Mycobacterium Flashcards
Cell wall structure of Mycobacterium
Comprised of peptidoglycan complex & 60% lipids
60% lipids are comprised of mycolic acids, cord factor, was D
Mycolic acid
Unique alpha branching lipid that is highly hydrophobic, creating a lipid shell
Cord factor
serpentine cord that is toxic & causes inhibition of PMN’s
Wax d
Cell envelope
Temp pattern commonly seen with tuberculosis infections
Skin - 30 C
Lungs 37 C
42 C for Mycobacterium xenopi
Acid fast organisms
Mycobacterium tuberculosis
Mycobacterium avium
What is meant by “acid fast”?
Resists decolorization with up to 3% hydrochloric acid & some also resist decolorizatin with 95% ethanol
Ziehl-Neelson method of staining
Uses heat to get the primary stain into the cell wall of organism
Kinyon method of staining
Uses the detergent phenol to get the primary stain into the cell wall of org
Multiple drug resistant TB
Org is resistant to at least one of the two of the anti TB drugs, either isoniazid/rifampin/or both.
May be necessary to use amikacin, streptomycin, ciprofloxacin
Isoniazid Rifampin Rifapentine Ethambutol Pyrazinamide
First line of treatment for TB
Clycloserine Ethionamide Levofloxacin Gatifloxacin Streptomycin Amikacin/Rahamycin Capreomycin p-Aminosaliclic acid
Second line of treatment for TB
Initial treatment
8 week treatment with isoniazid, rifampin, pyrazinamide
Depending on dosage, some therapy regiments can be reduced to a shorter time.
Continuation of treatment
Can be additional 18 weeks with antimicrobials from the second line of drugs.
100% of patients are under direct observation therapy
M. tuberculosis morphology
Rough cords
Slow grower
Heat stable catalase = Nitrate + Niacin + NaCl = Tween 80 hydrolysis = Urease +
M. tuberculosis test ID
M. avium complex morphology
Smooth/rough, translucent
slow grower