SMALL PLEOMORPHIC GRAM NEG BACILLI Flashcards
Do not need growth factor.
Haemophilus aphrophilus
Gram - coccobacilli or bacilli; NM; NS and requires factor present in the blood for adequate growth; facultative anaerobe; oxidase +; catalase +(h.influenzae,h.haemolyticus); ferments CHO.
Haemophilus
Preferred incubation on Haemophilus.
33-37C at 5-10% CO2
Haemophilus are identified thru.
Hemolytic reaction on horse blood agar, CHO fermentation tests and growth requirement for X and V factor.
Considered normal indigenous flora of the upper respiratory tract. Encapsulated.
Haemophilus influenzae
Virulence factor of Haemophilus influenzae
Polysaccharide capsules
Reaction of H.influenzae
Nonhemolytic reaction on horse or rabbit blood agar; rapidly killed by phagocytes.
Culture media used on H.influenzae.
Filded enriched media, levinthal agar, BAP and CAP.
Result of Filded enriched media, levinthal agar, BAP and CAP in h.influenzae
Colorless, transparent or dew drop colonies. Beta lactamase + control
Capsular characteristics.
Typeable
Do not produce capsule; normal inhabitants of URT. Causes Otitis media and acute bronchitis.
Nontypeable
Latex particle agglutination. ELISA
Serology test
Detects enzyme that converts aminolevulinic acid into porphyrin.
Porphyrin test
Disease of H.influenzae
Laryngitis, Fetal meningitis of children and other pediatric disease, Otitis media
Koch-weeks Bacillus; closely resembles h.influenzae bio type 3; Brazilian purpuric fever which affects children.
Haemophilus aegypticus
Grows on CAP and horse blood agar but not on the sheep blood agar.
Haemophilus parainfluenzae
Mistaken as S.pyogenes because of its beta hemolytic activity on BAP.
Haemophilus hemolyticus
Chancroid bacillus/Ducreyi’s Bacillus. Agent of sexually transmitted disease chancroid. Not part of the human flora. Causative agent of ulcerative venereal disease, soft chancre/chancroid (genital lesions)
Haemophilus Ducreyi
Specimen used in Haemophilus Ducreyi.
Ulcer exudate or bubo aspirate
Microscopic appearance of Haemphilus Ducreyi
Pleomorphic
Characteristics of HACEK group of bacteria
Requirements of 5-10% of CO2 for growth. Caused sub-acute bacterial endocarditis. Blood + and Mac -.
Low pathogenecity; Do not require X and V factors for growth. Oxidase and catalase -.
Haemophilus aphrophilus
Normal flora of human oral cavity; destructive periodontitis; catalase +; oxidase -; + nitrate reduction; Requires CAP; very short, gram - bacilli. Star shaped bacilli
Actinobacillus actinomycetemcomitans
Catalase and oxidase +; pleomorphic; gram - rod with one round end and one tapered end. Tends to form clusters or rossettes from 5% sheep’s blood. Tear drop shaped
Cardiobacterium hominis
Differentiating point of Actinobacillus actinomycetemcomitans and Cardiobacterium hominis
Oxidase test
Corroding bacilli; part of the gingival or bowel flora; non saccharolytic; caused of mixed infection from bites or clenched-fists wound; may pit or corrode the agar surface (BAP) with sharp odor of bleach. Catalase -; oxidase +
Eikenella corrodens
Caused by sub-acute bacterial endocarditis HACEK; may put the agar surface; short, plump coccobacilli with squared ends; catalase - and oxidase +
Kingella Kingae
Morphology of kingella Kingae
Small with small zone of hemolysis
Differentiating point of Kingella Kingae and Eikenella corrodens
Cannot grow on Mac and XLD but can grow on CAP and BAP.
Tiny fastidious rods; normal flora of the vagina; NM; NE; gram -; Cause of Bacterial vaginosis; occasionally causes neonatal sepsis and postpartum bacteremia; common blood isolate postpartum and post abortal fever.
Gerdnerella vaginalis
Other name of Gerdnerella vaginalis
Haemophilus vaginalis or Cornyebacterium vaginale
Culture of Gerdnerella vaginalis on CAP
Grayish colonies
Clinical manifestation of G.vaginalis
Malodor/leukorrhea/putritis/excessive vaginal discharge
pH is more than 4.5
presence of Clue cells
Based on Amsel and nugent scoring systems used to diagnose BV: presence of clue cells.
Cytology/Pap’s
Based on Amsel and nugent scoring systems used to diagnose BV: 10%KOH- fishy amine like odor.
Whiff or Schiff test
Culture: selective medium for G.vaginalis
Colistin Oxolinic Acid Blood Agar