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11.17 Pseudomonas
by Dr. Hobden
45
Microbiology
Professional
11/23/2011

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Term
Is pseudomonas oxidase positive or negative?
Definition
positive
Term
Where is pseudomonas found?
Definition
soil and water
Term
What is the metabolism of pseudomonas?
Definition
obligate aerobe but metabolically very versatile
Term
How can you tell if it's psuedomonas grossly?
Definition
white colonies that glow under black light and have a distinctive fruity smell
Term
What diseases can p. aeruginosa cause?
Definition
respiratory tract infections, endocarditis, bacteremia, bone and joint infections, CNS infections, ear infections, eye infections, skin and soft tissue, UTIs, GI infection,
Term
A common, mild form of P. aeruginosa skin infection characterized by maculopapular rash=
Definition
hot tub dermatitis
Term
What are the main types of P aeruginosa virulence factors?
Definition
proteases, ADP ribosyl transferases, pili, phospholipase C, cytotoxin (leukocidin), type III secreted toxins, rhamnolipids, alginate
Term
Name P. aeruginos protesases.
Definition
alkaline protease, elastase, protease IV (at least 4 proteases)
Term
Name the ADP-ribosyl transferases.
Definition
exotoxin A and exoenzyme S
Term
What are the type III secreted toxins?
Definition
ExoU, ExoY
Term
What are rhamnolipids?
Definition
detergent-like glycolipids thought to be important for lung infections
Term
What do rhamnolipids do?
Definition
kills alveolar macrophages, inhibits cilia, inhibits phagocytosis
Term
What is an important virulence factor in CF lungs?
Definition
alginate because it inhibits phagocytosis and prevents antibiotics from reaching bacteria
Term
Which antibiotics are used for psuedomonas, burkholderia pseudomallei, or Burkholderia cepacia treatment?
Definition
extended spectrum beta lactams + aminoglycosides, flouroquinolones, colistin
Term
Where is burkholderia pseudomallei found?
Definition
environment in southeast asia and northern australia
Term
What organism appears as "onion skin" on BAP?
Definition
burkholderia pseudomallei
Term
How is burkholderia pseudomallei transmitted?
Definition
inhalation of dust or contact with dirt or dirty water (rice paddies) with abraded skin
Term
What are the four different courses whitmore's disease or melioidosis can take?
Definition
acute localized infection, acute bloodstream infection, pulmonary infection, or chronic supporative infection
Term
Melioidosis is also known as...
Definition
the great mimicker
Term
What allows B. psudomallei to live intracellularly?
Definition
effector proteins facilitate uptake of organism, help it to escape endocytic vesicles and form actin propulsion tails. formation of multinucleated giant cells also mediated by these proteins
Term
What allows burkholderia psuedomallei to have longevity in host?
Definition
intracellular living and/or in biofilms
Term
Where is B. ceptacia found?
Definition
environmental organism in soil and water
Term
Which species name talked about in this lecture actually represents a complex of different species?
Definition
Burkholderia cepacia
Term
What causes onion rot?
Definition
B. cepacia
Term
How is B. cepacia spread?
Definition
person to person or through contaminated medications or medical devices
Term
What are the virulence factors of B cepacia?
Definition
quorum sensing; produces a potent protease
Term
What are the virulence factors of aeromonas hydrophila?
Definition
serine and metalloproteinases, multifunctional enterotoxin (hemolytic cytolytic, enterolytic)
Term
Where is aeromonas hydrophila found?
Definition
fresh and brackish waters, normally a pthogen of fish and amphibians
Term
Which disease discussed today is associated with fish and seafood?
Definition
aeromonas hydrophila
Term
Aeromonas hydrophila is like what other bacteria in many ways?
Definition
V. vulnificans
Term
Diseases caused by aeromonas hydrophila in immune suppressed?
Definition
severe bacteremia, wound infection, cellulitis
Term
Aeromonas: oxidase? gram? shape? features?
Definition
oxidase positive, GNR, with a polar flagellum
Term
HOw do you treat aeromonas hydrophila diarrhea?
Definition
sulfa-trimethoprim
Term
How do you treat nondiarrheal infections with aeromonas hydrophila?
Definition
flouroquinolones
Term
shape/stain of stentotrophomonas maltophilia=
Definition
gram negative rod
Term
Found where in environment?
Definition
isolated from ice machines and contaminated medical equipment
Term
Appearance of acinetobacter baumanii=
Definition
gram negative plump coccobacilli
Term
Appearance of acinetobacter Iwoffi?
Definition
gram negative plump coccobacilli
Term
Where are A. baumanii and Iwoffi found?
Definition
everywhere in the environment; could be considered normal flora
Term
Who are at risk of A. baumanii and A. Iwoffi infection?
Definition
those on broad spectrum antibiotics, recovering from surgery, or on mechanical ventilation
Term
How does exotoxin A work?
Definition
just like diphtheria toxin (ADPribosylates EF2 shutting down protein synthesis)
Term
How does exoezyme S work?
Definition
ADP ribosylates vimentin and GTP binding proteins; critical in burn wound infections
Term
How is phospholipase C virulent?
Definition
degrades surfactant and liberates inflammatory substances from AA metabolism
Term
ExoU vs. ExoY
Definition
ExoU is an acute cytotoxin while ExoY is an adenyl cyclase
Term
Ashdown's media is used for...
Definition
B. pseudomallei
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