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Capsules
- Klebsiella pneumo
- Haemophilus influenza
- Step. pneumo
-
-
Meningitis
- N. meningitis
- S. pneumo
- H. influenzae
- S. agalactiae
-
Strep pyogenes
- Group A beta strep
- pharyngitis, scarlet fever, tonsilitis, impetigo, strep throat
-
Bordetella pertussis
- whooping cough
- highly contagious
- paroxysms of coughing
- DtaP
- Dx: FA, Bordet-Gengou
-
Strep pneumo
- 90% of bacterial pneumonia
- gram + lancet-shaped
- Pneumovax
- capsule
- resistant to antibiotics developing
-
Strep agalactiae
- group B beta strep
- resp. distress of newborn
- septicemia and meningitis
- -from vaginal flora of mother
-
Atypical pneumonia list
- M. pneumoniae
- C. pneumoniae
- Viral (adenovirus)
- Legionella pneumophila
-
Typical pneumonia list
- S. pneumo
- H. influenza
- klebsiella pneumoniae
- s. aureus
- pseudomonas, serratia
-
Mycoplasma pneum
- smallest microorganism
- primary atypical pneumonia
- "walking pneumonia"
- pleomorphic
- obligate intracellular parasite
- no WBC response
- self-limited
- Dx: Cold agglutinins test
- Tx: tetracycline, Erythromycin
-
Legionella neumophila
- air conditioning system
- 10 day incubation
- smokers, immunocompromised
- normal environmental bacteria
- use chlorine to kill
-
Chlamydial pneumonia
- Chlamydophila pneumoniae
- walking pneumonia-mild
- young adults (college), baby
- Tx: tetracycline, erythromycin
-
Pseudomonas aeruginosa
- pneumonia w/cystic fibrosis, burn patients
- green pigment
- resistant to antibiotics
- normal intestinal flora, tap water
- apportunistic
-
Klebsiella pneumo
- enteric gram - rod
- tissue destruction, high mortality rate
- alcoholics, diabetes, COPD
- nosocomal
-
Caused by chlamydia
- Trachoma
- Psittacosis
- Chlamydiae pneumo
-
Chlamydia trachomatis
- 50% of NGU
- Trachoma
- eye conjuctivitis, scaring, blindness
- hot, dry areas
- direct contact with discharge
-
Treponema pallidum
- syphilis
- STD- pharynx, rectum, lips
- Dx: RPR, VDRL-screen
- -FTA confirmatory
- 1st stage- chancre
- 2nd stage- lesions, rash
- 3rd stage- nerologic, gummas
- Tx: penicillin in 1st and 2nd stages
-
Neisseria gonorrhoreae
- fragile- can't live outside body
- STD
- males: gram-diplococci intracellular WBCs
- -pussy drainage, pain on urination
- females: symptomatic
- -salpingitis, PID
- Tx: ceftriazone
- -infants: Erythromycin ointment
-
Borrelia bugodorferi
- Lyme disease
- deer tick
- stage 1- ECM Erythema chronicin migrans, bulls eye rash
- stage 2- bells palsy, hearing, heart
- stage 3- persistant lyme
- Tx: tetracycline in stage 1&2
- Dx: EIA -screen
- -wester blot- confirmatory
-
Salmonella
- gram - rod
- contaminated water, poultry, eggs, reptiles
- can chronically infect gallbladder and other tissues
- carrier state
- usually not treat w/ antibiotics-become a carrier
-
Shigella
- S. dysenteriae- endotoxin
- bloody mucousy diarrhea
- causes dysentery and exototxin
- destruction of nerve cells
- highly infective- as few as 10 organisms to infect
- seafodd, shellfish
- Tx: ampicillin, bactrim
-
Helicobacter pylori
- Microaerophilic gram - rod
- stomach ulcers
- -neutralize acid-normal enzymes destroy tissue
- urea breath test
-
Vibrio cholerea
- cholera
- common-shaped rod w/flagellum
- "rice-water stools"
-
0157:H7
- E. coli
- hemorrhagic colitis
- -effects kidneys
- raw hamburger
- bloody stool, kill elderly
-
Camplobacter
- gull-winged gram - rod
- capnophile jar 42 degrees
- chickens
- Tx: erythromycin
-
Staph aureus
- hospital-long-term respirator use
- opportunistic
- necrotizing pneumo
-
Gardnerella vaginalis
- bacterial vaginosis-overgrowht of flora
- fish odor
- Dx: clue cells on wet prep
- Tx: Flagyl
-
Psittacosis
- Parrot fever
- birds
- resp. drop
- mild to sever pneumonia
- vascular damage
-
Haemophilus ducreyi
- chancroid
- x factor
- Dx: lesion
- Tx: tetracyclin
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