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22 Cards in this Set

  • Front
  • Back
Bacillus is what?
ubiquitous in soil
spore forming
aerobic/facultive
usually catalase +
often beta hemolytic and motile(not B. anthrax)
Bascillus cereus toxins
stable emetic enterotoxin
heat labile diarrhea enterotoxin
similar to cholera toxin(secretory)
Bacillus cereus clinical issues
ocular infection post surgery

prosthetic/catheter sepsis

meningitis
B. anrthacis spread route?
to lymph nodes then to bloodstream
B. anthracis virulence factors?
poly D-glutamic acid capsule

3 part exotoxin
3 exotoxins?
PA-protective antigen that binds to cell to let in EF/LF

EF-edema factor activating adenyl cyclase to cause edema at site of injury
LF-lethal factor, disrupts cell functions and triggers TNF-a, IL-1
anthrax vaccine?
nonencapsulated form, required yearly, painful, military only
Listeria monocytogenes
shape, description, natural resistances
cat+
CAMP+
bile+(esculine)
beta hemolytic
bacillic/coccobacilli
can life at 4 deg C
naturally resistant to cephalosporins
Listeria pathogenisis
can grow inside macrophage or epithelial cells
asymptomatic carrier reserver
hemolysin(lysteriolysin)
Erisipelothrix rhusopathe
bacillius, primarily only in animals, can cause bacterimeia, usually erysipeloid(non-suppurative) and skin lesion

non-spore forming
facultive anaerobe rod
mycolic actinomyces?
Mycobacterium
Corynbacterium
Corynbact specific
curved pleomorphic rods
facultive anaerobe
grow on sheep blood
oxidase+
cell walls with arabinose, galactose, meso-DAP, and short mycolic acids
C. diptheria pathogenesis
droplet spread
Phospholipase D increases vasc permability
phage coded exotoxin, attacks EF-2, kills respiratory mucous membranes
toxin spread to heart/adrenals/cns
grown with cystein/tellurite
Other corynbac pathogens?
jeikium- infection(oppertunist of marrow transplant pts)
multidrug resistant except vancomy

urealyticum--UTI's and stones
Nocardia locale
ubiquitous in enviroment--inhalation/cutaneous innoculation

HIV oppertunist
nocardia virulent factors
superoxide dismutase+

cord factor to prevent phagolysosome fusion and intracellular killing
nocardia pathogenesis
pneumonia, meningitis/brain abcesses, lung abcesses, cellulitus, mycetoma

characterized by fibrosis/necrosis/pus tracts
nocardia lab info
slow growing, ~7days in 5% CO2
Rhodococcus equi
weakly acid fast
reverts to coccus
aids/transplant oppertunist
facultive intracellular(phage), granuloma formation/abcess
Tropheryma whippli
actinomyce, causes whipples malabsorbtion of small bowl, non-growable
Most common nocardia in us
asteroids
4 forms of nocardia
pulmonary
extra pumonary
cutaneous
mycetomas