Anaerobes and Selective Antibiotics
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Questions and Answers

Which anaerobic media is specifically selective for Bacteroides Fragilis?

  • Bile-Esculin (correct)
  • Thioglycollate Broth
  • Kanamycin-Vancomycin
  • Phenylethyl Alcohol
  • What characteristic of Clostridium tetani is significant in its identification?

  • Presence of sulfur granules in pus
  • Drumstick-shaped spores (correct)
  • Pleomorphic morphology
  • Double zone of beta-hemolysis
  • Which of the following anaerobes is associated with Lemierre's syndrome?

  • Clostridiodes difficile
  • Bacteroides fragilis
  • Prevotella intermedia
  • Fusobacterium nucleatum (correct)
  • Which antibiotic is Fusobacterium resistant to?

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

    What type of infections is Prevotella melaninogenica primarily associated with?

    <p>Respiratory and periodontal</p> Signup and view all the answers

    Which anaerobic bacterium is characterized by producing a 'horse manure' odor?

    <p>Clostridiodes difficile</p> Signup and view all the answers

    Which non-spore-forming Gram-positive bacilli is commonly linked to acne?

    <p>Cutibacterium (Propionibacterium acnes)</p> Signup and view all the answers

    What type of morphology does Fusobacterium nucleatum exhibit?

    <p>Spindle-shaped</p> Signup and view all the answers

    Which of the following Gram-positive cocci is considered highly virulent?

    <p>Finegoldia magna</p> Signup and view all the answers

    Which selective antibiotic is Bacteroides fragilis resistant to?

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

    What growth requirement is essential for anaerobic media?

    <p>Vitamin K</p> Signup and view all the answers

    Which organism is the most commonly isolated anaerobe associated with abdominal infections?

    <p>Bacteroides fragilis</p> Signup and view all the answers

    Which of the following characteristics best describes Clostridium botulinum?

    <p>Attacks the nervous system</p> Signup and view all the answers

    What type of infection is primarily linked to Prevotella intermedia?

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

    Which selective antibiotic is Fusobacterium most commonly resistant to?

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

    What distinctive morphology is associated with Fusobacterium necrophorum?

    <p>Pointed, spindle-shaped</p> Signup and view all the answers

    Which spore-forming Gram-positive bacillus is associated with food poisoning?

    <p>Clostridium perfringens</p> Signup and view all the answers

    Which organism is known for producing a 'musty' odor and linked to soft tissue infections?

    <p>Peptoniphilus asaccharolyticus</p> Signup and view all the answers

    What is the primary reason anaerobes are typically used in specific growth media?

    <p>They lack oxidative enzymes necessary for aerobic respiration.</p> Signup and view all the answers

    Which organism is most commonly associated with intra-abdominal infections due to its prevalence in the GI tract?

    <p>Bacteroides fragilis</p> Signup and view all the answers

    What type of conditions is Clostridium botulinum primarily associated with?

    <p>Nervous system attacks</p> Signup and view all the answers

    Which anaerobic medium is used to select for Gram-negative anaerobes?

    <p>Kanamycin-Vancomycin</p> Signup and view all the answers

    What is the distinct morphology of Fusobacterium nucleatum?

    <p>Pointed, spindle-shaped</p> Signup and view all the answers

    Which of the following is true regarding the susceptibility of Fusobacterium species?

    <p>Fusobacterium nucleatum is susceptible to both Kanamycin and Colistin.</p> Signup and view all the answers

    Which organism is linked to the formation of sulfur granules in pus?

    <p>Actinomyces israelii</p> Signup and view all the answers

    What type of infection is associated with Porphyromonas gingivalis?

    <p>Chronic periodontitis</p> Signup and view all the answers

    What is the primary role of Vitamin K and Hemin in anaerobic media?

    <p>They serve as nutrients essential for the growth of anaerobes.</p> Signup and view all the answers

    Which characteristic differentiates Clostridium perfringens from other spore-forming Gram-positive bacilli?

    <p>It is associated with gas gangrene and has a double zone of beta-hemolysis.</p> Signup and view all the answers

    How does Peptostreptococcus anaerobius primarily contribute to infections?

    <p>By leading to abscesses in the abdominal, pelvic, and brain regions.</p> Signup and view all the answers

    What is a common misconception about Fusobacterium nucleatum?

    <p>It is exclusively associated with dental infections.</p> Signup and view all the answers

    What distinguishes Porphyromonas gingivalis from other pigmented Gram-negative bacilli?

    <p>It is primarily involved in gingivitis and chronic periodontitis.</p> Signup and view all the answers

    Which factor is critical for distinguishing between Clostridium species?

    <p>Their reaction to specific selective antibiotic disks.</p> Signup and view all the answers

    What role does Kanamycin-Vancomycin media serve in the identification of anaerobes?

    <p>It inhibits Gram-positive anaerobes to favor Gram-negative growth.</p> Signup and view all the answers

    Which organism's presence is indicated by a 'butterscotch' odor?

    <p>Microaerophilic Streptococcus</p> Signup and view all the answers

    Which type of infections are predominantly associated with Cutibacterium acnes?

    <p>Acne and skin infections linked to medical devices.</p> Signup and view all the answers

    Why is Bacteroides fragilis significant in clinical microbiology?

    <p>It is the most commonly isolated anaerobe associated with abdominal infections.</p> Signup and view all the answers

    Study Notes

    Anaerobes

    • Anaerobes lack oxidative enzymes like superoxide dismutase and catalase.
    • Intra-abdominal abscesses are a common type of endogenous infection caused by anaerobes.
    • Anaerobic media require vitamin K and hemin.
    • Thioglycollate broth is a common medium for growing anaerobes.
    • Phenylethyl alcohol inhibits Enterobacteriaceae and is selective for Gram-positive and Gram-negative anaerobes.
    • Kanamycin-vancomycin is selective for Gram-negative anaerobes.
    • Bile-esculin is selective for Bacteroides fragilis.
    • Egg yolk differentiates anaerobes based on fat breakdown abilities.

    Selective Antibiotic Disks

    • Bacteroides fragilis is resistant to kanamycin, colistin, and vancomycin.
    • Fusobacterium is susceptible to kanamycin and colistin but resistant to vancomycin.
    • Clostridium is susceptible to vancomycin but resistant to colistin.

    Gram-Negative Bacilli

    • Bacteroides fragilis is the most commonly isolated anaerobe, found in the GI tract, and frequently associated with abdominal infections.
    • Fusobacterium nucleatum has a pointed, spindle-shaped morphology and is associated with biofilm infections.
    • Fusobacterium necrophorum is pleomorphic and linked to Lemierre's syndrome and Vincent's angina.

    Pigmented Gram-Negative Bacilli

    • Prevotella melaninogenica causes respiratory and periodontal infections.
    • Prevotella intermedia is associated with gingivitis and oropharyngeal infections.
    • Porphyromonas asaccharolyticus is linked to genital infections.
    • Porphyromonas gingivalis causes gingivitis and chronic periodontitis (but displays no red fluorescence).

    Spore-Forming Gram-Positive Bacilli

    • Clostridium perfringens shows double beta-hemolysis and is associated with gas gangrene and food poisoning.
    • Clostridium tetani has drumstick-shaped spores and causes tetanus (muscle spasms).
    • Clostridium botulinum causes botulism (nervous system attack).
    • Clostridiodes difficile has a "horse manure" odor and causes antibiotic-associated diarrhea/pseudomembranous colitis.
    • Clostridium septicum is a cause of gas gangrene in malignancies.

    Non-Spore-Forming Gram-Positive Bacilli

    • Actinomyces israelii is a branching rod associated with actinomycosis (sulfur granules).
    • Cutibacterium (formerly Propionibacterium acnes) is linked to acne and medical device infections.
    • Lactobacillus is rarely pathogenic but can cause endocarditis.
    • Bifidobacterium has a "dog bone" shape and is used as a probiotic.

    Gram-Positive Cocci

    • Finegoldia magna is a highly virulent species associated with skin, bone, and joint infections.
    • Peptostreptococcus anaerobius causes abdominal, pelvic, and brain abscesses.
    • Peptoniphilus asaccharolyticus forms yellow colonies with a musty odor and is linked to soft tissue infections.
    • Microaerophilic Streptococcus has a butterscotch odor, is beta-hemolytic, and is associated with endocarditis, dental, and respiratory infections.

    Gram-Negative Cocci

    • Veillonella is highly oxygen-sensitive and requires a glove box for growth.

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    Description

    Explore the fascinating world of anaerobes with this quiz covering their growth requirements, common infections, and resistance patterns to selective antibiotics. Test your knowledge on key species like Bacteroides fragilis and their implications in clinical microbiology.

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