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59 Cards in this Set

  • Front
  • Back
Entero-
dealing with intesting
all have in common
g-b
glucose fermenters
oxidase -
nitrite reducers
not all lactose fermenters
BA- gray mucoid fairly large and may be hemolytic
Lactose fermenters (LF)
E. coli (green sheen on EMB, pink fried egg on MAC)
klebsiella (stringy, non motile)
enterobacter
arizona
citrobacter
yersinia (hold mac @ 25')
Non-lactose fermenters (NLF)
salmonella
shigella
edwardsiella
serratia (red pigment 25")
proteus (swarming -very motile)
Providencia
Morganella
Vibrio special media
TCBS
differentiate between Proteus & Providencia
Urea
proteus- urea +
providencia- urea -
3 urea +
klebsiella
morganella
proteus
3- NON motile
yersinia
shigella
klebsiella
3-PAD deaminase +
proteus
providencia
morganella
R/A (red/yellow)
Ecoli-(LF)
test: TSI= a/a + gas (Yellow/yellow)
LIA= k/k (purple/ purple)
SIM= - + +
IMViC= + + - -
serological
o= somatic, cell wall, heat stable
k= envelop, capsule, heat liable
h-flagella- motile bacteria
ETEC
EIEC
EPEC
EHEC
montezuma's revenge
shigella like infections
diarrhea in newborns
o157h7
ecoli disease


EHEC disease
UTI= 90% non hospital, appendicitis, peritonitis, gallbladder infection, pneumonia, endocarditis, meningitis, wound infection, septicemia, cystitis

(HUS) caused by EHEC
Shigella (NLF) test
TSI= k/a (red/ yellow)
LIA=k/a (purple/yellow)
SIM= - - -
Urea= -
PA= -
shigella disease
bacillary dysentary, fluid and electrolyte imbalance

NOTES: non manitol fermenters= s. dysenteiae
mannitol fermenters= s. flexneri, s.boydii, s.sonnei (ONPG +)
Edwardsiella- NLF
tsi= k/a +gas +h2s (red/black)
lia= k/k (purple/purple)
SIM= + + +

species: e. tarda
Salmonella-NLF (NON MOTILE) form endotoxins
tsi= k/a =gas =h2s (red/black)
lia= k/k =h2s
sim= + - +
indole= -
citrate= -
urea= -
ONPG= -
salmonella disease
food poison- vomiting & diarrhea (s.enteritidis, s.typhi)
typhy fever= typhoid & paptyphid fever
initial stage- septicemia
blood culture- specimen of choice (1st 10 days)
causitive agent
febrile agglutination -used to ID antibodies in serum
S. typhi
no gas, goatee h2s
Enterobacter (LF)
Test
tsi= a/a +gas (yellow/yellow)
Cit= +
Sim= --+
urea= -
Pa= -
Lysine= +/-
odc= +
enterobacter disease
UTI, speticemia, opportunistic
enterobacter species
e. cloacae
e. aerogenes
e. agglomerans
Serratia (NLF)
test

Chromogenis- red pigment at 25'C
tsi= k/a (red/ yellow)
Cit= +
sim= - - +
urea= -
lia= k/k (purple/purple)
serratia disease
UTI, URT
septicemia: burn and chemo patients
diabetics with catheters and inhalation therapy
VERY RESISTANT to antibiotics
Proteus (NLF)
test

SWARMING (very motile)
tsi= k/a +gas + h2s
lia= red/a +h2s (red/black)
sim= + + +, (+ - +)
urea= +
Pa= +
proteus disease
UTI, peritonitis (in ruptured appendix)
ear & eye infections,
smells bad
differentiate between p. mirabilis and p. vulgaris
Indole
p.mirabilis = -
p.vulgaris = +
arizona (LF) slowly
test
tsi= k/a +gas +h2s (red/black)
lia= k/k +h2s (purple/black)
ONPG= +

*DOES NOT INVADE BLOOD STREAM

species a. hinshawii
Citrobacter (LF) slowly
test
Tsi= k/a +gas some h2s (red/ black) when h2s is present
ONPG= +

disease: UTI, opportunistic
klebsiella (LF) NON MOTILE mucoid (stringy)
test
tsi= a/a +gas (yellow/yellow)
lia= k/k (purple/ purple) decarboxylate +
sim= - - -
urea= +
pa= -
IMViC= - - + +
odc= -
Klebsiella pneumo
test
disease
Friedlanders Bacillus
IMViC= - - + +
pneumonia , severe UTI
klebsiella oxytoca
test
disease
IMViC= + - + +
noscomial UTI
differentiate between K. pneumo & k. oxytoca
indole
k.pneumo= -
k. oxytoca = +
Providencia (NLF)
test

species: p. alcalifaciens, p.stuartii
tsi= k/a (red/yellow)
lia= R/a (red/yellow) DEAMINASE +
cit= +
Urea= -
sim+ - + +
differentiate between Providencia and Proteus
Urea
proteus= +
providencia = -
Morganella (NLF)
test
tsi= k/a (red/yellow)
lia= r/a (red/yellow) DEAMINASE +
cit= -
sim= - + +
urea= +
Yersinia (LF)
requires enriched media CIN agar

3-types
y.pestis
y. enterolytica
y. pseudotuberculosis
y. pestis
non-motile, causes plague
vector- rat flea/ dead carcass

disease: bubonic plague (swollen lymph nodes & fever), sepsis, pneumonia follow
plague pneumonia_ black death, untreated 50-60 % death
VERY INFECTIOUS
y. enterolytica
bipolar staining, implicated in enlarged lymph nodes
disease= gastroenteritis, abscesses, fatal septicemia, may mimic appendicitis

HOLD mac plate xtra 24hours @ RT (tiny peach colonies)
y. pseudotuberculosis
gram - tiny pleomorphic rods,

affects lymph nodes, fatal septicemia, mimics appendicitis
Campylobacter
most common etiologic agent in US
curved rods (seagull wings)
microaerophilic & Capnophilic= ^ co2 (10%), o2 (5%)
GI tract- poultry, dogs, cats, sheep, cattle
special media= campy media (BA with antibiotics)
42'C (24hrs- 48 hrs, gray pinkish- yellowish gray slightly mucoid, may have tailing effect
campylobacter
transmitted and disease

campylobacter species
transmitted by contaminated food
disease: gastroeneritis, meningitis, endocarditis, septic arthritis

c. jejuni: common in gastroenteritis
campylobacter test
oxidase +
catalase +
motility + (darting motion on wet prep)
Helicobacter
used to be campylobacter
g- curved rods
primary habitat: human gastric mucosa
STRONGLY= urease +
Species of helicobacter
h. pylori; gastric and peptic ulcers and may be associated with gastric cancer.
stomache biopsy, blood and breath tested for urease
causative agent
most individuals tolerate organisms for decades without symptoms.
Vibrio- halophilic (salt loving), fermentative
special media
3 species
Oxidase +
TCBS media
v. cholera
v. paphemolyticus
v. vulnificus
Vibrio cholera
can grow w/o NaCL
yellow colony on TCBS
Disease: asiatic choler, epidemic cholera can cause acute diarrhea (rice water stools) death due to severe dehydration
Vibrio paphemolyticus
requires NaCL, lysine decarboylase +
green colony on TCBS
disease: gastroenteritis & soft tissue infections
leading cause of GI illness in Japan (uncooked seafood)
Vibrio vulnificus
requires NaCL, lysine decarboylase + ONPG +
most colonies green on TCBS
disease: primary septicemia and soft tissue infections

*seen in marine environments, and liver conditions
Methyl Red
acid end products
mixed acid pathways
VP (voges proskauer)
neutral end products
butylene glycol pathway
Citrate
determines the ability of an organism to utilize sodium citrate as its only carbon source.
tet used to differentiate Salmonella & Proteus
LIA & PAD
What carbohydrate does the test MR & VP utilize in different pathways
Glucose
Enterobacter cloacae
test
IMViC= - - + +
Yersinia enterocolitica grows in cold and is motile when
25'C it is motile and @ 35'C it is nonmotile
E. Coli o157 h7 is unable to ferment lactose
false it is unable to ferment Sorbital
Campylobacter jejuni
microaerphilic
seagull wings and darting motility @ 42'C
E. Coli O157 H7 produce what
verotoxin and shiga toxin