Micro Path Flashcards
Staphylococcus aureus symptoms, lab values/clinical findings?
*Symptoms: *Acute endocarditis, osteomyelitis, toxic shock syndrome, scalded skin syndrome, rapid onset food poisoning (meats, mayonnaise, custard). Cavity lung lesions.| *Lab Values/Clinical findings: *Catalase (+), coagulase (+), clusters. MRSA found in anterior nares of CARRIERS. G+ cocci in clusters.
Staphylococcus epidermidis symptoms, lab values/clinical findings?
*Symptoms: *IV catheter and prostehtic device infections with biofilms.| *Lab Values/Clinical findings: *Catalase (+), coagulase (-), novobiocin sensitive.
Staphylococcus saphrophyticus symptoms, lab values/clinical findings?
*Symptoms: *UTIs (2nd most common cause).| *Lab Values/Clinical findings: *Catalase (+), coagulase (-), novobiocin resistant.
Streptococcus pneumoniae symptoms, lab values/clinical findings?
*Symptoms: Granulomatous vasculitis with eosinophilia. Most often presents with ASTHMA, sinusitis, skin lesions, and peripheral neuropathy (e.g., wrist/foot drop, extreme pain); can also involve heart, GI, and kidneys.| *Lab Values/Clinical findings: *Catalase (-), optochin sensitive, bile soluble. Rusty sputum. Alpha hemolytic (green). Cannot be cultured in bile. Quellung reaction.
Virdians group streptococci (S. mutans, S. sanguis) symptoms, lab values/clinical findings?
*Symptoms: *Dental caries, subacute bacteria endocarditis.| *Lab Values/Clinical findings: *Catalase (-) optochin resistant, not bile soluble. Alpha hemolytic (green).
Streptococcus pyogenes symptoms, lab values/clinical findings?
*Symptoms: *Sandpaper like rash (Scarlet fever), rheumatic fever (doesn’t occur following a cutaneous skin infection; only with sore throat), impetigo, cellulitis, pharyngitis, erysipelas, post-Streptococcal glomerulonephritis (hematuria, type III hypersensitivity).| *Lab Values/Clinical findings: *Bacitracin sensitive. Beta hemolytic (clear). G+ cocci in chains.
Streptococcus agalactiae symptoms, lab values/clinical findings?
*Symptoms: *Neonatal meningitis, pneumonia, sepsis.| *Lab Values/Clinical findings: *Bacitracin resistant. Beta hemolytic (clear).
Enterococcus faecalis symptoms, lab values/clinical findings?
*Symptoms: *Vancomycin-resistant enterococcus faecalis (VREF). Endocarditis following genitourinary procedures.| *Lab Values/Clinical findings: *Gamma hemolytic (no hemolysis). Growth in bile AND 6.5% NaCl.
Streptococcus bovis symptoms, lab values/clinical findings?
*Symptoms: *Sepsis and subacute endocarditis; associated with colon cancer.| *Lab Values/Clinical findings: *Gamma hemolytic (no hemolysis). Growth in bile but not 6.5% NaCl.
Corynebacterium diphtheriae symptoms, lab values/clinical findings?
*Symptoms: *Pseudomembranous pharyngitis (gray-white). Lymphadenopathy. Toxin results in cardiac and CNS necrosis.| *Lab Values/Clinical findings: *Gram positive rod with metachromatic granules. Spore forming. Cysteine-tellurite agar.
Clostridium tetani symptoms, lab values/clinical findings?
*Symptoms: *Tetanus after traumatic implantation. Spastic paralysis, trismus (lockjaw), and risus sardonicus.| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Clostridium botulinum symptoms, lab values/clinical findings?
*Symptoms: *Food poisoning (canned food), flacid paralysis in babies (unpasteurized honey).| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Clostridium perfringens symptoms, lab values/clinical findings?
*Symptoms: *Watery diarrhea (reheated meat), gas gangrene, necrotizing enteritis.| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Closteridium difficle symptoms, lab values/clinical findings?
*Symptoms: *Pseudomembranous colitis (due to clindamycin, ampilcillin)| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Bacillus anthracis symptoms, lab values/clinical findings?
*Symptoms: *Painless black eschar with edematous ring (cutaneous). Spore inhalation leading to rapid fever, pulmonary hemorrhage, mediastinitis, and shock (pulmonary/Woolsorters’ disease).| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Bacillus ceres symptoms, lab values/clinical findings?
*Symptoms: *Food poisoning (reheated rice).| *Lab Values/Clinical findings: *Gram positive rod. Spore forming.
Listeria monocytogenes symptoms, lab values/clinical findings?
*Symptoms: *Amnionitis, sepsis, spontaneous abortion in pregnant women. Neonatal meningitis (vaginal transmission), elderly meningitis. Mild gastroenteritis (unpasteurized milk, ice cream).| *Lab Values/Clinical findings: *Gram positive rod. Non-spore forming. Faculative intracellullar microbe (actin rockets). Endotoxin (only G+!).
Actinomyces israelii symptoms, lab values/clinical findings?
*Symptoms: *Oral/facial abscesses with sinus tracts.| *Lab Values/Clinical findings: *Gram positive anaerobic rod. Sulfur granules.
Nocardia asteroides symptoms, lab values/clinical findings?
*Symptoms: *Pulmonary infection in immunocompromised, spreads to brain.| *Lab Values/Clinical findings: *Partially acid fast. Gram positive aerobic rod.
Mycobacterium tuberculosis symptoms, lab values/clinical findings?
*Symptoms: *Primary (lower lobes/Ghon complex), secondary (cavitary lesion upper lobes). Pott’s disease (vertebral bodies). Meningitis (basilar pons). Nephritis, GI, LAD.| *Lab Values/Clinical findings: *Acid fast (Ziehl-Neelsen stain). PPD skin testing (type IV hypersensitivity). Lowenstein medium.
Mycobacterium avium-intracellulare symptoms, lab values/clinical findings?
*Symptoms: *Disseminated disease in AIDS.| *Lab Values/Clinical findings: *Acid fast.
Mycobacterium leprae symptoms, lab values/clinical findings?
*Symptoms: *From armadillos. Infects skin and superficial nerves (likes cool temperatures). Leonine facies.| *Lab Values/Clinical findings: *Acid fast.
Neisseria gonorrhoeae symptoms, lab values/clinical findings?
*Symptoms: *Septic arthritis, neonatal conjunctivitis, creamy purulent discharge, Fitz-Hugh-Curtis syndrome (pelvic inflamatory disease) urethritis, cervicitis, prostatitis, epididymitis.| *Lab Values/Clinical findings: *Gram negative diplococci. Maltose non-fermenter. Glucose fermenter. Thayer-Martin agar.
Neisseria meningitidis symptoms, lab values/clinical findings?
*Symptoms: *Meningitis (college-age), Waterhouse-Friderichsen syndrome (adrenal hemorrhage, DIC, septic shock)| *Lab Values/Clinical findings: *Gram negative diplococci. Maltose and glucose fermenter. Thayer-Martin agar.