Microbiology: Streptococci Flashcards

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1
Q

describe the appearance of streptococci

A

gram positive cocci in chains

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2
Q

describe the growth of strep bacteria

A

aerobic and facultative anaerobic

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3
Q

what are streptococci bacteria classified by

A
alpha haemolysis(partial haemolysis)
beta haemolysis(complete haemolysis)
gamma haemolysis(no haemolysis)
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4
Q

beta-haemolytic streptococci are pathogenic organisms, give an example of harmful toxin they produce

A

haemolysin, damages tissues

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5
Q

how are beta-haemolytic streptococci further classified

A

by antigenic structure on surface(serological grouping)

Group A, Group B, Group C

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6
Q

give examples of infections caused by Group A and by Group B strep

A

Group A = throat, severe skin infections

Group B = meningitis in neonates

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7
Q

what are the 2 important categories of alpha-haemolytic streptococci

A

strep. pneumoniae and strep. viridans group

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8
Q

where is strep. pneumoniae most commonly seen

A

pathogen that is most common cause of pneumonia

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9
Q

where is strep. viridans most commonly seen

A

commensals of throat, mouth, vagina

can cause infection in endocarditis

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10
Q

what is included in non-haemolytic streptococci

A

enterococcus species(eg E. faecalis, E. faecium)

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11
Q

where are non-haemolytic streptococci seen

A

commensals of bowel

common cause of urinary tract infection

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12
Q

what type of beta-haemolytic strep are strep pyogenes

A

group A strep

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13
Q

what different infections can be caused by strep pyogenes

A

infected eczema, impetigo, cellulitis, erysipelas, necrotising fasciitis

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14
Q

what treatment is used for strep pyogenes infection

A

penicillin(will also be treated with flucloxacillin)

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15
Q

what treatment is used for necrotising fasciitis

A

life-threatening, so immediate surgical debridement as well as antibiotics depending on causative organism

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16
Q

what is necrotising fasciitis

A

bacterial infection spreading along fascial planes below skin surface, with rapid tissue destruction, not much to see on surface but severe pain
(life-threatening)

17
Q

what are the 2 different types of necrotising fasciitis

A

Type I = mixed anaerobes + coliforms, usually post-abdominal surgery
Type II = Group A strep infection