| Question | Answer |
| Common cause of infection in implanted catheters and heart valves
Coagulase (-)
Antibiotic: vancomycin | S. epidermidis |
| E. faecium & E. fecalis
can be a,B or y hemolytic
Part of normal fecal flora
Cause of nosocomial infections (with antibiotic resistance)
Antibiotic: ampicillin | Enterococci |
| Common cause of infection in implanted catheters and heart valves
Coagulase (-)
Antibiotic: vancomycin | S. epidermidis |
| Apart of normal flora
Most virulent
Catalase (+)
Coagulase (+)
Local & deep skin infections
Sepcticemia
Toxic shock syndrome
Antibiotic: MRSA-vancomycin, MSSA-oxacillin | S. aureus |
| Group A beta-hemolytic
Catalase (-)
Acute pharyngitis (strep)
GAS (w or w/o necrosis)
streptococcal shock syndrome
Antibiotic: penicillin (strep) | S. pyogenes |
| Group B beta-hemolytic
Commonly found in vaginal tract
Can be transmitted during birth
Leadinf cause of neonatal septicemia and meningitis
Prophylactic antibiotic treatment
Antibiotic: prophylaxis ampicillin | S. agalactiae |
| Capsule
Pili
Pneumolysins
Most common cause of CA pnuemonia (also otitis media, sepsis & meningitis
Antibiotic: amoxicillin | S. pneumoniae |
| Pleomorphic (club shaped)
Found in poorer areas
grown on media containing tellurite
Produces AB toxin inhibiting EF-2 -> cell death
Upper respiratory tract infection -> psuedomembrane
dTap vaccination | Corynebacterium diptheriae |
| Can form endospores (highly resistant)
Infections through skin abrasions ( on occasion inhalation anthrax)
Used in bioterrotism (Category A)
Exotoxins (edema and lethal toxin)
Cutaneous and pulmonary anthrax
Antibiotic: ciprofloxacin | Bacillus anthracis |
| Intracellular pathogen
Found in ice cream, cheese, ground meat & poultry
Commonly infects pregnant, fetuses, newborns, immunocompromised
Control of actin filaments
Causes meningitis & septicemia
Antibiotic: ampicillin or penicillin | Listeria monocytogenes |
| Oxidase (+)
Opacity proteins
Grown on Thayer-Martin chocalate agar
Only uses glucose as carbon source
Sexually transmitted
Opthalmia neonatorum
Antibiotic: ceftriaxone | Neisseria gonorrhea |
| Oxidase (+)
Gonococcal lipopolysaccharides
Serogroups and serotypes (B and C)
Utilizes glucose and maltose
Trasmitted through respiratory droplets
Children <1 at most risk
Meningitis (with rash)
Septicemia
3rd gen cephalosporin | Neisseria menigitidis |
| Oxidase (-)
Strain types based on structural antigens (O, H, K)
Most common casue of urinary tract infections (UPEC)
Antibiotic: nitrofurantoin | Escherichia coli |
| Common cause of travelers diarrhea
Transmitted through fecal-oral route
Release heat stable and heat labile (heat stable increase cAMP similar to cholera toxin | E. coli (ETEC) |
| Cause of diarrhea in infants (dirty areas)
Pedestal development
Watery diarrhea
Non-invasive infection | E. coli (EPEC) |
| Shiga-like toxins 1 or 2
Bloody diarrhea
O157:H7 most common serotype
Hemolytic uremic syndrome (HUS)
Antibitotics not recommended | E. coli (EHEC) |
| Produce H2S
Associated with eggs, poultry & turtles
Serotypes associated with Typhi and Typhimurium
Invasion of M cells, intracellular pathogen
Spread through fecal-oral route
Gastroenteritis
Enteric or Typhoid fever
Antibiotic: ceftriaxone | Salmonella |
| Cause of shigellosis
Spread by fecal-oral route
Humans only natural host
Low #s needed for infection
Shiga toxin
Invasion & destruction of LI
Bloody diarrhea
HUS
Antibiotic: ceftriaxone | Shigella |
| Other GI Gram (-) Rods
Curved, spiral or S-shaped
Darting motility
Fecal-oral contamination
Cytotoxin & enterotoxin
Acute enteritis
Antibiotic: azithromycin | Campylobacter Jejuni |
| Other GI Gram (-) Rods
Curved, single polar flagella
Growth media has NaCl
O antigens from LPS
Aquatic environments (seafood and cuts)
Cholera, Soft tissue infection (necrosis)
Antibiotic: doxycycline+ceftazadime | Vibrio |
| Other GI Gram (-) Rods
Cholera disease
Consumption of raw or undercooked seafood
Contaminated water
Cholera toxin
Rice water stool
Antibiotic: doxycycline | Vibrio cholerae |
| Other GI Gram (-) Rods
Curved or spiral
Produce urease (neutralizes stomach acid)
Cytotoxin
Acute gastritis
Duodenal and gastric ulcers
Gastric carcinoma & B-cell lymphoma
Antibiotic: metronidazole+tetracycline | Helicobacter pylori |
| Other Enterobacteriaceae
UTI & Bacteremia in hospital patients (drug resistant)
Antibiotic: 3rd or 4th gen cephalosporins | Klebsiella |
| Other Enterobacteriaceae
UTIs in hosptial patients and can be multi-drug resistant | Serratia |
| Gram (-) plemorphic rod
Requires factor x and V for growth
Humans only natural host
Capsule
Leading cause of meninigitis in children
Vaccine available | Haemophiluis influenzae |
| Gram (-) coccobacilli
Can be transmitted to children not vaccinated
AB toxin
Catarrhal/Paroxysmal phase
Whooping cough
Vaccine /azithromycin | Bordetella pertussis |
| Gram (-) rod
Atypical cause of CAP
Prevents phagolysomal fusion
Legionnaires disease, Pontiac fever
Antibiotic: azithromycin | Legionella pneumophila |
| Gram (-) nonfermenting rod
Oxidase (+)
Produces pyocyanin
Legionnaires disease, Pontiac fever
Several virulence factors/biofilm
multi-drug resistance
Localized/Systemic infections
Antibiotic: pipercillin/tazobactam | Pseudomonas aeruginosa |
| Gram (-) coccobacilllus
Respiratory system, middle ear, eye, CNS & joint infections | Moraxella catarrhalis |
| Gram (-) coccbacillus
Important cause of nosocomial infections (HA pneumonia) | Acineotobacter baumanii |
| Gram (-) corkscrew/helical shape
No LPS
Lyme disease
Antibiotic: doxycycline | Borrelia burgdorferi |
| Gram (-) corkscrew/helical shape
No LPS
Antigenic variation of surface proteins
Syphalis, Congenital syphalis
CNS degeneration
Antibiotic: Penicillin IV | Treponema pallidum |
| Gram (-) obligate intracellular parasites
Serotypes- trachoma, neonatal conjunctivitis
Antibiotic: doxycycline | C. trachomatis |
| Gram (-) obligate intracellular parasites
Atypical cause of CAP
Antibiotic: azithromycin | C. pnuemoniae |
| Slender rods, acid fast
Mycolic acids
Cell wall suflolipids
Antibiotic resistance
Tubercle formation (Granuloma)
Reactivation can cause immunosuppression
6-12 month treatment
Antibiotic: RIPE therapy | Mycobacteria tuberculosis |
| No cell wall
CARDS toxin - AB toxin
Atypical cause of CAP
Antibiotic: azithromycin | Mycoplasma pneumoniae |
| Gram (+) large rods, anaerobic
Enterotoxin A and B
Antibiotic associated diarrheas
Pseudomembranous colitis
Antibiotic: vancomycin | Clostridium difficile |
| Gram (+) large rods, anaerobic
Vegetative form apart of normal flora
alpha toxin, enterotoxin
Myonecrosis (gas gangrene)
foodborne illness
Antibiotic: penicillin+clindamycin | Clostridium perfringens |
| Gram (+) large rods, anaerobic
Most potent toxin known
AB toxin
category A bioterrorism agent
Flaccid paralysis
Classical, Infant botulism
Antitoxin available | Clostridium botulinum |
| Gram (+) rods with terminal spores
Infection after puncture wound
Tetanus toxin - AB toxin
Cause of tetanus - spastic paralysis
Vaccine available
Antibiotic: metronidazole | Clostridium tetani |