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GramNegBacteria
lecture 6 greenberg
Question | Answer |
---|---|
dysentery | diarrhea with blood and/or pus, usually accompanied by fever |
enterotoxin | toxin secreted into intestinal lumen that causes secretion of fluid into it |
septicemia | fever syndrome characterized by bacteria in bloodstream |
zoonosis | infectious dz that primarily affects animals but where humans can be accidental hosts |
accounts for > 90% of all UTIs especially in young women | E. coli |
type 1 pilin and P fimbriae | specific to E. coli and allow it to attach well to urothelium |
capsular antigen found on strains of E. coli causing neonatal meningitis | K1 antigen (capsular) |
E. coli heat-labile toxin is associated with what dz? | traveler's diarrhea through plasmid, much like cholera mechanism |
E. coli heat-stable toxin activates what intracellular enzyme? | guanylate cyclase, also fluid secretions causing diarrhea |
EHEC toxin aka ______, why? | Shiga-like toxin, causes bloody diarrhea like Shigella |
most famous strain of EHEC | O157:H7 |
Shiga toxin is ____lytic | cytolytic, destroyed intestinal epithelium leaks fluid and blood into stool |
four most common Shigella species that cause dysentery in humans | sonnei, flexneri, boydii and dysenteriae |
most common clinical manifestations of Salmonella enterica infection | enterocolitis, bacteremia with focal lesions and enteric fever |
Salmonella enterica is classified into its subgroups using what? | O-antigen serotyping -- groups A-D most affect humans |
Name the two Yersinia species that can mimic appendicitis | enterocolitica and pseudotuberculosis |
Yersinia and Salmonella both tend to reside and replicate within _______ | macrophages preferentially; they are intracellular pathogens |
cause of the bubonic plague | Yersinia pestis |
carrier for bubonic plague | rat flea carries from rat to rat then bites humans to infect them (zoonotic) |
striking physical exam finding of pt with bubonic plague | massive lymph node enlargement, possibly near point of rupture |
tell-tale method of identifying Yersinia just with Gram-staining and microscope | safety pin appearance, bipolar staining on Gram stain |
2 definitive tests for identifying Salmonella in lab | presence of hydrogen sulfide, oxidase negative |
causative agent/mechanism of cholera | Vibrio cholerae A/B toxin, causes buildup of cAMP, Gs can't turn off --> massive diarrhea |
Vibrio species that cause gastroenteritis syndrome | vulnificus and parahaemolyticus |
individuals who eat _______ are at higher risk for Vibrio gastroenteritis | raw shellfish |
natural habitat for Vibrio species | salt water |
natural habitat for Aeromonas | fresh water |
distinguishing feature of Aeromonas compared to other fermentative bacteria | oxidase + |
organism that grows preferentially at 42 deg Celsius (in bird GI tracts) | Campylobacter spp |
most important causative bacteria of bloody diarrhea in the US | Campylobacter jejuni |
most common cause of CAP in the immunocompromised (CF, HIV/AIDS) | Pseudomonas aeruginosa |
Pseudomonas' ability to live in tap water makes it successful at causing which infections? | swimmer's ear (otitis externa) cutaneous rash illness from being in hot tubs |
cause of wound infections in soldiers in Iraq | Acinetobacter calcoaceticus (baumanii) |
multiple drug-resistant oxidase positive GN coccobacillus that causes nosocomial pneumonia in ventilated pts | Acinetobacter calcoaceticus (baumanii) |
Moraxella catarrhalis is resistant largely to _______ | PCN |
factors absolutely required for Haemophilus growth on agar plates | increased CO2, heme and NAD |
Haemophilus ducreyi is an STD that causes | chancroids on genitalia |
3 toxins produced by Bordetella pertussis | pertussis toxin, adenylyl cyclase, tracheal cytotoxin |
2 species in Bordetella that cause whooping cough-like syndromes | B. parapertussis, B. bronchiseptica |
Brucella reaches humans how? | ingestion of food like unpasteurized cheese, zoonosis |
most common causative organism of meningitis in young adults or anyone in close quarters | Neisseria meningitidis |
2 common virulence factors of Neisseria gonorrhoae | pillin, lipooligosaccharide |
areas where anaerobes predominate | GI tract, mouth, skin, sweat glands, hair follicles |
Neisseria gonorrhoae ferments ______ for energy | glucose only |
Neisseria meningitidis ferments ______ for energy | maltose and glucose |