Shigella Flashcards

1
Q

what is shigella’s biology?

A

Gram Negative Bacilli

Non-Motile

Non-lactose fermenter

No H2S production

Oxidase (-)**

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2
Q

how many strains does shigella have? what are they?

A
  1. S. dysenteriae
  2. S. Flexneri
  3. S. boydii
  4. S. sonnei
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3
Q

how does shigella spread?

A

Human Restricted* Fecal-oral

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4
Q

what is the most common strain in USA?

A

S. sonnei

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5
Q

what is the most deadly strain of shigella?

A

S. dysenteriae

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6
Q

how does shigella move from cell-to-cell? what does it use to do this?

A

it rockets from cell to cell using T3SS

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7
Q

what symptom is representative of a shigella infection?

A

fever

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8
Q

can shigella live intracellularly?

A

no

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9
Q

what cell will shigella infect?

A

M cells of colon via T3SS.

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10
Q

how does shigella acquire the shigella toxin?

A

through a bacteriophage

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11
Q

how does shiga toxin affect M cells?

A

cleaves 28S rRNA ceasing translation resulting in cellular apoptosis

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12
Q

why does shigella toxin cause hemorrhaging?

A

due to damage to blood vessels

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13
Q

what is shigellosis?

A

shigella dysentery

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14
Q

what are the symptoms of shigellosis?

A
  • Very high fever (up to 106°F)
  • Small volume bloody diarrhea containing WBC and mucus
  • **Profuse blood-liquid diarrhea if Shigella toxin-strain
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15
Q

what complications can arise with shigellosis?

A
  • Septic Arthritis
  • Reactive Arthritis in HLA-B27 Patients
  • HUS* –Hemolytic Uremic Syndrome
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16
Q

what agar can be used to grow shigella?

A

Hektoen (HE) Agar

17
Q

what agar is this?

what are the white spots?

what are the black spots?

A

Hektoen (HE) Agar

shigella

salmonella

18
Q

which is shigella?

A

left (stab) because shigella is non-motile

19
Q

what treatment do you give to infection with s. sonnei?

A

supportive only

20
Q

what treatment do you give to other shigella infection?

A

TMP-SMX or fluoroquinones when it has complicated