Session 11- Streptococci Flashcards
What are strep
Gram positive chains of cocci
What is alpha-haemolytic strep
Streptococcus pneuomiae
Oxidise iron in haemoglobin so appear green
Beta haemolytic strep
Group A and group B Cause complete rupture of blood cells
Appear white
Gamma-haemolytic strep
Have no affect on blood agr
What causes streptocococal pharyngitis
Strep pyogenes
What is streptococcus toxic shock syndrome
Fatal
Deep tissue infection with strep pyogenes and bacteraemia and vascular collapse an organ failure
When is the peak incidence for strep pharyngitis
5 - 15 years
Complications of strep pyogenes - scarlet fever
Local or haematogenous spread
High fever, sepsis, arthritis and jaundice
virulence factors of strep- CHESS
Capsule hyluronidase exotoxin streptolysins streptokinase
MAD virulence factora
M protein
Adhesins
DNAses
complications of strep pyrogenes- PRINCESSA
Pharyngitis rhuematic fever impetigo necrotizing factor cellutitis erysipelas- redness of face and lower limbs scarlet fever streptococcal toxic shock syndrome acute post streptococcal glomerulonephritis