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67 Cards in this Set
- Front
- Back
gram + rods (5)
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clostridium, cornybacterium, bacillus, listeria, mycobacterium
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gram - coccus (1)
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Neisseria
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spirochetes (3)
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leptospiria, borrelia, treponema
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don't stain well (6)
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treponema (too thin), ricketsiae (intracellular), chlamydia (intracellular), mycoplasma (no cell wall), mycobacterium (high lipid content), legionella pneumophilia (mostly intracellular)
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media for H flu
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chocolate agar with factors 5 and 10
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media for N. gonorrhoeae
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thayer martin
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media for B. pertussis
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Bordet-Gengou (potato) agar
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media for C. diptheriae
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tellurite plate, Lofflers media
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media for TB
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Lowenstein jensen agar
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media for mycoplasma pneumoniae
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Eaton's agar
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media for E. Coli
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eosin methylene blue
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media for legionella
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charcoal yeast with Fe and cysteine
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media for fungi
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sabourauds agar
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obligate aerobes (4)
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pseudomonas, nocardia, TB, bacillus
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obligate anaerobes (3)
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clostridium, bacterioides, actinomyces (lack catalase or superoxide dismutase)
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obligate intracellular (2)
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ricketsiae and chlamydia
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facultative intracellular (8)
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legionella, TB, listeria, neiserria, salmonella, franciella, yersinia, brucella
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who secretes IgA protease
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h. flu, s. pneumo, neiserria
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cAMP inducers (4)
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pertussis (inactivates Gi), E. coli (activates Gs), cholera (activates Gs) and anthrax (toxin is an adenylate cyclase)
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lysogenic phage encoded toxins (5)
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Shiga A like toxin, botulinum toxin, cholera toxin, diptheria toxin, erythrogenic toxin of S. pyogenes
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staph aureus (5)
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catalase +, coagulase +, b (complete) hemolysis, ferments mannitol, common colonizer of the oropharynx
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staph epidermidis (4)
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catalase +, coagulase -, novobiacin sensitive, makes a biofilm
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staph saprophyticus (3)
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catalase +, coagulase -, novobiacin resistant
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strep pneumo (6)
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catalase -, a (partial) hemolysis, optochin sensitive, bile soluble, lancet shaped diplococcus, rusty sputum
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strep viridans (4)
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catalase -, a (partial) hemolytic, optichin resistant, not bile soluble
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group A strep (3)
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pyogenes; catalase -, b (complete) hemolysis, bactitracin sensitive
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group B strep (4)
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agalactiae; catalase -, b (complete) hemolysis, bactitracin resistant, +CAMP test
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enterococcus (2+4)
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catalase -, variable hemolysis, can grow on 6.5% NaCl, cause UTI and subacute endocarditis, vanco-resistant are important cause of nosocomial infection
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strep pneumo is most common cause of what (4)
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meningitis, otitis media (in kids), pneumonia, sinusitis
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treatment for C. difficile
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metronidazole
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only bacteria with protein capsule, structure on culture
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b. anthracis, forms serpantine strands on culture
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only gram + with an endotoxin
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listeria monocytogenes
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location for primary TB
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granulomas in the lower part of middle lobes, near the periphery (Gohn focus), also hilar LNs (together are complex)
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location for secondary TB
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upper lobes, form cavitary lesions due to cytokine release
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what does the diptheria vaccine induce
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IgG against the toxin
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E Coli toxins stimulate what
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Labile toxin: stimulates adenylate cyclase; Stable: stmulates guanylate cyclase; labile like the Air, stable like the Ground
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shiga toxin
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cleaves host cell rRNA (inactivates 60s); also enhances cytokine release causing HUS (E.Coli has same property)
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MRSA
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resistant to B-lactams due to altered PBP
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what makes Viridins pathogenic
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produce an insoluble EC polysaccaharide (dextrans) from sucrose, which allows them to tightly adhere to fibrin-platelet aggregates, this is why people often get these infections after dental procedures
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what makes mutans pathogenic
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produces acid which destroys enamel and causes cavities
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scarlet fever
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caused by Strep pyogenes; pharyngitis, tonsilitis, glossitis, rash on skin and tongue; due to pyogenic exotoxin which is encoded for on lysogenic phage
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M protein
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produced by Pyogenes, helps prevent phagocytosis and is cytotoxic to PMNs; immune response to this can lead to rheumatic fever
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diptheria (3)
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exotoxin via prophage, inhibits protein synthesis via ADP ribo of EF-2, contain granules, club shaped
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component of spores
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dipicolonic acid
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tetanus vaccine
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leads to production of Ab's which neutralize the toxin
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C perfringes
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produceds a-toxin (lecithinase, splits lipids) that can cause myonecrosis (gas gangrene)
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treatment for listeria
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ampicillin, not susceptiple to cephalosporins
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what is in the PPD
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tuberculin (outer surface protein) plus mycolic acids
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Leprosy
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granuloma formation (incl multinuc giant cells), likes cool temps (infects skin and superficial nerves); lepromatous is worse (failed cell mediated, Th1, immunity),causes loss of eyebrows, nasal colapse, lumpy earlobe; tuberculoid is self limited
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Neisseria fermenters and catalase
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Meningitidis: maltose and glucose; gonorrhea: glucose only; are catalase +
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lactose fermenters
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grow pink on MacConkey's; Klebsiella, E. Coli, Enterobacter, Serratia
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what does H. influenzae cause (4)
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pneumonia, meningitis, otitis media, epiglottitis
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H. flu vaccine
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contains polysaccharide capsule (polyribotol-P) conjugated to diptheria toxoid or other protein (to allow for class switching)
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Legionnaires dz
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caused by Legionella pneumo, severe pneumonia (high fever, diarrhea, cough, confusion, often in smoker)
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what do you get Legionella infections from
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water source
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what does P. aeurginosa cause (7)
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wound and burn infections, pneumonia (esp in CF), septicemia, external otitis (swimmers ear), UTI (esp in pts with in dwelling catheters), diabetic osteomyelitis, hot tub folliculitis
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id of P. aeurginosa
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gram -, non-lactose fermenter, oxidase+, blue-green pigment, grapelike odor
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treatment of P. aeurginosa
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aminoglycoside plus extended spectrum penicillin (pipercillin)
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ecthyma gangrenosum
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characteristic lesions in septicemia, black necrotic center and raised hemorrhagic outside, due to production of elastase
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what does EAEC make
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biofilm
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pathogenesis of E. Coli cause of neonatal septicemia vs. UTI
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neonatal septicemia: K1 capsule; UTI: pili
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enterobacteriaceae (7)
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Shigella, Salmonella, E. Coli, enterobacter, klebsiella, proteus, serratia; are all gram-, oxidase-, ferment glucose; also have O Ag (polysaccharide of endotoxin), K Ag (related to virulence), H flagellar Ag in motile species
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klebsiella
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gram-, lactose fermenter, has thick capsule and so produces a mucoid sputum, cavitate in upper lobes, current jelly sputum, pneumo in alcoholics and diabetics
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Salmonella
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gram-, oxidase-, non-lactose fermenter, capsule, produce H2S, have flagella; invade intestinal mucosa and cause blood diarrhea, most have animal resevoir
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salmonella typhi
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thyphoid fever; diarrhea, HA, rose spots on abdomen, hepatosplenomegaly; can remain in gallbladder chronically
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shigella
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gram-, non-lactose fermenter, oxidase-, very virulent (adapted to survive in acidic stomach), propel themselves within a cell by actin polymerization
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spirochetes
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borrelia, leptospira, treponema
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