WEEK 4: STAPHYLOCOCCI Flashcards
Peptidoglycan Layer: Multilayered
Teichoic acids: Present in many
Periplasmic Space: Absent
Outer Membrane: Absent
LPS Content: Virtually none
Lipid & Lipoprotein: Low
Gram positive
Peptidoglycan Layer: Single layered
Teichoic acids: Absent
Periplasmic Space: Present
Outer Membrane: Present
LPS Content: High
Lipid & Lipoprotein: High
Gram negative
i. Gram (+) cocci arranged in tetrads
or clusters
i. Facultative anaerobes
ii. Catalase positive
iii. Oxidase Negative
iv. Non-motile, non-spore-forming glucose
fermenters
v. Grows in 7.5-10% NaCl
vi. Small-colony variants- rare strain,
fastidious, req. CO2, hemin for growth.
Staphylococci
What are the organisms that are positive in catalase test?
Staphylococcus & Micrococcus
What is the test that will differentiate micrococcus to staphylococcus?
- Test for the position of Cytochrome to
produce a dark-blue end product when
reacted with the Reagent.
Microdase test or Modified Oxidase Test
▪ Most clinically significant specie of Staphylococci
▪ Present in various skin surfaces and nares
▪ It causes infection when it enters a normally sterile site
▪ Cause of nosocomial or hospital-acquired infections
▪ It is also one of the common causes of food poisoning
▪ It can be cultivated by adding 7.5% to 10% NaCl
Staphylococcus aureus
Heat stable exotoxins
A-E and G-J
These Enterotoxins are associated to food poisoning
(diarrhea, vomiting); reheating contaminated food
will not prevent disease
A, B and D
This enterotoxin is linked to pseudomembranous enterocolitis
Enterotoxin B (superantigen)
- Formerly known as Enterotoxin F
(superantigen-activate aggressive immune
response) - Causes menstruating-associated TSS (Tampon
use) absorbed through vaginal mucosa
Toxic Shock Syndrome Toxin (TSST-1)
▪ Also known as Exfoliatin serotypes A and B
▪ Causes SSS (Scalded Skin Syndrome or Ritter
disease) and bullous impetigo (large pustules with
erythema)
Epidermolytic toxins A and B
Destruction of neutrophils and macrophages
Panton-Valentine Leukocidin (γ-Hemolysin)
Lyse erythrocytes
Hemolysins (α, β, δ)
▪ Conversion of fibrinogen to fibrin
▪ Bound Coagulase & Free Coagulase
Coagulase (Staphylocoagulase)
Dissolve fibrin clots and may enable spread
of infection.
Fibrinolysin (Staphylokinase)
Cleaves protein
Deoxyribonuclease (DNAse)
Hydrolyzes hyaluronic acid in connective
tissues
Hyaluronidase
Hydrolyzes lipids in the skin
Lipase
Binds to the Fc portion of IgG, neutralizes it and block phagocytosis
Protein A
Breakdown of beta-lactam ring in
penicillin molecule
Beta lactamase (Penicillinase)
mild inflammation of hair follicle or sebaceous gland
Folliculitis
large, raised, superficial abscess
Furuncles (boils)
invasive lesions develop from multiple furuncles, may progress into deeper tissues
Carbuncles
pustules are larger and surrounded by a small zone of erythema
Bullous Impetigo
extensive exfoliative (profuse peeling) dermatitis caused by staphylococcal exfoliative or epidermolytic toxin.
Scalded Skin Syndrome (Ritter disease)
fatal disease characterized by sudden onset of fever, chills, vomiting, diarrhea, muscle aches, and rash, w/c could lead to hypotension and shock.
Toxic Shock Syndrome