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Stack #56157

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Question
Answer
Haemophilus influenzae   small coco bacilli satelite growth around other colonies on BAP respiratory droplets spread infection  
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H. influenzae   encapsulated- life threatening meningitis, b serotype non-encapsulated- locaolized infections  
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Haemophilus ducrei   not normal flora STD- chanhroid ulcer, tropics look like school of fish on slide  
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Haemophilus aegyptius   eye infection long rods  
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Haemophilus   gram neg rods, pale pink, capnophiles(CO2) normal flora urinary tract  
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Special growth requirements   Hemin=factor X, NAD=factor V, nicotine adenine dinucleotide, temp & moisture sensitive, plate immediately  
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Pasteurella   gram negative small bacilli rods, non-motile, glucose fermentors  
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Pasteurella tests   oxidase, indole, urease positive  
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Pasteurella multocida   not normal flora, may be normal flora of animal handlers, infection from dog scratch/bite, treat with PCN  
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pasteurella tests   urease negative, grows well on BAP & Choc agar  
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Mannheimia haemolytica   grows well on BAP & Choc agar, indole & urease negative  
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Suttonella indologenes   rare eye infection  
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Bisgaerds taxonella   dog bite wound  
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CBC group EF-4a   bite wounds  
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Campyl, Arco & Heliobacter   small moitle curved rods, gram stain faintly pink, majority are pathogens  
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Campyl, Arco & Heliobacter   found in GI tract & reproductive tract of animals, poultry major source, majority are pathogens  
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Syndromes of Campyl & Arcobacter   febrile systemic disease-fever, periodontal disease, GI disease- most common, arco spp, does not multipy in food but may in water  
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C. jejuni   raw milk, undercooked poultry, contaminted waste  
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jejuni   AIDS pats can cause meningitis & endocarditis, post infection complication-Guillan-Barre syndrome  
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Specimen-Campyl, Arco & Heliobacter   fecal or blood, Cary-Blair medium 4 transport  
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Plate-Campyl, Arco & Heliobacter   skirrows agar, Campy agar, columbia agar w/lysed horse serum  
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Morph-Campyl, Arco & Heliobacter   seagull wing, direct exam  
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Helicobacter pylori   human stomach, biopsy, grows slowly  
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Test-Helicobacter pylori   urease, catalase & oxidase positive  
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Helicobacter pylori cont   treat with triple drug therapy, relapses occur, serodiagnostic tests  
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Legionnairres Disease   Legionella pneumophila, Phila 1976, fatal 10-20% casea  
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Morph-Legionnairres Disease   gram negative rod, stains faintly pink/red thin, giemsa or silver stain as backup  
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Cont-Legionnairres Disease   media must contain L-cysteine & a pH 6.9, need deep sputum specimen  
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Plate-Legionnairres Disease   BYCE-buffered charcoal yeast extract, w/polymixin B, anisomycin, cetamandole to fill any fungus  
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Location-Legionnairres Disease   found in lakes, rivers, marine water, moist soils; man made- AC ducts, cooling towers, humidifiers, hot tubs  
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Trans-Legionnairres Disease   not transmitted from person-2-person, can live outside the cell & in macrophages, needs a moist environment  
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Antigen-Legionnairres Disease   respiratory secretions, DFA-direct fluorecence antibody  
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BYCE_Legionnairres Disease   gray/white to blue/green; glistening convex, circular; cut-glass apperance  
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Treat-Legionnairres Disease   resistant to PCN; erythromycin first or bactrim, rifampin, zithromax  
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Bordetella pertussis   human only host, whooping cough; paratussi less severe, bronchiseptia-normal animal flora; is an abligate aerobe  
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Test-Bordetella pertussis   gram negative, faintly staining, enhance w/safranin O counterstain; coccibacilli-single or pairs; oxidase & urease positive; grows BAP &MAC; non-motile  
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Causes-Bordetella pertussis   human urt infections; attaches to respiratory ciliated epithelial cells-adhesins; paralyze beating cilia w/tracheal toxin; Pertussis Toxin  
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Catarrhal stage   cold symptoms for weeks  
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Paroxysmal stage   violent cough for 1-4 weeks  
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Convalescent stage   symptoms slowly decrease, 6 months post infection  
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Specimen-Bordetella pertussis   nasopharyngeal swab during cough or aspirates; DFA stain w/polyclonal AB  
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Treat-Bordetella pertussis   erythromycon  
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Prevent-Bordetella pertussis   vacine, need booster shot; DPT  
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