Bacteriology 9: Gram - enteric bacteria Flashcards

1
Q

Will you see gram - cocci ?

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Gram - are what morphology?

A

Rods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the families of bacteria?

A

Enterobacterales

Pasteurellaceae

Misellanious

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Enterbacterales are oxidase poisitive or negative?

A

Negative (-)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How many generas do Enterbacterales have?

A

50

we focus on 5
-escerichia
-salmonella
-Yersinia
-Klebsiella pneumoniae
-Proteus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Shared features of Enterbacterales?

A

gram -

faculatatively anaerobic

oxidase negative

MOTILE (virulence factor)

similar colonies in BLOOD agar

grow on MACCONKEY’S AGAR
-tolerate bile salts
-lactose ferm is variable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How do you separate Lactose fermentation?

A

+ =
E.coli
Klebsiella

-=
Proteus
Salmonella
Yersinia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Are all Enterbacterales the same pathogenicity?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the differential diagnosis list?
VINDICATE

A

V=vascular
I=infection
N=neoplasia
D= degeneration
I= inflammation
C= congenital
A=autoimmune
T=Trauma
E= endocrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ecoli in our case caused what kind of disease?

A

Pyometra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In our case the uterus was infected what kind of site is this?

A

Sterile site

4pt rule:
-sample collected correctly
-evidence of inflammation (many neutrophils-left-shift)
-evidence of bacteria
-did the bacteria have the OPPORTUNITY and the ABILITY to cause the disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

E. coli comes from where?

A

Normal flora in GI tract
-ilium and LI

one of first organism in neonatal GIT w/n hours

Survive well in environment
-COLIFORM good indicators in environment (water and soil, etc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

E.coli transmission occurs how?

A

Depends on site of infection:
- fecal oral
-inhalation
-direct inoculation
-ascending infectiosn
–cystitis
–pyometra
–transient in Uro. tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

E.coli key point is?

A

VERY diverse

NOT all strain of this disease are virulent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does E.coli cause disease?

A

Strain with virulence factors
-attachment
-avoidance of phagocytosis
-cellular effects
-systemic effects

Contribution of virulence factor depends on SITE OF INFECTION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Non-enteric infections for E.coli ?

A

Attachment

Avoidance

Cellular toxicity

System effects -endotoxins

add**

17
Q

Key point of E.coli?

A

good OPPORTUNISTIC pathogen

enterobacterales can also cause multiple types of infection but E.coli does it BEST

18
Q

How to diagnosis E.coli ?

A

Usually collecting samples from STERILE SITE

4pt rule
-especially critically evaluating your sample collection!

19
Q

Treatment of E.coli ?
VERY drug resistance

A

Relies on susceptibility testing

ANCILLARY THERAPIES
-surgery/drainage/debridement
-fluid therapy
-anti-endotoxin therapies

20
Q

Characteristics of Salmonella?

A

S. Enterice
S. bongeri

distinguished by set of surface antigens

21
Q

Where does Salmonella come from?

A

NOT part of normal flora

CARRIER ANIMALS
-in their GI tract

Survive LONG time in environment

22
Q

Transmission of Salmonella?

A

Fecal-oral
-reptiles
-cattle
-horses
-others

Recurdesence
-when the Salmonella comes back after being dormant in host

23
Q

How does Salmonella cause disease?

A

Avoidance of killing by phagocytes
-FACULTATICE INTRACELLULAR PARASITES
-live in macrophages

Systemic carrier states
-NOT just intestine
-live in macrophages
-add**

24
Q

What diseases does Salmonella cause?

A

3 main:

ENTERITIS
-horse/cattle
-damages intestinal cells

SEPTICEMIA with localization
-neonatal animals
-lungs, jts, kidnets, heart, spleen, etc.
add**

CARRIER STATE
-ALL
-facultative INTRA cellular parasite
-macrophages transport to LN, etc. can be there for weeks to yeras
add**

25
Q

Diagnosing Salmonella?

A

Sample from sterile site

26
Q

Yersinia is what?

A

Plague

GIT diseases

27
Q

Yersinia comes from?

A

RODENTS
fleas –> cats –> humans

28
Q

Yersinia causes disease?

A

a Facultative intracellular parasites
-live in macrophages

29
Q

specific disease by Yersinia?

A

Non enteric

Y. PESTIS
-causes plague CATS, dogs, humans
-many forms
–bubonic (LN)
–pneumonic (lungs)
–septicemic (systemic)

30
Q

Where do you see the plague Yersinia pestis occur?

A

West half of the US
-Illinois

clinical signs
-severe depression
-fever
-enlarged peripheral LN

31
Q

Is Yersinia zoonotic?

A

YES

7 cases/years
can cause death with systemic form

32
Q

How to diagnosis Plague?

A

Send aspirates of pus, blood, add**

33
Q

How to treat plague?

A

usually euthanized animal

if you keep animal you treat lesions

34
Q

Klebsiella describe?

A

causes PNEUMONIA

-cytitis (dog)
-mastitis (cattle)
-endometritis (horses)
-Navel ill: septicemia with localisation (all species)

35
Q

Proteus come from where?

A

NORMAL fecal flora

saprophytes
-likes moist environment

can swarm in agar

36
Q

What disease do Proteus cause?

A

Relatively low grade pathogen
-oppotunistic infection

Cytosis (dogs and horses)
-OTITIS externa (dogs and cats)
- woundinfections

37
Q

Diagnosing Klebisella and proteus infections is done by?

A

Isolation from sterile sires using aseptic techniques

apply 4 pt rule
repeated cultures may help