Cornybacterium Diphtheriae Flashcards

1
Q

What shape is C.diphteriae?

A

CLUB SHAPED ROD

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2
Q

Is C.diphtheriae gram positive or gram negative?

A

Gram positive - thick peptidoglycan

-takes purple stain

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3
Q

Outline the 3 main morphology of C.diphtheriae?

A

Non sporing
Non motile
Non capsulated

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4
Q

What special feature is found at the poles of C.diphtheriae and what dye is used to visualise them?

A

Metachromatic granules
> “babe ernst granules”

> methylene blue dye is used to visualise metachromatic granules

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5
Q

What kind of arrangement does C.diphtheriae form?

A

Cuniform arrangement

“chinese letters”

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6
Q

How is C.diphtheriae transmitted?

A

> through air droplets

> hand contact

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7
Q

Who is most at risk of C.diphtheriae?

A

Childrens 1-5years

newborns are protected by maternal antibody

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8
Q

Where does C.diphtheriae colonise in human body?

A

PHARYNX

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9
Q

Does C.diphtheriae cause TOXEMIA OR BACTERIMEA? explain why?

A

causes TOXIEMIA as it is non-motile and colonises in the pharynx

> produces toxins which are released into the bloodstream = TOXIEMIA

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10
Q

What medium is used to select for Cornybacterium and other gram positive bacterium and eliminates G negatives?

A

MEDIUM WITH TELLURITE - used to select Cornybac. + other gram +

2 kinds of TELLURITE:

> CYSTINE TELLURITE

> TINSDALE - helps to differentiate amongst different CORNYBACTERIUMS

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11
Q

What medium is used to differentiate between cornybacteriums?

A

TINSDALE MEDIUM

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12
Q

How many different types of Cornybacterium diphtheriae are found on tellurite medium? name each of them

A

3 morphological types of C. diphtheria found on tellurite medium

> MITIS
GRAVIS
INTERMEDIUS

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13
Q

What is common in all 3 morphological types of C.diphtheriae?

A

all produce same type of EXOTOXINS

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14
Q

What is the main virulence factor of C.diphtheria?

A

EXOTOXIN which causes diphtheria

FRAGMENT A: toxic activity
FRAGMENT B: binding the toxin to cells

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15
Q

What is the function of the toxins produced by C. diphtheriae?

A

the toxin inhibits protein synthesis by ADP ribosylating elongation factor 2

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16
Q

What is ADP-ribosylating elongation factor 2 do?

A

it is part of the toxins produced by C.diphtheriae and inhibits protein synthesis

17
Q

When does C.diphtheriae become more dangerous?

A

C.diphtheriae become more dangerous when the become systemic:
> heart&raquo_space; leading to heart failure
> peripheral nerves&raquo_space; paralysis
> adrenal glands&raquo_space; hypofunction of adrenal glands

18
Q

What are the treatments for C.diphtheriae?

A

> antiserum&raquo_space; must be given before toxins binds to cells otherwise (Ab) against it will be ineffective

> penicillin

> DPT vaccine - active immunisation with toxoid

19
Q

What vaccine is used for C.diphtheria

A

DPT vaccine with active immunisation with toxoid