Micrococcaceae Flashcards
Micrococcaceae
staphylococcus and micrococcus
Staphylococcus species
S. aureus, S. epidermidis, S. hemolyticus, S. saprophyticus, S. intermedius
Micrococcaceae general characteristics
- Gram-positive cocci, catalase positive, singly, pairs or in clusters
- Colony morphology: cream-colored, buttery on BA or CNA, some produce Beta hemolysis
- aerobic or falcultative anaerobes, non motile, non spore forming, non encapsulated
exceptions to general characteristics
S. saprophyticus is an obligate anaerobe
Micrococcus luteus
- Gram-positive, catalase positive, coagulase negative
- morphology: distinct yellow colony
- non-pathogen
coagulase
staphylocoagulase enzyme clots plasma
coagulase positive staphylococci
- S. aureus (human pathogen)
- S. delphini, S. intermedius, S. lutrae, S. hyicus (animal pathogens)
coagulase negative staphylococci (CoNS)
- S. epidermidis (nosocomial infections)
- S. saprophyticus (UTI’s in young, sexually active females)
Staphylococcus aureus
- exist in carrier state in 20-30% of population
- most virulent staph species
- superficial to systemic infections
Virulence factors of S. aureus
- enzymes: coagulase, hyaluronidase, lipase
- enterotoxins, toxins A-E and G-I, exfoliative toxins, cytolytic toxin
- Protein A
hyaluronidase
hydrolyzes the hyaluronic acid present in connective tissue and helps spread infection
lipase
breaks down the fats and oil created by sebaceous glands on skin surfaces
enterotoxins
heat-stable exotoxins that cause diarrhea and vomiting
toxins A-E and G-I
- resistant to gastric acid and associated with food poisoning
- A, B, and D associated with staph food poisoning
- toxic shock syndrome toxin-1 (TSST-1)
- TSST-1, B, C, G, and I are superantigens
- causes toxic shock syndrome
exfoliative toxin (epidermolytic toxin)
causes epidermal layer of skin to slough off; causes Scalded Skin Syndrome and bullous impetigo
cytolytic toxins
alpha, beta, and gamma hemolysin
alpha hemolysin
destroys platelets and tissues
beta hemolysin
- acts on the sphingomyelin of RBC membranes, causing lysis
- hot-cold lysin because works at 37 and 4 degrees C
gamma hemolysin
- also called Panton-Valentine leukocidin (PVL)
- exotoxin kills polymorphonuclear leukocytes to help prevent phagocytosis
- typically associated with community-acquired infections
Protein A
- binds the fragment crystallizable (Fc) portion of an antibody to avoid phagocytosis by masking it immunogenic proteins with host proteins to look like “self”
- negates the protective effects of IgG
Transmission of Staph. aureus
- colonizes nares (20-30% carriers)
- axillae, vagina, pharynx, other skin surfaces
- nosocomial
- fomites, poor hygiene
Clinical cases of Staph. aureus include
localized (pyogenic) skin infections, impetigo
Scalded Skin Syndrome
- extensive exfoliative dermatitis, most likely to occur in renal failure patients and ICP’s
- localized lesion to profuse peeling
- 2-4 days, can be fatal in adults, spontaneous recovery in children
toxic shock syndrome
- associated with super-absorbent tampons
- high fever, rash of the trunk/extremeties, watery diarrhea, vomiting, dehydration, leads to hypotension
- Disseminated intravascular coagulation (DIC),
- increase in blood urea nitrogen (BUN) and creatinine
toxic epidermal necrolysis (TEN)
- causes: drug induced, infections, vaccines
- similar to Staph. Scaleded Skin Syndrome (SSSS), except steroids can be effective
- high mortality rate
- Gram-positive cocci, catalase positive, singly, pairs or in clusters
- Colony morphology: cream-colored, buttery on BA or CNA, some produce Beta hemolysis
- aerobic or falcultative anaerobes, non motile, non spore forming, non encapsulated
Micrococcaceae general characteristics
- Gram-positive, catalase positive, coagulase negative
- morphology: distinct yellow colony
- non-pathogen
Micrococcus luteus
- exist in carrier state in 20-30% of population
- most virulent staph species
- superficial to systemic infections
Staphylococcus aureus