Vibrio Flashcards
species has been associated with large epidemics and bandencs
Vibrio
infections may play a role in Guillain-Barre (gbs) which occurs when the immune system harms the body’s nerves, leading to paralysis
Campylobacter
can cause ulcers and is linked to
gastric carcinoma
Helicobacter pylori
is commonly found in a wide variety of aquatic
environments, including fresh water, brackish or estuarine water, and marine or salt water
Vibrio
Most commonly isolated species in vibrionaceae
- Vibrio cholerea
- Vibrio parahaemolyticus
- Vibrio vulnificus
- Vibrio alginolyticus
Vibrio: MICROSCOPIC MORPHOLOGY
Curved (comma)
Asporogenous (nonspore)
In broth - possess polar, sheathed flagella
In solid media - peritrichous, unsheathed flagella
Vibrio clinical manifestation
- consumption of raw seafood
- immigration or foreign travel
- Gastroenteritis with cholera-ke or rice-water
Stool - AccIdental trauma incurred during contact associated water
Does not grow on MAC and glucose fermenter
Vibrio
Routine media used in vibrio
Thiosulfate-citrate-bile salts-sucrose agar (TCBS)
Vibrio general characteristics
- Observed as a mucoid “stringing”
- halophilic or “salt-loving” (except v. Cholorea and v. Mimicus)
- Require the addition of sodium
- Glucose fermenter
- Does not grow mac
- facultative anaerobe
- catalase negative (v. Metschnikovii)
- oxidase positive (v. Metschnikovii)
- reduce nitrate to nitrite
Serotype of india
Ogawa
Serotype of Philippine
Inaba
Serotype of japan
Hikojima
causative agent of cholera
Vibrio cholerea O1 (asiatic cholera or epidemic cholera
is a disease of major public health significance for centuries.
Cholera
in what place do cholera prevalent in the
Bengal region of india and bangladesh
Spread through contaminated water
Cholera
The disease manifests in acute cases as a severe gastroenteritis accompanied by vomiting and followed by diarrhea
Cholera
Rice watery stool contain
Mucus flecks
cholera responsible for
cholera toxin or choleragen (powerful enterotoxin)
Treatment and management for cholera
Intravenous and oral fluid
Cholera Can be shorten by antibiotics such as
Azithromycin and ciprofloxacin
Two types of Cholera:
- Classical type of cholera
- El tor type of cholera
Commonlv known as Summer Diarrhea in Japan
Vibrio parahaemolyticus
Second most common Vibrio species implicated in gastroenteritis
Vibrio parahaemolyticus
What type of vibrio is self-limited disease
Vibrio parahaemolyticus
Vibrio parahaemolyticus symptoms begin hours after ingestion of contaminated seafooc
24-48 hours
Produces a heat-stable hemolysin that is able to lyse human erythrocytes in a special, high salt mannitol medium
Kanagawa-toxin positive
What meduim is used in kanagawa-toxin positive
Wagatsuma agar
Least pathogenic; most frequently isolated
Vibrio alginolyticus
Two categories of infection: primary septicemia and wound infections
Vibrio vulnificus
Transport media for vibrio spp.
Carry-blair media
Recommended selective media for vibrio
Thiosulfate Citrate
Bile Salt Sucrose Agar (TCBS)
Difterentiates sucrose-termenting yellow colonies) species from nonsucrose-termenting (green colonies)
species
Thiosulfate citrate bile salt-sucrose agar (TCBS)
Enrichment procedure for vibrio
alkaline peptone water with 1% sodium chloride can be inoculated at least 20 ml and incubated for 5 to 8 hours at 35° C
What non-lf colonies in vibrio
Macconkey agar
What hemolysis Is the SBA USED IN VIBRIO
A and B hemolysis
agar can give false-positive oxidase reactions in vibrio
Mac and cefsulodin irgasan novobiocin (cin)
colonies - medium to large colonies that appear smoon, opaque, and Inaescent witn a greenisn hue in vibrio
Sba and cap
Non-sucrose
Sucro serermenter
Fermenter
V. mimIcus,
V. parahaemolyticus,
V. damsela
and most V. vulnificus strain
Some V. Vulnificus strain
Sucrose fermenter
- V cholerae
- V. alginolyticus,
- V. fluvialis.
- V. Furnissii,
V. cincinnatiensis - V. metschnikovii
Prefers aquatic habitats; usually freshwater, estuarine and marine environments
Aeromonas
Aeromonas major clinical species
A. hydrophila
A. Sobria
A. caviae - most commonly isolated specie
Frequently isolated from animal meat products
Aeromonas
Aeromonas: GENERAL CHARACTERISTICS
Ubiquitous
Oxidase + ) positive
Glucose fermenter
Gram-neaative rods
Motile with single tuft of flagella (Lopotrichous’ widelv distributed in tresnwater. estuarine, and marine environments worldwide
Aeromonas: CLINICAL MANIFESTATION
Enteric pathogens (different from Salmonella. Shiaella)
cause diarrheal disease
Diarrhea diarrheal infection is usually self-limiting
Extraintestinal infections - septicemia and wound infections
Most common presentation of wound infection
cellulitis
most frequently associates with
gastrointestinal infections
A. Caviea
was formerly classified with the Vibrios
because of its Oxidase +) and microscopic
moronooav.
Campylobacter
It colonizes the stomacn for a long time, causing a low-grade inflammatory process
Peptic ulcer (chronic superficial gastritis)
Most clinically relevant species: campylobacter
C. jejuni subsp. jejuni
C. Coli
C. Fetus
Mode of transmission of campylobacter
Direct contact
Person to person
an autoimmune disorder
characterized by acute paralysis caused by damage to
the beronerd nervous systen
Guillain barre syndrome (GBs)
most common cause of bacterial gastroenteritis
worldwide
C. jejuni
the causative agent of bacteremia
C. Fetus
major cause of type B gastritis or peptic ulcer
Helicobacter pylori
Important species of helicobacter
Helicobacter pylori
Delay in processing of stool specimen transport
Meduim
Carry-blair media
Transport medium for Helicobacter pylori
Stuart medium
Specimen for Campylobacter causing gastroenteritis
(C. jejuni:
Stool
Rectal swab (less preferred)
Specimen of choice of C. fetus
Blood with incubation 35 - 37 degree
Specimen for Helicobacter
Gastric biopsy material
Commonly used selective media for C. jejuni:
CAMPY-Bap
Other media used: campylobacter
Butzler medium
Skirrow medium
commonly usea media тог н. рут0r
CAP
Brucella agar with 5% horse red blood cells (non selective)
Selective meduim for helicobacter
Skirrow’s agar
Incubation temperature: Campylobacter jejuni
42 degree
Incubation emperature:
Helicobacter pylori
37 degree
Requires a noncapnophilic and capnophilic
environment campylobacter
5 % O2
10% CO2
Requires a noncapnophilic and capnophilic
environment helicobacter
5-10% O2
5-12% CO2
May appear as long spirals or ‘S’ or seagull-wing shapes
Campylobacter SPP.
Stain poorly on gram-stained smears
Campylobacter spp.
recommended as a counter stain of campylobacter
Carbol fuchsin
“Darting” motility (corkscrew movement)
Campylobacter
Curved or U-shaned
Helicobacter spp.
Motile with multiple flagella at one pole
Helicobacter
What species Is morphology smoot, convex, translucent colonies
C. Fetus
What species is morphology moist, runny looking, and spreading and Some are round and raised and others may be flat also non hemolytic
C. Jenuni and other enteric Campylobacter
2 oxidase positive
H. Pylori and C. Jejuni
What test is used to Differentiate h. Pylori
And c. Jejuni
Urease test
Urease test positive and negative
Positive - h. Pylori
Negative - c. Jejuni
Hippurate hydrolysis test positive
C. Jejuni