Podcast
Questions and Answers
Which characteristic is associated with Corynebacterium species?
Which characteristic is associated with Corynebacterium species?
What disease is caused by Corynebacterium diphtheriae?
What disease is caused by Corynebacterium diphtheriae?
Besides Corynebacterium diphtheriae, which of the following genera includes a significant pathogen in the non-spore-forming Gram-positive rods group?
Besides Corynebacterium diphtheriae, which of the following genera includes a significant pathogen in the non-spore-forming Gram-positive rods group?
What is the typical morphology of Corynebacteria?
What is the typical morphology of Corynebacteria?
Signup and view all the answers
What role do other Corynebacterium species (diphtheroids) commonly play in human infections?
What role do other Corynebacterium species (diphtheroids) commonly play in human infections?
Signup and view all the answers
Which of the following best describes the function of the binding (B) domain of diphtheria exotoxin?
Which of the following best describes the function of the binding (B) domain of diphtheria exotoxin?
Signup and view all the answers
What is the primary mechanism by which diphtheria toxin inhibits protein synthesis in eukaryotic cells?
What is the primary mechanism by which diphtheria toxin inhibits protein synthesis in eukaryotic cells?
Signup and view all the answers
A microbiologist observes purple-black granules within the cytoplasm of Corynebacterium diphtheriae cells after performing Albert’s stain. What does this observation indicate?
A microbiologist observes purple-black granules within the cytoplasm of Corynebacterium diphtheriae cells after performing Albert’s stain. What does this observation indicate?
Signup and view all the answers
The DNA coding for diphtheria toxin is introduced into Corynebacterium diphtheriae via what mechanism?
The DNA coding for diphtheria toxin is introduced into Corynebacterium diphtheriae via what mechanism?
Signup and view all the answers
A patient is diagnosed with cutaneous diphtheria. What is the most likely mode of transmission?
A patient is diagnosed with cutaneous diphtheria. What is the most likely mode of transmission?
Signup and view all the answers
Upon microscopic examination, which morphological characteristic is NOT associated with Corynebacterium diphtheriae?
Upon microscopic examination, which morphological characteristic is NOT associated with Corynebacterium diphtheriae?
Signup and view all the answers
What is the significance of lysogeny in the pathogenesis of Corynebacterium diphtheriae?
What is the significance of lysogeny in the pathogenesis of Corynebacterium diphtheriae?
Signup and view all the answers
Which cellular component is the target of the active (A) domain of the diphtheria exotoxin?
Which cellular component is the target of the active (A) domain of the diphtheria exotoxin?
Signup and view all the answers
Why is immediate administration of diphtheria antitoxin crucial upon clinical suspicion?
Why is immediate administration of diphtheria antitoxin crucial upon clinical suspicion?
Signup and view all the answers
What is the main purpose of antibiotics in the treatment of diphtheria?
What is the main purpose of antibiotics in the treatment of diphtheria?
Signup and view all the answers
What is the Elek test used for in the diagnosis of diphtheria?
What is the Elek test used for in the diagnosis of diphtheria?
Signup and view all the answers
Why is it essential to test patients for hypersensitivity before administering diphtheria antitoxin?
Why is it essential to test patients for hypersensitivity before administering diphtheria antitoxin?
Signup and view all the answers
What component is used in the diphtheria toxoid vaccine to provide immunity?
What component is used in the diphtheria toxoid vaccine to provide immunity?
Signup and view all the answers
What finding from a Gram stain or methylene blue stain of a throat swab can be suggestive of diphtheria, but not definitive?
What finding from a Gram stain or methylene blue stain of a throat swab can be suggestive of diphtheria, but not definitive?
Signup and view all the answers
How is diphtheria toxoid prepared for use in vaccines?
How is diphtheria toxoid prepared for use in vaccines?
Signup and view all the answers
Which of the following is NOT a recommended component of diphtheria treatment?
Which of the following is NOT a recommended component of diphtheria treatment?
Signup and view all the answers
What is a limitation of diphtheria immunization with the toxoid vaccine?
What is a limitation of diphtheria immunization with the toxoid vaccine?
Signup and view all the answers
What is the recommended treatment for individuals presenting with symptoms of diphtheria?
What is the recommended treatment for individuals presenting with symptoms of diphtheria?
Signup and view all the answers
What is the primary mechanism by which the antibody combats diphtheria exotoxin?
What is the primary mechanism by which the antibody combats diphtheria exotoxin?
Signup and view all the answers
A patient suspected of having diphtheria is awaiting lab results. Why is it crucial to initiate treatment with antitoxin before these results are available?
A patient suspected of having diphtheria is awaiting lab results. Why is it crucial to initiate treatment with antitoxin before these results are available?
Signup and view all the answers
What is the underlying principle of Schick's test in assessing immunity to diphtheria?
What is the underlying principle of Schick's test in assessing immunity to diphtheria?
Signup and view all the answers
Which characteristic clinical manifestation of respiratory diphtheria poses an immediate life-threatening risk to the patient?
Which characteristic clinical manifestation of respiratory diphtheria poses an immediate life-threatening risk to the patient?
Signup and view all the answers
A patient with diphtheria presents with regurgitation of fluids through the nose. What is the most likely cause of this symptom?
A patient with diphtheria presents with regurgitation of fluids through the nose. What is the most likely cause of this symptom?
Signup and view all the answers
In addition to Loeffler’s Serum Slope Agar and Blood Agar Plates, which agar is crucial for culturing C. diphtheriae due to its diagnostic color change?
In addition to Loeffler’s Serum Slope Agar and Blood Agar Plates, which agar is crucial for culturing C. diphtheriae due to its diagnostic color change?
Signup and view all the answers
What is the most significant difference between respiratory and cutaneous diphtheria?
What is the most significant difference between respiratory and cutaneous diphtheria?
Signup and view all the answers
Which of the following complications of diphtheria is most likely to result in sudden death?
Which of the following complications of diphtheria is most likely to result in sudden death?
Signup and view all the answers
Flashcards
Corynebacterium diphtheriae
Corynebacterium diphtheriae
A Gram-positive rod bacteria that causes diphtheria.
Diphtheria
Diphtheria
A serious infection caused by Corynebacterium diphtheriae, affecting the throat and respiratory system.
Opportunistic Infections
Opportunistic Infections
Infections caused by organisms that exploit a weakened immune system.
Coryneform bacteria
Coryneform bacteria
Signup and view all the flashcards
Gram-positive Rods
Gram-positive Rods
Signup and view all the flashcards
Diphtheria Pseudomembrane
Diphtheria Pseudomembrane
Signup and view all the flashcards
Schick’s Test
Schick’s Test
Signup and view all the flashcards
Respiratory Diphtheria Symptoms
Respiratory Diphtheria Symptoms
Signup and view all the flashcards
Airway Obstruction Complication
Airway Obstruction Complication
Signup and view all the flashcards
Myocarditis in Diphtheria
Myocarditis in Diphtheria
Signup and view all the flashcards
Nerve Weakness in Diphtheria
Nerve Weakness in Diphtheria
Signup and view all the flashcards
Cutaneous Diphtheria
Cutaneous Diphtheria
Signup and view all the flashcards
Laboratory Diagnosis
Laboratory Diagnosis
Signup and view all the flashcards
Albert's Stain
Albert's Stain
Signup and view all the flashcards
Diphtheria Toxin
Diphtheria Toxin
Signup and view all the flashcards
Transmissibility
Transmissibility
Signup and view all the flashcards
Diphtheria Pathogenesis
Diphtheria Pathogenesis
Signup and view all the flashcards
Non-motile
Non-motile
Signup and view all the flashcards
Host Response
Host Response
Signup and view all the flashcards
Temperature Bacteriophage
Temperature Bacteriophage
Signup and view all the flashcards
Granules Appearance
Granules Appearance
Signup and view all the flashcards
Diphtheria Toxigenicity Tests
Diphtheria Toxigenicity Tests
Signup and view all the flashcards
Elek Test
Elek Test
Signup and view all the flashcards
PCR Assay
PCR Assay
Signup and view all the flashcards
Antitoxin Treatment
Antitoxin Treatment
Signup and view all the flashcards
Gram Stain in Diagnosis
Gram Stain in Diagnosis
Signup and view all the flashcards
Antibiotic Role
Antibiotic Role
Signup and view all the flashcards
Booster Shots
Booster Shots
Signup and view all the flashcards
Animal Inoculation
Animal Inoculation
Signup and view all the flashcards
Methylene Blue Stain
Methylene Blue Stain
Signup and view all the flashcards
Study Notes
Non-Spore-Forming Gram-Positive Rods
- Corynebacterium diphtheriae is a non-spore-forming gram-positive rod.
- Other important pathogens in this group include Corynebacterium diphtheriae, Listeria monocytogenes, and Gardnerella vaginalis.
Corynebacterium diphtheriae
- Corynebacterium diphtheriae causes Diphtheria.
- Other Corynebacterium species (Diphtheroids) are implicated in opportunistic infections.
Genera and Species
- Various genera and species of Corynebacterium are listed, including toxigenic and nontoxigenic forms.
Disease
- Diphtheria is caused by C. diphtheriae.
- Diphtheroids are implicated in opportunistic infections.
Clinical Findings
- Respiratory diphtheria has an incubation period of 2-6 days.
- Inflammation begins in the respiratory tract, leading to sore throat, exudative pharyngitis, pseudomembrane formation, and low-grade fever.
- Prostration and dyspnea follow, potentially leading to suffocation if not treated promptly.
- Heart damage, visual disturbances, swallowing difficulties, and paralysis can occur but usually resolve.
- Death may result from asphyxia or heart failure.
- Cutaneous diphtheria results in ulcerating skin lesions covered by a gray membrane. The lesions are typically indolent and do not invade surrounding tissue.
Transmission
- Humans are the only natural host.
- Transmission occurs via airborne droplets.
- The organism can also infect the skin, especially in tropical regions or those with poor hygiene practices.
Pathogenesis
- Exotoxin production is essential for pathogenicity.
- Invasiveness is also needed for the organism to establish itself.
- Diphtheria toxin inhibits protein synthesis by ADP-ribosylation of elongation factor-2 (EF-2).
- The toxin affects all eukaryotic cells but has no effect on analogous factors in prokaryotic cells.
Diphtheria Exotoxin
- The exotoxin is a single polypeptide with two functional domains.
- The binding domain mediates toxin attachment to glycoprotein receptors on the cell membrane.
- The active domain has enzymatic activity to cleave nicotinamide adenine dinucleotide (NAD) and transfer the remaining ADP-ribose to EF-2, thus inactivating it.
- The DNA for the toxin is part of a temperate bacteriophage (beta phage) DNA that integrates into the bacterial chromosome during the lysogenic phase.
- C. diphtheriae cells not lysogenized by this phage do not produce exotoxin and are nonpathogenic.
Host Response
- A local inflammation in the throat, with a fibrinous exudate forming a gray pseudomembrane, is a common response.
- Antibodies neutralize exotoxin activity by blocking the binding domain from the receptors, preventing entry into the cell.
Immune Status
- Schick's test assesses immune status to diphtheria.
- An intradermal injection of diphtheria toxin is used.
- No inflammation indicates the presence of antitoxin and immunity.
Laboratory Diagnosis
- Diagnosis involves isolating the organism and demonstrating toxin production.
- Throat swabs are cultured on Loeffler's Serum Slope Agar, Tellurite Blood Agar, and Blood Agar plates.
- The presence of gray-black tellurium, reduced from a tellurium salt in the plate media, is a diagnostic indicator.
- Toxin production can be confirmed using animal inoculation, antibody-based gel diffusion precipitin tests, PCR assays, in vivo/in vitro toxigenicity tests, and Elek tests.
Treatment
- Antitoxin is the treatment of choice, given immediately due to the delay in laboratory confirmation.
- Antibiotics (penicillin G or erythromycin) are used along with antitoxin.
- Maintenance of an open airway is crucial.
- Treatment of bacteremia or endocarditis must be guided by antibiotic susceptibility tests.
Prevention
- Diphtheria is rare due to widespread childhood immunization.
- Immunization typically uses a combination of diphtheria toxoid, tetanus toxoid, and acellular pertussis vaccine (DTaP).
- Diphtheria toxoid is produced by treating the exotoxin with formaldehyde, inactivating its toxicity while preserving its antigenicity.
- Boosters are recommended periodically due to immunity waning.
- Prophylactic antibiotic treatment may be used for unimmunized contacts.
Other Corynebacterium species
- These organisms are often part of the normal human flora but can cause opportunistic infections in immunocompromised individuals.
- Examples include C. jeikeium, C. urealyticum, and C. ulcerans.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on Corynebacterium species and their associated diseases, particularly focusing on Corynebacterium diphtheriae. This quiz covers topics such as morphology, toxin mechanisms, and transmission modes. Perfect for microbiology students or professionals looking to refresh their understanding of this important pathogen.