mild gastroenteritis (unpasteurized milk, ice cream).| *Lab Values/Clinical findings: *Gram positive rod. Non-spore forming. Faculative intracellullar microbe (actin rockets). Endotoxin (only G+!).
Actinomyces israelii symptoms, lab values/clinical findings?
*Symptoms: *Oral/facial abscesses with sinus tracts.| *Lab Values/Clinical findings: *Gram positive anaerobic rod. Sulfur granules.
Nocardia asteroides symptoms, lab values/clinical findings?
*Symptoms: *Pulmonary infection in immunocompromised, spreads to brain.| *Lab Values/Clinical findings: *Partially acid fast. Gram positive aerobic rod.
Mycobacterium tuberculosis symptoms, lab values/clinical findings?
*Symptoms: *Primary (lower lobes/Ghon complex), secondary (cavitary lesion upper lobes). Pott’s disease (vertebral bodies). Meningitis (basilar pons). Nephritis, GI, LAD.| *Lab Values/Clinical findings: *Acid fast (Ziehl-Neelsen stain). PPD skin testing (type IV hypersensitivity). Lowenstein medium.
Mycobacterium avium-intracellulare symptoms, lab values/clinical findings?
*Symptoms: *Disseminated disease in AIDS.| *Lab Values/Clinical findings: *Acid fast.
Mycobacterium leprae symptoms, lab values/clinical findings?
*Symptoms: *From armadillos. Infects skin and superficial nerves (likes cool temperatures). Leonine facies.| *Lab Values/Clinical findings: *Acid fast.
Neisseria gonorrhoeae symptoms, lab values/clinical findings?
*Symptoms: *Septic arthritis, neonatal conjunctivitis, creamy purulent discharge, Fitz-Hugh-Curtis syndrome (pelvic inflamatory disease) urethritis, cervicitis, prostatitis, epididymitis.| *Lab Values/Clinical findings: *Gram negative diplococci. Maltose non-fermenter. Glucose fermenter. Thayer-Martin agar.
Neisseria meningitidis symptoms, lab values/clinical findings?
*Symptoms: *Meningitis (college-age), Waterhouse-Friderichsen syndrome (adrenal hemorrhage, DIC, septic shock)| *Lab Values/Clinical findings: *Gram negative diplococci. Maltose and glucose fermenter. Thayer-Martin agar.
Haemophilus influenzae symptoms, lab values/clinical findings?
*Symptoms: *Epiglottitis, otitis media, penumonia. | *Lab Values/Clinical findings: *Gram negative rod. Chocolate agar. Requires factors V (NAD+) and X (hematin).
Haemophilus ducreyi symptoms, lab values/clinical findings?
*Symptoms: *Painful genital ulcer (chancroid), inguinal adenopathy| *Lab Values/Clinical findings: *
Legionella pneumophila symptoms, lab values/clinical findings?
*Symptoms: *Severe pneumonia (older, male, smokers) or pontiac fever (mild flulike symptoms in young person). Also diarrhea. Caused by AC water contamination. | *Lab Values/Clinical findings: *Gram negative rod (stains poorly). Silver stain. Buffered charcoal yeast extract agar (BCYE) with iron and cysteine. Detection via urinalysis. Hyponatremia.
Pseudomonas aeruginosa symptoms, lab values/clinical findings?
*Symptoms: *Pneumonia (cystic fibrosis), sepsis (black necrotic lesions, ecthyma gangrenosum), burn victims, external otitis, UTI, osteomyelitis (IV drug user, diabetics), folliculitis. Spread via water (hot tubs).| *Lab Values/Clinical findings: *Gram negative rod. Oxidase positive. Lactose nonfermenter. Procyanin pigment. Grapelike odor.
Serratia maracescens symptoms, lab values/clinical findings?
*Symptoms: *UTIs| *Lab Values/Clinical findings: *Gram negative rod. Slow lactose fermenter (pink on MacConkee). Red pigment.
Enterobacteriaceae (Citrobacter) symptoms, lab values/clinical findings?
*Symptoms: *| *Lab Values/Clinical findings: *Gram negative rod. Slow lactose fermenter (pink on MacConkee). Produces red pigment.
Bordetella pertussis symptoms, lab values/clinical findings?
*Symptoms: *Whooping cough. Lymphocytosis (!).| *Lab Values/Clinical findings: *Bordet-Gengou or Regan-Lowe agar.
Escherichia coli (EHEC) symptoms, lab values/clinical findings?
*Symptoms: *Dysentery (undercooked meat), hemolytic uremic syndrome. Neonatal meningitis (K1 capsular antigen), UTIs (#1 cause of cystitis, pyelonephritis), pneumonia, septic shock.| *Lab Values/Clinical findings: *Gram negative rod. Lactose fermenter (pink on MacConkee). Doesn’t ferment sorbitol or produce glucuronidase.
Escherichia coli (ETEC) symptoms, lab values/clinical findings?
*Symptoms: *Traveler’s diarrhea. Neonatal meningitis (K1 antigen), UTIs (#1 cause of cystitis, pyelonephritis), pneumonia, septic shock.| *Lab Values/Clinical findings: *Gram negative rod. Lactose fermenter (pink on MacConkee).
Escherichia coli (EIEC) symptoms, lab values/clinical findings?
*Symptoms: *Dysentery (invasion and necrosis). Neonatal meningitis (K1 antigen), UTIs (#1 cause of cystitis, pyelonephritis), pneumonia, septic shock.| *Lab Values/Clinical findings: *Gram negative rod. Lactose fermenter (pink on MacConkee).
Escherichia coli (EPEC) symptoms, lab values/clinical findings?
*Symptoms: *Diarrhea in children. Neonatal meningitis (K1 antigen), UTIs (#1 cause of cystitis, pyelonephritis), pneumonia, septic shock.| *Lab Values/Clinical findings: *Gram negative rod. Lactose fermenter (pink on MacConkee).
Klebsiella pneumoniae symptoms, lab values/clinical findings?
*Symptoms: *Pneumonia (alcoholics or diabetics). UTIs.| *Lab Values/Clinical findings: *Gram negative rod. Lactose fermenter (pink on MacConkee). Red currant jelly sputum. Lung abscesses.
Salmonella typhi symptoms, lab values/clinical findings?
*Symptoms: *Bloody diarrhea. Only found in humans (chronic reseeding via galbladder). Higher infectious dose than shigella (10^5). Typhoid fever (diarrhea, headache, rose spots on abdomen.) Osteomyelitis in sickle cell anemia.| *Lab Values/Clinical findings: *Gram negative motile rod. Oxidase negative. Lactose nonfermenter. H2S producing.
Salmonella (not typhi) symptoms, lab values/clinical findings?
*Symptoms: *Blood diarrhea (poultry, meat, eggs). Animal hosts.| *Lab Values/Clinical findings: *Gram negative motile rod. Oxidase negative. Lactose nonfermenter. H2S producing.
Shigella dysenteriae symptoms, lab values/clinical findings?
*Symptoms: *Bloody diarrhea, dysentery (day-care centers). Only found in humans. Lower infectious dose than salmonella (10). Toxin can cause hemolytic uremic syndrome.| *Lab Values/Clinical findings: *Gram negative non-motile rod. Oxidase negative. Lactose nonfermenter. Not H2S producing.
Yersinia enterocolitica symptoms, lab values/clinical findings?
*Symptoms: *Can mimic Crohn’s or appendicitis. Gastroenteritis (pet feces/puppies, contamined milk or pork, day-care centers).| *Lab Values/Clinical findings: *
Helicobacter pylori symptoms, lab values/clinical findings?
*Symptoms: *Peptic and duodenal ulcers. Increases risk of gastric adenocarcinoma and marginal zone lymphoma.| *Lab Values/Clinical findings: *Urease positive. Urea breath test.
Leptospira interrogans symptoms, lab values/clinical findings?
*Symptoms: *Leptospirosis (flu-like symptoms, fever, headache, abdominal pain, jaundice, photophobia, conjunctivitis). Weil’s disease (severe jaundice, aztoemia, fever, hemorrhage, anemia). Spread by animal urine. Kidney failure + hepatmegaly.| *Lab Values/Clinical findings: *Spirochete.
Borrelia burgdorferi symptoms, lab values/clinical findings?
*Symptoms: *Lyme disease. Erythema chronicum migrans (stage 1), neurologic/Bell’s palsy plus cardiac/AV nodal block (stage 2), migratory mono/poly-arthritis (stage 3). Spread by Ixodes/deer tick (shared with Babesia).| *Lab Values/Clinical findings: *Spirochete.
Borrelia recurrentis symptoms, lab values/clinical findings?
*Symptoms: *Epidemic relapsing fever. Tick bite followed by fever, muscle pain and headache in recurrent episodes.| *Lab Values/Clinical findings: *Spirochete.
Treponema pallidum symptoms, lab values/clinical findings?
*Symptoms: *Syphilis. Painless chancre (primary), maculopapular rash on palms and soles plus condylomata lata (secondary), gummas plus aoritis, tabes doraslis, Argyll Robertson pupil (tertiary). Hydrops fetalis, sabershins, saddle nose, CN8 deafness, notched teeth, short maxilla, mulberry molars (congenital).| *Lab Values/Clinical findings: *Spirochete. Dark field microscopy. VLDR and FTA-ABS testing. Broad-based ataxia, positive Rombert, Charcot joints, stroke without hypertension (tertiary).
Treponema pertenue symptoms, lab values/clinical findings?
*Symptoms: *Yaws (cutaneous, bone, and joint infection leading to keloids and severe limb deformities). Found in tropics.| *Lab Values/Clinical findings: *Spirochete.
Bartonella henselae symptoms, lab values/clinical findings?
*Symptoms: *Cat scratch fever. Bacillary angiomatosis in immunocompromised.| *Lab Values/Clinical findings: *Gram negative faculative intracellular rod. Stellate granulomas.
Brucella melitensis symptoms, lab values/clinical findings?
*Symptoms: *Brucellosis (hepatic granulomas, migratory arthritis, myalgia), undulant fever. Caused by unpasteurized goat milk/cheese.| *Lab Values/Clinical findings: *Gram negative faculative intracellular rod.
Francisella tularensis symptoms, lab values/clinical findings?
*Symptoms: *Tularemia (ulceroglandular [most common], glandular, oropharyngeal, pneumonic, oculoglandular, and typhoidal). Caused by tick bite, rabbits, deer. | *Lab Values/Clinical findings: *Gram negative faculative intracellular rod. Buffered charcoal yeast extract agar (BCYE).
Yersinia pestis symptoms, lab values/clinical findings?
*Symptoms: *Plague. Spread by prairie dog and rodent fleas.| *Lab Values/Clinical findings: *Gram negative faculative anaerobic rod.
Pasteurella multocida symptoms, lab values/clinical findings?
*Symptoms: *Cellulitis from animal bites. Osteomyelitis in children.| *Lab Values/Clinical findings: *Gram negative faculative intracellular rod.
Gardnerella vaginalis symptoms, lab values/clinical findings?
*Symptoms: *Bacterial vaginosis; noninflammatory. Associated with Mobiluncus infections.| *Lab Values/Clinical findings: *Malodorous gray vaginal discharge (fishy smell); positive whiff test. Clue cells (stippled vaginal epithelialum). Vaginosis at ph of 5-6.
Rickettsiae rickettsii symptoms, lab values/clinical findings?
*Symptoms: *Rocky Mountain spotted fever. Headache, fever, rash (vasiculitis). Tick vector. Rash starts on palms and soles and migrates to trunk.| *Lab Values/Clinical findings: *Positive Weil-Felix test.
Rickettsiae typi symptoms, lab values/clinical findings?
*Symptoms: *Endemic typhus. Headache, fever, rash (vasiculitis). Flea vector. Rash starts centrally and spreads outward, no palm or sole involvement.| *Lab Values/Clinical findings: *Positive Weil-Felix test.
Rickettsiae prowazekii symptoms, lab values/clinical findings?
*Symptoms: *Epidemic typhus. Headache, fever, rash (vasiculitis). Human body louse vector. Rash starts centrally and spreads outward, no palm or sole involvement.| *Lab Values/Clinical findings: *Positive Weil-Felix test.
Ehrlichia chaffeensis symptoms, lab values/clinical findings?
*Symptoms: *Headache, fever, rash (vasiculitis). Tick vector. Human monocytic erlichiosis.| *Lab Values/Clinical findings: *Positive Weil-Felix test.
Anaplasma phagocytophilum symptoms, lab values/clinical findings?
*Symptoms: *Human granulocytic anaplasmosis; infects neutrophils. Fever and headache.| *Lab Values/Clinical findings: *Positive Weil-Felix test.
Coxiella burnetii symptoms, lab values/clinical findings?
*Symptoms: *Headache, fever, but no rash (Q fever). Aerosol vector. Can survive extracellularly. Atypical pneumonia.| *Lab Values/Clinical findings: *Negative Weil-Felix test.
Chlamydia trachomatis symptoms, lab values/clinical findings?
*Symptoms: *Neonatal conjunctivitis/pneumonia (types D-K), nongonnococal urethritis (D-K), pelvic inflammatory disease (D-K), ectopic pregnancy (D-K), lymphogranuloma venereum (L1,L2,L3). Reiter’s syndrome.| *Lab Values/Clinical findings: *Elemntary body (infectious), reticulate body (replication). Obligate intracellular organsim (requires host ATP). LGV has positive Frei test.
Chlamydia pneumoniae symptoms, lab values/clinical findings?
*Symptoms: *Atypical (walking) pneumonia. Spread by aerosols. Associated with atherosclerosis.| *Lab Values/Clinical findings: *Elemntary body (infectious), reticulate body (replication). Obligate intracellular organsim (requires host ATP).
Chlamydia psittaci symptoms, lab values/clinical findings?
*Symptoms: *Avian reservoir. Atypical (walking) pneumonia. Spread by aerosols.| *Lab Values/Clinical findings: *Elemntary body (infectious), reticulate body (replication). Obligate intracellular organsim (requires host ATP).
Mycoplasma pneumoniae symptoms, lab values/clinical findings?
*Symptoms: *Atypical (walking) pneumonia. Age s agar. Cold agglutinin hemolytic anemia (IgM). Only bacteria containing cholesterol in membrane. No cell wall. Fried egg appearance on agar.
Klebsiella granulomatis (formerly Calymmatobacterium granulomatis) symptoms, lab values/clinical findings?
*Symptoms: *Granuloma inguinale (donovanosis); ulcerating sclerotic granulomas of the penis. “Beefy-red.”| *Lab Values/Clinical findings: *
Moraxella catarrhalis symptoms, lab values/clinical findings?
*Symptoms: *Otitis media, bronchitis, sinusitis laryngitis. Bronchopneumonia in COPD patients.| *Lab Values/Clinical findings: *Gram negative, oxidase positive rod.
Proteus mirabilis, Proteus vulgaris symptoms, lab values/clinical findings?
*Symptoms: *Associated with struvite stones in urinary tract, UTIs.| *Lab Values/Clinical findings: *Gram negative rod. Oxidase negative. Lactose nonfermenter. Swarming motility. Urease positive. H2S producer.
Bacteroides fragilis symptoms, lab values/clinical findings?
*Symptoms: *Anaerobic abscesses. Normal gut flora (>E.coli).| *Lab Values/Clinical findings: *Anaerobic rod.
Vibrio cholera symptoms, lab values/clinical findings?
*Symptoms: *Rice-water diarrhea, self-limiting.| *Lab Values/Clinical findings: *ADP ribosylation of Gs. Increased cAMP leading to increased pumping of Cl- into gut and decreased sodium absorption.
Vibrio vulnifcus symptoms, lab values/clinical findings?
*Symptoms: *Food poisoning (contaminated seafood)| *Lab Values/Clinical findings: *