Gram Positive Cocci: Staphylococci and Streptococci

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Questions and Answers

What is a characteristic of Staphylococci?

  • Motile
  • Gram-negative
  • Spore-forming
  • Non-motile (correct)

Which of the following is a characteristic of Staphylococcus aureus?

  • Coagulase negative
  • β-hemolysin negative
  • White pigmentation of colonies
  • Coagulase positive (correct)

What is a normal habitat of Staphylococcus aureus?

  • Skin and mucosal surfaces (correct)
  • Oral cavity
  • Anterior nares
  • Intestines

How do Staphylococci survive on dry surfaces?

<p>Due to thickened peptidoglycan layer (C)</p> Signup and view all the answers

What is a common infection caused by Staphylococcus saprophyticus?

<p>Urinary tract infections (D)</p> Signup and view all the answers

How are Staphylococci transmitted?

<p>Through direct contact or contaminated fomites (B)</p> Signup and view all the answers

What is a characteristic of Staphylococcus epidermidis?

<p>Coagulase negative (C)</p> Signup and view all the answers

What is a common habitat of Staphylococcus epidermidis?

<p>Skin (B)</p> Signup and view all the answers

What is the effect of Teichoic Acid on Staphylococcus aureus?

<p>Helps in attachment (C)</p> Signup and view all the answers

Which virulence factor is responsible for Staphylococcal Scalded Skin Syndrome (SSSS)?

<p>Exfoliative Toxins (ETA, ETB) (D)</p> Signup and view all the answers

What is the effect of Peptidoglycan on Staphylococcus aureus?

<p>Inhibits phagocytosis (C)</p> Signup and view all the answers

Which virulence factor is responsible for Necrotizing Pneumonia?

<p>Panton Valentine Leukocidin (PVL) (D)</p> Signup and view all the answers

What is the effect of Protein A on Staphylococcus aureus?

<p>Inhibits phagocytosis (A)</p> Signup and view all the answers

What is the effect of Enterotoxins (A-E, G-I) on the body?

<p>Increases intestinal peristalsis and fluid loss, as well as nausea and vomiting (A)</p> Signup and view all the answers

Which Gram Positive Cocci is most likely responsible for Scalded Skin Syndrome in neonate?

<p>Staphylococcus aureus (D)</p> Signup and view all the answers

Which Gram Positive Cocci is most likely responsible for Neonatal meningitis?

<p>Streptococcus agalactiae (B)</p> Signup and view all the answers

Which Gram Positive Cocci is Optochin sensitive?

<p>Streptococcus pneumoniae (D)</p> Signup and view all the answers

Which Gram Positive Cocci is most likely responsible for Endocarditis in patient with artificial heart valve?

<p>Staphylococcus epidermidis (B)</p> Signup and view all the answers

Which Gram Positive Cocci is most likely responsible for Urinary tract infection in a 25-year-old female?

<p>Staphylococcus saprophyticus (C)</p> Signup and view all the answers

Which Gram Positive Cocci is most likely responsible for Pharyngitis in young adult?

<p>Streptococcus pyogenes (C)</p> Signup and view all the answers

Which of the following is a risk factor for Staphylococcal infections?

<p>Presence of a foreign body (C)</p> Signup and view all the answers

S. epidermidis is responsible for which of the following diseases?

<p>Endocarditis and UTIs (B)</p> Signup and view all the answers

Which of the following is a common disease caused by S. aureus?

<p>Pneumonia (A)</p> Signup and view all the answers

Intravenous drug abuse is a risk factor for infections with which of the following?

<p>S. epidermidis (B)</p> Signup and view all the answers

Use of antibiotics can lead to an increased risk of Staphylococcal infections due to the suppression of:

<p>Normal microbiota flora (B)</p> Signup and view all the answers

Which of the following is NOT a disease caused by S. aureus?

<p>Cystic fibrosis (D)</p> Signup and view all the answers

What is the main difference between folliculitis and furuncles?

<p>Folliculitis is a superficial infection, while furuncles are deep-seated (B)</p> Signup and view all the answers

Which of the following is a characteristic of impetigo?

<p>It is a superficial infection that affects mostly children (B)</p> Signup and view all the answers

What is the main difference between Staphylococcal Scalded Skin Syndrome and Staphylococcal Toxic Shock Syndrome?

<p>SSSS is a multisystem intoxication, while STSS is a dissemination of epithelium in infants (D)</p> Signup and view all the answers

Which of the following is NOT a pyrogenic infection?

<p>Staphylococcal Food poisoning (A)</p> Signup and view all the answers

What is the main cause of Staphylococcal Food poisoning?

<p>Consumption of contaminated food with heat-stable enterotoxin (D)</p> Signup and view all the answers

Which of the following is characterized by a honey-colored crust with a moist erythematous base?

<p>Impetigo (A)</p> Signup and view all the answers

What is the main difference between carbuncles and furuncles?

<p>Carbuncles affect multiple hair follicles, while furuncles affect a single hair follicle (D)</p> Signup and view all the answers

Which of the following is a characteristic of Staphylococcal Scalded Skin Syndrome?

<p>Disseminated desquamation of epithelium in infants (C)</p> Signup and view all the answers

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Study Notes

Gram Positive Cocci - Staphylococci

  • Staphylococci are gram-positive, non-motile, non-spore forming cocci that form grape clusters or clumps.
  • They are facultative anaerobes, β-haemolytic, and catalase-positive, which distinguishes them from Streptococci.

Human Pathogens

  • Staphylococcus aureus is responsible for a broad spectrum of clinical syndromes.
  • Staphylococcus epidermidis is associated with medical device-related infections.
  • Staphylococcus saprophyticus is responsible for urinary tract infections.

Staphylococcus Species

  • Staphylococcus aureus:
    • Coagulase-positive
    • Golden pigmentation of colonies grown on rich media
    • β-hemolytic
  • Staphylococcus epidermidis:
    • Coagulase-negative
    • White pigmentation of colonies
    • Associated with medical device-related infections
  • Staphylococcus saprophyticus:
    • Coagulase-negative
    • Colonies can be white or golden depending on the strain
    • Responsible for 20% of urinary tract infections

Staphylococci as Normal Human Flora

  • Staphylococci are normal flora on human skin and mucosal surfaces.
  • They can survive on dry surfaces for long periods due to their thickened peptidoglycan layer and absence of outer membrane.
  • Person-to-person spread can occur through direct contact or exposure to contaminated fomites.
  • S. aureus is a common inhabitant of anterior nares and can also be found in other areas of the body.
  • S. epidermidis is a common inhabitant of skin.

Diseases Caused by Staphylococci

  • Staphylococcus aureus:
    • Skin infections
    • Endocarditis
    • Osteomyelitis
    • Pneumonia
    • Meningitis
    • Food-borne diseases (toxin-mediated)
  • Staphylococcus epidermidis:
    • Bacteraemia
    • Endocarditis
    • Surgical wounds
    • UTIs
    • Opportunistic infections of catheters, shunts, plastic implants, and prosthetic devices
  • Staphylococcus saprophyticus:
    • Urinary tract infections

Staphylococcus aureus Virulence Factors

  • Peptidoglycan: abscess formation, inhibits phagocytosis
  • Teichoic acid: helps in attachment
  • Protein A: inhibits antibody-mediated clearance, inhibits phagocytosis
  • Panton Valentine Leukocidin (PVL): necrotizing pneumonia
  • Exfoliative Toxins (ETA, ETB): Staphylococcal Scalded Skin Syndrome (SSSS)
  • Enterotoxins (A-E, G-I): superantigens, stimulating proliferation of T cells and release of cytokines
  • Toxic Shock Syndrome Toxin-1: superantigen, produces leakage or cellular destruction of endothelial cells

Specific Diseases Due to S. aureus

  • Cutaneous disease:
    • Folliculitis
    • Furuncle or boil
    • Carbuncle
  • Toxin-mediated disease:
    • Staphylococcal Scalded Skin Syndrome (SSSS)
    • Staphylococcal Toxic Shock Syndrome (STSS)
    • Staphylococcal food poisoning
  • Pyrogenic infections/ Invasive Staphylococcal Diseases:
    • Abscesses
    • Impetigo
    • Wound infections
    • Pneumonia
    • Mastitis
    • Osteomyelitis
    • Septicaemia

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