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30 Cards in this Set

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  • Back
Genus Bacillus characteristics
gram-positive
endospore
motile rods
aerobic
catalase positive
primary habitat soil
Bacillus anthracis
virulence factors: capsule and exotoxins
3 types: cutaneous, pulmonary, gastrointestinal
treated with penicillin or tetracycline
Biological warfare threat 2001
Dead live stock decontaminated before burial to prevent soil contamination
Bacillus cereus
airborne and dustborne
grows in foods, spores survive cooking
ingestion of toxin-containing food causes nausea, vomiting, abdominal cramps, and diarrhea for 24 hours
no treatment
spores abundant in environment
Genus Clostridium characteristics
gram-positive spore-forming rods
anaerobic and catalase negative
120 species
spores produced only under anaerobic conditions
synthesize organic acids and alcohols
cause wound and tissue infections and food intoxications
Clostridium perfringens
causes gas gangrene
2nd most common cause of food poisoning
several virulence factors (toxins, collagenase, hyaluronidase, and DNase)
Clostridium difficile
normal resident of colong, low in numbers
causes ANTIBIOTIC-ASSOCIATED COLITIS
treatment with broad-spec antiobiotics kills the other bacteria, allowing C. difficile to grow
produces enterotoxins that damage intestine
major cause of diarrhea in hospitals
Clostridium tetani
common resident of soil & GI tracts of animals
causes tetanus or lockjaw
spores usually enter through accidental puncture wounds, burns, umbilical stumps, frostbite, and crushed body parts
tetanospasmin neurotoxin causes paralysis
vaccine booster every 10 years
Clostridium botulinum
Food poisoning: spores are in soil, may contaminate vegetables, improper canning does not kill spores, they germinate in the can and produce botulinum toxin which causes paralysis by preventing release of acetylcholine
infant botulism: caused by ingested spores that germinate in the body and release toxin
wound botulism: spores enter wound and cause food poisoning symptoms
Lysteria monocytogenes
non-spore forming gram-positive
coccobacilli to long filaments
1-4 flagella, no capsules
resistant to cold, heat, salt, pH extremes and bile
primary reservoir in soil and water
can contaminate foods and grow during refrigeration
most cases are from contaminated diary products, poultry and meat
disease is often mild/subclinical (fever, diarrhea)
listerosis in immunocompromised patients, fetuses, and neonates affects brain and meninges (20% death rate)
ampicillin & trimethoprimsulfamethoxazole
prevention: pasteurization and cooking
Erysipelithrix rhusiopathiae
gram-positive rod widely distributed in animals and environment
primary reservoir: tonsils of healthy pigs
enters through skin abrasion, multiplies to produce erysipeloid, dark red lesions
treated with penicillin or erythromycin
vaccine for pigs
Corynbacterium diptheriae
gram-positive irregular bacilli
catalase positive
possess mycolic acids and a uniquie type of peptidoglycan
2 stages of disease: local infection (upper respiratory tract) and diptherotoxin production and toxemia
pseudomembrane formation can cause asphyxiation
diptheria: most cases are in children aged 1-10 in crowded settings, vaccine readily available
Propionibacterium acnes
gram-positive rods
aerotolerant or anaerobic
non-toxigenic
common resident of sebaceous glands: causes acne
Genus Mycobacteria characteristics
gram-positive irregular bacilli
acid-fast staining
strict aerobes, catalase positive
prsses mycolic acid and a unique type of peptidoglycan
do not form capsules, flagella or spores
grow slowly
Mycobacterium tuberculosis
contain complex waxes and other substances that prevent destruction by lysosomes or macrophages
transmitted by airborne respiratory droplets
only 5% of infected people develop clinical disease
diagnosis: tuberculin testing, x rays, direct identification of acid-fast bacilli in specimen, and cultural isolation and biochemical testing
treatment: 6-24 months of at least 2 drugs from a list of 11, vaccine success rate 80% in children, 20-50% in adults
Mycobacterium leprae
Hansen's bacillus
strict parasite: has not been grown on artificial media or tissue culture
slowest growing of all species
multiplies with host cells in large packets called globi
causes leprosy (chronic disease that begins in the skin and mucous membranes and progresses into nerves)
endemic regions throughout the world
spread through direct inoculation from leprotics
2 forms: tuberculoid and lepromatous
treatment by long-term combined therapy
Actinomycetes
genera Actinomyces and Nocardia are nonmotile filamentous bacteria related to mycobacteria
may cause chronic infection of the skin and soft tissues
Actinomycetes species is responsible for diseases of the oral cavity and intestines
Nocardia brasiliensis causes pulmonary disease similar to TB
Genus Staphylococci characteristics
spherical cells arranged in clusters
gram-positive
common inhabitant of the skin and mucous membranes
lack spores and flagella
may have capsules
numerous species
Staphylcoccus aureus
grows in large, round, opaque colonies
optimum temperature of 37C
present in most environments frequented by humans
readily isolated from fomites
carriage rate for healthy adults i 20-60%
carriage is most in anterior nares, skin, nasopharynx, intestine
facultative anaerobe
withstands high salt, extremes in pH, and high temperatures
produces many virulence factors
Enymes: coagulase, hyaluronidase, staphylokinase, DNase, lipases, penicillinase
Toxins: hemolysins, leukocidin, enterotoxins, exfoliative toxin, toxic shock syndrome toxin
Disease: localized (abscess, folliculitis, furuncle, carbuncle, inpetigo), systemic (osteomyelitis, bacteremia) toxigenic disease (food intoxication, scalded skin syndrome, toxic shock syndrome)
Staphylcoccus epidermidis
lives on skin and mucous membranes and causes endocarditis, bacteremia, and UTI
Staphlycoccus hominis
lives around apocine sweat glands
Staphlycoccus capitis
lives on scalp, face, and external ear
Staphlycoccus saprophyticus
infrequently lives on skin, intestine, vagina and causes UTI
Genus Streptococci characteristics
gram-positive spherical/ovoid cocci arranged in long chains
non-spore forming, non-motile
can form capsules and slime layers
facultative anaerobes
catalase negative, peroxidase positive
most parasitic forms are fastidious and require enriched media
small, nonpigmented colonies
sensitive to dryin , heat, and disinfectants
numerous species
Streptococci classification
Lancefield classification system: based on cell wall (a, b, c...)
another classification based on hemolysis reactions
b-hemolysis - A, B, C, G, & some D
a-hemolysis - S. pheumoniae and others collectively called viridans
beta-hemolytic Streptococcus pyogenes
group A, most serious streptococcal pathogen
strict parasite: inhabits throat, nasopharynx, and occasionally skin
produced C-carbohydrates, M-protein (fimbrae), streptokinase, hyaluronidase, DNase, hemolysins, pyogenic toxin
Humans only reservoir
transmission through contact, droplets, food, fomites
skin infections: pyoderma, impetigo, erysipelas
systemic infections: strep throat, pharyngitis, scarlet fever
sequelae: rheumatic fever, glomerulonephritis
toxic sequelae to strep throat
Streptococcus agalactiae
regularly resides in human vagina, pharynx, and large intestine
can be transferred to infant during delivery and cause sever infection
most prevalent cause of neonatal pneumonia, sepsis, and meningitis
15,000 infections and 5,000 deaths in US
pregnant women should be screened and treated
wound and skin infections and endocarditis in debilitated people
Enterococcus faecalis
Enterococcus faecium
normal colonists of human large intestine
cause opportunistic urinary, wound, and skin infections, particularly in debilitated people
enterococcus genus related to streptococci and so studied together
Viridans group
a-hemolytic, large complex group
most numerous and widespread residents of the oral cavity and also found in nasopharynx, genital tract, and skin
not very invasive but dental or surgical procedures facilitate entrance
bacteremia, meningitis, abdominal infection, tooth abscesses
most serious infection: subacute endocarditis (blood-borne bacteria settle and grow on heat lining or valves
persons with preexisting heart disease are at high risk and receive prophylactic antibiotics before surgery or dental procedures
Streptococcus mutans
produces slime layers that adhere to teeth, basis for plaque involved in dental caries (cavities)
Streptococcus pneumoniae
causes 60-70% of all bacterial pneumonias
arranged in pairs and short chains
culture requires blood or chocolate agar
growth improved by 5-10% CO2
lack catalase and peroxidase (cultures dies in O2)
all pathogenic strains form large capsules (major virulence factor)
causes pneumonia and otitis media
vaccine available for high risk people
5-50% of all people carry it as normal flora in pharynx
very delicate, doesn't survive long outside of its habitat
pneumonia occurs when cells are aspirated into the lungs of susceptible individuals
pneumoccci multiply and induce and overwhelming inflammatory response
treated with penicillin