Microbio Bacteriology Flashcards
Staphylococcus aureus
Important Properties
G+ cocci 90% b-lactamase plasmid 50% MRSA 2% VRSA staphyloxanthin catalase + / coagulase +
Staphylococcus aureus
Diseases
HA pneumonia septicemia abscesses food poisoning scalded skin toxic shock foliculitis
Staphylococcus epidermidis
Diseases
heart infection
prosthetic infection
Staphylococcus epidermidis
Important Properties
G+ cocci
catalase + / coagulase -
white colonies
Staphylococcus saprophyticus
Diseases
UTI
Staphylococcus saprophyticus
Important Properties
G+ cocci
catalase + / coagulase -
in genital tract
Staphylococcus pyogenes
Diseases
pharyngitis
heart infection
Streptococcus pyogenes
Important properties
G+ cocci catalase - beta hemolytic group A in throat
Streptococcus viridians
Diseases
gingivitis
dental decay
endocarditis
Streptococcus viridians
Important properties
G+ cocci
catalase -
alpha hemolytic
in mouth
Streptococcus agalactiae
Diseases
neonatal sepsis
meningitis
Streptococcus agalactiae
Important properties
G+ cocci catalase - beta hemolytic group B in vagina and colon
Enterococci
Diseases
pneumonia
meningitis
Enterococci
Important properties
G+ cocci catalase - beta hemolytic group D in intestines
Streptococcus pneumoniae
Diseases
pneumonia
meningitis
sinusitis
arthritis
Streptococcus pneumoniae
Important properties
G+ cocci catalase - alpha hemolytic capsule in throat
Neisseria meningitides
Diseases
meningitis
bacteremia
Neisseria meningitidis
Important properties
G- cocci
diplococcus
human host
capsule
Neisseria gonorrhoeae
Diseases
gonorrhea
neonatal conjunctivitis
Neisseria gonorrhoeae
Important properties
G- cocci
diplococcus
LOS
2nd most common STD
Bacillus anthracis
Diseases
Anthrax
Bacillus anthracis
Important properties
G+ bacilli large toxin coded in plasmid capsule nonmotile central endospores in soil
Bacillus cereus
Diseases
food poisoning
Bacillus cereus
Important properties
G+ bacilli
cooking helps growth, release vegetative cells
endospores
Clostridium tetani
Diseases
tetanus
Clostridium tetani
Important properties
G+ bacilli
anaerobic
terminal endospore
environmental
Clostridium botulinum
Diseases
infant botulism
wound botulism
Clostridium botulinum
Important properties
G+ bacilli
terminal endospore
environmental
Clostridium perfringens
Diseases
gas gangrene
food poisoning
Clostridium perfringens
Important properties
G+ bacilli
terminal endospores
in soil
in colon and vagina
Clostridium difficile
Diseases
biofilm in colon
chronic diarrhea
Clostridium difficile
Important properties
G+ bacilli
endospore
in soil
in colon (3% pop, 30% hospitalized pop, 20% kids)
Corynebactrium diphtheriae
Diseases
diphtheria
Corynebacterium diphtheriae
Important properties
G+ bacilli no endospore club-shaped red polyphosphate crystals inside only in humans
Listeria monocytogenes
Diseases
meningitis
sepsis
febrile gastroenteritis
Listeria monocytogenes
Important properties
G+ bacilli
no endospore
grows well in cold temps
in soil, plants, animals
Escherichia coli
Diseases
UTI
septicemia
neonatal meningitis
Escherichia coli
Important properties
G- bacilli, enteric facultative anaerobe ferments lactose in humans and animals in colon no endospores motile produces vitamin K
Salmonella
Diseases
enterocolitis
typhoid fever
septicemia
Salmonella
Important Properties
G- bacilli, enteric
don’t ferment lactose
typhoidal/ non-typhoidal species
leading cause of food infection in US
Shigella
Diseases
enterocolitis
shigellosis
Shigella
Important Properties
G- bacilli, enteric
don’t ferment lactose
resistant to stomach acid
100 produce disease
Vibrio cholerae
Diseases
cholera
hypovolemia
Vibrio cholerae
Important Properties
G- bacilli, enteric
curved bacilli
Bordetella pertussis
Diseases
whooping cough (pertussis)
Bordetella pertussis
Important Properties
G- bacilli, respiratory
small
capsule
humans only
Haemophylus influenzae
Diseases
CA meningitis
upper respiratory infection
Haemophylus influenzae
Important Properties
G- bacilli, respiratory
small
capsule
humans only
Staphylococcus aureus
Transmission
30% population
in nose
homeless, drug users at risk
Staphylococcus aureus
Pathogenesis
protein A -> abscesses
TSST toxin -> LPS-like effects
enterotoxin -> food poisoning
exfoliatin -> scalded skin syndrome
Staphylococcus aureus
Prevention
cleanliness
intranasal antibiotic for carriers
Staphylococcus epidermidis
transmission
into blood through IVs
Staphylococcus epidermidis
pathogenesis
HA
biofilms
Staphylococcus epidermidis
prevention
vancomycin
cleanliness
Staphylococcus saprophyticus
transmission
in mucosa of genital tract
can ascend into bladder
Staphylococcus saprophyticus
pathogenesis
CA
Staphylococcus saprophyticus
prevention
cleanliness
antibiotics
Streptococcus pyogenes
transmission
throat -> blood/tissues
10% pop carriers
in throat
Streptococcus pyogenes
pathogenesis
biofilms -> enzymes and toxins pyogenic inflammatory enzymes: -hyaluronidase: digests connective tissue -streptokinase: digests blood clots -DNAse: digests DNA toxins: -erythrogenic: causes rash -streptolysin O/S: digests RBCs -exotoxin A: shock -exotoxin B: flesh eating disorder immunologic: -protein M -> heart, kidney, joints, brain -> rheumatic fever, glomerulonephritis
Streptococcus pyogenes
prevention
anti-inflammatory drugs
antibiotic preventitive
Streptococcus viridians
pathogenesis
biofilms
Streptococcus viridians
prevention
antibiotics
Streptococcus agalactiae
transmission
mom -> baby in delivery
Streptococcus agalactiae
pathogenesis
capsule
induce inflammatory response
Streptococcus agalactiae
prevention
screening of pregnant women
antibiotic if positive at delivery
Enterococci
pathogenesis
disease if out of intestine
especially in elderly
Enterococci
prevention
antibiotics
penicillin resistant
Streptococcus pneumoniae
transmission
5-50% pop carriers in throat
respiratory droplets
not easily transmitted
Streptococcus pneumoniae
pathogenesis
capsule -> BBB
Streptococcus pneumoniae
prevention
vaccine
antibiotics
Neisseria meningitidis
transmission
human to human
5-60% pop carriers in throat
sneezing coughing
Neisseria meningitidis
pathogenesis
capsule -> BBB LPS enzymes -> inflam, high fever, coma 30% mortality if untreated colonizes airway, move into blood and throughout body, into meningeal comps, colonize, symptoms
Neisseria meningitidis
prevention
vaccine
antibiotic
Neisseria gonorrhoeae
transmission
genital secretions
mom -> baby in delivery
Neisseria gonorrhoeae
pathogenesis
symptomatic in 85% men, 50% women purulent discharge symptoms in 5-7 days enough capsule -> bacteremia, arthritis could cause sterility if untreated
Neisseria gonorrhoeae
prevention
condom use
education
antibiotic
Bacillus anthracis
transmission
inhalation
ingestion
contact with endospores
Bacillus anthracis
pathogenesis
toxins -> cell death, edema
skin in 30% cases
GI in 60% cases
lungs -> lymph nodes, 100% mortality
Bacillus anthracis
prevention
antibiotic
vaccine (military)
Bacillus cereus
transmission
endospores in warm rice
Bacillus cereus
pathogenesis
endospores release toxin
effects after 24 hours
Bacillus cereus
prevention
only symptomatic treatment
Clostridium tetani
transmission
spores release toxin
Clostridium tetani
pathogenesis
toxin (tetanospasmin) inhibits GABA and glycine -> spastic paralysis
symptoms 1-3 weeks after exposure
Clostridium tetani
prevention
vaccine
antitoxin
no treatment once attached to neuron
Clostridium botulinum
transmission
spores from soil contaminate veggies / meats
improper canning -> toxin
raw honey
Clostridium botulinum
pathogenesis
toxin prevents ACh release -> flaccid paralysis
double vision
60% infant cases
Clostridium botulinum
prevention
clean canning
antitoxin
respiratory support
Clostridium perfringens
transmission
student’s diarrhea: food contamination
war wounds, crushing injuries
Clostridium perfringens
pathogenesis
wound -> alpha toxin (membrane damage) food -> enterotoxin gas under skin tissue damage, septicemia, death diarrhea in 8-16h, resolved in 24h
Clostridium perfringens
prevention
cleanliness
Clostridium difficile
transmission
fecal-oral
Clostridium difficile
pathogenesis
biofilm -> toxin
antibiotics cause ecological imbalance
toxin damages intestine walls
Clostridium difficile
prevention
antibiotics only when necessary
fecal transplant
cleanliness
Corynebacterium diphtheriae
trasmission
airborne droplets
back of throat and upper airway
Corynebacterium diphtheriae
pathogenesis
toxin binds to elongation factor, inhibits translation, kills cells
gray biofilm over tonsils
rare in USA
Corynebacterium diphtheriae
prevention
DTaP
antitoxin
antibiotics
Listeria monocytogenes
transmission
ingesting raw milk, meats, veggies
especially in newborns, pregnant women, immunosuppressed
Listeria monocytogenes
pathogenesis
survives inside cells, protected from immune response
Listeria monocytogenes
prevention
avoid raw foods if at risk pop
Escherichia coli
transmission
fecal-oral
urinary tract contamination with own colonic flora
mom -> baby
Escherichia coli
pathogenesis
tissue invasion
EHEC -> shiga toxin -> kidney failure
ETEC -> enterotoxin -> diarrhea
Escherichia coli
prevention
antibiotics
cranberry juice
cleanliness
decreased time of catheterization
Salmonella
transmission
fecal-oral
usually from poultry / eggs
Salmonella
pathogenesis
enterocolitis: -invades colon tissue, similar to ETEC -100,000 bacteria necessary -susceptible to stomach acid typhoid fever: -invades colon, spreads to liver, spleen, gallbladder -bacteremia -fever due to LPS release -gallbladder can shed bacteria in feces -pale feces, dark urine, decreased bile septicemia: -5-10% patients, mostly elderly and kids
Salmonella
prevention
2 vaccines
cleanliness
decrease antacids
remove gallbladder
Shigella
transmission
flies
fingers
feces
food
Shigella
pathogenesis
doesn’t invade tissues
shiga toxin
Shigella
prevention
cleanliness
Vibrio cholerae
transmission
fecal-oral
marine shellfish
Vibrio cholerae
pathogenesis
toxin -> clear diarrhea
susceptible to stomach acid
1 million bacteria
same as ETEC
Vibrio cholerae
prevention
cleanliness
vaccine (outside US)
Bordetella pertussis
transmission
airborne droplets
highly contagious
mostly in kids
Bordetella pertussis
pathogenesis
toxin (pertussis)
ETEC but in lungs
mucus in airways
high morbidity
Bordetella pertussis
prevention
vaccine (DTaP)
antibiotics
oxygen therapy
mucus suction
Haemophylus influenzae
transmission
airborne droplets
Haemophylus influenzae
pathogenesis
toxin
capsule
90% death if untreated
Vibrio cholerae
Diseases
Cholera
Meningitis
Yersinia
facts
plague capsule very virulent from flea bite, flea infected by rodent endo/exo-toxin antibiotics, vaccine
Mycobacteria tuberculosis
diseases
tuberculosis
Mycobacteria tuberculosis
important properties
acid fast 1/3 world pop infected 2 million die per year 9 million infected per year 500k patients with multi-resistant strains
Mycobacteria tuberculosis
transmission
air droplets
in bottom of lungs
symptoms in 10%
Mycobacteria tuberculosis
pathogenesis
crosses mucus layer in lungs invades tissue macrophages engulf bacteria bacteria keeps growing -> inflammation granuloma forms of helper T cells phases: -exudative: coughing blood -granuloma: dormant -reactivation: in immunosuppressed patients, stops helper T cells
Mycobacteria tuberculosis
prevention
PPD test multidrug therapy better housing and nutrition screening- especially immunosuppressed BCG live vaccine (0-70% effective)
Mycobacterium leprae
disases
leprosy (hansen’s disease)
Mycobacterium leprae
important properties
acid fast
not grown in lab
14 day doubling time
live in myelin
Mycobacterium leprae
transmission
prolonged contact with patients
Mycobacterium leprae
pathogenesis
immune system attacks nerves -> numb skin areas
types:
-tuberculoid: few bacteria, granulomas on skin
-lepromatous: many bacteria, deformed bones, unresponsive immune system
Mycobacterium leprae
prevention
multi-drug treatment
isolation of patients
treatment of exposed kids
no vaccine
Mycobacteria avium-intracellulare
facts
no effect on healthy adults, only immunocompromised/HIV patients
in shower heads
causes tuberculosis-like disease
opportunistic
Chlamydia trachomatis
diseases
conjunctivitis/ trachoma
pneumonia
genital tract disease
Chlamydia trachomatis
important properties
not gram stained most common std intracellular take atp from host only in humans
Chlamydia trachomatis
transmission
close personal contact
mom -> baby
finger to eye
10%+ coinfected with gonorrhea
Chlamydia trachomatis
pathogenesis
infect epithelial cells in mucosal tissue
Chlamydia trachomatis
prevention
antibiotics
prompt treatment
check for other stds
condoms
Chlamydia psitacci
facts
causes psittacosis
intracellular
infects birds
humans inhale dry bird feces
Treponema pallidum
diseases
syphilis
non-venereal treponematosis
Treponema pallidum
important properties
not grown in lab
normal flora
1/10 cases reported
Treponema pallidum
transmission
contact with lesions
pregnant mom -> baby
can burrow through skin
Treponema pallidum
pathogenesis
primary: nontender ulcer at site of infection, 1/3 heal
secondary: bacteremia, maculopapular rash (palms and soles), 1/3 heal
tertiary: granulomas on CNS, bone, skin, heart
congenital: mom -> baby in 3rd trimester
Treponema pallidum
prevention
antibiotics
condom
early diagnosis
Actinomycetes israelli
facts
causes actinomycosis anaerobic in mouth invades tissue if dental trauma antibiotics
Mycoplasma pneumoniae
facts
causes atypical pneumonia very small no cell wall respiratory droplets penicillins are inactive treat with other drugs
Borrelia burgdorferi
facts
lyme disease
tick-borne
bacteremia
antibiotics
Brucella
disease
brucellosis
Brucella
important properties
small
maybe capsule
3 species- goats/sheep, cows, pigs
Brucella
transmission
contaminated milk
contact with animals
inhalation/ingestion
mom->baby
Brucella
pathogenesis
resistant to stomach acid colonizes major organs grows slowly bacteremia intracellular LPS very infective / contagious fever, joint pain, malaise
Brucella
prevention
no human vaccine
increase animal vaccine
pasteurize milk
antibiotics