Microbiology Quiz: Haemophilus & Legionella
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Questions and Answers

At what temperature do most Haemophilus species grow best?

  • 30-32 degrees centigrade
  • 40-42 degrees centigrade
  • 25-28 degrees centigrade
  • 35-37 degrees centigrade (correct)
  • Which Haemophilus species requires an increased supply of CO2 for growth?

  • H.aegypticus
  • H.ducreyi
  • H.influenzae (correct)
  • H.parainfluenzae
  • What type of agar is used for isolating H.influenzae?

  • Horse’s blood-bacitracin agar (correct)
  • MacConkey agar
  • Nairobi biplate medium
  • Chocolate agar
  • Which of the following is true regarding Brucella species?

    <p>They can induce spontaneous abortion among animals.</p> Signup and view all the answers

    What is the preferred specimen for isolation of Haemophilus species?

    <p>Blood and bone marrow</p> Signup and view all the answers

    How does H.aegypticus appear under microscopy?

    <p>Small coccobacilli with a 'sandy appearance'</p> Signup and view all the answers

    Which of the following cultures would show colonies that are non-haemolytic and yellowish?

    <p>H.aegypticus</p> Signup and view all the answers

    What type of bacteria does the HACEK group consist of?

    <p>Fastidious Gram-negative bacteria</p> Signup and view all the answers

    Which of the following characteristics apply to Legionella species?

    <p>Can infect amoebae and ciliated protozoa</p> Signup and view all the answers

    What is a significant virulence factor of Pasteurella species?

    <p>Endotoxin and capsule</p> Signup and view all the answers

    Which of the following serogroups is not associated with Legionnaire's disease?

    <p>8</p> Signup and view all the answers

    Which culture medium is preferred for isolating Legionella pneumophila?

    <p>Buffered charcoal yeast extract (BCYE) with L-cysteine</p> Signup and view all the answers

    What is a characteristic growth appearance of Mycobacterium tuberculosis in culture?

    <p>Buff in color, raised and dry colonies</p> Signup and view all the answers

    Legionella pneumophila is primarily isolated from which of the following environments?

    <p>Freshwater lakes and rivers</p> Signup and view all the answers

    Which biochemical test result is positive for Mycobacterium tuberculosis?

    <p>Catalase positive</p> Signup and view all the answers

    What microscopic appearance is characteristic of Legionella species?

    <p>Small, straight bacilli with a 'safety-pin' appearance</p> Signup and view all the answers

    Which of the following factors is a virulence factor associated with Mycobacterium species?

    <p>Cording factor</p> Signup and view all the answers

    Which of the following statements about Pasteurella multocida is true?

    <p>It is the most commonly isolated species in humans.</p> Signup and view all the answers

    What is the primary function of the Bacillus Calmette–Guérin (BCG) vaccine?

    <p>Act as a live attenuated strain against tuberculosis</p> Signup and view all the answers

    Which biochemical test result is characteristic of Legionella species?

    <p>Catalase positive</p> Signup and view all the answers

    Which rapid method is effective for the diagnosis of Mycobacterium tuberculosis?

    <p>DNA test (PCR)</p> Signup and view all the answers

    How do Mycobacterium species generally respond to heat, cold, and drying?

    <p>They are resistant to these environmental conditions</p> Signup and view all the answers

    Which of the following describes the morphology of Mycobacterium species?

    <p>Slender, beaded rods</p> Signup and view all the answers

    What is the specific gravity range of Mycobacterium species?

    <p>0.79 - 1.07</p> Signup and view all the answers

    What is a common environmental source of avium complex infections?

    <p>Natural waters</p> Signup and view all the answers

    Which test is used to differentiate avium complex based on biochemical properties?

    <p>Tween 80 hydrolysis</p> Signup and view all the answers

    What type of colonies does avium complex typically produce in culture?

    <p>Smooth, yellow-orange colonies</p> Signup and view all the answers

    In patients without AIDS, what type of infections are most commonly associated with avium complex?

    <p>Cervical lymphadenitis</p> Signup and view all the answers

    What is the primary infection caused by avium complex in HIV-negative immunocompromised patients?

    <p>Pulmonary infections</p> Signup and view all the answers

    How is M. xenopi commonly transmitted?

    <p>Aerosols from hot water taps</p> Signup and view all the answers

    What type of disease is less common in patients with AIDS when infected with avium complex?

    <p>Extrapulmonary infections</p> Signup and view all the answers

    What growth temperature is optimal for the avium complex?

    <p>42°C</p> Signup and view all the answers

    What type of infections are associated with Mycobacterium ulcerans?

    <p>Cutaneous and subcutaneous infections</p> Signup and view all the answers

    In what type of climate do infections from Mycobacterium ulcerans commonly occur?

    <p>Tropical or temperate climates</p> Signup and view all the answers

    Where has Mycobacterium xenopi been recovered from?

    <p>Hot and cold-water taps, and birds</p> Signup and view all the answers

    What is a potential outcome of Mycobacterium xenopi infection in immunocompromised adults?

    <p>Pulmonary infection</p> Signup and view all the answers

    What infectious condition is associated with Mycobacterium terrae?

    <p>Cervical lymphadenitis in children</p> Signup and view all the answers

    How is Mycobacterium ulcerans primarily transmitted?

    <p>Through insect salivary glands</p> Signup and view all the answers

    Which age group most commonly experiences mild skin infections from Mycobacterium?

    <p>Preadolescents or early adolescents</p> Signup and view all the answers

    What is the initial host from which Mycobacterium ulcerans was first isolated?

    <p>African toad</p> Signup and view all the answers

    What is the positive result of the iron uptake test for mycobacteria?

    <p>Rusty brown colonies in egg-based medium</p> Signup and view all the answers

    Which organism can be differentiated from others using the urease test?

    <p>M.scrofulaceum</p> Signup and view all the answers

    At what optimal temperature does M.kansasii grow?

    <p>30°C</p> Signup and view all the answers

    What color change signifies a positive urease test within three days?

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

    Which organism is known to be incapable of growth in artificial culture media?

    <p>M.leprae</p> Signup and view all the answers

    What is a significant source of infection for leprosy?

    <p>All persons with active leprosy</p> Signup and view all the answers

    What is the significance of the p-nitroacethylamino-B-hydroxypropiophenone in the NAP inhibition test?

    <p>It is a precursor for chloramphenicol synthesis</p> Signup and view all the answers

    What distinct arrangement is characteristic of rod-shaped mycobacteria like M.kansasii?

    <p>Cigar pocket arrangement</p> Signup and view all the answers

    Study Notes

    Small, Pleomorphic, Gram-Negative Bacilli

    • Haemophilus species are "blood-loving"
    • Obligate parasites on human mucous membranes
    • Primarily inhabit the upper respiratory tract (URT)
    • Haemophilus influenzae type b (Hib) is a leading cause of meningitis in unvaccinated children
    • Haemophilus ducreyi causes chancroid, a highly communicable sexually transmitted genital ulcer disease
    • Fastidious bacteria requiring specific growth factors (X and V factors)

    Haemophilus Species

    • Haemophilus are small, pleomorphic, gram negative bacilli
    • Rapidly die in clinical specimens and are susceptible to drying and extreme temperatures.
    • Grow best at 35-37°C with 5-10% CO2
    • Various growth factors depending on the species

    Differential Characteristics of Haemophilus Species

    • Various species have differentiating characteristics
    • Different infections can be caused by different species
    • Diagnostic tests and cultures need to be applied as appropriate to each species

    Brucella spp.

    • Species of this genus are important human and animal pathogens
    • Obligate intracellular parasites with various subtypes, which have different infections associated.
    • Difficult to culture under standard conditions.
    • Can infect specific tissues amongst humans, which is useful in differentiation
    • Pathogens are spread through various exposure paths.

    Francisella tularensis

    • Category A select bioterrorism agent, non-motile, gram-negative
    • Causes tularemia (rabbit fever)
    • Transmitted primarily through vectors like insect bites
    • Requires biosafety level 3 conditions for lab work.

    Legionella

    • Fastidious, aerobic motile, and non-carbohydrate fermenter
    • Legionnaire's disease and Pontiac fever are caused by L. pneumophilia
    • Infection typically acquired through inhalation of water droplets from contaminated sources.
    • Can replicate within certain types of protozoa.

    Pasteurella

    • Facultatively anaerobic, nonmotile
    • Associated typically with animal bites, particularly those from cats or dogs.

    Bordetella

    • Causes whooping cough (pertussis)
    • Highly contagious, affecting the upper respiratory tract
    • Characterized by three distinct stages: catarrhal, paroxysmal, and convalescent.

    Mycobacteria

    • Mycobacteria are non-motile, non-spore forming, acid-fast bacilli, which are resistant to various disinfectants
    • Slow-growing mycobacteria take multiple weeks or months to grow.
    • The two common groups are the Mycobacterium tuberculosis complex (M. tuberculosis itself, as well as others) and nontuberculous mycobacteria (NTM).

    Spirochetes

    • Spirochetes are an unusual group of bacteria (genus Treponema)
    • Exhibit unique motility patterns and spiral shape
    • Syphilis, relapsing fever, and Lyme disease are all caused by spirochete species
    • Different species have various reservoirs
    • Can be detected using dark-field microscopy.

    Anaerobic Bacteria

    • Anaerobes are bacteria that grow in the absence of oxygen.
    • They are found in soil, in freshwater and seawater sediments, etc.
    • Anaerobes are grouped as either endogenous, which exist inside animals, or exogenous, which exist outside of animals.
    • Endogenous anaerobes are found in the gut, oral cavity or other human tissues.
    • Exogenous forms from environment are more likely from animal bites, wounds or exposure to contaminated soil or water, typically Clostridium spp.
    • Indicators include presence of sulfur granules, foul odor when opened, double zone of hemolysis, brick red fluorescence or absence of superoxide, etc

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    Description

    Test your knowledge on Haemophilus and Legionella species, including their growth requirements, isolation techniques, and characteristics. This quiz covers essential microbiological concepts and culturing methods used in clinical laboratories.

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