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176 Cards in this Set

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Associated with infections of every area of the body especially: Urinary Tract, Gi Tract, Wounds, Blood
enterics
Glucose fermenters and use glucose anerobically
Enterobacteriacea
Facultative anerobes that reduce nitrate to nitrites
Enterobacteriacea
Most Enterobacteriacea are motile at body temp. 37*C. The exceptions that are not motile are:
Shigella
Klebsiella
Yersinia
associated with the cell wall, heat stable, and ENdotoxin production (E.coli o157)
O or somatic antigen
Surrounds cell wall, Heat LABILE
Klebsiella, Salmonella, and E. Coli posses this antigen
K or envelope antigen
Found only in the MOTILE enterics: heat Labile and used to serotype Salmonella species
H or flagella antigen
Grows on BAP in waves
"swarming"
Proteus
Pink colonies on McConkey plate indicate lactose fermenters:
E.coli, Klebsiella, Enterobacter
Associated with infections of every area of the body especially: Urinary Tract, Gi Tract, Wounds, Blood
enterobacteriaecea
I
m
v
c
indole
methyl red
voges-proskauer
citrate
Glucose fermenters and use glucose anerobically
Enterobacteriacea
Facultative anerobes that reduce nitrate to nitrites
Enterobacteriacea
Most Enterobacteriacea are motile at body temp. 37*C. The exceptions that are not motile are:
Shigella
Klebsiella
Yersinia
associated with the cell wall, heat stable, and ENdotoxin production (E.coli o157)
O or somatic antigen
Surrounds cell wall, Heat LABILE
Klebsiella, Salmonella, and E. Coli posses this antigen
K or envelope antigen
Found only in the MOTILE enterics: heat Labile and used to serotype Salmonella species
H or flagella antigen
Grows on BAP in waves
"swarming"
Proteus
Pink colonies on McConkey plate indicate lactose fermenters:
E.coli, Klebsiella, Enterobacter
I
m
v
c
indole
methyl red
voges-proskauer
citrate
Removal of an amino group from an amino acid
deaminase reaction
removal of a carboxyl group from an amino acid
decarboxylation reaction
detects low lactase fermenter
ONPG
Determines if an organism possesses the enzyme TRYPTOPHANOSE
Indole
determines if an organism is capable of producing and maintaining an ACID environment.
Methyl Red
Acids are intermediate metabolites in:
pyruvate metabolism
Detects ACETOIN.
Vogues-Proskauer
Acetoin is an intermediate metabolite in
pyruvate metabolism
Determines if an organism can use citrate as is ONLY source of Carbon
Citrate
Provides the initial step in the identification of Enterobacter
Triple sugar Iron slant
(TSI slant)
Ferrous state in TSI slant is used to detect:
H2S production
Indicator in TSI is
phenol red
Slant portion of TSI is ____ and the deep portion or "butt" is _____
aerobic, anerobic
TSI media will turn yellow based on what?
Carbohydrate utilization
K/A: alkaline/acid
Red slant/Yellow Butt
utilized glucose only
A/A
Both slant and butt are acid (yellow)
Fermented 2 to 3 sugars
K/K alkaine/alkaline
Both slant and butt are red (alkaline)
non fermenter
Enterohemorrhagic E. Coli. o157:H7 is
sorbitol NEG
Pink colonies on MacConkey, Green Sheen on EMB, ONPG pos, IMVC ++--
E.coli
Humans are natural reservoirs for
Shigella
Enterotoxin invades large bowel causing fever, cramps, watery diarrhea the turns into a bloody mucoid diarrhea. Neurotoxin can cause paralysis and death
S. Dysentery
"do nothing" organism
Shigella
Clear colonies on MacConkey
Methyl red pos
d-mannose pos
Shigella
Klebsielleae Tribe
Klebsiella
Enterobacter
Serratia
Produce large amounts of gas in TSI deep
Pink mucoid colonies on MacConkey
Klebsiella
Two important species of Klebsiella
K. pneumoniae
K. oxytoca
K. Pneumoniae is indole ___
K. oxytoca is indole _____
negative, positive
Accounts for 90% of all Klebseilla isolates. resistant to AMPICILLIN and causes neonatal Meningitis
k pneumo
IMVC --++
K. pneumo
Causes septicemia, UTI, and wound infections
IMVC +-++
Pink mucoid on Mac
K oxytoca
Ornithine decarboxylase is Positive
Eneterobacter
Found in soil, water, Dairy products
Enterobacter
Arginine dihydrase positive ADH
e. Cloacae
Lysine decaboxylase LDC Positice
E. aerogenes
opportunistic pathogen commonly seen in nosocomial infections. Can be present on hands of healthcare workers
Serratia
Most important species of Serratia. Muti drug Resistant.
S. Marcescens
Blood red colonies on Mac
S. Marcescens
Ornithine decarboxylase is Positive
Eneterobacter
Salmonella species typically isolated from humans and warm-blooded animals
Salmonella enterica. (always considered pathogen)
Found in soil, water, Dairy products
Enterobacter
classification based on O and H antigens
Kauffman-White
Arginine dihydrase positive ADH
e. Cloacae
Most common illness in salmonella that occurs from food poisoning
Gastroenteritis
Lysine decaboxylase LDC Positice
E. aerogenes
opportunistic pathogen commonly seen in nosocomial infections. Can be present on hands of healthcare workers
Serratia
Most important species of Serratia. Muti drug Resistant.
S. Marcescens
Blood red colonies on Mac
S. Marcescens
Salmonella species typically isolated from humans and warm-blooded animals
Salmonella enterica. (always considered pathogen)
classification based on O and H antigens
Kauffman-White
Most common illness in salmonella that occurs from food poisoning
Gastroenteritis
Salmonella serotype typhi causes serious sepsis known as
Typhoid fever
Clear green colonies with black centers on Hektoen media
Salmonella
Clear green colonies are lactose ___
Negative
Proteeae tribe consists of
Proteus
Providencia
Morganella
Lactose Neg
Deaminase Pos
Methyl Red Pos
Proteeae
Swarming motility
UREASE rapidly pos
h2s pos
Proteus
Proteus that is indole Neg and ODC pos
p. mirablis
Proteus that is indole pos and ODC neg
p. vulgaris
Usually associate with nocomial infections of the urinary tract and skin
MANNOSE POS
Providencia
Resemble salmonella but are ONGP pos and LDC neg
Cirtobacter
Associated with GI infections in the tropics and subtropics
Edwardsiella
Small, clear pinpoint colonies on Mac and non-motile at 37*
Yersinia
Agent in bubonic plague
fleas spread infection
y. Pestis
causes entercolitis especially in children and infants. PSEUDO APPENDICITIS if mesenteric lymph nodes become enlarged
y. Enterocolitica
Incubation period is no more than 7 days after the bite of an infected flea. 75% death rate
Bubonic Plague
Incuation period is -2-3 days. Death rate in untreated is >90%
Pneumonic plague
usually occurs with bubonic plage as an acute, fulminant illness
septicemic plague
agents of bioterrorism
E.coli o157
Salmonella
Yersinia Pestis
Natural inhabitant of Sea water
Vibrio
All species of Vibrio require an increased salt concentration for in Vitro growth. (halophilic) EXCEPT
v. cholera and v mimicus
facultative anerobe with prefrence for increased CO2. All ferment glucose
Vibrio
potent cholera enterotoxin
choleragen
"rice water" stools
Cholera
Exibits DARTING or Shooting Star motility.
Can be divided into serogroups based on O antigen
V. cholera
Epidemics of intestinal cholera are most often caused by
V. cholerae O1
extraintestinal infections of V. cholerae are often caused by
non-O1 V. cholera
Most commonly isolated Vibrio species
V. Parahaemolyticus
Infection usually occurs after ingestion of contaminated shellfish
V. Parahaemolyticus
Infection typically occurs after exposure to seawater
Vibrio alginolyticus
Infection typicially occurs after ingestion of raw oysters. High mortality rate
V. vulnificus
Disease is known to occur mainly in individuals with pre existing liver disease. Likely due to increase availabilty of iron
V. vulnificus
Virbrio that is not cultured immediately should be transported in what medium?
Cary-Blair Transport
Selective and differential for isolating Vibrio species
TCBS agar.
Natural inhabitant of Sea water
Vibrio
All species of Vibrio require an increased salt concentration for in Vitro growth. (halophilic) EXCEPT
v. cholera and v mimicus
facultative anerobe with prefrence for increased CO2. All ferment glucose
Vibrio
potent cholera enterotoxin
choleragen
"rice water" stools
Cholera
Sucrose fermenters that produce yellow colonies on TCBS
V cholera and alginolyticus
Sucrose non fermenters that produce blue green colonies on TCBS
V. vulnificus and parahaemolyticus
intestinal infections usualy occur in patients who have history of eating seafood or drinking untreated well water
Aeromonas
Aeromonas that is lactose positive, cause it to resemble e.coli or enterobacter
A. Caviae
Aeromonas is oxidase ___
positive
Enterics are oxidase ____
negative
Produces bulls eye colonies on CIN agar. May be isolated from fecal specimen with blood agar containing ampicllin
Aeromonas
Only species in plesiomonas genus
shigelloides
selective agar fro P. shigelloides because colonies appear white to pink
Inositol brilliant green bile salts. IBB
A nonfermenter should be expected if GNR is
oxidase pos
all members of ___ are oxidase Neg
Enterobacter
TSI is not suitable to study the carbohydrate use of ______
nonfermenters
___ medium is used to study carbohydrate use by nonfermenters
OF
All member of ___ will ferment glucose anaerobically and aerobically
Enterobacter
Contains high concentration of carbs and low concentration of peptones
OF medium
Indicator of the OF medium
Bromothymol blue.
Pos is yellow
neg is blue green
Organisms can only use the carbs when oxygen is present
oxidative
can metabolize glucose in the presence or absence of oxygen
Fermentative
Cannot utilize carbs/sugars as an energy source
Asaccharyolytic
The most frequently isolated non fermenter
Pseudomonas aeruginosa
Strict aerobe and "water lover" Causitive agent of swimmers ear
P. Aeruginosa
Strict aerobe, GRAPE LIKE SMELL, Metallic sheen, 35 and 42*c
P. Aeruginosa
Often isolated from the respiratory tract of patients with cystic fibrosis
P. aeruginosa
P. aeruginosa is the only organism that produces what kind of pigment
Pyocyanin
Oxidase neg, DNase POS
AMMONIA odor
LAVENDER-GREEN pigment on bap
S. Maltophilia
Causes Cepacia syndrome in patients with CF
Burkholderia
EARTHY odor,Lysine decarboxylase pos,
Non-fluorescent yellow pigment
Burholderia cepacia
GNR resist decolorization
Acinetobacter
Beta-hemolytic/non-hemolytic
Acinetobacter
Plump GN coccobacilli
Moraxella
May pit agar surface on BAP and is asaccharolytic
Moraxella
Pleomorphic GNR with faint staining
Legionella
Serogroup of legionella responible for >90% of human infections
Pneumonophilia
Aerobic organism that grow best under 5% CO2
Legionella
Media is a cysteine-enriched media that should be used when legionella is suspected
Buffered charcoal yeast extract. BCYE
Will not grow on ordinary micromedia. Hippurate pos
L. Pneumo
GN diplococci. Kidney bean/coffee bean shaped
Neisseria
Almost all Neisseria species are ___ pos.
catalase
All Neisseria species are ___ and ___ pos
Oxidase and DNase
Hair like structures that extend from the cytoplasmic membrane through the outer membrane
Pili
Gonococcus/GC
May cause conjunctivitis in adults and newborns
Neisseria Gonorrhoeae
Skin lesions, septicemia, endocarditis, gonococcal arthritis
DGI.
Gonococcal ___ are associated with virulence and affect antibody formation, leukocyte response, and phagocytic killing
outer membrane proteins
Recommended medium for GC cultures
MTM.
GC is positive for glucose and negative for maltose, lactose and sucrose on what agar?
CTA
Inhibits GPC
vancomycin
inhibits GNR
coliston
Inhibits yeast
Nystatin
Inhibits swarming proteus
trimethoprim
Most common direct method of identification for N. gonorrhoea
Nucleic acid probe
All GC should be test for
beta-lactamse
chemically bonded ring in the penicillin molecule
beta-lactamase
can be carried in the nasopharynx in asymptomatic individulas
Menigitidis
Organism in encapsulated Resists phagocytosis
N. Meningitidis
causes death in <24 hours due to ENDOTOXIN release. (TNF)
Acute Meningococcemia
Unlike N. Gonorrhoea,____ will grow on BAP
N. Meningitidis
Only Neisseria that is lactose pos
N. Lactimica
Respiratory pathogen formally called Branhamella Catarrhalis
Moraxella Cat.
Commonly produces beta-lactamase, is DNase pos and reduces nitrates
M Catarrhalis
"blood lover" Reduces nitrates and facultative anerobe
Haemophilus
Requires Choc agar because it contain Hemin. (xfactor)
Haemophilus
BAP is NOT adequate to isolate _____ because sheep RBC release DNase
Heamophilus
Synthesizes NAD (v-factor)
s. aureus
aka pfeiffers bacillus. 6 serotypes/8biotypes
h. influenza
Encapsulated strains are pathogenic, especially in children <3yrs
h. Influenza
all h. influenza isolates should be tested for
beta-lactamase
Cause of pink eye
H. aegypticus
VD characterized by chancroid
"school of fish"
h. Ducreyi