Powerpoint 11: Cronobacter Flashcards

1
Q

How was it originally described?

A

pigmented yellow coliform

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2
Q

Where is it the most diagnosed?

A

Developed world - probably due to underdiagnosis in the developing world

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3
Q

What is the fatality range?

A

40-80%

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4
Q

What does it cause?

A

severe neurological disorders
1- necrotizing enterocolitis
2-septicemia
3-meningitis

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5
Q

What foods can harbor it?

A

milk powder, cheese, herb, rice, spices

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6
Q

What is the role of outer membrane proteins?

A
  • contribution to export of virulence factors

- anchoring the structures that allow adherence and motility

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7
Q

What is the role of outer membrane protein a ? ompA

A

helps cells adhere to the GI tract

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8
Q

What is necessary for the cronobacter to have to reach the blood brain barrier?

A

needs ompA

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9
Q

What is the role of outer membrane protein X? ompX

A
  • invasion on the apical side of the GI tract

- survive on the basolateral side

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10
Q

What is special about the pESA3 plasmid?

A

encodes an outer membrane protease

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11
Q

Where is the pESA3 plasmid found?

A

C. sazakii

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12
Q

What is the role of the outer membrane protease found on the pESA plasmid?

A

1) serum resistance:
- cleaves complement components
- activates plasminogen
- inactivates a plasmin inhibitor

2) type 6 secretion system
3) adhesin factors

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13
Q

What is the gene found in C. sazakii that allows for sialic acid utilization?

A

nanAKT cluster

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14
Q

What is the maximum amount of hang time allowed for milk prepared?

A

never exceed 4 hours

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15
Q

How many species of cronobacter exist?

A

11 species

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16
Q

How many species have been involved in neonate infection ?

A

3 species:
C. sazakii
C. turicensis
C. malonaticus

17
Q

What is the chance of having cronobacter in your infant formula?

A

10%-15% chance