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15 Cards in this Set

  • Front
  • Back
Describe the morphology of the Vibrionaceae family
G - short curved rods
highly motile
single polar flagellum
6 serogroups
O antigen most important for serotyping
All strains share a common H antigen
LPS is unusual: it lacks KDO
TCP pilli
in vibrio cholerae, they appear to mediate attachment to the mircovilli in the intestine
Describe the Vibrio cholerae toxin
choleragen
typical AB exotoxin
B su attaches to a specific ganglioside receptor on the cell surface
releasing the toxic A su into the cell
SU A activates adenylate cyclase by ADP-ribosylating the GTP binding the Gs protein that regulates adenylate cyclase
Choleragen is antigenically related to E-coli LT toxin, but what is a major difference?
The gene for the choleragen is located on the chromosome, vs for the LT toxin in E.coli on a plasmid
Choleragen gene=lysogenic phage
TX for cholera
supportive therapy required to save the patient: glucose, electrolytes

TX: single dose of azithromycin
What serotype of Vibrio Cholerae is responsible for the epidemics
O-1
What biotypes of V. Cholerae produce the most severe diease?
El Tor and Cholerae
El Tor is the casuse of the last and present pandemics
Shellfish associated with diarrhea is due to?
Vibrio Parahemolyticus
shellfish
24 h incubation
O and K antigens 60 serotypes
diarrhea 10 to the seventh degree of organisms required for infection
self-limiting in 2-3 days
in severe cases, use tetracycline
organisms produce HS hemolysin(Kanagawa hemolysin)
requires salt for growth
What is Kanagawa hemolysin and what is it associated with?
Heat stable hemolysin produced by Vibrio parahemolyticus
associated with self-resolving explosive diarrhea
V. vulnificus. Describe
G - curved rod, motile, requires salt for growth
associated with marine shellfish and swimming
wound infections
gastroneteritis -common in Southeast and gulf states due to uncooked raw oysters
life threatening septecemia in immunocompromised, alcoholism, and liver disease- 50% fatal
treat with tetracyclines
Klebsiella pneumoniae.
Describe.
large capsule (against phagocytosis, virulence), ferments lactose, non-motile
oportunistic enterobacterium
10% of nosocomial infections
incidence in the US is decreasing
a cause of pneumonia in certain cases
antibiotic resistance is common
K antigens are useful for identification
Klebsiella rhinoscleromatis
Rhinoscleroma
chronic granumalotous infection
purulent nasal discharge with crusting and nodule formation that leads to respiratory obstruction
Klebsiella ozaenae
Ozena is a primary atrophic rhinitis that often occurs in elderly. Nasal congetion and a constant nasal bad smell
headache or symptoms attributable to chronic sinusitis
Proteus
extremely motile, lactose negative, posesses a highly active urease
nosocomial uti
urease and pili specific for renal cells are the most important virulence factors
Serratia
a reservoir for antibiotic resistance plasmids