Microorganisms CH 10 Flashcards

1
Q

Medically important microorganisms

A
  • Medically important microorganisms include: bateria, fungi, viruses, and protozoa.
  • Bacteria: small, single celled organism.
  • Shapes include:
    1.) cocci (subshapes: diplococci, staphylococci, streptococci).
    2.) Rod shapes are bacilli.
    3.) Spirochetes are corkscrew shaped.
  • Gram stain is another way of classification: gram positive are blue and have a teichoic acid in their cell wall.
  • Acid fast stains also allow for another classification
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2
Q

Important to classify

A
  • Pathogenic cocci
  • S. aureus, S. pneumoniae, N. gonorrhoeae, N. meninigitis
  • Pathogenic bacilli
  • C. tetani, C. botulinum, B. anthracis
  • Klebsiella granulomatis (Granuloma inguinale – Donovan bodies)
  • Pathogenic Spirochetes
  • T. pallidum, B. bugdorferi
  • Acid Fast
  • M. tuberculosis, M. leprae, M. avium intercellulare N. asteroides
  • Others
  • Chlamydia trachomatis, richettsiae
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3
Q

Fungi

A
  • unicellular or multicellular, similar to plants.
  • No chlorophyll and don’t carry out photosynthesis.
  • Filamentous fungi are also called molds. Basic structure of these is the hypha. Collectively, the hyphae form the mycelium and sometimes divide
    into septa.
  • Yeast are single round
    budding fungi. Cryptococcus
    neoformans is an example.
  • Psuedohyphae do not detach, an example is Candida albicans.
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4
Q
  1. Filamentous fungi
  2. Yeasts
  3. Psuedohyphae

4, Dimorphic Fungi

A

Filamentous fungi
- Aspergillus fumigatus

Yeasts
- Cryptococcus neoformans

Psuedohyphae
- Candida albicans*
- One of the most widespread mycotic diseases

Dimorphic Fungi
- Blastomyces dermatitidis, Coccidiodes immitis, Histoplasma capsulatum

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5
Q
  1. Viruses
  2. Protozoans
A

Viruses
- DNA or RNA and small proteins that require a host to infect.
- Most cannot be seen in light microscopy, but the cytomegalovirus and Negri bodies can be seen

Protozoans
- single celled but functionally complex organisms.
- Locomotion determines this classification.
- Flagella, cilia, and pseudopods help them move. P. carinii?? (jirovecii)

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6
Q

Kinyoun
- Detects acid fast mycobacteria

A
  • Detects acid fast mycobacteria
  • Lipoid capsule of acid fast organisms takes up carbol fuchsin but can resist decolorization
  • NO Carnoy for fixative
  • Cut at 4-5um
  • Control must have mycobacteria

◦ Results:
- Acid fast bacteria: bright red
- Background: light blue

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6
Q

Stains for microorganisms

A
  • Kinyoun
  • Ziehl-Neelsen
  • Fite
  • Auramine-rhodamine
  • Gram
  • Giemsa
  • Alcian yellow-toluidine blue
  • PAS
  • CAS
  • Gridley fungal stain
  • Grocott modification of Gomori
  • Mayer mucicarmine
  • Warthin-Starry
  • Dieterle
  • Steiner and Steiner
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6
Q

Protozoans

A
  • Entamoeba histolytica
  • Giardia lamblia
  • Toxoplasm gondii
  • Leishmania
  • Plasmodium
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7
Q

Ziehl Neelsen
- Demonstrates acid fast bacteria

A
  • Demonstrates acid fast bacteria
  • NO Carnoy fixative
  • Cut at 4-5um
  • Control with acid fast bacteria required
  • Microwave Modification also available!

◦ Results:
- Acid fast bacteria: bright red
- Background: light blue

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8
Q

Fite acid-fast stain
- Demonstrates Mycobacterium leprae

A
  • Demonstrates Mycobacterium leprae
  • NO Carnoy fixative
  • Cut at 4-5um
  • Leprosy tissue must be used as control
  • Xylene-penut oil deparaffin step
  • Must avoid alcohol

◦ Results:
- M leprae: bright red
- Background: light blue

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9
Q

Brown-Hopps Gram stain modification

  • Demonstrates gram pos and gram neg bacteria
A
  • Demonstrates gram pos and gram neg bacteria
  • 10% NBF preferred fixative
  • Cut at 4-5um
  • Control tissue should contain both gram + and gram –

◦ Results:
- Gram pos: blue
- Gram neg: red
- Nuclei: light red
- Background: yellowish

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9
Q

Microwave auramine -rhodamine

  • Detects mycobacteria or other acid-fast bacteria
A
  • Detects mycobacteria or other acid-fast bacteria
  • 10% NBF preferred fixative
  • Cut at 4-5um
  • Control must have acid fast mycobacteria

◦ Results:
- Acid-Fast bacteria: reddish-yellow fluorescence
- Background: black

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10
Q

Diff-Quick Giemsa for H.P
- Demonstrates H pylori

A
  • Demonstrates H pylori
  • Romanowsky stains combine basic methylene blue and acidic eosin in one dye.
  • 10% NBF preferred fixative
  • Cut at 4-5um
  • Control should contain H pylori

◦ Results:
- H pylori – dark blue
- Other bacteria – blue
- Nuclei – dark blue
- Cytoplasm - pink

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11
Q

Alcian Yellow- Toluidine Blue
- Detects H. pylori

A
  • Detects H. pylori
  • 10% NBF fixative
  • Cut at 4-5um
  • Control must contain organism
  • Toluidine blue is metachromatic

◦ Results
- Mucin – Yellow
- H. pylori - Blue

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12
Q

Chromic Acid Schiff fungal stain
- Demonstrates fungi in tissue

A
  • Demonstrates fungi in tissue
  • Chromic acid is stronger oxidizer and can eliminate reactive aldehydes in other tissues
  • 10% NBF preferred fixative
  • Cut at 4-5um
  • Control tissue must contain fungus

◦ Results:
- Fungi: deep rose
- Nuclei if hematoxylin is used: blue
- Background: green (if light green is used)

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12
Q

Gridley Fungus stain
- Demonstrates fungus in tissue

A
  • Demonstrates fungus in tissue
  • Modification of BAUER technique
  • 10% NBF preferred fixative
  • Cut at 4-5um
  • Control must contain fungus

◦ Results:
- Mycelia – deep purple
- Conidia – deep rose to purple
- Background – yellow
- Elastic fibers and mucin – deep purple

13
Q

Hotchkiss-McManus PAS for fungi
- Demonstrates fungi in tissue

A
  • Demonstrates fungi in tissue
  • Same principle as PAS for carbs
  • 10% NBF, Bouins, or Zenkers preferred fixative
  • Cut at 4-5um
  • Control must contain fungi

◦ Results:
- Fungi – rose
- Background - Green

14
Q

Grocott Methenamine-silver nitrate stain
- Demonstrates fungus in tissue

A
  • Demonstrates fungus in tissue
  • 10% NBF is preferred fixative
  • ARGENTAFFIN REACTION
  • Cut at 4-5um, frozens at 6um
  • Control must contain fungus, if P jirovecii is suspected, use a control with it

◦ Results:
- Fungi – black
- Mucin – taupe to dark gray
- Background - green

15
Q

Mayer mucicarmine and alcian blue technique both can be used to demonstrate what organism?

A

ANS:

  • They can also stain Blastomyces
    dermatitidis and Rhinosporidium
    seeberi
16
Q

Warthin-Starry for spirochetes
- Demonstrates spirochetes in tissue

A
  • Demonstrates spirochetes in tissue
  • 10% NBF preferred fixative
  • Nonmetal forceps
  • Control tissue must contain spirochetes
  • Hydroquinone used to reduce Great for weak gram neg. Legionella species

◦ Results:
- Spirochetes – black
- Other bacteria – black
- Background – pale yellow to brown

17
Q

Dieterle for spirochetes
- Demonstrates spirochetes or the causative organism of legionellosis

A
  • Demonstrates spirochetes or the causative organism of legionellosis
  • Argyrophilic
  • Hydroquinone AND formalin
  • 10% NBF preferred fixative
  • Cut at 4-5um
  • Control must contain legionella or spirochetes

◦ Results:
- Spirochetes, bacteria: brown to black
- Background: yellow to brown

17
Q

Churkian and Schenk microwave modification of Warthin-Starry

  • Demonstrates spirochetes and other bacteria
A
  • Demonstrates spirochetes and other bacteria
  • 10% NBF preferred fixative
  • Cut at 4-5um
  • Uses hydroquinone
  • Control must contain bacteria

◦ Results:
- Alipia felis (cat scratch bacillus): black
- Legionella pneumophila: black
- N asteroides: black
- H pylori: black
- Nuclei: brown
- Erythrocytes: brown

18
Q

Microwave Steiner and Steiner
- Demonstrates spirochetes, H pylori, or legionella

A
  • Demonstrates spirochetes, H pylori, or legionella
  • 10% NBF preferred, avoid mercurial and chromate fixatives
  • Hydroquinone
  • Cut at 4-5um
  • Control must contain h pylori, spirochetes, or legionella causative organism

◦ Results:
- Spirochetes: dark brown to black
- H pylori: dark brown to black
- L pneumophila: dark brown to black
- Other nonfilamentous bacteria: dark brown to black
- Background: light yellow