Special stains and cultures Flashcards
Silver stain
H. pylori, Pneumocystis, Legionella
Tellurite agar
C. diphtheria
M. TB
Lowenstein-Jensen agar
Green metallic sheen on MacConkey agar
E. coli
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Cryptococcus india ink prep
Fungi
Sabouraud agar
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Partially acid fast oocysts of cryptosporidium
(diarrhea in AIDS)
Thayer-Martin media
Neisseria spp
Bordetella pertussis
Bordet-Gengou (potato) agar
What does Thayer-Martin media contain and why is it used?
Vancomycin (kills G+), polymyxin (kills G- except Neisseria), nystatin (kills fungi)
Isolate N. gonorrhae or meningitidis
Neisseria spp
Thayer-Martin media
MacConkey agar
Lactose-fermenting enterics turn pink
(E. coli, Klebsiella)
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Legionella silver stain (Gram - intracellular coccobacillus)
Needs NAD+ and hematin
H. flu
(Factors V and X, respectively)
Lactose-fermenting on MacConkey agar
E. coli, Klebsiella
Sabouraud agar
Fungi
C. diphtheria
Tellurite agar, Loeffler medium
Lowenstein-Jensen agar
M. TB
Loeffer medium
C. diphtheria
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TB acid fast
(nubs = TB; long = Nocardia)
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P. falciparum Giemsa stain
Requires cysteine and iron
Legionella
(provided on charcoal yeast extract)
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Borrelia Giemsa
(spirochete! Lyme disease)
What does PAS stain?
Glycogen and mucopolysaccharides
Cryptococcus
India ink prep
H. pylori, Pneumocystis, Legionella
Silver stain
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Chlamydia Giemsa stain
(Intranuclear inclusions)
H. flu
Chocolate agar, contains factor V (NAD+) and X (hematin)
Bordet-Gengou (potato) agar
Bordetella pertussis
What is the one important use of PAS?
Whipple’s disease
(diarrhea, abdominal pain, joint pain)
Eaton agar
Mycoplasma pneumoniae
(Contains cholesterol)
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Nocardia acid fast
(long = Nocardia; nubs = mycobacterium)
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Trypansomiasis Giemsa
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Pneumocystis silver stain
(Flattened footballs)
Needs cholesterol
Mycoplasma pneumoniae
Ziehl-Neelsen
Acid fast stain
Mycobacterium, Nocardia, oocysts of Cryptosporidium
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T. whippeli PAS
(Large reddish blobs in GI mucosa)
Chocolate agar
H. flu
Mycoplasma pneumoniae
Eaton agar (contains cholesterol)
Non-lactose fermenting on MacConkey agar
Pseudomonas, Shigella, Proteus
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H. pylori silver stain
(notice GI mucosa)
Charcoal yeast extract agar
Legionella
(Buffered with cysteine and iron)
Legionella
Charcoal yeast extract
(Contains cystiene and iron)
Gram - enterics
MacConkey agar to know if they’re lactose-fermenting (E. coli, Klebsiella) or non-lactose-fermenting (Proteus, Pseudomonas, Shigella)
Giemsa stain
Chlamydia, Rickettsia, Borrelia, Plasmodium, Trypanosomes
India ink
Cryptococcus
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Rickettsia Giemsa stain
(Morulae of Erlichiosis)