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47 Cards in this Set

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Enterobacteriacae (Enteric Bacteria)
Most carried as normal flora (*exceptions indicated); infections are endogenous or exogenous: Differentiated based on IMViC series of tests
Escherichia coli & other intestinal GNB
#1 nosocomial pathogen; lactose-fermenting coliform indicator
UTI, wounds, septicemia, traveler’s diarrhea from food/water
Strain O157:H7*: infected cows, manure, water/food= Shiga exotoxin; results in bloody diarrhea, hemolytic uremic syndrome (HUS) and possible kidney failure and death (especially children)
Other enterobacteria are carried normally but may cause opportunistic infections, such as Proteus, Citrobacter, Enterobacter, Klebsiella, Serratia, etc.
Shigella
only carried by humans; causes bacillary dysentery and intestinal scarring

-associated with foodborne illnesses; cause fever due to lipid A endotoxin
-can be carried post-infection for a year or more; shed in feces
Salmonella
reservoir is Poultry; can lead to typhoid fever

-associated with foodborne illnesses; cause fever due to lipid A endotoxin

-can be carried post-infection for a year or more; shed in feces
Yersinia pestis
causes bubonic plague “Black Death” in 1400’s; rat flea vector
Yersinia enterocolitica
pseudoappendicitis in children
Pseudomonas aerugunosa
Environmental gram-negative bacilli; often nocosomial; very resistant
Produces green pyocyanin pigment; UV fluorescence; obligate aerobe (Oxidase+)
Causes dermatitis in burn patients; cystic fibrosis pneumonia; swimmer’s ear
Neisseria meningitides
upper respiratory; can lead to bacterial meningitis
Neisseria gonorrhoeae
“GC” (gonococcus); causes infant blindness; β-lactamase strains are resistant to penicillin; “superbug” due to emergence of strains that have increased resistance to antibiotics; increases suscept. to HIV
Haemophilus influenzae type b
ear infections; infant meningitis; Hib vaccine (capsule sugar conjugated to a protein); β-lactamase
Legionella pneumophila
Legionnaire’s disease; water/cooling systems
Bordetella pertussis
whooping cough; DTP vaccine
Gardnerella vaginalis
vaginosis; “clue cells
Vibrio
cholera dehydration and “ricewater” stools; toxin; saltwater seafood is reservoir
Helicobacter pylori:
causes ulcers; can survive low pH (urease)
Campylobacter
thermophilic stool pathogen; foodborne illness, especially in children
Borrelia burgdorferi
Lyme disease; serological testing; Ixodes deer tick vector
Treponema pallidum
syphilus; including congenital syphilus; 4 stages
Mycobacteria leprae
leprosy; leads to Hansen’s disease; peripheral nerve pathology
Mycobacteria tuberculosis
TB; M.avium-intracellularae complex (MAC)
Chlamydia
sexually transmitted; nongonococcal urethritis (NGU); trachoma
Rickettsia
Rocky Mountain spotted fever rash; vector is Dermacentor wood tick
Mycoplasma
lacks cell wall (peptidoglycan); primary atypical “walking” pneumonia
Listeria monocytogenes
psychrophile; causes stillbirth; unpast. dairy , processed meats
Corynebacterium
pleotrophic/palisades arrangement; most affect skin; pathogen is C.
Diptheriae
respiratory failure due to pseudomembrane formation; DTP vaccine
Lactobacillus
main urine culture contaminant; probiotic; L.acidophilus in yogurt
Propionobacterium
acnes skin anaerobe that causes acne; able to live off sebum and survive acidic pH; blood culture contaminant
Streptomyces
soil bacteria; nonpathogenic source for many antibiotics (i.e. Streptomycin)
Clostridium
anaerobic; terminal spores resemble tennis rackets
Clostridium tetanii
neurotoxin-tetanus; lockjaw; DTP vaccine (toxoid)
Clostridium botulinum
neurotoxin-foodborne; botulism; infant botulism; Botox
Clostridium perfringens
cytotoxin- gas gangrene in diabetics
Clostridium difficile
enterotoxin-antibiotic associated colitis; probiotic therapy
Clostridium tetanii
neurotoxin-tetanus; lockjaw; DTP vaccine (toxoid)
Clostridium botulinum
neurotoxin-foodborne; botulism; infant botulism; Botox
Clostridium perfringens
cytotoxin- gas gangrene in diabetics
Clostridium difficile
enterotoxin-antibiotic associated colitis; probiotic therapy
Staphylococcus aureus
.
Staphylococcus epidermidis
.
Staphylococcus saprophyticus
.
Streptococcus
Nonmotile; chain arrangements; facultative; Catalase-Neg; use peroxidase enzyme to inactivate toxic oxygen radicals
Streptococcus pyogenes
(Group A)-impetigo, pharyngitis, scarlet fever, necrotizing faciitis, bacitracin sensitivity; up to 80 types of surface protein M; capsule contains Hyaluronic acid; exotoxins can act as superantigens to stimulate the release of TNF and ultimately produce vascular injuries

-β-Hemolytic:
Streptococcus agalactiae
(Group B)-endogenous to human vagina, pharynx and large intestine; GBS (Group B strep) in pregnancy associated with neonatal meningitis; screened for in pregnant women in 3rd trimester

-β-Hemolytic:
Streptococcus pneumoniae
cause of 60-70% bacterial pneumonias; endogenous to nasopharynx in 5-50% pop.; meningitis; middle ear infections in children <2 yrs. old; Prevnar Vaccine

-α-Hemolytic
Streptococcus mutans
dental plaque; subacute bacterial endocarditis (SBE) assoc. with heart valve defects

-α-Hemolytic
Streptococcus enterococcus
(Group D)-enteric; nosocomial opportunistic pathogen, esp. VRE; affect UT, wounds, blood, endocardium and appendix.

-γ-Hemolytic