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9 Cards in this Set
- Front
- Back
Lab test results for Shigella
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G- rod
Gas - H2S - NM Lac - TSI alk/acid citrate - lys - |
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what disease is caused by Shigella, and what are the symptoms?
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Bacillary Dysentery
cramping, abdominal pain, diarrhea w/ blood and mucous bacteria invade mucosal cells of distal ileum and colon, inflammation and ulceration occurs, but bact rarely penetrate wall or bloodstream 200> cause disease |
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What are the virulence factors of Shigella?
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Heat labile exotoxin (shiga neurotoxin) *S. dysenteriae*
B subunit binds, A subunit inhibits protein synthesis and alters the epithelial cells' ability to transport electrolytes, leading to fluid accumulation in intestine. also neurotoxin can result in convulsions/coma extrachomosomal "invasins" mediate intracellular spread of organism |
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What is shigellosis?
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disease with asymptomatic carriers, resides in the gall bladder and GI tract.
symptoms: fever, cramps, watery->mucous->bloody diarrhea spread by the 5 F's: fingers, flies, fomites, food, feces S. dysenteriae is severe, S. sonnei is mild Treat with fluids and ampicillin |
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How do you differentiate S. dystenteriae?
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mannitol -
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How do you differentiate S. flexneri?
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Raffinose delayed
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How do you differentiate S. boydii?
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mannitol +
orn - raffinose - |
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How do you differentiate S. sonnei?
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orn +
ONPG + |
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Describe Edwardsielleae
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found in nature, fish
Edwardsiella tarda H2S + causes gastroenteritis and wound infections |