Pasturella and Similar Organisms Flashcards

1
Q

List general characteristics of Pasturellaceae

A
  • Sm., GNB
  • Non-motile
  • Oxidase pos
  • Ferms glucose
  • Most don’t grow on MAC
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2
Q

Where is Pasturella found?

A
  • Domestic/wild animals

- Not NF

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3
Q

How is it transmitted?

A
  • Close anmial contact

- Opportunistic )from bites)

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4
Q

Virulence factors of P. multocida

A
  • Lipopolysaccharides
  • Cytotoxins
  • 6 serotypes of capsule
  • Surface adhesions
  • Iron-acquisition proteins
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5
Q

Pathogenesis and spectrum of disease for P. Multocida

A
  • Respiratory disease + sytemic disease (endocarditis, septicemia)
  • Liver cirrhosis
  • Soft tissue infection
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6
Q

Gram stain; P. spp.

A

Usually short, straight bacilli w/ frequent bipolar staining

  • P. aerogenes; coccobacilli
  • P. bettyae; usually thin
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7
Q

Gram of Mannhemia haemolytica

A

Sm. bacillus/coccobacillus

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8
Q

Gram of Suttonella indologenes

A

Broad bacillus, variable length

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9
Q

Culture of Pasturella spp.

A
  • TSA supplemented w/ 5% sheep blood
  • CHOC
  • Most won’t grow on MAC (except: some P.bettyae + P.pneumotropica
  • Grows well on BC broth + nutrient broths
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10
Q

Culture from animal bites:

A
  • MAC = NG

- Gram = GNCB (indicates P. spp)

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11
Q

How do you differentiate Pasturells spp. from Haemophilus spp.?

A

Via CO2 independence and growth on BA

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12
Q

ID of Pasturella multocida

A
- Gram: Sm, straigh GNB
Tests:
- Catalase pos
- Oxidase pos
- Ferments gluc
- Reduces nitrate to nitrite
- Indole pos
- Ornithine pos
- Urea neg
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13
Q

Definitive ID of Pasturella multocida

A
  • Will ID w/ API 20e
  • Molecular technique
  • MALDI-TOF 9
  • May need to be sent to reference lab
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14
Q

How do you differentiate Mannhemica haemolytica fom p. spp.?

A

Mann. can produce indole and ferment mannose.

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15
Q

How do you differentiate Suttonella indologenes from P. spp.?

A

Sutt. has neg nitrate test

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16
Q

How to treat Pasturella multocida?

A
  • Clean, irrigate, debride wound
  • Drug of choice = penicillin
  • Empiric therapy for polymicrobial bite wound
  • AMS not usually done, unless sterile site or RT of immunocompromised.
17
Q

AMS for Pasturella spp.

A
  • Recommend: penicillin (not for P.multocida)
  • Alternatives: doxycycline, amoxacillin-clavulanate
  • Maybe effective: ceftriaxone, fluoroquinolones
  • Empiric therapy