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MedMicro 2006 UTHSCmed

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Question
Answer
Camp and Helico all   bacillus(curved, Microaerophilic, Oxidase +, Catalase +, NON-fermenting  
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Campylobacter jejuni shape   Bacillus (curved)  
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Campylobacter jejuni aerobicity   Microaerophilic  
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Campylobacter jejuni Oxidase +/- ?   Oxidase +  
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Campylobacter jejuni Catatlase +/- ?   Catalase +  
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Campylobacter jejuni fermeter?   Non-fermenting  
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Campylobacter jejuni motility   single flagellum  
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Campylobacter jejuni Temperature   32-42 C  
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Campylobacter jejuni virulence factors   adhesion, enterotoxin  
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Campylobacter jejuni pathophysiology   consumption of bad water or food; usually self-limiting  
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Campylobacter jejuni reservoir   birds and mammals  
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Campylobacter jejuni diseases   acute gastroenteritis/dysentery; guillan-barre syndrome (rare autoimmune peripheral demyeleniaton  
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Campylobacter jejuni Specimen   stool  
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Campylobacter jejuni lab diagnosis   Campy selective blood agar, 5% O2, thermophile, fastidious, slow  
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Campylobacter jejuni treatment   Ciprofloxacin (adults) and erythromycin (kids)--only in severe disease or to eliminate carrier state  
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Campylobacter jejuni prevention/control   Properly prepared food, pasteurization, sanitary water  
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Campylobacter jejuni NOTES:   Resistant to many antibiotics, similiar to Vibrios except non-halophilic  
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Campylobacter jejuni NOTES:   Peaks in Warm months, low stomack acid is risk  
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C. fetus Shape   Bacillus (curved)  
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C. fetus Aerobicity   Micoraerophilic  
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C. fetus Oxidase +/- ?   Oxidase +  
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C. fetus Catalase +/- ?   Catalase +  
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C. fetus fermeter?   NON-fermenting  
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C. fetus motility   single flagellum  
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C. fetus temperature   25-37 C  
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C. fetus virulence factors   capsule-like s protein  
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C. fetus pathophysiology   from GI tract to bloodstream  
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C. fetus reservoir   cattle and sheep  
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C. fetus Diseases   Systemic bacteremia  
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C. fetus specimen   blood  
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C. fetus NOTES:   infections are rare but often fatal; found in immunocompromised  
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Helicobacter pylori Shape   Bacillus (curved)  
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Helicobacter pylori Aerobicity   Microaerophilic  
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Helicobacter pylori Oxidase +/- ?   Oxidase +  
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Helicobacter pylori Catalase +/- ?   Catalse +  
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Helicobacter pylori fermeter   NON-fermenting  
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Helicobacter pylori motility   5-6 polar flagella  
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Helicobacter pylori temperature   35-42 C  
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Helicobacter pylori virulence factors   Urease, adhesion, LPS, micinase, phospholipase, VacA, acid inhibitory protein  
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Helicobacter pylori pathophysiology   Ingestion, invades mucus over gastric epithelium; Type I = vacuolating cytotoxin (VacA), duodenum  
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Helicobacter pylori Reservoir   humans  
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Helicobacter pylori Diseases   gastric and duodenal ulcers, gastritis; gstric adenocarcinoma and MALT B-cell lymphomas  
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Helicobacter pylori specimen   gastric or duodenal biopsy, breath test for urea  
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Helicobacter pylori lab diagnosis   blood antibodies, difficult to culture  
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Helicobacter pylori teatment   Metronidazole + tetracycline or amoxicillin; Pepto Bismol + omeprazole (H+ pump inhibitor)  
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Helicobacter pylori prevention/control   vaccine is being developed  
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Helicobacter pylori NOTES:   Group 1 carcinogen(cigarettes), Infiltration of lamina propria w/ PMN's  
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