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Gram stain, characteristics

Gram positive, arranged in chains, non motile,non spore forming,non capsulated except Streptococcus pneumoniae which is capsulated

Catalase test

Negative

Classification according to

Hemolytic activity

Examples of hemolytic activity

ß hemolytic : Streptococcus pyogenes


Alpha hemolytic: Streptococcus varidans and Streptococcus pneumoniae

Streptococcus pyogenes classification

Lancefield group A (based on carbohydrate composition on cell wall)

Streptococcus pyogenes suppurative diseases( associated with presence of pus)-> specific diseases (caused only by it)

1- sore throat and follicular tonsllitis


2-scarlet fever

Streptococcus pyogenes suppurative diseases-> non specific diseases

1- Impetigo


2- Puerperal fever


3- Erysipelas

Streptococcus pyogenes non suppurative diseases (post Streptococcal sequel)

Rheumatic fever


Glomerulonephritis

Direct method of diagnosis

1- direct film: gram+ve cocci arranged in chains non non non


2-isolation-> n agar plate -> no growth, blood agar plate -> ß hemolysis

Biochemical test

Bacitracin sensitivity test: a bacitracin disc is put on a blood agar plate inoculated with the tested organism, a clear zone of inhibition is produced with Streptococcus pyogenes (GAS) that is sensitive while Streptococcus agalactiae (GBS) is resistant

Indirect method ( serological diagnosis)

Anti streptolysin 0 test (ASOT)


A type of neutralization reaction


User in diagnosis of Streptococcal complications by detecting the titer of antibodies firmed against streptolysin 0 toxin

A state of trance

Streptococcus viridans diseases

Sub acute bacterial endocarditis (SABE)

Streptococcus viridans examination

1- direct film -> gram +ve cocci arranged in long chains non non non


2-isolation -> n-agar: no growth , blood agar: alpha hemolytic


3-identification-> macroscopical, microscopical,motility, biochemical test

Biochemical tests

1-Optochin sensitivity test: an Optochin disc is put on a chocolate or blood agar plate inoculated with the organism, if sensitive-> clear zone , Streptococcus viridans is resistant with no zone of inhibition


2-bile solubility test: few drops of bile salt are added to broth culture and left for 15 mins. If m.o. is soluble then the initial turbid culture will become clear. Streptococcus viridans is insoluble showing turbid tube

Streptococcus pneumoniae diseases

Lobar pneumonia (n.b it is a facultative anearobe

Streptococcus pneumoniae diagnosis

1-Direct film: a-gram +ve cocci arranged in pairs (diplococci) non motile, non spore forming BUT CAPSULATED


b- Quellung reaction (capsule swelling test): One drop of anticapsular antibody is added to the film, and then one drop of Methylene blue is added-> capsule will be visible


2-isolation: n agar: no growth, blood agar: shows alpha hemolytic


3-identification: macroscopic, microscopic,motility:non motile, biochemical tests


Streptococcus pneumoniae biochemical tests

Optochin sensitivity test: sensitive; forming clear zone


Bile solubility test: soluble so tubr becomes clear