Enterobacteriaceae Flashcards

1
Q

Enterobacteriaceae spp.- Gram, where does it reside, spores?, o2,\

A
  • Gram neg
  • Reside in digestive tract (intra/extracellular)
  • do not form spors
  • faculatative anaerobes
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2
Q

what is a common factor of enterobacteriaceae to secrete its toxins

A

Have needle like protein complexes called secretion systems that secrete exotoxins into host cells

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3
Q

How do you differentiate different types of enterobacteriaceae (+ what do u use to do this)

A

Can ferment lactose into lactic acid in macconkeys agar (causing it to turn pink)

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4
Q

What are the lactose fermenting enterobacteria (2)

A
  • E. coli

- Klebsiella pneumoniae

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5
Q

What are the non lactose fermenting enterobacteria (3)

A

Salmonella spp
Shigella
Yersinia

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6
Q

Where does e coli usually reside + produce

A

Reside in colon normally

-produces vit K

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7
Q

What human pathologies can e coli cause + how is it typically transfered

A
  • Food poisining
  • UTIs
  • Peritonitis

-ingestion of food/drink contaminated w fecal matter

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8
Q

What are the 3 main pathotypes of e coli (antigen they present + what does it mean)

A

O- LPS
H- flagellin
K- Capsul

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9
Q

What is enterohemorrhagic e coli (EHEC) due to and whatt type of toxins does it produce (+ what do the toxins do)

A

Undercooked beef, unwashed vegs/eggs

Shigga toxins- disruption of gut endothelial cells

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10
Q

What are symptoms enterohemorrhagic e coli (EHEC)

A
  • Cramps/ watery diarrhea

- Hemolytic uremic syndrome (kidney failure)

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11
Q

What is the cause of 95% of UTIs and what is the virulece factor of it

A

Uropathgenic e coli

  • Virulence factors include P fimbriae and type I fimbriae which help bacteria attach to urinary tract epithelial cells
  • inflamation triggered by LPS
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12
Q

Klebsiella pneumoniae- lactose fermenting?, whos it mc in, assocuated syndrome

A

lactose fermenting

  • mc in chronically ill hospital pts.
  • Associated w ankylosing spindylititis (autoimune infection triggered by it)
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13
Q

What is peritonitis and what is the mc cause of it

A

Damage to the digestive tract usually results in release of bacteria into the normally sterile peritoneum

-e coli mc cause

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14
Q

What are the 2 subspecies of salmonella spp that cause salmonellosis + what foods is it caused by

A

Non typhoidal serotypes:

  1. S typhimurium
  2. S enteritidis

-Eggs, poultry, pork, beef, vegs contaminated w animal waste

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15
Q

What subspecies of salmonella spp cause human disease

A

S. enterica

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16
Q

Pathology of salmonellosis + when do symptoms appear

A

6-72hrs after exposure

Large numbers of bacteria enter digestive tract
Bacteria invade intestinal epithelial cells (replication) and induce a strong immune response (LPS, damage)

17
Q

What salmonella spp cause enteric (typhoid) fever (2)

A

Typhoidal serotypes

  1. S typhi
  2. S. paratyphi
18
Q

How is typoid fever transmitted and normal incubation period

A

Oral-fecal transmission (contaminated food/drink)

8-14 days

19
Q

What are the symptoms of typoid fever

A

w 1-2-high fever, diarrhea, tiredness, headache, loss of appetite, rash

w3-4- usual resolution

20
Q

Shigella- lactose fermenting?, flagella? what does it typically cause

A

Cause of shigellosis (food poisoning)

  • non lactose fermenting
  • no flagella
21
Q

transmission and typical incubation time of shigella

A

12-48 hrs

fecal-oral route
contaminated water, raw meats/vegs

22
Q

Pathology of shigellosis

A

Bacilli enter thru specialized epithelial cells called m cells and then can enter neighboring cells causing tissue damage thru LPS
-may produce shiga toxins

23
Q

Symptoms of shigellosis

A

Shigellosis usually presents with diarrhea (mild to severe, watery to dysentery) and abdominal pain.

24
Q

Yersinia spp: what are the 2 species of it and what do they produde

A
  1. Yersinia enterocolitica–> yersiniosis
  2. Yersinia Pestisis–> plague

-Capable of producing virulence factors that prevent production of immune factors (cytokines), increase resistance to phagocytosis and enhance intracellular survival.

25
Yersiniosis- what is it, due to what, pathology
Type of food poisioning -insuficiently cooked pork/ contaminated milk Enters gut and migrates to gut lymphoid tissue where they replicate causing mucosal ulceration (bloody stool)
26
Yersinia pestis (plauge)- how was it transmitted
Humans become infected through flea bites (regurgitate bacteria), direct contact with contaminated animal tissues (rats) or through inhalation of infectious aerosols
27
what is the clinical presentation of yesinia pestis (plauge)
Bacteria carried to lympatic tissue where they replicate in large numbers - bubonic plaque due to enlarged lymph nodes - Bacteremia is comon causeing necrosis
28
What is the clinical triade of autoimmune syndrome following bacteria inf
1. Eye inflamation 2. Inflammation of urethra/cervix 3. Arthritis of large jts.
29
Reactive arthritis (reiters syndrome) due to what bac (2)
Salmonella spp | Shigella spp.
30
What are the toxins enterotoxigenic e coli (ETEC) (2)
Heat labile enterotoxin | Heat stabile enterotoxin
31
What does ETEC caused by and symptoms
Intense and prolonged secretion of ions (especially Cl-) leading to watery diarrhea with nausea and cramps