-
S. aureus
- Gram+ Cocci
- Aerobic/ fac.Anaerobe
- Culture: gold
- Hemolytic: B (y)
- Lab ID: Catalase+, Coagulase+, Mannitol+
- non-motile
- Surface: Prot. A (Fc), Capsule, teichoic (sebaceous)
- Toxin:
- -TSST-1 (superAg): ^^^IL-2
- -Entertoxin: A-E,G,J,K (food poison)
- -Leukocidin: lyse WBC
- -Exfoliative toxin A,B: cleave filaggrins
- Disease:
- -Beta-lactamase+
- -Nosocomial MRSA
- -Abscess: coagulase, capsule
- -Suppurative: furuncle/carbuncle
- -Osteomyelitis/Arthitis:
- -Ritter's Disease (SSSS): granulosum-corneum
- -TSS: TSST-1 or enterotoxin B
-
S. epidermidis
- Gram+ Cocci
- AerobicProcurement contam.
- Capsule: P/SA
- Hemolytic: y
- Lab ID: Catalase+, Coagulase(-)
- Disease:
- -Beta-lactamase+
- -Prosthetic Contam: Prosthetic Valve Endocarditis
-
S. saprophyticus
- Gram+ Cocci
- Aerobic
- Lab ID: Catalase+, Coagulase (-)
- Disease: UTI in young women
-
S. pyogenes
- Gram+ Cocci: Group A
- Anaerobe (facultative)
- Hemolytic: B
- Lab ID: Bacitracin "A" Disk, Catalase(-), ^gr 5%CO2
- Surface:
- -Capsule, C5a peptidase, F-prot, C carb
- -M prot: ^^^virul: bind fibrinogen (inh phago/intracell kill, adhere to epiT), 80 serotypes
- Enzymes:
- -Streptokinase: ^fibrinolytic system (prevent barrier)
- -Streptolysin O&S: lyse RBC/platelets
- -Spreading Factors: liquify exudate (hyaluron. etc)
- Toxins: Phage-med.
- -SPE A&B:(strep pyrogenic exotox) superAg, Scarlet Fever rash
- Disease:
- -Rheumatic Fever (M1,3,5): Verrucae, Glomerulonephr
- -Hyperinvasive (M1-3,12,28):
- -Scarlet Fever: SPE A&B
- -Strep TSS: SPE A&B
- -Pharyng/tonsillitis
- -Erysipelas, Cellulitis
-
S. agalactiae
- Gram+ Cocci: Group B
- Anaerobe (facultative)
- GI/GU of preg women
- Hemolytic:
B- Lab ID: CAMP
Factor+(synerg w/ S.aureus), smooth white colony, Catalase (-)- Enzymes:
Hemolysin, degradative E's- Disease:
anti-capsular Ab's effective -Puerperal Sepsis(childbed fever): endometr,bacteremia/uria - -Neonatal/late-onset: mening, bacteremia, pneum.
- -Immcomp pt (HIV, diabetic, renal insuff)
- -66% not assoc w/ the above
-
S. pneumoniae
- Gram+ Cocci:
- Anaerobe (facultative)
- Hemolytic: a
- Catalase (-)
- Lab ID: Optochin Disk, Bile soluble, Quellung Rxn, Lancet diplococci
- Surface:
- -Capsule: monosacch repeat (23 serotype for vaccine)
- Enzymes:
- -IgA protease, Hyaluronidase
- -Neuraminadase: Nan A&B
- Toxins:
- -Pneumolysin: endotox (lysed): create pores, inh Ox Burst, ^complement, ^cytokine, inh cilia
- Disease: Serotype 3 (thickest caps)
- -Pneum: abrupt, chill, pleurisy
- -Otitis media, Sinusitis, Endocarditis
- -Meningitis
-
Viridans Streptococci
- Gram+ Cocci:
- Anaerobe (facultative)Catalase (-)
- Hemolytic: a
- nl oropharynx flora
- Disease:
- -50% of Endocarditis
-
Mutans Streptococci
- Gram+ Cocci
- Anaerobe (facultative)
- Catalase (-)
- Hemolytic: a
- Surface: adhesins for enamel
- Disease:
- -Dental Caries: ^plaques, sucrose->acetic/lactic A.
-
Enterococcus
- Gram+ Cocci
- Anaerobe (facultative)
- Hemolytic: a,B,y
- Lab ID: Catalase (-)
- -Esculin in 40% bile+Fe: Black
- -6.5% NaCl
- Surface:
- -Lipoteich (^TNFa/INF)
- -Esp: (enterococc surf.prot) Biofilm, evade Ab's
- -Aggreg Subst: pheromone->clump/mating
- Enzymes:
- -Cytolysin: gram+ & eukar.
- -Bacteriocin: broad spectrum
- -Gelatinase: cleave C3, ^biofilm
- Disease:
- -Gastroenteritis, Endocard, UTI, Bacteremia, Neonatal sepsis
- E. durans
- E. faecalis: 80-90%
- E. faecium: 10-15%
-
B. anthracis
- Gram+ Rod
- Aerobic
- Hemolytic: y
- Lab ID: Catalase+, Bamboo, Medusa's Head, Boxcar, non-motile
- Capsule: pXO2 (plasmid-med)
- -Protein (D-glutamic polym): inh Ab/complem
- Enzymes:
- Toxins: Plasmid-med.
- -Anthrax: pXO1
- -PA: pore
- -EF: (adenyl cyclase) deplete ATP, inh NFkB
- -LF: (cleave MAPKK) cell lysis
- Disease: Butcher, inhale: spores germ in macros
- -Cutaneous: 95%, edema/eschar, adenopathy
- -Inhaled: Widen Mediastinum (hemorr necr/effus)
- -GI: veget cells in undercook meat: ulcer, Acute Abd, bloody diarrhea
-
B. cereus
- Gram+ Rod
- Aerobic
- Hemolytic: B
- Lab ID: catalase+, motile, no capsule, central spore
- Surface:
- Enzymes: hemolysin BL, collagenase, PLC
- Enterotoxins:
- -Emetic: heat stable 1-5 hr
- -Diarrhea: heat labile 8-16 hr (^cAMP in enterocytes)
- Disease:
- -Food Poisoning: spores germ in cool food
- -Rapid Eye Toxicity:
-
B. subtilis
- Gram+ Rod
- Aerobic
- Lab contaminant
-
C. perfringens
- Gram+ Rod: Clostridium
- Strict Anaerobe
- Colon flora
- Hemolytic: Double-hemolytic
- Lab ID: Boxcar, Malodorous, non-motile
- -Nagler's Rxn: Ab to a-toxin inh gr)
- -Egg-Yolk Agar: lecithinase--> halo
- Surface:
- Enzymes:
- Toxins: a/theta-toxin (hemolysis) Enterotox (heat-labile)
- Disease: 5 serotypes (A-E)
- -Gas Gangrene: myonecrosis from exotoxins
- -Clostridial Cellulitis
- -Serot A: Food poisoning from heat-labile enterotoxin in undercooked meat: watery diarrhea (8-24 hr)
- -Serot C: Necro.Enterocolitis (>24 hr)
-
C. tetani
- Gram+ Rod: Clostridium
- Strict Anaerobe
- Lab ID: raised/irreg colony, drumstick, motile
- Toxins:
- -Tetanospamin: cleave to A(lc)/B(hc) w/ disulfide: inh GABA/Gly release
- Disease: Spores germ in ischemic wound
- -Opisthotonus, Trismus
-
C. botulinum
- Gram+ Rod: Clostridium
- Strict Anaerobe
- Lab ID: oval sub-term spore, motile
- Toxins:
- -Botulinum Tox: A,B,E in human (A=US, B=fish): inh ACh release
- Disease: consume toxin
- -Flaccid Paralysis
- -Floppy Baby: (honey) spores germ in GI
-
C. difficile
- Gram+ Rod: Clostridium
- Strict Anaerobe
- Motile, nl colon flora
- Lab ID: oval subterm spore
- Toxins:
- -A: enterotox
- -B: actin breakdown
- Disease: Overgrow w/ AB pressure
- -Diarrhea, fever, leukocytosis
- -Toxic Megacolon
- -Pseudomembranes
-
C. diphtheriae
- Gram+ Rod: Corynebacterium
- Aerobe/ fac. Anaerobe
- Hemolytic: a,b,y
- Lab ID: "Chinese Lettering", pleomorphic, catalase+
- -Cystine/K2TeO3: inh nl flora, Black colony
- -Loeffler Medium: methylene blue-> metachromatic granules
- non-motile, non-spore
- Toxins: Phage-med.
- -Diphtheria Tox: endocytosed-acidify endosome, A/B dissoc: A inact. EF-2.
- Disease:
- -Local: Pharyngitis->Pseudomembranes->Lymphadenopathy
- -Syst: phage-med tox->blood: Myocard,periph/cranial N(slur,paralysis), Adrenal hypofxn
- -Cutaneous: tropic/homeless, necrotic lesion w/ dirty gray membrane
-
L. monocytogenes
- Gram+ Rod
- Aerobic
- Hemolytic: B
- Lab ID: Catalase+, Umbrella, tumbling
- soil/water/plant/animal/Unpasteurized Dairy
- Exotoxins:
- -Listeriolysin O: pores in PM/lysosomes
- -PLC
- Disease: phago by monocytes->Ag recogn act. CMI
- -Food-borne (diarr/cramps), Flu-like, endocard, meningitis (neonates and imm.comp)
|
|