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Questions and Answers

Which of the following is NOT a common form of infection caused by Enterococci?

  • Endocarditis
  • Pneumonia (correct)
  • Urinary tract infections (UTIs)
  • Bacteremia

Which of the following tests is NOT typically used to identify Enterococci in the laboratory?

  • Gram stain
  • Optochin susceptibility test (correct)
  • Bile esculin test
  • Catalase test

What are the two most common species of Enterococcus associated with disease in humans?

Enterococcus faecalis and Enterococcus faecium

What is the most common form of infection associated with Enterococci?

<p>Urinary tract infection (UTI) (B)</p> Signup and view all the answers

Which two tests are used to differentiate Enterococcus from Streptococcus?

<p>Bile esculin and Optochin (A)</p> Signup and view all the answers

What type of hemolysis is associated with Streptococcus pyogenes?

<p>Beta-hemolytic</p> Signup and view all the answers

Which of the following is a virulence factor of Staphylococcus aureus?

<p>All of the above (D)</p> Signup and view all the answers

Streptococcus epidermidis causes acute endocarditis, which may rapidly develop.

<p>False (B)</p> Signup and view all the answers

Streptococcus pyogenes is a catalase-positive bacterium that is commonly present in the normal microbiota of the nose and throat, and is associated with several invasive infections such as strep throat, scarlet fever and invasive wound infections.

<p>False (B)</p> Signup and view all the answers

Staphylococcus epidermidis is the leading cause of prosthetic valve endocarditis.

<p>True (A)</p> Signup and view all the answers

What is the name of the antigen that is often associated with glomerulonephritis?

<p>M protein</p> Signup and view all the answers

What is the name of the enzyme produced by bacteria that degrades hyaluronic acid, which is found in connective tissue?

<p>Hyaluronidase</p> Signup and view all the answers

What is the name of the enzyme that converts fibrinogen to fibrin, leading to the formation of blood clots?

<p>Coagulase</p> Signup and view all the answers

What is the name of the substance that enhances the attachment of bacteria to host cell surfaces?

<p>Glucans and Dextrans</p> Signup and view all the answers

Coagulase is an enzyme that is produced by Staphylococcus aureus and other staphylococci species?

<p>False (B)</p> Signup and view all the answers

Staphylococcus epidermidis is a catalase-positive bacterium?

<p>False (B)</p> Signup and view all the answers

What are the most common portals of bacterial entry into the bloodstream?

<p>All of the above (D)</p> Signup and view all the answers

Bacteremia can be a result of an organism multiplying at a local infection site and being drained to the bloodstream via the lymphatic system?

<p>True (A)</p> Signup and view all the answers

Septicemia is another name for bacterial infection.

<p>False (B)</p> Signup and view all the answers

Septic shock is a complication of sepsis that can lead to hypotension and organ failure.

<p>True (A)</p> Signup and view all the answers

Flashcards

Bacteremia

Presence of bacteria in the bloodstream, usually entering through the lymphatic system.

Septicemia/Sepsis

Presence of bacteria and their toxins in the blood, causing harm to the body.

Septic Shock

Severe complication of sepsis, characterized by hypotension and damage to the body systems.

Staphylococcus aureus

A type of bacteria that can cause bloodstream infections.

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Streptococcus pyogenes

Group A strep, a bacteria that causes various illnesses, including endocarditis (infection of the heart).

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Viridans Streptococci

Bacteria that commonly cause endocarditis (heart infection)

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Streptococcus bovis

A type of Group D strep, that causes various illnesses.

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Study Notes

Bacterial Infections of the CVS and Lymphatics

  • Definitions:

    • Bacteremia: Presence of bacteria in the blood, often entering through lymphatic systems from a local infection site.
    • Septicemia/Sepsis: Presence of bacteria and toxins in the blood, causing harm to the host. Common signs include fever, chills, hypotension, and organ failure.
  • Staphylococci:

    • S. aureus: Gram-positive cocci in clusters, coagulase-positive. Common causes of skin infections (e.g., folliculitis, furuncles), food poisoning, and endocarditis. Important virulence factors include exotoxins (e.g., TSST-1, exfoliative toxins).
    • S. epidermidis: Gram-positive cocci in clusters, coagulase-negative. Often part of normal skin flora, it can cause infections, especially in prosthetic devices. Key virulence factor: biofilm formation.
    • Laboratory Diagnosis: Gram stain, catalase test, coagulase test, novobiocin susceptibility test, hemolysis.
    • Treatment: Removal of infected devices, methicillin-sensitive S. aureus (MSSA) treatment with nafcillin, oxacillin, or cefazolin, Vancomycin recommended for methicillin-resistant S. aureus (MRSA), alternatives include daptomycin and linezolid.
    • Prevention: Cleanliness, aseptic techniques, careful management of wounds.
  • Streptococci:

    • Group A Streptococcus (S. pyogenes): Gram-positive chains. Common causes include pharyngitis (strep throat), skin infections (impetigo). Key virulence factor: M protein (involved in rheumatic fever and glomerulonephritis).
    • Viridans Streptococci: Common part of normal oral flora. Often causes subacute endocarditis (e.g., S. mutans is a major player in dental caries).
    • Group D Streptococci: Includes S. bovis. Often associated with bacteremia.
    • Enterococci: Gram-positive, catalase-negative. Often part of GI tract. Can cause UTI. Differentiated from non-enterococci with PYR test, bile solubility, and salt tolerance tests.
  • Laboratory Diagnosis:

    • Gram stain
    • Catalase test
    • Coagulase test
    • Novobiocin susceptibility test
    • Bile esculin test
    • Optochin susceptibility test
    • Salt tolerance test
    • Hemolysis test
  • Endocarditis: Infection of heart valves, often caused by bacteria entering the bloodstream. Risk factors: previous heart conditions, implantations, and IV drug use.

  • Treatment and Prevention: Specific treatment for each pathogen is mentioned in the relevant section. General prevention measures include aseptic techniques, good oral hygiene, and management of infections at their source.

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