Gram Positive Bacteria: Streptococcus spp.
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Questions and Answers

What is the typical arrangement of Streptococcus bacteria?

  • Single cells
  • Chains or pairs (correct)
  • Spherical clusters
  • Clusters
  • Which type of hemolysis is exhibited by Streptococcus pyogenes?

  • Alpha hemolytic
  • Gamma hemolytic
  • Delta hemolytic
  • Beta hemolytic (correct)
  • What classification method was developed by Rebecca Lancefield?

  • Morphological classification
  • Phylogenetic classification
  • Gram staining classification
  • Lancefield grouping (correct)
  • Which group does Streptococcus pyogenes belong to in the Lancefield classification?

    <p>Group A</p> Signup and view all the answers

    What is the primary characteristic used to differentiate Streptococcus species at the species level?

    <p>Hemolysis type</p> Signup and view all the answers

    What is the diameter range of Streptococcus cocci?

    <p>0.5-1.2 um</p> Signup and view all the answers

    What enzyme released by streptococci is responsible for hemolysis on blood agar?

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

    Which Lancefield group has the most clinical significance among beta-hemolytic streptococci?

    <p>Group A</p> Signup and view all the answers

    What is a characteristic feature of Gram-positive bacteria?

    <p>Cell wall made primarily of peptidoglycan</p> Signup and view all the answers

    What type of hemolysis is associated with Streptococcus pyogenes?

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

    Which of the following bacteria are included in the Streptococcus viridans group?

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

    What differentiates Streptolysin O from Streptolysin S?

    <p>SLO is sensitive to oxygen, SLS is stable under oxygen</p> Signup and view all the answers

    What infections are commonly associated with Streptococcus mutans?

    <p>Dental caries</p> Signup and view all the answers

    In which medical condition is the viridans group most notably involved?

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

    Which of the following is NOT a characteristic of the viridans group of Streptococci?

    <p>Causes beta-hemolysis</p> Signup and view all the answers

    What is the primary function of Streptolysin produced by Streptococcus pyogenes?

    <p>Evading the immune system</p> Signup and view all the answers

    What is the primary role of M protein in Group A Streptococcus?

    <p>Inhibits phagocytosis and aids in immune evasion.</p> Signup and view all the answers

    What is necrotizing fasciitis commonly referred to as?

    <p>Flesh-eating disease</p> Signup and view all the answers

    How does the hyaluronic acid capsule contribute to the virulence of Group A Streptococcus?

    <p>It mimics human tissue to evade immune recognition.</p> Signup and view all the answers

    Which virulence factor is responsible for the destruction of red and white blood cells?

    <p>Streptolysin S</p> Signup and view all the answers

    What severe condition can result from the action of Streptococcal pyrogenic exotoxins (SPEs)?

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

    What is the common treatment for necrotizing fasciitis caused by Group A Streptococcus?

    <p>IV broad-spectrum antibiotics and possibly amputation</p> Signup and view all the answers

    What is the mechanism of action for streptokinase in Group A Streptococcus infections?

    <p>It converts plasminogen to plasmin, breaking down fibrin clots.</p> Signup and view all the answers

    Which statement about Streptolysin O is true?

    <p>It is unstable in oxygen and lyses various cells including platelets.</p> Signup and view all the answers

    What is the primary method through which Listeria monocytogenes causes illness in humans?

    <p>It evades host immune responses and enters phagocytic cells.</p> Signup and view all the answers

    Which key component assists Listeria monocytogenes in moving within host cells?

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

    What is the role of Listeriolysin produced by Listeria monocytogenes?

    <p>To lyse phagocytic cells and release bacteria into the cytoplasm.</p> Signup and view all the answers

    What is a common cause of necrotizing fasciitis?

    <p>S.pyogenes</p> Signup and view all the answers

    Which groups of individuals are particularly at risk for Listeriosis?

    <p>Elderly and pregnant women</p> Signup and view all the answers

    Which of the following statements about Sarcina ventriculi is true?

    <p>It is commonly found in humans suffering from pyloric ulceration.</p> Signup and view all the answers

    What is the mortality rate associated with Listeria infections?

    <p>16 percent</p> Signup and view all the answers

    Which of the following genera includes the species Clostridium difficile and Clostridium botulinum?

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

    Which of the following is a characteristic of Listeria monocytogenes?

    <p>Acid-, salt-, and cold-tolerant</p> Signup and view all the answers

    What type of bacteria is most commonly associated with causing foodborne illness?

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

    What can Listeria monocytogenes lead to when infection occurs?

    <p>Bacteremia and meningitis</p> Signup and view all the answers

    What contributes to the spread of Listeria infections?

    <p>Improperly sanitized food equipment</p> Signup and view all the answers

    At what temperature range can Listeria grow?

    <p>1°C to 45°C</p> Signup and view all the answers

    Study Notes

    Gram Positive Bacteria: Streptococcus spp.

    • Streptococcus bacteria are Gram-positive cocci, typically found in chains or pairs.
    • Streptococcus species can be differentiated by their hemolytic activity on blood agar.
    • Beta-hemolysis, which is complete red blood cell hemolysis, is diagnostic for Streptococcus pyogenes (Group A Streptococcus).
    • Alpha-hemolysis (partial hemolysis) is characteristic of the viridans group streptococci.
    • The viridans group includes Streptococcus anginosus, Streptococcus mitis, Streptococcus sanguinis, Streptococcus salivarius, Streptococcus mutans, Streptococcus gordonii, and Streptococcus oralis.
    • Streptococcus mutans is associated with dental caries.

    Streptolysin

    • Streptolysins are toxins produced by certain Streptococcus bacteria, particularly Streptococcus pyogenes.
    • Streptolysin O (SLO) is oxygen-sensitive and causes hemolysis under anaerobic conditions.
    • Streptolysin S (SLS) is oxygen-stable and causes hemolysis under aerobic conditions.
    • Both streptolysins contribute to the bacteria's ability to lyse red blood cells and evade the immune system.

    Lancefield Grouping

    • Streptococci are classified into serological groups (A-H, K-V) based on the presence of group-specific wall polysaccharides known as Lancefield antigens.
    • Streptococcus pyogenes is the only bacterium within the Lancefield Group A classification.

    Virulence Factors of Streptococcus pyogenes

    • M Protein: A surface protein that inhibits phagocytosis by preventing complement deposition and opsonization.
    • Hyaluronic Acid Capsule: Mimics human hyaluronic acid, allowing evasion of the immune system by hiding from phagocytes.
    • Streptolysins (S and O): Hemolysins that lyse cells, including red blood cells, white blood cells, and platelets, contributing to tissue damage and inflammation.
    • Streptococcal Pyrogenic Exotoxins (SPEs): Superantigens that can cause streptococcal toxic shock syndrome (STSS) and scarlet fever.
    • Streptokinase: Converts plasminogen to plasmin, which breaks down fibrin clots.

    Necrotizing Fasciitis

    • Necrotizing fasciitis, commonly known as “flesh eating disease", is a serious condition caused by Streptococcus pyogenes.
    • It can also be caused by a combination of bacteria including Staphylococcus aureus and Clostridium perfringens.

    Firmicutes: Nonsporulating Bacillales and Clostridiales

    • Key genera: Listeria, Sarcina, Clostridium
    • Listeria:
      • Found widely in soils, an opportunistic pathogen that causes foodborne illness.
      • Gram-positive, catalase-positive, rod-shaped, facultatively aerobic chemoorganotrophs.
      • Acid-, salt-, and cold-tolerant.
      • Listeria monocytogenes causes listeriosis, a serious infection that can be fatal, especially in pregnant women, newborns, and individuals with weakened immune systems.
    • Sarcina:
      • Catalase-negative.
      • Obligate anaerobe, exceptionally acid tolerant, often found in the stomach.
      • Sarcina ventriculi is associated with pyloric ulceration.
    • Clostridium:
      • Includes important pathogens like Clostridium difficile, Clostridium botulinum, Clostridium tetani, and Clostridium perfringens.

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    Description

    This quiz focuses on the characteristics and differentiation of Streptococcus bacteria, highlighting their hemolytic activity and specific species. Learn about beta-hemolysis, alpha-hemolysis, and the role of streptolysins in pathogenicity.

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