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Questions and Answers
What is the most significant virulence factor of Streptococcus pneumoniae?
What is the most significant virulence factor of Streptococcus pneumoniae?
Capsule
Besides pneumonia, what are two other common infections caused by Streptococcus pneumoniae?
Besides pneumonia, what are two other common infections caused by Streptococcus pneumoniae?
Acute otitis media, meningitis
What is the primary habitat of Enterococci in humans?
What is the primary habitat of Enterococci in humans?
Gastrointestinal tract
What is the leading cause of neonatal sepsis and meningitis?
What is the leading cause of neonatal sepsis and meningitis?
Name two infections, other than UTIs, that are commonly caused by enterococci.
Name two infections, other than UTIs, that are commonly caused by enterococci.
Besides secondary infections, what is another potential complication of S.aureus?
Besides secondary infections, what is another potential complication of S.aureus?
What specific medical product was significantly linked to the rise of menstrual toxic shock syndrome in the early 1980s?
What specific medical product was significantly linked to the rise of menstrual toxic shock syndrome in the early 1980s?
Besides menstruation, what other situation or procedure can be a source of non-menstrual toxic shock syndrome?
Besides menstruation, what other situation or procedure can be a source of non-menstrual toxic shock syndrome?
What is the appearance of the rash associated with toxic shock syndrome?
What is the appearance of the rash associated with toxic shock syndrome?
What is the process that skin goes through after the rash appears in toxic shock syndrome?
What is the process that skin goes through after the rash appears in toxic shock syndrome?
What is the name of the toxins produced by S. aureus that function as superantigens?
What is the name of the toxins produced by S. aureus that function as superantigens?
What type of immune cell is directly stimulated by superantigens, leading to a large cytokine release?
What type of immune cell is directly stimulated by superantigens, leading to a large cytokine release?
What is the first step in the laboratory investigation of an S. aureus infection?
What is the first step in the laboratory investigation of an S. aureus infection?
What is the primary site of colonization for Staphylococcus aureus?
What is the primary site of colonization for Staphylococcus aureus?
Name one condition associated with a higher risk of S. aureus carriage.
Name one condition associated with a higher risk of S. aureus carriage.
What is the second most common cause of urinary tract infections in young females?
What is the second most common cause of urinary tract infections in young females?
What is the skin infection that is characterized by an infection of the hair follicle?
What is the skin infection that is characterized by an infection of the hair follicle?
What is a deeper infection in and around the hair follicle that may develop from untreated folliculitis?
What is a deeper infection in and around the hair follicle that may develop from untreated folliculitis?
Name two arrangements of Streptococcus bacteria.
Name two arrangements of Streptococcus bacteria.
Name one specific infection categorized as an invasive infection caused by S. aureus.
Name one specific infection categorized as an invasive infection caused by S. aureus.
What is a key feature that differentiates streptococci from staphylococci based on a lab test?
What is a key feature that differentiates streptococci from staphylococci based on a lab test?
What toxin produced by S. aureus is responsible for staphylococcal scalded skin syndrome?
What toxin produced by S. aureus is responsible for staphylococcal scalded skin syndrome?
Name two virulence factors of Streptococcus pyogenes.
Name two virulence factors of Streptococcus pyogenes.
Name one skin infection caused by Streptococcus pyogenes.
Name one skin infection caused by Streptococcus pyogenes.
What is the common source of contamination in staphylococcal food poisoning?
What is the common source of contamination in staphylococcal food poisoning?
What is the typical time frame in which symptoms of staphylococcal food poisoning occur after ingestion of contaminated food?
What is the typical time frame in which symptoms of staphylococcal food poisoning occur after ingestion of contaminated food?
Besides pharyngitis, what is another disease caused by S. pyogenes characterized by a rash and circumoral pallor?
Besides pharyngitis, what is another disease caused by S. pyogenes characterized by a rash and circumoral pallor?
What is the characteristic feature of erysipelas' margins?
What is the characteristic feature of erysipelas' margins?
What is the typical habitat of viridans streptococci?
What is the typical habitat of viridans streptococci?
What is the literal Greek origin of the name Staphylococcus?
What is the literal Greek origin of the name Staphylococcus?
What is the appearance of Staphylococcus bacteria when gram stained?
What is the appearance of Staphylococcus bacteria when gram stained?
What are the two major categories of Staphylococcus species based on the coagulase test?
What are the two major categories of Staphylococcus species based on the coagulase test?
Name the most clinically significant coagulase-positive Staphylococcus species.
Name the most clinically significant coagulase-positive Staphylococcus species.
What are two common coagulase-negative Staphylococcus species?
What are two common coagulase-negative Staphylococcus species?
Describe the typical colony morphology of S. aureus on blood agar.
Describe the typical colony morphology of S. aureus on blood agar.
What is the optimal growth temperature for S. aureus?
What is the optimal growth temperature for S. aureus?
What is the typical colony appearance of Staphylococcus aureus on blood agar, and what type of hemolysis does it exhibit?
What is the typical colony appearance of Staphylococcus aureus on blood agar, and what type of hemolysis does it exhibit?
What is the name of the carotenoid pigment produced by S. aureus that gives it a golden color?
What is the name of the carotenoid pigment produced by S. aureus that gives it a golden color?
What is a primary habitat for Staphylococcus epidermidis in humans?
What is a primary habitat for Staphylococcus epidermidis in humans?
In what type of patient is Staphylococcus epidermidis a major cause of infection?
In what type of patient is Staphylococcus epidermidis a major cause of infection?
What is a major factor in the pathogenesis of Staphylococcus epidermidis polymer-associated infections?
What is a major factor in the pathogenesis of Staphylococcus epidermidis polymer-associated infections?
Name two types of infections associated with intravascular catheters that can be caused by Staphylococcus epidermidis.
Name two types of infections associated with intravascular catheters that can be caused by Staphylococcus epidermidis.
Besides intravascular catheters, name two other types of prosthetic devices that Staphylococcus epidermidis can infect.
Besides intravascular catheters, name two other types of prosthetic devices that Staphylococcus epidermidis can infect.
What is the most common type of endocarditis caused by Staphylococcus epidermidis?
What is the most common type of endocarditis caused by Staphylococcus epidermidis?
How does the clinical presentation of S. epidermidis infections typically differ from S. aureus infections?
How does the clinical presentation of S. epidermidis infections typically differ from S. aureus infections?
Flashcards
Folliculitis
Folliculitis
An infection localized to the hair follicle.
Boil (Furuncle)
Boil (Furuncle)
A deep, inflamed infection around a hair follicle, often starting as folliculitis.
Carbuncle
Carbuncle
A larger, deeper collection of boils connected by inflamed tissue.
Impetigo
Impetigo
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Toxic Shock Syndrome (TSS)
Toxic Shock Syndrome (TSS)
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Staphylococcal Food Poisoning
Staphylococcal Food Poisoning
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Staphylococcal Scalded Skin Syndrome (SSSS)
Staphylococcal Scalded Skin Syndrome (SSSS)
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Enterotoxin
Enterotoxin
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What is Staphylococcus?
What is Staphylococcus?
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What is coagulase?
What is coagulase?
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What is Staphylococcus aureus?
What is Staphylococcus aureus?
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What are Coagulase-negative staphylococci (CoNS)?
What are Coagulase-negative staphylococci (CoNS)?
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What is Staphylococcus epidermidis?
What is Staphylococcus epidermidis?
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What is Staphylococcus saprophyticus?
What is Staphylococcus saprophyticus?
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Staphylococcus saprophyticus
Staphylococcus saprophyticus
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Streptococcus
Streptococcus
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Viridans Streptococci
Viridans Streptococci
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Streptococcus pyogenes (GAS)
Streptococcus pyogenes (GAS)
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Necrotizing fasciitis
Necrotizing fasciitis
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Streptococcus agalactiae (GBS)
Streptococcus agalactiae (GBS)
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Circumoral pallor
Circumoral pallor
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Streptococcus pneumoniae
Streptococcus pneumoniae
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Superantigens
Superantigens
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Epidermolytic toxins
Epidermolytic toxins
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Staphylococcus epidermidis
Staphylococcus epidermidis
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Agglutination Test
Agglutination Test
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Antibiotic Sensitivity Test
Antibiotic Sensitivity Test
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Bacteremia
Bacteremia
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Streptococcus pneumoniae (Pneumococcus)
Streptococcus pneumoniae (Pneumococcus)
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Enterococci
Enterococci
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S. pneumoniae infections
S. pneumoniae infections
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Enterococci (Nosocomial infections)
Enterococci (Nosocomial infections)
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S. epidermidis: Epidemiology
S. epidermidis: Epidemiology
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S. epidermidis: Pathogenicity
S. epidermidis: Pathogenicity
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Biofilm
Biofilm
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S. epidermidis: Polymer-associated infections
S. epidermidis: Polymer-associated infections
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S. epidermidis: Infections of other prosthetic devices
S. epidermidis: Infections of other prosthetic devices
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S. epidermidis: Endocarditis
S. epidermidis: Endocarditis
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S. epidermidis: Infection Characteristics
S. epidermidis: Infection Characteristics
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Study Notes
Gram-Positive Cocci of Medical Importance
- Gram-positive cocci are spherical bacteria that are important for medical reasons
- Key genera include Staphylococcus, Streptococcus, and Enterococcus
- These bacteria cause a variety of infections
Staphylococcus
- Discovered in 1881 by Sir Alexander Ogston
- Greek meaning: staphyle = bunch of grapes, kokkos = grain or berry
- Microscopic appearance: Gram stain reveals grape-like clusters of gram-positive cocci
- Different species classified as coagulase-positive and coagulase-negative
- Coagulase-positive: Staphylococcus aureus
- Causes various diseases in humans, even in healthy hosts
- Produces many virulence factors, including cell surface proteins and toxins
- Examples of diseases caused by Staphylococcus aureus: toxic shock syndrome and Staphylococcal Scalded Skin Syndrome
- Coagulase-negative: Staphylococcus epidermidis and Staphylococcus saprophyticus
- Staphylococcus epidermidis: Common cause of infection in hospitalised patients with indwelling devices
- More common cause of nosocomial infections and resistant to many antibiotics
- Staphylococcus saprophyticus: Common cause of urinary tract infections (UTIs) in young, sexually active women
- Coagulase-positive: Staphylococcus aureus
Streptococcus
- Gram-positive oval or spherical cocci occurring in pairs or chains
- Catalase-negative
- Important species for human infection include Streptococcus pyogenes (GAS), Viridans streptococci, Streptococcus pneumoniae, and Streptococcus agalactiae (GBS)
Streptococcus pyogenes (GAS)
- Colonises the nasopharynx and skin
- Produces several virulence factors like M protein, Streptolysins O and S, Streptococcal pyrogenic exotoxins (SPEs), and spreading factors (hyaluronidase, deoxyribonuclease, streptokinase)
- Causes various infections, including acute pharyngitis/tonsillitis, scarlet fever, impetigo, erysipelas, cellulitis, sepsis, necrotizing fasciitis, toxic shock syndrome, puerperal sepsis, endocarditis, pneumonia (post-viral), and non-suppurative sequelae like acute rheumatic fever and acute glomerulonephritis.
Viridans streptococci
- Heterogeneous group
- Important species include S. sanguinis, S. mitis, S. mutans, S. anginosus
- Normal habitat: oral cavity and upper respiratory tract
- Cause dental caries, plaques, periodontal diseases, infective endocarditis, bacteraemia, and deep-seated abscesses
Streptococcus pneumoniae
- Also known as pneumococcus
- Gram-positive cocci in pairs (diplococci)
- Important virulence factor: capsule
- Causes pneumonia, acute exacerbations of COPD, acute otitis media, sinusitis, meningitis, and bacteraemia (in splenectomised patients)
Enterococci
- Previously grouped with group D streptococci
- Enterococcus faecalis and Enterococcus faecium are the most commonly associated with human diseases
- Inhabit the gastrointestinal tract of humans and animals
- Important cause of nosocomial infections: urinary tract, septicaemia, infective endocarditis, wound, intra-abdominal, and pelvic infections
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