Haemophilus and Other Fastidious Gram-Negative Bacilli
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Haemophilus *colony morphology* | pleomorphic, nonmotile, facultatively anaerobic
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Haemophilus *gram stain results* | gram-negative cocobacilli or rods
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Haemophilus *testing results* | ferment-carbohydrates, generally oxidase- and catalase-positive, reduce nitrates to nitirtes
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Haemophilus *epidemiology* | obligate parasites on the mucous membranes of humans and animals, nonpathogenic or produce opportunistic infections
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Haemophilus influenza *colony morphology* | small, nonmotile, facultatively anaerobic, pleomorphic
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Haemophilus influenza *gram stain results* | gram-negative rod
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Haemophilus influenza *testing results* | indole, urease, and ornithine secarboxylase
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Haemophilus influenza *virulence factors* | capsule, IgA, adherance by fimbriae, and other structures, outer membrane proteins
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Haemophilus influenza *epidemiology* | nasopharynx, upper respiratory tract
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Haemophilus influenza *infections* | meningitis, epiglottitis, bacterial tracheitis
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Define X factor | growth factor that some Haemophhilus spp. require in media for growth; also known as hemin or hematin
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Define V factor | growth factor that some Haemophhilus spp. require in media for growth; also known as nicotinamide adenosine dinucleotide (NAD)
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Porphyrin test *principle* | contains hemoglobin as a source of hemin (X factor), supplement which provides NAD (V factor), vitamins, amino acids, coenzymes, dextrose, and other nutrients provides an accurate means of determining X factor
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Porphyrin test *reagents* | Casein Peptone,
Delta-aminolevulinic Acid,
Monopotassium Phosphate,
Hemoglobin Solution,
Dipotassium Phosphate,
Sodium Chloride,
Glucose,
L-Glutamine,
Hydrochloride,
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Porphyrin test *results reporting* | Positive Test - orange red fluorescence
Negative Test - no fluorescence
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HACEK group and list of members | Haemophilus,
Aggregatibacter aphrophilus
(formerly Actinobacillus actinomycetemcomitans),
Cardiobacterium hominis,
Eikenella corrodens,
Kingella sp,
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Aggregatibacter aphrophilus *colony morphology* | star shaped centers of colonies
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Aggregatibacter aphrophilus *gram stain results* | gram-negative bacilli
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Aggregatibacter aphrophilus *testing results* | catalase-positive oxidase variable do not grow on MAC negative for X and V growthfactors, urease, indole, esculin, and citrate
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Aggregatibacter aphrophilus *virulence factors* | collagenase and a leukotoxin
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Aggregatibacter aphrophilus *epidemiology* | dental plaque and gingival scrapings
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Aggregatibacter aphrophilus *infections* | endocarditis
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Cardiobacterium hominis *colony morphology* | form rosettes, swelling, long filaments, or sticklike structures
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Cardiobacterium hominis *gram stain results* | gram-negative bacilli some false gram-positive
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Cardiobacterium hominis *testing results* | oxidase-positive, catalase-negative, and indole-positve. negative for urase, nitrate, gelatin, esculin
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Cardiobacterium hominis *epidemiology* | attachment to heart valves usually damaged or prosthetic, normal biota of the oral cavity and nose
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Cardiobacterium hominis *infections* | endocarditis, infect aortic valve.
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Eikenella corrodens *colony morphology* | nonhemolytic on SBA, slight gree effect secondaryto growth, nonmotile
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Eikenella corrodens *gram stain results* | gram-negative coccobacilli
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Eikenella corrodens *testing results* | oxidase-positive, catalase-negative
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Eikenella corrodens *virulence factors* | resistant to clindamycin and narrow-spectrum cephalosporins
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Eikenella corrodens *epidemiology* | attachment to heart valves usually damaged or prosthetic, normal biota of the oral and bowel cavity
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Eikenella corrodens *infections* | endocarditis, periodontitis, meningitis, empyema, pneumonia, osteomyelitis, arthritis, and postoperative tissue infections
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Kingella *colony morphology* | nonmotile, large white β-hemolytic colonies on SBA, smooth, convex
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Kingella *gram stain results* | gram-negative bacilli
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Kingella *testing results* | oxidase-positive, catalase-negative, negative for urease, indole, esculin, gelatin and citrate
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Kingella *epidemiology* | attachment to heart valves usually damaged or prosthetic, normal biota of the oral cavity, upper respiratory tract
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Kingella *infections* | endocarditis, degenerative joint and bone infections
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Capnocytophaga *colony morphology* | faculatatively anaerobic, thin often fusiform, spindle shapedgliding motility on solid surfaces, nonhemolytic
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Capnocytophaga *gram stain results* | gram-negative bacilli
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Capnocytophaga *testing results* | ferment sucrose, glucose, maltose, and lactose, negative for most biochemical reactions, may reduce nitrates and hydrolyze esculin
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Capnocytophaga *virulence factors* | resistant to aminoglycosides
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Capnocytophaga *epidemiology* | normal inhabitant of oral cavity
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Capnocytophaga *infections* | periodontis and endocarditis
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Pasteurella *colony morphology* | nonmotile, facultative, anaerobic, ovoid, filamentous
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Pasteurella *gram stain results* | gram-negative cocbacilli
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Pasteurella *testing results* | catalase and oxidae positive ferment glucose with weak to moderate acid production without gas.
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Pasteurella *virulence factors* | capnophilic
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Pasteurella *epidemiology* | infected animals
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Pasteurella *infections* | septicemia, arthritis, endocarditis, osteomyelitis, meningitis
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Brucella *colony morphology* | aerobic, nonmotile,
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Brucella *gram stain results* | gram-negative coccobacilli or bacilli
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Brucella *testing results* | oxidase and catalase positive urease positive within 2 hoursgrow on SBA amd CHOC agar isolated and modified on Thayer-Martin or Martin-Lewis
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Brucella *virulence factors* | unencapsulated
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Brucella *epidemiology* | zoonotic disease found throughput the world
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Brucella *infections* | acute, subchronic, and chronic
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Francisella *colony morphology* | small, nonmotile, non-spore-forming, aerobic, gray-white, raised smooth appearance
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Francisella *gram stain results* | gram-negative bacilli or coccoid
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Francisella *testing results* | oxidase, urease, and satellite or X and V test negative and weakly positive for catalase and β-lactamase activity
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Francisella *epidemiology* | zoonotic disease through ingestion, inhalation, arthropod bite, or contact with infected tissue
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Francisella *infections* | ularemia infections, ulceroglandula, pneumonia
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infections caused by Legionella | Legionnaires disease, pontiac fever
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Bordetella *colony morphology* | areobic
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Bordetella *gram stain results* | gram-negative bacilli or coccobacilli
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Bordetella *testing results* | do not ferment carbohydrates, oxidize amino acids, relatively inactive in biochemical tests, produce catalase
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Bordetella *virulence factors* | filamentous hemagglutinin and pertacin, pertussis toxin, adenylate cyclase toxin, tracheal cytotoxin
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Bordetella *epidemiology* | respiratory tract
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Bordetella *infections* | classic pertussis
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Bordetella pertussis *colony morphology* | small, nonmotile, obligately aerobic
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Bordetella pertussis *gram stain results* | gram-negative coccobacilli
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Bordetella pertussis *testing results* | oxidase-positive, urease-negative, nitrate-negative,
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Bordetella pertussis *virulence factors* | filamentous hemagglutinin and pertacin, pertussis toxin, adenylate cyclase toxin, tracheal cytotoxin
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Bordetella pertussis *epidemiology* | human disease no animal reservoir or vector
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Bordetella pertussis *infections* | classic pertussis "whooping cough"
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