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Extracellular Bacterial Pathogens Part 2
overview of bacterial classes including Pseudomonas, enterics, and anaerobes
82
Microbiology
Professional
04/02/2011

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Term
P. aeruginosa
Definition
major opportunistic pathogen; follows heavy antibiotic use and foreign object placement
Term
P. aeruginosa
Definition
ventilator-associated pneumonia
Term
Non-fermentative rods
Definition
Pseudomonas, Burkholderia, and Stenotrophomonas
Term
P. aeruginosa
Definition
aerobic, non-fermentative, grows on bile salts, oxidase positive, pyocyanin positive
Term
P. aeruginosa
Definition
grape Koolaid smell
Term
virulence factors of P. aeruginosa
Definition
type 3 secretion, hemolysins, proteases, exotoxin A, alginate for biofilm formation, pyoverdin, pyocyanin
Term
multi-drug resistant P. aeruginosa
Definition
mutation of porin and beta lactamases
Term
clinical diseases of P. aeruginosa
Definition
hot tub dermatitis, swimmer's ear, endocarditis in IV drug users, eye infections with contact use
Term
nocosomial Pseudomonas
Definition
ventilator associated pneumonia, IV line sepsis, UTIs
Term
abnormal P. aeruginosa infection
Definition
malignant swimmer's ear
Term
abnormal P. aeruginosa
Definition
bacteremia in CF patients
Term
abnormal P. aeruginosa
Definition
ecthyma gangrenosum
Term
abnormal P. aeruginosa
Definition
bacteremia in burn patients and immunocompromised/neutropenics
Term
CF patients experience:
Definition
chronic P. aeruginosa infections
Term
pathogenesis for chronic P. aeruginosa infection
Definition
early airway colonization with pili and flagellum, binding to mucus, eventual loss of O side chains/flagellum/pili, upregulation of alginate, biofilm formation
Term
P. aeruginosa treatment
Definition
aminoglycoside + anti-bacteria-specific beta lactam
Term
Burkholderia cepacia
Definition
like Pseudomonas, respiratory infections and septicemia, important in immunocompromised
Term
steno superbug
Definition
very antibiotic resistant, pneumonia and bacteremia, occurs in patients undergoing broad spectrum treatment
Term
Acinetobacter
Definition
nocosomial pneumonia, septicemia, soft tissue infection
Term
enterics
Definition
gram - rods, rapid growth, oxidase negative
Term
enterics
Definition
>30% septicemias, 70% UTIs, and most of gastroenteritis
Term
surface antigens of enteric pathogens
Definition
K (capsule), O polysaccharide, H (flagella), Vi
Term
enteric pathogenesis and immunity
Definition
K and H variations, plasmid allows antibiotic resistance, Type 3 secretion, hydrophilic capsule, endotoxic lipid A
Term
E. coli
Definition
abundant in GI tract, normal flora, causes sepsis/neonatal meningitis/gastroenteritis/UTI
Term
E. coli
Definition
adhesins, Shiga toxins, heat stable toxins, heat labile toxins, hemolysins
Term
E. coli
Definition
most common cause of community-acquired gram negative bacteremia
Term
Enterobacter sp.
Definition
most common cause of ICU-acquired gram negative bacteremia
Term
UPEC
Definition
specialized pili on E. coli causes more virulent UTI
Term
"honeymoon cystitis"
Definition
E. coli UTI w/ new partner
Term
prevention/treatment of E. coli UTI
Definition
trimethoprim, tannin from cranberries and blueberries to block adhesion, good hygiene
Term
2nd most common cause of neonatal meningitis behind group B strep
Definition
E. coli w/ K-1 capsular protein
Term
5 groups of E. coli strains
Definition
enteropathogenic (EPEC), enterotoxigenic (ETEC), enterohemorrhagic (EHEC), enteroinvasive (EIEC), and enteroaggregative (EAEC)
Term
EPEC
Definition
infant diarrhea in developing countries, 2-6d incubation, watery diarrhea, dehydration is deadly
Term
EPEC
Definition
injects its own receptor (Tir) for intimin, pedestal formation
Term
EHEC
Definition
"hamburger disease," 0157:H7, <100 can cause disease, expresses Shiga-like toxins
Term
EHEC
Definition
hemorrhagic colitis, 3-4d incubation, watery diarrhea w/ vomiting, complication is hemolytic uremic syndrome
Term
hemolytic uremic syndrome
Definition
most common cause of acute renal failure in children, also causes hemolytic anemia and thrombocytopenia
Term
EHEC
Definition
treatment is supportive, antibiotics not suggested, suspected in patients with acute bloody diarrhea w/o fever
Term
ETEC
Definition
traveler's diarrhea, high ID50
Term
ETEC
Definition
diarrhea for 3-4d after 1-2d incubation, heat labile toxins LT-1 and 2, heat stable toxins STa and STb
Term
EIEC
Definition
Pinv genes on plasmid, invades and destroys colonic epithelium, dystentery-like syndrome w/ bloody mucoid stools, cramps/fever for 1 week
Term
EAEC
Definition
mediated by bundle-forming fimbriae, causes persistent diarrhea and possibly growth retardation
Term
E. coli
Definition
lactose fermenter, grows green on EMB agar
Term
E. coli treatment
Definition
fluoroquinolone guided by susceptibility testing
Term
Shigella
Definition
non-motile, does not ferment lactose, severe invasive disease, low ID50
Term
four species of Shigella
Definition
S. sonnei, S. flexneri, S. dysenteriae, S. boydii
Term
Shigella
Definition
considered pediatric disease, humans are only reservoir, fecal contamination
Term
Shigella
Definition
IpaD adhesin, invasion plasmid
Term
shiga toxin
Definition
like ricin toxin, cleaves 28S rRNA and inhibits protein synthesis
Term
shigellosis
Definition
small volume diarrhea, cramps, fever, vomiting, blood/mucus in stools, incubation 1-7d, associated w/ rectal bleeding and mucosal ulceration
Term
shigellosis diagnosis
Definition
leukocytes in feces and stool culture
Term
shigellosis treatment
Definition
fluoroquinolones and then susceptibility is tested, no vaccine available
Term
Salmonella
Definition
motile, does not ferment lactose, produces H2S
Term
3 species of Salmonella recognized
Definition
S. typhi, S. typhimurium, S. enteritidis
Term
Salmonella pathogenesis factors
Definition
type 3 secretion, SPI-1 and 2, ruffling of host cell membranes, resist stomach acid and phagocytosis
Term
enteritis
Definition
3rd most commonly reported "food poisoning," major cause of human gastroenteritis, self-limiting, antibiotics not recommended
Term
typhoid fever
Definition
humans are only reservoir, fecal-oral route, low infection dose
Term
S. typhi
Definition
cause of typhoid fever
Term
typhoid fever
Definition
rising (step-wise) fever, bacteremia, abdominal pain and rash in week 2, perotinitis/secondary bacteremia/hepatosplenomegaly in week 3
Term
S. typhi
Definition
treated with fluoroquinolones and chloramphenicol, 2 vaccines available
Term
Klebsiella
Definition
non-motile, lactose-fermenting, prominent capsule w/ mucoid appearance
Term
Klebsiella
Definition
thick bloody sputum w/ currant jelly appearance, primary lobar pneumonia, higher risk for alcoholics w/ compromised pulmonary function
Term
Enterobacter
Definition
expended spectrum beta lactamase, capable of inactivating cephalosporins and monobactams
Term
Proteus
Definition
UTIs, kidney infections, kidney stones, has urease
Term
Serratia
Definition
nocosomial pneumonia
Term
Yersinia
Definition
siderophilic, entercolitica and pseudotuberculosis spp. cause gastroenteritis
Term
Y. pestis
Definition
called Sylvatic plague in modern times, zoonotic disease, high mortality w/ 3 major pandemics
Term
Y. pestis pathogenesis
Definition
Yop proteins, type 3 secretion system, antiphagocytic capsule, plasminogen activating protease, serum resistant factor
Term
Y. pestis
Definition
bipolar staining
Term
Y. pestis treatment
Definition
tetracycline or streptomycin, isolation required until clear
Term
Y. pestis prevention
Definition
safe handling of rodents, vaccine exists but is no longer available
Term
anaerobic gram negative rods
Definition
Bacteroides fragilis, Prevotella, Prophromonas, Fusobacterium
Term
Clostridium
Definition
anaerobic gram positive, spore-forming
Term
Peptostreptococcus
Definition
gram positive anaerobic, non spore-forming, cocci
Term
Propionibacterium acnes and Actinomyces
Definition
gram positive rods, anaerobic, non spore-forming
Term
strict anaerobes
Definition
PO2 < 0.5%, lack superoxide dismutase
Term
anaerobes
Definition
outnumber aerobes 5:1, found in GI tract, nasal passages, vagina, cervix, mouth
Term
Bacteroides fragilis
Definition
endogenous anaerobic pathogen, abdominal abscesses and bacteremia, BFT enzyme, organic acid production causes foul smell in wound
Term
B. fragilis
Definition
resistant to kanamycin, vancomycin, and colistin
Term
B. fragilis
Definition
treatment required: metronidazole + surgery + antibiotics for gram negative infection when infection is mixed
Term
Actinomyces israelii
Definition
filamentous bacteria, not acid-fast, gram positive rods, sinus tract abscesses, form sulfur granules
Term
peptostreptococcus
Definition
OBGYN infections, aspiration pneumonia, wound abscesses, brain abscesses, chronic otitis media
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