Proteus, Klebsiella, Enterobacter, Pseudomonas, GI infection & UTI Flashcards

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1
Q

Enterobacteriaceae (Proteus, Klebsiella & Enterbacter)
gram -
motility -
lactose fermentation -
urease production -
H2S production on TSI slant -

A

gram - negative bacilli
motile - proteus and enterobacter
non- motile - Klebsiella
lactose fermentation - Klebsiella and enterobacter
urease production - proteus and klebsiella
H2S production on TSI slant - Proteus

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1
Q

what family does Proteus, Klebsiella, and Enterobacter belong to?

A

Enterobacteriaceae

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2
Q

When ordering cultures for Enterobacteriaceae would you order aerobic, anaerobic, or both?

A

just aerobic - they’re facultative anaerobes so save $$$ and only order the one test

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3
Q

where is Klebsiella found?

A

widely distributed in the environment - wood shavings, surface water, sewage, soil

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4
Q

where is Enterobacter found?

A

widely distributed in the environment - surface water, sewage, soil, and plant material

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5
Q

What virulence factors are found in Proteus, Klebsiella, and Enterobacter? (all together)

A

LPS containing lipid A > fever, leukopenia > leukocytosis and hyperglycemia > fall in blood sugar and lethal shock

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6
Q

what virulence factors are found in Proteus?

A

urease
Fimbrae
Hemolysin

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7
Q

what Proteus is known for causing uroliths in dogs?

A

P. mirabilis

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8
Q

what virulence factors are found in Klebsiella?

A

capsule
endotoxin
adhesins
cytotoxic toxin - strains carry Shiga toxin of ETEC

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9
Q

what diseases does enterbacter aerogenes cause?

A
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10
Q

what diseases does Klebsiella pneumonia cause?

A
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11
Q

what disease does Proteus mirabilis and P. vulgaris cause?

A
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12
Q

what is one of the most common bacteria isolated from inflamed ear cannal?

A

Proteus

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12
Q

How many cfu/ml is indicative of UTI?

A

> 100,000 cfu/ml

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13
Q

If a patient has UTI symptoms and the colony counts are consistently low what is the chance of the patient having a UTI

A

increased likelihood pathogen causing UTI

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14
Q
A
15
Q

what is Columbia nalidixic acid agar select for?

A

gram positive bacteria

16
Q

For pneumonia and diarrhea what type of test would you request?

A

aerobic culture and sensitivity for bacteria covered covered in this class

17
Q

what test would you request for mastitis?

A

aerobic culture and sensitivity

18
Q

what test would you request for otitis externa?

A

aerobic culture and sensitivity, fungal culture

19
Q

what test would you request for cervicitis and metritis?

A

aerobic culture and sensitivity

20
Q

what test would you request for UTI?

A

aerobic culture and sensitivity

21
Q

what treatment would you do for Enterobacter aerogenes?

A

aminoglycosides, B-lactams (carbapenems), cephalosporins

22
Q

what treatment would you do for Klebsiella penumoniae?

A

Aminoglycosides, usually resistant to ampicillin, tx should be based on susceptibility

23
Q

what treatment would you do for Proteus mirabilis and P. vulgaries?

A

ampicillin, amoxicillin, amoxicillin-clavulanic acid, ceftiofur

24
Q

what virulence factors does Pseudomonas have?

A

fimbrial adhesins
capsule
cytotoxin
endotoxin
exotoxin A, S, T
Phospholipase C - hemolysin
Pyocyanin
Rhamnolipid
Alginate biofilm

25
Q

Pseudomonas
gram -
motility -
oxygen -
oxidase -
catalase -

A

gram - negative bacilli
motility - motile
oxygen - obligate aerobe
oxidase - positive
catalase - positive

26
Q

Why is Pesudomonas one of the most common infections seen in a hospital?

A

it has remarkable nutritional diversity - use wide variety or organic compounds

27
Q

where is Pseudomonas found?

A

soil, water, decaying organic matter, vegetation

28
Q

Is Pseudomonas commensal or opportunistic?

A

opportunistic - wounds and trauma

29
Q

what is the most common clinical presentation of Pseudomonas in dogs?

A

otitis and UTI

30
Q

what can pseudomonas cause in snakes/captive reptiles?

A

necrotic stomatitis, mouth rot

31
Q

what can pseudomonas cause in sows?

A

acute multiglandular mastitis in sows

32
Q
A