Cocci pt 1 Flashcards

1
Q

What are the three most common disease causing Cocci?

A
  1. Staphylococcus
  2. Streptococcus
  3. Nisseriae
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2
Q

What are the common factors of the staphylococcus family?

  • Oxygen requirements, gram typing, environmental
A

Gram +

Typically in clusters

Facultative anaerobes

Very resistant to environment

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3
Q

Where are Staph aureus typically found?

A

Found on 60% of humans

-colonized at birth

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4
Q

What are the types of enzymes that Staph Aureus have:

A
  1. Coagulase
  2. Penicillinase
  3. Hyaluronidase
  4. Staphylokinase
  5. Lipase
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5
Q

What do these enzymes do:

  • Coagulase
  • Penicillinase
A
  • Coagulase= Clots blood plasma
  • Penicillinase= Destroy penicillin antibiotic
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6
Q

What do these enzymes do:

  • Hyaluronidase
  • Staphylokinase
A

Hyaluronidase= Digests connective tissue

Staphylokinase= Digests blood clots

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7
Q

What does this enzyme do:

Lipase

A

Lipase= Digests skin oil to help colonize

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8
Q

What types of toxins do Staphylococcus aureus produce:

A
  1. Hemolysins
  2. Leukocidin
  3. Enterotoxin
  4. Exfolative
  5. Toxic shock toxin
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9
Q

What do these toxins do:

  • Hemolysins
  • Leukocidin
A

Hemolysins= Lyse blood cells

Leukocidin= Destroys neutrophils/macrophages

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10
Q

What do these toxins do:

Enterotoxin

Exfolative

A

Enterotoxin= Disrupts GI system

Exfolative= Detaches dermis/epidermis

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11
Q

What does this enzyme do:

Toxic shock toxin

A

Causes fever, rash, vomiting

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12
Q

What type of infections do staphylococcus aureus cause:

A
  1. Cutaneous
  2. Osteomyelitis
  3. Respiratory
  4. Bacteremia
  5. Fixed toxemia
  6. Scalded Skin syndrome
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13
Q

What do these infections invade:

  • Cutaneous
  • Osteomyelitis
A
  • Cutaneous= Wounds, follicles, and glands
  • Osteomyelitis= Systemic bone infection (bone necrosis)
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14
Q

How does the Staph species cause this infection?

Respiratory

Symptoms?

A

Naturally found in nose:

Goes into lungs and causes pneumonia/lung abcess

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15
Q

How does the Staph species cause this infection?

Bacteriemia (what does it infect?)

A

Escapes from skin infection/device

Goes to bloodstream, liver/kidneys/heart/brain

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16
Q

How does the Staph species cause this infection?

Fixed toxemia

Symptoms?

A

Makes toxin in food

Nausea, vomiting, diarrhea

17
Q

How does the Staph species cause this infection?

Scalded skin syndrom

Symptoms?

A

Releases exofoliative toxin

Bright red skin, blisters, peeling

18
Q

How does the Staph species cause this infection?

Toxic shock syndrome

Symptoms

A

Releases superantigen that causes massive response by T-cells

Fever, low BP, renal failure

19
Q

What are the ways that the immune system counters Staph aureus?

A
  1. Macrophages and neutrophils
  2. Cell mediated immunity forms abcesses to contain
20
Q

What are treatments for:

  • Staph Aureus
  • MRSA
A

Staph aureus= Sulfa drugs (tetracycline)

MRSA= Vancomysin

21
Q

How do staph/strep species react to a catalase test?

A

Staph= positive

Strep= negative

22
Q

How do staph species react to a coagulase test?

A

S. aureus= positive

All others= negative

23
Q

How do staph species react to anaerobic growth?

A

S. hominis= won’t grow

All others= will grow

24
Q

How do staph species react to Urease production?

A

S. capitis= does not produce

All others= do produce

25
Q

How do the Staph species react to Mannose fermentation?

A

S. epidermidis= ferments

All others= do not