BIOL 250 - Chapter 19: Gram-Positive Bacteria

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two main phyla of gram-positive bacteria

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two main phyla of gram-positive bacteria

firmicutes and acintobacteria

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characteristics of Staphylococcus

catalase positive, salt tolerant (up to 10% NaCl)

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two species commonly associated with staphylococcal disease

Staphylococcus aureus, Staphylococcus epidermidis

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pathogenicity of Staphylococcus

defense: Protein A enzymes: coagulase, hyaluronidase, staphylokinase, lipase, penicillinase (beta-lactamase) toxins: cytolytic toxins, exfoliative toxins, TSS toxins, enterotoxin

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protein A

a protein that coats S. aureus that interferes with the antibody immune responses by binding to the stems of IgG; inhibits opsonization

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coagulase

triggers blood clotting

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hyaluronidase

hydrolyzes hyaluronic acid, a major component of the matrix between cells

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staphylokinase

dissolves fibrin threads in blood clots, allowing S. aureus to free itself from clots

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lipase

digests lipids, allowing staphylococci to grow on the surface of the skin and in cutaneous oil glands

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penicillinase (beta-lactamase)

breaks down penicillin to help, allowing bacteria to survive antimicrobial treatment

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cytolytic toxins

work by degrading cytoplasmic membrane integrity, causing cell lysis and death

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exfoliative toxins

cause skin cells to separate and slough off

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TSS toxins

protein that causes TSS

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enterotoxins

cause intestinal disturbance

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three categories of staphylococcal diseases

noninvasive, cutaneous, systemic

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noninvasive disease of Staphylococcus

food poisoning

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three cutaneous diseases of Staphylococcus

scalded skin syndrome, impetigo, folliculitis

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scalded skin syndrome

pyogenic lesions whereby epidermal layers peel off--does not contain staph cells, just the toxin

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impetigo

staph infection (contains cells)

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folliculitis

inflammation of the hair follicle

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six systemic diseases of Staphylococcus

TSS, bacteremia, endocarditis, pneumonia, empyema, osteomyelitis

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toxic shock syndrome (TSS)

potentially fatal condition characterized by fever, vomiting, red rash, low blood pressure, and loss of sheets of skin

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bacteremia

presence of bacteria in the blood

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endocarditis

inflammation stemming from bacterial invasion of the outer layers of the heart and heart valves

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pneumonia

inflammation of the alveoli and bronchioles and the accumulation of fluid

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empyema

accumulation of pus in the space between the lung and chest wall

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osteomyelitis

inflammation of the bone marrow and bone tissue

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characteristics of Streptococcus

catalase negative, cocci arranged in chains or pairs

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specie differentiation of Streptococcus

hemolysis reactions and serological reactions (Lancefield antigens). group A streptococci (ex. Streptococcus pyogenes) have large zones of beta-hemolysis, group B streptococci (ex. Streptococcus agalactiae) have small zones of beta-hemolysis. viridans group have alpha-hemolysis

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pathogenicity of group A Streptococcus

defense: M protein, hyaluronic acid capsule toxins: pyrogenic toxins, streptolysins

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M protein

interferes with complement; prevents opsonization; allows strep to adhere to cells

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hyaluronic acid capsule

protects/hides from phagocytosis

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pyrogenic toxins

stimulate fever

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streptolysins

lyse RBC, WBC, and platelets--interfering with the oxygen-carrying capacity of the blood, immunity, and blood clotting

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diseases of group A Streptococcus

pharyngitis, scarlet fever, pyoderma and erysipelas, toxic-shock-like syndrome, rheumatic fever, glomerulonephritis, necrotizing fasciitis

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pharyngitis

inflammation of the pharynx; "strep throat"

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scarlet fever

rash and systemic toxemia following pharyngitis

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pyoderma and erysipelas

pus-filled lesions on skin (pyoderma); localized swelling and inflammation (erysipelas)

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toxic-shock-like syndrome

bacteremia and multi-system inflammation and failure

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rheumatic fever

damage to heart valves following pharyngitis

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glomerulonephritis

inflammation of the glomeruli and nephrons

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necrotizing fasciitis

"flesh-eating" bacteria disease

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pathogenicity of group B Streptococcus

capsules (not very effective); mainly infect newborns and now the elderly

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diseases of group B Streptococcus

neonatal bacteremia, meningitis, pneumonia

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meningitis

inflammation of the meninges

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diseases of viridans streptococci

dental caries

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dental caries

cavities

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pathogenicity of Streptococcus pneumoniae

capsules, adhesins, pneumolysins

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pneumolysins

bind cholesterol and make holes in host cells

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diseases of Streptococcus pneumoniae

sinusitis, otitis media, bacteremia, endocarditis, pneumococcal meningitis

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sinusitis

acute infection of the paranasal sinuses

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otitis media

acute infection of the ear

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characteristics of Enterococcus

catalase negative, Lancefield group D (but unencapsulated) and are not hemolytic

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two types of Enterococcus

E. faecalis and E. faecium (both found in the human colon)

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pathogenicity of Enterococcus

bacteriocins

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bacteriocins

cytolysins that inhibit growth of Gram-positives

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diseases of Enterococcus

10% of nosocomial infections, bacteremia, endocarditis and wound infections

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characteristics of Bacillus

soil dwelling organisms that produce endospores, arranged single, in pairs, or in chains; most notable pathogenic species is Bacillus anthracis

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pathogenicity of Bacillus

anthrax toxins

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anthrax toxins

create holes in host cells; stimulate apoptosis

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diseases of Bacillus

anthrax (GI anthrax, cutaneous anthrax, inhalation anthrax)

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anthrax

can be fatal without aggressive treatment; caused by ingestion, inoculation, or inhalation of spores of Bacillus anthracis

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characteristics of Clostridium

ubiquitous in the soil, water and GI tract of animals, produces endospores

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four notable species of Clostridium

Clostridium perfringens (gas gangrene) Clostridium difficile (pseudomembranous colitis) Clostridium botulinum (botulism) Clostridium tetani (tetanus)

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pathogenicity of Clostridium botulinum

produces 7 distinct botulism toxins, which are very deadly and prevent neurotransmitter release resulting in flaccid paralysis

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pathogenicity of Clostridium tetani

produces tetanospasmin (tetanus toxin) that causes both muscles in an antagonistic pair to contract

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characteristics of Listeria

low G + C, Gram-positive, non-endospore-forming, rod-shaped bacterium with end-over-end, tumbling motility outside the body. It is found in soil, water, and animals, including insects. It enters the body through consumption of contaminated drink or food, typically deli meats, hot dogs, soft cheeses, and yogurt

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pathogenicity of Listeria monocytogenes

enters body through contaminated food/drink and causes listeriosis; rarely pathogenic in health adults, but can infect pregnant women, fetuses, newborns, the elderly, and immunocompromised people resulting in meningitis. Listeria is tolerant of cold temperatures, so it can

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signs and symptoms of listeriosis

nonspecific flulike symptoms in healthy, nonpregnant adults. In contrast, infection in pregnant women, fetuses, newborns, the elderly, and immunocompromised patients can be severe, causing bacterial meningitis and possibly death

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treatment of listeriosis

ampicillin and other antimicrobials

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characteristics of Corynebacterium

high G + C, pleomorphic, non-endospore forming, snapping division; all species are pathogenic--Corynebacterium diptheriae

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pathogenicity of C. diptheriae

lysogenic bacteriophage in cell that produces the diptheria toxin; cells lacking bacteriophage are non-pathogenic

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diptheria toxin

blocks polypeptide synthesize; formation of pseudomembrane

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characteristics of Mycobacterium

high G + C, non-endospore-forming pathogen; cell walls with waxlike mycolic acid; two notable disease in humans are M. tuberculosis and M. leprae (tuberculosis and leprosy)

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tuberculosis

a respiratory disease caused by infection with M. tuberculosis; its disseminated form can result in wasting away of the body and death

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leprosy

disease caused by infection with M. leprae that produces either a non-progressive tuberculoid form or a progressive lepromatous form that destroys tissue, including facial features, digits, and other structures

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characteristics of Propionibacterium

non-endospore forming, found on skin, produce propionic acid as a byproduct of fermentation; causative agent of acne in 85% of adolescents and young adults

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characteristics of Nocardia

common inhabitor of soils rich in organic matter; mycolic acid in cell wall; acid fast stain

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characteristics of Actinomyces

hypha-like cells; causes actinomycosis

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actinomycosis

characterized by formation of multiple, interconnected abscesses in skin or mucous membrane

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