Vibrio spp. Flashcards

1
Q

What shape do Vibrio spp. bacteria have?

A

Curved-rod shaped

They are classified as gram-negative bacteria.

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2
Q

How are Vibrio spp. bacteria propelled?

A

By a single polar flagellum

This adaptation allows them to navigate effectively in aquatic environments.

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3
Q

Where are Vibrio spp. naturally found?

A

Freshwater estuarine and marine environments

They are especially prevalent in warmer climates and show seasonal distribution.

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4
Q

How many chromosomes do Vibrio spp. have?

A

Two chromosomes

This is unique as most bacteria typically only possess one chromosome.

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5
Q

What contributes to the adaptability of Vibrio spp.?

A

Their ability to undergo recombination and horizontal gene transfer

This contributes to the spread of virulence and antibiotic resistance genes.

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6
Q

What are O antigens used for in Vibrio spp.?

A

Serotyping and species identification

O antigens are part of the lipopolysaccharide structure in their outer membrane.

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7
Q

What is a primary reservoir of infection for Vibrio spp.?

A

Faecal contamination of water and food

Poor sanitation and lack of clean drinking water are closely linked to these infections.

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8
Q

What areas are at risk for Vibrio spp. infections?

A

Slums, camps for refugees

Disruption of water and sanitation systems increases the risk of transmission.

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9
Q

What is the causative agent of cholera?

A

Vibrio cholerae

It is the most clinically significant species among Vibrio spp.

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10
Q

What type of disease is cholera?

A

A severe, acute secretory diarrheal disease

It is caused by the cholera toxin produced by certain toxigenic strains.

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11
Q

What are the potential consequences of cholera if not treated promptly?

A

Hypovolemic shock and death

Extremely rapid fluid loss leads to dehydration and electrolyte imbalance.

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12
Q

How many cholera cases occur globally each year?

A

3 to 5 million cases

This results in around 100,000 deaths annually.

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13
Q

What percentage of cholera deaths occur in children under 5 years of age?

A

Around 50%

This highlights the vulnerability of young children to the disease.

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14
Q

Cholera can be classified as endemic, epidemic, or _______.

A

Pandemic

Cholera has been observed in several waves across centuries.

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15
Q

In how many countries is cholera endemic?

A

50 countries

Endemic refers to a disease or condition regularly found among particular people or in a certain area.

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16
Q

List the regions where cholera epidemics have occurred.

A
  • Africa
  • Asia
  • Middle East
  • South America
  • Central America
  • Caribbean

These regions have reported significant outbreaks of cholera.

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17
Q

What was the number of cholera cases reported during the 2010 Haiti epidemic?

A

800,000 cases

This epidemic also affected neighboring countries like the Dominican Republic, Cuba, and Mexico.

18
Q

How many cholera cases were reported in Yemen in 2017?

A

330,000 cases

19
Q

What type of toxin is the cholera toxin (CT)?

A

AB Toxin

The AB toxin consists of two components: an A (active) component and a B (binding) component.

20
Q

What is the mechanism by which cholera toxin causes fluid loss?

A

cAMP-mediated activation of anion secretion

This leads to inhibition of NaCl absorption and massive secretion of Cl−.

21
Q

What severe symptom is caused by cholera toxin?

A

Severe diarrhea

22
Q

On what genetic element is cholera toxin encoded?

A

Filamentous phage

23
Q

What is the role of the toxin-coregulated pilus (TCP)?

A
  • Mediates adherence
  • Microcolony formation
  • Required for intestinal colonization

TCP is essential for the initial stages of infection by Vibrio cholerae.

24
Q

What is TCP a receptor for?

25
How is Vibrio cholerae transmitted?
Fecal-oral route
26
What happens to most vibrios when they enter the stomach?
Most die due to acid sensitivity
27
Where do surviving virulent organisms adhere and colonize?
Small bowel
28
What does the cholera enterotoxin (CT) bind to in the intestinal epithelial cells?
Plasma membrane
29
What occurs after the cholera toxin binds to the plasma membrane?
Release of an enzymatically active subunit causing a rise in cAMP production
30
What is the result of high intracellular cAMP levels?
Massive secretion of electrolytes and water into the intestinal lumen
31
What is performed on stool samples using molecular techniques on Day 1?
Rapid, sensitive screening ## Footnote Techniques include Real-Time PCR, EntericBio DX Platform, Syndromic Testing Panels, and BioFire® FilmArray GI Panel
32
What species-specific genes are typically targeted for early detection?
* ctxA (cholera toxin) * ompW * toxR ## Footnote These genes are vital for identifying V. cholerae.
33
What is the purpose of the selective enrichment step on Day 2?
To favor the growth of V. cholerae while inhibiting competing flora ## Footnote This is done using alkaline peptone water (pH ~8.5).
34
On Day 3, what agar is used to culture Vibrio spp.?
* Thiosulfate Citrate Bile Salts Sucrose (TCBS) Agar * Chromogenic agar (e.g., Chromagar Vibrio) ## Footnote TCBS is highly selective for Vibrio spp.
35
What characteristic do V. cholerae colonies typically exhibit on TCBS?
Large, yellow colonies due to sucrose fermentation ## Footnote This is a key identification feature.
36
What methods are used for biochemical identification and confirmation on Day 4?
* Standard biochemical tests * Automated systems (e.g., API 20E, VITEK) ## Footnote These methods help accurately identify V. cholerae.
37
What laboratory characteristics define V. cholerae?
* Curved, comma-shaped Gram-negative bacilli * Positive oxidase test * Non-lactose fermenter on MacConkey agar * Sucrose-positive on TCBS * Motile due to polar flagella ## Footnote These characteristics are crucial for identification.
38
What is the significance of O-antigen-based serotyping?
Essential for epidemiological tracking and outbreak management ## Footnote Examples include O1 – Inaba, Ogawa; O139.
39
What are the primary treatments for cholera?
* Fluid and Electrolytes * Doxycycline * Ciprofloxacin ## Footnote These treatments are critical for managing the infection.
40
What public health measure is important in cholera prevention?
Preventing faecal contamination of water supplies ## Footnote This is vital for reducing the spread of cholera.