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DIT Gram negative
supplement
Question | Answer |
---|---|
urethritis, cervicitis, PID, epididymis | Neisseria gonorrhea Chlamydia trachomatis |
Most common cause of septic arthritis in young, sexually active individuals | neisseria gonorrhea |
opthalmia neonatorum = sticky eye discharge in neonate that may cause blindness | neisseria gonorrhea |
pneumonia(CF,i/c), Osteomylitis(DM,IVDA), hot tub folliculitis, burn wound infx, sepsis, endocarditis (IVDA), corneal infx, external otitis (elderly,DM), UTI | pseudomonas aeroginosa |
E Coli, Salmonella, Shigella, Klebsiella, enterobacter, serratia, Proteus | Enterobacteriaceae |
All species have somatic (O) antigen | Enterobacteriaceae |
related to the virulence of the bug | Capsular (K) antigen of enterobacteriaceae |
Flagellar (H) antigen | motile enterobacteriaceae have 'em |
All ferment glucose and are oxidase negative | Enterobacteriaceae |
similar to cholera(water, shellfish), rice water diarrhea | ETEC |
no intestinal wall invasion = no fever | ETEC |
tx with TMP-SMX, fluroquinolones | ETEC |
0157:H7 causing hUS from hamburger meat | EHEC |
hemolysis (anemia), renal failure (uremia), thromboxytopenia | HUS: EHEC |
similar to Shigella | EPEC |
intestinal wall invasion = fever and bloody diarrhea | EIEC |
have shiga like toxin (Verotoxin) that inhibits 60s ribosome | EHEC and EIEC |
What is the most common cause of G neg sepsis? 2nd? | E Coli, Klebsiella |
So motile that no distinct colonies can be grown | proteus |
common cause of UTI | proteus |
urease -> NH3 + CO2 -> ammonium-Mg-phosphate stones = staghorn calculi | proteus |
common cause of osteomyelitis in sickle cell patients | salmonella |
most common cause of food associated diarrhea in developed countries via poultry, eggs, reptiles | salmonella enterica and enteritidis |
abx may prolong the carrier state in GI tract infections | salmonella |
more virulent that salmonella | shigella |
bacterial dysentary | shigella flexneri, sonnei, dysenteriae |
causes reiter's syndrome | shigella flexneri |
cat scratch | bartonella henselae |
dog/cat bite | pasturella multocida |
cat feces | toxoplasmosis |
puppy feces | yersinia enterocolitica |
animal urine | leptospira |
rat bites | spirillum minus |
Gram neg, oxidase positive diplococci | neisseria |
burning feeling in guy after meals. EGD show Gram neg rods. | H Pylori |
smoker w/ new cough and flu like sx. Gram stain shows nada, silver stain shows rods. | Legionella pneumophila |
osteomyelitis in a pt w/ DM | pseudomonas |
sepsis, DIC, adrenal hemorrhage | N. meningitidis |
5 yo w/ pharyngitis, drooling, and X ray reveals thumb sign | H. influenza |
Osteomyelitis in a pt with SCA | salmonella |
alcoholic with aspiration penumonia | klebsiella |
child with new puppy develops sever abdominal pain | Yersinia |
What enzymes do obligate anaerobes lack? | catalase and/or superoxide dismutase |
Burn wound infection | pseudomonas |
motile organism that causes UTI | proteus |
travelers' diarrhea | ETEC |
life threatening meningitis plus purpura | Neisseria Men. |
Common cause of both UTI and pneumonia | klebsiella |
corneal infections in contact lens wearers | pseudomonas |
septic arthritis in young, sexually active pts | Neisseria Gon. |
acute onset of unilateral knee pain and bilateral Bell's palsy. | Lyme disease - ixodes tick - borrelia burgdorfi |
Tx for 21 yo with 5 days of fever,chills, and an enlarged, painful knee | ceftriaxone |
after amoxicillin, an adult pt develops toxic megacolon and diarrhea. Que paso? | C diff overgrowth |
lactose fermenting enteric bacteria | Citrobacter, Serratia, klebsiella, E coli, enterobacter |
ferment glucose and produce IgA proteases | Neisserias |
ferments both glucose and maltose | N. meninigitidis |
Epiglottitis, Meningitis, Otitis media, Pneumonia | Haemophilus influenza |
chocolate agar with factors V (NAD+) and X (hematin) | Haemophilus influenza |
vaccine contains type B capsular polysaccharide conjugated to diphtheria toxoid or other protein | Haemophilus influenza |
silver stain | Legionella pn |
Charcoal yeast with iron and cysteine | Legionella pn |
Aspiration pneumonia, Abscess in lugs, Alcoholics, Diabetics | klebsiella |
comma shaped, oxidase positive, major cause of bloody diarrhea | campylobacter jejuni |
precursor to Guillain Barre | campylobacter jejuni |
toxin permanently activates Gs, increasing camp and producing profuse diarrhea | vibrio cholerae |
comma shaped, oxidase positive, grows in alkaline media | virio cholerae |
Borrelia, Leptospira, Treponema | spirochetes |
dark field microscopy | treponema |
question mark shaped from animal pee water | leptospira |
jaundice and azotemia from liver and kidney dysfunction - fever hemorrhage and anemia | Weil's disease: leptospira |