Microbiology - Clinical Guide Flashcards
Conventional Bacteria
Rods and Cocci
4 main microbes causing pneumoniae-meningitis
S. pneumoniae, H. influenza,N. meningitis and Moraxella catarrhalis
Prinicipal players of pneumoniae and meningitis
S. pneumoniae and H. influenza
G+ diplococcus causing otitis, acute sinusitis, pneumoniae and meningitis
S. pneumoniae
G- rod causing otitis, acute sinusitis, pneumoniae and meningitis
H. influenza
Virulence factors of S. pneumoniae and H. influenza
Capsules
What kind of organisms cause meningitis
Encapsulated organisms
G- diplococcus causing otitis, acute sinusitis, pneumoniae and meningitis
N. meningitis
Organism causing otitis, sinusitis, brochitis, mild pneumonia in COPD and elderly patients
Moraxella catarrhalis
Mouth aerobes
Alpha virdans and Neisseria and HACEK organisms
Mouth aerobe that causes endocarditis and dental abscesses
Virdans Strep
Organism causing dental caries
Strep. mutans
HACEK organisms
HEmophilus, Actinobacillus, Cardiobacterium, Eikenella, Kingella
Name “Bad Staph”( infect healthy people) and what it can cause
S. aureus. Skin infection,wound infection, sepsis, metastasize, toxic shock and nosocomial pathogen
Coagulase + and Catalase +
S. aureus
Name “Not so bad” Staphs(need predisposing factor to cause disease) and what it causes
S. epidermidis and S. saprophyticus
What does the two “Not so bad” Stap cause
S. epidermidis - Infections with indwelling plastic devices.
S. saprophyticus - UTIs in young women
What are the “Bad Strep”
Group A ( S. pyrogenes) and Group B (S. agalactiae)
Group A Strep location and what it causes
On mucous membrane and skin. Causes strep throat, scarlet fever and impetigo, rheumatic fever and glomerulonephritis
Group B Strep location and what it causes
Live in the colon and vagina. Causes sepsis and meningitis in neonates.
Sepsis, arthritis, meningitis in adults and diabetics
Leading cause of sepsis and meningitis in neonates
Group B Streptococcus
Not so bad Strep
Viridans Strep. (Alpha and Gamma hemolytic species)
What Strep is linked to colon cancer
S. bovis
World’s most antibiotic resistant bacteria
Enterococci
Enterobacteriaceae organisms
E. coli, Klebsiella, Proteus, Enterobacter, Pseudomonas and Acinetobacter
Non-fermenters
Pseudomonas and Acinetobacter
Diseases G- can cause
UTIs, intra-abdominal infections and sepsis
Strict anaerobes cause what diseases and how
By doing it in combination with aerobes. Aspiration pneumonia, brain abscesses, chronic infections
Honorary bacterium
Candida- a yeast but does everything a bacterium does
Intracellular organism non-typical G- rods, causing visceral abscess, osteomyelitis
Non-typhoid Salmonella
Relapsing fever, rat bite fever caused by
Spirochetes causing syphilis,lyme disease, leptospirosis
Diagnostic for spirochetes
Serology
Chronic, focal infections of the lung, severe disseminated infections in immunocompromised people
Actinomycetes - Actinomyces, Norcardia
Chronic meningitis in normal and immunocompromised hosts, capsule seen with india ink stain of CSF
Cryptococcus(yeast)
Fungo that causes necrotizing sinusitis invaded the brain of a diabetic ketoacidodic patient that is immunocompromised - Rhinocerebral mucormycosis
Zygomycetes (mold)
Subcutaneous nodular inflammatory lesions in a lymphatic vessel after a puncture wound
(lymphangitis) , especially in gardners using sphagnum moss
Sporothrix- yeast
Which is most apt to invade CNS and cause meningitis, Histoplasma, Coccidioides or Blastomyces
Coccidioides
Leading cause of Atypical pneumoniae
Mycoplasma
Most commonly sexually transmitted GU pathogen
C. trachomatis
Severe febrile pneumoniae from birds
Chlamydia psittaci
Urethrits, Cervicitis and PID
N. gonorrheae
Intracellular organism with unusual cell wall, cannot make own ATP
Chlamydia
Insect vector, causing rash, fever and headache
Rocky Mountain Spotted Fever - Rickettsiae
Treatement of Rickettsiae
Doxycycline
cat scratch disease, trench fever, peliosis hepatitis, bacillary angiomatosis
Bartonellae
Agent of ehrlichiosis, prolonged febrile illness, different cytopenias in the blood
Anaplasmataceae
Organism causing fever of unknown origin
Bartonellosis and Ehrilichiosis
Single celled parasites names
Protozoa - toxoplasma, entamoeba, giardia, cryptosporidium, trichomonas, pneumocystis( a fungus)
Multicellular parasites
helminths - Strongyloides, Toxocara, and worms
Worm with entire life cycle in humans, causing hyperinfection syndrome
Strongyloides- human hookworm
“Piggyback sepsis”
When Strongyloides take E. coli with them
Asymptomatic in humans, fever, wheezing, hepatosplenomegaly, eosinophilia, visceral larva migrans
Toxocara( dog roundworm)
Common intestinal nematodes
roundworm , pinworm, whipworm, gookworm and ringworm
What worms invade the liver to cause cysts
Echinococcus
What worms invade the brain to cause cysts causing headaches and seizures
( neurocysticercosis )
Taenia solium
Commonest parasitic disease worldwide
Ascaris
What virus cause acute infections
RNA viruses
What virus cause chronic infections
DNA viruses and retroviruses
The silent epidemic
Hep C
cold sores and severe necrotizing encephalitis
HSV -1
Commonest manifestation of HSV-1 in an immunocompromised patient is
Esophagitis
What virus is an indication for cesarean delivery
HSV-2 - genital herpes
What causes chickenpox and shingles
VZV
Principal cause of mononucleosis and can cause lymphoma
EBV
Aymptomatic in childhood yet causes a mono-like-illness in an adult
CMV
What disease does HHV-6 cause
roseola-baby measles and febrile seizures in kids
What cells does HHV-6 infect?
CD4 cells
What causes Kaposi sarcoma
HHV-8