Oxidase positive, Gram-Negative Bacili Flashcards
Genus associated with oxidase-positive, Gram-negative bacilli
Pseudomonas, Burkholderia, Cupriavidus, Ralstonia
Characteristics of oxidase-positive, Gram-negative bacilli
Aerobic, Non-spore forming, Motile with polar flagella except Burkholderia mallei
Agent of nosocomial infections, wound infections (blue pus), burn and diabetic patient infections, cystic fibrosis, and COPD patient infections
Pseudomonas aeruginosa
Infection associated with dermatitis in hot tubs/Jacuzzi, ecthyma gangrenosum (black necrotic skin papules), and swimmer’s ear (malignant otitis externa)
Pseudomonas aeruginosa
Infection associated with contact lens solution contamination
Pseudomonas aeruginosa
Swimmer’s itch causative agent
Schistosoma
Tests positive for Catalase, Oxidase, Acetamide, and Cetrimide growth; Growth at 42°C; Grape-like odor (2-Acetaminophenone)
Pseudomonas aeruginosa
Virulence factor of Pseudomonas aeruginosa that inhibits host protein synthesis
Exotoxin A
Virulence factor that degrades host elastin and disrupts cell membranes
Elastase, Phospholipase C
Virulence factors disrupting the cytoskeleton
Exoenzyme S and T
Pigments produced by Pseudomonas aeruginosa
Pyocyanin, Pyorubin, Pyoverdin, Pyomelanin
Virulence factor that inhibits phagocytosis via biofilm production
Alginate
Mechanism for bacterial communication in Pseudomonas aeruginosa
Quorum sensing
Burkholderia species associated with infections in cystic fibrosis patients
Burkholderia cepacia
Plant pathogen isolated from cystic fibrosis and chronic granulomatous disease (CGD) patients
Burkholderia gladioli
Burkholderia species causing severe zoonotic infection in horses (Glander’s disease)
Burkholderia mallei
Burkholderia species known as Whitmore’s bacillus causing Melioidosis (Vietnamese time bomb or great mimicker)
Burkholderia pseudomallei
Sample types for diagnosing Burkholderia pseudomallei infection
Throat swab, Rectal swab, Sputum
Characteristic colony appearance of Burkholderia pseudomallei on Ashdown agar
Dry, Violet-purple, Wrinkled colony
Ralstonia species associated with contamination of sterile fluids, sputum in CF patients, and urine
Ralstonia pickettii
Ralstonia pickettii biochem results
Nitrate reduction +, Glucose oxidation +, Urease +
Cupriavidus species recovered in CF patients, bacteremia, peritonitis, CSF; Urease positive
Cupriavidus pauculus
Environmental Pseudomonas species forming Brown/Yellow adherent wrinkled colonies
Pseudomonas stutzeri
Stenotrophomonas species associated with nosocomial/catheter-related infections
Stenotrophomonas maltophilia
Key biochemical features of Stenotrophomonas maltophilia
Oxidase negative, Beta-lactamase +, LDC, DNase and Motility positive, Lavender green colonies on BAP, Ammonia odor
Acinetobacter species associated with drug-resistant nosocomial infections, ESKAPE pathogen
Acinetobacter baumannii
Key biochemical features of Acinetobacter baumannii
Oxidase negative, Catalase +, Lavender colonies on MAC, Oxidizer of carbohydrates
Characteristic morphology of Acinetobacter baumannii
Plump coccobacilli, Resist decolorization
Moraxella species associated with conjunctivitis
Moraxella lacunata
Key biochemical features of Moraxella lacunata
Gelatinase +, Liquefies/Digests Loeffler’s serum slant
Elizabethkingia species associated with neonatal meningitis, formerly Flavobacterium, Chryseobacterium
Elizabethkingia meningoseptica
Key biochemical features of Elizabethkingia meningoseptica
Produces flavin/yellow pigment, Oxidase +, DNase +
Chromobacterium species associated with chronic granulomatous disease (CGD), sepsis, and necrotizing fasciitis
Chromobacterium violaceum
Characteristic features of Chromobacterium violaceum
Violacein pigment, Almond/ammonium cyanide odor
Causes whooping cough/100 days fever
Bordetella pertussis
Stages of Bordetella pertussis infection
Catarrhal, Paroxysmal, Convalescent stage
Prevention for Bordetella pertussis
DPT vaccine/DPaT acellular
Bordetella pertussis characteristics
Catalase +, Oxidase +
Best specimen for Bordetella pertussis
Nasopharyngeal swab (NPS)
Bordetella pertussis virulence factor
“Pili”
Media for Bordetella pertussis
Potato Blood Glycerol, Bordet Gengou agar, Regan Lowe/Charcoal Cephalexin Blood agar, Casamino broth, Jones Kendrich
Oxidase (+), Urease (-) Bordetella species
B. pertussis
Urease (+), Growth on BAP (+) Bordetella species
B. parapertussis
Positive for Motility, Nitrate reduction, Oxidase, Urease, and Growth in Bordetella species
B. bronchiseptica
Animal and human pathogen, causes Undulant fever, Bangs disease, Gibraltar disease, Mediterranean fever, and animal abortion
Brucella spp.
Transmission for Brucella spp.
Ingestion of unpasteurized milk/cheese, inhalation through animal carcasses, needle-stick/skin abrasions, common lab-acquired infection through aerosols
Thionine inhibition test result for Brucella spp. (Inhibited by thionine)
B. abortus
Fuchsin inhibition test result for Brucella spp. (Inhibited by fuchsin)
B. suis and B. canis
Negative for thionine and fuchsin inhibition tests
B. melitensis
Rapid urease test result for Brucella spp.
Positive
Appearance in Gram stain for Brucella spp.
Sand appearance (very small)
Specimen type for Brucella spp.
Blood, bone marrow, tissues
Media used for culture for Brucella spp.
Castañeda broth, W (Wisconsin) medium
Growth requirements for Brucella spp.
Obligate aerobe, capnophilic, fastidious
Diagnostic test for Brucella spp.
Serum agglutination test
Deerfly fever, Rabbit fever
Francisella tularensis
Media required by Francisella tularensis
Cysteine & Cystine, Forshay skin test, Glucose Cysteine Blood agar, Peptone Cysteine agar
Condition caused by Pasteurella multocida
Cat-Bite fever
Characteristics of Pasteurella multocida
Oxidase, Catalase, Glucose, Indole +; Mushroom odor
Organism causing Cat-Scratch disease
Bartonella henselae
Causative agent of Cat-Scratch disease
Alfipia felis
Organism with gliding motility and fusiform-shaped Gram-negative
Capnocytophaga spp.
Conditions caused by Capnocytophaga spp.
Dog-bite infection, Periodontal disease
Organism causing Rat-Bite fever with helix-shaped appearance
Spirillum minor/minus
Vector for Oroya fever, Verruga peruana, Carrion’s disease
Sandfly
Appearance of Streptobacillus moniliformis in broth
Breadcrumbs and fluff balls appearance
Appearance of Streptobacillus moniliformis on agar
Fried egg appearance with dark center and lacy edges
Diagnostic test for Streptobacillus moniliformis
Dienes stain for Microscopy
Causative agent of Haverhill fever
Streptobacillus moniliformis
Diagnostic test for Legionella pneumophila
DFA to detect antigens in urine, respiratory samples, & tissues
Diseases caused by Legionella pneumophila
Broadstreet pneumonia (Legionnaire’s disease), Pontiac fever (no pneumonia)
Whiff/Sniff test result for Gardnerella vaginalis
Fishy-amine odor
Characteristics of Gardnerella vaginalis
Gram-variable or gram-negative coccobacilli, Catalase neg, Oxidase neg, Inhibited by SPS, Hippurate positive, HBT agar
Condition caused by Gardnerella vaginalis
Bacterial vaginosis
Test confirming Gardnerella vaginalis infection
Nugent scoring system: Clue cells
Test for Mycoplasma pneumoniae infection
HEMADSORPTION (using guinea pig RBC) from Edward Hayflick’s medium
Media for Mycoplasma pneumoniae culture
SP4 media with GLUCOSE or NYC agar
Diseases caused by Mycoplasma pneumonia
Primary Atypical Pneumonia, Walking pneumonia, Pleuropneumonia-like organism (PPLO), Stevens-Johnson syndrome
Appearance of Mycoplasma hominis colonies
Mulberry/Fried egg colonies, embedded in media
Media for Mycoplasma hominis culture
SP4 media with ARGININE
Conditions caused by Mycoplasma hominis
Post-abortal, post-partum fever; HIV-associated cervicitis
Metabolic characteristics of Mycoplasma genitalium
Glucose metabolism Positive, Arginine metabolism and Urease Negative
Conditions caused by Mycoplasma genitalium
NGU, PID, Prostatitis, Infertility, Sexually acquired arthritis, Enhances HIV transmission
Media for Ureaplasma urealyticum culture
SP4 media with UREA or NYC agar
Condition caused by Ureaplasma urealyticum
Urethritis (NGU), neonatal infection