Gram Pos Cocci- Staphylococcus/Strep Flashcards

1
Q

What is the cell wall of gram pos

A

thick wall of Petidoglycan in their wall

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2
Q

What type of aerobes are gram pos cocci and are they intra/extracellular pathogens

A

Faculative anaerobes

Primally extracellular

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3
Q

What are the types of blood agar lyses

A

B hemolysis- complete
A hemolysis- partial (causing green)
Y hemolysis- no lysis

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4
Q

What are the 2 tests to categorize g+ cocci

A
  1. Lancefield cell wall antigens

2. coagulase test (will be +)

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5
Q

Group A streptococcus- type of lysis, Antigen type, motility, Capsule +/-

A

B hemolytic
Group a lancefield antigen on cell wall
Non motile
Produce a capsule

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6
Q

What is the repersentative human pathogen + mc associated disease

A

Steptococcus pyogen

=Stretococcal pharyngitis

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7
Q

Assiciated diseases of streptococcus pyogens (5)

A
  1. step pharygitis
  2. Steptococcal skin inf
  3. Scarlet fever
  4. Step toxic shock syndrome
  5. post steptococcal complication
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8
Q

Streptococcal pharygitis- target, transmission, pathology, antibiotic

A

target- primarly children

transmission- large respiratory droplets

Pathology- abrubt sore throat, swollen lymph nodes, exudate, fever

Antibiotic- b lactams

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9
Q

what are the 3 types of streptococcal skin infections

A
  1. Impetigo
  2. cellulitis
  3. Necrotizing fascitits
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10
Q

Impetigo- age, symptoms, area of effect

A

Infection of superficial layers of skin epidermis
(highly contagoius)
-causes red sores that rupture, honey coloured crust around nose/mouth

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11
Q

Cellulities- symtoms/areas affected

A

rapid spreading infection of dermis + subcutenous fat in skin (skin may be swollen/warm)
-associated with burns, wounds, ulcers +surgical insision

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12
Q

Necrotizing fasciitis (flesh-eating disease)- symptoms, area affected, why

A

Inf that spreads into deeper subcutaneous tissue of skin/muscles/fascia casuing skin changes

  • @ site of trauma or insision
  • Severe pain, fever, weakness etc
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13
Q

What is scarlet fever due to

A

s pyogens strains that produce steptococcal pyrogenic exotoxins (spe)

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14
Q

what is the clinical picture of scarelet fever

A

Super antigens prodice inflammatory response that causes bumpy, bright red rash under skin
+fever

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15
Q

What triggers streptococcal toxic shock syndrome and what are the clinical effects

A

super antigens (spe) enter blood and activate up to 20% of t cells resulting in cytokine storm

  • sustematic vessel leakiness, fever, multisytem organ involvement
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16
Q

What are examples of post streptococcal complications (3)

A
  1. Acute rheumatic fever (fever, inflamed jts, heart issues)
  2. Post infectious glomerulonephritis (pharyngitis/skin inf)
  3. PANDAS- ocd, anxiety etc
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17
Q

what type of blood agar does group b step: strep agalactica have

A

B hemolytic

18
Q

How is steptococcus agalactiae transfered and who does it affect + cause

A

neonates from mothers thru infection of genital tracts

  • Can cause neonatal pneumonia + meningitis
  • also effects at risk elderly
19
Q

Streptococcus mutans blood agar type and what is it the primary cause of

A

a hemolytic

Primary causes of dental cavities, plaques, abscesses

20
Q

how does streptococcus mutans cause dental plaque (and what is a risk of infection)

A

S mutans metabolize sucrose producing sticky strands that allow them to adhere to teeth

  • risk of endocarditis
21
Q

Streptococcus pneumoniae blood agar type, and where is it usually colonized

A

a hemolytic

nasopharyngeal colonization (usually asymptomatic)

22
Q

what is a serotype of a bacteria

A

Serotype: if strains of a bacterial species are so different that they induce different antibody responses, those strains are said to be serotypes (same species but immune system responds differently)

23
Q

how is streptococcus pneumoniae transmitted and how does it evade host response

A

transmitted via respiratory droplet or direct contact

all serotypes produce a slightly dif polysaccharide capsul that impairs host phagocytosis

24
Q

What is the most common cause of pneumia in adults + community aquired pneumia

A

Streptococus pneumoniae

25
How does streptococus pneumoniae affect the host + how to diagnpse
Bacteria progress down respiratory tract and trigger unflammating in alveolar space (airways fill with fluids) - wil see lung consolidation in chest x ray - pt will have feverm cough etc
26
What causes otis media, age range, symptoms
Streptococcus pneumia mc Nasopharyngeal congestion may prevent normal clearing mechanism resulting in backup into the typically sterile middle ear -6-24months of age
27
what is bacterial sinitus caused by and how can it be differentiated from viral infection
streptococcus pneumia differentiated from viral sinitus due to persistence (>10 days) or severity of symptoms
28
what is the mc cause of menigitis and what is the clinical triad
Streptoccucus pneumia High fever, stiff neck, severe headache
29
Enterococcus- blood agar type, who is it associated with, superbug associated with it
(TYPE OF STREPTOCOCCUS) Y hemolytic Associated with nosocomial infections in pts. who are immunocompromised in hospitals Superbug- vancomyosin resisten enterococcus
30
Which will produce a + catalase test: streptococcus or staphylococcus
Staphylococcus
31
What staphlococcus produces + and - coagulase test
+ Staphylococcus aureus - Coagulase neg staphylococcus
32
Staphlococcus- results on coagulase + catalase test and what does it excrete
positive on both - secretes exoenzymes (proteases + lipases that damage host tissue)
33
What are the skin infections associated with staphylococcus aureus (3)
Paronychia- infect along border of nail Folliculitis- Inflamation of hair follicle Inflamed follicles/boils
34
What causes staphlococcal scaled skin syndrome/ritters disease, age, symptoms
age- <1 Exfoliatin toxins from stapholccoal aures Blistering skin condition due to detachment of epidemis (impairs desmoglein 1)
35
What is staphlococcal toxic shock syndrome due to (and historical cause)
Superatigen Toxic shock syndrome toxin 1 - produces cytokine storm (+ eventually toxic shock) - due to high absorbancy tapons
36
How is staphlococcas aureus food poisoining trigered, when do the symptoms start
Superantigens that trigger gut inflammation due to food contaminated by enterotoxins -rapid onset on symptoms in 2-6 hours (mild)
37
What is septic arthritis due to and what are the symptoms
S. Aureus is most common cause symptoms- acute pain, jt swelling, erythema, warmth, fever, inability to bear weight, decreased ROM
38
Osteomyelitis- cause and what does it cause
Staphlococcus aureus mc | Inflamation of bone/ bone marrow causing chills, fever, malaise, local pain/swelling
39
What % of people have MRSA on skin, and what does it have resistence to
1% of people have commensal MRSA on their skin Resistant to methicillian + other B-lactams
40
What is the most common coagulase-negative staphlyococci (CoNS)
Staphylococcus epidermis (not normally infectious uness immunocompromised)
41
What is the second most common cause of urinary tract infections behind e coli
Coagulase-neg staphlycoci (CoNS)
42
What bacteria is most commonly associated with hospital aquired pneumonia
Staphlyococcus aureus