Other Non-Pathogenic Opportunistic Enterobacterales Flashcards
Food and fish/water contamination
Edwardsiella tarda
May present gastroenteritis and myonecrosis in wound infections
Edwardsiella tarda
LDC positive; Non-lactose fermenter; Same IMViC as E. coli: (+,+,-,-); TSI: K/A g+ H2S(+)
Edwardsiella tarda
Prodigiosin (red) pigment at 25°C
Serratia marcescens
Bacteremia outbreaks in nurseries, cardiac surgery, and burn units
Serratia marcescens
DNASE positive in oxidase-negative, gram-negative bacilli
Serratia marcescens
Antigens of Proteus vulgaris
OX2, OX19
Antigens of Proteus mirabilis
OXK
Causative agent for acute glomerulonephritis, urinary tract infection (UTI), kidney stone formation
Proteus
Morganella morganii causes
Neonatal sepsis
UTI, diarrhea, nosocomial outbreaks in burn patients
Providencia alcalifaciens, Providencia rettgeri, Providencia stuartii
PAD positive, urease positive, LDA positive in oxidase-negative, gram-negative bacilli
PMP group - Proteus, Morganella morganii, Providencia alcalifaciens, Providencia rettgeri, Providencia stuartii
Currant jelly sputum, capsule (mucoid), some are carbapenemase producers
K. pneumoniae
Hospital-acquired pneumonia, ventilator-associated pneumonia, urinary tract infection (UTI), bacteremia
K. pneumoniae
Large pink mucoidal colonies in MAC, potassium cyanide (KCN) positive, string test positive
K. pneumoniae
Blue safety pin appearance
Klebsiella (Calymmabacterium) granulomatis
Granuloma inguinale or Donovanosis (sexually transmitted disease with skin ulcers)
Klebsiella (Calymmabacterium) granulomatis
Donovan bodies in endothelial cells
Klebsiella (Calymmabacterium) granulomatis
Pneumonia, urinary tract infection, bacteremia
Enterobacter aerogenes, Enterobacter cloacae
Potassium cyanide (KCN) and LDC positive
Enterobacter aerogenes, Enterobacter cloacae
Can break sialic acid in breast milk and infant formula; Contaminant of powdered infant formula
Cronobacter (Enterobacter) sakazakii
Isolated from brain abscess, wound, respiratory infections
Cronobacter (Enterobacter) sakazakii
Cronobacter (Enterobacter) sakazakii IMViC
-,-,+,+
Nosocomial outbreaks due to contaminated IV fluids
Pantoea (Enterobacter) agglomerans
Pantoea (Enterobacter) agglomerans causes
Septicemia
Negative TSI reactions but positive glucose fermentation (K/A) in Gram negative, oxidase positive
Pantoea (Enterobacter) agglomerans
May be mistaken as Salmonella in biochemical reaction (Citrobacter is LF)
Citrobacter freundii, Citrobacter koseri (C. diversus)
Pneumonia, Endocarditis, abdominal abscess in intravenous drug users
Citrobacter freundii
Outbreak of neonatal meningitis and brain abscess in nursery units
Citrobacter koseri (C. diversus)
Differentiated with indole Citrobacter freundii and C. koseri
C. koseri is positive
Differentiated with H2S Citrobacter freundii and C. koseri
C. freundii is positive