UNIT 10: NON-ENTERICS - VIBRIO AND GR (-) BACILLI Flashcards
All Vibrio spp. are halophilic except (2)
V. cholerae
V. mimicus
T/F
All Vibrio spp. can grow in 1% NaCl
True
T/F
All Vibrio spp. can grow in up to 7% NaCl
False
Gelatinase (+)
a. Vibrio
b. Aeromonas
c. Campylobacter
d. Helicobacter
a. Vibrio
All Vibrio spp. are nitrate reducers except (1)
V. metschnikovii
Indole (+)
a. Vibrio
b. Aeromonas
c. Campylobacter
d. Helicobacter
b. Aeromonas
Aeromonas
Lactose fermenter
A. caviae
Aeromonas
All have polar flagella except
A. salmonicida
Aeromonas
The only psychrophilic Aeromonas sp.
A. salmonicida
Aeromonas shows what type of hemolysis?
Beta-hemolytic
Common medical isolates of Vibrio spp. (2)
V. alginolyticus
V. vulnificus
Used in observation of Kanagawa Phenomenon
V. parahaemolyticus
T/F
All Vibrio spp. are glucose fermenters
True
Classic biotype vs El Tor biotype
Polymyxin B resistant
El Tor
Seventh pandemic of V. cholerae
El Tor biotype
Vibrio: Sucrose fermenter (3)
V. cholerae
V. alginolyticus
V. fluvialis
Vibrio: Mannitol fermenter
V. parahaemolyticus
Vibrio
All Vibrio spp. are positive for string test except (1)
V. parahaemolyticus
Vibrio: Lactose fermenter
V. vulnificus
Vibrio: ONPG (+)
V. vulnificus
Vibrio: LDC (+)
All except V. fluvialis
Vibrio: ODC (+)
All except V. fluvialis
Vibrio: ADH (+)
V. fluvialis
Vibrio: Voges-Proskauer (+)
V. alginolyticus
Vibrio: Voges-Proskauer (-)
V. fluvialis
Vibrio: Citrate (+)
V. fluvialis
Specimen for Vibrio spp. (2)
Stool and rectal swab
Strips of blotting paper soaked in liquid stool
Transport medium for Vibrio spp.
Cary-Blair
Culture media for Vibrio spp. (5)
Alkaline peptone water
BAP
Nutrient Agar
TCBS
MacConkey
Culture media for Vibrio spp.
Contains:
1% NaCl (pH 8.5)
Alkaline peptone water
Culture media for Vibrio spp.
Alkaline peptone water has 1% NaCl with a pH of
8.5
Culture media for Vibrio spp.
BAP and Nutrient Agar have what % of NaCl?
0.5% NaCl
Culture media for Vibrio spp
Appearance of Vibrio in BAP and CAP
Medium to large colonies; smooth, opaque with greenish blue hue
Culture media for Vibrio spp.
Appearance of Virbio in MacConkey Agar
Colorless colonies
Non-halophilic Vibrio spp. (2)
V. cholerae
V. mimicus
Pandemic strain of V. cholerae
Ogawa, Inaba, Hikojima
O1
Endemic strain of V. cholerae
India, Bangladesh
O139
Toxin virulence factor of V. cholerae (2)
Choleragen
Zona occludens toxin
Subunits of choleragen (2)
A subunits
B subunits
V. cholerae motility - produces what?
Mucinase
T/F
V. cholerae is an agent of bioterrorism
True
Mainstay treatment of V. cholerae
Oral and IV hydration
Motility of V. cholerae
Darting or Shooting star motility
T/F
V. cholerae can grow in the absence of NaCl
True
Vibrio
Reagent used in string test
0.5% Sodium Deoxycholate
(+) result of string test
Loss of turbidity and viscous, string-like appearance
Due to bacterial cell lysis
Kanagawa phenomenon (+) result
Double zone hemolysis
“Patched Beta Hemolysis”
Resembles a cow’s pattern
T/F
V. parahaemolyticus is medically relevant
True
T/F
All Vibrio spp. grow in TCBS
True
Purpose of bile in TCBS
Inhibits growth of Gr (+) organisms
Unable to ferment inositol
Aeromonas
Hallmark difference of Vibrio and Aeromonas
Aeromonas cannot grow in 6% NaCl
Frequently isolated Aeromonas spp. (2)
A. caviae
A. hydrophila
Causes red leg disease among frogs
Aeromonas
Virulence factors of A. hydrophila
Heat-labile enterotoxin
Heat-stable cytotoxic enterotoxin
Used to differentiate Aeromonas and Yersinia
Cefsulodin-Irgasan-Novobiocin (CIN)
Can grow in CIN
Aeromonas
Characteristic microscopic appearance of Campylobacter
Seagull wing-shaped
T/F
Campylobacter can utilize carbohydrates
False
Asaccharolytic
Microaerophilic and Capnophilic (3)
Campylobacter
Helicobacter
Arcobacter butzleri
Facultative Anaerobes
a. Vibrio
b. Aeromonas
c. Campylobacter
d. Helicobacter
b. Aeromonas
Facultative Anaerobes or Aerobes
a. Vibrio
b. Aeromonas
c. Campylobacter
d. Helicobacter
a. Vibrio
Majority of Aeromonas spp. are?
Mesophilic
Causes Guillain Barre Syndrome
C. jejuni
Most common cause of gastroenteritis worldwide
C. jejuni
Has a MoT of ingestion of contaminated poultry products, drinking water, unpasteurized milk
C. jejuni
Campylobacter: Common cause of diarrhea among children and adults
C. jejuni subsp doylei
Campylobacter: Isolated in blood cultures
C. fetus subsp fetus
In Gram stain of Campylobacter, Safranin O is replaced by?
Carbol fuchsin
Culture media of Campylobacter (4)
Campy-BAP
Butzler medium
Skirrow’s medium
Charcoal cefoperazone desoxycholate agar (CCDA)
Culture media of Campylobacter
Campy-BAP contains (3)
Brucella agar
10% sheep RBC
Antibiotics
Culture media of Campylobacter
Butzler medium contains
Thioglycollate fluid
10% RBC
Antibiotics
Culture media of Campylobacter
Skirrow’s medium contains (3)
Oxoid Bld agar base
Lysed defibrinated horse RBC
Antibiotics
Bow-shaped Gr (-) bacilli
Arcobacter butzleri
Oxidase (+) only
Arcobacter butzleri
Natural habitat of H. pylori
Human stomach
Possess multiple polar flagella (4-6)
Helicobacter pylori
Strong urease activity (+)
Helicobacter pylori
Major cause of type B gastritis
H. pylori
Important risk factor for gastric carcinoma
H. pylori
Specimen for Helicobacter spp. (2)
Gastric biopsy materials
Urine
Direct examination of Helicobacter is done in what specimen?
Gastric biopsy materials
Transport medium of biopsy materials for Helicobacter
Stuart’s Medium
Culture media for Helicobacter (4)
CAP
Skirrow’s medium
Cysteine brucella broth with 20% glycerol
5% sheep’s blood brucella agar
Helicobacter
20% glycerol in Cysteine brucella broth is frozen at what temp?
-70 degrees C
Stains to visualize Helicobacter (3)
Gram’s
Warthin Starry
Silver stains
Uses urea breath test
H. pylori
Gold standard for Helicobacter
Histologic Staining and Culture
Hippurate hydrolysis (+)
C. jejuni
Nitrate reducers (5)
C. jejuni
C. coli
C. fetus
Arcobacter butzleri
Vibrio
Growth at 15C
Arcobacter butzleri
Growth at 25C (2)
Arcobacter butzleri
Campylobacter fetus
Growth at 42C
C. jejuni
Nalidixic acid susceptible
C. jejuni
Nalidixic acid resistant
H. pylori
Cephalothin susceptible (2)
H. pylori
C. fetus
Cephalothin resistant
C. jejuni
Growth at 37C
C. jejuni
C. coli
C. fetus
T/F
C. fetus can grow at 42C
False
Family Enterobacteriaceae are oxidase (-) except
Plesiomonas
Inositol (+)
Plesiomonas
Bile solubility (+)
S. pneumoniae
Colony with black centers in CIN agar
Yersinia
Bacterial clumping with formation of a black center due to H2S production and brown diffusible pigment
Enterobacter cloacae
Brown diffusible pigment of E. cloacae is produced by
Phenylalanine deaminase
Next most common nosocomial infection to Pseudomonas
Acinetobacter
Notorious for nosocomial infections, drug resistance, and biofilm formation
Pseudomonas
Causes glanders and meliodosis
Burkholderia