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Microbiology

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