Bacteriology

Mycobacteria

Slender, rod-shaped (0.2- 0.6 um x 1- 10um in size)  Nonmotile; non-spore formers  Strictly aerobic  Increased CO2 – enhances growth RAPID GROWERS  Grows in simple media  Grows 2-3 days  20-40°C DISEASE-ASSOCIATED MYCOBACTERIA  Requires 2-6 weeks  Requires complex media  Has specific optimal temp. MTB COMPLEX  M. microti – TB in immunocompetent and compromised  M. africanum – …

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Anaerobic Organism

Gram positive SPORE-FORMING BACILLI Clostridium perfringens Clostridium botulinum Clostridium tetani Clostridium difficile Clostridium septicum Gram positive Bacilli Actinomyces spp. Propionibacterium spp. Bifidobacterium spp. Gram negative bacilli Bacteroides fragilis Porphyromonas spp. Prevotella spp. Fusobacterium spp. Gram negative cocci Veillonella spp Clostridium perfringens Virulence Factor Alpha & Beta toxins  Type A (mild)  Type C -food poisoning (enteritis …

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Neisseria And Moraxella

Gram (-) cocci Positive for Catalase Oxidase Superoxol (Neisseria) Glucose fermenters exc. For Moraxella (asaccharolytic) Gonorrhea Flow of seeds “Clap” – “clapoir” (French) – brothel Disease Association N. gonorrhoeae Leading cause of sexually transmitted disease always pathogenic; not a normal flora Opthlamia neonatorum N. meningitidis Leading cause of fatal bacterial meningitis Waterhouse friderichsen syndrome Endemic …

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Streptobacillus And Spirillum

  Streptobacillusmoniliformis Spirillum minus General characteristics 1. Requires blood, serum or ascite fluid in the mediumand incubation under CO22. Facultative, nonmotile anaerobe3. Highly pleomorphic Gram (-), helical, strictlyaerobic Disease Association Haverhill fever Ratbite fever (SODOKU) Lab diagnosis Blood Blood, exudate, orlymph node tissues Direct Detections Pus or exudates – stained with gram or giemsa stain …

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Francisella

Gram (-) coccobacilli  Strict aerobes  Urease (+) motility (-) oxidase (-)  MAJOR VIRULENCE FACTOR – CAPSULE Francisella spp. Disease association Tularemia – one of the most common lab acquired infection – Rabbit fever  Deer fly fever  Market men’s disease Laboratory diagnosis BSL Level 2 Pathogen Specimen: scrapings from infected ulcers  lymph node biopsies  sputum Whole …

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Bordetella

PERTUSSIS/ WHOOPING COUGH  Usually disease of children  Has 3 symptomatic stages  Catarrhal – mild cold; runny nose  Paroxysmal – vomiting and with “whooping”  Convalescent Lab Diagnosis Culture Most sensitive early in the illness Traditional diagnostic standard for pertussis May become undetectable by culture 2 weeks after start of paroxysms Nasopharyngeal aspirates or nasopharyngeal swab; Calcium …

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Brucella

Poorly stained by conventional gram stain Resembles fine grain of sand Requires erythritol Urease (+), catalase (+) Brucella Disease association Brucellosis-zoonosis, systemic infection Lab Diagnosis Blood (routine), Bone marrow (preferred), CSF, pleural, synovial, urine, abscesses, other tissues. Media and cultivation –  Brucella agar or infusion base-spx other than blood – 5% heated horse or rabbit …

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Legionella

Gram (-) fastidious bacilli Mesophilic (20-45°C) Obligate aerobe, motile Legionella pneumophila Disease Association Legionnaires Disease Pontiac Fever Wound abscesses encephalitis endocarditis Direct Directions 0.1% Fuchsin substituted for safranin in the gram stain Tissue sections use silver orgiemsa stains Media and Cultivation Two agar plates (atleast one BCYE)

Campylobacter, Helicobacter

Gram (-) bacilli Microaerophilic (5-10% O2)   Campylobacter Helicobacter Disease Association Most common cause of gastroenteritis WORLDWIDE 1. Febrile systemic disease 2. Periodontal disease 3. Gastroenteritis Postinfection complication: 1. Reactive arthritis 2. Guillain-Barre Syndrome H. pylori 1. Can cause peptic ulcer disease & gastric carcinoma,gastritis 2. Major cause of Type B gastritis Laboratory Diagnosis Blood, …

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Bartonella

Negative to  Catalase  Urease  Nitrate reductase  Oxidase  Facultatively intracellular bacterium  Multiply and persist in the RBCs  Angioproliferation, can inhibit endothelial cell apoptosis Organism Disease Association B. alsatica Human accidental host B. bacilliformis Carrion’s disease B. Quintana (former RochalimeaQuintana) Trench feverBacillary angiomatosis B. henselae 1° cause of cat-scratch diseasePeliosis hepatitis B. clarridgeiae Cat-scratch disease B. elizabethae …

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