Organism(s)/Virulence factors (pathogenicity) Flashcards
S. aureus
Immune modulators
- Protein A, Coagulase, Hemolysins, Leukocidin, Catalase, Penicillinase
Factors permitting penetration
- Hyaluronidase, Fibrinolysin, Lipases
Toxins
- Exfolatin, Enterotoxins (heat-stable), Toxic shock syndrome toxin (TSST-1)
S. epidermidis
Catalase, urease, and biofilms
S. saprophyticus
Catalase and urease
S. pneumoniae
Capsule and IgA protease
S. mutans and S. mitis
Dextran biofilms
S. pyogenes
- M protein
- Streptolysins S and O
- Pyrogenic exotoxins
- Streptokinases
- Hyaluronidase
- Streptococcal DNAse
S. agalactiae
Capsule, beta hemolysin and CAMP factor
S. bovis
Unknown
Enterococci (E. faecalis and E. faecium)
Bile/salt tolerance
B. anthracis
- Capsule (polypeptide)
- Anthrax toxin which includes 3 components
- Protective antigen (B component)
- Lethal factor
- Edema factor
B. cereus
- Emetic toxin (preformed toxin)
- Diarrheal toxin
C. tetani
Tetanus toxin (tetanospasmin)
C. botulinum
Heat-labile toxin (A-B neurotoxin) most common serotypes are A, B and E
C. perfringens
- Spores
- Alpha toxin (phospholipase C) a lecithinase
- 12 other toxins which damage tissues
- Enterotoxin
C. difficile
- Toxin A (enterotoxin)
- Toxin B (cytotoxin)
C. diphtheriae
Diphtheria toxin (A-B component) with local effect forming dirty gray pseudomembrane and systemic effect leading to heart and nerve damage
L. monocytogenes
- Listeriolysin O ( a beta hemolysin)
- Jets directly from cytoplasm to another cell by actin filament formation
Nocardia
Unknown
Actinomyces
Invasive growth in tissues with compromised oxygen supply
M. tuberculosis
- Facultative intracellular organism
- Sulfatides (sulfolipids in cell envelope)
- Cord factor (trehalose dimycolate)
- Tuberculin (surface protein)
M. leprae
Obligate intracellular organism
M. avium intracellulare
Unknown
M. kansasii
Unknown
M. scrofulaceum
Unknown
M. marinum
Unknown
M. catarrhalis
Endotoxin
P. mirabilis
- Urease
- Motility
- Endotoxin
P. vulgaris
- Urease
- Motility
- Endotoxin
N. gonorrhoeae
- Pili
- Outer membrane proteins (OMP I, Opa proteins [opacity], IgA protease)
N. meningitidis
- Capsule (polysaccharide)
- IgA protease
- Endotoxin (lipooligosaccharide) overproduction of outer membrane
- Pili and outer membrane proteins
H. influenzae
- Capsule (type b is polyribitol phosphate)
- IgA protease
H. ducreyi
Unknown
B. pertussis
- Attachment through filamentous hemagglutinin and pertussis toxin
- Toxins
- Adenylate cyclase toxin
- Tracheal toxin
- Endotoxin
- Pertussis toxin
L. pneumophila
- Facultative intracellular organism
- Endotoxin
P. aeruginosa
- Endotoxin
- Pseudomonas exotoxin
- Capsule/slime layer
E. coli
- Motility
- Pili, X-adhesins, beta hemolysin
- Capsule (K1)
- Endotoxin
- LT and ST toxins (ETEC)
- Rearrangement of actin and effacement of brush boarder micovilli by adherence to M cells (EPEC)
- Verotoxin 1 and 2 (EHEC)
- Fimbriae produce biofilm and enterotoxin EAST (EAEC)
- Elongation of microvilli with bacteria embedded in cell membrane (DAEC)
K. pneumoniae
Capsule and endotoxin
C. jejuni
Low infectious dose (as few as 500) and local invasion
S. typhi
- Resistant to macrophage killing due to decrease fusion of lysosomes with phagosomes and defensins
- Vi capsular antigen (withstands complement-mediated killing)
S. enteritidis and S. typhimurium
Endotoxin
S. paratyphi
Resistant to macrophage killing due to decrease fusion of lysosomes with phagosomes and defensins
Shigella
- Endotoxin
- Polymerize actin jet trails to go laterally in M cells without going back in extracellular milieu
- Shiga toxin (S. dysenteriae) which is neurotoxic, cytotoxic and enterotoxic
V. cholerae
- Motility (mucinase and toxin coregulated pili [TCP])
- Cholera enterotoxin
V. parahemolyticus
Unknown
V. vulnificus
Unknown
Y. enterocolitica
- Enterotoxin and endotoxin
- Multiplies in cold
Y. pestis
- Coagulase
- Endotoxin and exotoxin
- Envelope antigen (F-1)
- Type III secretion system which suppress cytokine production and resists phagocytic killing
H. pylori
- Motile
- Urease
- Mucinase
- Local invasion
- Type I produce vacuolating cytotoxin
L. interrogans
Unknown
B. burgdorferi
Unknown
B. recurrentis
Antigenic variation
T. pallidum
Unknown
B. henselae
Unknown
P. multocida
Endotoxin and capsule
G. vaginalis
Works synergistically with other normal flora
E. corrodens
Unknown
C. canimorsus
Unknown
HACEK group infections
Unknown
B. fragilis
Modified LPS and capsule
F. tularensis
Facultative intracellular organism
Brucella spp.
- Endotoxin
- Facultative intracellular organism
R. rickettsii
Invade endothelial cells lining capillaries causing vasculitis of many organs including brain, liver, skin, lungs, kidney and GI tract
R. akari
Unknown
R. prowazekii
Unknown
R. typhi
Unknown
O. tsutsugamushi
Unknown
C. burnetii
Unknown
E. chafeensis
Unknown
E. phagocytophila
Unknown
Anaplasma spp.
Unknown
C. trachomatis
Infection of non-ciliated columnar or cuboidal epithelial cells of mucosal surfaces
C. pneumoniae
Intracellular growth
C. psittaci
Intracellular growth
M. pneumoniae
- Attaches to respiratory epithelium via P1 protein
- Inhibits ciliary action
- Hydrogen peroxide, superoxide radicals and cytolytic enzymes
- Functions as a superantigen