Miscellaneous Bacteria Flashcards
Rickettsia rickettsii are [size, Gram stain, shape, location]
Small Gram-negative coccobacilli that are obligate intracellular
(Does not visualize well with gram stain; use Giesma stain)
What does Rickettsia rickettsii cause?
Where is this most common?
How is it acquired?
What is the clinical presentation?
Rocky Mountain spotted fever
Most common in central and mid-Atlantic states
Acquired through tick bites
Triad of fever, rash, and headache
Coxiella burnetii are [size, Gram stain, shape, location]
Small Gram-negative coccobacilli that are obligate intracellular
(Note: Does not take up gram stain well, can also be considered “gram indeterminant”)
What does Coxiella burnetii cause?
What is the clinical presentation?
Which animal is it found in?
How is it spread to humans?
Q fever
Presents as fever, pulmonary infiltrates, and NO rash
Harborbed by sheep, especially placenta and fetal membranes
Spread by aerosols during the birth of lambs or other animals and through ingestion of unpasteurized milk
Bartonella henselae are [size, Gram stain, shape, location]
Bartonella henselae are tiny Gram-negative bacilli that are NOT obligate intracellular
What does Bartonella henselae infection cause?
- Bacillary angiomatosis (immunocompromised individuals, especially with AIDS)
- Cat scratch disease (enlargement of one or more lymph nodes following a cat scratch or bit)
What is the life cycle of Chlamydia spp.?
Extracellular elementary body (EB) which is metabolically inactive
Intracellular reticular body (RB) which is metabolically active
What type of disease does Chlamydia trachomatis cause?
Sexually transmitted diseases
What do Chlamydia pneumoniae and Chlamydia psittaci cause?
Pneumonia
What is unique about Mycoplasma?
Smallest organisms that can be free-living in nature and self replicating but require a media supplemented with essential components
Mycoplasma plasma membranes contain sterols which are obtained from eukaryotic cells or growth media
No cell walls so do not Gram stain
What do Mycoplasma have in their plasma membranes that other bacteria lack?
Sterols (obtained from eukaryotic cells or growth media)
What disease does Mycoplasma pneumoniae cause?
How?
Community-acquired pneumonia (“Walking pneumonia”); Symptoms are often less severe than a chest x-ray might suggest
Tightly adheres to cilia and microvilli on the surface of the bronchial epithelium
Borrelia burgdorferi are [shape, transmission, disease caused]
Borrelia burgdorferi are spirochetes transmitted to humans through contact with ticks and cause Lyme disease
Which bacteria causes Lyme disease?
What is the classic presentation of Lyme disease?
Borrelia burgdorferi
Erythema migrans: annular rash with central clearance at site of tick bite
Occurs in three stages and may present with rash, fevers, arthralgias/arthritis, arrhythmias, or neurologic findings
Treponema pallidum are [shape, disease caused]
Treponema pallidum are spirochetes that cause syphilis
One of your elderly, alcoholic patients is very hill;
She has a severe cough, fever, and night sweats. Her chest X-ray is shown below
What is significant about her X-ray?
What is the most likely cause of your patient’s infection?
How would you treat the infection?
The X-ray exhibits a “snowstorm” pattern characteristic of miliary tuberculosis
She should be treated with 2 months of rifampin, isoniazid, pyrazinamide, and ethambutol, followed by 4 months of rifampin and isoniazid (the typical treatment for tuberculosis)
Is this a picture of tuberculoid leprosy or lepromatous leprosy?
How do you know?
Lepromatous; the pink marks are the acid-fast M. leprae taking up carbol fucshin
May bacteria are located in the tissues, a characterisitc of lepromatous leprosy
