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Micro: Bacteria
Vertical
64
Medical
Professional
09/23/2010

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Cards

Term
Enteropathogenic Escherichia coli
Definition
  • Gram negative bacilli
  • Lactose fermentator
  • Watery diarrhea
  • Tir
  • Bundle-forming pili in EAF plasmid
  • A/E histopathology
Term
Enteroinvasive E. coli
Definition
  • Gram negative bacillus
  • Lactose fermenting
  • Inflammatory bloody diarrhea
  • Actin-tail mediated movement
  • Lysis of phagocytic vacuole and replication in cell cytoplasm
  • Large intestines
Term
Enterotoxigenc E. coli
Definition
  • Gram negative bacillus
  • Lactose fermenting
  • LT and ST toxin
  • Small intestine
  • Watery diarrhea
Term
Enteroaggregative E. coli
Definition
  • Gram negative bacillus
  • Lactose fermenting
  • Watery diarrhea
  • AAF I and II
  • Biofilm formation
Term
Enterohaemorrhagic E. coli
Definition
  • Gram negative bacillus
  • Lactose fermenting
  • Bloody diarrhea with no fever
  • Cannot ferment sorbitol
  • Undercooked hamburger
  • Haemolytic uremic syndrome (HUS)
  • SLT-1 and SLT-2
  • No antibiotics given
Term
Salmonella
Definition
  • Gram negative bacillus
  • Facultative intracellular: replicate in phagosome
  • H2S production
  • Type III secretion
  • SPI-1 and SPI-2
  • Can have bloody diarrhea
  • Metastatic infections: gallbladder is common reservoir
  • Typhoid fever
Term
Shigella
Definition
  • Gram negative bacillus
  • Non-motile
  • Facultative intracellular: replicate in cytoplasm
  • Actin-mediated cell-cell spread
  • Shiga toxin: bloody diarrhea
  • HUS
Term
Klebsiella pneumoniae
Definition
  • Gram negative bacillus
  • Lactose fermenting
  • Urease positive
  • Non-motile
  • Large capsule
  • Currant jelly sputum
  • UTI, septicemia, meningitis
Term
Proteus mirabilis
Definition
  • Gram negative bacillus
  • Urease positive: Stuvite stones
  • Swarming motility
  • H2S production
  • Weil-Felix reaction
  • Pneumonia, septicemia
Term
Yersinia enterolitica
Definition
  • Gram negative bacillus
  • Facultative intracellular
  • Urease positive
  • Facultative psychrophile
  • Pseudoappendicitis, arthritis in adults
  • Mesenteric adenitis
Term
Yersinia pestis
Definition
  • Gram negative bacillus
  • Urease positive
  • Non-motile
  • Bipolar staining
  • Transmission by flea bite, aerosol, direct contact
  • Bubonic and pneumonic plaque
Term
Campylobacter jejuni
Definition
  • Gram negative
  • Grow at 42dC but not 25dC
  • Associated with Guillian Barre syndrome and reactive arthritis
  • Transmission via fecal-oral or unpasturized milk
  • Watery, ill-smelling diarrhea preceding dysentery
Term
Campylobacter fetus
Definition
  • Gram negative S-shaped bacilli
  • Microaerophilic
  • Grows at 25dC but not 40dC
  • S protein inhibits C3b binding
  • Systemic infection common after gastroenteritis
Term
Helicobacter pylori
Definition
  • Gram negative
  • Spiral rod
  • Urease positive
  • Chronic gastritis predispose to gastric adenocarcinoma
  • Gastric mucosal-associated lymphoid tissue B cell lymphomas (MALT)
  • Check with C-14 labeled urea
Term
Vibrio cholerae
Definition
  • Gram negative comma-shaped
  • Oxidase positive
  • ADP-ribosylates Gs increases cAMP
  • Marine environment transmission by food (raw shellfish) or water contamination
  • O1 and O139
  • Rice-water stools
  • Cholera/AB5 toxin
Term
Haemophilus influenzae type B
Definition
  • Gram negative coccobacilli
  • Requires hematin (X) and NAD/NADP (V)
  • Capsule contains PRP (polyribosyl ribitol phosphate)
  • Epiglottitis, meningitis, otitis media, pharyngitis, pneumonia, sinusitis
Term
Haemophilus ducreyi
Definition
  • Gram negative coccobacillus
  • STD
  • Painful chancroid lesion
Term
Haemophilus aegyptius
Definition
  • Gram negative coccobacillus
  • Brazilian purpuric fever
  • Conjunctivitis
  • Fever, abdominal pain, vomitting
  • Treat w/ macrolide or quinolone
Term
Legionella pneumophilia
Definition
  • Gram negative slim pleomorphic bacillococci
  • Facultative intracellular
  • Oxidase negative
  • Fastidious - requires cysteine and iron
  • Aerosol point source transmission
  • Psychro-thermophile
  • Type II transmission
  • Coiling phagocytosis prevents phagolysosome fusion
  • Pontiac fever and Legionnaires' disease
Term
Bordetella pertussis
Definition
  • Gram negative
  • FHA/P69 Protein
  • ACT, TCT
  • No uninfected carrier
  • Pertussis toxin - S1 inactivates Gi
  • Catarrhal - highest spread
  • Paroxysmal - whooping cough paroxysms
  • Acellular vaccine
Term
Pseudomonas aeruginosa
Definition
  • Gram negative
  • Grape-like smell
  • Pyocyanin
  • Non-fermenter
  • Psychrothermophile
  • Can survive in distilled water
  • Opportunistic and nosocomial infection
  • Flower vase, contaminated water supply
  • Exotoxin A, S
  • Otitis externa
  • Keratitis
  • Septicemia - can develop ecthyma gangrenosum
  • Endocarditis
  • Resistant to many antibiotics
  • Treat with ticarcillin, piperacillin, cefepime, aminoglycosides
Term
Francisella tularensis
Definition
  • Gram negative
  • Facultative intracellular in phagolysosome
  • Oxidase negative
  • Transmission by arthropod bite, inhalation, or ingestion (esp. rabbits)
  • Presents with ulceroglandular, oculoglandular, typhoidal, pharyngeal, pneumonic
  • Treat with gentamycin, doxycycline, floroquinolone
Term
Brucella melitensis
Definition
  • Gram negative coccobacilli
  • Non-motile, catalase +, oxidase + urease +
  • Non-fermentator
  • Replicate inside phagolysosome
  • Undulant fever
  • Transmitted via inhalation and goat milk
  • Bacteria infect organs rich in erythritol, such as animal breast, uterus, epididymus, placenta
  • Shed in high amts in milk, urine and birth products
  • Osteomyelitis is most common complication
Term
Pasteurella multocida
Definition
  • Gram - bacillococci
  • Facultative anaerobe
  • Bipolar staining
  • Catalase + Oxidase +
  • Transmission by animal bite
  • Acute cellulitis treated with penicillin
Term
Moraxella catarrhalis
Definition
  • Gram - diplococci
  • Catalase + Oxidase +
  • NOT fastidious (as opposed to Neisseria)
  • Otitis media
  • Tracheobronchitis/Bronchopneumonia in pts with chronic pulmonary disease
  • 95% beta-lactamase producers
Term
Aeromonas hydrophilia
Definition
  • Gram - rod
  • Aquatic environment
  • Gastroenteritis, wound infection, sepsis
  • Transmission by ingestion/exposure to contaminated water/food
Term
Plesiomonas shigelloides
Definition
  • Gram - rods
  • Motile (as oppose to Shigella)
  • Aquatic reservoir
  • Inflammatory diarrhea
Term
Bartonella henselae
Definition
  • Gram - rod
  • Fastidious
  • Facultative intracellular
  • Cat Scratch disease - chronic regional lymphadenopathy
  • Bacillary angiomatosis - Proliferative vasculature in skin and lymph node or
  • Peliosis hepatis - liver or spleen
  • Subacute endocarditis
  • Treat with rifampin, azithromycin, quinolone
Term
Bartonella quintana
Definition
  • Gram negative rods
  • Undulant/Trench fever - recurrant 5 days
  • Transmission by body louse
  • Bacillary angiomatosis
  • Subacute endocarditis
  • Azithromycin, quinolone, doxycycline
Term
Bartonella bacilliformis
Definition
  • Gram negative
  • Transmission by sand fly
  • Oroya fever
  • Verruga
  • Bartonellosis
Term
Clostridium perfringens
Definition
  • Gram positive rods
  • Non-motile
  • Anaerobic but tolerant
  • Found in soil and native flora
  • α, β, θ Exotoxins
  • Endospore
  • Transmission by ingestion, traumatic entry, or inoculation of ischemic tissue
  • Cellulitis, gastroenteritis, enteritis necrotican (pig-bel), gas gangrene
  • Metronidazole
  • Type A - gastroenteritis; Type C - pig-bel
Term
Clostridium difficile
Definition
  • Gram positive rods
  • Produce endospores
  • Vegetative cells extremely sensitive to O2
  • Toxin A & Toxin B
  • Antibiotic mediated (CACA)
  • Self-limiting diarrhea and pseudomembranous colitis
  • Vancomycin and Metronidazole
Term
Clostridium tetani
Definition
  • Gram positive rods
  • Endospores: terminal spore (drumstick appearance)
  • Neurotoxin (Tetanospasmin)
  • GABA inactivation
  • Spastic paralysis (tetanus)
  • Lockjaw, risus sardonicus, opisthotonos
  • General, localised, cephalic, and neonatal forms
Term
Clostridium septicum
Definition
  • Gram positive rod
  • α toxin
  • Myonecrosis and neutopenic colitis
Term
Clostridium botulinum
Definition
  • Gram positive
  • Anaerobic
  • Highly resistant endospores
  • Group I - proteolytic, saccharolytic
  • Group II - nonproteolytic, saccharolytic
  • Neurotoxin (Botulinum toxin)
  • Zinc endopeptidase
  • Flaccid paralysis
  • Food botulism, wound botulism, infant botulism (from honey)
  • Gastric lavage + metronidazole or penicillin
Term
Clamydophila pneumoniae
Definition
  • No peptidoglycan
  • Strict intracellular
  • Human reservoir; no animal reservoirs
  • Atypical pneumonia
  • Associated with artherosclerosis
  • Transmission of EB by aerosol
Term
Bacteriodes fragilis
Definition
  • Gram negative anaerobe
  • Most common cause of anaerobic infections
  • Peritonitis, female genital tract, intra-abdominal abcess, bacteremia
  • Normal flora
  • Metronidazole (many beta-lactam resistant)
Term
Borrelia burgdorferi
Definition
  • Gram negative spirochete
  • Microaerophilic
  • Vector transmission by hard tick (Ixodes)
  • Erythema migrans/Bull's eye rash
  • Arthritis, cardiovascular dysfunction
  • Neurological signs: facial nerve palsy
  • Treat with doxycycline, cefuroxime, ceftriaxone, amoxicillin
Term
Prevotella melaninogenica
Definition
  • Gram negative anaerobe
  • Black colonies on blood agar
  • Transmission by human bite
  • Normal flora in mouth, upper alimentary tract, respiratory tract
  • Dental and sinus, pulmonary infections, abcesses
Term
Treponema pallidum pallidum
Definition
  • Gram negative spirochete
  • Special microscopy
  • Transplacental and direct sexual contact transmission
  • Primary phase : painless chancre
  • Secondary phase: Disseminated, rash, condyloma lata, gummas
  • Latent phase
  • Tertiary phase: CNS, aortitis, ascending aortic aneurysm
  • Jarisch-Herxheimer reaction
Term
Borrelia recurrentis
Definition
  • Gram negative spirochete
  • Microaerophilic
  • Humans-only host
  • Intracellular growth
  • Endemic louse-born
  • Single-relapse fever
Term
Borrelia hermsii
Definition
  • Gram negative spirochete
  • Microaerophilic
  • Soft tick transmission
  • Repeated relapse fever
Term
Leptospira interrogans
Definition
  • Gram negative spirochete
  • Obligate aerobe
  • Hooked end
  • Found in urine contaminated water or exposure to infected animals
  • Anicteric leptospirosis
  • Icteric leptospirosos: jaundice, hemorrhage, kidney failure, myocarditis
  • Treat with ceftriaxone, doxycycline
Term
Clamydia trachomatis
Definition
  • Gram negative-like
  • No peptidoglycan
  • Strictly intracellular
  • Serovars A-C trachomas lead to blindness
  • Serovars D-K lead to STD
  • Serovars L1-3 lead to LGV
  • EB and RB
Term
Clamydophila psittaci
Definition
  • No peptidoglycan
  • Strict intracellular
  • Bird reservoir (especially parrots)
  • Ornithosis
  • Atypical pneumonia
  • Transmission by bite or inhalation
Term
Staphylococcus aureus
Definition
  • Gram positive cocci
  • Catalase positive
  • Staphylokinase
  • Coagulase positive
  • Salt tolerant
  • Protein A, β-haemolytic
  • TSST-1
  • Exfoliative toxin - Scalded Skin Syndrome
  • Rapid acting food poisoning
  • Mainly skin infections
Term
Staphylococcus epidermis
Definition
  • Gram positive cocci
  • Catalase positive coagulase negative
  • Biofilm
  • UTI, catheter and shunt infections
Term
Staphylococcus saprophyticus
Definition
  • Gram positive cocci
  • Coagulase negative Catalase positive
  • Novobiocin resistant
  • Normal flora in lower urinary tract
  • Community acquired UTI
Term
Mycobacteria tuberculosis
Definition
  • Gram positive cytology
  • Mycolic acid outer membrane
  • Strongly acid-fast
  • Cord factor
  • Obligate aerobe
  • Produces Niacin, reduces nitrate
  • Facultative intracellular
  • Haemoptysis
  • Transmission by aerosol
  • Wall glycolipids
  • Langhan's giant cells and Ghon complex
  • Military dissemination
  • RIPES
Term
Mycobacterium leprae
Definition
  • Gram positive cytology
  • Aerobe, intracellular
  • Strongly acid-fast
  • Does not grow on media
  • Nasal secretion transmission
  • No niacin production
  • TL and LL
  • Rifampin and Dapsone
Term
Actinomyces israelii
Definition
  • Gram positive filament
  • Anaerobic
  • Sulphur granules
  • Normal flora -- endogenous
  • Cervicofacial, thoracic, abdominal abcess/infection, genital infection, CNS infection
  • Penicillin
Term
Nocardia asteroides
Definition
  • Gram positive filament
  • Aerobic
  • Weakly acid-fast
  • Aeral hyphae
  • Exogenous
  • Cord factor
  • Bronchopulmonary, cutaneous infections
  • CNS and kidney abcess
  • SMZ-TMP
Term
Mycoplasma pneumonia
Definition
  • No cell wall
  • Mulberry-like colonies
  • Obligate aerobe
  • Infect young adults 5-15yo
  • Cold agglutinin test positive
  • P1 protein
  • Atypical pneumonia (walking), tracheobronchitis
  • Otitis, Stevens-Johnson Syndrome
  • Doxycycline and azithromycin
Term
Mycoplasma hominis
Definition
  • No cell wall
  • Prefers aerobic conditions
  • Fried egg colony
  • PID, pyelonephritis
  • Doxycycline and floroquinolones
Term
Mycoplasma genitalium
Definition
  • No cell wall
  • Fried-egg colony
  • NGU
  • Doxycycline or quinolone
  • Prefers anaerobic growth
Term
Ureaplasma urealyticum
Definition
  • No cell wall
  • Urease positive
  • NGU, perinatal and postpartum sepsis
  • Urinary calculi, urethroprostatis, epididymitis
Term
Rickettsia rickettsii
Definition
  • Gram negavtive bacillococci
  • Obligate intracellular pathogen replicate in cytoplasm
  • Transmission by hard ticks, perpetuated by transovarian transmission
  • Infect endothelial cells
  • Hypovolemia, hypoproteinemia
  • RMSP: centripedal macular rash
  • Doxycycline
Term
Rickettsia akari
Definition
  • Gram negative bacillococci
  • Strict intracellular
  • Smallpox-like rash
  • Mite transmission
Term
Rickettsia prowazekii
Definition
  • Gram negative bacillococci
  • Obligate intracellular
  • Endemic typhus transmitted by louse
  • Human reservoir
  • Infect endothelial cells
  • Macular centrifugal rash
  • Treat with doxycycline
Term
Rickettsia typhi
Definition
  • Gram negative bacillococci
  • Flea transmission
  • Murine endemic typhus
Term
Ehrlichia chaffeensis
Definition
  • Gram negative cytology
  • No LPS/polysaccharide
  • Obligate intracellular pathogen of human monocyte
  • Elementary bodies and Reticulate bodies
  • Transmitted by Lone Star Tick
  • Immune system responsible for most damages
  • Late onset rash in 30-40%
  • Morula growth in phagosome prevent fusion with lysosome
Term
Anaplasma phagocytophilum
Definition
  • Gram negative cytology
  • No polysaccharide/LPS
  • Transmission by Ixodes tick
  • Obligate intracellular pathogen of myeloid precursors (neutrophils)
  • Late onset rash in >10%
  • Treat with doxycycline
Term
Coxiella burnetti
Definition
  • Gram negative pleomorphic bacillus
  • Small cell variant and Large Cell Variant
  • Transmission by inhalation or ingestion
  • Obligate intracellular replication in phagolysosome
  • Acute: Phase II antibody and atypical pneumonia, no rash
  • Chronic: Phase I and II antibody, subacute endocarditis
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