-
Exotoxin
- secreted by gram + or -
- foodborne illness
- proteins, so immune sys forms antibodies
- damage can occur before immune response formed
released by every gram + except listeria
-
exotoxins with specific targets
Neurotoxins - act on nerves or motor end plates
enterotoxins - act on GI tract = diahrrea
cytotoxins - damage to cell mechanisms -> cell lysis
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Endotoxin
LPS - lipid polysaccharide
- immune response is due to innate immunitiy
- they're heat stable
-
LPS - lipid polysaccharide
- composed of:
- lipid a, core polysaccharide, O specific polysaccharide
lipid a is the toxic part
-
Gram + cocci
staohylococcus or streptococcus
-
-
s. aureus
- golden pigment
- coagulase +
- exotoxins
- MRSA
-
s. epidermidis
- coagulase -
- opportunistic pathogen
-
differentiation of staph
s. epidermis and s. aureus differentiation is important. check or coagulase
-
streptococcus
- chains, require rich media for growth
- classification of strep is done through lancefield groups
-
Hemolysis patterns
ways to categorize streptococcus - hemolysis of blood cells
-
a-hemolytic
- partial hemolysis
- -green around colonies
-
B-hemolysis
- complete lysis
- -clear around colonies
-
gamma y-hemolysis
no lysis of blood cells
-
lancefield groups
- way to classify strep
- use group a or group b only
-
4 groups used to classify strep
- - lactic strep
- -fecal strep
- -viridans strep
- -B-hemolytic strep
-
Lactic strep
- non pathogenic
- no hemolysis = B-hemolytic
- found in milk products
- gives sour taste to foods when bad
-
fecal strep
- normal flora of GI tract
- can be a-, B-, or y- hemolysis
- opportunistic pathogen
- cause UTI's
-
viridans strep
- a-hemolysis
- normal flora of the mouth
- cause tooth decay or bacterial endocarditis
-
B-hemolytic strep
- Lancefield group a = Strep pyogenes - major pathogen
- group b = strep agalactiae
-
Strep pyogenes
- haluronic acid capsule
- pyrogenic exotoxin
- complete hemolysis
- sensitive to bacitracin
- causes: cellulitis, s. pharyngitis, scarlet fever
- use blood agar plates to diagnose
-
Strep agalactiae
- normal flora of femal genital tract
- causes neonatal meningitis, pneumonia - high mortality
-
Strep pneumoniae
- polysaccharide capsule
- a-hemolysis
- part of normal flora
- infection (pneumonia) occurs if moves to lungs
- causes meningitis or otitis media/sinusitis
- use quellong rxn to diagnose
-
Gram - diplococci
- neisseria
- - gonorrhoeae
- - meningitis
-
N. gonorrhoeae
- pili and G- cell wall
- males: acquired unprocted sex, causes urethritis, painful uriniation and discharge, some remain asymptomatic
- females: from unprotected sex, most females are asymptomatic (reserviors) causes painful urination/discharge could lead to pelvic inflamatory disease PID
- may see mother to child transmission
- DX using oxidase test
-
N. meningitidis
- endotoxin and capsule
- many healthy carriers
- may cause meningitis
- DX using oxidase test
-
Gram + endospore rods
- Clostridium or bacillus
- - C. perfringens, c. botulinum, c. tetani, c. difficile
- - B. anthracis, b. cereus
-
gram + non endospore rods
corynebacterium or listeria
- - c. diphtheriae
- - L. monocytogenes
-
gram - rods
- the enterics
- within this family there are 3 coliforms
-
coliforms
ferment lactose with gas production, normal flora of the intestine but should not be outside intestine.
- -e.coli
- -k.pneumoniae
- -enterobacter
-
The enterics
- gram - rods
- e.coli
- k.peumoniae
- enterobacter
- serratia
- proteus
- salmonella
- shigella
-
Pleomorphic gram - rods
- yersinia
- vibrio
- campylobacter
- helicobacter
-
obligate anaerobic gram - bacteria
- bacteroides fragilis
- fusobacterium
-
obligate aerobic gram - rods
pseudomonas aeruginosa
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