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67 Cards in this Set

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