Gi-micro – Microbiology Definitions – Flashcards

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question

How is Staph differentiated from strep?

How is S. aureus distinguished from all other staphylococci?

answer

Strep grow in chains

Strep are Catalase(-)

No other staph species are coagulase(+)

question
What are the laboratory characteristics of Staph aureus?
answer

Gram(+) cocci in grape-like golden clusters

Beta-hemolytic on blood agar

Coagulase and Catalase (+)

question

How many types of Staphylococcal enterotoxins are there?

What is the pathogenesis of the toxins?

answer

6 distinct serological types

Pathogenesis

Induces Peristalsis and Diarrhea

Stimulates Vomiting

Superantigen activity causing toxic shock syndrome

question

What are the lab characteristics of Bacillus cereus?

What typical foods does bacillus cereus affect?

answer

Lab: Aerobic, Large spore-forming, Gram(+) Rods

Foods: Rice, or meat dishes

 

 

 

question

What are the food poisoning syndromes that are produced by Bacillus cereus?

What are the causative toxins?

What foods are they typically found in?

Which syndrome appears faster?

answer

Emetic(similar to staph food poisoning)

Heat-stable Enterotoxin

Found in grains and rice

Appears faster(in 4 hrs) similar to Staph

Diarrheal Type(Similiar to Cholera and E.coli)

Heat-labile Enterotoxin increasing cAMP

Meat, Vegetables and Sauces

Takes longer to appears(24 hrs)

question

What are the lab characteristics of Clostridium botulinum?

What foods does it typically affect?

answer

Anaerobic Gram (+) Spore-forming Rod

Alkaline, Anaerobic(Canned) Vegetables

question

What is the structure, and mechanism of Botulinum toxin?

How many serotypes are there

answer

Structure: AB

Mechanism: Prevents Ach release causing flaccid paralysis

Serotypes: 8

 

question

What is the different syndromes caused by Clostridium Botulium?

Which is most common?

answer

Food Borne:

12-36 hrs onset of GI Symptoms

Followed by descending paralysis

Wound Botulism

4-14 days same presentation w/o GI symptoms

Infant Botulism(Most Common)

Honey-> Floppy Infant Syndrome

question
What ar ethe treatment modalities for Botulism and when are each implemented?
answer

Respiratory Support: as needed

Penicillin:

Not to Infants

Only if organisms present

Antitoxin:

Not to infants

Food-borne and wound botulism

Botulism Immune Globulin Intravenous:

Human Ig for infant botulism A and B

question

What is the mechanism of:

Shiga Toxin

Cholera Toxin

LT enterotoxin

ST enterotoxin

E.coli cytotoxin

Botulinum toxin

Staph Enterotoxin

B.cerues Heat stable

B.cereus Heat-labile

Y.enterolytica Enterotoxin

answer

Shiga Toxin: AA-tRNA Receptor site block

Cholera Toxin: AB with ADPR-transferase for AC increasing cAMP

LT enterotoxin: AB ADPR-transferase for AC

ST enterotoxin: Activates GC

E.coli cytotoxin: Shiga like toxin

Botulinum toxin: block Ach release

Staph Enterotoxin: Peristalsis/Vomit/Superantigen

B.cerues Heat stable: Staph enterotoxin like

B.cereus Heat-labile: cAMP like Cholera

Y.enterolytica Enterotoxin: E.coli ST like

question
What are the noninvasive and Invasive common GI pathogens
answer

Non-Invasive

C. diff

Cholera

EHEC

ETEC

H. pylori

 

Invasive

Shigella

Salmonella

EIEC

V.parahaemolytics

Yersina enterolytica

Campylobacter jejuni


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