Respiratory Organisms Flashcards
Lower respiratory cultures
BAP or CNA, Choc, MAC (not CO2), Acid Fast culture
Bacitracin
A disk for S. pyogenes sensitive, B hemolysis usually R
PYR
Enterococci/S. pyogenes, L-Pyrrolidonyl-B-naphthylamide substrate to make enzyme
Optochin
P disk, S. pneumoniae sensitive, A hemolytic Viridans resistant
Bile solubility
S. pneumoniae lyse in bile become clear, amidase, sodium deoxycholate
SXT PABA
Group A and Group B resistant
S pneumoniae
sinusitis, otitis media, bacteremia, amoxicillin
S. pyogenes (Group A)
M protein, streptolysin, scarlet/impetigo/Erysipelas/rheumatic
Haemophilus influenzae
small gray, shiny, GN short pleomorphic rods, satellitism,
Porphyrin test
ALA aminolevulinic acid into porphyrin (hemin), Wood’s lamp red/yellow (+), interchange with factor X, H. influenzae negative
Haemophilus test medium
Mueller Hinton agar/broth with X/V/yeast extract for B lactamase. K-B AST
Arcanobacterium haemolyticum
GPR diphtheroids, lymphadenopathy, small, clear B hemo, (reverse CAMP inhibit hemo)
Rhocococcus equi
GPR, rattles in foals, prolonged rhodo/pink
Eustachian tube
Auditory, connect middle ear and nasopharynx
Otitis media (S. pneumo/H. influ/M. cat)
fluid collect in middle ear because Eustachian tube inflamed (lead to eardrum rupture (treat tiny tube)
Otitis media treatment
Amoxicillin-clavulanate, oral cefuroxime axetil, IM ceftriaxone
Moraxella catarrhalis
GN diplococci, asachrolytic, Ox/Cat (+), NG MAC, DNase/butyrate esterase diff from Neisseria
M. lacunata
conjunctivitis, choc pit, NG MAC, butyrate esterase
Legionella pneumophila
GNR, intracellular, urine antigen test
BYCE for legionella
L-cysteine (amino acid), iron salts, blue and purple, 3-5 day
Stain for L
Gimenez, Gram 1% basic fuschin not safranin
GNR K/K
Pseudomonas, Burkholderia, Acinetobacter, Corynebacterium, Bordetella, Stenotrophomonas, Mycoplasma
P. aeruginosa
GNR, oxidizer, PB/Amino (S), use acetamide
P. fluorescens
no growth 42C, no pigment, no nitrate
P. putida
Gelatinase (=),
Burkholderia cepacia CF
pigment, MAC pink, PB/Amino (R), SXT treatment
OFBL
Oxidation fermentation polymixin bacitracin lactose agar, Burk is yellow
Cepacia medium
bile salts, ticaricillin, polymyxin B, crystal violet, red +
Burkholderia pseudomallei
melioidosis, silvery/wrinkled BAP, Pink MAC
B. mallei
diphtheroid, glanders, catalase (+), Colistin/PB (R), gray/trans/pink MAC
Acinetobacter baumannii (R)
Ox(=)/cat(+), urea/citrate(+), B lactamase, CRAB, Poly/tetra treat
A. lwoffi (S)
nonutilizer, urea/citrate (=)
ESKAPE
Enterococcus, S. aureus, Kle, A. baummanii, P. aeru, Enterobacter
Corynebacterium diphtheriae
GPR, pseudomembrane/heart fail, Tinsdale, Cystine-Tellurite
Loeffler’s media
metachromatic granules stained of C. diphtheriae with methylene blue, serum and eggs
Elek plate
precipitin lines, antitoxin paper under agar
B. pertussis
GN coccobacilli, NG BAP, filamentous hemagglutinin, cyto/pertussis toxin, flex swab (regan-lowe(mercury drops)/bordet-gengou(clearing))
Bordetella bronchisepta
kennel cough, urease/nitrate/all (+)
Stenotrophomonas maltophilia
Ox(=), transducers, lavendar/chartreuse, CR, lophotrichous
Mycoplasma pneumoniae
fried egg on PPLO media,
Chlamydophila pneumoniae
obligate intracellular, HELA cell line, TWAR, reticulate to elementary body
Chlamydophila psittacii
exotic bird trade