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17 Cards in this Set

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General misc GNR

Contaminated food and water


Handling animals


Injury in water

Vibrionaceae General

Halophiles- require Na


BAP: med-lg, greenish, alpha/beta


MAC: NLF


Thiosulfate Bile Salt Sucrose- grn to yellow is positive


Gastroenteritis w/ severe diarrhea

Vibrio cholerae

Doesn't require Na


Serotype-01 = traditional cholera


Sero-0139=next pandemic


Sero-non-01= no tox gene, mild


Curved GNR


TCBS- yellow


Oxidase+


Motile


String pearls+


Vibrio disk =S


Ferment G, inositol -


*report to PH*


Vibrio parahemolyticus

Mild self-limiting gastro and wounds


24-48 hr aft consume


TCBS-grn

Vibrio vulnificus

MAC: LF!


Aquatic trauma cellulitis


Consume food septicemia-40-60% mortality

Vibrio alginolyticus

Least pathogenic


Fishermen and sailor ear and eye infections

Aeromonadaceae

Enteric and nonenteric


GNR


BAP: lg, wht/buff, translucent, smooth, mucoid?, beta?


NaCl-


Indole+, oxidase+


Ferment: glucose and inositol


Vibrio disk(R)


String pearls -


Trt: SXT, ciprofloxacin

Plesiomonas shigelloides

GNR


Fac. anaerobe


Motile


BAP: med-lg, shiny, opaque, gamma


MAC: delayed LF


Oxidase+


Ferments: glucose, inositol


Vibrio disk (S)


String pearls -


Self limiting gastroenteritis


Tropic water and cold blood animals


Trt: SXT, ciprofloxacin

Campylobacyer spp

C. Jejuni


Curved GNR (seagull wings)


Darting motility-wet mount


Campy BAP


Special sealed gas cultures-


Gray, mucoid, spreading, gamma


Stinky


Oxidase+, hippurate hydol+


Asaccharolytic


Zoonisis-livestock and pets


Transmission-handling and consumption


Self limiting gastroenteritis


N/V, fever, diarrhea


Wbc/RBC in stools


Guillane-barre


Trt: azrithromycin, erythromycin, ciprofloxacin


Heliobacter pylori

ID w non-culture methods


Microaerophic, co2


Sm, curved GNR


Motile


Oxidase+, urease+(Clo and breath)


Ag in stool/An in serum



Gastric ulcer, carcinoma


Fecal-oral-oral:water,kissing,zoonosis


Triple therapy: amox,macrol,proton pump inhibitor 7-14d



Legionella pneumophila

Pleiomorphic GNR-intracellular Macs


Fastidious- no on BAP, aerobic


CAP+cystein



BCYE: shiny, convex, gry/wht-blu/grn w granular


Motile


Assachrolytic


Oxidase weak +


Urine Ag, serum Ab


Transmit:aerosol -h/c water, chlorine


Legionnaires -febrile pneumonia


Pontiac fvr- no lung involvement


Trt: macrol(azrithromycin/eryth), fluoquinolone.

Bordetella spp

B. pertussis or para pertussis


Whooping cough (catarrhal, paroxysmal, convalescence)


Fastidious aerobe


Nonmotile


Oxidase+, catalase+


Capsule


PT


Bordet-gengou: tiny, translucent, hazy hemolysis


CHB: sm, silver, pearls


Trt:Erythromycin

Pasteurella multocida

GN coccobacilli- safety pin


BAP&CAP: gry, convex, mucoid?, gamma


MAC: no growth


Ferment glucose


Nonmotile


Oxidase+, catalase+


NF pets: bite, scratch, lick


Trt: penicillin

Francisella tularensis

*BSL3*V.infect*CDV*


Sm, GNR -facultative intracellular


Fastidious:


CAP: gry/wht, raise


Don't need x and v


Nonmotile


Oxidase -


Transmit: ticks, deerfly, rabbits, inhal


Disease: ulcer/buboe, pneumonic


Tularemia

Highly infectious person to person or aerosol. Potentially Hi mortality

Brucella

*BSL3*V.infect*CDC cat.B*


Sm, GNR -facultative intracellular


BAP&CAP: co2- smooth, gry, translucent


Brucella agar (3wks)


Nonmotile, no capsule


Oxidase+, catalase+, urease+(2hr)


Zoonosis-lab&vets


Food, abraded skin, inhalation


1.Acute: fever, headache, malaise


2. Subchronic: <1yr, undulant fvr


3. Chronic:>1yr, chronic fatigue, arthritis, depression


Trt: gentamycin, doxycycline

HACEK

Fastidious GNR, co2


NF oropharynx and urogenital


Endocarditis post dental work

Eikenella corrodens

Sm, GNR


CAP, x factor rqd, CO2, pit agar


Nonmotile


Oxidase+


Penicillin (S) or clindamycin, ceph


Oral NF- endocarditis post dental work