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Bacteriology
USMLE-1 Micro Cards
16
Medical
Post-Graduate
08/11/2009

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Cards

Term
S. Pyogenes
Definition
-gram-positive cocci
-catalase-negative
-Beta-hemolytic
-M proteins interfere with phagocytosis
-Streptolysin S + O
-Erythrogenic exotoxins (scarlet fever rash)
-Nonantigenic antiphagocytic hyaluronic capsule
-causes: pharyngitis, Scarlet fever, Rheumatic fever
-S to Bacitracin
Term
Rheumatic Fever 1) predisposed by 2)hallmark lesion/result 3)MOA
Definition
1. Group A strep throat infection
2. dmged heart mm with MITRAL STENOSIS
3. Anti-strep Ab cross-react with sarcolemmal mm + kidney tissues ->inflam
Term
What shape is H. influenzae in CSF?
Definition
gram-negative coccobacilli; typically bacilli
Term
HiB primarily causes what three diseases in unvaccinated children?
Definition
1. Septicemia
2. Meningitis
3. Epiglottitis
Term
H influenzae pathogenicity hails from what three factors?
Definition
1. Polysaccaride capsule: inhibits phagocytosis
2. IgA protease: Increased colonization
3. Endotoxin: triggers macros
Term
C. diptheriae uses what two types of cultures?
Definition
Tellurite- (gray to black colonies)
Loffler's- metachromatic VOLUTIN granules
Term
Diptheria exotoxin
Definition
1. Targets upper resp, heart, nerve cells
2. Shuts down host protein synthesis by ADP ribosylating EF-2
3. produced only by beta-corynephage strains
Term
C. Diptheriae is tx with
Definition
Antitoxin + erythromycin
Term
Vincent's Angina
Definition
-ulcerating, necrotizing gingivitis
-caused by fusobacterium nucleatum
-known as TRENCH MOUTH
Term
Leading cause of bacterial meningitis in infants and elderly
Definition
s pneumoniae
Term
S. pneumoniae
Definition
-gram positive
-alpha hemolytic
-diplococci
-optochin sensitive
-fermentates inulin
-antiphagocytic capsule
-diseases: pneumonia; septicemia + otitis media in infants
Term
Mycoplasma pneumoniae pathogenicity is due to what three things?
Definition
1. P1 protein attaching the bacteria to mucosal cells
2. Elaboration of H2O2 -> hacking cough
3. Ag of membrane fusing with host-> autoimmune rxn
Term
Primary causative agent for atypical pneumonia?
Definition
Mycoplasma pneumoniae
Presents as: gradual fever, headache, malaise, nonproductive cough; infiltrative pattern
Term
Legionella pneumophila
Definition
-Dieterle's silver stain +
-gram-negative bacilli
-catalase positive
-facultative, intracellular
Term
L. pneumonphila pathogenicity is due to?
Definition
1. Does not activate the alternate C' pathway
2.Elaborates CYTOTOXIN- interferes with O2-dependent phagocytosis
3. Beta-lactamases
4. Endotoxin
Term
TX of Legionnaire's and Pontiac fever is?
Definition
Erythromycin
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