Microbiology Quiz on Brucella and Hemophilus

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Questions and Answers

Which of the following statements regarding the growth of Brucella is accurate?

  • Brucella can ferment carbohydrates for energy.
  • Brucella requires enriched blood agar for growth. (correct)
  • Brucella grows in anaerobic conditions.
  • Brucella has a rapid growth rate of less than 24 hours.

What is the primary virulence factor of Brucella that aids in its pathogenesis?

  • Evading toll-like receptors and surviving intracellularly. (correct)
  • Resistant to antibacterial treatments.
  • Rapid replication in extracellular environments.
  • Inducing severe inflammation in host tissues.

Which of the following is NOT a symptom associated with acute brucellosis?

  • Myalgia
  • Chills
  • Coughing (correct)
  • Weight loss

How does Brucella abortus enhance its survival within host cells?

<p>By inhibiting apoptosis and prolonging host cell life. (B)</p> Signup and view all the answers

Which diagnostic method is employed to confirm a Brucella infection?

<p>Plate agglutination test. (C)</p> Signup and view all the answers

What is the primary factor in the cultivation of Hemophilus influenzae?

<p>X factor – hematin (B)</p> Signup and view all the answers

What is the size range of Hemophilus influenzae?

<p>1.0-1.5 µm (A)</p> Signup and view all the answers

Which of the following statements about the serotypes of Hemophilus influenzae is true?

<p>Type b capsule contains polyribose-ribitol phosphate (D)</p> Signup and view all the answers

What was Hemophilus influenzae mistakenly thought to be responsible for until 1933?

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

Which characteristic is not true of Hemophilus influenzae?

<p>It is motile (D)</p> Signup and view all the answers

Which mode of transmission is associated with Hemophilus influenzae?

<p>Respiratory droplets (C)</p> Signup and view all the answers

What type of bacteria are Hemophilus influenzae classified as?

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

Which condition is associated with increased risk for invasive H influenzae disease?

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

What is the primary culture medium used for identifying H influenzae?

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

Which factor is essential for the growth of H influenzae when cultured?

<p>X factor (hematin) (C)</p> Signup and view all the answers

How is Haemophilus ducreyi primarily transmitted?

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

What is a key characteristic of the ulcers caused by Haemophilus ducreyi?

<p>Deeply necrotizing and painful (D)</p> Signup and view all the answers

What is the typical antibiotic treatment for chancroid?

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

Which organism is strictly a human pathogen and is transmitted via aerosolized droplets?

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

What is the incubation period for Haemophilus ducreyi infection?

<p>1 day to 2 weeks (C)</p> Signup and view all the answers

What is a common misconception about diagnosing chancroid?

<p>It requires a blood test for confirmation (B)</p> Signup and view all the answers

What is a noted consequence of untreated large lymph node swellings caused by Haemophilus ducreyi?

<p>Necrosis requiring surgical intervention (C)</p> Signup and view all the answers

Which species of Brucella is primarily associated with high pathogenicity for humans and commonly found in sheep and goats?

<p>B.melitensis (A)</p> Signup and view all the answers

Which of the following statements about Brucella spp. is incorrect?

<p>They are non-aerobic organisms. (C)</p> Signup and view all the answers

What is the primary method of human infection with Brucella spp.?

<p>Ingestion of contaminated dairy products (C)</p> Signup and view all the answers

Which of the following Brucella species primarily infects dogs?

<p>B.canis (D)</p> Signup and view all the answers

Brucella spp. are classified as which type of bacteria?

<p>Gram-negative coccobacilli (A)</p> Signup and view all the answers

Which species of Brucella is recognized for moderate pathogenicity in humans?

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

Which of the following is NOT a reservoir for any Brucella species?

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

What makes Brucella spp. a significant concern in laboratory settings?

<p>They can be transmitted via inhalation of contaminated aerosols. (B)</p> Signup and view all the answers

Brucella spp. causes abortions in which type of animals?

<p>Cattle, goats, and pigs (C)</p> Signup and view all the answers

During which decade was Brucella weaponized for bioterrorism purposes by the US and the former Soviet Union?

<p>1950s (B)</p> Signup and view all the answers

Which statement correctly describes the properties of invasive strains of Hib?

<p>Most invasive strains are type b. (C)</p> Signup and view all the answers

What characterizes the capsule of Hib in relation to immune response?

<p>It helps in evading phagocytosis. (C)</p> Signup and view all the answers

What type of vaccine is the Hib vaccine classified as?

<p>A polysaccharide conjugate vaccine. (C)</p> Signup and view all the answers

Which invasive disease is most commonly attributed to Hib?

<p>Pneumonia caused by serotype f. (B)</p> Signup and view all the answers

What is a clinical hallmark of acute epiglottitis caused by Hib?

<p>Cherry-red swollen epiglottis. (A)</p> Signup and view all the answers

What is the main role of the Hib anticapsular antibody?

<p>To provide bactericidal activity and protection. (C)</p> Signup and view all the answers

Following what conditions could acute purulent meningitis occur?

<p>Sinusitis or otitis. (D)</p> Signup and view all the answers

What is a significant implication of the Hib conjugate vaccine?

<p>It does not protect against nontypeable strains. (D)</p> Signup and view all the answers

What is the primary mechanism of invasion used by Hib when infecting respiratory cells?

<p>Attachment via pili and outer membrane proteins. (C)</p> Signup and view all the answers

Flashcards

Hemophilus influenzae

Hemophilus influenzae, formerly known as Pfeiffer's bacillus, is a small, gram-negative bacterium that can cause various infections. It was initially mistaken for the cause of influenza but was later determined to be a separate bacterium.

Growth Factors for Hemophilus influenzae

Hemophilus influenzae requires specific growth factors, X factor (hematin) and V factor (NAD). These factors are present in erythrocytes, making blood-enriched media like chocolate agar essential for its growth.

Satellite Phenomenon

The phenomenon where Hemophilus influenzae grows around other bacteria due to the release of essential growth factors is known as satellitism.

Normal Flora of Hemophilus influenzae

Hemophilus influenzae is a common inhabitant of the human respiratory tract and oral cavity, but can also cause infections under certain conditions.

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Capsule of Hemophilus influenzae

The capsule of Hemophilus influenzae is a protective outer layer that plays a significant role in its virulence. Certain serotypes, particularly type b, are strongly associated with severe infections.

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Transmission of Hemophilus influenzae

Hemophilus influenzae is primarily transmitted through respiratory droplets or direct contact with contaminated secretions.

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Infections caused by Hemophilus influenzae

Hemophilus influenzae can cause various infections, including meningitis, pneumonia, epiglottitis, and otitis media. The severity of infection can vary depending on the serotype and individual factors.

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Hib Disease: Predominant Serotype

Most cases of invasive Haemophilus influenzae type b (Hib) disease are caused by serotype Hib.

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Hib Vaccine Impact

Hib vaccine has significantly reduced the incidence of Hib disease in areas where it's been implemented.

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Hib Transmission

Hib infection spreads through direct contact with respiratory secretions from an infected person.

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Invasive Haemophilus influenzae (Hib) Strain

Only capsulated strains of Haemophilus influenzae are able to cause invasive infections, which means they can spread throughout the body.

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Prevalence of Type b Hib

More than 90% of invasive Haemophilus influenzae strains are type b.

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Hib Attachment to Cells

Haemophilus influenzae type b (Hib) bacteria use pili and outer membrane proteins to attach to respiratory cells.

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Hib Invasion

Once attached, Hib bacteria invade between cells, bypassing the body's natural defenses.

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Hib Capsule: Evasion Mechanism

The capsule surrounding Hib bacteria helps them avoid being engulfed and destroyed by immune cells (phagocytosis).

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Hib Infections

Haemophilus influenzae type b (Hib) can cause a variety of infections including septic arthritis, osteomyelitis, cellulitis, pericarditis, pneumonia, otitis media, and meningitis.

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What is Brucella?

Brucella is a genus of bacteria that can cause brucellosis, a zoonotic disease that affects animals and humans. It's known for its slow growth, requiring enriched blood agar and aerobic conditions. Interestingly, it produces catalase, oxidase, and urease but cannot ferment carbohydrates.

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How does Brucella cause disease?

The pathogenic potential of Brucella relies on its ability to invade host cells and survive within them. This way, it can multiply and cause infections.

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What happens once Brucella enters the body?

After entering the body through skin or mucous membranes, Brucella evades the immune system's first line of defense, toll-like receptors, and multiplies inside macrophages. It then forms granulomas in the liver, spleen, and bone marrow.

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What are the symptoms of acute brucellosis?

Acute brucellosis usually presents 1-3 weeks after infection with symptoms like fever, night sweats, muscle and joint pain, headache, and weight loss. These symptoms can persist for weeks or months.

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What are the long-term effects of brucellosis?

Brucellosis can have long-term complications that affect various systems, including the musculoskeletal, gastrointestinal, genitourinary, and cardiovascular systems. Due to its mimicking nature, diagnosis and treatment can be challenging.

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Who is at risk for invasive H. influenzae?

A serious condition affecting individuals with a compromised immune system or absent spleen function, making them highly susceptible to infections caused by Haemophilus influenzae.

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How is H. influenzae identified?

Culture tests using a specialized media called chocolate agar help identify Haemophilus influenzae. The bacterium's growth on this media, but not on blood agar, suggests its presence.

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What is the causative agent of chancroid?

Haemophilus ducrey, the causative agent of chancroid, is a fastidious, Gram-negative, facultative anaerobic coccobacilli. This means it requires specific conditions to survive and can grow with or without oxygen.

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What are the characteristics of Chancroid?

Chancroid is a sexually transmitted infection characterized by painful, necrotizing ulcers on the genitals. It can also lead to swollen lymph nodes in the groin.

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How is Chancroid transmitted?

Chancroid is transmitted mainly through direct contact with sores, often during sexual activity. It can also spread through autoinoculation, where the infection is transferred to other parts of the body, such as the eyes or skin.

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What is Bordetella?

Bordetella is a genus of bacteria known for causing respiratory infections, especially in humans. They are strict aerobes, meaning they need oxygen to survive, are Gram-negative, and have a characteristic size and shape.

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How is Bordetella spread?

Bordetella bacteria spread through respiratory droplets released when infected individuals cough or sneeze. This mode of transmission makes them highly contagious.

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What is special about Bordetella's infection strategy?

Bordetella primarily targets humans and does not require invasion of host tissues to cause disease.

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Who discovered B. pertussis?

The discovery of Bordetella pertussis, the cause of whooping cough, was attributed to Jules Bordet and Octave Gengou in 1900.

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Is Chancroid curable?

Haemophilus ducreyi is a highly contagious but treatable infection.

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What are Brucella spp.?

Brucella spp. are bacteria responsible for causing Brucellosis, a zoonotic disease affecting both animals and humans. They are gram-negative, small, coccobacilli (rod-shaped) bacteria that are aerobic, non-motile, and urease-positive. Their lack of a sugary capsule makes them distinct.

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Which animals can be infected by Brucella spp.?

Brucella spp. are known for causing infections in a variety of animal species, including cattle, sheep, goats, pigs, and dogs.

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How many Brucella species are there?

There are eight identified species of Brucella, with six of them being capable of infecting humans.

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What is Brucella melitensis known for?

Brucella melitensis is a species of Brucella that primarily affects sheep and goats. It possesses a high pathogenicity for humans, meaning it can cause severe illness.

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What is Brucella abortus known for?

Brucella abortus, commonly found in cattle, is another species of Brucella that can infect humans. While it can cause illness, it is considered to have moderate pathogenicity, meaning it's less likely to cause severe infections.

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What is Brucella suis known for?

Brucella suis, primarily infecting pigs, can cause serious infections in humans. It is considered highly pathogenic, like melitensis.

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What is Brucella canis known for?

Brucella canis, found in dogs, can cause infection in humans, though it's considered to have moderate pathogenicity, similar to Brucella abortus.

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How is Brucellosis spread?

Brucellosis, the disease caused by Brucella spp, can be spread through various ways. These include consuming contaminated unpasteurized milk or dairy products, breathing in contaminated dust or aerosols, or having the bacteria enter open wounds.

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What is the reservoir for Brucella abortus?

The primary reservoir for Brucella abortus is cattle, buffalo, and camels. The bacteria have been found in these animals.

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Who is at particular risk of Brucellosis?

Brucellosis presents a significant occupational hazard for veterinarians, as they may be exposed to infected animals during their work.

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Study Notes

Lecture 11: Microbiology - Some Other Important Bacteria

  • The lecture covers various bacterial species, including their biological characteristics, infection and immunity, pathogenesis, diagnosis, treatment, and prevention. Key species covered include Haemophilus influenzae, Bordetella, Brucella, Bacillus anthracis, and Legionella pneumophila.

Haemophilus influenzae

  • Formerly known as Pfeiffer's bacillus or Bacillus influenzae.
  • Described by Richard Pfeiffer during an 1892 influenza pandemic.
  • Initially mistaken for the cause of influenza.
  • The viral cause of influenza was identified later in 1933.
  • Small bacteria, 1.0-1.5 µm in size.
  • Gram-negative rods (cocobacilli).
  • Facultative anaerobes.
  • Non-motile.
  • May or may not have a capsule.
  • Requires growth factors (X factor-hematin, V factor-nicotinamide adenine dinucleotide (NAD)) present in erythrocytes; often grown on chocolate agar.
  • Transmitted via respiratory droplets or contact with contaminated secretions.
  • Part of the normal flora of the human respiratory tract and oral cavity.
  • Six capsulated serotypes.
  • Type B is strongly associated with virulence.
  • No known exotoxins.
  • 95% of invasive diseases caused by type B.
  • Non-encapsulated strains (non-typable) are part of the normal flora.

Clinical Importance of H. influenzae

  • H. influenzae type B is an important human pathogen leading to various conditions.
  • Other Haemophilus species are normal flora.
  • H. ducreyi is a sexually transmitted pathogen (chancroid).
  • H. parainfluenzae can cause pneumonia & endocarditis.
  • H. aphrophilus can cause pneumonia & endocarditis.
  • H. aegyptius causes pink eye (purulent conjunctivitis).

Public Health Aspects

  • Incidence of H. influenzae type B significantly decreased after vaccination.
  • Pre-immunization, type B was the most common invasive species.

Bordetella pertussis - Whooping Cough

  • Strict aerobe Gram negative.
  • Small coccobacillus (0.5-1.0 µm).
  • Transmission by aerosolized droplets.
  • Non-invasive, strictly human pathogen.
  • Two-stage process.
  • Respiratory colonization (7-10 days, no symptoms, positive cultures)
  • Toxin-mediated disease (clinical symptoms).

Virulence Factors (Bordetella pertussis)

  • Pertussis toxin (PT).
  • Adenylyl cyclase toxin (AC).
  • Tracheal cytotoxin (TCT).
  • Dermonecrotic toxin.

Brucella Species

  • Gram-negative, intracellular coccobacilli.
  • Aerobic and non-motile.
  • Lack a diffuse sugary capsule around their membrane.
  • Capable of causing disease in various animals and humans.
  • Several species are medically important, examples include B. melitensis (high), B. abortus(moderate), B. suis(high), B. canis(moderate), B. ceti, and B. pinnipedialis.

Reservoir & Epidemiology (Brucella)

  • Reservoirs include cattle, buffalo, camels, sheep, goats, camels, swine, and dogs.
  • Human infection often occurs through ingestion of contaminated milk, dairy products.
  • Transmitted through breathing or skin wounds.
  • Veterinarians at higher exposure risk.
  • The US has implemented a control program following identification of infection in 1934.

Bacillus anthracis

  • Gram-positive, large non-hemolytic.
  • Endospores, survival in nature.
  • A wide range of pathogenic mechanisms.
  • Disease patterns include cutaneous anthrax (95%), inhalation, and gastrointestinal anthrax.

Bacillus cereus

  • Can cause food poisoning from food intoxication or infection.
  • Characterized by emetic form, implicated food sources include rice.
  • Characterized by diarrheal form, implicated food sources include meat and vegetables.

Legionella pneumophila

  • Thin, aerobic, pleomorphic, non-spore forming.
  • Gram-negative capsulated bacteria.
  • Motile with polar, subpolar, and lateral flagella.
  • Staining with silver impregnation methods.
  • 16 serogroups; L. pneumophila 1 is the most common, known as Philadelphia strain.
  • Disease patterns: Legionnaires' disease, and Pontiac Fever.
  • Diagnosis using specimens like sputum, bronchial aspirate, or lung biopsy; culture methods, fluorescent methods, serology, ELISA, or Urine Antigen Test.

Bacillus cereus, Bacillus anthracis, and Legionella pneumophila

  • Diseases including food poisoning, anthrax, and Legionnaires' disease are discussed in more detail.
  • Epidemiology, signs and symptoms, diagnosis, and treatment procedures are summarized.

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