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48 Cards in this Set

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Helicobacter Pylori
Gram Negative Curved Rod
Tuft Flagella at one end
Urease Positive
Similar to Campylobacter
Staph Aureus
Gram Positive Cocci
Catalase Positive
Coagulase Positive
Low pH
Skin flora
Primary cause of FOOD POISONING
Unrefrigerated foods
Heat Stabile
Bacillus Cereus
Gram Positive Rod
Spore forming
Associated w/ RICE
Heat stabile
Low pH
Clostridium Botulinum
Gram Positive Rod
Spore Forming
Prevents release of ACh
Causes flacid paralysis

Associated w/ Home Canning & Honey (infants)
Clostridium Tetani
Gram Positive Motile Rod
Terminal Spores
"Tennis Rackets"
Inhibits GABA and Glycine
Causing Contractile paralysis
Describe the Characteristics of Rotavirus?
Ds RNA Virus Segmented
Double Shelled Icosahedral Capsid

-Transmitted Fecal Orally

-Associated w/ diarrheal outbreak in daycares
Describe the pathogenesis of Rotavirus
Destroys intestinal Villi and Enterocytes. (Doesnt harm the Crypt cells).
-Viral capsid protein acts like enterotoxin and promotes secretion of electrolytes into the lumen. Results in SECRETORY Diarrhea
You have 4 year old female with acute onset of watery diarrhea. Mother states lots of other children in the Daycare have the same symptoms. Stool Cultures are Negative for Bacteria and Ova and Parasites. Diagnosis?
Rotavirus
Describe Characterisitcs of Norwalk Virus (Nora Virus)
SS RNA
Naked Icosahedral Capsid

-Can survive Freezing Temperatures and even Steaming.
-Cruise Ships
Newly Wed couple presents with Severe watery diarrhea and vomiting. Said they had just gotten back from their honeymoon on a cruise in the Bahammas. Diagnosis
Noravirus
Name the Virus that is commonly associated with Acute diarrhea and biliary tract disease in AIDS patients
CMV
General Characterisitics of E. Coli
Gram Neg Rod
Lactose Fermenter
Describe Enterohemorrhagic E. coli
-Common in Young Children
-Produces a Shigella Like Toxin
-SORBITOL NEG.
-Bloody Secretroy Diarrhea
-Assoc. with Hemolytic Uremic Syndrome
-Fecal Oral Transmission
-DO NOT TREAT WITH ABX
-Bacteria produces Fever, Diarrhea, cramps with 48 hrs
-Travelers Diarrhea
-Produces Secretory Non-bloody Diarrhea
Enterotoxigenic E. Coli

-Virulence: Heat Labile toxin produces cAMP.
-Heat Stabile toxin produces cGMP
Name the bacteria that causes mild watery diarrhea in Neonates and Young children. Produces a pedistal that blocks intestinal villi
Enteropathogenic E.coli
Describe Camplyobacter Jejuni
Gram Neg Curved Rods
Vibrio like organism with Flagella (Dart like movements)
"Gull winged"
Oxidase Positive
GROWS at 42 degrees Celcius!
-In contaminated Poultry, Milk, Water
-Produces Bloody Diarrhea
Name the Common Causes of Bloody Diarrhea
-Campylobacter
-Salmonella
-Shigella
-Enterohemorragic E coli
-Enamoeba Histolytica
-Balantidium Coli
-Curved Gram Neg Rod
-Non-sucrose fermenter
-Lactose Neg
-Found in Saltwater Fish and Shellfish
-TCBS will be Green
-Caused Gastroenteritis
Vibrio Parahaemolyticus
Bacteria infection similar to Campylobacter. Commonly from Non-Pasturized Dairy Products. Best Cultured from Swollen Mesenteric Lymph Nodes
Yersinia Enterocolitica
Hospitalized patient develops severe abdominal pain, diarrhea. Stool culture reveals postitive WBC's and Lymphocytes. Patient has been on large doses of Antibiotics.
Pseudomembranous Colitis
Describe Vibrio Cholerae
-Curved Gram Neg Rod with Polar Flagella.
-Oxidase Positive
-Lactose Fermenter
-Common in Gulf Coast Waters (contaminated water and seafood)
-Severe Secretory Diarrhea
-RICE water Stool
-Enterotoxin increases cAMP production.
-TCBS is YELLOW
Gram Neg Rod
Non Motile
Non-lactose fermenter
H2S negative
-Blood Diarrhea, Abdominal cramps and Fever
-Fecal Oral Transmission
Shigella
Most common Shigella bacteria in U.S.
Shigella Sonnei

Shigella Dysentery is most severe form
Describe Shigella Pathogenesis
-Invades the M cells.
-Usesplasmid antigen IPA to commendere actin and spread cell to cell laterally.
-Toxin cleaves 60s ribosomes and blocks fluid absorption in Colon
Describe Salmonella
Gram Neg Motile (salmon swim) Rod
Non-lactose Fermenter
H2S positive

-Ingested in food (chicken, eggs) and contaminated water.
-Common in Pet Reptiles!

-Causes Secretory Diarrhea
Pathogenesis of Salmonella Typhi
Contacts M cells and induces Rippling (salmon swimming) of the cell membrane. Alters electrolye homeostasis and spreads to regional lymph nodes.
bugs do not Gram stain well
-treponema ( too thin to be visualized)
-rickesttsia (intracellular parasite)
-mycobacteria (high-lipid-content cell wall requires acid-fast stain)
-mycoplasma ( no cell wall)
-legionella pneumophila (primarily intracelluar)
-chamydia (intracelluar parasite; lacks muramic acid in cell wall)
Giemsa
-borrelia
-plasmodium
-trypanosomes
-chlamydia
PAS (periodic acid-Schiff)
-stains glycogen
-used to diagnose Whipple's Disease tropheryma whippelii)
Ziehl-Neelsen
acid fast organisms
India Ink
cryptococcus neogormans
Silver Stain
-Fungi
-Legionella

ex. pneumocystis
Obilgate Aerobes
O2-dependent system to generate ATP

Nocardia

Pseudromonds

mycobacterium tuberculosis

bacillus

Nagging Pets Must Breathe
P. AERuginosa is an AERobe
Obilgate Anaerobes
-clostridium
-bacteroides
-actinomyces
-lack catalase and/or superoxide dusmutase
-susceptible to oxidative damage

Can't Breathe Air
-normal flora
-GI Tract
-AmnioO2glycosides
-ineffective against anaerbobes because the antibiotics require O2 to enter into bacterial cell.
Describe bacterial Transformation
The ability of one bacterial cell to take up DNA from the environment that came from a lysed bacterial cell

SHiN bacteria do this (S. pneumoniae, H. Influenzae, Neisseria)
Describe bacterial Transduction
A lytic phage infects a bacterium. Part of the bacterial DNA becomes packaged in the viral capsid. Phage infects another bacterium and transfers the original bacteriums genes
Describe bacterial Transposition
Segments of bacterial DNA "jump" from one location to another and transfer genes from plasmid to chromosome & vice versa
Which bacterium is Optochin sensitive, G+ & Catalse -?
S. Pneumoniae

Mneumonic: OVRPS
Which bacterium is described as having "tumbling motility"?
Listeria Monocytogenes

"If you OD on Listerine, you'll tumble around"
Which bacterium is suspected in most prosthetic device infections or catheter infections?
S. Epidermidis
Which bacterium is suspected in burn victims or intibated victims?
P. Aeruginosa

Think water connection & blue-green pigment
Which bacterium is suspected when sputum is described as "rusty"?
S. Pneumoniae

K. Pneumoniae would be described as "red currant jelly"
What are the suspicious signs of Rheumatic Fever? What causes Rheumatic Fever?
Signs: Subcutaneous plaques, Polyarthritis, Erythema marginatum, Chorea, Carditis

"No 'rheum' for SPECCulation"

Cause: Previous S. Pyogenes (group A strep) infection
Which bacterium is Bacitracin sensitive? What other diseases can develop from subsequent infection of this bug?
S. Pyogenes (group A strep)

Mneumonic: B-BRAS

Other diseases:
Scarlet Fever, Rheumatic Fever, Glomerulonephritis, Pharyngitis

Think: Scarlet PHever, Rheumatic PHever, GlomerulonePHritis, PHaryngitis
Which bugs are capable of producing spores?
B. Antrhacis, C. Perfingens, C. Tetani, B Cereus, C. Botulinum
Which bacterium would be suspected if you noted black painless ulcers on the pts. skin and subsequent flu-like symptoms which progressed to fever & pulmonary hemorrhage?
B. Anthracis - G+ spore-forming Rod

Black eschar = Black painless ulcer
Which bacterium would be suspected if a patient presented w/ no eyebrows, nasal collapse & lumpy earlobes?
What would be the treatment of choice?
M. Leprae (leprosy)
Infects skin & superficial nerves of the face

Treatment: Long-term oral Dapsone
Which bacteria are G- & lactose fermenting?
Citrobacter, Klebsiella, E. Coli, Enterobacter, Serratia

Mneumonic: macConKEE'S agar