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VVC Microbiology
Chapter 19 Pathogenic Gram Positive Bacteria
41
Microbiology
Undergraduate 2
05/12/2013

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Term
Characteristics of Gram Positive Bacteria
Definition
Stains Purple
has excessive layers of Peptidoclycan
low g + c
high g + c
Term
Low g + c gram positive bacteria
Definition
spheres - staphylococuss, streptococuss, enterococcus
Rod shaped - bacillus, clostridium, listeria
Pleomorphic - mycoplasmas (lack cell wall, stain pink)
Term
High g + c gram positive bacteria
Definition
Rod shaped - corynebacterium, mycobacterium, propionibacterium
Filmentous - Nocardia, Actinomycetes
Term
Staphylococcus
Definition
Staphylococcus
low g + c
gram positive cocci
faculative anaerobe(uses O2 or fermentation)
sphere shape
grape like clusters
salt tolerant - lives on skin
can synthesize catalase(hydrogen peroxide to H2O and O2)
Term
Pathogenic Staphylococcus
Definition
Staphylococcus defenses
Pathogenic Staphylococcus
evades phagocytosis
produces enzymes
produces toxins
S. aureus - more virulent, has protein A
S. epidermidis - opportunistic infections
Term
Staphylococcus defenses
Definition
Staphylococcus defenses
Protein A - inhibits opsonization, inhibits complement cascade
synthesize polysaccharide slime layer - inhibits chemotaxis and phagosytosis, facilitates attachment
Term
Staphylococcus Enzymes
Definition
Staphylococcus Enzymes
coagulase - triggers blood clotting
hyaluronidase - breaks down hyaluronic acid between cells
staphylokinase - dissolves blood clots freeing S. aureus
lipases - digest lipids allows attachment to skin
B-lactanase -breaks down penicillin
Term
Staphylococcus toxins
Definition
Staphylococcus toxins
cytotoxic toxins - alpha, beta, gamma, delta, disrupts cytoplasmic membranes
exfoliative toxins - interferes with desmosomes (attachment proteins)
toxic shock syndrome toxin - causes TSS
enterotoxins - symptoms of food poisiong
Term
Staphylococcus disease
Definition
Staphylococcus disease
noninvasive - food poinsoning
scalded skin syndrome - skin rash, blisters
impetigo - red patches on skin w/ pus, crusty
follicluitis - infection of hair follicle
Term
Staphylococcus systemic disease
Definition
Staphylococcus systemic disease
staph toxic shock syndrome(TSS)- wound or vagina absorbed in blood
bactermia - bacteria in blood affect organs
endocarditis - attack lining of heart
pneumonia - infection in lungs
osteomyelitis - infection in bones
Term
Streptococcus
Definition
Streptococcus
gram positive cocci
low g + c
facultative anaerobe
pairs or chains
has peroxidase
group A pyogenes
group B agalactiae
Term
Streptococcus pyogenes Group A components
Definition
Streptococcus pyogenes Group A components
protein M - destabilizes complement
hyaluronic acid capsule - camaflouged from wbs, avoids phagocytosis
Term
Streptococcus pyogenes Group A enzymes
Definition
Streptococcus pyogenes Group A enzymes
streptokinases - breaks blood clots
deoxyribonucleases - depolymerize DNA, reduces cell firmness
C5a peptidase - breaks up protein C5a
Term
Streptococcus pyogenes Group A Toxins
Definition
Streptococcus pyogenes Group A Toxins
pyrogenic toxin - stimulates leukocytes to release cytokines, stimulates rash/fever
streptolysis - membrane proteins lyse rbc, wbc, platelets, interferes with clotting
Term
Streptococcus pyogenes Group A diseases
Definition
Streptococcus pyogenes Group A diseases
pharyngitis - strep throat
scarlet fever - pharyngitis followed by rash on chest and body
TSS - toxic shock syndrome
necrotizing fasciitis - flesh eating
rheumatic fever - untreated pharyngitis affects heart antigens
glomerulophritis - antibodies bind to strep, accumulate in glomerulus(kidneys)
Term
Streptococcus Agalactae Group B
Definition
Streptococcus Agalactae Group B
Group specific cell wall antigens
Smaller zone of beta-hemolysis
Resistant to bacitracin
Term
Streptococcus Agalactae Group B pathogenicity
Definition
Streptococcus Agalactae Group B pathogenicity
infects newborns
causes neonatal bacteremia, meningitis, and pneumonia
identified by ELSA test and treated with penicillin
Term
Alpha hemolytic Streptococci
Definition
Alpha hemolytic Streptococci
Viridans Group
lack group specific carbohydrates
Hemolysis produces green pigment
grows in mouth, pharynx, GI tract, urinary tract
cause of dental plaque
Term
Streptococcus pneumoniae
Definition
Streptococcus pneumoniae
gram positive cocci
low g + c
forms unpigmented alpha hemolytic colonies
Term
Streptococcus pneumoniae pathogenicity
Definition
Streptococcus pneumoniae pathogenicity
**occurs from polysaccharide capsules
phosphorycholine - stimulates phagocytosis where they hide and travel
protein adhesin - binds to epithelial cells in pharynx
Secretes IgA protease - destroys IgA
pneumolysin - lyses epithelial cells
Term
Streptococcus pneumoniae diseases
Definition
Streptococcus pneumoniae diseases
pneumococcal pneumonia - 85% of cases, travels from pharynx to lungs
sinusitis/otitis media - upper resp. infection
bacteremia/endocarditis - strep enters blood travels to heart
pneumococcal meningitis - strep infect meminges
Term
Enterococcus
Definition
enterococcus faecalis and enterococcus faecium
gram positive cocci
low g + c
forms chains and pairs
opportunistic
lacks capsule
DOES NOT contain catalase
non hemolytic
have resistant plasmids
found in colon
Term
Bacillus
Definition
Bacillus
gram positive rod shaped
low g + c
nonmotile
bacilli singular, pairs, or chains
forms endospores
Term
Bacillus pathogenicity
Definition
Bacillus pathogenicity
contracted by inhalation of spores
spores in break on skin
ingestion of spores
Term
Bacillus disease
Definition
Bacillus disease
bacillus anthracis - only cause of anthrax
gastrointestinal anthrax - intestinal hemorrhages
cutaneous anthrax - produces ulcers, and eschar(black ulcer)
inhalation anthrax - inhaled toxins result in toxemia, high death rates
Term
Clostridium
Definition
Clostridium
gram positive rod shaped
low g + c
anaerobic
form spores
found in soil, water, and GI
Term
Clostridium perfringens
Definition
Clostridium perfringens
toxins cause irreversible tissue damage
food poisoning
gas gangrene - endospores germinate, causing necrosis
Term
Clostridium difficile
Definition
Clostridium difficile
common intestinal microbiota
opportunistic
causes explosive diarrhea
pseudomonas colitis- portions of colon fall off
Term
Clostridium botulinum
Definition
Clostridium botulinum
common in soil and water
anaerobic
produces botulism toxins affecting nuerotransmitters
Term
Clostridium botulinum disease
Definition
Clostridium botulinum disease
food borne botulism - can cause death from asphixiation
infant botulism - ingestion of endospores
wound botulism - contamination of wound by endospores
Term
Clostridium tetani
Definition
Clostridium tetani
gram positive bacilli
forms endospores
obligate anaerobic
produces tetanus toxins which contract muscles
treated with immunoglobulin and tetanus toxoid
Term
Listeria
Definition
Listeria
gram positive baccilli
low g + c
*lives inside cells (Listeriolysin O)
invades CSF
does not produce toxins
found in soil, water, mammals, birds, fish, insects
Term
Mycoplasmas
Definition
Mycoplasmas
gram positive pleomorph
lacks cell wall
stains pink!
low g + c
smallest free living organism
lack cytochromes(proteins in ETC)
have sterols in cytoplasmic membrane
can colonize mucous membranes of resp tract and urinary tract
Term
Mycoplasma pneumoniae
Definition
Mycoplasma pneumoniae
attaches to epithelial cells
causes walking pneumonia
Term
Mycoplasma hominis
Definition
Mycoplasma hominis
can cause PID
infects uterus and fallopian tubes
Term
Mycoplasma genitalium
Ureaplasma urealyticum
Definition
Mycoplasma genitalium
Ureaplasma urealyticum
causes inflammation of urethra
Term
Corynebacterium
Definition
Corynebacterium
gram positive rod shaped
high g + c
causes diptheriae - resp disease easily transmitted
diptheria toxin - causes endocytosis then kills the cell from the inside
Term
Myobacterium
Definition
Myobacterium
gram positive rod shaped
high g + c
cell wall has mycolic acid (waxy lipid)
slow intracellular growth
resistant to gram staining, detergents, many antimicrobial drugs
Term
Myobacterium diseases
Definition
Myobacterium diseases
tuberculosis - virulent resp disease, produces cord factors(connected daughter cells)
M. leprae - causes leprosy
tuberculoid leprosy - cell mediated, infected regions lose sensation
lepromatus leprosy - tissue loss on face and digits
Term
Propionibacterium
Definition
Propionibacterium
gram positive rod shaped
high g + c
propionibacterium acne- causes acne
Term
Nocardia and Actinomyces
Definition
Nocardia and Actinomyces
gram positive
high g + c
has fillaments
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