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42 Cards in this Set

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Aerobic gram-positive rod
Large, end-to-end rod chains; spores
Anthrax; bioterrorism
Bacillus anthracis
Aerobic gram-positive rod
Two forms: vegetative cell and spore
Food poisoning through toxins (not infection) produced prior to consumption
Bacillus cereus
Aerobic gram-positive rod
Food poisoning
Cells look like broken sticks
Transmission by respiratory droplets
diphtheria
Corynebacterium diphtheriae
Aerobic gram-positive rod
Can grow at wide range of temps
Food-borne infection
Listeria monocytogenes
Anaerobic spore-forming gram-positive rod
Neurotoxin production results in food poisoning/disease
Commonly isolated in soil and water
Spores contaminate food and produce neurotoxin in anaerobic conditions
Clostridium botulinum
Anaerobic spore-forming gram-positive “rod”
Characteristic tennis racket shape due to terminal endospore
Results from deep puncture wounds that are contaminated with spores which germinate and release toxins.
Spastic paralysis: Tetanus (lockjaw) is result of neurotoxin release
Clostridium tetani
Anaerobic spore-forming gram-positive rod
Not motile
Hemolytic and produces several toxins
Spores are important in spread; through open wounds and ingestion
Causes soft-tissue infections and infections
Clostridium perfringens
Aerobic spore-forming gram-positive rod
Associated with prior antibiotic use and chemotherapies that kill normal flora in the large intestine.
Clostridium difficile
Gram-positive cocci (clusters)
Coagulase-positive; mannitol fermentation-positive
Most pathogenic species of its genus
Transmitted by direct contact or fomites
Causes disease due to toxin production or through direct invasion and destruction of tissue
Staphylococcus aureus
Gram-positive cocci (clusters)
Coagulase-negative; mannitol fermentation-negative
Ubiquitous on human skin
Opportunistic; cause infections on implanted medical devices
Staphylococcus epidermidis
Gram-positive cocci (clusters)
Coagulase-negative; mannitol fermentation-positive
Novobiocin resistant
Common inhabitant of GI tract
Common cause of UTI’s
Staphylococcus saprophyticus
Gram-positive cocci (chains)
Beta-hemolytic; sensitive (not resistant) to bacitracin
“Group A”
Colonizes oropharynx
Transmitted by respiratory droplets
pharyngitis
Streptococcus pyogenes
Gram-positive cocci (chains)
Beta-hemolytic; CAMP positive, hippurate hydrolysis
“Group B”
Colonizes the gastrointestinal and genitourinary tracts
Transmission to neonates can occur in utero or at birth
Most common cause of meningitis, pneumonia and sepsis in neonates
Streptococcus agalactiae:
Gram-positive cocci (chains)
Alpha-hemolytic; Bile soluble, optochin (P disc) sensitive
Clinical specimens often appear as a lancet-shaped or bullet shaped diplococcus
Lung infections usually occur following diminished immunity (i.e. Viral infection)
Most common cause of typical pneumonia and meningitis
Streptococcus pneumoniae
Both are gram-positive cocci
Common cause of nosocomial (hospital acquired) infections
Usually alpha or non-hemolytic; catalase negative
Can be lancet/bullet shaped diplococci (but can survive in bile
Resistant to optochin
Enterococcus faecalis and
E. faecium
Gram-negative cocci
Kidney bean-shaped, oxidase positive diplococci
Produce lipooligosaccharide
Acid via oxidation of carbohydrate: glucose only
Requires chocolate or Thayer-Martin agar
Transmitted by sexual contact or through vaginal delivery
Neisseria gonorrhoeae
Gram-negative cocci
Kidney bean-shaped, oxidase positive diplococci
Produce lipooligosaccharide
Acid via oxidation of carbohydrate: glucose and maltose
Requires blood or chocolate agar
Transmission by respiratory droplets
Common cause of community-acquired meningitis
Neisseria meningitidis
Enteric gram-negative rod
Motile, ferments lactose and glucose, oxidase-negative
Normal flora in GI tract (but can cause serious infections if enters blood stream)
Infection via spread from rectum to urethra; ingestion
UTI, diarrhea
Escherichia coli
Enteric gram-negative rod
Motile, ferments glucose but not lactose, oxidase-negative, produce H2S gas
Infection from consumption
Large dosage required
Dysentery (frequent, mucousy stools)
Salmonella enterica
All enteric gam-negative rods
Causes typhoid fever/paratyphoid fever (enteric fever)
Lactose negative, motile, H2S positive
Infection following ingestion of contaminated food or water
Low numbers can cause infection
Salmonella typhi, Salmonella paratyphi A, Salmonella schottmuelleri (S. paratyphi B),
Salmonella hirschfeldii (S. paratyphi C)
Enteric gram-negative rods
Do not ferment lactose or produce H2S gas; not motile
Very few organisms needed to cause infection (100-200)
Outbreaks common in daycares or situations where fecal-oral spread is common
Dysentery, fever, diarrhea
Shigella sp.
Enteric gram-negative rods
Increased metabolic activity at low temps (4 degrees celsius) - important cause of food-borne disease
Ingestion of contaminated foods
Enterocolitis: diarrhea, fever and abdominal pain
Yersinia enterocolitica
Enteric gram-negative rods
Causative agent of cholera
Comma-shaped, oxidase positive
Associated with contaminated salt-water
Produces LPS
Infection via contaminated food (seafood); fecal-oral spread
Symptoms vary; asymptomatic to mild to severe diarrhea resulting in extreme dehydration
Vibrio cholerae
Enteric gram-negative rods (small comma, S or seagull shaped)
Motile, not able to ferment or oxidize carbohydrates
Requires special media, elevated temperatures, reduced O2, increased H2, and increased CO2.
Most common cause of bacterial gastroenteritis in US
Animals serve as resevoirs; ingestion of contaminated foods
Dysentery, diarrhea
Campylobacter sp.
Enteric gram-negative rods (spiral-shaped)
Motile through corkscrew motion
Do not ferment or oxidize carbohydrates
Adapted to survival in acidic environment of stomach
Common in developing countries
Transmission via fecal-oral route
Causes gastritis, gastric and duodenal ulcers and gastric adenocarcinoma
Helicobacter pylori
Enteric pleomorphic anaerobic gram-negative rods
Growth is stimulated by the addition of bile
Common cause of endogenous infection
Normal in most people, prevents invasion of pathogens and aids in digestion; infection usually associated with contamination of normally sterile tissues (peritoneum, lungs). GI surgeries are also common causes.
Bacteroides fragilis
Nonenteric gram-negative small, pleomorphic rods
Rapidly identified by latex agglutination
Does NOT grow on blood agar plates and requires the addition of X (hemin) and V (NAD) factors for growth- unless Staphylococcus aureus is also on plate
Will grow on chocolate agar plates
Commonly inhabit upper respiratory tract; transmission occurs through contact with respiratory secretions
Haemophilus influenzae
Nonenteric gram-negative, short coccobacilli in tissue (but pleomorphic on artificial media)
Requires cysteine and iron for growth
Aquatic saprophytes found in many environmental water sources
Can grow within an amoebae in the environment
Infections follow exposure to contaminated source
Pontiac fever and legionnaire’s disease
Legionella sp.
Nonenteric gram-negative; small, faintly staining coccobacillus
Requires cysteine for growth
Highly infectious; bioterrorism agent (10 organisms can result in an infection) - from tick bites or deer flies, inhalation while skinning, or ingestion
Tularemia; rabbit or muskrat fever; swollen lymph nodes and ulcers at infection site
Francisella tularensis
Nonenteric gram-negative coccobacillus
Requires complex media for growth and does not ferment carbohydrates
Strictly aerobic
Infection via ingestion of unpasteurized dairy products, or as bioweapon
Brucellosis: slow onset, periodic fevers
Can survive phagocytosis and is taxied to sleep, liver, bone marrow etc. by macrophages
Brucella sp.
Nontenteric gram-negative; small facultatively anaerobic coccobacilli
Grow well on blood and chocolate agar plates but poorly on media that are selective for Gram-negative rods
Commonly found in oropharynx of healthy animals and is associated with infections of dog and cat bites
Cellulitis and lymphadenitis following scratch or bite
Pasteurella multocida
Nonenteric gram-negative; facultatively anaerobic rod that produces a protein capsule
Giemsa stained aspirates of buboes contain bacteria with bipolar staining (safety-pin)
Bioweapons agent
Highly infections cause of plague; flea bites and person to person through respiratory droplets from patient with pneumonic plague
Bubonic and pneumonic plague
Yersinia pestis
Nonenteric gram-negative rod
Causes rocky mountain spotted fever
Intracellular parasite which uses the host’s ATP
Microimmunofluorescence is now used to detect antibodies against [this pathogen]
Transmitted by hard ticks
High fever, headache, myalgia and rash
Rickettsia rickettsii
Nonenteric gram-negative rods
Strictly aerobic; non-fermenting
Grows on all laboratory media and on media selective for gram-negative rods but is lactose negative.
Produce grape-like aroma
Lives in aquatic environments; commonly found on surface of hospital objects
Infection usually happens when the patients innate and adaptive immune response is compromised
Pseudomonas aeruginosa
Nonenteric gram-negative encapsulated rods
Able to ferment lactose on MacConkey agar
Occurs in individuals with compromised immune systems and resulting infections are usually endogenous
Causes Pneumonia and UTI’s
Klebsiella pneumoniae
Does not gram-stain but cell wall structure is similar to gram-negative organisms
Cell wall lacks peptidoglycan
Produce elementary and reticulate bodies
Energy parasites (cannot produce own ATP)
Transmission by direct contact.
Eye infections and genital infections
Chlamydia trachomatis
Does not gram-stain but cell wall structure is similar to gram-negative organisms
Cell wall lacks peptidoglycan
Produce elementary and reticulate bodies
Energy parasites (Cannot produce own ATP)
Transmitted by respiratory droplets
Respiratory diseases: sinusitis, bronchitis etc.
Chlamydophila pneumoniae
Weakly staining spirochetes that are usually stained with Giemsa or Wright stain rather than by Gram’s stain
Causative agent of Lyme disease
Transmitted via tick bites
Borrelia burgdorferi
Spirochetes that have cell walls similar to gram-negative bacteria but are too thin to visualize with light microscopy following gram-staining
Causative agent of syphilis
Transmitted by person/person sexual contact
Can result in chronic infection with several stages
Treponema pallidum
Unique in that it does NOT have a cell wall. They stabilize their one and only cell membrane with sterols; they are the smallest free-living bacteria
Acquire sterols from host
Divide by binary fission
Human pathogen that is transmitted via infectious aerosols
Most common cause of atypical or walking pneumonia
Mycoplasma pneumoniae
Have cell walls that are similar to Gram-positive bacteria but - bc of high levels of long chin mycolic acids and high lipid content of the cell wall - they are usually resistant to Gram staining
Rod shaped, require acid-fast stain (acid-fast positive)
See colonies on Lowenstein-jensen agar (specialized media)
Causes tuberculosis; respiratory aerosols transmit
Mycobacterium tuberculosis