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Gram Neg Rods
Microbiology
Question | Answer |
---|---|
Medically important Gram Negative rod genera | Bordetella, Campylobacter, Eikenella, Enterobacteriaceae, Salmonella, Shigella, Yersinia, Haemophilus, Helicobacter pylori, Legionella, Pseudomonas aeruginosa, Vibrio, HACEK group |
Gram negative bacillus; 16 species (most associated with human disease) | Enterobacteriaceae spp |
Most common illnesses caused are gastroenteritis, sepsis, spontaneous abortion | Enterobacteriaceae spp |
GNR; microaerophilic; this delayed discovery of their importance but is now “exploited” in the lab | Campylobacter |
Human infection results from ingestion of contaminated food, milk, or water; also fecal/oral route | Campylobacter |
At risk for Campylobacter jejuni | Ingestion of large numbers of organisms or those lacking in gastric acid |
GNR: Disease is usually self-limiting but antibiotic therapy is given for severe infections | Campylobacter jejuni |
First discovered in 1984 and named “dysgonic fermenter” (DF) by the CDC because of its slow growth | Capnocytophaga canimorsus |
Found in respiratory tract and saliva of human (DF-1) and dogs/cats (DF-2) | Capnocytophaga canimorsus |
Mild to deadly infection: immunosuppression increases risk (asplenic patients can have severe sepsis | Capnocytophaga canimorsus |
Discovered in 1960s at CDC; originally given name HB group | Eikenella corrodens |
GNR; risk of serious complications in patients who are immunocompromised | Eikenella corrodens |
Most diverse group of medically important gram negative, medium-sized bacilli | Enterobacteriaceae |
GNR; infection via animal reservoir, human carrier, or endogenous; many are opportunistic, nosocomial | Enterobacteriaceae |
Only about 20 species account for nearly all infections in this group | The Enterobacteriaceae |
Ubiquitous (soil, water, vegetation); normal flora of human GI tract | Enterobacteriaceae |
Transmission via fecal contamination of urethra or catheter use (hospitalized patients | E. coli |
Five “sub-divisions” of E. coli gastroenteritis | Enterotoxigenic; enteropathogenic; enteroadherent; enterohemorrhagic; enteroinvasive |
E. coli subdivisions found in small bowel | Enterotoxigenic; enteropathogenic; enteroadherent |
E. coli subdivisions implicated in disease of large intestine/colon (cause bloody diarrhea) | Enterohemorrhagic; enteroinvasive |
The only E. coli that occurs with any frequency in US (eventually leads to renal failure) | Enterohemorrhagic (H7:157) |
Implicated in aspiration pneumonia in chronic alcoholics or gastric bypass patients | Klebsiella |
Member of Enterobacteriaceae; important cause of nosocomial UTIs | Providencia stuartii |
GNR; important cause of nosocomial patients, especially neonates, immunocompromised patients | Enterobacter spp |
The individual serotypes are now written with the serotype name capitalized and not italicized | Salmonella |
4 possible clinical manifestations of Salmonella | Gastroenteritis, Sepsis, Enteric fever (= typhoid), Carrier (asymptomatic dx) |
GNR; animal reservoir is mostly responsible for disease transmitted by ingestion of contaminated food (eggs, poultry, dairy products) (large inoculum required for infection) | Salmonella |
GNR; serotypes that only infect humans and are transmitted by fecal-oral spread (small inoculum required for infection) | Salmonella Typhi and Salmonella Paratyphi |
4 species/groups of Shigella | Dysenteriae (A); flexneri (B); boydii (C); sonnei (D) |
GNR; infection common in children (daycare centers) and those in custodial facilities | Shigella |
GNR; common animal pathogen; humans infrequently infected as result of consuming contaminated food | Y. pseudotuberculosis |
3 Yersinia spp associated with human disease | Y. pestis; Y. enterocolitica; Y. pseudotuberculosis |
GNR; species have genes that code for adherence, phagocytic inhibition and inhibition of platelet aggregation | Yersinia |
GNR; virulence factors include capsule & resistance to serum killing | Yersinia pestis |
GNR; virulence factors include LPS, endotoxin, polysaccharide capsule | Haemophilus |
3 organisms most causative of OM | Strep pneumo, Moraxella catarrhalis; Haemophilus influenzae |
Human GI tract is only reservoir (transmission is likely via fecal-oral route) | Helicobacter pylori |
Associated with gastritis, PUD, gastric malignancies & enteric disease | Helicobacter pylori |
GNR; virulence factors: urease, motility, adhesion factor, flagella, LPS | Helicobacter pylori |
Most important Legionella spp (accounts for 85% of all Legionella infections) | L. pneumophilia |
GNR found on human skin and mucosa (upper respiratory infections limited to ear and eye) | Pseudomonas aeruginosa |
Virulence factors: exotoxins, endotoxins, pili, polysaccharide capsule | Pseudomonas aeruginosa |
GNR; important nosocomial pathogen; antibiotic overuse drives this | Pseudomonas aeruginosa |
HACEK group | Haemophilus aphrophilus; Actinobacillus actinomycetemcomitans; Cardiobacterium hominis; Eikenella corrodens; Kingella kingae |
GNR; can cause sub-acute endocarditis in patients with pre-existing heart disease | HACEK group |
Haemophilus species most commonly associated with disease | Haemophilus influenzae |
Most prevalent Shigella spp | S. sonnei |
Causes whooping cough | Bordetella pertussis |
Comma shaped Gram negative bacillus | Enterobacteriaceae spp |
GNR; microaerophilic; need small amount of CO2 | Campylobacter |
Most common cause of bacterial gastroenteritis in USA | Campylobacter jejuni |
Campylobacter jejuni worldwide distribution | Increased incidence in warm weather |
Corrodes agar medium | Eikenella corrodens |
Smells like bleach as it grows | Eikenella corrodens |
GNR: normal flora of upper respiratory tract of humans | Eikenella corrodens |
Implicated in bite infections | Eikenella corrodens; Capnocytophaga canimorsus |
Endocarditis in patients with pre-existing heart disease | Eikenella corrodens |
Account for 1/3 of all septicemias and 2/3 of all UTIs | The Enterobacteriaceae |
>40 genera, >150 species | Enterobacteriaceae |
GNR: grow readily on simple media | Enterobacteriaceae |
aka “coliforms” or enteric bacteria | Enterobacteriaceae |
GNR; ferment wide variety of carbohydrates | Enterobacteriaceae |
No. 1 cause of UTIs (community & nosocomial) | E. coli |
Women at increased risk of infection due to short urethra | E. coli |
Infecting strains originate from GI tract | E. coli |
Strains associated with gastroenteritis subdivided into 5 groups | E. coli |
GNR: etiologic agent of bacteremia, sepsis, neonatal meningitis | E. coli |
GNR: numerous virulence factors: adhesins & exotoxins | E. coli |
GNR Increased resistance to multiple antibiotics is problem | E. coli |
The only E. coli that is exogenously acquired (traveler’s diarrhea) | Enterotoxigenic |
Klebsiella virulence factors | Endotoxin (LPS), capsule, beta-lactamase, urease |
Most important & most commonly isolated Klebsiella spp | K. pneumoniae |
GNR; causes lobar pneumonia | Klebsiella spp |
GNR; important nosocomial pathogen | Klebsiella spp |
Important Proteus species | mirabilis vulgaris |
GNR; common pathogen in community acquired UTIs | Proteus spp |
Contribute to renal calculi | Proteus spp |
“Swarmy” growth on culture media with putrid odor | Proteus spp |
GNR; produce large amounts of urease | Proteus spp |
“taxonomic nightmare” | Salmonella |
GNR; 1 species (enterica) with more than 2500 serotypes | Salmonella |
Commonly divided into typhoid and nontyphoid serotypes | Salmonella |
Can colonize nearly any animal | Salmonella |
GNR; chronic carrier state common | Salmonella Typhi and Salmonella Paratyphi |
GNR; infections occur worldwide; increased in warmer months | Salmonella |
GNR; at risk: travelers to SE Asia, Africa, Latin America | Salmonella |
This genus is actually serologically distinct E.coli | Shigella |
most prevalent Shigella species | Shigella sonnei (D) |
GNR; human GI tract is reservoir | Shigella |
GNR; 11 species (3 are associated with human disease) | Yersinia |
Etiologic agent of plague | Y. pestis |
GNR; nfrequent cause of gastroenteritis | Y. enterocolitica |
GNR; capable of growth at cold temperatures | Yersinia enterocolitica |
Small GNR (sometimes pleomorphic) | Haemophilus |
Virulent type B now rarely seen due to vaccine | Haemophilus influenzae |
At risk: asplenic persons, elderly, unvaccinated children | Haemophilus influenzae |
Beta-lactamase resistance can be a problem | Haemophilus influenzae |
Etiologic agent of chancroid (soft chancre) | Haemophilus ducreyi |
Ulcerative venereal disease | Haemophilus ducreyi |
Most common in Africa/Asia | Haemophilus ducreyi |
GNR; beginning to be seen in large urban areas in US | Haemophilus ducreyi |
Etiologic agent of chancroid (soft chancre) | Haemophilus ducreyi |
Ulcerative venereal disease | Haemophilus ducreyi |
Most common in Africa/Asia | Haemophilus ducreyi |
GNR; beginning to be seen in large urban areas in US | Haemophilus ducreyi |
Comma shaped GNR | Helicobacter pylori |
GNR; morphologically similar to Campylobacter | Helicobacter pylori |
Pleomorphic GN bacteria first discovered in 1976 | Legionella |
1 genus, 48 species | Legionella spp |
GNR; fastidious, aquatic saprophyte | Legionella |
Can parasitize amoebae and replicate in alveolar macrophages | Legionella |
Can survive for years on biofilms formed on water pipes | Legionella |
GNR; blue/green color on agar with distinctive odor | Pseudomonas aeruginosa |
GNR; Can grow in tap water (and DI water) | Pseudomonas aeruginosa |
At risk: immunosuppressed patients | Pseudomonas aeruginosa |
Can cause swimmers ear | Pseudomonas aeruginosa |
GNR; more than 60 species; found commonly in water | Vibrio spp |
GNR; cause mostly GI disease via contaminated water | Vibrio spp |
Medically important Vibrio spp | V. cholerae; V. parahemolyticus; V. vulnificus |
Group of fastidious GNRs that colonize human oropharynx | HACEK group |