Microbiology: E. coli and Enterobacteriaceae
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Questions and Answers

What type of agar produces rose-pink colonies due to lactose fermentation?

  • Nutrient agar
  • Blood agar
  • MacConkey's agar (correct)
  • Mannitol salt agar

Which of the following diseases is NOT caused by E. coli?

  • Urinary tract infections
  • Pneumonia
  • Neonatal meningitis
  • Tetanus (correct)

What is one of the virulence factors of E. coli that helps in adherence to mucosal cells?

  • Pili or colonization factors (correct)
  • Lipopolysaccharide
  • Flagellar antigens
  • Citrate

Which antigen associated with E. coli interferes with phagocytosis?

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

What are the two types of enterotoxins produced by enterotoxigenic strains of E. coli?

<p>Heat stable and heat labile (B)</p> Signup and view all the answers

Which biochemical characteristic is IMVC ++ -- related to?

<p>Indole production and methyl red test (B)</p> Signup and view all the answers

What type of bacteria is E. coli classified as in terms of morphology?

<p>Gram negative bacilli (B)</p> Signup and view all the answers

Which strain of E. coli is known to cause haemorrhagic colitis?

<p>Serotype 0157:H7 (B)</p> Signup and view all the answers

Which characteristic is NOT common to the Enterobacteriaceae family?

<p>Sporing ability (C)</p> Signup and view all the answers

Which of the following genera is NOT classified as a lactose fermenter within Enterobacteriaceae?

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

Which statement correctly describes the Enterobacteriaceae family's metabolic properties?

<p>They reduce nitrates to nitrites. (C)</p> Signup and view all the answers

Which of the following genera is known to cause opportunistic infections?

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

Which of the following is a primary habitat for the Enterobacteriaceae family?

<p>Colon of humans and animals (C)</p> Signup and view all the answers

From which source can commercially prepared biochemical test kits (API 20E) be used for the differentiation of Enterobacteriaceae?

<p>Laboratory cultures (C)</p> Signup and view all the answers

Escherichia, Klebsiella, and Enterobacter share which common feature?

<p>Lactose fermentation (D)</p> Signup and view all the answers

Which pathogenic genus within the Enterobacteriaceae is primarily associated with opportunistic infections rather than primary pathogenic diseases?

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

What is the main characteristic of Enteroinvasive E. coli (EIEC)?

<p>Causes dysentery-like diarrhoea through cell invasion (D)</p> Signup and view all the answers

What type of toxin is produced by Enterohaemorrhagic E. coli (EHEC)?

<p>Shiga toxin (D)</p> Signup and view all the answers

What is a serious complication associated with EHEC infections?

<p>Haemolytic uraemic syndrome (D)</p> Signup and view all the answers

Which group of patients are particularly affected by Enteroaggregative E. coli (EAEC)?

<p>Children and HIV patients (C)</p> Signup and view all the answers

Which method is NOT used for the identification of Enteroaggregative E. coli (EAEC)?

<p>Serotyping by slide agglutination (C)</p> Signup and view all the answers

What is a recommended treatment for E. coli infections causing diarrhoea?

<p>Antibiotics and rehydration (C)</p> Signup and view all the answers

What is a primary method used to detect verotoxin in suspected EHEC infections?

<p>ELISA for verotoxin detection (C)</p> Signup and view all the answers

EIEC are characterized as which type of fermenters?

<p>Non-lactose or late lactose fermenters (C)</p> Signup and view all the answers

What organism is a key indicator of faecal pollution in water samples?

<p>Escherichia coli (C)</p> Signup and view all the answers

Which of the following statements about Klebsiella pneumoniae is true?

<p>It can lead to hospital-acquired infections. (A)</p> Signup and view all the answers

Which characteristic is associated with Klebsiella pneumoniae?

<p>Capsulated and mucoid colonies on culture (C)</p> Signup and view all the answers

What type of infections are commonly associated with Klebsiella rhinoscleromatis?

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

What role do enzymes elastase and protease play in the pathogenicity of Pseudomonas aeruginosa?

<p>They facilitate invasion of host tissues. (B)</p> Signup and view all the answers

What biochemical activity is Klebsiella pneumoniae characterized by?

<p>Citrate positive (D)</p> Signup and view all the answers

Why is Pseudomonas aeruginosa particularly problematic in hospital environments?

<p>It can grow in various aqueous solutions. (A)</p> Signup and view all the answers

What is a characteristic biochemical activity of Pseudomonas aeruginosa?

<p>Does not ferment any sugar. (D)</p> Signup and view all the answers

Which species of Proteus is commonly associated with urinary tract infections?

<p>Proteus mirabilis (D)</p> Signup and view all the answers

What is the primary reason why strains of Pseudomonas aeruginosa isolated from cystic fibrosis patients have increased adherence to mucous membranes?

<p>They biosynthesize an exopolysaccharide (glycocalyx). (A)</p> Signup and view all the answers

Which of the following diseases is NOT caused by Klebsiella pneumoniae?

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

Which antibiotic combination is commonly used to treat infections caused by Pseudomonas aeruginosa?

<p>Penicillin-ticarcillin or piperacillin plus an aminoglycoside. (C)</p> Signup and view all the answers

What type of infections are commonly associated with Proteus species?

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

Which of the following is a characteristic of Proteus infections?

<p>Resistant to multiple antibiotics (B)</p> Signup and view all the answers

What is a distinguishing biochemical activity of Proteus species?

<p>Production of H2S (A)</p> Signup and view all the answers

Which characteristic is true for Pseudomonas species?

<p>Gram-negative motile bacilli (B)</p> Signup and view all the answers

What property does Pseudomonas have that contributes to its pathogenicity?

<p>Ability to hemolyze blood (D)</p> Signup and view all the answers

How do Proteus species typically behave on nutrient agar?

<p>Swarm in successive waves (B)</p> Signup and view all the answers

Which of the following is NOT a common infection caused by Pseudomonas?

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

Which antibiotics are Proteus species MOST often sensitive to?

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

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Flashcards

What is Enterobacteriaceae?

Enterobacteriaceae, is a family of gram-negative bacteria that is found in the intestines of humans and animals. They are facultative anaerobes, meaning they can survive with or without oxygen. Most members are harmless, but some are pathogenic, causing disease.

What is the basis for classification of Enterobacteriaceae?

Enterobacteriaceae are classified based on their ability to ferment lactose, a type of sugar.

Give examples of lactose fermenting Enterobacteriaceae.

Lactose fermenting Enterobacteriaceae include: Escherichia, Klebsiella and Enterobacter.

How are Enterobacteriaceae identified?

Enterobacteriaceae can be identified using commercially prepared biochemical test kits like API 20E that can differentiate various species based on their metabolic activities.

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What is the key enzyme used for classifying Pseudomonas?

Pseudomonas is a genus of bacteria that is oxidase positive, meaning they produce the enzyme cytochrome c oxidase. This enzyme is essential for aerobic respiration.

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Pseudomonas are categorized as what type of bacteria?

Pseudomonas are aerobic, meaning they require oxygen to survive.

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What type of infections are associated with Pseudomonas?

Pseudomonas are known for causing diverse infections in various parts of the body, often in individuals with compromised immune systems. They are opportunistic pathogens.

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Give an example of a clinically relevant species of Pseudomonas.

Pseudomonas aeruginosa is one of the most common species that can cause lung infections, skin infections, and even bloodstream infections.

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Coliforms

A group of bacteria, primarily found in the intestines of humans and animals, that are often used as indicators of fecal contamination.

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Escherichia coli (E. coli)

E. coli is a type of gram-negative bacillus commonly found in the intestines. It can cause disease in humans.

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E. coli on MacConkey's Agar

E. coli colonies on MacConkey's agar produce a distinctive pink color due to their ability to ferment lactose.

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E. coli Biochemical Activity

E. coli is a facultative anaerobe, meaning it can grow with or without oxygen. It also produces a variety of enzymes that allow it to break down sugars like lactose, glucose, and maltose.

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E. coli Antigens

E. coli has various antigens, including O (somatic), H (flagellar), and K (capsular). These antigens play a role in its virulence and ability to cause disease.

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Enteropathogenic E. coli (EPEC)

Enteropathogenic E. coli (EPEC) strains possess specific O antigens that are associated with different types of infections. For example, serotype O157:H7 is known to cause hemorrhagic colitis.

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E. coli Pili

Pili, also known as fimbriae, are hair-like structures that help E. coli adhere to the surface of cells in the body. This attachment is crucial for colonization and infection.

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E. coli Endotoxin

Endotoxin is a component of the outer membrane of E. coli. It can trigger a strong immune response that can be harmful if released in large amounts.

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What are Enteroinvasive E. coli (EIEC)?

A type of E. coli that causes dysentery-like diarrhea by invading intestinal cells. They are non-motile and do not ferment lactose easily.

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What are Enterohemorrhagic E. coli (EHEC)?

A serotype of E. coli (often O157:H7) that produces a toxin called verotoxin, causing severe bloody diarrhea (hemorrhagic colitis). It is sometimes associated with undercooked hamburgers.

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What is verotoxin?

Vertoxin is a toxin produced by E. coli that's similar to Shiga toxin. It's named after the Vero cells it affects in laboratory tests.

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What is Hemolytic Uremic Syndrome (HUS)?

EHEC infections can lead to this life-threatening complication, characterized by anemia, low platelet count, and kidney failure. Using antibiotics to treat the diarrhea can increase the risk of this happening.

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What are Enteroaggregative E. coli (EAEC)?

A type of E. coli that attaches to the intestinal mucosa in patches. It's known to cause diarrhea, especially in children and people with weakened immune systems.

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What toxin do EAEC produce?

EAEC can produce this toxin, similar to those produced by Shigella species. They also produce a substance that can destroy red blood cells (hemolysin).

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What is diagnosis (in terms of bacteria)?

The process of identifying and classifying an organism based on its characteristics, often using laboratory tests and cultures.

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How are E. coli infections treated?

Treatment for E. coli infections depends on the location of the infection and the bacteria's sensitivity to different drugs. Diarrhea often doesn't require treatment, but rehydration is crucial.

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What is Proteus?

A type of bacteria that causes infections like wound infections, pneumonia, and meningitis.

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What makes Proteus infections tricky to treat?

Proteus strains often display resistance to many common antibiotics, making treatment challenging.

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Describe the basic morphology of Proteus.

Proteus bacteria are rod-shaped, highly mobile, and lack a capsule or spores.

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What makes Proteus bacteria adaptable to different environments?

Proteus bacteria can grow in the presence or absence of oxygen, making them adaptable to various environments.

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How can you recognize Proteus bacteria in the lab?

Proteus can be identified by its characteristic swarming colonies on agar plates.

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What is Pseudomonas aeruginosa?

Pseudomonas aeruginosa is a common opportunistic pathogen that causes infections, particularly in individuals with weakened immune systems.

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How can you identify Pseudomonas aeruginosa in the lab?

Pseudomonas aeruginosa produces a characteristic blue-green pigment called pyocyanin, which gives its colonies a distinct color and odor.

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What type of infections does Pseudomonas aeruginosa cause?

Pseudomonas aeruginosa is a versatile pathogen capable of causing infections ranging from urinary tract infections to pneumonia and even bloodstream infections.

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What is endotoxin?

A type of bacterial toxin found in the outer membrane of Gram-negative bacteria, released when the bacteria die or lyse. Endotoxin is a potent immune stimulant and can cause a range of harmful effects, including fever, inflammation, and even shock.

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What is an exopolysaccharide (glycocalyx) in Pseudomonas?

A sticky outer layer that helps bacteria adhere to surfaces, forming a biofilm. These biofilms protect bacteria from antibodies and phagocytes, making them more resistant to immune defenses.

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Why is Pseudomonas aeruginosa called a "Joker"?

Pseudomonas aeruginosa is a versatile pathogen, capable of causing a wide variety of infections in different parts of the body, including pneumonia, skin infections, urinary tract infections, and even bloodstream infections.

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What does it mean for a bacterium to produce acid from glucose by oxidation only?

This refers to the ability of an organism to create acid from the sugar glucose through an oxidative process, meaning it uses oxygen to break down the glucose.

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What are elastase and protease?

This is a group of enzymes (elastase and protease) produced by some bacteria, including Pseudomonas aeruginosa, that play a crucial role in breaking down tissues and facilitating bacterial invasion. Elastase attacks elastin, a protein that helps maintain the integrity of tissues, while protease breaks down proteins in general.

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What are the indicators of fecal pollution in water?

E. coli, Enterococcus faecalis, and CI. perfringens are types of bacteria commonly found in feces. If these bacteria are detected in a water sample, it indicates that the water has been contaminated with fecal matter.

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Where can you find Klebsiella pneumoniae?

Klebsiella pneumoniae are commonly found in the intestines and respiratory tract. They can survive in soil and water, but some strains can cause infections in humans, particularly in hospitals, due to their multi-drug resistance.

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What are the most common diseases caused by Klebsiella pneumoniae?

Klebsiella pneumoniae can cause infections such as lobar pneumonia, urinary tract infections, septicemia, and neonatal meningitis. These infections are often associated with hospitals and are caused by multi-drug resistant strains.

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Where are Enterobacter, Citrobacter, and Serratia found?

Enterobacter, Citrobacter, and Serratia are bacteria commonly found in soil, water, and feces. They can cause infections in hospitalized and immunocompromised patients, especially those undergoing invasive procedures.

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Where are Proteus species found?

Proteus species are found in soil and water, and are normal inhabitants of the human intestines. They typically only cause infections when they leave the intestines.

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Which Proteus species are most commonly associated with UTIs?

Proteus vulgaris and Proteus mirabilis are two common Proteus species that can cause urinary tract infections (UTIs).

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Why are some bacteria harmless in one environment but dangerous in another?

Some bacteria are normal inhabitants of the human body, but they can cause infections if they leave their normal locations. This is especially true for immunocompromised individuals.

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Why is identifying these bacteria in water samples important?

Identifying the presence of specific types of bacteria in water samples is important for assessing the risk of fecal contamination. This helps us understand the potential health risks associated with using the water.

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Study Notes

Enterobacteriaceae (Lactose Fermenters & Proteus)

  • The Enterobacteriaceae family consists of gram-negative bacilli.
  • They are commonly found in the colon of humans and animals, often as part of the normal flora.
  • They cause various diseases with different pathogenic mechanisms.
  • A widely used biochemical test kit for differentiating Enterobacteriaceae species is API 20E.

Pseudomonas

  • Pseudomonas are gram-negative, motile bacilli.
  • They are common causes of hospital-acquired infections.
  • Common infections include urinary tract infections, wound infections, otitis externa, corneal ulcers (in contact lens users), pneumonia, sepsis with ecthyma gangrenosum, osteomyelitis, and endocarditis (in intravenous drug users).
  • These infections are often severe and commonly occur in hospitalized or immunocompromised patients.

Klebsiella

  • Klebsiella pneumoniae are gram-negative, non-motile, and capsulated bacilli.
  • They are normal inhabitants of the intestinal and respiratory tracts.
  • Often cause hospital-acquired infections due to multi-drug resistance.
  • Common infections include pneumonia and urinary tract infections.
  • Klebsiella rhinoscleromatis can cause a granuloma in the nose and throat (rhinoscleroma).
  • Klebsiella ozaenae is associated with atrophic rhinitis

Morganella morganii and Providencia rettgeri

  • These genera are similar to Proteus in certain characteristics but are distinct.
  • They are gram-negative, non-lactose fermenters, and generally resistant to many antibiotics.
  • They are often found in soil, water and the intestines of humans.
  • They are a common cause of urinary tract infections (UTIs).

General Characteristics of the Family Enterobacteriaceae

  • Gram-negative bacilli
  • Non-spore forming
  • Aerobic or facultative anaerobic
  • Ferment glucose
  • Oxidase negative
  • Catalase positive
  • Reduce nitrate to nitrite

E. coli

  • E. coli are normal inhabitants of the human intestine.
  • Some strains cause various diseases, including urinary tract infections (the most common type), hospital-acquired infections, neonatal meningitis, pneumonia, sepsis, and intestinal diseases (e.g., traveler's diarrhea, hemorrhagic colitis).
  • Uropathogenic E. coli specifically colonize the urinary tract and cause cystitis and pyelonephritis.

Virulence factors in E.coli

  • Pili (colonization factors) aid in adhering to intestinal cells.
  • K antigens (capsular polysaccharides) interfere with phagocytosis.
  • Endotoxin (LPS) triggers endotoxic shock.
  • Heat-labile and heat-stable toxins (LT, ST) cause water secretion from intestinal cells, leading to diarrhea, particularly from Enterotoxigenic E. coli (ETEC).
  • Verotoxin and Shiga toxin cause hemorrhagic colitis, a severe form of bloody diarrhea from Enterohemorrhagic E. coli (EHEC).
  • Enteropathogenic E. coli (EPEC) adhere tightly to intestinal cells, disrupting microvilli and leading to diarrhea.
  • Enteroinvasive E. coli (EIEC) invade intestinal cells and cause dysentery-like illness.
  • Enteroaggregative E. coli (EAEC) adhere to intestinal cells in aggregates and cause acute, persistent diarrhea, often in immunocompromised patients.

Diagnosis of Enterobacteriaceae infections

  • Samples (urine, pus, stool, CSF) are cultured on various media.
  • Pink lactose-fermenting colonies on MacConkey's agar are further identified by morphology and biochemical tests.
  • For diarrhea cases, isolated E. coli are tested to confirm the pathotype (serotyping, ELISA for verotoxin detection).

Treatment

  • Treatment for E. coli infections depends on the site and sensitivity pattern of the isolated organism.
  • Diarrheal diseases typically do not require antibiotic treatment but rehydration is crucial. However antibiotics may shorten the duration of diarrhea.
  • Antibiotic sensitivity tests are crucial to choosing the correct antibiotic for infections, especially for resistant strains.

Additional Notes

  • Some species within the Enterobacteriaceae family, Proteus, are highly resistant to antibiotics, requiring sensitivity tests before treatment.
  • The slides mention objectives for various species (e.g., Escherichia coli, Klebsiella, Proteus). These are not separate topics but aspects of study within the larger Enterobacteriaceae discussion.

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Description

Test your knowledge on E. coli and related bacteria in this microbiology quiz. Covering topics such as lactose fermentation, virulence factors, and metabolic characteristics, this quiz will challenge your understanding of the Enterobacteriaceae family. Perfect for students studying microbiology or preparing for exams.

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