FASTIDIOUS GNR Flashcards

1
Q
OXIDASE -
CATALASE +
UREASE -
INDOLE -
NITRATE +
BHI agar- STAR SHAPED AREAS ON COLONIES
A

Actinobacillus actinomycetemcomitans

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2
Q
oxidase -
catalase +
G, MF
TM +
BCYE +
no growth on blood
Small yellow green growth
Bipolar staining
A

Francisella tularensis

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3
Q
oxidase - 
catalase - 
growth on blood
Rats
fried egg appearance
A

streptobacillus

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4
Q
oxidase -
catalase -
no growth on blood
urease +
capnophilic
A

Ureaplasma urealyticum

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5
Q
oxidase -
catalase -
no growth BAP
urease -
arginine +
fried eggs appearance
A

Mycoplasma hominis

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6
Q
oxidase -
catalase -
no growth on BAP
urease -
arginine -
A

Mycoplasma pneumoniae

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7
Q
oxidase +
no growth on BAP
Bordet Gengou  (drops of mercury)
Regan Lowe (mother of pearl)
beta hemolytic
Urea +
A

Bordetella pertussis

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8
Q
oxidase +
catalase +
gelatinase +
motile
no growth on BAP
L-cysteine
BCYE 
ground glass appearance
A

Legionella pneumophila

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9
Q
OXIDASE +
no growth on BAP
chocolate agar growth
require X factor only (hemin)
catalase -
ALA-porph -
A

Haemophilus ducreyi

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10
Q
OXIDASE +
no growth on BAP
chocolate agar growth
req V factor only (NAD)
ALA porph +
catalase -
A

Haemophilus paraphrophilus

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11
Q
OXIDASE +
no growth on BAP
chocolate agar growth
Req V only
ALA proph +
catalase +
gamma hemolysis
A

Haemophilus parainfluenzae

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12
Q
OXIDASE +
no growth on BAP
chocolate agar growth
Req V only
ALA proph +
catalase +
beta hemolysis rabbit/ horse blood
A

Haemophilus parahaemolyticus

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13
Q
OXIDASE +
no growth on BAP
chocolate agar growth
Req  X & V 
ALA proph -
beta hemolysis
A

Haemophilus Haemolyticus

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14
Q
OXIDASE +
no growth on BAP
chocolate agar growth 5-10% CO2
Req X & V 
ALA proph -
catalase +
gamma hemolysis
A

Haemophilus influenzae

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15
Q
growth on BAP (48-72hr)
catalse -
indole -
Oxidase +
Nitrate +
A

Eikenella

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16
Q

what organism pits the agar, has a bleach odor, and is common in IV drug users?

A

Eikenella

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17
Q
growth on BAP (48-72hr)
catalse -
lactose fermenter
ONPG +
ALA-porpho +
A

Haemophilus aphrophilus

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18
Q
growth on BAP (48-72hr)
oxidase +
catalase -
NLF
ONPG -
slow indole +
nitrate -
capnophilic
A

Cardiobacterium hominis

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19
Q
growth on BAP beta hemolytic (48-72hr)
GF
oxidase +
catalase -
NLF
indole -
H2S -
can grow on Neisseria media
A

Kingella

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20
Q

what are the members of the HACEK group?

A
Haemophilus
Actinobacillus / aggregatibacter
Cardiobacterium
Eikenella
Kingella
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21
Q

what condition are the HACEK group commonly the cause of?

A

endocarditis

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22
Q
oxidase +
growth on BAP (48-72hr)
catalase +
MAC -
HE -
BCYE +
urease +
intracellular
A

Brucella spp

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23
Q
oxidase +
growth on BAP (48-72hr)
catalase +
extracellular
safety pin appearance
indole +
ornithine +
capnophilic
A

Pasteurella multocida

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24
Q

what organisms require cholesterol in order to grow?

A

Mycoplasma

Ureaplasma

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25
``` which Brucella spp matches these reactions: CO2 + H2S + Thionine + basic fuschin - ```
abortus (cow)
26
``` which Brucella spp matches these reactions: CO2 - H2S +/- Thionine - basic fuschin + ```
suis (pigs)
27
``` which Brucella spp matches these reactions: CO2 - H2S - thionine - basic fuschin - ```
melentensis (goats)
28
what is the mode of transmission for F. tularensis?
tick bite
29
what are the environmental factors required for fastidiuous organisms to grow?
5 - 10% CO2
30
``` Catalase - oxidase - hippurate + starch + 10% KOH = fishy odor Diffuse hemolysis on human blood plates Requires increased CO2 48 - 72 hr incubation ```
gardnerella vaginalis
31
what organism will grow in hemolytic zones around staph?
haemophilus
32
``` oxidase - catalase - indole - gliding motility Increased CO2 Ferment g/l/s ```
capnocytophaga
33
what organism causes a positive cold agglutinin titer?
M. pneumoniae
34
Normal flora nonpathogenic haemophilus spp
Parainfluenzae Haemolyticus Parahaemolyticus
35
H ducreyi infections
Chancroid
36
Bordetella pertussis infections
Whooping cough
37
Brucellosis infections
Brucellosis (undulant fever)
38
Brucellosis transmission
Unpasteurized milk | Contact with infected goats, cows, hogs dogs
39
Francisella infections
Tularemia
40
Francisella transmission
Tick or infected animal
41
Gardernella infections
``` Bacterial vaginosis (no lactobacillus) Bacteremia ```
42
Legionella infection
Legionnaires disease | Pontiac fever
43
Legionella transmission
Found in water | Inhalation of aerosol
44
Pasteurella infections
Wound and respiratory tract infections
45
Pasteurella transmission
Bite or scratch of cat or dog
46
What reactions can be expected when para is in the species name for haemophilus
Require V factor | ALA +
47
What reaction is expected on rabbit and horse blood agar with haemolyticus spp of haemophilus
Hemolysis
48
Medium of choice for francisella tularensis
Cysteine blood agar
49
factor X
hemin
50
factor V
NAD
51
why do haemophilus species that require X and V factors grow around staph species on BAP?
staph synthesizes NAD and hemin is released upon beta hemolysis
52
X and V | no hemolysis
influenzae | aegyptius
53
V factor | no hemolysis
parainfluenzae
54
X and V | hemolysis
haemolyticus
55
V factor | hemolysis
parahemolyticus
56
X factor only
ducreyi
57
methods to detect legionella
culture DFA serological methods
58
pertussis swab collection
dacron
59
obligate parasites
bordetella brucella bartonella
60
brucella agar ingredients
casein animal tissue yeast sodium bisulfite
61
what is the special media required for francisella?
blood cysteine glucose agar with thiamine
62
streptobacillus infection
rat bite fever | Haverhill fever
63
HACEK group characteristics
colonize oropharynx | enhanced growth under increased CO2
64
differentiate Neisseria and Kingella
N- Catalase + | K- catalase -
65
organisms associated with animals
brucella pasteurella capnocytophaga francisella
66
H. influenzae disease
meningitis epiglottitis penumonia <5 >60 pink eye
67
school of fish
H ducreyi
68
bartonella infections
cat scratch fever trench fever carrions disease
69
Differentiate h aegyptius and h influenzae
A - indole and xylose - | I- indole and xylose +
70
How long does Legionella media need to be incubated?
At least 7 days