Bacteriology

Haemophilus

Gram (-) coccobacilli  Pleomorphic  Requires X and V factor  Facultative anaerobes   X V Porphyrin Others H. haemolyticus + + – Beta-hemolysis in Horse BAP H. aegypticus (Koch-Weeks Bacillus) + + – Pink-eye conjunctivitis; Brazilian Purpuric fever H. influenzae (Pfeiffer’s bacillus) + + – Virulence factor: Type B capsule, IgA protease, pili, LPS – has …

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Pasteurella

Gram (-)  Non-motile  Oxidase (+)  Ferments glucose  Most are susceptible to penicillin  Catalase (+) except P. bettyae and P.caballi  Reduce nitrate to nitrite P. multocida Disease association Focal soft tissue infection  Respiratory disease  Systemic disease LIVER CIRRHOSIS  risk factor for systemic disease Characteristic Gram Stain Coccobacilli; frequent bipolar staining BAP Convex, smooth, gray, nonhemolytic, some …

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Eikenella

  Eikenella corrodens Methylobacterium Normal flora of human + – Spectrum of Diseaseand Infections Human bite wound infection Bacteremia and peritonitis in patients undergoing chronicambulatory peritoneal dialysis Gram Staining Slender, medium lengthgram (-) straight rod with rounded ends. Short medium-lengthgram (-) bacillus vacuolated, pale staining, may resistdecolorization Colonial appearance and characteristic Medium: BA Hallmark characteristic: …

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Vibrio, Aeromonas, Chromobacterium

Vibrio  Motile (monotrichous) – SHOOTING STAR MOTILITY  Oxidase (+), except for V. metschnikovii  Halophilic except V. cholerae and V. mimicus  LOA = ++- 0129 Susceptible vs. Aeromonas (R) Vibrio cholerae  Agent of cholera  Hallmark: rice watery stools (caused by cholera toxin)  Somatic antigens – O1 & O139  Associated with V. cholerae envelope  Positive markers for …

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Pseudomonas, Burkholderia

P. aeruginosa Disease association Primary cause of pneumonia in Cystic Fibrosis patients.  Swimmer’s ears – contact lens infection  jacuzzi hot tub syndrome  erythema gangrenosum  Virulence Factor Exotoxin A – most important  Hemolysi ns  Pili  Alginate – mucoid  Pyocyanin – specific  Biofilm production Other Characteristic Appearance on BAP Spreading and flat; serrated edges, silver metallic sheen, …

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Enterobacteriaceae

Non-spore forming  Facultatively anaerobes  Glucose fermenters  Oxidase (-) (exc. Plesiomonas)  Catalase (+) (exc. Shigella dysenteriae)  Commensal flora except Salmonella, Shigella, Yersinia (true pathogen)  Nonencapsulated except (Klebsiella & Enterobacter) E. coli Primary marker for fecal contamination in water Disease Association Most common cause of nosocomial infections E. coli BIOTYPES Meningitis/sepsis-associated E. coli Infection Meningitis Virulence Factor …

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Nocardia, Rhodococcus

Gram (+) Branching Partially acid-fast Nocardia Characteristics Beaded appearance  Strictly aerobic  Presence of DAP  Produces Nocobactin – ironchelating compound  Urease (+) Disease association Cutaneous infection Actinomycotic mycetoma Nocardia brasiliensis – most common cause of cutaneous infection and actinomycotic mycetoma. Nocardia asteroides – causes pulmonary infection Organism Casein Hydrolysis Nocardia brasilisiensis + Nocardia asteroides – Rhodococcus …

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Gardnerella vaginalis

gram variable / gram (-) beta-hemolytic (HBT agar) / nonhemolytic (BAP) causes bacterial vaginosis Causes Bacterial Vaginosis  Gardnerella vaginalis  Prevotella spp.  Peptostreptococcus spp.  Porphyromonas spp.  Mobiluncus spp.  Mycoplasma hominis NUGENT SCORING SYSTEM – most accurate means of diagnosing bacterial vaginosis than culture NUGENT SCORING SYSTEM Lactobacillus morphotypes (boxy, gram (+) bacilli Gardnerella & Bacteroides (pleomorphic, …

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Erysipelothrix Rhusiopathiae

Gram (+) bacilli Catalase (-) Non-branching H2S (+) in TSI Erysipelothrix rhusiopathiae Disease Association Erysipeloid bacteremia cutaneous infection Colony Appearance on BAP Large, rough, or small, smooth and translucent Shows alpha-hemolysis after prolonged incubation Identification Test-tube brush-like pattern in gelatin stab culture.

Listeria, Corynebacterium

Gram (+) bacilli Catalase (+) Non-spore formin Non-branching Corynebacterium diphtheriae Virulence Factors Diptheria Toxin  blocks protein synthesis  causes demyelinating peripheral neuritis Bacteria is infected by lysogenic Betaphage TONSIL / PHARYNX – most common site of infection. Disease Association  Respiratory Diphtheria – development of pseudomembrane (gray to white) Cutaneous Diphtheria – non healing ulcers (dirty gray) …

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