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66 Cards in this Set

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Small Gram negative rods with a single polar flagellum


Aerobic


Does not ferment lactose


Cultures blue green


Grape like odor

Pseudomonas aeruginosa

Commonly found in water and soil.


Intestinal resident of 10% of healthy people

Pseudomonas aeruginosa

What are the virulence factors of Pseudomonas aeruginosa?

*Pili that aid in attachment to host cells


*Phagocytosis-resistant slime layer that aids in formation of a biofilm


*Enzymes that degrade host tissues


*Exotoxins


*LPS layer - endotoxins

What type of patients get the most severe infections with P. aeruginosa

Burn victims


Neoplastic disease


Cystic Fibrosis

What serious ailments can occur after being infected with P. aeruginosa?

Endocarditis


bronchopneumonia


meningitis

What are some ailments that an otherwise healthy adult might encounter after being infected with P. aeruginosa?

Skin rash


UTI


outer ear infection

Small gram negative coccobacillus typically found singly or in pairs - nonmotile

B. pertussis

Aerobic


Distinguished by biochemical tests - oxidase positive. Urease, nitrate reductase and citrate negative.


DNA test to detect polymerase chain reaction used to identify

B. pertussis

What are the virulence factors of B. pertussis?

Fimbriaelike adhesion molecules - allows it to recognize and bind to ciliated respiratory epithelial cells



Exotoxins that destroy host cells

What are the two stages of whooping cough?

Catarrhal stage - mucus builds in airways, nasal drainage, congestion, sneezing and occasional coughing.



Paroxysmal stage - persistent coughing, followed by deep inhalations. Characteristic whoop sound

How is whooping cough controlled?

Vaccine


Who are carriers of whooping cough?

Teenagers and adults contract, get a mild case that they associate as a cold, and give it to infants who have a harder time fighting it off.

Small gram negative rods


Motile


Does not produce a capsule

Legionella pneumophila

How is Legionella pneumophila identified?

Difficult to isolate, disease often diagnosed by symptomatology and patient history.



Lab uses DNA and fluorescent antibody staining or urinary and respiratory specimens.

What type of selective medium is used to culture Legionella pneumophila?

Charcoal yeast extract agar

What is the habitat of L. pneumophila?

Freshwater habitats. Human infections traced to tap water, spas, ponds, air conditioners, and misting systems.

What is the virulence vactors of L. pneumophila?

Pili that allow bacteria to bind to respiratory epithelial cells.


Grow inside macrophages

What diseases are associated with L. pneumophila?

Legionnaires Disease


Pontiac Fever

Small motile gram negative rods


Ferments lactose


Facultative anaerobe


Positive results for methyl red, and idole tests


Negative for VP and citrate

E. coli

What is the common habitat for E. coli

Normal resident of the intestinal tract of most warm blooded animals

What are the virulence factors of E. coli?

Capsule


LPS endotoxin


Fimbriae for attachment to host cells


Heat labile and heat stable toxins that stimulate increased secretion and water loss (diarrhea)


What type of toxin in E. coli leads to hemorrhagic colitis?

Shiga toxin

Small gram negative rods


Identified by antibody based tests


Biochemical and serological tests must be done to identify

Salmonella typhi, Salmonella enterica

What is the habitat for salmonella?

Humans are the exclusive hosts for S. typhi, whereas other species of Salmonella are normal intestinal residents of cattle, poultry, rodents, and reptiles

What are the virulence factors of Salmonella?

LPS endotoxin


Capsule producing (V antigen)


Many strains are antibiotic resistant

What causes Typhoid fever?

S. typhi

What causes salmonella food poisoning?

S. enterica

Small nonmotile gram negative rods

Shigella sonnei, S. dysenteriae, S. flexneri, S. boydii

How is shigella distinguished from E. coli?

Motility - Shigella is nonmotile, E. coli is motile

What is the normal habitat of shigella?

Human pathogen, from the five F's (feces, food, fingers, flies and fomites)

What is the virulence factors of Shigella?

Heat labile shiga toxin, which causes injury to nerve cells, the intestine and kidneys

Explain the disease/infection with shigella

Shigella invades the mucosa of the large intestine, with the initial damage being caused by an inflammatory response. As the disease progresses, endotoxins promote fever, while enterotoxins damage the intestinal mucosa and villi, leading to bleeding and heavy mucus secretion

Small gram negative encapsulated rod.


Stain darker at the end giving them a safety pin look

Yersinia pestis

Where is Y. pestis found?

In over 200 small rodents, which never get the disease, but serve as a reservoir. Fleas serve as vectors, spreading it from the primary host to amplifying hosts such as rats, squirrels and rabbits

What is the virulence factors of Y. pestis?

Capsular and envelope protein that all it to survive and multiply withing phagocytic cells.


Produces coagulase


Very small infective dose (3-50 cells)


Produces both endotoxin and exotoxin

What is the cause of bubonic plague

Y. pestis

A symptom of the bubonic plague is enlarged lymph nodes. What is this called?

Bubos

What is septicemic plague and what causes it?

Y. pestis


massive growth of bacteria in the blood and release of virulence factors leadds to disseminated intravascular coagulation, subcutaneous hemorrage, and necrosis.

What is another name for septicemic plague?

The black death

What is a unique characteristic of many isolates of pseudomonas useful in identification is

fluorescent green pigment

Human brucellosis is also known as

undulant fever

F. tularensis has which portal of entry?

Tick bite


intestinal


Respiratory

A classic symptom of pertussis is

paroxysmal coughing

The severe symptoms of pertussis are due to what effects?


The destruction of the respiratory epithelium


blocked airways

E. coli displays which antigens?

capsular


somatic


flagellar

Which of these is NOT an opportunistic enteric bacterium : Serratia, Klebsiella, Proteus, Shigella

Shigella

Which of the following represents a major difference between Salmonella and Shigella infections:


Mode of transmission


Likelihood of septicemia


the portal of entry


presence/absense of fever and diarrhea

Likelihood of septicemia

What are complications of typhoid fever

Intestinal perforation


liver abscesses

Shigella is transmitted by

food


flies


feces


The bubo of bubonic plague is an

enlarged lymph node

Haemophilus influenzae is __________ and requires special _______ for growth

fastidious


blood factors

Which of the following is not associated with H. infuenzae infections?


Fever


Flu


Stiff neck


headache

Flu

Which of the following are primarily zoonoses?


Tularemia


Salmonellosis


Shigellosis


Brucellosis


Pasteurellosis


bubonic plague

Tularemia


Salmonellosis


Brucellosis


Pasteurellosis


Bubonic Plague

What disease is Francisella tularensis most associated with?

Rabbit Fever

What disease is Yersinia pestis most associated with?

Bubonic Plague

What disease is E. coli 0157 H7 most associated with?

Hemolytic uremic syndrome

What disease is Shigella species most associated with?

Dysentery

What disease is Salmonella enterica most associated with?

Enteric fever

What disease is Salmonella typhi most associated with?

Typhoid fever

What disease is Pseudomonas aeruginosa most associated with?

Folliculitis

What disease is Bordetella pertussis most associated with?

Whooping cough

What disease is legionella pneumophila most associated with?

Pontiac Fever

What disease is H influenzae aegyptius most associated with?

Pink Eye

What disease is Haemophilus infuenzae most associated with?

Meningitis

What disease is Haemophilus ducreyi most associated with?

Chancroid

What disease is Pasteurella multocida most associated with?

Local abcess