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Micro Gram Negative non-enterobacterial rods
Micro-gram negative rods DO-2013 IDIT
16
Medical
Professional
02/12/2010

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Term
Pseudomonas Gen. Features
Definition
Like water.
Semi-obligate aerobes >grow w/o O2 if N present to accept e-.
Opportunistic
Term
P. aeruginosa's pigments
Definition
Pyocyanin, fluorescin. Grape smell.
Term
Pseudomonas Virulance Factors I
Definition
1. Pili . Adherence to resp. epithelium
2. Poly-sacch. capsule, anti-phagocytotic. Helps attach to trach of CF pts.
3. Exotoxin A: in most clinical isolates. blocks protein synthesis like diptheria
Term
Pseudomonas Virulence Factors II
Definition
4. Exoenzyme S >Ribosylates Ras > cytoskeleton collapse
5. Cytotoxin: Bacterial complement
6. Extracellular proteases, elastase and alkaline protease. > Spread infection/degrade c'.
7. Phospholipase: breakes down cell membranes.
8. Endotoxin >Fever, shock, etc.
Term
Vibrionaceae Gen. Features
Definition
1 flagellum. Facultative, oxidase positive, alkalinophilic
Term
Vibrio strains
Definition
2 biggest:
cholerae
parahaemolyticus.

Other sp. cause wound infections.
Term
Vibrio Gen features II
Definition
weakly virulent. Prevalent around Ganges, approx 10 cases/yr in US d/t undercooked shellfish.
Term
Cholera disease features
Definition
"Rice water" diarrhea (flecks of mucus). No blood or shed cells.
Non-invasive, stays in GI lumen

A-subunit of enterotoxin adp-ribosylates GProtein > increased cAMP, >>>ion xport and water secretion
Term
Vibrio Cholera Pathophys
Definition
Massive fluid and electrolyte loss= Hypovolemic shock or metabolic acidosis.
Term
V. parahaemolyicus
Definition
Halophilic>live in estuaries. Catch from undercooked oysters/sashimi. 5-92 hr. incubation.
EXPLOSIVE, watery diarrhea.
Kanawaga hemolysin.
Term
V. Vulnificus
Definition
Highly virulent. Wound infections s/p exposure to contaminated Seawater. OR: septicemia s/p raw oysters.
50% mortality if ABX delayed.
Liver dz predisposes to sepsis
Term
Campylobacter Gen Features
Definition
Gram Neg
Very Motile
Comma shaped
Likes reduced O2.
Major cause of diarrhea. Causes more GI dz than Salmonella and Shigella combined.
Term
Campylobacter Dz features
Definition
Dogs, cats, and food animals have a lot of it.
Get from contaminated meat, milk, water.

Bloody, muco-purulent diarrhea (SI and colon), fever, and abd cramps. a week long.
Term
Campylobacter fetus
Definition
bacteremia in compromised hosts
Term
Helicobacter pylori Gen features
Definition
Ulcers of stomach and duodenum.
Gram negative, very motile, oxidase positive. Curved (who cares?)
Urease (helps manage low pH)
Non-invasive.
Exotoxin (vacuolating).
Type IV injection of proteins into host cells= increased IL8 (Increased inflammation) >damage
Term
Tx: of Helicobacter
Definition
Multi-Abx tx:mixed efficacy.
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