Gram-Negative Rods Overview
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Questions and Answers

What is the primary characteristic that distinguishes Haemophilus influenzae type B (Hib) from non-encapsulated strains?

  • Both strains require the same growth factors.
  • Hib is encapsulated, which leads to more severe disease. (correct)
  • Non-encapsulated strains are part of the normal flora. (correct)
  • Hib does not cause disease.
  • Which of the following statements accurately describes the growth requirements for Haemophilus species?

  • Haemophilus species can grow independently without any factors.
  • They require hemin (X factor) and NAD+ (V factor) for growth. (correct)
  • They only require oxygen to grow.
  • They require hemoglobin and glucose for growth.
  • Pseudomonas species are primarily known as what type of pathogen?

  • Primary pathogens of the gastrointestinal tract
  • Obligate intracellular pathogens
  • Opportunistic pathogens (correct)
  • Strict anaerobes
  • Which group of bacteria is characterized as zoonotic and capable of causing infections in humans?

    <p>Brucella species</p> Signup and view all the answers

    What common disease does encapsulated Haemophilus influenzae type B (Hib) cause in children?

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

    What is the primary method of transmission for Brucella species to humans?

    <p>Consumption of contaminated dairy products</p> Signup and view all the answers

    Which of the following is NOT a common result of localized infections caused by Pseudomonas species?

    <p>Necrotizing enterocolitis</p> Signup and view all the answers

    What is the typical incubation period for Brucella species infections?

    <p>5 days to several months</p> Signup and view all the answers

    Which diagnostic test is most commonly used to identify Pseudomonas species?

    <p>Blood agar plates</p> Signup and view all the answers

    What complication is associated with untreated Brucella infections?

    <p>Undulant fever</p> Signup and view all the answers

    What is a common occupational hazard associated with complications in certain industries?

    <p>Risks for employees in the meat industry</p> Signup and view all the answers

    Which structure of Neisseria gonorrhoeae aids in its attachment to host cells?

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

    What characterizes localized infections of Neisseria gonorrhoeae?

    <p>Presence of pus</p> Signup and view all the answers

    How can Neisseria gonorrhoeae be transmitted during childbirth?

    <p>During passage through an infected birth canal</p> Signup and view all the answers

    Which of the following is NOT a feature of Neisseria gonorrhoeae's pathogenesis?

    <p>Production of endotoxins</p> Signup and view all the answers

    What is the primary human pathogen associated with Pseudomonas species?

    <p>Pseudomonas aeruginosa</p> Signup and view all the answers

    Which method is critical for the identification of Haemophilus species?

    <p>Isolate from sterile sites</p> Signup and view all the answers

    Which of the following is a common condition caused by Haemophilus species?

    <p>Broncho-pneumonia</p> Signup and view all the answers

    What structure helps Pseudomonas aeruginosa adhere to host tissues?

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

    Which of the following describes a type of infection that Pseudomonas aeruginosa can cause?

    <p>Both localized and systemic infections</p> Signup and view all the answers

    What is the function of the capsule produced by Pseudomonas aeruginosa?

    <p>Protects from host defenses</p> Signup and view all the answers

    Which factor is significant for the diagnosis of infections caused by Haemophilus species?

    <p>Rapid diagnosis of CSF sample</p> Signup and view all the answers

    Which of the following infections is most commonly linked to Pseudomonas aeruginosa in patients with chronic lung disease?

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

    What is the main characteristic of Chlamydia species as obligate intracellular parasites?

    <p>They require living cells for growth.</p> Signup and view all the answers

    Which type of body does Chlamydia form that is responsible for initiating an infection?

    <p>Elementary body</p> Signup and view all the answers

    What common infection is associated with Chlamydia trachomatis?

    <p>Nongonococcal urethritis</p> Signup and view all the answers

    Which treatment is typically used for infections caused by Chlamydia species?

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

    What is the mode of prevention for Chlamydia infections?

    <p>Safe sexual practices</p> Signup and view all the answers

    What is the primary affected site in males when infected with Chlamydia trachomatis?

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

    What symptom is associated with Lymphogranuloma venereum (LGV) infection?

    <p>Painful swelling of inguinal lymph nodes</p> Signup and view all the answers

    Which of the following methods is NOT commonly used for the identification of Chlamydia trachomatis?

    <p>Blood culture</p> Signup and view all the answers

    What treatment is recommended for those infected with Chlamydia trachomatis?

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

    What is a common transmission method for trachoma?

    <p>Contaminated surfaces touched by hands</p> Signup and view all the answers

    What are some flu-like symptoms associated with Chlamydia psittaci infections?

    <p>Enlargement of liver and spleen</p> Signup and view all the answers

    Which of the following complications can arise from persistent or repeated infections of trachoma?

    <p>Corneal scarring leading to blindness</p> Signup and view all the answers

    Which type of chlamydia is transmitted through inhalation of dust contaminated by bird feces?

    <p>Chlamydia psittaci</p> Signup and view all the answers

    Study Notes

    Gram-Negative Rods

    • Other gram-negative rods covered include Haemophilus, Pseudomonas, Brucella, and Chlamydia species.
    • Objectives include describing the clinical significance of infections, identifying organisms, explaining pathogenicity, and outlining the laboratory identification processes.
    • Haemophilus species are gram-negative coccobacilli or rods.
    • They require hemin (X factor) and NAD+ (V factor) for growth.
    • Haemophilus influenzae type B (Hib) causes severe disease; non-encapsulated types are less severe and part of normal respiratory flora.
    • H. influenzae is a common cause of meningitis in children.
    • Haemophilus species are identified by isolation from sterile sites (blood, CSF, or synovial fluid), rapid diagnosis, and growth on chocolate agar (X, V factors).
    • Prevention involves vaccination and antibiotics.

    Pseudomonas Species

    • Pseudomonas species are motile, encapsulated, and obligate aerobes.
    • They are found in soil, water, plants, and animals.
    • They can colonize without causing disease but can cause opportunistic infections (e.g., nosocomial infections).
    • Pseudomonas aeruginosa is a primary human pathogen that can grow in water-containing vessels, laboratory water baths, and wet IV tubing.
    • Pseudomonas aeruginosa pathogenesis begins with attachment and colonization, followed by tissue damage from adherence and colonization, production of toxins, and extracellular products.
    • Localized and systemic infections can occur.
    • Clinical significance includes localized infections (respiratory, gastrointestinal, and CNS), ranging from pneumonia and diarrhea to meningitis.
    • Identification involves blood agar plates, MacConkey plates, and biochemical/diagnostic tests.
    • Treatment is challenging due to antibiotic resistance, necessitating combinations of antibiotics, especially for immunocompromised individuals.

    Brucella Species

    • Brucella species are animal pathogens causing zoonotic infections (transmission from animals to humans).
    • Transmission is often associated with animal contact or consumption of contaminated products (dairy, meat).
    • Brucellosis includes B. abortus (cattle) and other species, with transmission to humans by animal contact and consumption of contaminated animal products or inhaling aerosols.
    • Infection routes include skin cuts, gastrointestinal tract, and inhalation of aerosols.
    • The causative organism spreads via lymphatic systems into various body organs.
    • Clinical symptoms include incubation for 5 days to several months. Flu-like symptoms and undulant fever (temperatures repeatedly rise and fall) are common.
    • Complications include GI tract, skeletal, neurological, cardiac, and pulmonary involvement.
    • Identification involves detailed patient history, samples from blood, body fluids, or tissues cultured on blood agar, and treatment with combinations of antibiotics.

    Neisseria gonorrhoeae

    • Gram-negative, aerobic cocci (diplococci) are sexually transmitted.
    • Transmission is by sexual contact or during childbirth through an infected birth canal.
    • Attachment to host cells is facilitated by pili.
    • Resistance to phagocytosis is attributed to lipooligosaccharide (LOS) and opacity proteins.
    • Infections can take place in the genitourinary tract (males may exhibit painful urination with yellow discharge; females may have a greenish-yellow discharge and possible salpingitis, pelvic inflammatory disease, or infertility risks).
    • Symptoms of rectal infection include constipation, painful defecation, and purulent discharge (prevalent among homosexual men).
    • Infections and complications can be treated with cephalosporins, and treatment for partners is recommended.

    Treponema pallidum

    • Treponema pallidum is a sexually transmitted spirochete, a gram-negative bacterium, with a corkscrew or helical shape.
    • Syphilis occurs in three stages: primary (chancre at inoculation site), secondary (rash, papules, and other systemic symptoms), and tertiary (gummatous lesions and organ damage).
    • Congenital syphilis can lead to severe fetal or neonatal complications.
    • Transmission includes sexual contact and transplacental transmission (congenital syphilis).
    • Diagnosis involves dark-field microscopy, immunofluorescence, and serological tests (ELISA).
    • Treatment requires penicillin.

    Chlamydia Species

    • Chlamydia species are gram-negative, obligate intracellular parasites.

    • They have a unique life cycle with infectious elementary bodies and reproductive reticulate bodies.

    • Infection occurs through cell entry and avoiding lysosome fusion, and multiplication through binary fission.

    • Chlamydia trachomatis causes infections in the genitourinary tract and eyes (e.g. urethritis, cervicitis, epididymitis, or conjunctivitis).

    • Chlamydia trachomatis (LGV) causes lymphogranuloma venereum, with painful inguinal or perirectal lymph node swelling.

    • Chlamydia trachomatis (Trachoma) leads to chronic eye infections and blindness.

    • Chlamydia psittaci causes psittacosis (ornithosis), a zoonotic disease affecting the lower respiratory tract.

    • Chlamydia pneumoniae causes pneumonia, often asymptomatic.

    • Diagnosis involves PCR, culture (tissue culture), and antibody detection (immunofluorescence).

    • Treatment involves antibiotics (e.g., erythromycin, azithromycin, or doxycycline).

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    Description

    This quiz covers the clinical significance, pathogenicity, and identification processes of various gram-negative rods, including Haemophilus and Pseudomonas species. Learn about their growth requirements, disease implications, and laboratory diagnostics. Perfect for those studying microbiology and infectious diseases.

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