Gram-Positive Cocci Overview
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Questions and Answers

Which characteristic is true about Staphylococcus aureus?

  • It forms spores.
  • It grows in the presence of 5% NaCl.
  • It is catalase negative.
  • It can reduce nitrates to nitrites. (correct)

What distinguishes Stomatococcus mucilaginosus from other cocci?

  • It is a common pathogen in healthy individuals.
  • It is catalase positive.
  • It can grow in 5% NaCl.
  • It has been reclassified under the genus Rothia. (correct)

Which diseases are commonly caused by Staphylococcus aureus?

  • Urinary tract infections and meningitis.
  • Enteritis and gastroenteritis.
  • Tuberculosis and pneumonia.
  • Folliculitis and impetigo. (correct)

What is a notable virulence factor of Staphylococcus epidermidis?

<p>Biofilm formation on prosthetic devices. (C)</p> Signup and view all the answers

How does Staphylococcus saprophyticus differ from other coagulase negative staphylococci?

<p>It is resistant to novobiocin. (B)</p> Signup and view all the answers

Which of the following toxins is associated with Staphylococcus aureus?

<p>Exfoliatin. (C)</p> Signup and view all the answers

What laboratory culture condition helps to identify Staphylococcus species?

<p>Grows in 7.5% to 10% NaCl. (B)</p> Signup and view all the answers

What is the drug of choice for treating MRSA infections?

<p>Vancomycin. (C)</p> Signup and view all the answers

Flashcards

Gram-Positive Cocci

A group of bacteria that are gram-positive, cocci-shaped, and commonly found on the skin and mucous membranes. They are known for their ability to cause infections, particularly pyogenic infections (pus-forming).

Staphylococcus

A genus of gram-positive cocci that are catalase-positive. They are known for their ability to cause a variety of infections, including skin infections, food poisoning, and toxic shock syndrome.

Staphylococcus aureus (S. aureus)

A species of Staphylococcus that is known for being a major human pathogen. It is often associated with skin infections, but can also cause serious infections like pneumonia and endocarditis.

Coagulase

An important virulence factor produced by Staphylococcus aureus that contributes to the formation of blood clots, hindering the body's immune response.

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Scalded Skin Syndrome

A type of staphylococcal infection that causes blistering and peeling of the skin, especially in infants and young children. It's caused by toxins released by S. aureus.

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Toxic Shock Syndrome (TSS)

A serious bacterial infection that is often life-threatening. It is usually caused by an S. aureus infection, but can be caused by other organisms too. Symptoms include fever, low blood pressure, and shock.

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Staphylococcus epidermidis (S. epidermidis)

A species of Staphylococcus commonly found on the skin and a frequent cause of hospital-acquired infections. It is generally considered less virulent than S. aureus.

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Staphylococcus saprophyticus (S. saprophyticus)

A species of Staphylococcus that is commonly associated with urinary tract infections (UTIs), particularly in sexually active women.

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Study Notes

Gram-Positive Cocci

  • Gram-positive cocci have a high peptidoglycan content and low lipid in their cell walls.
  • They are common inhabitants of skin and mucous membranes.
  • Infections often result from direct contact.
  • Pyogenic infections (pus formation) can be caused by staphylococcal infections.
  • Clinically significant genera include Staphylococcus (catalase-positive) and Streptococcus (catalase-negative).

Stomatococcus mucilaginosus

  • The only member of the genus Stomatococcus.
  • Recently reclassified as Rothia mucilaginosus.
  • Normal flora of the respiratory tract.
  • Cannot grow in the presence of 5% NaCl.
  • Weakly catalase-positive, coagulase-negative, and has a capsule.
  • Can be an emerging pathogen in immunocompromised individuals.

Staphylococcus

  • Common isolates include S. aureus, S. epidermidis, and S. saprophyticus.
  • Gram-positive cocci, catalase-positive.
  • Nonmotile and non-spore-forming bacteria.
  • Facultative anaerobes.
  • Modified oxidase-negative.
  • Reduce nitrates to nitrites.
  • Grow in 7.5% to 10% NaCl (mannitol salt agar).
  • Susceptible to lysostaphin, resistant to bacitracin.

Staphylococcus aureus (SAU)

  • Virulence factors:
    • Surface structures: Protein A, capsular polysaccharide, peptidoglycan, teichoic acid
    • Enzymes: Catalase, bound coagulase (clotting factor), free coagulase (tube coagulase), staphylokinase, lipase, hyaluronidase, DNase, β-lactamase
    • Toxins: Exfoliatin, leukocidin, hemolysins, enterotoxins, superantigens (TSST-1).
  • Diseases:
    • Local abscesses (folliculitis, furuncles, carbuncles, sty)
    • Focal suppuration (osteomyelitis, pneumonia, meningitis, empyema, endocarditis, sepsis, impetigo)
    • Exotoxin elaboration (food poisoning, scalded skin syndrome, toxic shock syndrome)

Staphylococcus epidermidis

  • Virulence factor: Biofilm production, adherence to surfaces of prosthetic devices.
  • Gram-positive cocci, catalase-positive, coagulase-negative, and DNAse-negative.
  • White and creamy, nonhemolytic growth on blood agar plates (BAP).
  • Grows on Columbia Nalidixic Agar (CNA).
  • Does not ferment mannitol on mannitol salt agar.
  • Susceptible to novobiocin.
  • Commonly associated with hospital-acquired infections (nosocomial).

Staphylococcus saprophyticus

  • Primarily causes urinary tract infections (UTIs) in sexually active women.
  • Associated with catheter-associated UTIs.
  • Gram-positive cocci, catalase-positive, coagulase-negative, and DNAse-negative.
  • Nonhemolytic growth on blood agar plates (BAP).
  • Mannitol salt agar fermentation varies.
  • Resistant to novobiocin (zone of inhibition ≥16mm is considered susceptible).

Methicillin-Resistant Staphylococcus aureus (MRSA)

  • Methicillin-resistant S. aureus (MRSA) strains are resistant to beta-lactam antibiotics.
  • Oxacillin, cloxacillin, and methicillin are common drugs used to treat MRSA infections.

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Description

This quiz explores the characteristics and clinical significance of gram-positive cocci, including the genera Staphylococcus and Streptococcus. It covers their role in infections, normal flora, and the specific features of Stomatococcus mucilaginosus. Test your knowledge on these important pathogens!

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