Microbiology - Vibrio, Campylobacter, Helicobacter - Rebecca Greenblatt Flashcards

1
Q

Phlyogeny: vibrio cholera

A

gram negative rod;
oxidase positive
facultative anaerobe

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2
Q

What strains of vibrio cholera cause epidemic disease?

A

O1 and O139 - O cell wall antigen indicates pathogenicity

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3
Q

Transmission: Vibrio cholera

A

Fecal-oral;
Usually killed by stomach acid;
High IU

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4
Q

Virulence factor: Vibrio cholera

A

Mucinase to clear brush border, attach with toxin-coregulated pilus;
Growing bacteria secrete cholera toxin

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5
Q

What kind of toxin is cholera toxin?

A

Enterotoxin
AB subunit structure
B binds ganglioside receptor GM1 on intestinal lining

Toxin carried by lysogenic bacteriophage CTX

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6
Q

Persistent activation of adenylate cyclase leads to what in the pathogenesis of vibrio cholera?

A

Loss of water and ions;
no absorption by microvilli, only secretion from crypts;
Massive watery diarrhea

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7
Q

What are the complications of v. cholera?

A

Acidosis and hypokalemia from severe dehydration

loss of bicarbonate and K

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8
Q

Culture V. cholera on:

A
Salt agar ("halophile");
Buffered media (ox pos, ferments sucrose);
acid-rxn on triple sugar iron agar
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9
Q

Phylogeny: V. Parahaemolyticus

A

Gram neg
Oxidase pos
Curved and motile
Halophile

more common than V. vulnificus

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10
Q

How does V. parahaemolyticus usually present?

A

Mild gastroenteritis

found in shellfish

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11
Q

Phylogeny: Vibrio vulnificus

A
Gram neg
Oxidase pos
Curved and motile
some are encapsulated
Halophile
Produces siderophores - infection exacerbated by iron overload

Warm ocean water

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12
Q

Wounds contaminated by shellfish or ocean water causes:

A

Severe cellulitis if contaminated by V. Vulnificus

Septicemia with hemorrhagic bullae

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13
Q

What toxins are used by V. Vulnificus?

A

Protease exotoxin;

Hemolysin

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14
Q

Phylogeny: Campylobacter

A
Gram neg
Comma or S shaped
Ox pos
Cat pos
*microaerophilic*
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15
Q

Transmission: Campylobacter

A

fecal-oral (raw milk, undercooked chicken), sexual contact, sick pets (puppies)

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16
Q

Reservoir: Campylobacter

A

guts of domestic animals: ~100% poultry asymptomatically infected

17
Q

What is the IU for Campylobacter?

A

About 500 IU (very low)

18
Q

Symptoms: Campylobactor

A

Bloody diarrhea with pus, crypt ulcerations (can have watery diarrhea also)
About 3-5 days
Self-limited but complications possible

19
Q

What kind of Campylobacter is strongly predisposing for Guillan-Barre syndrome?

A

Campylobacter jejuni

Serotype O:19 antigenic cross-reactivity with neural glycosphingolipids

20
Q

What are two less common complications of C. jejuni?

A

Reactive arthritis;

HUS

21
Q

Does Campylobacter use M cells to cross the intestinal wall?

A

No; attaches directly

T4SS also

22
Q

How do you culture Campylobacter?

A

Stool sample culture at high and low temp (growth fails at low temp)

23
Q

“Seagull” appearance on microscopy is associated with what bug?

A

Campylobacter

24
Q

Treat the immunocomprimised adult with Campylobacter infection with:

A

Azithromycin

25
Q

Treat children with Campylobacter infection with:

A

Erithromycin

26
Q

Phylogeny: H. Pylori

A

Gram negative rods
Curved
LPS
Strongly Urease pos

27
Q

How can you tell a vibrio infection from a heliobacter infection?

A

Heliobacter can survive stomach acid

28
Q

Virulence: H. pylori

A

Bacteria attach to mucus-secreting cells of stomach w/ flagella virulence factor;
Break down urea into ammonia w/ urease;
Ammonia neutralizes stomach pH, allowing bacterial growth and irritating stomach lining

29
Q

What infiltrate is caused by H. pylori?

A

infiltrate by neutrophils, T and B lymphocytes, macrophages and mast cells

30
Q

What is the old testing modality for H. Pylori?

A

Urea breath test - Swallow radiolabeled urea, exhale radiolabeled CO2