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14 Cards in this Set

  • Front
  • Back

Name the four species of Shigella

Shigella dysenteriae - Group A


Shigella flexneri - Group B


Shigella boydii - Group C


Shigella sonnei - Group D

Describe the growth of Shigella species on BAP, MAC, XLD, HEK, and SS

BAP - grey moist colonies, may be small


MAC - NLF, colourless colonies. size varies with strain. Shigella sonnei is a late lactose fermenter


XLD - red to colourless colonies.


HEK - green/colourless colonies.


SS - colourless colonies, most don't grow

Describe useful biochemical identifications for Shigella species

Motility -


TSI K/A, no gas


Lysine -


(S. sonnei is positive for ONPG & ornithine)

Describe Serological ID for Shigella

test for O antigens


slide agglutination


some strains have a heat labile antigen overlying the O antigen, must be boiled and retested.

Describe the clinical significance of Shigella species

Shigella sonnei and Shigella flexneri most common isolates. Shigellosis is primarily a disease of children, transmitted via fecal oral route. Requires low bacterial numbers to cause infection.


Symptoms of Bacillary Dysentery - 1-3 days post ingestion. watery diarrhea, cramps, blood, mucus, pmns in stool. rarely needs antimicrobial intervention.


Shigella dysenteriae produces shigatoxin (as well as EHEC)

Describe the growth of Salmonella on BAP, MAC, XLD, and HEK plates

BAP - gray moist colonies


MAC - LNF


XLD - red colonies w black centre


HEK - blue green with black centre

Give useful biochemical tests for Salmonella

Lactose negative


H2S positive


deaminase negative


lysine positive

Give test results to differentiate Salmonella typhi from other Salmonellas

H2S - only a small amount


Ornithine - negative


Citrate negative


anerogenic

All O antigens for Salmonella serotyping come up as negative. what must be done?

boil off the heat labile Vi antigen, retest.

what are the two main types of Salmonella infections?

Enteric fever


Gastroenteritis

Describe Typhoid fever

caused by Salmonella typhi


incubates for 8-14 days


blood, stool, urine suitable for culture


Blood best for culture in first week


stool usually not positive in first week


Dx can be made if antibodies against O and H antigens present in patient's serum.


high Vi antibody may indicate a carrier state

describe the growth of Citrobacter freundii on BAP, MAC, SLD, HEK, and SS agars

BAP - grey moist colonies


MAC - LF or NLF


XLD - yellow, colourless, or red colonies that may have a black centre


HEK - Salmon or blue-green colonies that may have a black centre


SS - pink or colourless colonies that may have a black centre

Describe test results that differentiate Citrobacter freundii from lactose fermenters

H2S positive


Lysine negative

Describe test results that differentiate Citrobacter from Salmonella

ONPG positive


Lysine negative