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10 Questions

Which of the following is NOT a general characteristic of Corynebacterium?

Spore-forming

Which species of Corynebacterium is responsible for causing diphtheria?

C.diphtheriae

What is the major symptom of respiratory diphtheria?

White pseudomembrane over the throat

Which stain is used to visualize the metachromatic granules in Corynebacterium?

Albert's stain

What type of infection does C.ulcerans cause?

Systemic infections

Which selective media is used to differentiate commensal species from C. diphtheriae?

Hoyle's Tellurite blood agar

What is the purpose of Tindsdale medium?

To produce H2S

What is the mainstay of treatment for Diphtheria?

Antidiphtheritic serum (antitoxin)

Which antibiotics are sensitive for Diphtheria treatment?

Erythromycin, Penicillin & Clindamycin

Which test is used to identify C. diphtheriae through Ag-Ab interaction?

ELEK's test

Study Notes

General Characteristics of Corynebacterium

  • Gram-positive, catalase positive, non-spore-forming, non-motile, rod-shaped bacteria
  • Metachromatic granules are usually present representing stored phosphate regions
  • Also known as the Klebs-Löffler bacillus
  • Genus has many species
  • Most commensals called Diptheroids
  • Human pathogens include C.diphtheriae, C.hemolyticum, C.jeikium, and C.ulcerans

Diphtheria

  • Respiratory diphtheria is more serious than cutaneous diphtheria
  • Organism is inhaled and exotoxin (neurotoxin) spreads via blood to other organs
  • Clinical diagnosis includes the presence of a membrane in the throat
  • Lab diagnosis involves microscopy and culture

Lab Diagnosis

  • Microscopy: Pleomorphic gram-positive bacilli, gram variable, coryneform (Chinese letter arrangement)
  • Special stain: Albert's stain (KLB stain) to stain volutin (metachromatic polyphosphate granules)
  • Culture: Selective media like Hoyle's Tellurite blood agar and Tinsdale medium

Identification of Corynebacterium diphtheriae

  • Biochemical tests like Hiss's Serum sugars, urease, and gelatin liquefaction
  • Virulence testing includes ELEK's test and Guinea pig inoculation

Treatment and Prevention

  • Mainstay of treatment is Antidiphtheritic serum (antitoxin)
  • Antibiotics used for treatment of carriers and in synergy with antitoxin
  • Sensitive to Erythromycin, Penicillin, and Clindamycin
  • Vaccination is important to prevent diphtheria

Test your knowledge on Gram-positive bacilli Corynebacterium! Learn about their general characteristics, including their Gram-positive nature, catalase positivity, non-spore-forming and non-motile behavior, as well as their rod-shaped structure. Discover their metachromatic granules that store phosphate regions and explore their association with the Klebs-Löffler bacillus. Challenge yourself and expand your understanding of this diverse genus.

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