Chapter 11 Flashcards

(1254 cards)

1
Q

**Gram Negative Bacteria - What bacterial group does Vibrio cholerae belong to?

A

Vibrionales

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2
Q

**Gram Negative Bacteria - What is the shape of Vibrio cholerae?

A

Curved rod

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3
Q

**Gram Negative Bacteria - What is the oxygen requirement of Vibrio cholerae?

A

Facultative anaerobe

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4
Q

**Gram Negative Bacteria - What is a key trait of Vibrio cholerae?

A

Flagella

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5
Q

**Gram Negative Bacteria - What disease clue is associated with Vibrio cholerae?

A

Rice-water stool, profuse watery diarrhea

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6
Q

**Gram Negative Bacteria - What bacterial group does E. coli belong to?

A

Enterobacteriales

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7
Q

**Gram Negative Bacteria - What is the shape of E. coli?

A

Rod

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8
Q

**Gram Negative Bacteria - What is the oxygen requirement of E. coli?

A

Facultative anaerobe

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9
Q

**Gram Negative Bacteria - What is a key trait of E. coli?

A

Enteric, “classic” organism

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10
Q

**Gram Negative Bacteria - What disease clues are associated with E. coli?

A

Traveler’s diarrhea, food recalls, ~75% of UTIs

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11
Q

**Gram Negative Bacteria - What bacterial group does Salmonella enterica belong to?

A

Enterobacteriales

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12
Q

**Gram Negative Bacteria - What is the shape of Salmonella enterica?

A

Rod

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13
Q

**Gram Negative Bacteria - What is the oxygen requirement of Salmonella enterica?

A

Facultative anaerobe

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14
Q

**Gram Negative Bacteria - What is a key trait of Salmonella enterica?

A

Food-borne pathogen

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15
Q

**Gram Negative Bacteria - What disease does Salmonella enterica cause?

A

Gastroenteritis

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16
Q

**Gram Negative Bacteria - What bacterial group does Salmonella Typhi belong to?

A

Enterobacteriales

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17
Q

**Gram Negative Bacteria - What is the shape of Salmonella Typhi?

A

Rod

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18
Q

**Gram Negative Bacteria - What is the oxygen requirement of Salmonella Typhi?

A

Facultative anaerobe

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19
Q

**Gram Negative Bacteria - What is a key trait of Salmonella Typhi?

A

Human carrier state (gallbladder)

This means that a person can still carry the bacteria even after they recover from the infection

  • bacteria hide in the gallbladder

The person may:
- not feel sick anymore
- but still shed bacteria in their stool
- Infect others

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20
Q

**Gram Negative Bacteria - What disease does Salmonella Typhi cause?

A

Typhoid fever (severe / fatal)

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21
Q

**Gram Negative Bacteria - What bacterial group does Shigella dysenteriae belong to?

A

Enterobacteriales

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22
Q

**Gram Negative Bacteria - What is the shape of Shigella dysenteriae?

A

Rod

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23
Q

**Gram Negative Bacteria - What is the oxygen requirement of Shigella dysenteriae?

A

Facultative anaerobe

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24
Q

**Gram Negative Bacteria - What is a key trait of Shigella dysenteriae?

A

Shiga toxin

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25
**Gram Negative Bacteria - What disease clues are associated with Shigella dysenteriae?
Severe dysentery, fecal-oral transmission - dysentery is a severe form of diarrhea that indicates: blood or mucus in stool, abdominal cramps, fever, painful frequent bowel movements - Fecal oral contamination when poop enters someone’s mouth
26
**Gram Negative Bacteria - What bacterial group does Haemophilus influenzae belong to?
Pasteurellales
27
**Gram Negative Bacteria - What is the shape of Haemophilus influenzae?
Coccobacillus
28
**Gram Negative Bacteria - What is the oxygen requirement of Haemophilus influenzae?
Aerobic
29
**Gram Negative Bacteria - What growth requirements does Haemophilus influenzae need?
Cannot grow on its own, needs X factor (iron) and V factor (NAD) H.influenzae = XV factor
30
**Gram Negative Bacteria - What diseases are associated with Haemophilus influenzae?
Meningitis pneumonia otitis media
31
**Gram Negative Bacteria - What special culture medium is used for Haemophilus influenzae?
Chocolate agar
32
**Gram Negative Bacteria - What vaccine is associated with Haemophilus influenzae?
Hib vaccine
33
*What organisms are covered in this course section?
Only Eubacteria
34
*What are Eubacteria also called?
“True bacteria”
35
*Which bacteria are included for study?
Only organisms that cause human disease
36
*What is the professor’s key instruction regarding what to study?
Only study the groups provided
37
*Are organisms outside the provided groups tested on exams?
No
38
*Should you study additional bacterial *groups “just in case”?
No — they are not relevant for exams or human disease
39
*What is the safest and smartest study strategy for this course?
Study only the Eubacteria groups provided by the professor
40
*What is the name of the main Gram-negative bacterial group?
Pseudomonadota
41
*Which Gram-negative group should you focus on most for exams?
Pseudomonadota
42
*If a question asks for the main, largest, or most clinically important Gram-negative group →
Answer: Pseudomonadota
43
** Gram Posiitve - Bacillota
A major subdivision of Gram-positive bacteria
44
** Gram Posiitve - Mycoplasmatota
A major subdivision of Gram-positive bacteria
45
** Gram Posiitve - Actinomycetota
A major subdivision of Gram-positive bacteria
46
*What core features should you focus on for each organism?
Morphology Respiratory requirements Transmission Virulence factors Diseases Exam Strategy Insight
47
*What is the smartest way to prepare for exam questions in this chapter?
Learn systems and key traits, not isolated facts
48
*GRAM -NEGATIVE* What is the medically important Alpha Pseudomonadota organism?
Rickettsia
49
*GRAM -NEGATIVE*Is Rickettsia a family, genus, or both (as taught)?
Both family and genus
50
*GRAM -NEGATIVE*What is the morphology of Rickettsia?
Cocobacilli (can resemble rods)
51
*GRAM -NEGATIVE*What is the oxygen requirement of Rickettsia?
Aerobic
52
*GRAM -NEGATIVE* What type of lifestyle does Rickettsia have?
Obligate intracellular parasite Obligate = required Intercellular = inside a cell Parasite = lives off another organism Rickettsia must live and reproduce inside host cells - it cannot survive or multiply on its own outside a cell
53
*GRAM -NEGATIVE*What does “obligate intracellular” mean?
Must live inside mammalian cells
54
*GRAM -NEGATIVE*How is Rickettsia transmitted?
Insect and tick bites
55
*GRAM -NEGATIVE*What disease is caused by Rickettsia?
Rocky Mountain spotted fever
56
*GRAM -NEGATIVE* Why is it called “spotted” fever?
Damage to the cardiovascular system
57
*GRAM -NEGATIVE*If an organism is named Rickettsia, what should you immediately think?
Tick-borne Obligate intracellular Spotted fever
58
*GRAM -NEGATIVE* Alpha Pseudomonadota → Rickettsia: give 3 key traits.
Obligate intracellular Tick-borne Causes spotted fever
59
**GRAM NEGATIVE** How many important groups are emphasized in Beta Pseudomonadota?
Two
60
**GRAM NEGATIVE** What is the medically important Bordetella species?
Bordetella pertussis
61
**GRAM NEGATIVE** What is the morphology of Bordetella pertussis?
Rod
62
**GRAM NEGATIVE**What is the oxygen requirement of Bordetella pertussis?
Aerobic
63
**GRAM NEGATIVE**What is the major virulence factor of Bordetella pertussis?
Capsule
64
**GRAM NEGATIVE**What part of the body does Bordetella pertussis target?
Lower respiratory tract
65
**GRAM NEGATIVE**Who is most affected by pertussis?
Infants and children
66
**GRAM NEGATIVE**What disease does Bordetella pertussis cause?
Pertussis (whooping cough)
67
**GRAM NEGATIVE** What vaccine prevents pertussis?
DTaP vaccine
68
**GRAM NEGATIVE** In DTaP, what does the “P” stand for?
Pertussis
69
**GRAM NEGATIVE** Who commonly spreads pertussis to infants?
Adults
70
**GRAM NEGATIVE** Why is pertussis especially dangerous in infants?
It can be fatal
71
**GRAM NEGATIVE** What is the morphology of Neisseria species?
Diplococci
72
**GRAM NEGATIVE** What is the oxygen requirement of Neisseria species?
Aerobic
73
**GRAM NEGATIVE** What is the major virulence factor of Neisseria species?
Capsule
74
**GRAM NEGATIVE** What disease does Neisseria gonorrhoeae cause?
Gonorrhea (STD)
75
**GRAM NEGATIVE** What virulence factors does Neisseria gonorrhoeae have?
Capsule and fimbriae
76
**GRAM NEGATIVE** What is the infection rate of gonorrhea?
>90%
77
**GRAM NEGATIVE** Is there a vaccine for Neisseria gonorrhoeae?
No
78
**GRAM NEGATIVE** What disease does Neisseria meningitidis cause?
Meningococcal meningitis
79
**GRAM NEGATIVE** What virulence factor does Neisseria meningitidis have?
Capsule (no fimbriae)
80
**GRAM NEGATIVE** Is there a vaccine for Neisseria meningitidis?
Yes
81
**GRAM NEGATIVE** How do you differentiate Neisseria gonorrhoeae from Neisseria meningitidis?
Gonorrhea → STD, fimbriae, no vaccine Meningitis → meninges, capsule, vaccine exists
82
**GRAM NEGATIVE** Beta Proteobacteria — name the two key groups and one disease each.
Bordetella → Pertussis Neisseria → Gonorrhea or meningitis
83
** What two groups are Beta Proteobacteria?
- Bordetella - Neisseria
84
**Which class of Pseudomonadota is the largest and most pathogenic?
Gamma Pseudomonadota
85
**What is the major organism in Pseudomonadales?
Pseudomonas aeruginosa
86
**What is the morphology of Pseudomonas aeruginosa?
Rod
87
**What is the oxygen requirement of Pseudomonas aeruginosa?
Aerobic
88
**Is Pseudomonas aeruginosa motile?
Yes
89
**What type of flagella does Pseudomonas aeruginosa have?
Monotrichous or lophotrichous
90
**What pigment does Pseudomonas aeruginosa produce?
Blue-green, water-soluble pigment
91
**Why is pigment production important clinically?
It helps identify the organism
92
**What type of growth does Pseudomonas aeruginosa exhibit?
Psychrotroph (can grow in cold environments)
93
**What type of infections is Pseudomonas aeruginosa most associated with?
Nosocomial (hospital-acquired) infections
94
**What types of hospital infections does Pseudomonas aeruginosa cause?
Burn wound infections Catheter-associated UTIs Biofilm-associated infections
95
**What distinctive clinical sign may be seen in Pseudomonas infections?
Blue-green pus
96
**What severe diseases can Pseudomonas aeruginosa cause?
Sepsis Meningitis
97
**What phrase is commonly used to describe Pseudomonas aeruginosa?
“Notorious hospital pathogen”
98
**What organism represents Moraxellaceae?
Moraxella lacunata
99
**What is the morphology of Moraxella lacunata?
Cocobacilli
100
**What is the oxygen requirement of Moraxella lacunata?
Aerobic
101
**Does Moraxella lacunata have flagella?
No
102
**What disease does Moraxella lacunata cause?
Conjunctivitis (pink eye)
103
**How does Moraxella lacunata differ clinically from Pseudomonas aeruginosa?
Pseudomonas → severe hospital infections Moraxella → eye infections, less severe
104
**What pattern is commonly used to identify organisms on exams?
Group → morphology → disease
105
**What does the presence of a capsule usually indicate?
Virulence
106
**What does the presence of flagella indicate?
Motility
107
**Why are pigments important in microbiology exams?
They aid in organism identification
108
**Why is vaccine presence vs absence important?
It helps differentiate similar organisms
109
**Blue-green pigment + hospital infection + biofilms = ?
Pseudomonas aeruginosa
110
**Cocobacilli + pink eye = ?
Moraxella lacunata
111
**What is the main Gram-negative bacterial group called in the new textbook?
Pseudomonadota
112
**What was Pseudomonadota called in older textbooks?
Proteobacteria
113
**Is Pseudomonadota the larger or smaller Gram-negative group?
Larger
114
**Why is Pseudomonadota considered more important clinically?
It contains more medically significant pathogens
115
**How is the second Gram-negative category described?
Smaller, mixed group It does not fit neatly into one category Features with nearby bacterial neighbors
116
**How does this group compare to Pseudomonadota in scope?
Less extensive
117
**Which Gram-negative group should you focus on the most?
Pseudomonadota
118
**GRAM POSITIVE** What is Bacillota?
A major subdivision of Gram-positive bacteria
119
**GRAM POSITIVE** What was Bacillota called in older textbooks?
Firmicutes
120
**GRAM POSITIVE** What is Mycoplasmatota?
The mycoplasma group of Gram-positive bacteria
121
**GRAM POSITIVE** What is Actinomycetota?
A major subdivision of Gram-positive bacteria
122
**GRAM POSITIVE** Is Actinomycetota further subdivided?
Yes
123
**List the three Gram-positive subdivisions using current terminology.
Bacillota Mycoplasmatota Actinomycetota
124
**What key identifiers should be included for each organism?
Morphology (shape) Oxygen requirement Transmission Virulence factors Disease(s) Virulence Factors to Watch For
125
**What virulence factors are especially important to track?
Capsule Fimbriae Flagella Toxins
126
** What is the smartest way to prepare for Chapter 11 exams?
Learn systems and key identifiers, not isolated facts
127
**What is the key medically important Alpha Proteobacteria organism?
Rickettsia
128
**What term did the transcript mispronounce, and what is the correct term?
“Richtea / rigstea” → Rickettsia
129
**What is the morphology of Rickettsia?
Coccobacilli (can appear rod-like)
130
**What type of lifestyle does Rickettsia have?
Obligate intracellular parasite
131
**What does “obligate intracellular” mean?
Must live inside host (mammalian) cells
132
**How is Rickettsia treated in terms of respiration in this course?
Aerobic
133
**How is Rickettsia transmitted?
Insects and ticks
134
**What transmission route is emphasized for exams?
Tick bites
135
**What disease does Rickettsia cause?
Rocky Mountain spotted fever
136
**Why is it called “spotted” fever?
Damage to the cardiovascular system (vascular/endothelial damage → rash)
137
**What automatic associations should you make with Rickettsia on an exam?
Obligate intracellular Tick / insect-borne Spotted fever
138
**Alpha Proteobacteria → Rickettsia: list 3 defining traits.
Obligate intracellular Tick-borne Causes Rocky Mountain spotted fever
139
**How many main Beta Proteobacteria subgroups are emphasized?
Two
140
**What is the key Bordetella species?
Bordetella pertussis
141
**What is the morphology of Bordetella pertussis?
Rod
142
**What is the respiration of Bordetella pertussis?
Aerobic
143
**What is the major virulence factor of Bordetella pertussis?
Capsule
144
**What body site does Bordetella pertussis target?
Lower respiratory tract
145
**What disease does Bordetella pertussis cause?
Pertussis (whooping cough)
146
**Who is most affected by pertussis?
Infants and children
147
**Who often transmits pertussis to infants?
Adults
148
**Why is pertussis clinically serious in infants?
It can be severe or fatal
149
**What vaccine prevents pertussis?
DTaP
150
**In DTaP, what does the “P” stand for?
Pertussis
151
**What is the morphology of Neisseria species?
Diplococci
152
**What is the respiration of Neisseria species?
Aerobic
153
**What virulence factor do both Neisseria species have (per lecture emphasis)?
Capsule
154
**What disease does Neisseria gonorrhoeae cause?
Gonorrhea (STD)
155
**What additional virulence factor does N. gonorrhoeae have?
Fimbriae/pili
156
**How did the prof describe its virulence?
“Double weapon” — capsule + fimbriae
157
**Is there a vaccine for N. gonorrhoeae?
No
158
**What disease does Neisseria meningitidis cause?
Meningococcal meningitis
159
**Does N. meningitidis have fimbriae (per prof’s notes)?
No
160
**Is there a vaccine for N. meningitidis?
Yes (meningococcal vaccine)
161
**How do you quickly differentiate the two Neisseria species on exams?
gonorrhoeae → STD, pili/fimbriae, no vaccine; meningitidis → meningitis, vaccine exists
162
**Beta Proteobacteria — name one Bordetella disease and one Neisseria disease.
Bordetella → Pertussis; Neisseria → Gonorrhea or meningococcal meningitis
163
**Which Gram-negative class is the largest and most pathogenic in this chapter?
Gamma Proteobacteria
164
**How is Gamma Proteobacteria organized?
Divided into five subgroups (some further subdivided)
165
**What is the key pathogen in Pseudomonadales?
Pseudomonas aeruginosa
166
**What transcript mispronunciation should you correct on exams?
“arginosa” → aeruginosa
167
**What is the morphology of Pseudomonas aeruginosa?
Rod
168
**What is the oxygen requirement of Pseudomonas aeruginosa?
Aerobic
169
**Is Pseudomonas aeruginosa motile?
Yes
170
**What flagellar arrangements can Pseudomonas aeruginosa have?
Monotrichous (one flagellum) or lophotrichous (lots at one end)
171
**What pigments does Pseudomonas aeruginosa produce?
Water-soluble pigments
172
**What is the classic pigment color for Pseudomonas aeruginosa?
Blue-green
173
**What type of organism is Pseudomonas aeruginosa regarding temperature?
Psychrotroph (can grow in cold)
174
**Why is psychrotrophic growth clinically relevant?
Can grow in cool environments (e.g., food storage; persistence in hospitals)
175
**How did the professor characterize Pseudomonas aeruginosa clinically?
A major “hospital challenge”
176
**What type of infections is Pseudomonas aeruginosa most associated with?
Nosocomial (hospital-acquired) infections
177
**What is a classic infection site and clue for Pseudomonas aeruginosa?
Burn wounds with blue-green pus
178
**How does Pseudomonas aeruginosa cause catheter-associated UTIs?
Forms biofilms on catheters
179
**What severe systemic outcomes can Pseudomonas aeruginosa cause?
Sepsis (septicemia)
180
**What severe systemic outcomes can Pseudomonas aeruginosa cause?
Meningitis (if it spreads)
181
**Blue-green pigment + burn patient + hospital infection = ?
Pseudomonas aeruginosa
182
**List 4 defining traits of Pseudomonas aeruginosa.
Aerobic rod Motile (mono- or lophotrichous flagella) Blue-green pigment Nosocomial pathogen with biofilms
183
**What family does Moraxella belong to within Gamma Proteobacteria?
Moraxellaceae
184
**What is the key Moraxella species mentioned?
Moraxella lacunata
185
**What shared clinical theme groups Moraxella organisms?
They cause eye infections
186
**What is the morphology of Moraxella lacunata?
Coccobacilli
187
**What is the oxygen requirement of Moraxella lacunata?
Aerobic
188
**Is Moraxella lacunata motile?
No (no flagella)
189
**Is Moraxella lacunata psychrotrophic?
No
190
**Which organism is contrasted as psychrotrophic?
Pseudomonas aeruginosa
191
**What disease does Moraxella lacunata cause?
Conjunctivitis (pink eye / red eye)
192
**How can morphology help differentiate organisms in conjunctivitis?
Staining pus and identifying coccobacilli helps distinguish Moraxella from other pathogens
193
**Eye infection + coccobacilli + aerobic + non-motile = ?
Moraxella lacunata
194
**What is the next Gamma Proteobacteria subgroup introduced after Moraxellaceae?
Legionellales
195
**What organism does the professor begin discussing under Legionellales?
Legionella pneumophila (likely, based on standard coverage)
196
**What is the morphology of Legionella (as stated before the cut)?
Rod
197
**What is the oxygen requirement of Legionella?
Aerobic
198
**Is Legionella spread person-to-person?
No
199
**What organism is associated with Q fever?
Coxiella burnetii
200
**What disease does Coxiella burnetii cause?
Q fever
201
**What type of pneumonia is associated with Q fever?
Atypical pneumonia
202
**What does “atypical pneumonia” mean clinically?
Not always a classic heavy cough Symptoms may be subtle or prolonged Patient may not improve as expected
203
**Why might patients with Q fever not get better right away?
The organism can persist and cause ongoing disease
204
**How did the professor explain this persistence (conceptually)? Q fever
She described it as the organism persisting/re-activating (not literally endospores clinically, but persistence is the key idea)
205
**How severe can Q fever be?
It can be severe or fatal
206
**What is the main teaching point when comparing pneumonia organisms here?
Some cause mild pneumonia Others cause severe or fatal pneumonia Presentation and persistence differ by organism
207
**Q fever → organism → pneumonia type?
Q fever → Coxiella burnetii → atypical pneumonia
208
**Persistent pneumonia without classic cough = think of what organism?
Coxiella burnetii
209
**Which Gamma Proteobacteria subgroup is Vibrio found in?
Vibrionales
210
**What is the key organism in Vibrionales?
Vibrio cholerae
211
**What name must you always know in full for exams?
Vibrio cholerae
212
**What is the shape of Vibrio cholerae?
Curved rod (vibrio)
213
**Does Vibrio cholerae have flagella?
Yes
214
**What is the oxygen requirement of Vibrio cholerae?
Facultative anaerobe
215
**What does “facultative anaerobe” imply for Vibrio cholerae?
It is adaptable and can survive with or without oxygen
216
**What disease does Vibrio cholerae cause?
Cholera
217
*What system of the body is affected by cholera?
Gastrointestinal tract
218
*What type of diarrhea is associated with cholera?
Profuse watery diarrhea
219
*What does “profuse” mean clinically?
Loss of large amounts of water and electrolytes
220
*Why can cholera be fatal?
Severe dehydration and electrolyte imbalance
221
*What is the classic stool description in cholera?
“Rice-water stools”
222
*Why is it called rice-water stool?
Watery fluid like boiled rice water; Contains debris (cells, bacteria, tissue)
223
*Curved rod + flagella + facultative anaerobe + rice-water stool = ?
Vibrio cholerae
224
*Name 4 defining features of Vibrio cholerae.
Curved rod Flagella Facultative anaerobe Causes rice-water diarrhea (cholera)
225
*What is another name commonly used for Enterobacteriales?
Enterics
226
*Why are they called “enterics”?
They commonly inhabit the intestines (enteron) of mammals
227
*In humans, what types of infections do enterics often cause?
Gastrointestinal (GI) tract infections
228
*How did the professor describe the size of this group?
Very large (many pathogens)
229
*How many enteric organisms does she focus on primarily?
Three main ones
230
*What is the shape of enteric bacteria?
Rods
231
*What is the oxygen requirement of enterics?
Facultatively anaerobic
232
*Are enterics motile?
Yes
233
*What flagellar arrangement do enterics use?
Peritrichous flagella (flagella all over)
234
*Why did the professor call this the “worst arrangement”?
It provides very strong mobility
235
*What structure do enterics use to attach to surfaces/cells?
Fimbriae
236
*What structure allows enterics to transfer genetic material?
Pili
237
*Why is genetic transfer important clinically?*
It allows transfer of traits between strains/species (e.g., resistance)
238
*What are bacteriocins?
Proteins that kill nearby bacteria
239
*Why do enterics produce bacteriocins?
To dominate a niche by eliminating competitors
240
*Summarize enterics in one line.
Enterics = facultative anaerobic motile rods with peritrichous flagella + fimbriae/pili + bacteriocins.
241
**GI pathogen + motile rod + peritrichous flagella = which group?
Enterobacteriales
242
**Which organism is considered the “classic” enteric bacterium?
Escherichia coli
243
**Why is E. coli widely used in genetics and biochemistry labs?
It is easy to grow and manipulate (ties to earlier chapters)
244
**Why do public health and regulatory agencies track E. coli?
It is used in coliform counts as an indicator organism
245
*What does E. coli indicate when found in water or food testing?
Contamination (often fecal contamination)
246
**What GI illness is commonly associated with E. coli?
Traveler’s diarrhea
247
**What food-related issues are classically linked to E. coli?
Food contamination and outbreaks (e.g., ground beef, spinach recalls)
248
**What urinary condition is E. coli strongly associated with?
Urinary tract infections (UTIs)
249
**Approximately what proportion of UTIs commonly involve E. coli (per lecture)?
~75%
250
**Does E. coli cause UTIs in both males and females?
Yes
251
**Recurrent UTI → think which organism?**
Escherichia coli
252
**Traveler’s diarrhea → think which organism?
Escherichia coli
253
**Food recalls (ground beef / spinach) → think which organism?
Escherichia coli
254
**Give three classic associations of E. coli.
Traveler’s diarrhea Food contamination/outbreaks UTIs (~75%)
255
**Ate food → severe traveler’s diarrhea → which organism?
Escherichia coli
256
**Patient keeps returning with UTIs — what organism should you check?
Escherichia coli
257
**Why does the professor say “E. coli” is a broad label?
Different strains behave differently
258
**How should you approach scenario-based MC questions?
Identify the key clues Match them to the most likely organism Choose the most appropriate test or answer
259
**Why is overthinking lab tests a mistake on exams?
Because the goal is to pick one logical test, not all possible tests
260
**Scenario + traveler’s diarrhea OR recurrent UTI = ?
Escherichia coli
261
*What type of illness does Salmonella enterica cause?
Gastroenteritis
262
*What are the typical symptoms of Salmonella enterica infection?
Diarrhea; stomach and intestinal upset
263
*How is Salmonella enterica usually managed?
Supportive care (fluids, light diet)
264
*What are common sources of Salmonella enterica?
Undercooked poultry Beef / ground beef Contaminated foods
265
*What disease does Salmonella Typhi cause?
Typhoid fever
266
*How does typhoid fever differ in severity from gastroenteritis?
More severe; can be fatal
267
*What serious complications did the professor emphasize?
Severe intestinal damage and bleeding (hemorrhaging)
268
*What is the key source difference for Salmonella Typhi?
Human source
269
*How is Salmonella Typhi spread?
From human carriers
270
*Where do carriers often harbor Salmonella Typhi?
Gallbladder
271
*Compare Salmonella enterica vs Salmonella Typhi.
enterica → foodborne → gastroenteritis → usually supportive care Typhi → human carrier → typhoid fever → severe/fatal
272
*Food poisoning after poultry vs severe hemorrhagic illness from a carrier — which is which?
Poultry/food → Salmonella enterica Carrier/typhoid → Salmonella Typhi
273
*What is the main Shigella pathogen emphasized?
Shigella dysenteriae
274
*What disease does Shigella dysenteriae cause?
Severe dysentery
275
*How is dysentery different from regular diarrhea?
It is more severe and involves significant tissue damage
276
*How is Shigella dysenteriae spread?
Fecal–oral route
277
*In what settings is Shigella most commonly spread?
Low sanitation environments, Crowded conditions, Children, Outbreaks in vulnerable populations, homelessness
278
*What toxin does Shigella dysenteriae produce?
Shiga toxin
279
*What part of the GI tract does Shigella primarily target?
Large intestine
280
*What type of tissue damage does Shigella cause?
Abscess/pus formation, Severe inflammation
281
*What is a key clinical sign of Shigella infection?
Many bowel movements per day
282
*Fecal–oral + severe dysentery + Shiga toxin = ?
Shigella dysenteriae
283
*Which enteric pathogen causes the most severe intestinal tissue damage?
Shigella dysenteriae
284
*Which Gamma Proteobacteria subgroup includes Haemophilus influenzae?
Pasteurellales
285
*What is the key organism in Pasteurellales?
Haemophilus influenzae
286
*Why is the name Haemophilus influenzae misleading?
It is not the flu virus; it is a bacterium
287
*What is the shape of Haemophilus influenzae?
Coccobacilli
288
*What is the respiration of Haemophilus influenzae?
Aerobic
289
*What does the name Haemophilus mean?
Hemo = blood; philus = loving
290
*Why is Haemophilus influenzae described as “blood-loving”?
It requires growth factors found in blood
291
*What is the V factor required by H. influenzae?
NAD (a coenzyme)
292
*What does the V factor (NAD) support?
Aerobic metabolism
293
*What is the X factor required by H. influenzae?
Iron / cytochromes
294
*What is the role of the X factor?
Needed for electron transport components
295
*Why are humans considered a “rich medium” for H. influenzae?
Blood supplies X and V factors, allowing rapid growth and spread
296
*What severe disease does H. influenzae cause, especially in infants?
Meningitis
297
*What respiratory disease can H. influenzae cause?
Pneumonia
298
*Who is at higher risk for H. influenzae pneumonia (per lecture)?
Smokers; People who drink alcohol; Older males
299
*What ear infection is commonly caused by H. influenzae?
Otitis media (middle ear infection) also Sinus infections; Epiglottitis but not as common
300
*What vaccine prevents serious H. influenzae infections?
Hib vaccine
301
*Who typically receives the Hib vaccine?
Infants (also at-risk adult populations)
302
*What special medium is used to grow Haemophilus influenzae?
Chocolate agar
303
*Why is chocolate agar used instead of regular blood agar (per lecture)?
Blood is highly concentrated and appears brown, releasing X and V factors
304
*How did the professor describe chocolate agar in lecture context?
As a differential media
305
*Coccobacillus + needs X & V factors + chocolate agar + meningitis = ?
Haemophilus influenzae
306
*List 4 defining clues for Haemophilus influenzae.
Coccobacilli Requires X (iron) & V (NAD) factors Grows on chocolate agar Causes meningitis / pneumonia / otitis media
307
*What domain do all disease-causing bacteria in this course belong to?
Eubacteria (EuBacteria)
308
*What does “Eubacteria” mean?
True bacteria
309
* Is Psuedomonatoda Gram Positive or Gram Negative?
Gram Negative
310
** Which are Gram Positive
Bacillota Mycoplasma Actinmycetota
311
**Pseudomonadota
A major Gram-negative bacterial group
312
**GRAM-NEG - What is the key organism in Alpha Pseudomonadota?
Rickettsia
313
**GRAM-NEG - What is the shape of Rickettsia?
Coccobacillus (can appear rod-like)
314
**GRAM-NEG - What type of organism is Rickettsia?
Obligate intracellular parasite
315
**GRAM-NEG - What does “obligate intracellular” mean?
Must live inside host cells to survive
316
**GRAM-NEG - How is Rickettsia treated in terms of respiration in this course?
Aerobic
317
**GRAM-NEG - How is Rickettsia spread?
Insects and ticks (tick bites emphasized)
318
**GRAM-NEG - What disease does Rickettsia cause?
Rocky Mountain spotted fever
319
**GRAM-NEG - Why is it called “spotted” fever?
Damage to the cardiovascular system causes a rash (vascular damage)
320
**GRAM-NEG - Coccobacillus + obligate intracellular + tick-borne + spotted fever = ?
Rickettsia
321
**GRAM-NEG - Alpha Pseudomonadota → Rickettsia: list 4 traits.
Gram-negative Coccobacillus Obligate intracellular parasite Causes Rocky Mountain spotted fever
322
**What Gram status does the Beta group belong to?
Gram-negative
323
**In this course, how should you treat oxygen requirements unless stated otherwise?
Assume aerobic
324
**(What is the key Bordetella species?
Bordetella pertussis
325
**What is the morphology of Bordetella pertussis?
Rod
326
**What is the respiration of Bordetella pertussis?
Aerobic
327
**What is the main virulence factor of Bordetella pertussis?
Capsule
328
**What disease does Bordetella pertussis cause?
Whooping cough (pertussis)
329
**What is the morphology of Neisseria species?
Diplococci
330
**What key virulence factor do both Neisseria species have?
Capsule
331
**What is the respiration of Neisseria species?
Aerobic
332
**What disease does Neisseria gonorrhoeae cause?
Gonorrhea (STD)
333
**What additional virulence factor does N. gonorrhoeae have?
Fimbriae (pili)
334
**Why are fimbriae important in gonorrhea?
They help attachment and increase infectivity
335
**Is Neisseria meningitidis an STD?
No
336
**What disease does Neisseria meningitidis cause?
Meningitis
337
**What is the respiration of Neisseria meningitidis?
Aerobic
338
**How do you differentiate the two Neisseria species on exams?
gonorrhoeae → STD, fimbriae, capsule; meningitidis → meningitis, capsule, not an STD
339
**Diplococci + capsule + aerobic → think which genus?
Neisseria
340
**Which Pseudomonadota group is the largest and most pathogenic?
Gamma Proteobacteria
341
**What is the key organism in Pseudomonadales?
Pseudomonas aeruginosa
342
**What is the morphology of Pseudomonas aeruginosa?
Rod
343
**What is the oxygen requirement of Pseudomonas aeruginosa?
Aerobic
344
**What type of flagella does Pseudomonas aeruginosa have?
Monotrichous or lophotrichous
345
**What pigment does Pseudomonas aeruginosa produce?
Blue-green, water-soluble pigment
346
**Why is the blue-green pigment clinically important?
It helps identify infections (blue-green pus)
347
**What classic infection is seen in burn patients with Pseudomonas?
Blue-green pus in burn wounds
348
**How can Pseudomonas aeruginosa cause UTIs?
Enters catheters → forms biofilms → causes catheter-associated UTIs
349
**Why is Pseudomonas aeruginosa associated with food spoilage?
It is a psychrotroph (can grow in cold)
350
**Why are Pseudomonas infections a major hospital challenge?
They cause hospital-acquired (nosocomial) infections
351
**What Moraxella species is emphasized?
Moraxella lacunata
352
**What is the morphology of Moraxella lacunata?
Coccobacilli
353
**What is the respiration of Moraxella lacunata?
Aerobic
354
**What disease does Moraxella lacunata cause?
Conjunctivitis (pink eye / red eye)
355
**Which two Gamma Proteobacteria mentioned can be associated with eye infections?
Pseudomonas aeruginosa, Moraxella lacunata
356
**How do their eye infections differ clinically?
Pseudomonas → more severe, often hospital-related Moraxella → common conjunctivitis
357
**Blue-green pigment + burn patient + hospital infection = ?
Pseudomonas aeruginosa
358
**Pink eye + coccobacilli = ?
Moraxella lacunata
359
**Gamma Proteobacteria — name the two key organisms and one disease each.
Pseudomonas aeruginosa → nosocomial burn wounds / UTIs Moraxella lacunata → conjunctivitis
360
**Which Gamma Proteobacteria subgroup includes Legionella?
Legionellales
361
**What is the key organism in Legionellales?
Legionella pneumophila
362
**What is the morphology of Legionella pneumophila?
Rod
363
**What is the oxygen requirement of Legionella pneumophila?
Aerobic
364
**How is Legionella pneumophila spread?
Through water aerosols
365
*Give examples of common sources of Legionella exposure.
Showers Air conditioning systems Hospital water systems Cooling towers
366
*Is Legionella pneumophila spread person-to-person?
No
367
*What is Pontiac fever?
A mild form of pneumonia caused by Legionella pneumophila
368
*Is Pontiac fever usually fatal?
No
369
*What is Legionnaires’ disease?
A severe and potentially fatal pneumonia caused by Legionella pneumophila
370
*Which form of Legionella infection is more dangerous?
Legionnaires’ disease
371
*What do Pontiac fever and Legionnaires’ disease have in common?
Both are caused by Legionella pneumophila Both involve pneumonia
372
*How do they differ?
Pontiac fever → mild Legionnaires’ disease → severe / fatal
373
*Water system exposure + pneumonia + no person-to-person spread = ?
Legionella pneumophila
374
*Mild vs fatal pneumonia from the same organism = which one?
Legionella pneumophila
375
*Legionella pneumophila — list 4 defining clues.
Aerobic rod Water-borne (aerosols) Not person-to-person Causes Pontiac fever or Legionnaires’ disease
376
*What is the correct name of the organism?
Coxiella burnetii (common misspelling: “burnetti” → correct: burnetii)
377
*What is the morphology of Coxiella burnetii?
Rod
378
*How is Coxiella burnetii treated in terms of respiration in this course?
Aerobic (obligate intracellular)
379
*Does Coxiella burnetii form a true endospore?
❌ No — it does NOT form a true bacterial endospore
380
*Why does it often get described as “endospore-like”?
It forms a highly resistant spore-like survival form, but not a true endospore like Bacillus or Clostridium
381
*Coxiella burnetii is extremely resistant but does not form true endospores.
382
*What is the primary source of Coxiella burnetii?
Animals (especially livestock)
383
*How is Coxiella burnetii transmitted to humans?
Aerosols from animals Contaminated milk (unpasteurized)
384
*What disease does Coxiella burnetii cause?
Q fever
385
*What type of pneumonia is associated with Q fever?
Atypical pneumonia
386
*Why is Q fever considered dangerous?
Symptoms may persist Can be severe or fatal Not always a classic pneumonia presentation
387
*Animal exposure + milk/aerosols + atypical pneumonia = ?
Coxiella burnetii
388
*Q fever = which organism?
Coxiella burnetii
389
*Coxiella burnetii — list 4 defining features.
Aerobic intracellular rod Extremely resistant (spore-like form) Animal / milk / aerosol transmission Causes Q fever (atypical pneumonia)
390
*Which Gamma Proteobacteria group includes Vibrio species?
Vibrionales
391
*What is the key organism in Vibrionales?
Vibrio cholerae
392
*What is the shape of Vibrio cholerae?
Curved rods (vibrios)
393
*Does Vibrio cholerae have flagella?
Yes
394
*What is the oxygen requirement of Vibrio cholerae?
Facultative anaerobe
395
*What disease does Vibrio cholerae cause?
Cholera
396
*What type of diarrhea is characteristic of cholera?
Very watery, profuse diarrhea
397
*Why can cholera be fatal?
Massive loss of water and electrolytes → severe dehydration
398
*What is the classic stool description in cholera?
Rice-water stool
399
*What does “rice-water stool” look like?
Watery fluid with debris, resembling water from boiled rice
400
*Curved rod + flagella + facultative anaerobe + rice-water diarrhea = ?
Vibrio cholerae
401
*List 4 defining features of Vibrio cholerae.
Curved rod (vibrio), Flagellated, Facultative anaerobe, Causes profuse watery diarrhea (rice-water stool)
402
*What are Enterobacteriales commonly called?
Enterics
403
*Why are they called “enterics”?
They commonly live in the intestines (enteron) of mammals
404
*In humans, what types of infections do enterics often cause?
Gastrointestinal (GI) tract infections
405
*What is the shape of enteric bacteria?
Rods
406
*What is the oxygen requirement of enterics?
Facultative anaerobes
407
*Are enterics motile?
Yes
408
*What type of flagella do enterics use?
Peritrichous flagella (flagella all over)
409
*Why is peritrichous flagella considered the “worst” arrangement (per prof)?
It provides very strong motility
410
*How do enterics attach to host cells?
Fimbriae
411
*What structure allows genetic exchange in enterics?
Pili
412
*What do enterics produce to kill competing bacteria?
Bacteriocins
413
*Summarize enterics in one sentence.
Enterics are facultative anaerobic motile rods with peritrichous flagella, fimbriae/pili, and bacteriocin production.
414
*Which organism is considered the “classic” enteric bacterium?
Escherichia coli
415
*Why is E. coli widely used as a lab organism?
It is easy to grow and manipulate (“lab pet”)
416
*Why do public health agencies monitor E. coli?
It is used in water, sewage, and coliform counts as an indicator of contamination
417
*What GI illness is commonly caused by E. coli?
Traveler’s diarrhea
418
*What food is classically associated with E. coli outbreaks?
Ground beef (also other contaminated foods)
419
*What urinary condition is E. coli a leading cause of?
Urinary tract infections (UTIs)
420
*Does E. coli cause UTIs in both males and females?
Yes
421
*People ate food and developed traveler’s diarrhea — which organism?
Escherichia coli
422
*Patient has recurrent/constant UTIs — which organism should you suspect?
Escherichia coli
423
*List 4 classic clues for E. coli.
Enteric facultative anaerobic rod Traveler’s diarrhea Food contamination (ground beef) Leading cause of UTIs
424
*What disease does Salmonella enterica cause?
Gastroenteritis
425
*How severe is Salmonella enterica infection?
Usually mild to moderate (“stomach flu”–like)
426
*Is Salmonella enterica usually life-threatening?
No
427
*How is Salmonella enterica typically acquired?
Food-borne
428
*What kinds of foods are commonly involved with Salmonella Enteric?
Contaminated foods (e.g., poultry, meat)
429
*What disease does Salmonella Typhi cause?
Typhoid fever
430
*How does typhoid fever compare in severity to gastroenteritis?
Much more severe and can be fatal
431
*What major intestinal complication did the professor emphasize in Salmonella Typhi?
Severe hemorrhaging of intestinal tissue
432
*What is the reservoir of Salmonella Typhi?
Humans only
433
*Where do human carriers often harbor Salmonella Typhi?
Gallbladder
434
*How is Salmonella Typhi transmitted to others?
Through food or water contaminated by human carriers
435
*Is Salmonella Typhi transmitted from animals?
No
436
*Compare Salmonella enterica vs Salmonella Typhi.
enterica → food-borne → gastroenteritis → usually mild Typhi → human reservoir → typhoid fever → severe/fatal
437
*“Stomach flu” after eating contaminated food = ?
Salmonella enterica
438
*Severe intestinal bleeding + human carrier = ?
Salmonella Typhi
439
*What is the single biggest difference between the two Salmonella types?
enterica → animal/food source Typhi → human reservoir (gallbladder carrier)
440
*What is the main Shigella species emphasized?
Shigella dysenteriae
441
*How is Shigella dysenteriae transmitted?
Fecal–oral route (fecal matter entering the mouth)
442
*In what populations/settings is Shigella commonly spread?
Children not washing hands Homeless populations Crowded or low-sanitation environments
443
*Is Shigella dysenteriae considered dangerous?
Yes — very dangerous
444
*What disease does Shigella dysenteriae cause?
Severe dysentery
445
*How is dysentery different from regular diarrhea?
It is more severe and involves tissue damage
446
*What is a key clinical feature of Shigella infection?
Many bowel movements throughout the day
447
*What toxin makes Shigella dysenteriae so dangerous?
Shiga toxin
448
*What does Shiga toxin do?
Causes severe damage to intestinal cells
449
*Which part of the GI tract does Shigella dysenteriae primarily affect?
Large intestine
450
*What happens to the large intestine during Shigella infection?
Severe inflammation Tissue destruction Ulceration and pus (abscess) formation
451
*Fecal-oral + severe dysentery + Shiga toxin + many bowel movements = ?
Shigella dysenteriae
452
*List 4 defining features of Shigella dysenteriae.
Fecal–oral transmission Produces Shiga toxin Targets the large intestine Causes severe dysentery with frequent bowel movements
453
*Which Gamma Proteobacteria group includes Haemophilus influenzae?
Pasteurellales
454
*What is the key organism in Pasteurellales?
Haemophilus influenzae
455
*Why is the name Haemophilus influenzae misleading?
It is not the flu virus — it is a bacterium that can cause severe disease
456
*What is the shape of Haemophilus influenzae?
Coccobacillus
457
*What is the oxygen requirement of Haemophilus influenzae?
Aerobic
458
*What does the name Haemophilus mean?
Hemo = blood; philus = loving
459
*Why does Haemophilus influenzae “love blood”?
Blood provides essential growth factors
460
*What is the V factor required by Haemophilus influenzae?
NAD (a coenzyme)
461
*What does the V factor (NAD) support in Haemophilus Influenza?
Aerobic metabolism
462
*What is the X factor required by Haemophilus influenzae?
Iron / cytochromes
463
*Why is the X factor important in Haemophilus influenza?
It is required for the electron transport chain (ETC)
464
*Why are humans a “rich growth medium” for Haemophilus influenzae?
Human blood supplies both X and V factors, allowing rapid growth and spread
465
*How does Haemophilus influenzae behave once it establishes infection?
It spreads very quickly
466
*How would you describe Haemophilus Influenzae organism clinically?
A very nasty aerobic coccobacillus - deadly
467
*What life-threatening disease does Haemophilus influenzae cause, especially in infants?
Meningitis
468
*Why is Haemophilus influenzae meningitis especially dangerous in infants?
It can be rapidly fatal
469
*What vaccine protects against Haemophilus influenzae infections?
Hib vaccine
470
*What lung disease does Haemophilus influenzae cause?
Pneumonia
471
*Who is at higher risk for Haemophilus influenzae pneumonia?
Older males; Smokers; People who drink heavily
472
*What common ear infection does Haemophilus influenzae cause?
Otitis media (middle ear infection)
473
*What additional infections can Haemophilus influenzae cause?
Sinus infections and other respiratory infections
474
*Why does Haemophilus influenzae grow well in humans?
Our blood provides needed growth factors
475
*What agar is used to grow Haemophilus influenzae?
Chocolate agar
476
*Why is chocolate agar used instead of regular blood agar in Haemophilus influenza?
It releases X and V factors from blood cells
477
*How did the professor describe chocolate agar in lecture context?
Differential media
478
*Aerobic coccobacillus + needs X & V factors + chocolate agar + meningitis = ?
Haemophilus influenzae
479
*List 5 defining clues for Haemophilus influenzae.
Aerobic coccobacillus Blood-loving (X & V factors) Grows on chocolate agar Causes meningitis (infants) Causes pneumonia, otitis media, sinus infections
480
*Is Hib a virus or a bacterium?
A bacterium.
481
*Is Hib related to the influenza virus?
No. Despite the name, it is not related to influenza.
482
*Which population is most affected by the current Hib cases in Calgary? VIDEO
Homeless adults or those with unstable housing.
483
VIDEO *Why is Hib more common in homeless populations?
Crowded living conditions, Limited access to hygiene, Reduced access to healthcare, Higher likelihood of weakened immune systems.
484
*Where was this strain previously reported? VIDEO HIB
British Columbia, including Vancouver Island.
485
*Who issued the memo warning healthcare workers? HIB
Alberta’s Primary and Preventative Health Services.
486
*What actions are being taken by Alberta Health? HIB VIDEO
Increased surveillance, Contact tracing.
487
*How does Hib typically spread?
Coughing, Sneezing, Sharing utensils or cups.
488
*What flu-like symptoms can Hib cause?
Ear infections, Sinus infections.
489
*What happens when Hib enters the bloodstream?
It can infect multiple organs.
490
*What severe symptoms can occur in invasive Hib infections?
Fever, Drowsiness, Vomiting.
491
*Can Hib be fatal?
Yes, in rare severe cases.
492
*Is Hib difficult to diagnose or treat?
No, it is generally easy to diagnose, treat, and prevent.
493
*Will this outbreak overwhelm the healthcare system? VIDEO HIB
No, it is not expected to add significant pressure.
494
*Who did Hib primarily affect before vaccination?
Children.
495
*What changed Hib epidemiology?
The introduction of routine childhood Hib vaccination.
496
*What social factors increase Hib risk in homeless populations?
Poor infrastructure, Limited hygiene access, Reduced healthcare access, Increased immune system vulnerability.
497
*Why is this Hib cluster important for healthcare workers to recognize?
Because patients with homelessness or unstable housing presenting with flu-like or invasive symptoms may have Hib, despite it being rare.
498
*How is this year’s flu season being described by doctors?
As “a beast” and likely more severe and more significant than average.
499
*How does this flu season compare to a typical flu season?
It is expected to be more severe than the average flu season.
500
*What proportion of flu tests are currently coming back positive?
1 in 5 tests (20%).
501
*What does a 1-in-5 positivity rate indicate?
That the flu is in the midst of a surge.
502
*Which influenza strain is primarily driving the early spike this season?
Influenza A (H3N2).
503
*Are there variants involved in this season’s flu surge?
Yes, new variants of H3N2 are involved.
504
*Approximately how many additional mutations have been identified in the circulating strain?
About seven additional mutations.
505
*Why are these mutations concerning?
They likely enhance the virus’s ability to slip through immune protections.
506
*What does “slipping through immune protections” mean?
The virus can partially evade existing immunity, including from prior infection or vaccination.
507
*Is this year’s flu vaccine completely ineffective?
No, it still works.
508
*What is the main issue with this year’s flu shot?
A less-than-ideal match to the circulating H3N2 strain.
509
*Which component of the vaccine is less effective than hoped?
The component protecting against H3N2.
510
*Does the vaccine still provide protection?
Yes, just not to the same extent for H3N2.
511
*How does the vaccine perform against other flu viruses?
It provides good protection against the other two circulating flu viruses.
512
*What flu season pattern was observed in 2023–2024?
A slow burn lasting several months.
513
*What happened during the 2022 flu season?
An early spike followed by a quick drop.
514
*Which past season might this year resemble? FLU VID
The 2022 flu season.
515
*Are doctors certain this year will follow that pattern? FLU VID
No, nothing is certain.
516
*How is the flu virus described in terms of predictability?
Very unpredictable.
517
*What sometimes happens after an initial flu surge?
A second surge (“blip”) in the spring.
518
*Which flu type usually dominates in a second spring surge?
Influenza B.
519
*Which flu types are dominant right now?
Influenza A, specifically H3N2.
520
What is described as the key issue in *managing this flu season?
Prevention.
521
*What prevention measures are strongly recommended?
Getting the flu shot, Staying home when sick, Keeping children home from school when sick.
522
*Why is staying home when sick emphasized?
To prevent spreading illness at work, parties, and schools.
523
*Why is this flu season considered particularly concerning?
Because it involves: A high positivity rate (20%), H3N2 dominance, Multiple mutations that enhance immune evasion, A suboptimal vaccine match, The potential for unpredictable surges.
524
**SHIGELLA VIDEO** What infection is currently spreading among Toronto’s most vulnerable populations?
Shigella, a highly contagious bacterial stomach infection.
525
**SHIGELLA VIDEO** How many confirmed cases of Shigella are currently reported in Toronto?
11 confirmed cases.
526
**SHIGELLA VIDEO** Which population are all confirmed Toronto cases found in?
People experiencing homelessness.
527
**SHIGELLA VIDEO** Does Toronto’s public health officer believe the confirmed case count reflects the true number?
No — the true number is believed to be much higher.
528
**SHIGELLA VIDEO** Can Shigella infections be serious?
Yes, infections can be severe and even fatal.
529
**SHIGELLA VIDEO** Why are only some cases being captured by public health surveillance?
Because most people recover on their own, and only those who seek medical care are tested and recorded.
530
**SHIGELLA VIDEO** What are common early symptoms of Shigella infection?
Watery diarrhea, Severe fatigue, Abdominal (belly) pain.
531
**SHIGELLA VIDEO** How can symptoms progress in Shigella infection?
It can cause inflammation of the colon, leading to: Bloody diarrhea, Mucousy stools, Fever, Cramps.
532
**SHIGELLA VIDEO** How long does Shigella infection usually last in most people?
About one week or less.
533
**SHIGELLA VIDEO** Which groups are most vulnerable to severe Shigella infection?
Very young, Very old, People with weakened immune systems.
534
**SHIGELLA VIDEO** Why is Shigella more concerning in homeless populations?
Due to limited hygiene access, crowded living conditions, and shared facilities.
535
**SHIGELLA VIDEO** How is Shigella transmitted?
Through fecal–oral transmission.
536
**SHIGELLA VIDEO** Why is Shigella considered highly contagious?
Because it requires a very small infectious dose.
537
**SHIGELLA VIDEO** What is the infectious dose (inoculum) for Shigella?
Approximately 10–100 bacteria.
538
**SHIGELLA VIDEO** Why is such a small inoculum dangerous?
Because it makes transmission very easy via contaminated hands, food, or utensils.
539
**SHIGELLA VIDEO** Why doesn’t stomach acid easily kill Shigella?
The bacteria is not very susceptible to stomach acid.
540
**SHIGELLA VIDEO** Why are homeless encampments and shelters high-risk environments for Shigella spread?
Shared bathrooms, Poor hand hygiene, Lack of running water, Inability to bathe, Shared clothing, Shared food preparation, Shared utensils.
541
**SHIGELLA VIDEO** Why is food preparation a major risk factor?
If an infected person prepares food, it can infect many others at once.
542
**SHIGELLA VIDEO** Besides Toronto, which Canadian cities have seen Shigella cases?
Edmonton and Vancouver.
543
**SHIGELLA VIDEO** How many people have been hospitalized with severe Shigella infections in Edmonton since 2022?
Over 300 people.
544
**SHIGELLA VIDEO** Has Shigella been reported internationally?
Yes, in Europe, Australia, and the United States.
545
**SHIGELLA VIDEO** Where in the U.S. have cases been reported?
Seattle.
546
**SHIGELLA VIDEO** Is drug-resistant Shigella widespread in Canada?
No, it is not well established, but cases do occur.
547
**SHIGELLA VIDEO** What is the most effective prevention method for Shigella?
Hygiene measures.
548
**SHIGELLA VIDEO** What sanitation strategies helped control Shigella cases in Edmonton?
Access to showers, Access to washrooms, Clean clothing distribution.
549
**SHIGELLA VIDEO** Why are hygiene-based prevention strategies difficult for homeless populations?
Due to lack of infrastructure and facilities.
550
**SHIGELLA VIDEO** Do most people with Shigella need antibiotics?
No, most people recover without treatment.
551
**SHIGELLA VIDEO** When are antibiotics used for Shigella?
Severe illness, High-risk patients, Outbreak control situations.
552
**SHIGELLA VIDEO**What is XDR Shigella?
Extensively Drug-Resistant Shigella, resistant to many antibiotics.
553
**SHIGELLA VIDEO**Why is unnecessary antibiotic use discouraged?
It promotes antibiotic resistance.
554
**SHIGELLA VIDEO** Why might treatment still be recommended in outbreaks?
Because treatment: Shortens illness duration, Reduces transmission risk.
555
**SHIGELLA VIDEO** Can people spread Shigella after symptoms resolve?
Yes.
556
**SHIGELLA VIDEO** What is asymptomatic shedding?
Continued release of bacteria in stool without symptoms.
557
**SHIGELLA VIDEO** How long can asymptomatic shedding last?
Up to six weeks in some people.
558
**SHIGELLA VIDEO** Why does this matter in shelters and encampments?
Because people can unknowingly spread infection for weeks.
559
**SHIGELLA VIDEO** Why are IV antibiotics sometimes required?
Because oral antibiotics may not work due to resistance.
560
**SHIGELLA VIDEO** Where must patients go to receive IV antibiotics?
Emergency department, Hospital.
561
**SHIGELLA VIDEO** Do IV antibiotics always work?
No, even IV treatment can fail in some cases.
562
**SHIGELLA VIDEO** Is Shigella expected to spread widely in the general population?
No.
563
**SHIGELLA VIDEO** Where are outbreaks outside homeless populations most concerning?
Nursing homes, Childcare facilities, Any setting with shared food preparation.
564
**SHIGELLA VIDEO** What type of outbreaks occasionally affect the general population?
Food-borne outbreaks, Water-borne outbreaks, Recreational water (e.g., wading pools).
565
**SHIGELLA VIDEO** Why is the Toronto Shigella outbreak particularly concerning?
Because it involves: Highly contagious fecal-oral transmission, Very low infectious dose, Drug resistance (XDR strains), Prolonged asymptomatic shedding, Limited hygiene access in vulnerable populations.
566
How many organisms are emphasized in Campylobacterota?
Two: 1. Campylobacter jejuni 2. Helicobacter pylori
567
GRAM NEG - Campylobacter jejuni shape
Curved rod (vibrio-shaped)
568
Is Campylobacter jejuni motile?
Yes - has flagella
569
What type of flagella does Campylobacter jejuni have?
Monotrichous (single polar flagellum)
570
What is the oxygen requirement of Campylobacter jejuni?
Microaerophilic
571
What disease does Campylobacter jejuni cause?
Gastroenteritis (diarrhea, abdominal cramps)
572
What is a common source of Campylobacter jejuni infection?
Contaminated food Unchlorinated water
573
Campylobacter jejuni: shape, mobility, oxygen, disease
- Curved rod - microaerophilic - single polar flagellum - gastroenteritis
574
GRAM NEG: Helicobacter pylori shape
Curved rod (vibrio-shaped)
575
Is Helicobacter pylori motile?
Yes - has flagella
576
What type of flagella does Helicobacter pylori have?
Peritrichous (flagella all around) Peri = P = Party (flagella all over)
577
What is the oxygen requirement of Helicobacter pylori?
Microaerophilic
578
What disease does Helicobacter pylori cause?
Peptic ulcer disease (stomach ulcers)
579
What are the two key differences between Campylobacter jejuni and Helicobacter pylori?
Flagella arrangement Disease location (intestine vs stomach)
580
Campylobacter jejuni
Curved rod Monotrichous Microaerophilic Gastroenteritis
581
Helicobacter pylori
Curved rod Peritrichous Microaerophilic Stomach ulcers
582
What eye disease does Chlamydia trachomatis cause?
Trachoma
583
Why is trachoma significant globally?
It is the leading cause of infectious (non-traumatic) blindness worldwide
584
What STD does Chlamydia trachomatis commonly cause?
NGU (non-gonococcal urethritis) = urethral inflammation
585
What complication can NGU (non-gonococcal urethritis) lead to in males?
urethral inflammantion = scarring - can cause infertility/sterility (especially in males)
586
What other STD is caused by Chlamydia trachomatis?
LGV (lymphogranuloma venereum)
587
What is the morphology of Chlamydia trachomatis?
Aerobic coccobacillus
588
What is the lifestyle of Chlamydia trachomatis?
Obligate intracellular parasite
589
How does Chlamydia enter host cells?
Endocytosis (host forms a vesicle)
590
How is Chlamydia trachomatis spread?
- Sexual transmission - Contact/fomites (clothing/tissue/toys - inanimate objects) - Poor sanitation environments - (Prof mentions airborne in certain settings)
591
What is the infectious form of Chlamydia?
Elementary body (EB) = enters host cell via endocytotic vesicle
592
What happens after the EB enters the host cell In chlamydia?
It reorganizes into a reticulate body (RB) = dividing form (binary fission)
593
What is the function of the reticulate body (RB in chlamydia)?
Divides by binary fission
594
What happens after RB replication in chlamydia?
RB → EB → host cell ruptures → infection spreads
595
What is the morphology of Bacteroides?
Anaerobic rods
596
What infection are Bacteroides associated with in the mouth?
Dental infections / gingivitis
597
What severe abdominal condition can Bacteroides cause?
Peritonitis (severe bowel/colon, anaerobic infection, may require surgery)
598
What is the morphology of Fusobacteria?
Anaerobic rods
599
How do Fusobacteria appear on Gram stain?
Spindle-shaped rods (pointed ends)
600
What infection are Fusobacteria mainly associated with?
Gingivitis (deep gum infection)
601
Key differences and similarities between Bacteroides and Fusobacteria?
Differences: Fusobacteria → spindle-shaped, mainly gingivitis Bacteroides → typical rods + can cause peritonitis Similarities: - both anaerobic rods, both linked to dental infections / gingivitis (deep gum infection, bleeding gums)
602
How do spirochetes move?
Corkscrew motion
603
What structure allows this corkscrew motion In spirochetes?
Axial filament (endoflagella)
604
What is a key spirochete pathogen?
Treponema pallidum = syphillis
605
What disease does Treponema pallidum cause? (spirochetes)
Syphilis
606
Why is Treponema pallidum genome mapping important?
Helps future research and vaccine development - rabbits used for testing/studies
607
intracellular + EB/RB + STD + trachoma =
Chlamydia
608
anaerobic rod + peritonitis =
Bacteroides
609
spindle rod + gingivitis
Fusobacteria
610
corkscrew + syphilis
Spirochetes →
611
What is the lifecycle of Chlamydia trachomatis?
48 hours
612
Why does Chlamydia have two forms (EB and RB)?
One form infects, the other form divides
613
Elementary Body (EB) in chlamydia
The infectious form
614
What does the EB do? chlamydia
Enters the host cell
615
How does the EB enter the host cell? clamydia
By endocytosis (the host cell forms a vesicle around it)
616
Does the EB divide? Chlamydia
No
617
What does the EB turn into inside the cell? Chlamydia
Reticulate Body (RB)
618
What is the Reticulate Body (RB)? Chlamydia
The dividing form
619
How does the RB multiply? Chlamydia
Binary fission
620
Is the RB infectious? Chlamydia
No
621
What happens after RB divides many times? Chlamydia
RB reorganizes back into EB
622
What happens to the host cell next? Chlamydia
The host cell ruptures
623
What is released when the host cell ruptures? Chlamydia
Many new Elementary Bodies (EBs)
624
Chlamydia life cycle in one line?
Infectious EB enters cell → becomes dividing RB → turns back into EB → cell bursts → infection spreads.
625
GRAM POSITIVE - Which organisms remain in the genus Clostridium?
Clostridium tetani, Clostridium perfringens, Clostridium botulinum
626
Which organism is now classified under Clostridioides?
Clostridioides difficile (formerly Clostridium difficile)
627
What is the morphology of the Clostridium group? GRAM POSITIVE
Anaerobic rods
628
Do Clostridium species form endospores?
Yes
629
Where is the endospore often located in Clostridium species?
Terminal (at the end of the rod) lollipop rod
630
What does a terminal endospore cause the cell to look like?
A “lollipop rod”
631
What disease does Clostridium tetani cause?
Tetanus
632
Is there a vaccine for Clostridium tetanus (tetanus)?
Yes
633
What disease does Clostridium perfringens cause?
Gas gangrene
634
What disease does Clostridium botulinum cause?
Botulism
635
What disease does Clostridium difficile cause?
Pseudomembranous colitis
636
What are the main symptoms of Clostridium difficile infection?
Severe, prolonged diarrhea, can be fatal, major hospital-acquired infectious diarrhea spreads easily due to endospores prof mentions interest in mRNA vaccine research
637
Can Clostridium difficile infection be fatal?
Yes
638
Why does Clostridium difficile spread easily in hospitals?
Endospore formation (resistant to disinfectants)
639
What type of infection is Clostridium difficile considered?
Major hospital-acquired infectious diarrhea
640
What new research approach did the professor mention for Clostridium-related diseases?
mRNA vaccine research
641
Clostridium group =
Anaerobic, Endospore-forming, Terminal spores (“lollipop rod”), Diseases: tetani → tetanus perfringens → gas gangrene botulinum → botulism difficile → pseudomembranous colitis
642
Lollipop rod →
Clostridium
643
Hospital diarrhea →
C. difficile
644
Paralysis →
tetanus or botulism
645
What is the main medically important organism in the genus Bacillus? GRAM POS
Bacillus anthracis
646
What is the morphology of Bacillus anthracis? GRAM POS
Rod
647
Is Bacillus anthracis aerobic or anaerobic? GRAM POS
Aerobic or facultative anaerobe
648
Does Bacillus anthracis form endospores?
Yes
649
Where is the endospore located in Bacillus anthracis?
Central
650
Does the endospore cause a “lollipop” bulge appearance?
No
651
What disease does Bacillus anthracis cause?
Anthrax
652
Why is Bacillus anthracis considered a potential bioweapon?
Its endospores are highly resistant and survive long periods
653
What historical event did the professor reference regarding anthrax?
September 2001 anthrax attacks
654
Compare oxygen for Clostridium vs. Bacillus
Clostridium = Strict anaerobe Bacillus = aerobic or facultative
655
Compare endospore location for Clostridium vs. Bacillus
Clostridium = often terminal Bacillus = central
656
Compare Lollipop shape for Clostridium vs. Bacillus
Clostridium = lollipop shape Bacillus = No lollipop shape
657
anaerobic + lollipop spore =
Clostridium
658
aerobic + central spore + anthrax =
Bacillus anthracis
659
Aerobic rod + central endospore + anthrax = ?
Bacillus anthracis
660
GRAM POSITIVE - What is the shape of Staphylococcus aureus?
Cocci
661
GRAM POSITIVE - How are Staphylococcus cells arranged?
Grape-like clusters
662
What does “aureus” mean?
Golden
663
What is the oxygen requirement of Staphylococcus aureus? GRAM POSITIVE
Facultative anaerobe
664
Does Staphylococcus aureus form endospores? GRAM POSITIVE
No
665
What type of infections is Staphylococcus aureus commonly associated with?
Skin infections
666
What causes TSS (toxic shock syndrome) in Staphylococcus aureus infection?
Toxin production - historically linked to tampons but can happen to anyone
667
Is TSS only linked to tampons?
No — it can occur in anyone
668
Does Staphylococcus aureus food poisoning result from infection?
No - its an ingested pre-formed toxin
669
What causes Staphylococcus aureus food poisoning?
Ingestion of a pre-formed toxin
670
What infection is Staphylococcus saprophyticus associated with?
Urinary tract infections (UTIs)
671
Why can Staphylococcus saprophyticus UTIs sometimes be missed?
Because labs often assume E. coli is the cause
672
Staphylococcus vs Bacillus vs Clostridium — key difference?
Staphylococcus → cocci, no spores Bacillus → rods, central spores Clostridium → rods, terminal spores
673
Cocci in grape-like clusters + golden + toxin-mediated disease = ?
Staphylococcus aureus
674
GRAM POSITIVE - What is the shape of Lactobacillus?
Rods
675
GRAM POSITIVE - What is the oxygen classification of Lactobacillus?
Oblique fermenters = Aerotolerant anaerobes
676
What does “obligate fermenter” mean in this context? Lactobacillus
They use glycolysis only (fermentation), even if oxygen is present
677
What major metabolic product does Lactobacillus produce?
Lactic acid
678
How is Lactobacillus used commercially?
Yogurt and cheese fermentation
679
Is Lactobacillus generally pathogenic?
No — generally non-pathogenic in human health
680
Where is Lactobacillus especially important in the human body?
Vaginal microbiota
681
Why is Lactobacillus protective in the vagina?
It produces lactic acid → keeps environment acidic
682
Why is an acidic vaginal environment beneficial?
It prevents pathogen overgrowth
683
When does Lactobacillus increase in females?
Puberty, Childbearing years, Pregnancy (even more)
684
How are newborns colonized with Lactobacillus?
During passage through the birth canal = supports immune development
685
Why is early Lactobacillus colonization important?
Supports immune development
686
What happens if Lactobacillus levels are disrupted?
Increased risk of: UTIs, Fungal infections
687
Lactobacillus =
Gram-positive rod Aerotolerant anaerobe Produces lactic acid Protects vaginal microbiota Disruption → infection risk
688
Lacto =
lactic acid
689
Fermenter =
no oxygen use
690
Acid =
protection
691
What is the general oxygen classification of Streptococcus species?
Generally aerotolerant (varies by species)
692
What is the typical arrangement of Streptococcus?
Chains (except one key exception)
693
What is the arrangement of Streptococcus pyogenes?
Chains
694
Does Streptococcus pyogenes have a capsule?
No - has M protein (acts like virulence/attachment factor)
695
What virulence factor does Streptococcus pyogenes use instead?
M protein
696
What throat infection does Streptococcus pyogenes cause?
Strep throat
697
What rash illness is associated with Streptococcus pyogenes?
Scarlet fever
698
What autoimmune heart complication can follow Streptococcus pyogenes infection?
Rheumatic fever (valve damage)
699
What severe soft tissue infection can Streptococcus pyogenes cause?
Necrotizing fasciitis (“flesh-eating disease”)
700
What type of hemolysis does Streptococcus pyogenes show?
on blood agar - Beta-hemolysis = clear zone (complete Red Blood Cell lysis)
701
What does beta-hemolysis look like?
Clear zone (complete RBC lysis)
702
What is the arrangement of Streptococcus pneumoniae?
Diplococci (exception to chains)
703
Does Streptococcus pneumoniae have a capsule?
Yes
704
What lung infection does Streptococcus pneumoniae cause?
Pneumococcal pneumonia
705
What serious CNS infection can Streptococcus pneumoniae cause?
Meningitis (especially very young or elderly)
706
What type of hemolysis does Streptococcus pneumoniae show?
Alpha-hemolysis (green zone)
707
What does alpha-hemolysis look like?
Green zone (partial hemolysis) (hemoglobin altered → methemoglobin look)
708
What is the arrangement of Streptococcus mutans?
Chains
709
Does Streptococcus mutans have a capsule?
Yes
710
What disease does Streptococcus mutans cause?
Dental caries (tooth decay)
711
What type of hemolysis does Streptococcus mutans show?
Alpha-hemolysis (green zone)
712
What is beta-hemolysis?
Complete hemolysis → clear zone
713
What is alpha-hemolysis?
Partial hemolysis → green zone (hemoglobin altered - methemoglobin look)
714
What is gamma-hemolysis?
No hemolysis / no change (prof says no pathogens emphasized here)
715
Which Streptococcus species forms chains, has NO capsule (uses M protein), and shows beta-hemolysis?
Streptococcus pyogenes
716
Which Streptococcus species forms diplococci, has a capsule, and shows alpha-hemolysis?
Streptococcus pneumoniae
717
Which Streptococcus species forms chains, has a capsule, shows alpha-hemolysis, and causes dental caries?
Streptococcus mutans
718
Which Streptococcus is the exception to the “chains” rule?
Streptococcus pneumoniae (diplococci)
719
Which Streptococcus uses M protein instead of a capsule?
Streptococcus pyogenes
720
Which two Streptococcus species have capsules?
S. pneumoniae and S. mutans
721
Which Streptococcus shows beta-hemolysis (clear zone)?
Streptococcus pyogenes
722
Which Streptococcus species show alpha-hemolysis (green zone)?
Streptococcus pneumoniae and Streptococcus mutans
723
Strep throat, scarlet fever, rheumatic fever → which organism?
Streptococcus pyogenes
724
Pneumonia and meningitis (young & elderly) → which organism?
Streptococcus pneumoniae
725
Tooth decay → which organism?
Streptococcus mutans
726
What diseases are from Streptococcus pyogenes
- strep throat - scarlet fever - rheumatic fever (valve damage) - skin infections - necrotizing fasciitis (“flesh-eating disease”)
727
What is the morphology of Listeria monocytogenes?
Rod
728
What is the oxygen requirement of Listeria monocytogenes?
Facultative anaerobe
729
What temperature classification does Listeria monocytogenes fall under?
Psychrotroph (grows in cold - can survive fridge foods)
730
Why is being a psychrotroph clinically important?
It can grow in refrigerated foods
731
What disease does Listeria monocytogenes cause?
Listeriosis (meningitis type illness)
732
What foods are commonly linked to Listeria?
- Cold cuts (salami, pepperoni) - Pre-made salads, coleslaw, deli dressings - dried nuts (pistachio recall example) - unpasteurized milk
733
What dairy product is a classic risk source for listeria?
Unpasteurized milk
734
Who is at highest risk for severe Listeria infection?
Pregnant women
735
Why is Listeria especially dangerous in pregnancy?
It can cross the placenta = miscarriage, stillborn, ill neonate
736
What are possible outcomes of Listeria infection in pregnancy?
Miscarriage, Stillbirth, Ill neonate
737
What other group is at high risk for listeria?
Immunocompromised individuals
738
What immune cells does Listeria monocytogenes grow inside?
Monocytes/macrophages = weakens immune system
739
Why does growth inside macrophages make Listeria dangerous?
It weakens immune defense
740
Psychrotroph + refrigerated food + pregnancy risk + meningitis-type illness = ?
Listeria monocytogenes
741
What are the two clinically important Enterococcus species? Enterococcus faecalis & Enterococcus faecium
Enterococcus faecalis Enterococcus faecium
742
What is the morphology of Enterococcus species? Enterococcus faecalis & Enterococcus faecium
Cocci
743
What is the oxygen requirement of Enterococcus? Enterococcus faecalis & Enterococcus faecium
Facultative anaerobes
744
What is the normal habitat of Enterococcus? Enterococcus faecalis & Enterococcus faecium
GI tract (fecal matter)
745
What is the major clinical setting for Enterococcus infections? Enterococcus faecalis & Enterococcus faecium
Hospital-acquired infections (HAIs) - biofilms on catheters - surgical wound infections - can also cause UTIs and bacteremia in hospital settings
746
How do Enterococcus species commonly persist on medical devices? Enterococcus faecalis & Enterococcus faecium
Biofilm formation on catheters
747
What type of post-operative infection can Enterococcus cause? Enterococcus faecalis & Enterococcus faecium
Surgical wound infections
748
What urinary complication can Enterococcus cause in hospitals?
Catheter-associated UTIs
749
What bloodstream infection can Enterococcus cause?
Bacteremia
750
GI tract cocci + facultative anaerobe + hospital biofilms + catheter infections = ?
Enterococcus faecalis or Enterococcus faecium
751
Entero
intestines
752
Hospital biofilm
Enterococcus
753
Catheter infection
think Enterococcus
754
What is the main medically important Mycoplasma species?
Mycoplasma pneumoniae
755
What is the most important defining feature of Mycoplasma pneumoniae?
It has no cell wall - only plasma membrane as outer covering
756
What is the outer covering of Mycoplasma pneumoniae?
Only a plasma membrane
757
Why is Mycoplasma pleomorphic?
Pleomorphic = no fixed shape (doesn’t match normal morphologies)
758
What does pleomorphic mean?
Variable shape
759
What do Mycoplasma pneumoniae colonies look like on agar?
“Fried egg” appearance on agar (scrambled/fried egg look)
760
Why does penicillin NOT work against Mycoplasma pneumoniae?
Penicillin targets cell wall synthesis — Mycoplasma has no cell wall
761
What type of drugs should be used instead on Mycoplasma pneumoniae?
Drugs that target internal processes (e.g., protein synthesis inhibitors)
762
What antibiotic did the professor emphasize to use for Mycoplasma pneumoniae?
Tetracycline
763
What disease does Mycoplasma pneumoniae cause?
Walking pneumonia
764
Why is it called “walking pneumonia”?
It is usually milder and many patients do not require hospitalization
765
Common symptoms of walking pneumonia?
Fatigue Cough Chest congestion
766
When should treatment be given for walking pneumonia?
If infection becomes deeper or more severe
767
No cell wall + pleomorphic + fried egg colonies + walking pneumonia = ?
Mycoplasma pneumoniae
768
Which age group is most commonly affected by Mycoplasma pneumoniae?
Young adults / college students
769
In what environments does Mycoplasma pneumoniae spread easily?
Close-proximity settings (e.g., dorms, classrooms)
770
How does Mycoplasma pneumoniae typically spread?
Close contact
771
What practical prevention for Mycoplasma pneumoniae?
Do not share utensils or close-contact items
772
College student with mild “walking pneumonia” spreading in dorm — likely organism?
Mycoplasma pneumoniae
773
What are the three subdivisions of Actinomycetota?
Mycobacterium Corynebacterium Propionibacterium
774
Which Mycobacterium species causes tuberculosis?
Mycobacterium tuberculosis
775
Which Mycobacterium species causes leprosy?
Mycobacterium leprae
776
What is the defining structural feature of Mycobacterium?
Mycolic acid in the cell wall
777
Why doesn’t Mycobacterium stain well with Gram stain?
The mycolic acid prevents typical staining
778
What stain must be used instead for Mycobacterium?
Acid-fast stain
779
Why is Mycobacterium highly resistant?
Because of mycolic acid in the cell wall
780
What is Mycobacterium resistant to?
- Desiccation (drying) - Chemical disinfectants - Many antibiotics (hard to treat)
781
Why do hospital disinfectants sometimes specify “tubercidal”?
Because TB is hard to kill and requires stronger disinfectants
782
Does Mycobacterium grow quickly?
No — very slow growth
783
What is the approximate generation time for Mycobacterium Tuberculosis?
Up to ~20 hours (slow growth = long generation time)
784
How long can TB cultures take to grow?
4–6 weeks
785
Why should you not wait for culture results before starting TB treatment?
Because culture results take too long
786
What is used for faster preliminary diagnosis for TB?
Acid-fast stain
787
Should TB be treated with one antibiotic?
No
788
Why must TB be treated with multiple drugs?
Resistance develops easily, Compliance issues can promote resistance
789
Acid-fast + mycolic acid + slow growth + resistant + multi-drug therapy = ?
Mycobacterium tuberculosis
790
What is the main medically important Corynebacterium species?
Corynebacterium diphtheriae
791
What is the morphology of Corynebacterium diphtheriae?
Rod
792
What is the oxygen requirement of Corynebacterium diphtheriae?
Facultative anaerobe
793
What special granules does Corynebacterium diphtheriae contain?
Metachromatic granules
794
What do metachromatic granules store?
Phosphorus
795
Why are metachromatic granules not easily seen on standard light microscopy?
They require contrast-type microscopy for better visualization emit light → prof says need contrast-type microscopy (not ideal on standard light microscope)
796
What is the classic microscopic arrangement of Corynebacterium diphtheriae?
Picket fence appearance
797
What does “picket fence” refer to?
Rods aligned side-by-side at angles
798
Can Corynebacterium be described as pleomorphic?
Yes, but “picket fence” is the key identifying feature
799
What disease does Corynebacterium diphtheriae cause?
Diphtheria = severe upper respiratory tract infection
800
What part of the body is primarily affected Corynebacterium diphtheriae
Upper respiratory tract
801
What dangerous structure forms during diphtheria infection?
A thick, leather-like membrane = can cause suffocation/death
802
Why is diphtheria potentially fatal?
The membrane can cause suffocation/death
803
What does the word “diphtheria” mean?
Leather-like
804
Which vaccine protects against diphtheria?
DTaP (or DCaP, as mentioned in lecture)
805
What does the “D” in DTaP stand for?
Diphtheria
806
How often are adult boosters recommended for diphtheria?
About every 10 years
807
Picket fence rods + metachromatic granules + leather membrane + DTaP vaccine = ?
Corynebacterium diphtheriae
808
What is the morphology of Propionibacterium acnes?
Rod
809
What is its oxygen requirement for Propionibacterium acnes?
Anaerobic
810
Why does Propionibacterium acnes grow well in deep skin environments?
Deep skin areas are low-oxygen (anaerobic)
811
What condition is Propionibacterium acnes associated with?
Acne
812
Why is sampling acne bacteria sometimes difficult?
It requires a deep swab (especially in nodular/deep acne)
813
Are bacteria the only cause of acne?
No — acne has multiple contributors, but bacteria are always involved
814
Why does cleaning/skin care help acne?
It reduces bacterial load
815
What food product uses Propionibacterium species in fermentation?
Swiss cheese
816
What causes the holes in Swiss cheese?
CO₂ production during fermentation
817
What causes the nutty flavor in Swiss cheese?
Propionic acid
818
Anaerobic rod + deep skin + acne + Swiss cheese holes = ?
Propionibacterium acnes
819
What is the major biological difference between viruses and bacteria?
Viruses are obligate parasites; bacteria are independent cells.
820
What does “obligate parasite” mean in the context of viruses?
They must live inside a host cell to reproduce.
821
Can viruses reproduce on their own?
No.
822
Can bacteria reproduce on their own?
Yes (most can; exception like Lactobacillus is non-pathogenic but still independent).
823
What types of hosts can viruses infect?
Humans, animals, birds, etc. (living cells required)
824
Why do viruses require a host cell?
They lack the machinery needed for metabolism and replication.
825
What must a virus be in order to infect a host cell?
A fully developed infectious particle.
826
What is the term for a fully developed infectious viral particle?
Virion
827
What abbreviation might the professor use for infectious particle?
IP
828
Obligate parasite + requires host cell + infectious particle = ?
Virion (virus)
829
What type of genetic material does a virus contain?
Either DNA or RNA (never both)
830
If a virus has DNA, what pathway does it follow?
DNA → RNA → Protein (standard central dogma)
831
Why are RNA viruses handled differently?
Some must first convert RNA into DNA before making protein
832
What makes RNA viruses more complex biologically?
They may require extra steps (e.g., RNA → DNA → RNA → protein)
833
Virus
DNA or RNA (never both)
834
What is the capsid made of?
Protein
835
What are the functions of the capsid?
Protects the genome Helps with attachment Helps with transmission
836
Why can’t viral genomes exist “loose” outside a host?
They would degrade without protection
837
What are two common capsid shapes?
Icosahedral (polyhedral) Helical (tube-like)
838
Do all viruses have an envelope?
No
839
What are viruses without an envelope called?
Non-enveloped viruses
840
What are viruses with an envelope called?
Enveloped viruses
841
What is the viral envelope made of?
Phospholipids Carbohydrates Proteins
842
What is one function of the envelope?
Adds protection
843
Name two enveloped viruses mentioned in lecture.
Influenza HIV
844
Where are viral spikes typically found?
On enveloped viruses like influenza, HIV, Covid
845
What are the main functions of viral spikes?
Attachment Entry (penetration) Exit/spread (release)
846
What does the HA spike (hemagglutinin) do?
Helps with attachment and entry
847
What does the NA spike (neuraminidase) do?
Helps the virus leave the host cell (release)
848
Every virion must have:
Genome + Capsid May also have: Envelope + Spikes
849
Why does the professor use HIV as the main viral example?
Because HIV is an RNA virus and shows the complexity of RNA viral replication.
850
Why are RNA viruses considered more complex than DNA viruses?
They often require additional steps before making proteins.
851
What type of genome does HIV have?
RNA
852
How many RNA strands does HIV contain?
Two identical RNA strands
853
Why did the professor describe HIV’s two RNA strands as “smart”?
It acts like a backup copy.
854
What structural components does HIV contain?
Genome Capsid Envelope Spikes
855
What are HIV spikes labeled as?
GP proteins
856
What does “GP” stand for?
Glycoprotein
857
What HIV spike proteins were mentioned?
GP41 GP120 (prof may say GP122 — write what your professor uses)
858
What can changes in spike numbers indicate?
Mutation
859
What comparison did the professor make regarding spike changes?
Similar to flu strain naming
860
RNA virus + 2 identical strands + envelope + GP spikes = ?
HIV
861
How are influenza strains typically named?
H#N# (example: H3N2)
862
What does “H” represent in influenza strain naming?
HA spike (hemagglutinin)
863
What does “N” represent in influenza strain naming?
NA spike (neuraminidase)
864
What do the numbers after H and N represent?
Different spike protein variants (mutations)
865
What causes a new influenza strain designation?
Mutation in spike proteins
866
What is a common reference influenza strain?
H1N1
867
Name two bird flu examples mentioned.
H5N1 and H9N1
868
Why does influenza strain identity change over time?
Spike proteins mutate
869
Why are spike mutations clinically important?
They change immune recognition
870
Why did COVID naming move beyond simple Greek labels?
Spike mutations occurred rapidly, creating many variants
871
What major viral structure drives new strain identity in influenza and COVID?
Spike proteins
872
H3N2 = ?
H = hemagglutinin N = neuraminidase Mutation in spikes = new strain
873
What special enzyme does HIV have?
Reverse transcriptase
874
Do humans naturally have reverse transcriptase?
No
875
What reaction does reverse transcriptase perform?
RNA → DNA (reverse direction)
876
Why is this called “reverse”?
Because it reverses the normal transcription direction
877
What is transcription in normal cells?
DNA → RNA
878
What is the normal direction of the central dogma?
DNA → RNA → Protein
879
How does HIV alter the central dogma?
It starts with RNA and converts it into DNA
880
Why must HIV convert RNA into DNA?
To integrate into the host genome
881
What viral family does HIV belong to?
Retroviridae
882
What does “retro” mean?
Backwards
883
RNA virus + reverse transcriptase + RNA → DNA = ?
Retrovirus (HIV)
884
Normal transcription = ?
DNA → RNA
885
Retrovirus = ?
RNA → DNA
886
Retro = ?
reverse
887
Approximately how many people are living with HIV worldwide (pre-COVID data)?
~38 million
888
Approximately how many new HIV infections occur per year?
~1.5 million
889
Approximately how many deaths occur per year due to HIV?
~0.68–0.7 million per year
890
Is there an overall effective cure for HIV?
No
891
How is HIV managed clinically?
With medications (antiretroviral therapy) to control the virus
892
Are there rare exceptions of functional cure with HIV?
Yes, but they are extremely rare
893
What is the shape of Campylobacter jejuni?
Vibrio (curved rod)
894
What type of flagella does Campylobacter jejuni have?
Monotrichous (single polar flagellum) single flagella on one end
895
What is Campylobacter jejuni oxygen requirement?
Microaerophilic
896
What disease does Campylobacter jejuni cause?
Gastroenteritis
897
Common sources of Campylobacter jejuni infection? (Gastroenteritis)
Food (especially undercooked poultry) Unchlorinated water
898
What is the shape of Helicobacter pylori?
Vibrio (curved rod)
899
What is the oxygen requirement of Helicobacter pylori?
Microaerophilic
900
What type of flagella does Helicobacter pylori have?
peritrichous = flagella all over peri = p = party (flagella all over)
901
What disease is Helicobacter pylori associated with?
Peptic ulcer disease - causes severe infection
902
What does peptic ulcer disease involve?
Severe ulcers that damage stomach lining cells
903
Curved rod + monotrichous + gastroenteritis →
Campylobacter jejuni
904
Curved rod + stomach ulcers →
Helicobacter pylori
905
What is the morphology of Chlamydia trachomatis?
Aerobic coccobacillus
906
What type of lifestyle does Chlamydia trachomatis have?
Obligate intracellular parasite
907
What does obligate intracellular parasite mean?
It must live inside host cells to complete its life cycle - parasitic in nature
908
What is trachoma?
An eye infection that can cause blindness
909
Where is trachoma most common?
Areas with poor sanitation, where sanitation is an issue
910
What does NGU stand for? an STD
Non-gonococcal urethritis - an STD
911
What is Non-gonococcal urethritis (STD)
severe infection of urethra
912
What serious complication can occur, especially in males in NGU?
Sterility
913
What does LGV stand for?
Lymphogranuloma venereum
914
Is LGV sexually transmitted?
Yes
915
How does Chlamydia trachomatis spread?
- spread by air - spread sexually - spread by contact - clothing can carry it - tissue paper, personal contact or something they have used - Sexual contact - Direct contact - Fomites (inanimate objects like clothing/tissues) - Can be airborne
916
What is a fomite?
An inanimate object that can carry infection
917
What is the infectious form of Chlamydia?
Elementary body (EB)
918
What are characteristics of the elementary body?
Dense, easy to spread, very infectious, elementary body is what infects us, fools host cell
919
What does the elementary body reorganize into?
Reticulate body (RB)
920
What does the reticulate body do?
Divides (binary fission) goes from elementary to reticulate, then back to elementary
921
After dividing, what does the RB convert back into?
Elementary bodies
922
What happens next?
Host cell ruptures → infection spreads
923
Obligate intracellular + EB → RB → EB + blindness + STD = ?
Chlamydia trachomatis
924
What is the morphology of Bacteroides species?
Rods
925
What is the oxygen requirement of Bacteroides?
Anaerobic
926
How are Bacteroides identified microscopically?
Gram stain showing typical rod shape, difference how rods look on gram stains Bactericides are normal rods
927
What oral condition are Bacteroides species associated with?
Gingivitis Bacteroides and Fusobacteria both cause dental infections
928
What is gingivitis?
Deep gum infection with bleeding/inflammation
929
What severe abdominal infection can Bacteroides cause?
Peritonitis
930
What is peritonitis?
Infection of the peritoneum (lining of the abdominal cavity) Severe infection of bowel regi0on very severe, may require surgery to remove entire area
931
Why is peritonitis dangerous?
It can be severe and may require surgery
932
Anaerobic rod + gingivitis + peritonitis = ?
Bacteroides species
933
morphology of Fusobacteria species
Rods
934
oxygen requirement of Fusobacteria species
Anaerobic
935
What makes Fusobacteria rods distinct on Gram stain?
Pointed ends (spindle-shaped rods) The rods looks different, unique
936
What does “spindle-shaped” mean?
Tapered/pointed at both ends
937
What infection are Fusobacteria mainly associated with?
Gingivitis
938
Are Fusobacteria associated with peritonitis?
No (lecture emphasis: gingivitis only)
939
Anaerobic + spindle-shaped rod + gingivitis only = ?
Fusobacteria species
940
Bacteroides
Normal rod shape Anaerobic Gingivitis + peritonitis
941
Fusobacteria
Spindle-shaped rod Anaerobic Gingivitis only
942
What is the characteristic movement of spirochetes?
Corkscrew motion
943
What structure allows spirochetes to move in a corkscrew pattern?
Endoflagella (axial filaments)
944
What is the main spirochete discussed in lecture?
Treponema pallidum
945
What disease does Treponema pallidum cause?
Syphilis
946
Why is Treponema pallidum significant in research?
Its entire genome has been mapped
947
Why is knowing the full genome important?
It helps with research and potential vaccine development
948
What animal model was mentioned in lecture?
Rabbits (male rabbit testicles used in studies)
949
Why are rabbits used in research for Treponema pallidum?
They develop infections similar to humans
950
Corkscrew motion + syphilis + genome mapped = ?
Treponema pallidum
951
Spiro
spiral
952
Corkscrew
Treponema
953
Syphilis
Treponema pallidum
954
Clostridium group
is divided into two subdivisions : A) Clostridium B) Clostridioides Both Gram-positive rods, Anaerobic, Endospore-forming, Often described as “lollipop rods” (terminal spore bulges)
955
Clostridium Shared Properties
Rods, Anaerobic, Endospore-forming, Terminal spore → “lollipop” appearance
956
What disease does Clostridium tetani cause?
Tetanus
957
What disease does Clostridium perfringens cause?
Gas gangrene
958
What disease does Clostridium botulinum cause?
Botulism
959
Clostridioides Key Organism
Clostridioides difficile
960
What condition does C. difficile cause?
Severe colitis
961
What symptoms are associated with Clostridium difficile infection?
Severe colon colitis, diarrhea, Colon inflammation (colitis)
962
What is C. difficile a leading cause of?
Hospital-acquired infectious diarrhea
963
Is C. difficile considered a major HAI (hospital-acquired infection)?
Yes
964
Why does C. difficile spread easily in hospitals?
Endospores survive harsh environments
965
Is vaccine research being explored for Clostridium difficile?
Yes - working on vaccine
966
Anaerobic rod + endospore + lollipop shape = ?
Clostridium group
967
Severe HAI diarrhea + colon colitis = ?
C. difficile
968
Tetani → tetanus
Perfringens → gas gangrene, Botulinum → botulism, Difficile → hospital colitis
969
Clostridium vs Clostridioides SIMILARITIES
- both gram positive rods - both anaerobic - both endospores - lollipop rods
970
Clostridium vs Clostridioides DIFFERENCES
Clostridium (Classic Group) Includes: Clostridium tetani → Tetanus Clostridium perfringens → Gas gangrene Clostridium botulinum → Botulism Pattern: Mostly toxin diseases affecting muscle or tissue Clostridioides Includes: Clostridioides difficile (formerly Clostridium difficile) Causes: Severe colitis Severe diarrhea Leading cause of hospital-acquired infectious diarrhea (HAI) Pattern: Primarily affects the colon
971
What characteristics do all Clostridium and Clostridioides species share?
Gram-positive rods Anaerobic Endospore-forming “Lollipop” rod appearance (terminal spore)
972
Which group primarily causes toxin-mediated muscle or tissue diseases (tetanus, gangrene, botulism)?
Clostridium (tetani, perfringens, botulinum)
973
Which organism primarily causes severe colon infection (colitis)?
Clostridioides difficile
974
Which organism is a leading cause of hospital-acquired infectious diarrhea (HAI)?
Clostridioides difficile
975
Are tetanus, botulism, and gas gangrene primarily hospital-acquired infections?
No
976
Clostridium tetani, perfringens, and botulinum mainly affect what type of tissues?
Muscle or soft tissue (toxin effects)
977
Clostridioides difficile primarily affects which body site?
The colon (GI tract)
978
Anaerobic rod + endospore + muscle/toxin disease → ?
Clostridium (tetani, perfringens, botulinum)
979
Anaerobic rod + endospore + severe hospital diarrhea → ?
Clostridioides difficile
980
What is the shape of Bacillus anthracis?
Rod
981
What is the shape and arrangement of Staphylococcus aureus?
Cocci in grape-like clusters, golden coloured
982
What is the oxygen requirement of Bacillus anthracis?
Facultative anaerobe
983
What is the oxygen requirement of Staphylococcus aureus?
Facultative anaerobe
984
Which organism forms endospores?
Bacillus anthracis
985
Where is the endospore located in Bacillus anthracis?
Central position
986
Does Staphylococcus aureus form endospores?
No
987
Why does Bacillus anthracis have bioweapon potential?
Its endospores survive long periods and can re-germinate easily
988
What disease does Bacillus anthracis cause?
Anthrax - endospore central is the culprit
989
What is the primary disease associated with Staphylococcus aureus?
cause lots of host diseases; skin infections, TSS
990
What toxin-mediated disease can S. aureus cause?
Toxic shock syndrome (TSS)
991
Can TSS affect only women?
No — it can affect men, women, and children
992
What is the difference between infection and food poisoning with S. aureus?
Infection = ingest organism; Food poisoning = ingest pre-formed toxin in food, become very abruptly ill, poisoning is already in the food when you ingest it, S.aureus is food poisoning
993
How does staphylococcal food poisoning typically present?
Abrupt, sudden illness
994
What disease is Staphylococcus saprophyticus commonly associated with?
UTIs - Staphylococcus saprophyticus much smaller disease causing ability
995
Why might some UTI cases go unnoticed?
Some labs test mainly for E. coli and may miss S. saprophyticus - 25% of cases go unnoticed
996
Rod + central endospore + anthrax + bioweapon = ?
Bacillus anthracis
997
Grape-like cocci + no spores + skin infections + TSS = ?
Staphylococcus aureus
998
Life cycle of Chlamydia?
48 hours
999
What are the 4 subdivisions of Lactobacillales?
- Lactobacillus - Streptococcus - Listeria - Enterococcus
1000
What is the morphology of Lactobacillus?
Rods
1001
What is Lactobacillus oxygen classification?
Obligate fermenters (aerotolerant anaerobes)
1002
What is the end product of Lactobacillus fermentation?
Lactic acid
1003
How are Lactobacillus species used commercially?
Food fermentation (yogurt, cheese)
1004
Are Lactobacillus species pathogenic in humans?
Generally no — beneficial (does not cause any disease in humans)
1005
Where are Lactobacillus especially important?
Vaginal microbiota, pro woman's health, probiotics, flora in vaginal region
1006
Why are Lactobacillus protective in the vaginal region?
They produce lactic acid → keep environment very acidic, helps prevent UTI's *anyone getting lots of UTIs has distributed micro flora
1007
What happens if Lactobacillus numbers decrease?
Higher risk of UTIs and infections
1008
What happens to Lactobacillus levels during pregnancy?
They increase dramatically these levels are especially important during pregnancy for female health baby will be delivered into the flora, through birth canal, gets mothers lactobacillus
1009
Why is this important for newborns?
Baby acquires mother’s Lactobacillus during birth
1010
What is the arrangement of Streptococcus pyogenes?
Chains **think 'Steph's Chain'**
1011
Does Streptococcus pyogenes have a capsule?
NO CAPSULE — it has M protein instead
1012
What does M protein do?
Functions like a virulence/attachment factor (similar role to capsule) does same work as a capsule but not a capsule M protein is a powerful protein
1013
What hemolysis does Streptococcus pyogenes produce?
Beta-hemolysis (clear zone)
1014
Diseases caused by Streptococcus pyogenes?
Strep throat Scarlet fever Rheumatic fever (heart damage) Skin infections (flesh eating) Necrotizing fasciitis
1015
Oxygen requirement for Streptococcus pyogenes
aerotolerant
1016
How do they grow Streptococcus pyogenes
grows in blood agar, produces a clear zone, bacteria eats the blood that's why there is a clear zone = Beta Hemolysis (clear zone)
1017
What is the arrangement of Streptococcus pneumoniae?
Its an exception - never forms chains - forms diplococci
1018
What is the oxygen classification of Streptococcus pneumoniae?
aerotolerant
1019
Does Streptococcus pneumoniae have a capsule?
Yes
1020
What diseases does Streptococcus pneumoniae cause?
pneumonia and meningitis especially in very young and old people
1021
How does Streptococcus pneumoniae grow on blood agar?
grows on blood agar and does not produce a clear zone
1022
What type of hemolysis does Streptococcus pneumoniae produce
on blood agar - produces alpha hemolysis, green zone around colonies - changes the hemoglobin and becomes discoloured into green (meth)
1023
What does alpha hemolysis look like around Streptococcus pneumoniae colonies on blood agar?
Alpha hemolysis appears as a green zone around the colonies.
1024
Why does Streptococcus pneumoniae produce a green zone on blood agar?
it changes the hemoglobin, causing it to become discolored into green.
1025
What is the arrangement of Streptococcus mutans?
Streptococcus mutans forms chains. *think stephs chains*
1026
What is the oxygen classification of Streptococcus mutans?
aerotolerant
1027
Does Streptococcus mutans have a capsule?
Yes, Streptococcus mutans has a capsule.
1028
What disease does Streptococcus mutans cause?
dental tooth decay (think mutants on toothbrush)
1029
What role does Streptococcus mutans play in the development of tooth decay?
Streptococcus mutans is the first part of any tooth decay.
1030
How does Streptococcus mutans grow on blood agar?
grows on blood agar and does not produce a clear zone grows alpha hemolysis green zone around colonies hemoglobin becomes Meth (green)
1031
What type of hemolysis does Streptococcus mutans produce on blood agar?
produces alpha hemolysis
1032
What does alpha hemolysis look like around Streptococcus mutans colonies on blood agar?
Alpha hemolysis appears as a green zone around the colonies.
1033
What happens to hemoglobin during alpha hemolysis caused by Streptococcus mutans?
The hemoglobin becomes discolored into green (methemoglobin).
1034
Are there any pathogens emphasized in gamma-hemolysis according to the lecture?
No, there are no pathogens emphasized in gamma-hemolysis.
1035
What is the morphology of Listeria monocytogenes?
rods
1036
What is the oxygen classification of Listeria monocytogenes?
facultative anaerobic rod
1037
What classification is Listeria monocytogenes associated with in relation to food?
psychrotrophic and associated with food.
1038
What disease does Listeria monocytogenes cause?
listeriosis, which is a form of meningitis.
1039
How does Listeria monocytogenes typically enter the body?
Listeria monocytogenes enters through food (psychotrophs)
1040
What foods are commonly associated with Listeria monocytogenes infection?
Cold cut meats, homemade salad dressings, pre-made salads, coleslaw, dried nuts, pistachios (Dubai chocolate breakout), and unpasteurized milk.
1041
What demographic group is at highest risk for Listeria monocytogenes infection?
Pregnant women.
1042
How can Listeria monocytogenes infection affect pregnancy?
It can harm the baby, cause severe damage, result in a very ill newborn, miscarriage, or stillbirth.
1043
What is the second major group affected by Listeria monocytogenes infection?
Immunocompromised individuals.
1044
In which immune cells does Listeria monocytogenes grow?
Listeria monocytogenes grows in monocytes.
1045
Why does growth in monocytes weaken the immune system during Listeria monocytogenes infection?
Because monocytes transform into macrophages, and the bacteria grow in these phagocytic cells, depressing the immune system.
1046
What type of illness is listeriosis according to the lecture?
Listeriosis is a form of meningitis.
1047
What is the morphology of Enterococcus faecalis?
cocci.
1048
What is the oxygen classification of Enterococcus faecalis?
facultative anaerobic cocci.
1049
What type of infections is Enterococcus faecalis associated with?
hospital-acquired infections (HAIs), forms biofilms on catheters, infects surgical wounds, abundant in fecal matter
1050
How does Enterococcus faecalis persist on medical devices?
forms biofilms in catheters
1051
What type of wound infections can Enterococcus faecalis cause?
infects surgical wound
1052
Where is Enterococcus faecalis commonly found in the body?
Enterococcus faecalis is abundant in fecal matter.
1053
How was Enterococcus faecalis described in terms of virulence?
described as a really nasty organism
1054
How was Enterococcus faecalis described in terms of environmental survival?
Enterococcus faecalis is hardy.
1055
Can Enterococcus faecalis exist in aerosols?
Yes, Enterococcus faecalis can exist as aerosols, attached to air particles with dirt.
1056
What is the morphology of Enterococcus faecium?
Enterococcus faecium is a cocci.
1057
What is the oxygen classification of Enterococcus faecium?
facultative anaerobic cocci
1058
What type of infections is Enterococcus faecium associated with?
hospital-acquired infections (HAIs)
1059
How does Enterococcus faecium persist in hospital settings?
forms biofilms in catheters and infects surgical wounds.
1060
Where is Enterococcus faecium commonly found?
Enterococcus faecium is abundant in fecal matter.
1061
How was Enterococcus faecium described in terms of virulence?
Enterococcus faecium was described as a really nasty organism.
1062
Why is Enterococcus faecium easily transmitted in healthcare settings?
Enterococcus faecium is hardy, can live on hands, and can be transferred from fecal matter on hands.
1063
Can Enterococcus faecium exist in aerosols?
Yes, Enterococcus faecium can exist as aerosols.
1064
Why is changing bedding important in preventing Enterococcus faecium spread?
Changing bedding is crucial because the organism can survive in the environment and spread easily.
1065
What Gram-positive subdivision does Mycoplasma pneumoniae belong to in this lecture?
Mycoplasma pneumoniae belongs to the low G + C ratio Gram-positive group.
1066
What is the morphology of Mycoplasma pneumoniae according to the notes?
aerobic rod
1067
What is the defining structural feature of Mycoplasma pneumoniae?
has no cell wall and only a plasma membrane as its outer covering
1068
Does Mycoplasma pneumoniae have a definitive shape?
No, Mycoplasma pneumoniae does not have a definitive shape.
1069
What does it mean that Mycoplasma pneumoniae is pleomorphic?
It means that Mycoplasma pneumoniae can show different appearances.
1070
Can Mycoplasma pneumoniae grow in culture on an agar plate?
Yes, grows in culture on an agar plate.
1071
What type of colony does Mycoplasma pneumoniae form on agar?
forms a fried egg colony
1072
What does a fried egg colony look like?
A fried egg colony looks like scrambled eggs.
1073
Why can Mycoplasma pneumoniae not be treated the same way as bacteria with a cell wall?
Because Mycoplasma pneumoniae has no cell wall, cannot treat them the same as those with a cell wall
1074
Why can penicillin not be used to treat Mycoplasma pneumoniae?
Penicillin cannot be used because Mycoplasma pneumoniae has no cell wall.
1075
What type of drug must be used to treat Mycoplasma pneumoniae?
A drug that enters the cell and destroys protein synthesis must be used.
1076
What specific antibiotic was emphasized for treating Mycoplasma pneumoniae?
Tetracycline.
1077
Why is tetracycline effective against Mycoplasma pneumoniae?
Tetracycline attacks inside the cell by destroying protein synthesis.
1078
What disease does Mycoplasma pneumoniae cause?
Mycoplasma pneumoniae causes walking pneumonia.
1079
What does the term “walking pneumonia” mean in this context?
It means the patient may not show many symptoms, can continue normal activities, and is not very sick.
1080
What symptoms are associated with walking pneumonia caused by Mycoplasma pneumoniae?
Patients may feel tired and have a cough.
1081
Do most patients with walking pneumonia caused by Mycoplasma pneumoniae require hospitalization?
No, most do not require hospitalization.
1082
When should tetracycline be given to a patient with Mycoplasma pneumoniae infection?
Tetracycline should be given if the infection worsens into deeper pneumonia.
1083
In which population is Mycoplasma pneumoniae commonly seen?
Mycoplasma pneumoniae is common in young adults and college students.
1084
G + C ratio characteristic of Actinomycetota
Actinomycetota have a high G + C ratio.
1085
Morphology of Mycobacterium tuberculosis and Mycobacterium leprae
They are aerobic rods.
1086
Unique structural component in the cell wall of Mycobacterium tuberculosis and Mycobacterium leprae
They have mycolic acid in their cell wall.
1087
Type of stain for Mycobacterium tuberculosis and Mycobacterium leprae
Acid-fast stain.
1088
Why other stains cannot be used effectively on Mycobacterium tuberculosis and Mycobacterium leprae
Because the mycolic acid in their cell wall prevents other stains from working properly.
1089
How mycolic acid affects the resistance of Mycobacterium tuberculosis and Mycobacterium leprae
Mycolic acid makes them very resistant.
1090
Are Mycobacterium tuberculosis and Mycobacterium leprae resistant to drying
Yes, they do not dry out and are resistant to desiccation.
1091
Why must chemicals be carefully chosen when cleaning areas exposed to Mycobacterium tuberculosis
Because they are resistant and require specific chemicals labeled for tuberculosis.
1092
Are Mycobacterium tuberculosis and Mycobacterium leprae resistant to antibiotics
Yes, they are resistant to antibiotics.
1093
Growth rate of Mycobacterium tuberculosis compared to other bacteria
Mycobacterium tuberculosis has very slow growth and a long generation time.
1094
Diagnostic method prioritized for a patient positive for tuberculosis
A stain should be requested because staining is preferred and more reliable than culture.
1095
Why is culture not ideal for immediate diagnosis of Mycobacterium tuberculosis
Because cultures take 4–6 weeks due to slow growth.
1096
Key summary phrase for Mycobacterium tuberculosis
Aerobic rods with mycolic acid; staining is the way to go.
1097
Oxygen classification of Corynebacterium diphtheriae
Corynebacterium diphtheriae is a facultative anaerobic rod.
1098
Unique structures inside Corynebacterium diphtheriae cells
Granules that store phosphorus and emit light.
1099
Significance of phosphorus stored in Corynebacterium diphtheriae
It stores huge amounts of phosphorus used for growth, which very few bacteria do.
1100
Classic microscopic arrangement of Corynebacterium diphtheriae
Picket fence appearance.
1101
Disease caused by Corynebacterium diphtheriae
Diphtheria.
1102
Structure that forms in diphtheria infection
A leather-like membrane in the upper respiratory tract.
1103
Why can diphtheria be fatal
Because people can suffocate and die.
1104
Vaccine that protects against diphtheria
The DTaP vaccine.
1105
How often adults can receive booster doses of the DTaP vaccine
Every 10 years. Usually given to infants, adults can take 10 year dose to be immune, can be fatal, D-tap vaccine
1106
Morphology of Propionibacterium acnes
anaerobic rod
1107
Where Propionibacterium acnes grows in the human body
It grows in the skin (acne)
1108
Disease associated with Propionibacterium acnes
Acne.
1109
Major non-clinical role of Propionibacterium species
They are great fermenters.
1110
Food example illustrating fermentation by Propionibacterium species
Swiss cheese.
1111
What gives Swiss cheese its distinctive flavor
Propionic acid.
1112
What causes the holes in Swiss cheese
Carbon dioxide (CO₂).
1113
How acne is connected to Propionibacterium acnes
Acne involves propionic bacteria present in the skin.
1114
Which group is Rickettsia part of?
Alpha
1115
What is the respiratory requirement of Rickettsia?
Rickettsia is aerobic.
1116
What unusual characteristic helps identify Rickettsia?
Rickettsia is spread by insects or ticks.
1117
What disease is associated with Rickettsia?
Rickettsia causes spotted fever.
1118
How is Rickettsia transmitted to humans?
Rickettsia is transmitted through insect or tick bites.
1119
Which organism causes spotted fever and is spread by ticks or insects?
Rickettsia.
1120
Which group is Bordetella pertussis part of?
Beta
1121
What is the shape of Bordetella pertussis?
Bordetella pertussis is a rod (bacillus).
1122
What term is used for rod-shaped bacteria?
Rod-shaped bacteria are called bacilli.
1123
What is the respiratory requirement of Bordetella pertussis?
Bordetella pertussis is aerobic.
1124
What disease is caused by Bordetella pertussis?
Bordetella pertussis causes pertussis (whooping cough).
1125
What structural feature from Chapter 4 is associated with Bordetella pertussis?
Bordetella pertussis has a capsule.
1126
What did the professor say cocci look like?
Cocci look like berries.
1127
Organism → Transmission → Disease Rickettsia
Rickettsia → insect/tick bite → spotted fever
1128
Organism → Transmission → Disease Bordetella
Bordetella pertussis → respiratory droplets → pertussis (whooping cough)
1129
What is the shape of Neisseria gonorrhoeae?
Neisseria gonorrhoeae is a diplococcus.
1130
What is the respiratory requirement of Neisseria gonorrhoeae?
Neisseria gonorrhoeae is aerobic.
1131
What structural features from Chapter 4 are associated with Neisseria gonorrhoeae?
Neisseria gonorrhoeae has a capsule and fimbriae.
1132
What disease is caused by Neisseria gonorrhoeae?
Neisseria gonorrhoeae causes gonorrhea (a sexually transmitted disease).
1133
What is the shape of Neisseria meningitidis?
Neisseria meningitidis is a diplococcus.
1134
What is the respiratory requirement of Neisseria meningitidis?
Neisseria meningitidis is aerobic.
1135
What structural feature from Chapter 4 is associated with Neisseria meningitidis?
Neisseria meningitidis has a capsule.
1136
What disease is caused by Neisseria meningitidis?
Neisseria meningitidis causes meningococcal meningitis.
1137
What group does Neisseria belong to?
Beta
1138
Which organism is transmitted through respiratory droplets and causes meningococcal meningitis?
Neisseria meningitidis.
1139
Which organism should you think of if a question mentions a capsule and meningitis?
Neisseria meningitidis.
1140
Which organism should you think of if a question mentions fimbriae and a sexually transmitted disease?
Neisseria gonorrhoeae.
1141
Which organism is described as diplococci that cause meningitis?
Neisseria meningitidis.
1142
What is the shape of Pseudomonas aeruginosa?
Pseudomonas aeruginosa is a rod (bacillus).
1143
What is the respiratory requirement of Pseudomonas aeruginosa?
Pseudomonas aeruginosa is aerobic.
1144
What unusual characteristic helps identify Pseudomonas aeruginosa?
Pseudomonas aeruginosa produces a blue-green pigment.
1145
What type of infections does Pseudomonas aeruginosa commonly cause?
Pseudomonas aeruginosa causes opportunistic infections.
1146
What specific infection did the professor emphasize for Pseudomonas aeruginosa?
Secondary infection of burn wounds.
1147
What structural feature from Chapter 4 is associated with Pseudomonas aeruginosa?
Pseudomonas aeruginosa has flagella.
1148
What flagella arrangements did the professor remind students to remember for Pseudomonas aeruginosa?
Monotrichous and lophotrichous flagella.
1149
Which organism produces a blue-green pigment and commonly causes secondary infections of burn wounds?
Pseudomonas aeruginosa.
1150
What disease is associated with Pseudomonas aeruginosa opportunistic infection in burn patients?
Secondary infection of burn wounds.
1151
Which organism causes opportunistic infections and is identified by a blue-green pigment?
Pseudomonas aeruginosa.
1152
What is the shape of Moraxella lacunata?
Moraxella lacunata is a coccobacillus.
1153
What is the respiratory requirement of Moraxella lacunata?
Moraxella lacunata is aerobic.
1154
Did the professor highlight any unusual characteristics for Moraxella lacunata?
No unusual characteristics were highlighted.
1155
What disease is caused by Moraxella lacunata?
Moraxella lacunata causes conjunctivitis.
1156
Which organism is a coccobacillus that causes conjunctivitis?
Moraxella lacunata.
1157
Which organism causes conjunctivitis and does not have any unusual structural features emphasized?
Moraxella lacunata.
1158
Which organism causes conjunctivitis and is described as an aerobic coccobacillus?
Moraxella lacunata.
1159
What is the shape of Legionella?
Legionella is a rod.
1160
What is the respiratory requirement of Legionella?
Legionella is aerobic.
1161
What unusual characteristic helps identify Legionella?
Legionella is spread by water.
1162
What disease is caused by Legionella?
Legionella causes pneumonia.
1163
What are the two types of illness associated with Legionella infection?
Mild illness and fatal illness.
1164
What is the fatal disease caused by Legionella called?
Legionnaires’ disease.
1165
Which organism spreads through water and causes pneumonia known as Legionnaires’ disease?
Legionella.
1166
What is the shape of Coxiella?
Coxiella is a rod.
1167
What is the respiratory requirement of Coxiella?
Coxiella is aerobic.
1168
What unusual characteristic helps identify Coxiella?
Coxiella is the only gram-negative bacteria which produces endospores.
1169
What disease is caused by Coxiella?
Coxiella causes Q fever.
1170
Which organism is the only gram-negative bacteria that produces endospores and causes Q fever?
Coxiella.
1171
What is the shape of Vibrio cholerae?
Vibrio cholerae has a vibrio shape, meaning it is a curved rod.
1172
What is the respiratory requirement of Vibrio cholerae?
Vibrio cholerae is facultatively anaerobic.
1173
Did the professor emphasize any unusual characteristics for Vibrio cholerae?
No unusual characteristics were highlighted.
1174
What structural feature from Chapter 4 is associated with Vibrio cholerae?
Vibrio cholerae has flagella, specifically polar flagella.
1175
What disease is caused by Vibrio cholerae?
Vibrio cholerae causes cholera.
1176
What stool description is strongly associated with cholera caused by Vibrio cholerae?
Rice-water stool.
1177
Which organism is a curved rod with polar flagella that causes cholera?
Vibrio cholerae.
1178
Which organism causes cholera and produces rice-water stool?
Vibrio cholerae.
1179
Organism → Transmission → Disease Vibrio cholerae
Vibrio cholerae → contaminated water/food → cholera (rice-water stool)
1180
What organisms are included in the Enterobacterales group emphasized by the professor?
The organisms emphasized are Escherichia, Salmonella, and Shigella.
1181
What is the shape of organisms in the Enterobacterales group such as Escherichia, Salmonella, and Shigella?
They are rods.
1182
What is the respiratory requirement of organisms in the Enterobacterales group such as Escherichia, Salmonella, and Shigella?
They are facultatively anaerobic.
1183
What is the shape of Pasteurella?
Pasteurella is a coccobacillus.
1184
What unusual growth requirement does Pasteurella have?
Pasteurella requires blood to grow.
1185
What is the respiratory requirement of Pasteurella?
Pasteurella is aerobic.
1186
What structural feature from Chapter 4 is associated with Pasteurella?
Pasteurella has a capsule.
1187
What diseases are associated with Pasteurella?
Pasteurella can cause meningitis, pneumonia (including atypical pneumonia), conjunctivitis, and otitis media.
1188
Which organism is a coccobacillus that requires blood to grow and can cause meningitis, pneumonia, conjunctivitis, and otitis media?
Pasteurella.
1189
What taxonomic change did the professor mention regarding Helicobacter and Campylobacter?
The group used to be called epsilon Proteobacteria but is now called Campylobacterota in the newer textbook edition.
1190
What is the shape of organisms in the Campylobacterota group such as Helicobacter and Campylobacter?
They are vibrios, meaning curved rods.
1191
What is the respiratory requirement of Helicobacter and Campylobacter?
Both are microaerophilic.
1192
How do the flagella arrangements differ between Helicobacter and Campylobacter?
One organism has peritrichous flagella and the other has monotrichous (polar) flagella.
1193
What diseases are associated with organisms in the Campylobacterota group?
One organism causes ulcers and the other causes gastroenteritis.
1194
What comment did the professor make regarding treatment of infections caused by organisms in the Campylobacterota group?
The professor stated that there are practically no antibiotics for them.
1195
Which organism causes ulcers and belongs to the Campylobacterota group?
Helicobacter pylori.
1196
Which organism causes gastroenteritis and belongs to the Campylobacterota group?
Campylobacter jejuni.
1197
Helicobacter pylori → stomach infection → disease
peptic ulcers
1198
Campylobacter jejuni → food / contaminated water → disease
gastroenteritis
1199
What type of bacteria are Proteobacteria?
Gram-negative bacteria.
1200
What class of Proteobacteria is Rickettsia rickettsii in?
Alpha proteobacteria.
1201
What shape is Rickettsia rickettsii?
Coccobacillus.
1202
What are the respiratory requirements of Rickettsia rickettsii?
Aerobic.
1203
How is Rickettsia rickettsii transmitted?
Spread by insects (ticks).
1204
What disease does Rickettsia rickettsii cause?
Spotted fever.
1205
What disease does Bordetella pertussis cause?
Pertussis (whooping cough).
1206
What shape is Bordetella pertussis?
Rod.
1207
What are the respiratory requirements of Bordetella pertussis?
Aerobic.
1208
What important structure does Bordetella pertussis have?
Capsule.
1209
What shape are Neisseria species?
Diplococci.
1210
What are the respiratory requirements of Neisseria?
Aerobic.
1211
What disease does Neisseria gonorrhoeae cause?
Gonorrhea (STD).
1212
What disease does Neisseria meningitidis cause?
Meningitis.
1213
What structures do pathogenic Neisseria often have?
Capsule and fimbriae.
1214
What shape is Pseudomonas aeruginosa?
Rod.
1215
What are the respiratory requirements of Pseudomonas aeruginosa?
Aerobic.
1216
What unusual characteristic does Pseudomonas aeruginosa have?
Blue-green pigment.
1217
What infections does Pseudomonas aeruginosa commonly cause?
Burn infections and wound infections.
1218
What structures does Pseudomonas aeruginosa have?
Capsule and flagella.
1219
What shape is Moraxella lacunata?
Coccobacillus.
1220
What are the respiratory requirements of Moraxella lacunata?
Aerobic.
1221
What disease does Moraxella lacunata cause?
Conjunctivitis.
1222
What shape is Legionella pneumophila?
Rod.
1223
What are the respiratory requirements of Legionella pneumophila?
Aerobic.
1224
How is Legionella pneumophila transmitted?
Spread by contaminated water.
1225
What disease does Legionella pneumophila cause?
Pneumonia (Legionnaires' disease).
1226
What shape is Coxiella burnetii?
Rod.
1227
What are the respiratory requirements of Coxiella burnetii?
Aerobic.
1228
What unusual feature does Coxiella burnetii have?
Produces endospores.
1229
What disease does Coxiella burnetii cause?
Q fever.
1230
What shape is Vibrio cholerae?
Vibrio (curved rod).
1231
What are the respiratory requirements of Vibrio cholerae?
Facultative anaerobe.
1232
What disease does Vibrio cholerae cause?
Cholera (rice-water stools).
1233
What flagella arrangement does Vibrio cholerae have?
Polar flagella.
1234
What shape are Enterobacteriales such as E. coli, Salmonella, and Shigella?
Rod.
1235
What are the respiratory requirements of Enterobacteriales?
Facultative anaerobes.
1236
What are three important Enterobacteriales on your sheet?
Escherichia coli, Salmonella, Shigella.
1237
What shape is Haemophilus influenzae?
Coccobacillus.
1238
What are the respiratory requirements of Haemophilus influenzae?
Aerobic.
1239
What special growth requirement does Haemophilus influenzae have?
Requires blood to grow.
1240
What diseases can Haemophilus influenzae cause?
Meningitis, Pneumonia, Otitis media.
1241
What virulence factor does Haemophilus influenzae have?
Capsule.
1242
What shape is Helicobacter pylori?
Vibrio-shaped.
1243
What are the respiratory requirements of Helicobacter pylori?
Microaerophilic.
1244
What disease does Helicobacter pylori cause?
Stomach ulcers.
1245
What shape is Campylobacter jejuni?
Curved rod (vibrio-like).
1246
What are the respiratory requirements of Campylobacter jejuni?
Microaerophilic.
1247
What disease does Campylobacter jejuni cause?
Gastroenteritis.
1248
What flagella arrangement is associated with these bacteria?
Monotrichous (single flagellum), Peritrichous (flagella all around).
1249
Which bacteria on this sheet are Gram-negative (Proteobacteria)?
* *Rickettsia rickettsii* * *Bordetella pertussis* * *Neisseria gonorrhoeae* * *Neisseria meningitidis* * *Pseudomonas aeruginosa* * *Moraxella lacunata* * *Legionella pneumophila* * *Coxiella burnetii* * *Vibrio cholerae* * *Escherichia coli* * *Salmonella* * *Shigella* * *Haemophilus influenzae* * *Helicobacter pylori* * *Campylobacter jejuni*
1250
Summary Card for Ricketssia
Rickettsia Alpha Rickettsia rickettsii Cocobacillus Aerobic Spread by insects Causes spotted fever No capsule
1251
Summary card foe Boedetella
Bordetella Beta Bordetella pertussis Rod Aerobic Pertussis Capsule
1252
Summary for Neissera
Neisseria Beta Two types: N. gonorrhoeae Diplococci Aerobic STD Capsule and fimbre N. meningitis Diploccoi Aerobic Meningitis Capsule
1253
Pseudomonadales Summary
Pseudomonadales Gamma Two types: Pseudomonas aeruginosa Rod Aerobic Blue green pigment Burn wounds Flagella (mono or lopho) Moraxella Lacumata Coccobaciullus Aerobic Conjudcticis?
1254
Legionelalles Summary
Legionelalles Gamma Legionella pneumophilia Rod Aerobic Spread by H20 Pneumonia (mild and fatal) Coxiella burnetti Rod Aerobic Only gram negative to produce endospores