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220 Cards in this Set

  • Front
  • Back
Lactose formers
“CEEK”
Citrobacter
Enterobacter
E.Coli (K1 capsule most important)
Klebsiella
Non lactose formers
SHYPS”
Shigella
Yersinia enterolytica (AKA Pestis)
Proteus
Salmonella
May lack color
“These rascals may microscopically lack color”:
Treponema
Mycobacterium
Mycoplasma
Legionella
Chlamydia
increased cAMP
“CAPE”
Cholera
Anthracis (Poly D glutamate capsule)
Pertusis (via Gi)
E.coli (LT enterotoxin)
Have Capsules [ie… are Quellung Reaction (+)]
“Some killers have pretty nice capsules”
Strep. Pneumoniae
Klebsiella
HiB
Pseudamona Aeroginosa
Neisseria meningitis
Cryptococcus neoformans (only encapsulated fungal pathogen)
Dimorphic Fungi
"Can Also Have Both Shapes”
Cocciodes
Aspergillus
Histolpasma
Blastomyces
Sprothrix schenkii
Have Beta Prophage
OBED
O = Salmonella
B = Botulinum
E = Erythrogenic strep
D = Diptheria
Spore Forming Bacteria
Bacilus & Clostridium (have calcium di-picolinate)
IgA Proteases
Neisseria, Haemophilus, S. pneumoniae
Widal Test
Salmonella (Salmonella begins in the ileocecal region) agglutination indicates Abs to O, H, Vi Salmunella Ags
Wayson’s Stain
Yersinia
Pneumonic Plaque Transmission
Person to person cf w/ Bubonic plaque that was via infected flea
Splenectomy
Predisposes to septicemia
Invasins
Yersinia pseudotuberculosis
Fusiform
Vincent’s trench mouth
Strep viridans
Dextran mediated adherence
alpha hemolytic, no capsule, optochin resistant, not bile soluble

S. mutans: dental caries
S. sanguis: subacute endocarditis
Obligate Anaerobes
Clostridium, Actinomyces, Bacteroides
Obligate Aerobes
Pseudomonas & Mycobacterium
Staph aureus
A Protein, Catalase +/ Coagulase +
Spirochetes
Treponema, Borrelia, Leptospira
Non Motile Gram (+) Rods
Corenybacterium D & Nocardia
Acid Fast Organisms
Mycobacterium; Cryptosporidium; Nocardia (partially); Legionella micdadei; Isospora
Pigment Producing Bacteria
Serratia – red (can cause pseudohemoptysis)
Pseudomonas A – piocyanin blue/green
Staph Aureus – yellow – Protein A
Mycobacteria – photo/scoto chromogenic – caritinoid – yellow/orange
Corneybacterium D – black/gray – pseudomembrane plaque in throat
Bacteroides (Porphyromonas) melaninogenicus – black (heme)
E. coli – irredescent green sheen
Bacterial Morphology
Pneumococci – lancet shaped diplococci
Neisseria – kidney bean shaped diplococci
Camphylobacter – gulls’ wings/comas
Vibrio Cholera – coma shaped
Corneybacterium D – club shaped (nonmotile, G+Rod)
Yersinia – safety pin seen in Wayson’s stain
Inclusion Bodies
Rabies – Negri bodies – intracytoplasmic
Pox virus – Guarnieri – intracytoplasmic & acidophilic
CMV – Owl’s eyes – intracytoplasmic & intranuclear
HSV – Cowdry bodies – intranuclear
Schistosoma Japonicum Monsoni
Intestinal – contact w/ bad water
Schistosoma Haematolium
Vesicular – contact w/ bad water
Non Human Schistosom
Swimmer’s itch – contact w/ bad water
Clonorchichis
Chinese liver fluke – eating raw fish. Txt: Praziquantel
Fasciola Hepatica
Sheep – eating raw fish. Txt: Praziquantel
Fasciola Biski
Giant intestinal flukes – eating raw fish. Txt: Praziquantel
Paragonimus Westermani
Lung fluke – eating raw fish. Txt: Praziquantel
Oxidase (+)
Neiserria and most Gram (-)s
Micro Aerophilic
Camphylobacter & Helicobacter
Urease (+)
All Proteus – can cause Staghorn/Struvite calculi (NH4- Mg2- stones): alkaline urine
Ureaplasma
Campylobacter pylori (Helicobacter)
Cryptococcus
Nocardia
Coagulase (+)
Staph A & Yersenia pestis
Obligate Intracellular Bacteria
Treponema palidum & Pneumocystis Carinii (cannot be cultured on inert media but can be found extra cellularly in the body)
Haemophilus Factors
Haemophilus Factors
All cocci are
Gram (+) except for Neisseria & Moraxella
“Eaton Fried Eggs”
Mycoplasma pneumoniae has fried egg colonies on Eaton agar (needs cholesterol)
Mycoplasma
No cell wall. Membrane has cholesterol. Smallest living bacteria.
P1 protein inhs ciliary action
Fried egg colonies
Atypical pneumonia – young adults
Sabrands
Fungal media
Malassazia furfur
Spaghetti & meat ball
Measles’ 3C’s
Cough – Coryza – Conjunctivitis. Can also have photophobia
May lead to subacute Sclerosing Panencephalitis
Non Motile Bacilli & Clostridium
B. Anthracis & C. Perfringens
Bloody diarrhea agents
EIEC – EHEC – Shigella - Yersenia enterocolitica – Entaemeba histolytica – Salmonella – Campylobacter jejuni
YW-135CA
N. meningitidis vaccine capsualr polysaccharide strains
Indian Ink
Cryptococcus neoformans
Naegleria causes
Colonization in the nasal passages after swimming
Need Cysteine for growth
“Ella likes cysteine”:
Francisella
Brucella
Legionella
Pasturella
Osteoporosis
465. Heparin
466. Corticosteroids
Protozoa
89. Plasmodium; Toxoplasma ghondi; Babesin; Leishmania; Trypanosoma Cruzi
Obligate Non Intracellular Parasites
90. Treponema palidum & Pneumocystis Carinii (cannot be cultured on inert media but can be found extra cellularly in the body)
Endotoxins, G(+) or G(-)
Gram (-): N. meningitidis
Ecthyma Gangrenosum, seen w/
Pseudomonas aeroginosa. Target shaped skin lesions w/ a black center and red ring surrounding the lesion
Endospores G(+)
Gram (+): Bacillus & Clostridium – made up of dipicolinate & Keratin
Multi Brain Abscess
Nocardia
Single Brain Abscess
Actinomyces israelli
↑ risk for Strep pneum Infection
Asplenic; Sickle cell anemia; immunocompromising illness
α Hemolysis/Optochin Sensitive
Strep. Pneumoniae
α Hemolysis/Optochin Resistant
Strep. Viridans (Subacute Endocarditis)
Staph. Saprophyticus
Novobiocin Resistant (UTIs)
Staph. Epidermidis
Novobiocin sensitive (Endocarditis in IVDUs)
β Hemolysis/Bacitracin Sensitive
Strep. Pyogenes (pharyngitis; Scarlet fever; cellulitis; impetigo; Rheumatic fever))
Hyaluronic capsule; non-motile; M proteins; Endotoxin A
β Hemolysis/Bacitracin Resistant
Strep. Agalactiae (Diabetes predisposes to infection)
EFII Ribosylation
Diphtheria toxin & Pseudomonas exotoxon A
Bacillus Anthracis: 3 toxins
(work via adenylate cyclase)
Protective Antigen (PA)
Lethal Factor = toxic to macrophages
Edema Factor = ↑ cAMP
Woolsorter’s Disease
Bacillus anthracis. DOC: Penicillin
Grows in Rice
Bacillus Cereus
Clostridium Perfringens
Double Zone β Hemolysis (test)
Lecithinase: α toxin = lyses RBCs
80% of gas gangrene (myonecrosis) cases
Clostridium Difficile
2 Toxins: Enterotoxin (Exotoxin A) & Cytotoxin (Exotoxin B)
Pseudomembranous colitis (can be precipitated by clindamycin/ampicillin)
Spastic Paralysis toxin
Clostridium Tetani toxin
Clostridium Botulinum
Bad canned foods have neurotoxin = flaccid paralysis (block Ach release)
Infant Botulinum
Floppy Baby Syndrome. Pre formed toxin in honey
Thayer Martin Agar
Neisseria ID
DOC for N. gonorrhoeae
Ceftriazone
K1 E. Coli Capsular Ag
Related w/ neonateal meningitis
The A’s of Klebsiella
Alcoholics
Aspiration pneumonia
Abscesses in the lungs
Rice H2O Diarrhea
Vibrio Cholera: metabolic acidosis
Raw seafood intoxication
Vibrio parahemolyticus and Vibrio vulnificus
Helicobacter Txt
Bismuth salts; Metronidazole; Tetracycline (or amoxicillin)
↑ risk of P. aeroginosa infection
Burn patients & Cystic fibrosis
Contact lens’ infection
Pseudomonas aeroginosa
Cat Bites
Pasteurella multocida
Undulant Fever
Brucella
Bordet Gengou Agar
Bordetella pertusis ID
Lowenstein-Jensen medium
M. tuberculosis ID
Cat Scratch Disease
Bartonella henselae. Lesion can resemble Kaposi’s sarcoma.
Toxoplasmosis
Pink Eye
Adenovirus (type 8)
True Hemaphrodite
Testes & Ovaries are present
Pseudo Hemaphrodite
External genitalia does not coincide w/ gonads
Male Pseudo Hemaphrodite
Testicular Feminization
HLA Genes Location
6p
Parvovirus B19
Fifth Disease: Erythema Infectiosum (ssDNA). Linked w/ sicle cell anemia
Interferon MOA
Inhibits viral replication (translation or transcription)
Acute Hemorrhagic Conjunctivitis
Seen w/ infections from Enterovirus & Coxsackie A
Parainfluenza Causes…
Croup (Laryngotracheobronchitis)
Swimming Pool Conjunctivitis
Adenovirus (types 3 & 4)
RSV
Bronchiolitis in infants
Removed tonsils, find what virus
In 80%, Adenovirus. In the immunosuppressed, activation can occur
Bone Fever
Dengue: Group B Togavirus, from the Arbovirus, transmitted by mosquitos
HbsAg
Appears in blood soon after infection, before onset of acute illness
Disappears w/in 4-6 months after the start of clinical illness
HbeAg
Appears early acute phase, indicates higher risk of transmitting the disease
Disappears before HbsAg is gone
Anti-Hbc
1. Present in beginning of clinical illness
2. Seen in the “window phase”
Filamentous Bacteria
Actinomycetes = Nocardia; Actinomyces; Streptomyces
Listeria contaminates
Unpasteurized Milk, cheese, vegetables (coleslaw) in recent infections.

or by vaginal transmission during birth (granulomatosis infantiseptica)
Shiga like Toxin
E. Coli 0157/H7: Hemorrhagic colitis & Hemorrhagic uremic syndrome
Necrotizing Fasciitis
Group A Streptococci
Relapsing Fever
Borrelia recurrentis
Loffler’s Medium
Corneybacterium diphtheriae
Chlamydiae Developmental Cycle
1. Elementary Body: infeccious particle that Enters the cell
2. Reticulate Body: made from elementary body. Replicates, differentiates and releases elementary bodies to infect other cells
3. W/ infection you will see Glycogen containing inclusions
4. Cell wall lacks muramic acid
Trench Fever
Rochalimaea quintana
“Spotted Fever” Members
1. Rickettssia rickettsii (RMSF) & R. akari (rickettsial pox) in the U.S.
2. R. sibirica (tick typhus in China) & R. australis (typhus in Australia)
Thrush Txt
Nystatin txts candidiasis of the mouth
Rose Bush Thorns
Have Sporothrix schenckii
Contact lens solution infection
Acanthamoeba
Filiariasis Causant
Wucheria bancrofti (infection aka elephantitis & wucheriasis
Freshwater lake infection
Causes amebic meningoencephalitis due to Naegleria fowleri
Reduviid bug bite
Transmits Trypanoma cruzi (Chagas’ disease): Romana’s Sign
Schistosoma Haematobium causes
Bladder calcificaiton & cancer
Schistosoma Mansoni causes
Presinusoidal HTN, splenomagaly, esophageal varices
Snail, intermediate host of…
Schistosomiasis
Ixodes scapularis transmits
Babesia (clinically rembles malaria) & Borelia burgdorferi
Nantucket Protozoa
Babesia microt
Infection by Reduviid Bug
Trypansoma cruzi: Chagas’ Disease
Infection by TseTse Fly
Trypansoma brucei gambiense & rhodiense: African Sleeping Sickness
Infection by Sandfly
Leishmaniasis: Mucocutaneous Diseases by L. braziliensis & Visceral Disease by L. donovani & Dermal Leishman by L. tropica, mexicana, peruviana
Infection by Ixodes Tick
Babesia microti: Babesiosis & Borrelia burgdorferi: Lyme Disease
Infection by Anopheles Mosquito
Malaria
Trophozoites w/ “Face-Like” Appearance
Giardia lamblia
Nonseptate Hyphae
Zygomycosis: Rhizopus & Mucor. Only mycosis w/o septate. Infect Ketoacidotic Diabetics.
Histoplasmosis Geography
Ohio, Mississippi, Misouri River valleys
Coocidioidomycosis Geography
Southwestern deserts, California
Blastomycosis Geography
States east of Mississippi River
Paracoccidioidomycosis Geography
Latin America
Roseola Infection, aka
Exanthema Subitum: “Sixth Disease” (Human Herpes Virus-6 dsDNA, enveloped)
Herpangina
“Hand-Foot-and-Mouth” Disease: Coxsackie A (Picornavirus +ssRNA)
Orthomyxovirus
1. –ssRNA, enveloped virus.
2. Spike Glycoproteins (peplomeres): HA = Hemagluttinin & NA = Neuraminidase. These peplomeres are what give the virus antigenis variation
3. Influenza A & B
Paramyxovirus
1. –RNA, enveloped. Most common cause of respiratory infections in kids
2. Mumps
3. Croup(Parainfluenza virus)
4. Rubeola(Measles virus)
5. RSV
Togavirus
1. +ssRNA, enveloped
2. 3 Day Measles: German Measles: Rubella/ Rubivirus
3. Encephalitis viruses: Alphaviruses: Eastern (more severe) and Western Equine Encephalitis
Flaviviris
1. Dengue Fever – icterus & hemorrhage w/ blac vomit
2. Yellow fever
3. St. Louis Encephalitis – no hepatitis or hemorrhage
Bunyavirus
1. –ssRNA, enveloped
2. California Encephalitis – severe bifrontal headaches
3. Hantavirus – hemorrhagic fever w/ acute resp. distress syndrome
IgA Protease Activity
1. H. Influenzae (needs factors V & X for growth)
2. Strep. Pneumoniae
3. N. meningitidis
4. N. gonnorhoae
5. W/ this activity these bugs are able to colonize the oral mucosa.
Diphtheria: ABCDEFG
1. Adenopathy
2. β Prophage encodes the exotoxin
3. Corneybacteria is Club shaped
4. Diphtheria
5. Elongation Factor II
6. Granules (metachromatic)
Only ssDNA
Parvovirus: “Part of a virus”
Only dsRNA
Reovirus, “RepeatOvirus”
Naked RNA
“Naked for CPR”: Calcivirus; Picornovirus; Reovirus
2 circular DNAs
Papovavirus & Hepadnavirus
BK
Papovavirus. Seen in kidney transplant patients (causes renal disease)
Hepadna, Retrovirus?
No, but has reverse transcriptase
Picornovirus: “PERCH”
Poiliovirus; Echo; Rhino; Coxsackie; Hep A
Hemorrhagic Fevers
Filovirus & Bunyavirus (Hantavirus)
Segmented viruses
All are RNA: Orthomyxo; Arena; Bunya; Reo
Eclipse Phase
No internal virus. 1 total virus per cell
Latent Phase
No external virus. Extracellular virus found
Naked Capsid Virus
Nucleocapsid. DNA or RNA + Structural proteins
Enveloped Virus
Membrane. Nucleocapsid + Glycoprotein
Interferon
Non virus specific. Works by RNA endonuclease = digests viral DNA + inh viral prot synth
AIDS structural prots
Env: gp120, gp21
gag: p24 (capsid protein)
Pol: reverse transcriptase
AIDS regulatory prots
Tat, rev, nef
AIDS gp41 env prot
Transmembrane
AIDS gp120 env prot
Surface
AIDS p17 gag prot
Matrix
AIDS p24 gag prot
Capsid
AIDS p7p9 gag prot
Nucleocapsid
DNA Viruses
"HHAPPPPy" viruses

Herpes
Hepadna
Adeno
Parvo: SS (-)
Papilloma
polyoma
pox
(+) RNA Viruses
C= Calici
P= Picorno
R= Reo
F= Flavi
T= Toga
C= Corona
(-) RNA Viruses
F= Filo
O= Orthomyxo
R= Rhabdo
P= Paramyxo
A= Arena
B= Bunya
Hepatitis Window Period
After HbsAg disappears & Before HbsAb appears
Hepatitis A
Picorna
Hepatitis B
Hepadna
Hepatitis C
Flavi
Hepatitis D
Delta
Hepatitis E
Calici
Downey Type II cells
EBV
Infection by Aedes Mosquito
Yellow Fever: Flavivirus: Black vomit, jaundice, high fever
“Hot T-Bone stEAk”: ILs
IL1 = ↑ Temp: HOT
IL2 = stimulate T cells
IL3 = stimulate Bone Marrow stem cells’ growth & differentiation (GM CSF)
IL4 = stimulate IgE (& IgG)
IL5 = stimulate IgA (& eosinophils)
ILs Secreted by CD4s
IL2, IL4, IL5, IFN gamma
ILs Secreted by Macrophages
IL1 & TNF α
C5a
Neutral chemotaxis.
When it is w/ C3a, participates in anaphylaxis
C5 Convertase
When both Alternative and Classic pathways come together
Alternative: C3b, Bb, C3b + C3a → C5
Classic: 2b, 3b, C3a + C4b → C5
Only Richettssia not Intracellular
Quintana
Plasmodium Life Cycle
Sporozoites: from blood to liver
Primary tissue schizont
Trophozoites: in RBC
Erythrocytic schizont
Merozoite: ruptured RBC
Gametozyte
Zygote: inside the mosquito
Acanthamoeba
Star shaped cysts
Mucor, Rhizopus, Absidia
Nonseptate, filamentous, 90 degree branching, indian in, capsular halos
Cryptococcus Neoformans
Monomorphic
Candida
Yeast normally, pseudo & true hyphae in tissue infections
Aspergillus Fumigatum
45 degree branching point, asoc’d w/ cystic fibrosis & burns pt
Cocciodes
Hyphae in wild. Artroconidia. Arthocondida & Hyphae. Sherules w/ endospores
Histoplasma Cap
Hyphae in wild. Microcondida w/ tuberculate macrocondida. Fac intracellular. In the tissue it’s a yeast w/ a small neck.
Blastomycosis
Hyphae in wild
Sporothrix Schenkii
Hyphae in wild. Potas iodide in milk. Pneumonia in alcoholics.
PCP
Obligate parasite. Kills type I pneumo cells. Ground glass
Gram (-) Bugs w/ Exotoxins
E. Coli; V. Cholera; Bordetella Pertussis
Dermatophytes
Trichophyton: SHN
Microsporium: SH
Epidermophyton: SN
Tinea tavus: permanent hair loss
E. Histolitica
Transmission: Cysts
Diagnosis: Trophozoites or cysts in stool
Giardia
Transmission: Cysts
Diagnosis: Trophozoites or cysts in stool
Cryptosporidium
Transmission: Cysts
Diagnosis: acid fast oocysts
Balantium C.
Transmission: Cysts
Diagnosis: Trophozoites or cysts in stool
Trichomonas V.
Transmission: Trophozoites
Diagnosis: Motile trophozoites
Vivax
Fever: Benign 3 degrees
Fever spike: 48h
Enlarged host cell
Ovale
Fever: Benign 3 degrees
Fever spike: 48h
oval/jagged
Malariae
Fever: 4 degrees of Malarial
Fever spike: 72 irregular
Crescent
Falciparum
Fever: malignant 3 degrees
Only DNA virus to replicate in cytoplasm:
Pox
Only RNA virus to replicate in nucleus:
Influenza
The only protein capsule
Bacillus anthracis
Bordetella pertussis (whooping cough)
elicits lymphocytosis rather than granulocytosis
Cryptococcus neoformans
often lacks a capsule and, when stained with GMS, looks just like Pneumycistis carinii, except that Cryptococcus lacks the prominent nucleoli.
Weil Felix reaction:
(+)R. rickettssi & (+)Proteus vulgaris & P. mirabilis
Treponema pallidum (Syphilis) tests:
1)VDRL
2)FTA-Abs: most widely used
3)TPI (immobilization test – most expensive but the Gold Standard)
IL1
Source: Monocytes, macrophages
Function: Stimulates T cell proliferation & IL2 produciton
IL2
Source: Macrophages, T & NK cells
Function: Stim prolif of B, T & NK cell
IL3
Source: T cells
Function: GF of tissue mast cells & hematopoietic stem cells
IL4
Source: T cells
Function: ↑ growth of B & T cells/ ↑ HLA II Ags
IL5
Source: T cells
Function: Maturation of B → plasma cell
IL6
Source: T cells, monocytes
Function: Maturation of B & T cell/ (-) fibroblasts
IFN α
Source: B cells, macrophages
Function: Antiviral activity
IFN β
Source: Fibroblasts
Function: Antiviral activity
IFN gamma
Source: T & NK cells
Function: Antiviral activity, (+) macrophages, ↑ HLA II Ags